Agenda and minutes

Adult Social Services and Health Committee
Tuesday, 28th March, 2017 7.30 pm

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

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

Items
No. Item

18.

Welcome and introductions

Minutes:

The Chair, Councillor Colin Stears, opened the meeting.

 

19.

Apologies for absence and notification of substitutes

Minutes:

Apologies were received from Councillor Jason Reynolds, with Councillor Margaret Court attending as substitute.

 

20.

Declarations of interest

Minutes:

No declarations of interest were made.

 

21.

Minutes of the previous meeting pdf icon PDF 133 KB

Minutes:

RESOLVED: that the minutes of the meeting held on 20 December 2016 were agreed and signed by the Chair as a correct record.

 

22.

Adult Social Services Performance Report pdf icon PDF 91 KB

This is a covering report to present performance data to committees, each committee will be presented with a score card report generated in ‘real time’ from the Council’s performance management system (Covalent).

 

Additional documents:

Minutes:

Commissioning & Business Insight Manager Simon Breeze, presented a report to the committee showing the Adult Social Services performance generated in ‘real time’ from the Council’s performance management system Covalent.

 

Members asked in relation to delayed transfer of care indicator, why there had been improvements. The Executive Head of Adult Social Care, Nick Ireland, explained a number of reason including  the implementation of actions plans with the hospital and other partners to drive efficiency and aid timely discharge.

 

Members queried what effect the START team performance had on other indicators. Nick Ireland responded stating that START through effective reablement can minimise the number of people needing residential or nursing care.

 

Members asked who sets the targets. The Executive Head explained some targets come from national indicators and better care fund indicators. Other targets are set as a challenge once a target has been reached, or set by officers, senior officers, partners and councillors.  

 

Members queried who were the Council’s statistical neighbours. The Executive Head stated comparisons are drawn with neighbouring authorities, by looking at the national indicators. Members asked further whether this was reflected on Covalent. The Executive Head confirmed it was not reflected on Covalent.

 

The Chair commented that a further discussion can be had as to what information can be included on Covalent.

 

Councillor Jane Pascoe expressed her understanding was that target setting and parameters were done locally and not at national level for all local authorities. The Executive Head explained performance indicators were set nationally for all local authorities, but actual target setting is done locally.  

 

The Chair commented that other information is collected behind the scenes that could be developed, but for comparison you have to use data collected regionally or nationally.

 

Members queried what the significance was of 91 days as a target. The Executive Head responded that it is an indicator of how successful the support provided to the person was. If a person is still in their own home after discharge this is viewed in part as a successful discharge and support thereafter.  

 

The Chair commented in the next meeting there was need to look what we can be done with the Covalent system for scrutiny purposes.

 

The Chair questioned when the data was up to on the supplemental agenda item and the difference with the date the report was generated on. The Executive Head explained the data runs until the end of February 2017 as the performance team has to vet the data. The Chair commented that the month the data was relevant to was more useful than data generation date and asked the Commissioning & Business Insight Manager to look into this.  

 

23.

Adult Social Care Outcomes and Performance pdf icon PDF 109 KB

This report provides a lens for councillors on the links between outcomes for people and performance in Adult Social Care in Sutton Council.

Additional documents:

Minutes:

The Executive Head of Adult Social Care, Nick Ireland gave a brief introduction to the item outlining that it focused on performance, looked at the issues in achieving and supporting good outcomes for people, the range of interdepencies on performance, and the range of partnership arrangements the Council has.

 

Senior Business Analyst & Improvement Project Manager Peter Nash, took the committee though the components of the report and invited members to ask questions.

 

Councillor Chris Williams commented that at Paragraph 2.2 of the report, point 4, there could be a perverse incentive in not admitting people into hospital in the first place. He commented further that if Sutton’s approach is working it may be more likely that people admitted to hospital could have more serious acute issues and therefore be unable to be at home for the 91 days after discharge. The Council would therefore be meeting one target and then be penalised for another. A discussion thereafter took place about the interdependencies of performance indicators and the systems in place to ensure health and social care organisations focus on responding to the needs of people requiring support.

Members questions and discussion mainly focussed on, Occupational Therapy (OT) equipment and assessments, vulnerable or confused adults and the council’s duty of care, and the collaborative working and services provided by partners.

 

The Executive Head explained to members  about OT equipment and that recycling of equipment does take place. There is an issue of demand for OT assessments, but for those assessed to be at imminent risk , the intervention would be immediate. The Chair added that there were skill based shortages as there is a shortage of Occupational Therapists in health and social care.

 

The Executive Head confirmed that the Community In-reach Team (SWOOP) and the START team do work together but remain separate teams. The Falls Prevention Service is an NHS Service delivered locally but the Executive Head said that he did not have full information on the service. The Executive Head of  Wellbeing, Jan Underhill, added further that as fall hazards are usually in someone's home that’s where assessment take place. In addition under the Sutton Better contacts project  The Fire Service  are undertaking home based assessments to identify hazards in people's homes aimed at reducing the risks of falls and fires.  

 

Members questioned what provisions were in place for assisted bin collections. The Chair requested that officers pick the issue up with colleagues in the Environment, Neighbourhood and Regeneration directorate.

 

Members questioned why there were empty flats in Cloverdale Court and if referrals were being made to fill the flats. The Executive Head responded that not all referrals go on to become safeguarding issues and the service demand can fluctuate. Not all individuals opt for the service. The Chair advised that this specific issue could be looked into via a member's enquiry.

 

Members commented that safeguarding training is paramount for members and could this be looked at, at the beginning of the next administrative year. The Chair advised that  ...  view the full minutes text for item 23.

24.

Urgent items brought forward at the direction of the chair

Minutes:

There were no urgent items.

25.

Date of next meeting

The next meeting of the Adult Social Services and Health Committee is the 27 June 2017.

 

 

Minutes:

The next meeting will be held on 27 June 2017 at the Civic Offices.