Agenda for Adult Social Care & Health Cabinet Member Meeting on Thursday, 11th September, 2008, 4.00pm
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Agenda, decisions and minutes
PDF 212 KBVenue: Committee Room 3, Hove Town Hall. View directions
Contact: Caroline De Marco, Democratic Services Officer
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Procedural Business (a) Declarations of Interest by all Members present of any personal interests in matters on the agenda, the nature of any interest and whether the Members regard the interest as prejudicial under the terms of the Code of Conduct
(b) Exclusion of Press and Public - To consider whether, in view of the nature of the business to be transacted, or the nature of the proceedings, the press and public should be excluded from the meeting when any of the following items are under consideration.
NOTE: Any item appearing in Part 2 of the Agenda states in its heading the category under which the information disclosed in the report is exempt from disclosure and therefore not available to the public.
A list and description of the exempt categories is available for public inspection at Brighton and Hove Town Halls. Minutes: 15 (a) Declarations of Interests 15.1 There were none.
15b Exclusion of Press and Public
15.2 The Committee considered whether the press and public should be excluded from the meeting during the consideration of any items contained in the agenda, having regard to the nature of the business to be transacted and the nature of the proceedings and the likelihood as to whether, if members of the press and public were present, there would be disclosure to them of confidential or exempt information as defined in Schedule 12A, Part 5A, Section 100A(4) or 100 1 of the Local Government Act 1972 (as amended).
15.3 RESOLVED - That the press and public be not excluded from the meeting. |
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Minutes of the previous meeting Minutes of the meeting of the Adult Social Care & Health Committee held on 16 June 2008 (copy attached). Minutes: 16.1 RESOLVED – That the minutes of the Adult Social Care & Health Cabinet Member Meeting held on 16 June 2008 be agreed and signed by the Cabinet Member. |
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Cabinet Member's Communications Minutes: CSCI (Commission for Social Care & Inspection) Annual Review Meeting
17.1 The Cabinet Member reported that the CSCI Annual Review Meeting had recently taken place. The meeting had gone well and results were expected in late October.
Vernon Gardens
17.2 The Cabinet Member reported that the Council had funding of £1,000,000 to develop extra care housing for the under 65’s at Vernon Gardens. 10 units would be developed. This was excellent news for the City. The scheme should be up and running by March 2010. |
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Items reserved for discussion (a) Items reserved by the Cabinet Member
(b) Items reserved by the Opposition Spokesperson
(c) Items reserved by Members, with the agreement of the Cabinet Member.
Minutes: 18.1 RESOLVED – All items were reserved for discussion. |
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Public Questions (the closing date for receipt of public questions is 12 noon on Thursday 4 September 2008) No public questions have been received.
Minutes: 19.1 There were none. |
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Written Questions from Councillors No written questions have been received. Minutes: 20.1 There were none. |
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Petitions No petitions have been received.
Minutes: 21.1 There were none.
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Deputations No deputations have been received.
Minutes: 22.1 There were none.
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Letters from Councillors No letters have been received.
Minutes: 23.1 There were none.
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Notices of Motions referred from Council No Notices of Motion have been received.
Minutes: 24.1 There were none.
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Matters referred for reconsideration No matters have been referred. Minutes: 25.1 There were none. |
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Reports from Overview & Scrutiny Committees No reports have been received. Minutes: 26.1 There were none.
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Report of the Director of Adult Social Care & Housing, Brighton & Hove City Council and the Director of Strategy, Brighton & Hove City Primary Care Trust (copy attached). Decision: (1) That there be in principle agreement to the proposals listed below: a) The new Joint Council and PCT pre placement contract for both residential care homes and care homes with nursing from 1 April 2009 b) The Preferred Provider Scheme which is included in the contract c) Individually negotiated fees d) The Incentive Scheme
Minutes: 27.1 The Cabinet Member considered a joint report of the Director of Adult Social Care & Housing, Brighton & Hove City Council and the Director of Quality & Engagement, Brighton & Hove PCT concerning work to produce a joint PCT/Council contract for residential care homes and care homes with nursing, in order to drive up quality of care, and to cease placing service users in poor homes. Clinical standards, additional to CSCI standards would be used to rate nursing homes (for copy see minutes book).
27.2 The Cabinet Member was informed that fee levels would be made in a separate report alongside the Adult Social Care & Housing budget strategy for 2009/10.
27.3 RESOLVED - (1) That there be in principle agreement to the proposals listed below:
a) The new Joint Council and PCT pre placement contract for both residential care homes and care homes with nursing from 1 April 2009 b) The Preferred Provider Scheme which is included in the contract c) Individually negotiated fees d) The Incentive Scheme
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MODERNISATION OF DAY CARE SERVICES FOR OLDER PEOPLE Report of the Director of Adult Social Care & Housing (copy attached). Decision: (1) That plans be taken forward to modernise the service, as set out in the service model on page 18 of the agenda, with a focus initially on day services for older people with mental health needs. That the service be targeted at older people with a higher level of need; Functional or organic mental health needs, carer relief, physical disability or requiring short term support/reablement.
(2) That short-term reablement day services be developed and implemented as part of the wider Adult Social Care Personalisation agenda.
(3)That voluntary sector/community provision be developed and implemented for the Combined Day Services, with an initial focus on CDS West (Muriel House). That officers work with Housing Management and the third sector to build on the work taking place in the Local Area Agreement (LAA) areas and to develop alternative services.
(4) That a business case be developed and implemented for future transport options.
Minutes:
28.1 The Cabinet Member considered a report of The Director of Adult Social Care & Housing which made recommendations resulting from the Value for Money Review of Day Services for Older People. The aim of the review was to ensure that Older People’s Day Services met the needs of current and future service users, are modernised in line with the Personalisation agenda and provide good value for money (for copy see minutes book).
28.2 The Cabinet Member reported that neither Councillor Lepper, the Opposition Spokesperson or Councillor Mitchell, the Leader of the Opposition were able to attend the Cabinet Member Meeting. Councillor Mitchell had submitted the following question.
“We fully understand the need to review services from time to time in order to ensure that resources are targeted most effectively. However, this report seems to simply focus on making a case for reducing the number of Day Centres and is obviously budget driven in order to deliver a saving. No alternative proposals have been included for increasing the viability of the Centres and we are concerned that these proposals will restrict choice.”
28.3 The Director of Community Care (Adult Social Care) explained that the whole idea of Self Directed Support was to allow people to choose their social activities. The remaining services would provide better value for money. The General Manager Provider Services concurred. She emphasised that the review would increase choice rather than restrict choice. The aim was to be more community activity based.
28.4 The Cabinet Member reported that Councillor Mitchell had submitted a further question as follows.
“In addition, the section relating to transport gives no assurances that the community transport service will continue and given the issue of transport is so integral to this service we would have expected firm proposals for its future as part of this package of proposals. Given these concerns we do not feel that the recommendations in their present form should be agreed.”
28.5 The Director of Community Care (Adult Social Care) explained that the recommendations would provide for the different needs of service users. There would still be some people who would need to use day services and traditional transport.
28.6 The Cabinet Member reported that more detailed replies would be sent to Councillors Lepper and Mitchell.
28.7 The Director of Adult Social Care & Housing confirmed that the Cabinet Member was being asked to agree the model of service delivery. Transport options would be brought back to a Cabinet Member Meeting at a later date.
28.8 RESOLVED - (1) That plans be taken forward to modernise the service, as set out in the service model on page 18 of the agenda, with a focus initially on day services for older people with mental health needs. That the service be targeted at older people with a higher level of need; Functional or organic mental health needs, carer relief, physical disability or requiring short term support/reablement.
(2) That short-term reablement day services be developed and implemented as part of the wider Adult Social Care Personalisation agenda.
(3)That voluntary sector/community provision be developed and implemented for the Combined Day Services, with an initial focus on CDS West (Muriel House). That officer’s work with Housing Management and the third sector to build on the work taking place in the Local Area Agreement (LAA) areas and to develop alternative services.
(4)That options for transport will be further explored and brought back to the Cabinet Member Meeting as a report at a later date.
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SELF DIRECTED SUPPORT STRATEGY
Report of the Director of Adult Social Care & Housing (copy attached). Additional documents: Decision: (1) That the strategy is agreed in principle.
(2) That work in developing an implementation plan is taken Forward to deliver the strategy in stages over a three year period, with evaluation and review of each stage as it proceeds. A draft project outline is attached as an appendix.
Minutes: 29.1 The Cabinet Member considered a report of the Director of Adult Social Care & Housing which explained that Self Directed Support was a new way of delivering social care which formed a major part of the three year Adult Social Care personalisation programme. It was based on a new national policy initiative that was being piloted nationally. Self Directed Support was a way of redesigning the social care system so that the people eligible to receive services take control of them (for copy see minute book).
29.2 The Director of Community Care (Adult Social Care) explained that the proposals would put service users at the centre of assessment and would allow them to decide how best to meet their needs. There would be choice about how to use funding streams.
29.3 The Interim Head of Adult Social Care (Operations) paid tribute to David Nicholls, the author of the strategy who died in July 2008. She stressed that a great deal of time and effort had been put into the work on the strategy.
29.4 RESOLVED - (1) That the strategy is agreed in principle, subject to the approval of the Joint Commissioning Board on 15 September 2008.
(2) That work in developing an implementation plan is taken Forward to deliver the strategy in stages over a three year period, with evaluation and review of each stage as it proceeds. A draft project outline is attached as an appendix to the report.
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