Meeting documents
Cabinet
Wednesday, 13th July, 2005
Report to Executive
4-Monthly Performance Report
Reporting Period |
March - May 2005 |
Reporting Area |
Social Services |
Lead Director |
Jane Ashman |
SCOPE OF REPORTING AREA
Adult Care & Commissioning
Children & Family Services
Main achievements
A7 Following the Commission for Social Care Inspection (CSCI) inspection of Children & Families Service earlier this year, a very positive draft report has been received. The overall judgement by CSCI shows that Bath & North East Somerset are serving most children well with promising capacity for improvement. CSCI will present their final report to Council Executive on 29th June 2005.
A7 The Carrswood Day Care service was successfully transferred to its new temporary location, at Tyndale, Bathford, pending the construction of the new Day Centre which is due for completion in 2006
A7 After initial delays, due to technical problems, 50% of the CareFirst Finance Module had 93gone live94 by the end of May. It is expected that 100% will be live and fully functional by the middle of June. The benefits of the new system will include greater consistency of financial systems across all services and easy access to financial information for managers and operational staff. In addition there will be a more joined up approach to performance and budget information and the quality of recording and reporting is expected to improve.
A7 The 93Back Office Review94 has achieved a saving of 6 F.T.E posts in phase one. This is now called the Service Efficiency and Effectiveness Review (SEER) to reflect a wider remit as the project is reviewing more areas to identify further efficiencies.
A7 A conference on the Children Act 2004, held at Fry's on 20 April, was very well attended by a wide range of agencies.
A7 Services to People with Learning Difficulties are now in a formal Joint Management arrangement (PCT and Social Services) led by the Local Authority.
A7 Initial discussions have been held with the Chief Executive on the establishment of the Learning Difficulties Partnership Board.
A7 The foster care recruitment strategy has been launched and the review of future allowances has been completed.
A7 Agreement has been reached for the pooling of budgets for jointly funded residential placements between Education, Health and Children's Services.
A7 Following discussions with Independent Service Providers of residential and nursing care, fee levels for 2005/06 have been set and agreed.
Planned Actions not achieved
A7 As expected and highlighted in the last report, a number of performance targets were not achieved for the year end 2004/05. This was due to a variety of reasons which include the impact of new eligibility criteria; the implementation of CareFirst (the new client record system); and over optimistic target setting.
A7 Despite efforts to contain and reduce it, the overspend in Adult Care Services remained at the level predicted earlier in the financial year.
Development Opportunities
A7 The long awaited Green Paper for Adult Care 93Independence, Well Being and Choice94 has now been published. The recommendations within the paper set challenging long-term objects for Adult Care services. Initial presentations have been made to the Executive Member and Health & Social Services Overview & Scrutiny Panel. Feedback on the green paper proposals is due to be with the Department of Health by the end of July 2005.
A7 The response and action plan to address the recommendations and findings of the CSCI inspection of Children and Families Services will provide the opportunity to improve services further.
A7 A bid for funding under the Partnerships for Older People Grant has been despatched. This has the potential to attract A30.5million that could be used for innovative projects such as addressing low level preventative services and schemes to avoid hospital admissions.
A7 Research into the necessary 93skills mix94 required in both Adults and Children and Families social care, has identified areas for change that are now being implemented.
Potential threats
A7 Implementation of the new skill mix could result in unanticipated performance issues.
A7 There is an ever-present threat of potential high cost placements for some looked after children with complex needs, which would impact upon the overall budget position. This is in a context of difficulty in the recruitment of staff and foster carers in a very competitive market.
A7 Some homes are requesting fees for nursing care within the independent sector in excess of the fee levels that have been set.
Update on Corporate Projects
A7 The Local Preventative Strategy for children and young people was formally launched by the Children and Young People's Strategic Partnership on 8th March 2005.
A7 Draft local priorities for The Children Act have been established, submitted to Department for Education & Skills (DfES) and distributed across partner agencies for consultation.
A7 An Area Child Protection Committee (ACPC) development day has been held. The focus for the day was upon establishing a Local Safeguarding Children Board and Business Plan for 2005/06. A draft Business Plan for 2005/06 has now been endorsed by ACPC and the review of the work programme for 2004/05 has been completed.
2. Reporting on targets and commitments made in the Performance Plan
Summary of Performance
Performance Targets |
No. |
% |
RED |
7 |
43.75 |
AMBER |
0 |
0 |
GREEN |
9 |
56.25 |
NOT KNOWN |
||
TOTAL |
16 |
100 |
Ref No |
Indicator |
Best 25% of all English Councils 02/03 |
03/04 actual |
04/05 target |
04/05 outturn |
Status |
Comment |
CHILDREN |
|||||||
49 |
% of children looked after with three or more placements during the year |
10.10% |
10.83% |
10% |
7.5% (e) |
Green |
|
50 |
% of children looked after who are leaving care aged 16 or over with at least one GCSE at grades A*-G or GNVQ |
50% |
71.43% |
60% |
48% |
Red |
Following a very successful outturn in 2003/04 an over ambitious target was set for 2004/05. Although the target was not reached, our outturn figure is very close to the national average. |
161 |
% of young people looked after, aged 16, who were engaged in education, training or employment at the age of 19 |
61.10% |
57.14% |
50% |
58.8% |
Green |
|
162 |
% of child protection cases which should have been reviewed during the year that were reviewed |
100% |
100% |
100% |
100% |
Green |
|
163 |
% of children looked after adopted |
8.57% |
5.21% |
5% |
5.1% (e) |
Green |
|
197 |
% reduction in conception rate for females aged 15-17 from 1998 base rate |
N/a |
-23.6% |
-27.8% |
-2.9% |
Red |
The calculations for this PI make it look like a significant deterioration, it actually only represents an increase of 6 conceptions since the baseline figure in 1998. |
ADULTS |
|||||||
53 |
Number of households receiving intensive home care per 1,000 65 or over |
15.37 |
6.71 |
7.25 |
6.1 |
Red |
Due to irregularities in reporting in 2003/04 unrealistic targets were set. |
54 |
Number of older people helped to live at home per 1,000 65 or over |
72.20 |
65.27 |
67 |
55.3 |
Red |
The impact of the new eligibility criteria is now showing in these figures |
56 |
Percentage of items of equipment delivered within seven days |
N/a |
72.72% |
95% |
82.9% |
Red |
This is the cumulative figure for the year. By the year end monthly figures were in the 90%'s |
195 |
For older clients, % of assessments meeting acceptable waiting times |
N/a |
45.88% |
55% |
72% |
Green |
The considerable improvement in assessment waiting times (195) has impacted on the reduction for 196. As both 195 & 196 were new indicators this association was not foreseen and the targets were not based on a known trend. Hence 195 being too low and 196 being too high - appropriate adjustments have been made for next year. |
196 |
For older client, % where the time from completion of the assessment to provision of all services is less than 4 weeks |
N/a |
79.47% |
90% |
66.35% |
Red |
|
201 (New) |
Number of adults and older people receiving direct payments at 31 March per 100,000 population aged 18 years or over |
N/a |
18.89 |
57 |
40.2 |
Red |
Previous figures and targets were incorrect - based on actual numbers not per 100,000 population - now correct and improving. |
EXPENDITURE |
|||||||
51 |
Average gross weekly expenditure per looked after child in foster care or children's home (A3) |
A3582 (Average) |
A3555 (E) |
A3570 |
A3570 |
Green |
|
52 |
Average gross weekly cost of providing care for adults and elderly people (A3) |
A3440 (Average) |
A3521 (E) |
A3536 |
A3536 |
Green |
|
COMMITMENTS |
|||||||
C11 |
Develop information systems for monitoring the effectiveness services to disadvantaged teenagers |
Done |
Green |
||||
C12 |
Support the independence of older people by moving joint equipment store to more suitable premises, update computerised stock control systems, expand equipment delivery service, introduce telecare equipment, implement pooled budget with the Primary Care Trust |
Done |
Green |
3. Disability and Ethnicity - Reporting on Staff and Service Users
Staff
Number of Staff |
% of workforce |
Target by 2008 |
Grade |
||
797 |
Lowest |
Highest |
|||
Disabled Staff |
19 |
2.38% |
5% |
Manual 1 |
Hay Grade I |
Disability status not revealed |
0 |
0% |
|||
Black and minority ethnic staff |
29 |
3.6% |
5% |
Manual 1 |
Hay Grade I |
93Other White94 minority ethnic staff |
13 |
1.6% |
Manual 3 |
Hay Grade I |
|
Ethnicity details not revealed |
26 |
3.2% |
Manual 4 |
Hay Grade L |
Service User from Ethnic Minorities
Number of Clients |
% of Clients |
|
Adult services |
65 |
2% |
Children & Family Services |
40 |
10% |