To confirm the record of the meeting of the People (Adults & Health) Scrutiny Panel held on 6 April 2017 (previously circulated).

The minutes of the meeting of the People (Adults and Health) Scrutiny Panel held on 6 April 2017, copies of which had been previously circulated, were confirmed and signed by the Chair.

In accordance with the Regulations, Members are invited to declare any personal or prejudicial interests they may have and the nature of those interests in respect of items on this Agenda and/or indicate if Section 106 of the Local Government Finance Act 1992 applies to them.

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 217.

The total time allowed for this item shall be 30 minutes.  Petitions, declarations and questions shall be dealt with in the order in which they are received.  Questions may also be submitted at short notice by giving a written copy to the Committee Administrator 15 minutes before the start of the meeting.

The total time allowed for questions at short notice is 15 minutes out of the total time of 30 minutes.  Any petitions, deputations and questions that have been submitted with prior formal notice will take precedence over questions submitted at short notice.  Any questions that are not considered within the time limit shall receive a written response after the meeting and be the subject of a report to the next meeting.

No petitions, deputations or questions were received from members of the public.

To consider any questions with notice from Members received in accordance with the provisions of Procedure Rule No 219 and No 219A.

No questions were received from Members.

To consider any Notices of Motion from Members submitted in accordance with the provisions of Procedure Rule No 220.

No notices of motion were received from Members.

To consider any matter referred to the Panel for a decision in relation to call in of a decision in accordance with Procedure Rule 206.

No matter was referred to the Panel for a decision in relation to call in of a decision in accordance with Procedure Rule 206.

To receive Report No. 111/2017 from the Director for Resources

(Report previously circulated under separate cover)

Report No. 111/2017 from the Director for Resources was received.

During discussion the following points were noted:

i)                 ASC Support & Review – Daycare: In response to questions regarding the budget monitoring survey regarding daycare charges  and the undertaking of customer research to assess need and provision; the impact of the Admiral Nurse post vacancy; the increase in Quarter 2 against decrease in Quarter 3 and Quarter 4; and the significant increase in expenditure on domiciliary care from Quarter 1 to Quarter 4 and had this been allowed for in the budget if it was likely to continue the Deputy Director for People, Mr Andrews agreed to provide a full written response which should have been previously circulated.

ii)               Mr Andrews informed Members that RCC was in the process of looking at the whole range of daycare provided at The Brambles in order to add value to a person’s needs and development.

iii)              Admiral Nurse – Mr Andrews informed Members that there had not been any negative comments relating to being without an Admiral Nurse.  The Council had originally been looking to set this post up with the Leicestershire Mental Health Team, now working in partnership.  RCC was now working in partnership with Dementia UK with the post to be re-advertised.

iv)             Service user numbers were normally relatively static however an increase in respite numbers could affect the average.

v)               Adult Social Care Contingency Fund: Clarification was sought for the £100k reduction.  Mr Andrews agreed to seek clarification and circulate the response to Members outside of this meeting.

AGREED:

1.   The Deputy Director for People, Mr Andrews, would circulate a full

    written response to the questions referred to under discussion point i).

2.   The Deputy Director for People, Mr Andrews, would seek clarification

on the £100k reduction to the Adult Social Care Contingency Fund and circulate the response to Members.

To receive Report No. 98/2017 from the Chief Executive

(Report previously circulated under separate cover)

Report No. 98/2017 from the Chief Executive was received.

The report was received without discussion.

AGREED

That the Panel NOTED the report.

To receive a verbal update from the Commissioning Officer

A verbal update was received from the Commissioning Officer, Ms Newton.

Ms Newton advised Members that since the last meeting of this Panel the Models had been self-tested.  Model 3 (holistic care) was to be piloted within the next month with a team of staff selected from the current Community Support staff at Rutland County Council.

During discussion the following points were noted:

i)                 That staff using their own vehicle would be paid a mileage rate.

ii)               That the Council’s We Cars and pool car were available for use in the evening and at weekends.

iii)              That the holistic approach was a more prudent financial approach giving an ability for adaption.

To receive Report No. 119/2017 from the Director for People

Report No. 119/2017 was received from the Director for People.

The Portfolio Holder, Mr Clifton, introduced the report the purpose of which was to provide the scrutiny panel with the outcome of the Adult Social Care (ASC) peer review, which had two key lines of enquiry. ASC was seeking assurance from the reviewers of the Council’s effectiveness on the following:

1.     Personalisation and Independence

How successful had the Council been in embedding personalisation across all teams, including health and social care, and the impact this had on securing independence for service users?

2.     Quality of Practice

How effective had the Council’s culture change, multidisciplinary structure and professional development initiatives been in securing high quality practice?

Members had received an updated letter outlining the findings and conclusions from the Peer Review (Appendix A to Report No. 119/2017).  Changes had been made following a request from Rutland County Council (RCC).  Mr Clifton drew attention to the compliments paid to staff working within the team and how they were allowed to deliver the service.

The Deputy Director for People, Mr Andrews informed Members that the changes to the letter were as a result of the Council’s feedback on areas that it did not agree with:

·       Overview -  Areas for consideration (paragraph 3)

RCC’s feedback was that when here the review team did not speak about broad range only ethnics.  The review team missed that RCC had not hindered BME citizens; RCC acknowledged that there was work still to be done.

·       Personalisation – Areas for consideration (paragraph 1)

Data provided to the review team had not been taken into account.  RCC resubmitted the data and the original comment regarding the relatively low number of Direct Payments was withdrawn.  RCC acknowledged that there was still work to be undertaken as per the letter.

·       The letter contained contradictory comments regarding Direct Payments being used to employ Personal Assistants.  Members were advised that RCC did not have a problem with the number of Direct Payments being used to employ Personal Assistants.

Mr Andrews advised Members that there were two areas that RCC did not follow up on:

·       Overview – Areas for consideration (paragraph 4)

The review team noted “that the vast majority of staff didn’t talk about value for money ….” .  The letter did not mention that the staff who did comment on value for money were managers.   Mr Andrews explained that RCC had in place a system where frontline staff supported people to be as independent as possible and although they needed to be mindful of budget considerations it should not impair their vision; it was for managers to consider value for money at the sign off stage.

·       Overview – Areas for consideration (paragraph 1)

Policy of assessing people: RCC managed demand by a pro-active approach to providing care as soon as possible to prevent escalation and retain independence; and staff were open with people about their legal entitlements.

During discussion the following points were noted:

i)                 Members stated their agreement with managers considering the  ...  view the full minutes text for item 88.

To receive a presentation from the Deputy Director for People

A presentation was received from the Deputy Director for People, Mr Andrews.

During discussion the following points were noted:

i)                 Staff were thanked for their hard work.

ii)               That the role of the Local Authority in the care of adults with mental health issues was to assist with independent living.  The role of GPs and the NHS related to health issues but where some responsibilities were shared with partners it was shown that this could result in more of a difference than health in isolation.

iii)              That there was a need for wider dialogue regarding support a different levels for mental health.  Mr Andrews advised the Panel that there was to be a briefing to Members.  Following which, support would be considered in more detail with a multi-agency approach; looking to support and influence health but not take on their responsibilities.

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8.25pm Meeting adjourned

Mr Parsons left the meeting and did not return

8.28pm Meeting recommenced

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The Chairman, Mrs Stephenson, advised Members that following discussion at Scrutiny Commission an evaluation of scrutiny was to be undertaken with a brief paper being sent to all Members.

It was noted that a Mental Health briefing for all Members would take place on 10 July 2017 after the meeting of Full Council.

To consider Scrutiny issues to review. 

Copies of the Forward Plan will be available at the meeting.

Topics put forward for consideration:

·       Mental Health – Care in Rutland

·       Healthwatch Consultation (Cabinet – 18 July 2017)

·       Medical Practice Patient Groups and commissioned service

In the light of the presentation on Adult Social Care Development it was requested that the data contained within the presentation was made available in the Corporate Performance Framework.  Mr Andrews agreed to circulate the presentation to allow Members to decide which statistics should be included.

AGREED:

1.     Adult Social Care Development presentation to be circulated.  Requests to include statistics in the Corporate Performance Framework to be forwarded to Mr Andrews.

To receive any other items of urgent business which have been previously notified to the person presiding.

There was no other urgent business.

Thursday 14 September 2017 at 7 pm

Agenda items:         Quarter 1 Performance Management Report

                              Sustainability and Transformation Plan Update

Thursday 14 September 2017 at 7.00pm

Agenda items:         Quarter 1 Performance Management Report

                              Sustainability and Transformation Plan Update

                    Mental Health – Care in Rutland

                    Healthwatch Consultation (Cabinet – 18 July 2017)

Future agenda items:

Medical Practice Patient Groups and commissioned

Service