Agenda and minutes
PDF 60 KBVenue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN
Contact: Ross Pike or Andrew Baird
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS
Minutes: Apologies were received from Colin Kemp. Chris Pitt acted as a substitute for Colin Kemp and Bill Chapman substituted for the vacant position on the Committee.
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MINUTES OF THE PREVIOUS MEETING:
To agree the minutes as a true record of the meeting. Minutes: These were agreed as an accurate record of the meeting.
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DECLARATIONS OF INTEREST
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: None |
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QUESTIONS AND PETITIONS
To receive any questions or petitions.
Notes: 1. The deadline for Member’s questions is 12.00pm four working days before the meeting (16 October 2014). 2. The deadline for public questions is seven days before the meeting (16 October 2014). 3. The deadline for petitions was 14 days before the meeting, and no petitions have been received. Minutes: None |
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RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SELECT COMMITTEE
On 5 September 2014 the Committee made recommendations to Cabinet concerning vacancy management in Adult Social Care. The Cabinet Member provided a response at the meeting on 23 September 2014. Minutes: Response received to one recommendation referred at September’s meeting. The response was published in the agenda papers
Witnesses:
Mel Few, Cabinet Member for Adult Social Care Steve Cosser, Cabinet Associate for Adult Social Care
Declarations of interest: None
Key points raised during the discussion: None
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DIRECTOR'S UPDATE
The Strategic Director for Adult Social Care will update the Committee on important news and announcements. Minutes: Witnesses: Dave Sargeant, Strategic Director for Adult Social Care
Mel Few, Cabinet Member for Adult Social Care Steve Cosser, Cabinet Associate for Adult Social Care Cliff Bush, Chair, Surrey Coalition of Disabled People
Declarations of interest: None Key points raised during the discussion The Cabinet Member for Adult Social Care wished to update the Select Committee on a recent Cabinet decision. His update follows:
1. The Committee were informed that the Cabinet had approved a consultation on the future of six in-house residential care homes for older people in Surrey. It was acknowledged that there may be some tough decisions ahead. It was noted that that the care homes included in the consultation were under occupied and were not fit for purpose in the long term. It was highlighted that renovating the care homes would cost in the region of £60 million to make the structural changes required to bring the homes to the standard required for modern day residential care. The Committee was advised that all local Members in the areas where the homes are have been briefed on the process. Following the consultation, should there be a decision to close any of the care homes, the Committee was assured that residents would not be moved during the winter months so that their health was protected.
2. Members asked for clarification on the consultation process with the residents and requested assurances that this would be a transparent process. The Cabinet Member for Adult Social Care indicated that the consultation would be a fair and frank process to ensure that the views and opinions gathered were accurate. It was further highlighted that every effort would be made to gather the thoughts of the friends and families of those residing in the care homes. .
3. The Committee asked what the future might hold for staff working in these homes should, following the consultation, there be a decision to close any of them, and whether there were an opportunities for them to continue their employment elsewhere within Surrey County Council, alternatively the adult social care sector is an area which currently has a high demand for staff. .
4. The Cabinet Member was asked by the Committee whether it would be possible to amalgamate the residents into a few of the homes and close the remaining ones given that they are operating below capacity. The Cabinet Member stressed that the primary problem was with the condition of the homes and the fact that they will become unfit for purpose rather than it being an issue of having additional capacity. The Strategic Director highlighted that the care homes meet current regulatory standards but indicated that under the new CQC framework could be viewed as sub-standard by inspectors. The Committee was also advised that these homes had now stopped accepting permanent new admissions residents to relieve pressure on staff.
5. The Strategic Director (SD) informed the Committee that Surrey has now submitted its plans for the Better Care Fund (BCF). Members ... view the full minutes text for item 6/13 |
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HEALTH AND WELLBEING PRIORITIES: OLDER ADULTS & PREVENTION AND DEMENTIA FRIENDLY SURREY
Additional documents: Minutes: Witnesses: Jo-anne Alner, Director of Quality and Innovation, North West Surrey CCG Jean Boddy, Area Director: NE Hants and Farnham CCG, Surrey Heath CCG, Surrey Heath Borough Council, Adult Social Care Helen Atkinson, Director of Public Health Jen Henderson, Assistant Senior Manager, Adult Social Care Cliff Bush, Chair, Surrey Coalition of Disabled People Sue Zirps, Chief Executive Officer, Age UK Surrey Peter Gordon, Independent Non-Executive Director and Chair, Healthwatch Surrey
Declarations of interest:
Mr Chris Pitt advised the Committee that he was a Trustee of Age UK Surrey. This was noted by the Chairman.
Key points raised during the discussion: Health and Wellbeing Priorities: Older Adults Supporting People in Surrey to Live and Age Well:
1. The Director of Quality and Innovation at North West Surrey CCG (DQI) gave a presentation to the Committees on some of the challenges that CCGs in Surrey face given the healthcare demands of an ever-increasing elderly population. The Committee were advised that effective collaboration between health and adult social care providers is vital in ensuring that this demand is met and to reduce the number of hospital admissions. Members were also given information on an action plan which had been agreed by all CCGs and healthcare providers in Surrey to ensure a joined-up approach is taken to the delivery of sustainable care services that can cope with the pressures of an ageing population.
2. Members were concerned that the strategies created by each of the six CCGs in Surrey looked disparate and requested assurances that residents would experience the same outcomes in practice. The DQI highlighted that the CCGs were implementing the same schemes in line with the agreed strategy but many of them differed in how they are implementing the strategy. There may be some differences in how each CCG implemented the strategy to take account of the needs of the local population but the primary priorities and outcomes were the same for each of the CCGs.
3. The Committee also asked whether it was also possible to ensure that people die well in Surrey. The DQI highlighted that NW Surrey CCG does have a strategy on this and indicated that this is something that all CCGs will have. There has been real investment and efforts made to improve end of life care but this can sometimes be hampered by the fact that terminally ill patients can be reluctant to discuss the care they want at the end of their life which makes the arrangement of provisions more problematic. The Area Director (AD) indicated that work is currently ongoing to map people’s preferred place to die so that they can gather more information on patients’ preferences for the delivery of palliative care. The DQI advised Members that a quality of nursing offer will be introduced for care homes so that patients will feel more comfortable ending their lives in care homes with nursing support rather than in a hospital setting
Developing a Preventative Approach Priority Action Plan
1. The ... view the full minutes text for item 7/13 |
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UPDATE FROM THE PERFORMANCE AND FINANCE SUB-GROUP
Minutes: Witnesses: Ernest Mallet, Margaret Hicks, Saj Hussain, Richard Walsh, Fiona White, Keith Witham
Declarations of interest: None
Key points raised during the discussion: 1. The Chairman and Members of the Adult Social Care Select Committee Performance and Finance Sub-Group advised the Committee that the Sub-Group were still in the early stages of looking at the Adult Social Care Directorate’s budget projections for 2015/16 and where potential savings could made. Members were, however, told that the Sub-Group were looking into statutory and non-statutory responsibilities undertaken by the Directorate and that a report was being prepared on voluntary sector grants by the Vice-Chairman to present to the Sub-Group. Recommendations: None
Action points/ further information to be provided: None
Committee next steps: · Private Performance and Finance Workshop for the Committee to be held in late November.
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RECOMMENDATION TRACKER AND FORWARD WORK PROGRAMME
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: Witnesses: None
Declarations of interest: None
Key points raised during the discussion:
1. The Committee were advised that a report on the Surrey Joint Mental Health Strategy for Older Adults which was scheduled to be presented to the Select Committee at its meeting in December had been moved until 2015.
2. Members asked whether it would be possible to add an item to the forward programme for the Committee, in six months, to receive a monitoring report on the amount of time care workers spend with their clients. Recommendations:
None
Action points/ further information to be provided:
· Scrutiny Officer to add item on receiving a monitoring report detailing the amount of time care workers spend with their patients to the forward programme. Committee next steps:
None
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DATE OF NEXT MEETING
The next meeting of the Committee will be held at 10:00 am on 2 December 2014. Minutes: The Committee noted its next meeting would be 19December 2014 at 10am.
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