Agenda and minutes

Adult Social Care Select Committee - Thursday, 24 October 2013 10.30 am

Venue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN

Contact: Ross Pike or Andrew Spragg 

Items
No. Item

53/13

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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    Minutes:

    Apologies were received from Graham Ellwood and Daniel Jenkins. There were no substitutions.

     

    The Vice-Chairman acted as Chairman for the meeting.

54/13

MINUTES OF THE PREVIOUS MEETING: 5 September 2013 pdf icon PDF 69 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.

55/13

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.

56/13

QUESTIONS AND PETITIONS pdf icon PDF 22 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 (18 October 2013).

    2.  The deadline for public questions is seven days before the meeting (17 October 2013).

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

    Minutes:

    Declarations of interest: None.

     

    Witnesses: None.

     

    Key points raised during the discussion:

     

    1.    A Member’s question was received from Ernest Mallett. The question and response were tabled and are enclosed in these minutes. There was no supplementary question.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

    None.

     

    Committee Next Steps:

     

    None.

57/13

RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SELECT COMMITTEE pdf icon PDF 20 KB

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    Recommendations were made to Cabinet regarding social capital, following the meeting of Adult Social Care Select Committee on 5 September 2013. A response was given by the Cabinet Member at the Cabinet meeting on 24 September 2013.

    Minutes:

    Declarations of interest: None.

     

    Witnesses: None.

     

    Key points raised during the discussion:

     

    1.    The Committee noted the response from the Cabinet Member given at the Cabinet meeting on 24 September 2013 in reference to Social Capital. There were no further comments.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

    None.

     

    Committee Next Steps:

     

    None.

     

58/13

DIRECTOR'S UPDATE

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

    Minutes:

    Declarations of interest: None.

     

    Witnesses: Sarah Mitchell, Strategic Director for Adult Social Care

     

    Key points raised during the discussion:

     

    1.    The Strategic Director outlined the engagement events taking place in relation to the Care Bill. It was highlighted that the Directorate had received praise at the National Children and Adult Service Conference for its financial modelling in relation to the implications of the Bill.

     

    2.    The Committee was informed that the Directorate had begun to see a positive budgetary impact as a result of the Family, Friends and Community support agenda. However, it was also commented that the NHS had indicated that a difficult winter was anticipated and that this could have an adverse effect. In order to mitigate this the Directorate had been working with the Clinical Commissioning Groups (CCGs) to strengthen shared care pathways. This included a number of changes to the hospital discharge process following a Rapid Improvement Event (RIE) over the summer.

     

    3.    The Committee was told that options were being considered for a Local Authority Trading Company in relation to the delivery of services for those with learning disabilities. It was highlighted that this work was being undertaken in collaboration with the community and carers.

     

    4.    The Strategic Director outlined Surrey’s response to recent reports on fifteen minute visits in the national media. It was commented that approximately 6% of care visits were 15 minutes, and that these were intended to supplement other visits. The Committee was informed that the Directorate was working to ensure that domiciliary care commissioning provided sustainable care while also offering a fair wage to staff. It was highlighted that the domiciliary care commissioning process was being redesigned with input from service users. Members commented that the Directorate had provided a swift response to the queries around 15 minute visits and officers were thanked for the information that they provided.

     

    5.    The Committee congratulated Mary Hendrick for being short-listed for the Society Guardian Public Servant of the Year award 2013.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

    The Directorate to explore the possibility of delivering a further Dilnot and Care Bill workshop to Members.

    Action by: Assistant Director for Policy & Strategy

     

     

    Committee Next Steps:

     

    The Committee to receive an update on the Local Authority Trading Company options as part of the Committee’s business planning workshop on 12 November 2013.

59/13

FAMILY, FRIENDS AND COMMUNITY SUPPORT - SOCIAL CAPITAL IN SURREY pdf icon PDF 814 KB

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    Purpose of report: Policy Development and Review

     

    To provide an update on progress being made to maximise social capital in localities with effective care packages.

    Minutes:

    Declarations of interest: None.

     

    Witnesses:

    Dave Sargeant, Assistant Director for Personal Care and Support

    Sarah Mitchell, Strategic Director for Adult Social Care

     

    Mel Few, Cabinet Member for Adult Social Care

    Steve Cosser, Cabinet Associate for Adult Social Care

     

    Key points raised during the discussion:

     

    1.    The Committee asked what work had been done to ensure that the Family, Friends and Community Support agenda was being delivered collaboratively with the NHS and other stakeholders. Officers outlined that the Directorate were currently planning a number of stakeholder engagement events and that these were to be undertaken at a locality level. The Committee was informed that the Directorate was working with the NHS to ensure that social care practitioners were being included as part of primary care pathways. It was highlighted that this would help emphasise the Family, Friends and Community Support approach.

     

    2.    The Committee queried what measurements were in place to ascertain whether savings were being achieved through Family, Friends and Community Support. Officers commented that the key measurement was a reduction in the average cost of care packages. It was highlighted that a greater equity of resource distribution would be another indicator of the work’s success.

     

    3.     The Cabinet Member for Adult Social Care informed the Committee that the Directorate’s spending had been less in September 2013 than in previous months.

     

    4.    It was highlighted that Members could support the Family, Friends and Community Support agenda by sharing local knowledge through the Surrey Information Point website.

     

    5.    The Committee queried how the Directorate was working with District and Borough Councils and partners. Officers commented that a series of social asset mapping exercises were being organised at a district and borough level to help identify what resources were available. It was also highlighted that social care teams were co-located with District and Borough partners to ensure a joined-up approach. Members commented that local committees could also be used in identifying local assets.

     

    6.    The Committee was informed that work was being undertaken to roll-out a model office approach across the county after a successful trial period in Woking. Officers commented that the new approach had freed up practitioner time by reducing assessment times and improving the capacity for mobile working. Members asked for clarity around the meaning of ‘brave’ conservations; it was stated that this referred to moving towards sign-posting a wide variety of resources and support, rather than only discussing service users’ support in terms of what the local authority could provide.

     

    7.    The Committee sought reassurances around potential safeguarding risks in relation to the utilisation of Family, Friends and Community Support. Officers commented that there would be no change in the risk assessments related to an individual’s support plan, and that these were designed to assess risk in an appropriate way in relation to family and friends. It was commented that from a national and historical perspective the areas of greatest safeguarding concerns related to residential care, rather than support individuals received from their family, friends  ...  view the full minutes text for item 59/13

60/13

SUPPORTING CARERS pdf icon PDF 222 KB

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    Purpose of the report: Scrutiny of Services

     

    The Committee continues to monitor the Service’s performance on securing positive outcomes for carers. The Committee will scrutinise an update report from the Carers Practice & Performance Group.

     

    This report provides an update on ASC’s progress in practice improvement and general support provided to carers who are supporting Surrey residents.

    Additional documents:

    Minutes:

    Declarations of interest: None.

     

    Witnesses:

    Mikki Toogood, Carer Development Manager, Personal Care and Support

    Shelley Head Senior Manager, Personal Care and Support

    Sarah Mitchell, Strategic Director for Adult Social Care

     

    Mel Few, Cabinet Member for Adult Social Care

    Steve Cosser, Cabinet Associate for Adult Social Care

     

    Key points raised during the discussion:

     

    1.    The Committee was given an update on how the Directorate worked to support carers in Surrey. Officers stated that it was important to not view carers as a resource, and to recognise that they had a right to an assessment of their support needs. The Committee expressed disappointment regarding the number of respondents to the first statutory Carer survey, and encouraged officers to seek ways of improving this figure.

     

    2.    The Committee discussed potential barriers to engaging young carers. A question was raised as to how the Directorate liaised with schools to identify and support young carers. Officers commented that the Directorate commissioned outreach work, delivered by Surrey Young Carers; it was also highlighted that a Young Carers Strategy Group met quarterly to have oversight of the multi-agency approach to supporting young carers. Officers informed the Committee that this group included young carers and was chaired by the Chief Executive of Action for Carers. The Committee was also informed that there was a Young Carers protocol in place between Adult Social Care and Children’s Services. The Directorate also funded a project worker from Action for Carers to support the transition for young carers when they reached adulthood.

     

    3.    The Committee was informed that the Young Carers’ assessment form had been redesigned with the input of young carers in order to make it more accessible. Members questioned whether whole family assessments were appropriate when ascertaining young carers’ needs; it was clarified by officers that a whole family assessment would always seek to obtain the views of those involved in a way that they were able to express their individual views without pressure from others.

     

    4.    The Committee expressed the view that every school should ensure that they had a school governor with responsibility for supporting young carers. The Cabinet Associate for Adult Social Care offered to work with colleagues to investigate implementing this.

     

    5.    The Committee queried what efforts had been made to ensure that black and minority ethnic communities were also being engaged with. Officers outlined that the Assistant Practitioner Level 2 Carer (AP2 Carer) role had a specific responsibility around ensuring that such communities were being engaged with. It was highlighted that there were a number of informal networks that were being utilised to support these communities.

     

    6.    The Committee raised a question as to whether the Directorate would continue funding in 2014/15 for the Grant Funded Support for Carers listed in the report. It was clarified by officers that these funding arrangements would continue into 14/15.

     

    Resolved:

     

    ·         That the Committee recognises the Directorate’s ongoing improvement in respect to supporting Carers.

     

    Recommendations:

     

    1)    That each school has a governor responsible for supporting young carers.  ...  view the full minutes text for item 60/13

61/13

SOCIAL WORKER RECRUITMENT AND RETENTION

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    The decision has been taken to reschedule this item for a future committee meeting. An Officer will be attending to discuss timescales.

     

    Minutes:

    Declarations of interest: None.

     

    Witnesses: None.

     

    Key points raised during the discussion:

     

    1.    The Committee was informed that this item had been deferred to the meeting on 5 December 2013.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

    None.

     

    Committee Next Steps:

     

    None.

     

62/13

RECOMMENDATION TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 45 KB

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    The Committee is asked to monitor progress on the implementation of recommendations from previous meetings, and to review its Forward Work Programme.

    Additional documents:

    Minutes:

    Declarations of interest: None.

     

    Witnesses: None.

     

    Key points raised during the discussion:

     

    1.    The Committee requested that an item was added to the Forward Work Programme outlining the Directorate’s response to recommendations made following the Serious Case Review into the death of Gloria Foster. It was confirmed that this item would be added to the agenda for the meeting to be held on 6 March 2014.

     

    2.    The Committee requested an update on the status of the Adult Services Business Process Review Member Reference Group. It was clarified that the procurement process had been put on hold as the Directorate was now working to develop the model office, as well as working with Future Gov to develop social care applications. It was agreed that a further update would be provided and then the requirement for involvement of a Member Reference Group considered.

     

    Recommendations:

     

    None.

     

    Actions/further information to be provided:

     

     

    Committee Next Steps:

     

    None.

     

63/13

DATE OF NEXT MEETING

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    The next meeting of the Committee will be held at 10am on 5 December 2013.

    Minutes:

    The Committee noted its next meeting would be held on 5 December 2013 at 10.30am. The Chairman also asked that the Committee noted that there would be a private budget and business planning workshop for the Committee on 12 November 2013.