To confirm the record of the meeting of the People (Adults & Health) Scrutiny Panel held on 18 February 2016 (previously circulated).

The minutes of the meeting of the People (Adults & Health) Scrutiny Panel held on the 18^th February 2015, copies of which had been previously circulated, were not confirmed or signed by the Chair as the following changes were requested:

Item 624 e) – changed to read ‘The issue of sex education in schools was a health issue as well as a children/young person’s issue so should be discussed by the People (Adults & Health) Scrutiny Panel and the People (Children) Scrutiny Panel.

The remaining minutes of the meeting were confirmed as an accurate record.

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.

Mrs Stephenson reported an interest in agenda item 8 – the Oral Health Promotion & The National Dental Survey 2012 – as her two children were in primary school at the time of the survey.

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.

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. 72/2016 from Mike Sandys, Director of Public Health

The report will be presented by Mr Rob Howard, Consultant in Public Health

Report No. 72/2016 was received from the Director of Public Health and presented by Mr Howard. 

During discussion the following points were noted:

a)    The focus of this year’s report was on the involvement of social and community networks in improving the health of Rutland residents.

b)    The report linked with Rutland County Council’s Adult Social Care Strategy.

c)    More details were requested regarding what had actually happened in the past year, what the ‘community groups’ were and the sustainability of services in the future.

d)    The report was based on the accessible census/population data which was never current.

e)    The People Directorate had regular meetings with Public Health to ensure that data was shared across the Council and with other Local Authorities.

f)     Contracts were being reviewed with voluntary sectors so as to improve the quality of services and therefore increase the engagement with communities.

g)    The Places Directorate had organised ‘Healthy Walks’ for Rutland residents but these had stopped as the participants had become healthier as the Council’s insurance only covered walks that lasted a maximum of 45 minutes.

AGREED:

1.    That the Panel NOTED the content of the Report.

2.    That the Panel ENDORSED the recommendations in the Report.

3.    That the recommendations would be taken forward via an action plan.

4.    That Mr Andrews would contact Miss Waller with further details regarding the ‘Healthy Walks’ programme.

To receive Report No. 83/2016 from Trish Crowson, Senior Public Health Manager

Report No. 83/2016 was received from the Director for Public Health and was presented by Mrs T Crowson, Senior Public Health Manager. 

During discussion the following points were noted:

a)    46% of 5 year old children in Rutland had been in the survey sample. 40.3% of which had some decayed, missing or filled teeth. This compared to 27.9% for England.

b)    Insight work undertaken to better understand issues in Rutland interviewed families with different levels of affluence.

c)    Further analysis showed that over 50% of five year old children surveyed in Uppingham had some level of tooth decay.

d)    There were many reasons for the high levels such as poor teeth cleaning routines, frequent snacking and a sugar rich diet e.g. processed/ready-made fruit juices and dried fruit.

e)    Children and adults needed educating in good oral health.

f)     The Dental practice in Uppingham was liaising with Public Health to increase activity on oral health.

g)    A plan to respond to the report findings would include working with local pre-school settings, dentists, health visitors and schools.

h)   It was suggested that the RCC People (Adults & Health) Scrutiny Panel report about the oral health of five-year-old children in the Rutland area should be sent to all the schools within the local authority.

AGREED:

1.    That the Panel NOTED the findings and actions of the Report.

2.    That the Panel ENDORSED the approach taken in the development of the action plan and the engagement with community partners and settings in promoting good oral health.

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Mr R Howard and Mrs T Crowson left the meeting

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To receive Report No. 76-2016 from the Director for People

Report No. 76/2016 was received from the Director for People and was presented by Mr M Andrews, Deputy Director for People. 

During discussion the following points were noted:

a)    The inspection reports for Rutland Cottages and Wisteria House Residential Home were both good.

b)    The inspection report for Goldfinch Care Agency stated improvement was required as the service given was not consistently effective as assessments of people’s capacity to make informed decisions around aspects of their care (in line with the Mental Capacity Act 2015) had not been completed.

c)    The CQC required an action plan to be produced after the inspection that included deadlines and completion dates.

d)    The local authority had regular meetings with the CQC to discuss inspection reports and any concerns regarding service providers.

e)    Concern was expressed about the homecare workforce including poor pay levels and poor training.  Mr Andrews stated that there was the possibility of providing a different and more sustainable approach to commissioning and supporting the future homecare workforce but that this would be discussed in greater detail at the next Scrutiny Panel meeting.

AGREED:

1.    That the Panel NOTED the content of the Report.

2.    That Mr Andrews would inform Miss Waller regarding the details of the agency’s closer.

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Mr A Walters left the meeting at 8:36 p.m.

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To receive Report No. 85/2016 from John Morley, Head of Adult Social Care

Report No. 85/2016 was received from the Director for People and was presented by Mr M Andrews, Deputy Director for People. 

During discussion the following points were noted:

a)    The launch events of the Adult Social Care Strategy had been very successful, with good engagement with partners and service users.

b)    There had been no attendance at the launch events from the faith sector but Local Authority Officers were now contacting organisations directly.

c)    Mr Clifton reported that he would be happy to attend any Parish Council meeting to brief them on the new Adults Social Care Strategy.

AGREED:

1.    That the Panel NOTED the content of the Report and the feedback received.

2.    That the information regarding Rutland’s Adult Social Care Strategy should be sent to Peterborough and Stamford Hospitals.

3.    That Councillors’ should raise the matter of the Adult Social Care Strategy with their relevant Parish Council(s).

To consider Scrutiny issues to review. 

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

The panel reviewed the Forward Plan and noted the forthcoming reports.

During discussion the following points were noted:

a)    The report on the ‘Refugee Relocation Scheme’ would not be discussed at the next People (Adults & Health) Scrutiny Panel meeting as it would be discussed at the People (Children) Scrutiny Panel meeting on the 28 April 2016.

b)    Mr Conde requested a presentation from the East Leicestershire and Rutland Clinical Commissioning Group (ELRCCG) at the autumn meeting.

c)    The Panel requested the attendance of homecare providers at the next meeting. 

AGREED:

1.    That Mr Clifton would, at the next Cabinet meeting, raise the concern regarding reports going to Cabinet for approval BEFORE being discussed at the relevant Scrutiny Panel meeting and would report the response back to the Chair.

2.    That Mrs Stephenson and Mr Andrews would discuss which homecare providers to invite to the next Scrutiny Panel meeting.

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

There was no urgent business.

Dates to be confirmed…

Items for next meeting:

1.    BUDGET: Quarter 4 Performance and Monitoring Reports

Mrs H Briggs, Chief Executive and Mr S Della Rocca, Assistant Director - Finance

2.    Home Care

Mr M Andrews, Deputy Director Services for People

3.    Refugee Relocation Scheme

Provision of support for future refugee families

Mr P Phillipson, Director for Places (Development & Economy)

The date of the next meeting had yet to be confirmed

AGREED:

Agenda items for the next meeting should include:

1.    BUDGET: Quarter 4 Performance and Monitoring Reports

Mrs H Briggs, Chief Executive and Mr S Della Rocca, Assistant Director - Finance

2.    Home Care

Mr M Andrews, Deputy Director Services for People