Stockton-on-Tees Borough Council

Big plans, bright future

Adult Services and Health Select Committee Minutes

Date:
Tuesday, 3rd September, 2013
Time:
4.00 p.m.
Place:
Ground Floor Committee Room, Town Hall, High Street, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Cllr Kevin Faulks(Vice-Chairman), Cllr Paul Baker, Cllr Evaline Cunningham, Cllr Elliot Kennedy, Cllr Ray McCall, Cllr Norma Wilburn, Cllr Mrs Mary Womphrey, Deborah Miller
Officers:
L Hanley, G Irving, M Stephenson (CESC) Z Greeves, P Kelly (Public Health) M Jones, P Mennear(LD)
Apologies for absence:
Cllr Mohammed Javed(Chairman), Cllr Mrs Sylvia Walmsley
Item Description Decision
Public
ASH
39/13
COMMITTEE BRIEFING
 
ASH
40/13
EVACUATION PROCEDURE
 
ASH
41/13
DECLARATIONS OF INTEREST
 
ASH
42/13
DRAFT MINUTES:-
AGREED that the minutes be approved.
ASH
43/13
2012-13 YEAR END PERFORMANCE REPORT FOR ADULT SERVICES
AGREED that:

1. the information be noted

2. the detailed data for the report be circulated to the Committee
ASH
44/13
DRAFT LOCAL ACCOUNT FOR STOCKTON-ON-TEES 2012-13
AGREED that:

1. the information be noted

2. the detailed data behind the report be circulated to the Committee
ASH
45/13
QUALITY STANDARDS FRAMEWORK UPDATE
AGREED that

1. the information be noted

2. the Committee's comments on the grading scheme be reported to the Adult Care Management Team, and that a response be reported back to the Committee
ASH
46/13
SCRUTINY REVIEW OF ACCESS TO GP, URGENT AND EMERGENCY CARE
AGREED that the information be noted.
ASH
47/13
WORK PROGRAMME
AGREED that:

1. the information be noted

2. an annual update on the QSF be scheduled
ASH
48/13
CHAIR'S UPDATE
AGREED that the information be noted.
4.20pm - 5.50pm

Preamble

ItemPreamble
ASH
39/13
Members agreed their approach to the meeting.
ASH
40/13
The evacuation procedure was noted.
ASH
41/13
Cllr Ray McCall declared a personal interest as he was an Associate Hospital Manager and Governor for Tees, Esk and Wear Valley NHS Foundation Trust.
ASH
42/13
Consideration was given to the draft minutes of the meetings held on 9th July 2013 and 22nd July 2013.
ASH
43/13
The Committee received a report regarding the Adult Social Care 2012-13 Performance and Activity Data, The report provided a summary of analysis of data submitted by all Councils nationally to the government regarding activity and performance in Adult Social care services. It was noted that all data was provisional and the Government would release final validated data via the Health and Social Care Information Centre (HSCIC) in October.


The summary included data on:
*Access to Services
*Community Based Services
*Residential and Nursing
*Intensity of Home Care
*Assisting Discharge
*Views of Users and Carers

It was noted that there was more detailed data would become available and the Chair requested that this data be circulated to the Committee.
ASH
44/13
Members discussed the draft Adult Social Care Services 2012/13 Local Account which included information on:

*The services provided by the Council
*Service users views on services
*Funding priorities and key priorities
*Improvement plans

The key priorities outlined in the Local account were:
*Safeguarding
*Carers
*Personalisation
*Prevention and Early Intervention

It was noted that the report would be a public document and therefore had been presented in a user friendly format and figures were kept to a minimum. There would be case studies and some further figures to insert into the report before being presented to Cabinet in October.

It was requested that the detailed information behind the report be circulated to the Committee. It was noted that much of this would be contained in the Joint Strategic Needs Assessment.
ASH
45/13
Members received information regarding the Quality Standards Framework, used by the Adult Services' Commissioning Team to assess care homes against a range of standards. The information included:

*The aims and objectives of the Framework
*The Frameworks annual cycle - all 35 care homes had an inspection visit between March-June 2013
*The focus for the standards and sub-standards were environmental factors, management of staffing issues, individual care, and protection and safeguarding
*An outline of the marking scheme: A total of 500 marks were available, and a grading from Bronze to Gold+ was given depending on the marks received
*The 2012-13 outcomes for each care home, pre-appeal
*Key Themes for improvements identified were training, supervision, care planning, and policies and procedures
*Next steps included dealing with appeals, developing improvement plans for care homes, further evaluation and development of the assessment process, publication of grading

The main issues discussed were as follows:

*It was queried whether the Framework inspection visits were announced, and suggested that unannounced visits would provide a more realistic picture of the care homes. It was noted that while visits were announced, care homes only received notice homes would be visited within a certain week and were not informed of the exact day the visit would take place on. In addition unannounced visits would take place for those care homes where there were concerns as part of ongoing monitoring arrangments.
*Gathering the views of residents was discussed. It was explained that the Framework concentrated on the Standards outlined, however concerns and issues from residents were picked up via other methods. The Committee suggested that a user's/residents survey be included within the Framework and inspection process in the future.
*The grading system was also discussed. The Committee believed that using Bronze, Silver, and Gold was unclear as bronze may be perceived by the public as being good whereas the scoring range for the category actually contained the lowest scores it was possible to achieve. While officers noted that a Red Amber Green (RAG) risk system was in place for internal monitoring purposes, it was suggested that a Red/Amber/Green or number rating should be used for this Framework, as it would be easier to understand.
*It was noted that where the grading would be made public, the scores would not be published due to commercial sensitivity. The Committee queried whether publishing the score would encourage care homes to improve, and Officers informed that they were seeking advice from legal services regarding this issue as a Freedom of Information request had been received in relation to quality standards information. Members were in favour of the full scores being made public if at all possible.
*Members asked what would happen if a care home fails to complete an improvement plan or does not improve, and informed that this would be dealt with through formal contractual arrangements.
* It was reported that the QSF did appear to have led to an increase in demand for training courses and education requests from providers. This was seen as a positive development where providers were showing a commitment through training.

Officers informed the Committee that a quality standards system for home care services was in development and would be brought to the Committee for comments in due course.
ASH
46/13
Introductory information for the review was circulated, including:
*Suggested key lines of enquiry
*Draft questions for an all member survey
*NHS England's review of GP services
*Middlesbrough Council scrutiny report regarding Winter Pressure on Services

The Committee discussed the key lines of enquiry and noted that:
*Question seven should include communication issues and triage, as it was noted that it was not always made clear who the patient would be seen by when appointments were made
*A clearer definition of access was needed (and in the Member Survey)
*Consideration should be given to assessing services against all the diversity strands

The Scrutiny Officer requested any further comments on the key lines of enquiry and all member survey by Thursday 12 September.
ASH
47/13
The work programme was noted.

The Scrutiny Officer asked if Members wanted an annual update on the Quality Standards Framework to be scheduled into the programme, and the Committee agreed this.
ASH
48/13
It was noted that the Joint Committee had met to receive and discuss the results of the public consultation on the moving of critical care and emergency medicine beds from Hartlepool to North Tees Hospital. The Clinical Commissioning Group had met on 2 September and agreed to proceed with the proposal. There had been concerns regarding travel plans and the Joint Committee had suggested that oversight arrangements should be made to oversee the changes and it was requested that the arrangements reported back to Members via this Committee.

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