Agenda and minutes

Adult Social Care Select Committee - Thursday, 11 April 2013 10.00 am

Venue: Committee Room C, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Leah O'Donovan or Andrew Spragg 

Items
No. Item

13/13

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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    Minutes:

    No apologies were received.

14/13

MINUTES OF THE PREVIOUS MEETING: 14 February 2013 pdf icon PDF 61 KB

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    To agree the minutes as a true record of the meeting.

    Minutes:

    These were agreed as an accurate record of the meeting.

     

15/13

DECLARATIONS OF INTEREST

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    To receive any declarations of disclosable pecuniary interests from Members in respect of any item to be considered at the meeting.

     

    Notes:

    ·    In line with the Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012, declarations may relate to the interest of the member, or the member’s spouse or civil partner, or a person with whom the member is living as husband or wife, or a person with whom the member is living as if they were civil partners and the member is aware they have the interest.

    ·    Members need only disclose interests not currently listed on the Register of Disclosable Pecuniary Interests.

    ·    Members must notify the Monitoring Officer of any interests disclosed at the meeting so they may be added to the Register.

    ·    Members are reminded that they must not participate in any item where they have a disclosable pecuniary interest.

    Minutes:

    There were no declarations of interest.

16/13

QUESTIONS AND PETITIONS pdf icon PDF 59 KB

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    To receive any questions or petitions.

     

    Notes:

    1.  The deadline for Member’s questions is 12.00pm four working days before the meeting (5 April 2013).

    2.  The deadline for public questions is seven days before the meeting (4 April 2013).

    3.  The deadline for petitions was 14 days before the meeting, and no petitions have been received.

    Minutes:

    Declarations of interest: None.

     

    Witnesses:

     

    Sarah Mitchell, Strategic Director, Adult Social Care

    Anne Butler, Assistant Director for Commissioning

     

    Key points raised during the discussion:

     

    1.    A formal question was asked of Adult Social Care by Keith Witham. A revised response is attached.

     

    2.    The discussions around this question were held as a Part 2 item, as it concerned the procurement process. However, the Committee decided upon reflection that the discussions concerning this item should be a matter of public record.

     

    3.    Officers commented that the procurement process for a Welfare Benefits Advice Service had involved users and carers in examining the options. It was recognised that there were a wide range of service providers that offered benefit advice services, and that they were held in high regard. It was commented by Officers that Adult Social Care supported the Voluntary, Community and Faith Sector (VCFS) in a variety of ways, and was keen to engage and work with partners.

     

    4.    Members expressed concerns that the process around awarding the grant had not been suitably transparent. Officers agreed to review the standing orders pertaining to financial decisions. The Cabinet Member for Adult Social Care commented that he had confidence in the decision by officers. It was highlighted that any expenditure of money could be scrutinised through the Directorate’s budget.

     

    5.    Members raised a question as to whether the Surrey Disabled People’s Partnership (SDPP) could be encouraged to work collaboratively with other organisations. Officers confirmed that this would be a consideration in the one year review of the service, and that the SDPP had expressed an enthusiasm for consortium working.

     

    Recommendations:

     

    a)    That the Council’s financial regulations and standing orders in relation to grants to the voluntary sector be reviewed to ensure greater opportunities for Member scrutiny.

     

    b)    That Democratic Services work with officers to ensure Part 2 items are such because they contain statutory Part 2 information, and are not simply confidential. It is suggested that items may be split between Part 1 and Part 2 to ensure the appropriate level of transparency and openness.

     

    c)    That a revised response with Part 2 information removed be circulated and published with the minutes.

     

    Actions/further information to be provided:

     

    None.

     

    Committee Next Steps:

     

    None.

     

17/13

RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SELECT COMMITTEE

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    A recommendation was made by the Committee to Cabinet on 26 February 2013 regarding Social Care Debt. An initial response is included in the recommendations tracker.

    Minutes:

    The Committee was asked to note that one response had been received from the Cabinet Member with reference to the recommendation concerning Social Care Debt. This response was included in the Recommendations Tracker.

18/13

DIRECTOR'S UPDATE

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    The Strategic Director of Adult Social Care will update the Committee on important news and announcements.

    Minutes:

    Declarations of interest: None.

     

    Witnesses: Sarah Mitchell, Strategic Director, Adult Social Care

     

    Key points raised during the discussion:

     

    1.    The Strategic Director for Adult Social Care informed the Committee that the Rapid Improvement Event (RIE) for the Adult Services Business Process was being undertaken. It was felt that this work was positively engaging with colleagues and stakeholders across the departments, as well as on a District & Borough level. The RIE had identified issues in the assessment process, and staff were currently identifying best practice and taking ownership of the future changes. The Committee was informed that there was an intention to find a mobile solution to undertaking assessments. Actions identified by the RIE would be shared with the Select Committee following its conclusion.

     

    2.    The Committee was informed that a review would be undertaken of users with learning disabilities currently placed out of county.

     

    3.    The Strategic Director for Adult Social Care highlighted the first meeting of the Health & Wellbeing Board had taken place at the beginning of the month. There had also been the first meeting of the Clinical Commissioning Groups (CCGs) to discuss joint commissioning. The Committee was told that officers were confident around the new arrangements.

     

    4.    Members raised a question about the interim arrangements while a new Director of Public Health was being appointed. It was confirmed that an announcement regarding these arrangements would be made in the coming month.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

    None.

     

    Committee Next Steps:

     

    None.

     

19/13

ADULT SOCIAL CARE IN SURREY: SUCCESSES AND CHALLENGES 2009 - 2013 pdf icon PDF 36 KB

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    Purpose of the report:  Scrutiny of Services/Policy Development and Review

     

    This report and accompanying presentation gives a ‘position statement’ for Adult Social Care in 2009 and charts the achievements and progress made to date.

     

    Additional documents:

    Minutes:

    Declarations of interest: None.

     

    Witnesses:

     

    Sarah Mitchell, Strategic Director, Adult Social Care

    Dave Sargeant, Assistant Director for Personal Care & Support

    Debbie Medlock, Assistant Director for Service Delivery

    John Woods, Assistant Director for Transformation

    Anne Butler, Assistant Director for Commissioning

     

    Key points raised during the discussion:

     

    1.    Officers gave an outline of the successes and challenges faced by Adult Social Care following the Annual Performance Assessment in 2009. The Committee was informed that a particular success was felt to be the reduction in levels of staff sickness and absence.

     

    2.    Officers highlighted that co-design with carers, users and stakeholders had been central in ensuring the success of the service. In particular the Equality Impact Assessment (EIA) completed in relation to savings targets was identified as a positive example of this. Also highlighted was the use of co-design in the development of a Sensory Services strategy, and the provision of lip-reading classes for those with hearing difficulties.

     

    3.    The Committee was informed that the recent Local Government Association (LGA) Peer Review had identified both the work around the Health & Wellbeing Board and the work connected to the Public Value Review (PVR) for services for people with learning disabilities as areas of good practice within the Council. It was also highlighted that the service had been a finalist in the Redefining Quality in Adult Services category of the Management Journal Awards.

     

    4.    The Committee was told that the service was developing a more community-based approach, with greater engagement with partners and the development of Citizens’ Hubs. Officers highlighted that the “Right To Control” pilot had been praised by user organisations at a regional level.

     

    5.    In regard to Personal Care and Support, it was outlined to the Committee that the number of younger people in residential care had decreased significantly. The view was expressed that the service had improved in its identification of users for whom residential care was appropriate.

     

    6.    The Committee was informed that there were now safeguarding advisors in each of the locality areas. It was also commented that transition was improving, with more Adult Social Care staff attending reviews for young people.

     

    7.    Officers outlined the increased role of Quality Assurance in the service, and the greater strategic view in identifying what needs, resources and outcomes were in place around commissioning. This was linked to the development of locality profiles jointly with the NHS, and the provision of a home from hospital service with the Red Cross. Officers commented that current work was being undertaken to ensure a consistent service in relation to this is available across the county. Members queried where the responsibility lay for a patient’s care upon discharge from hospital. It was clarified that the NHS held responsibility for 30 days following any hospital discharge, and that Adult Social Care would also have a responsibility in relation to this dependent on circumstances.

     

    8.    Members highlighted concerns regarding the provision for care for patients following discharge from hospital. Officers commented that there were sometimes challenges in  ...  view the full minutes text for item 19/13

20/13

SOCIAL CARE DEBT UPDATE pdf icon PDF 110 KB

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    Purpose of the report:  Scrutiny of Services and Performance Management

     

    The Adult Social Care Select Committee has requested updates every other meeting on social care debt management, but requested an additional report for the April 2013 meeting.

     

    Additional documents:

    Minutes:

    Declarations of interest: None.

     

    Witnesses: None.

     

    Key points raised during the discussion:

     

    1.    The Committee was asked to note that the issues surrounding the processes connected to Social Care debt were due to be subject to a Rapid Improvement Event (RIE). It was confirmed that the outcome of the RIE would be shared with the Committee once it had been undertaken.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

    None.

     

    Committee Next Steps:

     

    None.

     

21/13

RECOMMENDATION TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 36 KB

22/13

DATE OF NEXT MEETING

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    The next meeting of the Committee will be a private induction meeting on 23 May 2013 at 10am.

     

    The next public meeting of the Committee will be on 20 June 2013 at 10am.

     

    Minutes:

    1.    It was noted that the next meeting of the Committee would be a private induction meeting on 23 May 2013 at 10am, and that the next public meeting of the Committee would be on 20 June 2013 at 10am.

     

    2.    Members thanked all the officers that had supported the Adult Social Care Committee, including Leah O’Donovan for her support of the Committee as Scrutiny Officer.