PART 1
(OPEN TO THE PUBLIC)
ITEM NO.
REPORT OF THE LEAD MEMBER FOR
COMMUNITY & SOCIAL SERVICES DIRCTORATE
TO THE HEALTH & SOCIAL CARE SCRUTINY COMMITTEE
ON 4 SEPTEMBER 2002
TITLE :
BEST VALUE REVIEW - PEOPLE SUPPORTED
RECOMMENDATIONS : THAT THE REPORT BE NOTED
EXECUTIVE SUMMARY :
In line with the requirements of the Best Value Review process, a Best Value Review of
Services to People Supported (Learning Difficulties) was commenced in March 2002.
This report gives an update of work presently being undertaken by the review team.
BACKGROUND DOCUMENTS :
(Available for public inspection)
All relevant Council policies
Modernising Day Services Programme
Maurice Hawker document (Benchmarking)
King's Fund - 'Changing Days'
Valuing People
Joint Investment Plan (JIP)
ASSESSMENT OF RISK
THE SOURCE OF FUNDING IS
LEGAL ADVICE OBTAINED
FINANCIAL ADVICE OBTAINED
CONTACT OFFICER :
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Eve Murphy, Deputy Director
Alison Norton, PCSM
Tel: 0161 793 2224
Tel: 0161 793 2319
WARD(S) TO WHICH REPORT RELATE(S):
KEY COUNCIL POLICIES
DETAILS (Continued Overleaf)
Updated : 19/07/2002
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All
Update: Best Value Review - People Supported
As members are aware, it has been necessary to determine the scope of
the review and it was agreed that the following areas would be covered:
1.
2.
Day time activities/services
Dispersed Housing
for people with learning difficulties.
The following work has been undertaken to date.
1.
A baseline study using summary service profiles:
 Dispersed Housing
 Day services
 Supported tenancies - private and non-statutory section
 Health Houses
2.
Key 4Cs (communication, consultation, challenge and compare)
from corporate toolkit/framework for applying person centred
principles:
 In-house services have adopted this method of working
 Evidenced via Joint Investment Plan, service plans, unit
business plans, task groups, service activities.
3.
Making linkages with development of the Performance
Management Framework in Community & Social Services
Directorate:
 Supported tenancies
 Day services
 The Links
 Commissioning
4.
Stakeholder challenge sessions (including Partnership Board):
 Agreed to submit 'Looking Forward to the Future' and 'Better by
Design' documents, together with the Cabinet report on Section
31 payments for joint services funding and the Primary Care
Trust/Community & Social Services Directorate planning
structure, which demonstrates the stakeholder challenge
sessions.
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5.
Making linkages with Partnership Board and its sub-groups such as
Salford Implementation Team. The members of this group will
advise how they want to be involved in the review:
 The Partnership Board has a problem with the current
formatting of report and would want versions they can
understand, before they can be involved in decisions. Need to
agree a different format.
6.
Person Centred Planning for significant numbers of users attending
local day services based on the social network model for
progressing people into adult education and/or work:
 Social workers in process of completing service users' files in
day centres to agree/sign off care plans for all services users.
Waterside Resource Centre has been done and expecting to
complete all by 30 September 2002.
7.
A review of all relevant Council policies to ensure people with
learning difficulties have fair access to mainstream Council
services:
 Salford Work Development Unit's employment policies are
designed to access mainstream services
 Joint policies are currently under review by Shirley Vaughan
(community nurse based at White Moss).
8.
Comparison of supported housing costs between inhouse/independent/health sector:
 Costs are available to enable comparisons to be made between
the 3 sectors and then determine recommendations.
9.
Research on commissioning strategies for learning difficulties
services.
10.
Development of regional and local performance indicators, targets
and performance management systems.
11.
Investigation of best practices:
 King's Fund publication 'Changing Days' which includes a useful
checklist to be sent out to managers.
 Managers are involved with this and are developing action
plans.
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 A course is available at Lancaster for all north west authorities.
12.
A review of existing consultation processes and dates and the
filling of gaps:
 Day services
 Dispersed Housing
 Joint Community Team
 De-registration is continual and ongoing consultation
 Joint provider forums - continual consultation
 Health Houses - need to check on this
 Staff consultation - meetings recorded
13.
Review procedures and staff skills in risk assessment and
management:
 Risk assessments (RA8) - we can determine that these are
being completed for internal providers, but need to check with
independent sector.
 A matrix is available to help show where we are vulnerable.
 Trafford's research report (bad practice issues)
 Health staff - have received a copy of procedures from Primary
Care Trust.
14.
Agree formal communication links to facilitate the integration of
Best Value improvement plan with children's and adults' disabilities
plans:
 A Transitions Group is established which includes adults and
children and is preparing an information leaflet on this, which
should be completed by 1 October 2002.
15.
Prepare a Human Resource plan to inform training and workforce
planning strategies.
16.
Beginning to establish social networks in day services:
 Work has been done on 'Where People Live'
 An analysis undertaken of social networks
17.
Complete assessment for people who attend day services:
 Activity programmes provided with in-house services
 Service users' care plans to be completed
18.
Arrange support for people involved with Partnership Board and
for development groups in day services:
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 Some service issues are arising in supporting people on the
Partnership Board. We need to identify the resources needed
in centres and highlight this with the Partnership Board.
19.
Identify transport needs and link both reviews together.
Much of the above mentioned work has been completed and will be
ready for the mid-point challenge at the end of October.
The anticipated outcomes at this stage are:
a)
b)
c)
A redesign with associated targets for the Dispersed Housing
network to provide better value services.
To agree joint working arrangements with Health in supported
tenancies.
To ensure that day services enhance opportunities for those
supported to reach their full potential.
The review team is presently engaged in pulling all the pieces of work
together in order to meet the timescales of the review.
A further update report will be submitted following the mid-point
challenge.
EEM/IJP
26 August 2002
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