Agenda and minutes

Adult Social Services and Health Committee
Tuesday, 20th December, 2016 7.30 pm

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

Contact: Committee Services Tel: 020 8770 4990 Email:  committeeservices@sutton.gov.uk 

Items
No. Item

10.

Welcome and introductions

Minutes:

The Chair, Councillor Colin Stears, opened the meeting.

 

11.

Apologies for absence and notification of substitutes

Minutes:

Apologies for absence were received from Councillor Gonzalez, with Councillor Court attending as substitute. The Chair announced that Councillor Burke had left the committee.

 

12.

declarations of interest

Minutes:

There were no declarations of interest.

 

13.

Minutes of the previous meeting pdf icon PDF 116 KB

To agree the minutes of the meeting held on 13 September 2016.

Minutes:

The minutes of the meeting held on 13 September 2016 were agreed and signed by the Chair as a correct record, subject to the following amendments:

 

  • Item 9 be amended to read ‘Orchard Hill long stay Hospital’ and not ‘Orchard Hill College’.

 

14.

Adult Social Services Performance Report pdf icon PDF 119 KB

This report builds on the new arrangements for performance reporting in 2016/17, provides an update on the performance indicators selected by the committee and outlines a proposal for how these indicators will be scrutinised in 2017/18.

 

Appendix A: Supplemental Agenda

Additional documents:

Minutes:

The Commissioning and Business Insight Manager and Councillor Reynolds presented Covalent.

 

Members sought clarification on the meaning of PI code and name, delayed transfers of care and on the proportion of people still at home 91 days after discharge. In relation to delayed transfers of care, the Executive Head of Adult Social Care and Safeguarding explained the process by which the requirement for ongoing support is identified and how information feeds into an assessment and response. In relation to the proportion of people still at home 91 days after discharge, the Executive Head of Adult Social Care and Safeguarding explained that there are a couple of anomalies in relation to that indicator, for example, when people pass away within the 91 days.

 

The Chair sought clarification on what to bring back for the next meeting and suggested targets for the next year, 2017/18. Members discussed whether it is possible to incorporate preventative care and what the Council is doing to keep residents active. The Chair explained that there has to be a target and that they have to monitor activity against a target. The Strategic Director, People Directorate, questioned how early intervention and prevention could be monitored and how information could be gathered to measure that.

 

The Chair discussed the role of the voluntary sector in the Borough and explained that the Council will start looking at how information is distributed. Councillor Pascoe made a suggestion in relation to putting leaflets out with bins.

 

Members discussed how they had found Covalent and sought clarification on how up to date it is. The Executive Head of Adult Social Care and Safeguarding explained that the information gets updated on a monthly basis, with the exception of delayed transfers where there is a 6 week lag. The Chair suggested a narrative that there is a 6 week lag for delayed transfers of care be included.

 

RESOLVED:

 

  1. That the proposed approach to scrutinising indicators (as set out in 5.3-5.8) be agreed.
  2. That the proposed schedule of performance challenge sessions (as set out in 5.9-5.11) be agreed.

 

15.

Home care - Commissioning pdf icon PDF 214 KB

This report sets out proposals for the future commissioning of home care (domiciliary care) services for Sutton residents with care needs living in the community.

 

Appendix B: Supplemental Agenda

Additional documents:

Minutes:

The Executive Head of Adult Social Care and Safeguarding presented the report.

 

Following the presentation, Member discussion focussed on care providers and transfers between them.

 

Councillor Pascoe requested figures in relation to paragraph 4.8 of the report. The Head of Commissioning explained that he did not have any figures to hand but clarified that the paragraph refers to geography and difficulties with transport. Councillor Pascoe sought clarification on whether packages could be made more attractive to providers by offering, for example, free parking permits. The Head of Commissioning explained that they could have a conversation with colleagues in the regeneration department.  

 

Councillor Williams sought clarification on paragraph 4.4 of the report. The Strategic Director, People Directorate, explained that there are examples of integrated working between the Council and partners in health and a number of discussions between the Council and the CCG to continue that work. The Executive Head of Wellbeing explained that, in addition, every locality is required to achieve the next steps of integration by 2020.

 

Councillor Pascoe sought clarification on how integrated care records will work with social care. The Executive Head of Adult Social Care and Safeguarding explained that there are social care records on that system and that they are going through a lengthy process of getting consent.

 

The Chair sought clarification on how operating across two localities would work. The Executive Head of Adult Social Care and Safeguarding explained that there is some flexibility and providers will move across localities where required.

 

RESOLVED:

 

  1. That authority to award new home care contracts be delegated to the Strategic Director - People Directorate, in consultation with the Chair.

 

2.    That the award of short term contracts that facilitate the continuation of current commissioning arrangements until such time that the new model is implemented be approved. The contracts will be awarded using the direct call-off process included in the existing Personal Care Framework.

 

16.

Social Life and Activities of Tenants in Orchard Hill Re-Provision Projects pdf icon PDF 91 KB

The task & finish group was convened at the request of the Chair of the ASSH Committee to review the social and leisure activities and relationships of people in the supported living projects set up during the closure of Orchard Hill Hospital. There were a number of recommendations made by the group to maintain and continue the improvements that have already been made. The detailed findings and recommendations of the group are included in the enclosed report (Appendix A)

Additional documents:

Minutes:

The Executive Head of Adult Social Care and Safeguarding introduced the report and Councillor Court presented the work of the task and finish group.

 

Councillor Pascoe sought clarification on how the findings would be filtered back to the residents and how they could aid the support workers. The Executive Head of Adult Social Care and Safeguarding explained that, where individuals wish, they invite and involve their families. In relation to assisting support workers, the Executive Head of Adult Social Care and Safeguarding explained that this relates to the understanding of individual staff. He explained that there are a number of things the Council as a Commissioner can do, that the Council has quality assurance officers and that there are performance indicators in the various contracts they have. He explained that the Council provides training for some providers free of charge, works in partnership with the care quality commission and has an open relationship with the providers in terms of safeguarding and quality issues.   

 

The Head of Mental Health, Transitions, Community and Clinical Health explained that there are four providers of the supported living project. It was explained that the Council wants to make sure care plans are verified for social inclusion and activity plans exist for the individual.

 

Councillor Court explained that the Task and Finish Group also met with relatives. She thanked the Head of Mental Health, Transitions, Community and Clinical Health and the Executive Head of Adult Social Care for their help. Councillor Butt also thanked the Head of Mental Health, Transitions, Community and Clinical Health.

 

The Chair also thanked Officers for their work.  

 

RESOLVED:

 

  1. That the actions being taken in response to the finding of the task and finish group be endorsed and noted.

 

2. That the work of the task and finish group is complete be agreed.

 

17.

Date of Next Meeting

The next meeting will be held on 28 March 2017 at Civic Offices.