Agenda and minutes

Social Care Services Board - Friday, 9 December 2016 10.00 am

Venue: Council Chamber, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Andy Spragg or Richard Plummer 

Items
No. Item

78/16

APOLOGIES FOR ABSENCE AND SUBSTITUTIONS

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    Minutes:

    Apologies were received from Ramon Grey, Marisa Heath, Dorothy Ross-Tomlin, Chris Townsend and Helena Windsor.

    Nick Harrison substituted for Chris Townsend.

79/16

MINUTES OF THE PREVIOUS MEETING: 26 OCTOBER 2016 pdf icon PDF 159 KB

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    To agree the minutes of the previous meeting as a true and accurate record of proceedings.

     

    Minutes:

    The minutes of the previous meeting were approved as a true and accurate record of proceedings.

80/16

DECLARATIONS OF INTEREST

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    All Members present are required to declare, at this point in the meeting or as soon as possible thereafter

    (i)            Any disclosable pecuniary interests and / or

    (ii)           Other interests arising under the Code of Conduct in respect of any item(s) of business being considered at this meeting

    NOTES:

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

    ·         As well as an interest of the Member, this includes any interest, of which the Member is aware, that relates to the Member’s spouse or civil partner (or any person with whom the Member is living as a spouse or civil partner)

    ·         Members with a significant personal interest may participate in the discussion and vote on that matter unless that interest could be reasonably regarded as prejudicial.

     

    Minutes:

    There were no pecuniary interests declared.

     

    Nick Harrison declared a non-pecuniary interest of being a Member of the Children’s Improvement Board.

     

81/16

QUESTIONS AND PETITIONS

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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 (Monday 5 December).

    2. The deadline for public questions is seven days before the meeting (Friday 2 December)

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

    Minutes:

    There were no questions or petitions received.

82/16

RESPONSES FROM THE CABINET TO ISSUES REFERRED BY THE SCRUTINY BOARD pdf icon PDF 83 KB

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    The Board made a series a recommendations which were considered by Cabinet on the 16 November. The response is attached below.

    Minutes:

    The Board noted the response made by Cabinet to issues referred by the Board. There were no further comments made.

83/16

CONTRACT AWARD - SUPPORT SERVICES FOR CARERS pdf icon PDF 108 KB

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    Purpose of the report:  Scrutiny of Services and Budgets

     

    The Board will scrutinise the procurement process and subsequent decision to award a contract for the provision of support services for carers.

    Additional documents:

    Minutes:

    Witnesses:

    Helen Atkinson, Strategic Director for Adult Social Care and Public Health

    Sonya Sellar, Area Director

    John Bangs, Carers Strategy & Development Manager

    Sarah Ferron, Senior Category Specialist, Procurement
    Jason Duncombe, Sourcing Team Leader

    Mel Few, Cabinet Member for Adult Social Care, Wellbeing and Independence
    Tim Evans, Cabinet Associate for Adult Social Care, Wellbeing and Independence


    Declarations of interests:

    None

    Key points of discussion:

    1. Members raised concerns regarding procurement arrangements, highlighting the lack of evidence, the criteria used and the service delivery strategy. It was suggested by Members that there was a lack of public engagement in the procurement process. It was also suggested that there were insufficient impact assessments undertaken with regards to the effects of the proposals on carers.

    2. Members requested more information regarding how the contract was awarded to the successful contract awardee, Action for Carers (AfC) and questioned whether the contract awardee had the required experience to deliver the service.

    3. The Cabinet Member for Adult Social Care, Wellbeing and Independence highlighted that this was set in the context of an ongoing grants and context review. It was also highlighted that carers had been consulted as part of the Surrey Carers Commissioning Strategy.

    4. Members questioned whether the quality of service could be increased with an overall reduction in spend, also questioning the robustness of the service’s business plan. The Cabinet Member for Adult Social Care, Wellbeing and Independence suggested that the service had undertaken a vigorous procurement method and that the successful bid demonstrated substantial relevant experience. Officers highlighted that the Surrey Cares Commissioning Strategy was co-designed with carers.

    5. It was noted by officers that all of the bids for the contract were evaluated in partnership by NHS Clinical Commissioning Groups (CCGs) and Surrey County Council.

    6. The question of maintaining face-to-face support was raised as a concern by Members, noting the possible reduction in this form of support in favour of the digital offer. Officers noted that the digital offer had been co-designed with Carers UK and that it was one option of care delivery, highlighting that face-to-face support would still be provided to those who require it.

    Recommendations

    1. On the basis of the evidence heard and the documents received, the Board endorses the decision made by Cabinet.

     

    This was put to a vote. The results of this were that six Members voted in favour, with three Members against. There were two Members abstaining.

     

    1. It was agreed that the Board would endorse the decision made by Cabinet.

     

84/16

EXCLUSION OF THE PUBLIC

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    That under Section 100(A) of the Local Government Act 1972, the public be excluded from the meeting during consideration of the following items of business on the grounds that they involve the likely disclosure of exempt information under the relevant paragraphs of Part 1 of the Schedule 12A of Act.

     

    Minutes:

    The Chairman informed the Board that should any Member had wished to raise any matter relating to the Part 2 Annex [Item 8], that the meeting needed to be taken into a Part 2 session. The Board resolved for the item to be taken into Part 2, by virtue of paragraph(s) 3, Part 1 of Schedule 12A of the Local Government Act 1972 (information relating to the financial or business affairs of any particular person including the authority holding that information).

85/16

PART TWO

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86/16

CONTRACT AWARD - SUPPORT SERVICES FOR CARERS

    Purpose of the report:  Scrutiny of Services and Budgets

     

    The Board will scrutinise the procurement process and subsequent decision to award a contract for the provision of support services for carers.

Minutes:

Witnesses:

Helen Atkinson, Strategic Director for Adult Social Care and Public Health

Sonya Sellar, Area Director

John Bangs, Carers Strategy & Development Manager

Sarah Ferron, Senior Category Specialist, Procurement
Jason Duncombe, Sourcing Team Leader

Mel Few, Cabinet Member for Adult Social Care, Wellbeing and Independence
Tim Evans, Cabinet Associate for Adult Social Care, Wellbeing and Independence


Declarations of interests:

None

Key points of discussion:

1.    The Board discussed in detail the financial factors, contact details and procurement process of the Support Services for Carers Contract.

 

87/16

PUBLICATION OF PART TWO ITEMS

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    To consider whether any item considered under Part Two of the agenda should be made available to the Press and public.

     

    Minutes:

    The Board concluded that the items referred to in the Part Two annex should not be made available to the public at this time.

     

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REVIEW OF ACCOMMODATION WITH CARE AND SUPPORT STRATEGY IMPLEMENTATION AND OLDER PEOPLE'S HOMES PROJECT pdf icon PDF 195 KB

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    Purpose of report: To provide an update on the Adult Social Care Accommodation with Care & Support Strategy over the past twelve months. 

     

    Minutes:

    Witnesses:

    Mel Few, Cabinet Member for Adult Social Care, Wellbeing and Independence
    Tim Evans, Cabinet Associate for Adult Social Care, Wellbeing and Independence
    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Helen Atkinson, Strategic Director for Adult Social Care and Public Health

    Matt Lamburn, Project Manager

    Declarations of interests:

    None

    Key points of discussion:

    1. The Cabinet Member for Adult Social Care, Wellbeing and Independence noted frustration with lack of resources and progress. It was highlighted that the Cabinet Member considered that there was greater scope for improved management of assets. However, the Cabinet Member noted positive progress towards resolving these issues.

    2. It was noted that there were two care homes managed currently by the service. It was suggested by the Cabinet Member that there was a strong business case for one of these to transition into providing required Extra Care functions.

    3. The Cabinet Associate for Children, Schools and Families noted that there was a wide ranging engagement process in place regarding asset usage.

    4. Members noted their support for the approach taken by the Cabinet Member and expressed the wish that the service has Extra Care type accommodation in each borough. Members also stressed that sufficient resource is allocated to the service to effectively function.

    5. The Board requested that the service should consider hospice care as a key resource for care in the community. It was highlighted that there was a trial version of this idea in Frimley which could be examined a viable option for the service.

    6. The Board questioned whether there was criteria on accommodation to evaluate schemes in place.

    7. The Board highlighted the concern that residents in care accommodation do not become isolated and suggested that there should be a provision for housing within their home community.

    8. The Cabinet Associate for Children, Schools and Families and officers highlighted that new developments could take into account some new provisions, noting that some were built into community centres. It was also noted that the service had a wide property portfolio with a baseline minimum of 40 flats available. Members questioned whether it would be feasible to invest in more property to reduce long term expenditure.

    9. Members questioned whether additional investments with regard to the utilisation of assets could be undertaken in future as a means of reducing pressure on the service.

    10. The Board suggested that the provision of accommodation with care and support should be taken into account during future disposal of Surrey County Council assets.

    Recommendations:

     

    The Board strongly supports the development of local partnerships and opportunities to enable adults to live and age well. The Board recommends:

     

    1. That the Cabinet ensure that the strategy is prioritised by Property Services and appropriate resource allocated to its delivery

     

    1. That the Cabinet Member and service explore internal or external opportunities around invest to save funding to support the strategy, including when the council is intending to dispose of land

    2. That the outputs from the programme of engagement is shared with the Board at a future date

     

89/16

PREVENT STRATEGY pdf icon PDF 548 KB

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    Purpose of report: To provide the Board with an overview of the recent Counter Terrorism legislation, the duties and role of the Council and the work that has been and will be undertaken to implement the legislation and supporting guidance.

     

    Minutes:

    Witnesses:
    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Gordon Falconer, Community Safety Manager
    Sam Bushby, Assistant Director for Children’s Services

    Vernon Nosal, Head of QA & Adults Strategic Safeguarding

    Declarations of interests:

    None

    Key points of discussion:

    1. The Community Safety Manager explained that the Prevent strategy was previously within the purview of the security services and police within the terms of Prevent Strategy of 2011. However it was noted that the Counter Terrorism and Security Act 2015 had shifted responsibilities to Local Authorities. It was highlighted that there was no resource before the revision and that the service had developed from the ground up. It was noted that the service used Surrey Police guidelines initially, but were developing their own methods for delivery as the service gains more experience.

    2. Officers highlighted that there were links with the newly established Multi-Agency Safeguarding Hub (MASH) which provided a key pathway to acquire information of a child or adult at risk. It was noted that the service was also looking to link the risk of radicalisation with exploitation.

    3. Officers explained that there were several key projects undertaken with schools, including training programmes and the appointment of Prevent leads. It was noted that all schools in Surrey were involved in this process. However, it was highlighted that more work needed to be undertaken with schools with relation to awareness programmes for school pupils.

    4. The Board questioned how the Child and Adolescent Mental Health Service (CAMHS) were involved in the process. Officers explained that there were several links with CAMHS, but that the Prevent strategy allowed for several different avenues of support for those at risk. The MASH ensured that there were the correct personnel available at the Channel Panels.

    Recommendations:

    The Board notes the report, and recommends:

    1. That the Prevent action plan for Children’s Services is shared with the Board when available.

    2. That further detail is provided with regard to engagement with schools on the Prevent strategy.

     

    The meeting of the Board adjourned at 11.53am and continued at 12.04pm
    Margaret Hicks and Ken Gulati left the meeting at 11.53am

     


90/16

REPORT FROM THE ASSISTANT DIRECTOR FOR CHILDREN'S SERVICES pdf icon PDF 131 KB

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    Purpose of the report:

    This report relates to the agreed Performance Management information created for both this Board and the Improvement Board.  It is also utilised to satisfy other interested groups and parts of the wider council.  It is an attempt to keep things targeted and focused and is the “one single vision of the truth”. 

     

    Additional documents:

    Minutes:

    Witnesses:
    Clare Curran, Cabinet Member for Children and Families Wellbeing
    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Sam Bushby, Assistant Director for Children’s Services

    Belinda Newth, Head of Quality & Experience

    Declarations of interests:

    Nick Harrison declared a non-pecuniary interest of being a Member of the Children’s Improvement Board.

    Key points of discussion:

    1. The Assistant Director of Children’s Services highlighted that the service was developing and introducing into the service an effective and independent quality assurance framework. It was highlighted that the quality assurance framework was held within the Directorate but was outside of service delivery, so offered independent scrutiny, and indicated the overall position of quality within the service. It was highlighted that the quality assurance framework was developed with the Safer Surrey practice guide as a guideline.

    2. Officers explained that the quality assurance framework was being implemented across the entire Directorate equally.

    3. The Board questioned the role of Members in the implementation of the quality assurance framework within the service. It was noted that the Cabinet Member would be invited to shadow frontline service on several instances per annum to gain an effective insight into service practice. It was also noted that the Social Care Services Board would scrutinise the quality assurance annual report. Officers highlighted the Member role as corporate parents and suggested Members could have a role in working with officers on Regulation 44 visits to children’s homes. The Board expressed gratitude that the service was open to Member interaction and welcomed the role of corporate parent interaction.

    4. The Board expressed concerns regarding the high number of audit and self-assessment of Children’s Services recommendations that were requiring improvement. While the level of self-awareness was commended within the service, Members requested assurance and a future update from the service that work was being undertaken to resolve these issues.

    5. Members questioned Child Protection Plan (CPP) timelines and the effects of cases being left open for significant periods of time. Members noted that there had been some improvements in reducing this, but queried if any further improvements could be undertaken. Officers noted that this was a key area of concern for the service.

    6. Officers highlighted that Area Heads were accountable for longstanding open cases. It was also noted that cases open for more than 18 months would be open for closer review, pointing out that the aim was to reduce the threshold for review from 18 months to 12 months.

    7. The Board expressed concerns regarding the numbers of missing children and children at risk of Child Sexual Exploitation (CSE), noting an increase. Officers explained that this was a result of better identification and data changes. It was noted that the service was working to create consistent data models within the service.

    8. It was noted that the service was setting up a Signs of Safety implementation group, to plan and oversee the roll out of Signs of Safety across the service. This was a key area for improving practice.

    9. Officers noted that the service was focussing on several key  ...  view the full minutes text for item 90/16

91/16

SUMMARY: CHILDREN'S SERVICES ANNUAL COMPLAINTS REPORT 2015-16 pdf icon PDF 193 KB

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    Purpose of the report: Scrutiny of Services/ Performance Management

    To provide a summary of the Children’s Services Annual Complaint Report 2015-2016 highlighting:

    ·         Learning arising from complaints

    ·         What we are doing well.

    ·         What we need to improve.

    Additional documents:

    Minutes:

    Witnesses:
    Clare Curran, Cabinet Member for Children and Families Wellbeing
    Mary Lewis, Cabinet Associate for Children, Schools and Families
    Jessica Brooke, Children’s Rights Manager (Complaints)

    Belinda Newth, Head of Quality and Experience

    Sam Bushby, Assistant Director for Children’s Services

     

    Declarations of interests:
    None

    Key points of discussion:

    1. TheChildren’s Rights Manager (Complaints) noted that the volume of complaints was increasing. It was suggested that this was a result of increased awareness of the complaints procedure. It was noted that there were increasing numbers of children involved in the complaints process as a means of alleviating concerns.

    2. Members queried the reasons why significant numbers of complaints had not been actioned. Officers explained that the majority of these complaints were advocacy or support related and required no further action.

    3. Members queried the concerns that Care Leavers had in the complaints process. Officers noted that a key issue was the change in the level of support during the transition period. It was noted that complaints from this group were generally less formal and more likely to be seeking advice or advocacy.

    4. It was highlighted by officers that there was a decrease in the volume of complaints regarding quality of service and communications.

    Recommendations

     

    1. The Board notes the annual complaints report.

     

92/16

RECOMMENDATIONS TRACKER AND FORWARD WORK PROGRAMME pdf icon PDF 162 KB

93/16

DATE OF NEXT MEETING

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    The next public meeting of the Board will be held 20 January 2017 at County Hall.

     

    Minutes:

    The next public meeting of the Board will be held at 10.00am on the 20 January 2017.