Stockton-on-Tees Borough Council

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Cabinet Decision: 13th March 2008
Title of Item/Report
Adult Services and Health Select Committee-Scrutiny Review of Parkview Care Home
Record of the Decision
Cabinet was reminded that at its meeting in December 2007 it had considered a report that set out a proposal to commence a consultation exercise on the future service provision of Parkview Residential Care Home in Thornaby, given National Guidance and the Council's local policy.

Cabinet agreed the period of consultation and noted that feedback from the consultation would be provided at a future meeting. In addition Cabinet asked the Adult Service and Health Select Committee to undertake a short review to determine:-

• The national and local policy framework around services for older people.
• The factual issues around Parkview Care Home focusing particularly on the building occupancy, care standards, financial information and staffing.

The Select Committee was asked to feedback its findings to Cabinet to inform future decision making.

Cabinet was provided with the Select Committee report that included a summary of the feedback received during the consultation process.

Members noted that the Select Committee had received evidence from officers, representatives for residents/carers, staff, Village Park Residents Association and Ward Councillors. The Committee undertook site visits to Parkview Care Home, Mandale House Care Home, The Poplars Care Home and Aspen Gardens (Extra Care facility).

The report contained evidence about the national and local policy around services for older people and factual issues relating specifically to the Parkview Care Home

Cabinet noted that the Committee was able to confirm that it had not received any contrary evidence to that received by Cabinet in December.

During the review the Committee considered the following possible outcomes and related implications for the future of Parkview Care Home:-

1. The existing hold be removed and Parkview be actively promoted so that the level of demand could be determined - Delaying a decision for one year has the possibility of upsetting a larger number of people than were resident at Parkview. Due to the continued cost levels the Council might also be criticised by CSCI and the audit Commission for its use of resources.

2a. Refurbish Parkview to the Grade 1 standard it would need to achieve as any alterations would be deemed as a ‘change of use' - A full structural survey and review of the building footprint would be required. Major structural works would then require the closure of Parkview and the resettlement of residents (not necessarily all to the same place) whilst work was undertaken. The number of bedrooms would reduce to meet Grade 1 standards without an extension to increase the size of the facility.

2b. Update one room at a time - The variety of rooms and room sizes limits this possibility.

3. Develop Parkview as an Extra Care facility - Developing existing building would be problematical. The ‘site' however could be developed by a housing provider. Site was likely to be suitable for a new build facility. Grant funding would need to be explored. Options appraisal required.

4. Sell Parkview to an alternative provider - Change of ownership would require alternative provider to bring Parkview up to Grade 1 standard at great cost which is likely to make purchase unattractive.

Cabinet noted that, at the Select Committee's final meeting, relating to this review, it had considered each of the alternative outcomes detailed above. Support had been expressed, by some Members, for outcome 3, however, a proposal to recommend outcome 2a to Cabinet was carried, following a vote by 4 of the 6 Members present.

Cabinet received representations from the following groups, present at the meeting:-

• Members of the Adult Services and Health Select Committee
• Public
• Residents and/or their representatives
• Employees
• Ward Councillors

These representations expressed support for the Council to find resources, refurbish Parkview and maintain it as a residential care home

Members considered the Select Committee report, the evidence it contained and the representations submitted at the meeting and provided responses where required.

The Cabinet Member for Adult Services and Health thanked the Select Committee for the work it had undertaken and the useful evidence that had informed the development of the options identified in the report. The Cabinet Member noted that the Committee had recognised that the status quo was not an option and that changes were required to ensure that the Council offered the services that people wanted, met the highest possible standards and ensured the best use of public funds.

The Cabinet Member continued and proposed specific recommendations:-

• that a closure programme be prepared for Parkview and that Officers be asked to explore the possibility of replacing Parkview Home with an Extra Care facility on the same site. This would offer supported living to individuals to enable them to continue to live in their own homes with extra care and support for as long as possible. This recognised the need to further develop popular services in Thornaby for the authority's vulnerable population.

• that Officers be asked to begin a process of assessment with the current 13 residents at Parkview and their families to explore their needs both now and into the future

• that Cabinet receives an update report on the progress around a potential extra care development and the reassessments of the current residents in 3 months time.

Cabinet considered and approved the recommendations.

RESOLVED that

1. a closure programme be prepared for Parkview, and Officers explore the possibility of replacing Parkview Home with an Extra Care facility on the same site.

2. that Officers begin a process of assessment with the current 13 residents at Parkview and their families to explore their needs both now and into the future

3. that Cabinet receives an update report on the progress around a potential extra care development and the reassessments of the current residents in 3 months time.
Reasons for the Decision
• To ensure that care services continue to meet the needs of older people across Stockton Borough.
• To contribute to the achievement of the Council's Strategy for Older People and comply with national policy and guidance
• To ensure the effective use of resources and improve value for money.
Alternative Options Considered and Rejected
As detailed above - Outcome 1, 2a, 2b and 4
Declared (Cabinet Member) Conflicts of Interest
None
Details of any Dispensations
None
Date and Time by which Call In must be executed
By no later than midnight on Tuesday 25th March 2008
Attachment

Date of Publication: 17 March 2008


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