7 Overview of Adult Social Care PDF 477 KB
Graeme Betts, Interim Director, Adult Social Care, to present
Minutes:
Profession Graeme Betts, Interim Director of Adult Social Services, gave the following powerpoint presentation on Adult Social Care Services:-
Changes in Adult Social Care Nationally – from Dependency to Resilience
- From institutions to community and home-based services
- Improvements in supporting people to live their lives independently
- Greater use of information and advice, one-off interventions and advocacy
- Greater focus on prevention, early intervention, rehabilitation, recovery and reablement and enablement
- Greater use of housing-based support, telecare and other technologies
- Focus on supporting carers
- Greater use of personal budgets to increase choice and control
- Better joint working with the NHS
The Challenges facing Adult Social Care
- Demography
In Health there was a gradual increase in the spending on people as they got older
In Care, the costs were reasonably low until the age of 85 when the costs then soared
Rotherham’s population was declining with regards to its younger adults – these were the ones that provided informal care to older people
- Expectations
- Quality Standards
There had been an incredible rise in the standards of residential care but it came at a cost
- Safeguarding
Agencies were better at identifying the level of emotional, physical and financial abuse – again at an increased cost
- Resources
Net expenditure of approximately £70M
Over the past 3 years the Authority had had to make £14M savings
Rotherham Adult Social Care Services was a high spender
Headline Figures 2014/15
- Over 6,400 people had received a Service during the year (excluding Occupational Therapy only Services)
- Approximately 4,000 Social Care Assessments or re-assessments were undertaken during the year
- 90% of Service users on Service for more than a year received a review of their needs
- 1,700 adults and older people placed in residential and nursing care
Pyramid of Care
- Contact received during the year with the outcome
Service Cost £371,517
Age 18-64 – 889
Age 65+ - 1,828
- In long term Community-based Service
Service Cost £22,399,007
Age 18-64 – 2,051
Age 65+ - 2,204
- Residential/Nursing Service
Service Cost £22,139,903
Age 18-64 – 234 (Residential 195 and Nursing 39)
Age 65+ - 1,462 (Residential 1,090 and Nursing 372)
Connect to Support Rotherham
- A website for adults in Rotherham who needed support to live independently
- The website offered information and advice and was also an e-marketplace offering 1,905 products and 414 services
- Generated an average 800 hits a month
- www.connectosupport.org/rotherham
- Self-serve and channel shift
- Dependence to Independence
- Preventative
- Supported the Care Act through advice and information
- Had the potential to be further developed to provide personalised guidance, self-assessment, financial assessment, care accounts, support planning and more
Shared Lives
- Shared Lives offered opportunities for vulnerable adults to live or spend time with approved carers and their families
- This could be for a few hours or a few days a week (befriending), short stays in the home of the Shared Lives carer or ... view the full minutes text for item 7