Decision details

This report is to gain approval for the utilisation of capital funding to convert the CRC's to registered nursing and specialist dementia care homes.

The Cabinet Members approve the request to allocate £700k of the Social Care Capital Grant funding to upgrade the CRCs and enable them to move to a new service model offering nursing beds, specialist dementia beds and high dependency residential care beds which are tailored to more complex needs.

The Council has a statutory duty to meet the care and support needs of individuals eligible for support under the Care Act 2014.  This includes complex needs that are best met within a care home setting. 

The Council also has a duty under the Care Act 2014 to ensure market stability, development and to protect against provider failure.  The investment into the 105 beds within the Community Resource Centres is important to ensure they are fit to meet current and future population need and, also, to secure the ongoing provision of 105 care home beds as an important part of the care market in Bath and North East Somerset.

The preferred option is based on the full business case for the CRCs and links to the Council and CCG’s overall strategy, future need and affordability.  It will enable the following to be provided:

·  Cleeve Court (45 dementia residential beds)

·  Combe Lea (15 dementia nursing and 15 dementia residential beds)

·  Charlton House (10 high dependency residential and 15  general nursing beds)

Other options ruled out due to financial factors, efficiency, quality or for their fit with the current or future population needs, included:

·  Do Nothing

·  Reconfigure beds to offer Reablement provision and/or decommissioning Extra Care Housing

·  Closure of the 3 CRCs

A summary is provided for each option in more detail in the Full Business Case.