Minutes:
The
Committee scrutinised the following matters:
Cabinet
Board Proposals
6.1 Update – Remodel of Care and Support and Older Persons Day
Services
The Committee received the report on progress achieved in
delivering a remodel of the Care and Support and Older Persons Day Services, as
detailed within the circulated report.
Members were informed that a new model for the
Service had been approved in May 2016 to provide support in a more responsive
way and to help met the financial savings that had to be made. The services that
had been remodelled had not been reviewed for some time and Day Services was
one of the last areas in Adult Social Services to be addressed. Following the
review of the Service three options had been put forward and the current model
was chosen. The report summarised the progress that had been made since then.
Members noted that during the consultation process
referral to the service was suspended and asked what happened to potential
service users during that time. Officers explained that a logical approach had
to be taken and there would have been no point in referring people to a service
that was not available.
Members highlighted that when the proposals for the
changes to the Service had been put forward, assurances had been requested that
changes could be undertaken in a timely manner. Members had concerns that the
report refers to significant pressure being placed on social work teams. It was
explained that social workers had been stretched during this time but it had
not been unmanageable and they had risen well to the challenge. It was noted
that there were some assessments that were outstanding and measures had been
put in place to address this. Members raised that some
assessments had not been completed before the facilities closed. It was explained
that in some cases assessments had not been completed due to the person’s own
circumstances and them being unavailable for assessments. Members were informed
that by mid-August there had 45 assessments outstanding and they were all due
to be completed within the next fortnight. Officers requested that if Members
were aware of anyone who would be left vulnerable by a lack of service to
inform them. It was highlighted that there had been a lot of consultation
around the changes and any feedback received had been considered by the
service.
Members recognised that workload and budget had to
be balanced. Officers highlighted that there was only one outstanding element
of adult social care to be reviewed. It was noted that the process had been
demanding and meticulously planned. The new Social Services and Well Being Act
2014 obliged the Council to design services around what people want and
historically services were taken up because that was all that was on offer and the
changes that had been made addressed this. Members asked that if budget savings
did not have to be made then would changes have been undertaken in the same way
and at the same pace. Officers highlighted that the changes had been driven by
a demanding financial climate and where there has been change different options
had been considered. It was noted that it would not necessarily have been at a
slower pace as once change was required then the more efficiently it was
undertaken caused less pressure. Officers confirmed that their advice to
Members would have been the same.
Members asked if social workers were trained to
understand that people wanted different services and outcomes. Officers highlighted
that historically there had been a paternalistic approach and now the
discussions tended to be more about personalised support.
The Committee highlighted that under complaints
section there were figures missing and officers provided them with the correct
figures. There had been one complaint that was on going and all other concerns
had been resolved before the formal complaint stage.
Following scrutiny, it was agreed that the report
be noted.
6.2 Quarter 1 Performance Management Data 2016-17
The Committee received the quarter 1 performance management
data for the period 1 April 2016 to 30 June 2016 for Social
Services, Health and Housing Directorate, as detailed within the circulated
report.
Members were informed that from April 2016 there was
a statutory requirement for Adult Services to collect 14 new performance
indicators and six new Social Services Well-being Act measures. Guidance and
clarity was required on some of the indicators and measures and systems had to
be put in place to collate the information, therefore not all data has been
able to be reported in quarter 1. Systems were now in place to capture this
information and it would be included in future reports.
Members highlighted that the percentage of carers
of adult service users who were offered an assessment or review of their needs
in their own right during the year (SCA/019) was at 100%. It was queried what
was the difference between those offered and those received. It was also noted
that there were some carers who were not aware of what an assessment was and
what it entailed. Officers explained that the indicator had been set by Welsh
Government and the Committee may wish to ask for further details and other figures.
It was commented that there was a lot of information explaining about carer
assessments and the Service would like to be informed of anyone who was not
aware of it. The Service aimed to provide clear information to the public and
they would want to know the reasons why this was not getting through. Members
also requested the correlating percentage figure for the 96 number of
assessments of need for support for carers undertaken during the year. Officers
would find out this information and circulate it to the Committee.
Members noted that there were concerns regarding
homelessness and was it going to increase and what pressure this put on
services. Officers highlighted that the Welsh Government Homelessness Grant
Transitional Fund allocation was significantly reduced for 2016/17. This could
result in deterioration of performance and so far there had been a slight
decline in performance this year. The Council still had to meet its duties but
with less money. There was an annual national data set which included a much
larger set of indicators, which were reported to Members periodically and this
information would help to iron out some of the problems. Members asked if there
had been any increase in need for services following the changes to the benefit
system. Officers explained that they had not seen a change in the number of
people that presented as homeless, however, the amount
of work required with those people had increased.
Members asked if there was anyone homeless at the
moment in Neath Port Talbot. Officers explained that if anyone was “roofless”
at the moment then that was their choice as they would have received
intervention and offered accommodation.
Following scrutiny, it was agreed that the report
be noted.