Agenda and minutes

Adult Social Services and Health Committee
Tuesday, 9th June, 2015 7.30 pm

Venue: Civic Offices, St Nicholas Way, Sutton SM1 1EA

Contact: Angela Guest, Senior Business Support Officer (Democratic Services). Tel: 020 8770 5122 Email:  angela.guest@sutton.gov.uk 

Items
No. Item

1.

Apologies for absence and notification of substitutes

Minutes:

Apologies for absence were received from Councillors Sunita Gordon and Nali Patel. An apology for lateness was received from Councillor Colin Stears who arrived at 8.20pm towards the end of item 5 on the agenda.

 

The Vice Chair was in the Chair until the Chair arrived.

 

2.

Minutes of the previous meeting pdf icon PDF 59 KB

Minutes of the meeting held on 17 March for approval.

 

Minutes:

The Minutes of the meeting held on 17 March 2015 were approved as a correct record and signed by the Chair.

 

3.

declarations of interest

Minutes:

There were no declarations of interest.

 

4.

Adult Social Services:2014/15 end of year performance pdf icon PDF 102 KB

This report provides a summary of the key areas of adult social services performance for Quarter 4 (January to March) of the 2014/15 financial year, including the end-of-year position for those performance indicators where an annual target has been set.

 

Additional documents:

Minutes:

The Committee reviewed a summary of the key areas of adult social services performance for Quarter 4 (January to March) of the 2014/15 financial year, including the end-of-year position for those performance indicators where an annual target has been set.  The report also included a few of the key indicators from the Adult Social Care Outcomes Framework (ASCOF) measures which were part of a national data set and not locally done by Sutton.

 

Members sought clarification and requested changes to future reports:

a)    the difference between 4A and 4B of the ASCOF measures, and

b)    that Individuals with eligible needs supported in the community on personal budget and direct payments

c)    include numbers of people rather than just percentages.

 

There were several Member questions around Direct Payments to which the Executive Head of Adult Social Care offered to set up a separate Member session to discuss details of direct payments process.

 

It was reported that the sum payable for Direct Payments was being reviewed to ensure that it continued to enable service users employing staff to meet their legal obligations as employers including the new pension provisions.

 

The Committee discussed social worker vacancies and the training requirements for Deprivation of Liberty (DOLs).  The Executive Head of Adult Social Care reported that it would be likely that the Council would be breaching its statutory obligation from mid July in relation to DOLs due to the increasing number of DOLs referrals since the Cheshire West judgement last year.

 

Resolved: 1) To agree to the inclusion of additional performance information regarding the Care Act 2014 as set out in paragraph 4.2.

 

2) To request that the Executive Head of Adult Social Care arranges a Member briefing session on Direct Payments.

 

5.

Care Act Implementation pdf icon PDF 128 KB

This is a regular update report on progress since the last Committee on implementing Part 1 of the Care Act and on progress towards Part II implemented April 2016.

 

Additional documents:

Minutes:

The Committee considered an update report on progress with the implementation of the Care Act part one (April 2015) and part two (April 2016).  The paper also reported on the initial service impacts of the care act (Appendix 1) and the latest financial projections (Appendix 2) for the financial impact of the new Care Act statutory duties and functions on London Borough of Sutton and plans to respond to increased demand, post April 2016. The Task and Finish Group’s work and the wider engagement programme was set out in Appendix 3 to the report.

 

It was reported that work to continue to develop IT systems Care Act compliant would take place in the summer. It was also reported that regulations for Care Act part 2 would not be available until October 2015.  With part 2 to go live on 1 April 2016 it would be challenging to do a 12 week consultation before that time, as well as other preparatory work required. The Committee recommended that the Task and Finish Group oversee the consultation.

 

Resolved: 1)The Committee agreed to the provisional outline of the public consultation planned to commence after final regulations were issued in October 2015.

 

2) That a further monitoring report of actual against projections will be prepared for Committee in autumn 2015 was noted.

 

6.

Alternative Delivery Models update pdf icon PDF 106 KB

The report updates on progress with the development of alternative models of service delivery, specifically relating to the devolving of statutory services as permitted under the Care Act 2014 – for agreement.

Minutes:

The Committee considered an update on progress with the development of alternative models of service delivery, specifically relating to the devolving of statutory services as permitted under the Care Act 2014.

 

Concern was expressed about the amount of staff time this was taking, as well as the amount of work put in by the voluntary sector, and whether there was the capacity to extend this due to the fact that implementing Part 2 of the Care Act work would be priority. 

 

It was moved by Chair, seconded by Vice Chair, and unanimously

 

Resolved that:

 

The report be noted and to request a briefing paper on options two and three, as presented in the report, and the Gateway Review.

 

7.

Sutton Together pdf icon PDF 74 KB

Delivery Partner Update - Part 2 of the report will be an update by Sutton Together, the Voluntary Sector consortium, on its ongoing development work related to the opportunity to deliver statutory adult social care functions.

 

Additional documents:

Minutes:

David Hobday, Susanna Bennett and Rachel MacLeod, Sutton Together, presented their update report on progress with the development of their proposal originally presented to the Committee in December 2014.

 

There was discussion about the challenges for the voluntary sector in setting up the organisation to go forward and the difficulty in finding funding for a project such as this.  There were three areas listed under ‘next step’ of the Sutton Together report where they wanted to explore further with the Council. The first area was not an option as there was no relevant spin out available at this time. For the next two areas it was reported that there was also an issue with devolving budget/funding under the European Union (EU) contract rules in that tenders were large and would therefore be open to competition and it would be against EU rules to specify that an organisation needed to be based in Sutton, for example.  There would not be an issue with devolving responsibilities.

 

The Executive Head for Adult Social Care reported that devolving out under the Care Act involved significant risk at the moment and that it was challenging within the current service structure to develop and meet the new legislative requirements and it would therefore be a significant challenge for the voluntary sector.  Rachel MacLeod stated that the consortium understood the risks and were happy to meet with the council to discuss the risks.  It was her opinion that things were not impossible and outcomes could be improved with the consortium working together with the Council, especially around carers’ assessments.

 

Resolved:  To acknowledge the progress made and to request that the Executive Head of Adult Social Care bring a report to the next Committee on whether the two possible options can be progressed or not.

 

8.

Date of Next Meeting

The next meeting will be held on 17 November 2015.

Minutes:

To note that the meeting on 15 September had been cancelled so the next meeting would be held on 17 November 2015.