Buckinghamshire County Council Preferred Provider List Event Future Commissioning of Adult Accommodation Based Care and Supported Housing Buckinghamshire County Council Kelly Taylor Project Manager-My Life My Home Buckinghamshire County Council Welcome House Keeping Agenda Overview Further Events • Aim of these sessions is for the Council to facilitate partnership / joint working with care and support and property providers Feedback Buckinghamshire County Council Ainsley MacDonnell Achievements over the past 5 years Buckinghamshire County Council Accommodation & Support Adults and Family Wellbeing Buckinghamshire County Council Different kinds of accommodation and support matched to need – Individual Supported Living with 24 hour a day support Self contained flat or house - own front door – with tenancy – paying rent Support can be up to 24 hours a day and tailored to meet individual’s needs Shared House Supported Living with 24 hour a day support Own room in a shared house with communal kitchen, lounge etc. – with tenancy – paying rent Support can be up to 24 hours a day and tailored to meet individual’s needs Share responsibilities with housemates like cooking, cleaning and paying the bills . Registered Residential Care Own room in a shared property with staff on shift 24 hours a day Registered with and inspected by The Care Quality Commission (CQC) Rent and support in one package. Nursing Care Similar to residential care but for people who may need care from a registered nurse Registered with and inspected by The Care Quality Commission (CQC) 6 Buckinghamshire County Council Key Accommodation & Support Projects • Shared Lives • Project Care • Project Abode • Home Options • My Life My Home 7 Buckinghamshire County Council Project Care • Reprovision of accommodation and support services for older people and people with learning disabilities - countywide • Completed – 7 care homes for older people 81 units of supported living and 30 registered care beds for people with learning disabilities • In progress – 8th and last older people’s care home – Chesham – 2014 8 Buckinghamshire County Council Project Abode • Developing a mix of new Supported Living and Registered Care services for 52 people previously living in 8 NHS homes – countywide. • Completed • – 43 units of supported living and 6 registered care beds 9 Buckinghamshire County Council Home Options • Reprovision of accommodation and support services for people with mental health needs • • Replace 4 registered care homes and 2 supported living services with 9 new supported living schemes and 1 registered care unit - 79 units of care in 10 locations across the county Completed – 58 supported living flats and 9 registered care beds • In progress - 12 supported living flats – Amersham – 2014 10 Buckinghamshire County Council My Life My Home Major programme of work to develop new accommodation and support services for all specialist adult care groups Framework contract for support and use of Care Funding Calculator • Ensuring choice for individuals • Ensuring good quality providers • Ensuring best value • Ensuring improved outcomes 11 Buckinghamshire County Council Completed – • • • • • • • • • 5 x I bed flats 6 studio flats 5 beds shared s/living 6 x 1 bed flats 4 beds shared living 11 x 1 bed flats 28 x 1 bed flats – extra care 2 x 2 bed flats – extra care 5 bed shared s/living Wycombe Wycombe Wycombe Aylesbury Aylesbury Aylesbury Aylesbury Aylesbury Wycombe LD LD LD LD LD LD (50+) 55+ 55+ ABI 12 Buckinghamshire County Council In progress – • 6 x I bed flats Amersham LD (challenging behaviour) • 4 x 1 bed flats Amersham Autistic Spectrum Disorder • 8-10 x 1 bed flats TBC Acquired Brain Injury • 8-10 x 1 bed flats TBC Physical/ Sensory Disabilities • 10 Shared Lives placements Countywide LD / OP 13 Buckinghamshire County Council Future - Identified key groups requiring accommodation • • • • • • 10 x Physical & Sensory Disability 8-10 x Acquired Brain Injury 10-12 x young people with disabilities aged 18 to 25 8 x generic Learning Disability Extra care for older people with learning disabilities Single sex services for people with learning disabilities 14 Buckinghamshire County Council What we need from you • Organisations who are able to provide – • Housing - RSL • Support (CQC Dom Care Registered) • Housing & Support – single organisation or partnership 15 Buckinghamshire County Council Steve GoldenSmith Lead Commissioner Housing, Housing Related Support and Prevention Buckinghamshire County Council Future Need Projection • Demographics • Supply & Demand • Change in expectation – Client – Family – Society • Trends in Care Provision – Prevention & Rehabilitation – Telecare/ Medicine – Independence • Government Legislation • Resources Buckinghamshire County Council Learning Disability LD Type Nursing Residential Shared Lives Supported Living BCC AFW Purchasing Trend In County 09/10 10/11 11/12 No 5 5 4 Yes 4 5 5 9 10 9 No 203 189 167 Yes 161 169 168 364 358 335 Yes 1 10 19 1 10 19 No 76 67 77 Yes 132 143 184 207 210 252 12/13 3 5 8 147 165 312 23 23 55 239 287 Future 200- 220 units of specialist accommodation will need to be developed before 2035. This equates to an average of 8 -12 units of accommodation per year. In the first 5 years we would wish for an accelerated provision so as to maximise transition from current market position to one that meets current needs and demand and as such we would wish to see growth of approximately 16-24 units each year for the next five years. Buckinghamshire County Council Mental Health Mental Health Type Nursing Residential Extra Care Supported Living BCC AFW Purchasing Trend In County No Yes No Yes Yes No Yes 09/10 10 0 10 41 5 46 0 0 23 14 37 10/11 10 0 10 46 6 52 0 0 17 16 33 11/12 6 3 9 19 14 33 16 16 18 37 55 12/13 6 3 9 15 16 31 25 25 7 57 64 Future It is predicted that to in order to meet anticipated demand an additional 25-30 units of specialist accommodation will need to be developed by 2035. There is need for 8 units of accommodation to be delivered within the next two years and then a further 8 units within the next 5 years. Buckinghamshire County Council Physical Disability Provision Type Nursing In County No Yes Residential No Yes Supported Living No Yes 9/10 18 14 32 31 32 63 10/11 19 11 30 30 32 62 11/12 11 19 30 26 33 59 12/13 12 17 29 25 34 59 1 0 1 1 0 1 5 1 6 2 5 Future It is predicted that to in order to meet anticipated demand an additional 20-25 units of specialist accommodation will need to be developed by 2035. There is immediate need for 8-10 units and then 6-10 units of accommodation to be delivered within the next three years and then a further 6-10 units every following 5/6 years. Buckinghamshire County Council Older People Older People (not EMI) Type Nursing Residential BCC AFW Purchasing Trend In County No Yes No Yes 09/10 156 262 418 141 390 531 10/11 149 304 453 103 385 488 11/12 70 387 457 72 419 491 12/13 69 448 517 73 431 504 Future It is predicted that to in order to meet anticipated demand an additional 2000 units of specialist accommodation will need to be developed by 2035. There is need for 100 units to be delivered each year in a mix of approximately 50% Nursing Care & 50% Residential/ Extra Care. Buckinghamshire County Council What Type of Accommodation •Size •Location •Build •Rent •Nominations •Voids Buckinghamshire County Council Market Position Statement & Update • • • • • • • • Annual Refresh Signal need in short & long term Gaps, priorities and opportunities React to changing circumstance Links to strategic priorities Highlight Good Practice Engagement with Providers : Meet again Providers ability to signal housing intent/ability using the Portal Buckinghamshire County Council Coffee Break & Networking Opportunity Buckinghamshire County Council Amy Moore Joint Commissioner Transitions Buckinghamshire County Council Background: Why are we looking to commission this support ? • Children and Families Bill • 4 main outcomes including Independent Living Skills • Preparing for Adulthood • Local Post 16+ Provision • Transitions Work • Very little specialist support regarding independent living for young people aged 18-25 Buckinghamshire County Council Objectives • Promote independent living skills • Promote access to education , employment and training opportunities • Promote learning and development skills that will enable individuals to live fulfilled lives and make the most of their abilities and potential • Offer practical support and personal care to meet individual assessed needs that will enable individuals to remain safe and secure • To work closely with local post 16+ specialist units • To promote health and well being. Outcome tools are available some which have been developed locally Buckinghamshire County Council Service Model • Care and support will be a three step model • It will need to link into their educational, vocational and employment programmes • Not permanent, it will provide short to medium term support • Young Person needs to be eligible under Fairer Access to Care services • 18-25 • Preparation work might need to take place before this • Provider will need to support person to identify and access move on • Partnership working essential with education including local colleges and employers is essential Buckinghamshire County Council 1st Step • High intensity • Support will meet their needs and link in with their Bespoke Education Package or engage with work place • Will need to provide core hours • Outcomes will include evidence of skills to help with independent living • Person Centred work using Education, Health and Social Care plans as a basis Buckinghamshire County Council 2nd stage /3rd stage • Less intensive support • Emphasis on accessing activities in the community • Regular multi agency reviews of progress • Making links regarding accessing employment • Focus on employment /voluntary work • Preparation for move on Buckinghamshire County Council Parent and young people Feedback • Support in keeping safe • Support around nutrition and healthy eating • Support regarding healthy relationships • Support in accessing activities Buckinghamshire County Council Outcomes • Improvement in Independent Living Skills • Accessing support within the Community • Successful move on • Effective partnership working Buckinghamshire County Council National Outcomes • Paid Employment • Better links with the community and relationships • Improved health Buckinghamshire County Council Christopher Reid Senior Joint Commissioner Physical and Sensory Disability, Long Term Neurological Conditions and Older People Support & Accommodation requirements for Physical Disabilities (PSD) • • • • Background to PSD commissioning for accommodation based care Supported living developments for PSD so far – Acquired Brain Injury PSD reviews & analysis Risks & mitigation Buckinghamshire County Council Bharti Quinn & Pat Milner Joint Commissioning Manager & Commissioning Manager Buckinghamshire County Council Re-provision of support and accommodation for Learning Disability services Current Position • Some of the LD housing across the county is no longer ‘fit for purpose’ • Some care support services will be re-tendered as no recent market testing • Opportunities from 2014 • To meet future needs in purpose built accommodation with modern facilities • Potential for new care and support services • Potential for new accommodation for 20 beds, increase capacity Buckinghamshire County Council Lindsay Sheen Category Specialist Commercial Services PREFERRED PROVIDER LIST EVENT It is the Council’s intention that we secure sufficient accommodation and care and support in Buckinghamshire to meet the current and future needs clients in eligible for registered care and supported living. The current Supported Living Framework is due to expire in November 2013, with no option to extend. Strategy The option offering best value and flexibility is: A. A preferred provider list for ‘Care and Support’ only; and B. A rolling list of expressions of interest for ‘Accommodation’ Both processes will be commissioned via the South East Business Portal. Care & Support The Preferred Provider list will: Be open to new entrants on a six monthly basis Be maintained for 3 years Be a two stage process: - Approval: Providers will be required to meet a predetermined minimum criteria. - Call Off: A mini competition is undertaken for each activity where more than one provider on the preferred list has the potential to deliver the service requirement(s). Care & Support: Approval Process Providers will be accepted onto the Preferred Provider List if they meet certain criteria, similar to a Pre-Qualification (PQQ). The areas of Assessment consist of: Technical and Professional Ability Legal Standing Financial Standing Call Off Process Call Off / Direct Award: The second stage of the process will involve a call off or direct award depending on the nature of the service(s) commissioned. A call off (also known as a mini-competition) is undertaken by AFW Commissioners for each activity where more than one provider on the preferred list has the potential to deliver the service requirement Mini-Competition Process Providers will be required to demonstrate a much more detailed understanding of the specific service model. A direct award will only be undertaken by AFW Commissioners when there is only one provider on the preferred list who is capable for delivering the service requirement Evaluation of providers at the call off / direct award should be based on a price (40%) and quality (60%) weightings Accommodation Accommodation Only: AFW Commissioners and the Council’s Legal team will develop a standard set of terms and conditions (the basis for the nominations agreement) under which the Council will conduct business with property developers for the purposes of supported living. The Terms & Conditions will be published on the South East Business Portal (SEBP) Accommodation Property Developers may express an interest in building properties in Buckinghamshire at any time, subject to terms and conditions. A rolling list of providers is established and maintained. When AFW Commissioners identify a property requirement, it is uploaded onto the SEBP If more than one provider expresses an interest, then AFW Commissioners will conduct a mini competition exercise to identify best overall value. We would be grateful for any feedback. Examples… Buckinghamshire County Council Kelly Taylor Project Manager My Life My Home Buckinghamshire County Council Examples • Tender from list A only-Care and Support Providers • Tender from list B only-Housing Providers • Tender from list A and B • Providers who provide both-apply to both lists • Providers develop partnership arrangements for the specific tender Buckinghamshire County Council Any Questions?