Decision details
Learning Disability Residential Homes Future Options
PDF 71 KBDecision Maker: Officer Decision Making
Decision status: Recommendations Approved
Is Key decision?: Yes
Is subject to call in?: Yes
Purpose:
To consider the report of the Director Quality and Integration detailing future options for two learning disability residential care homes. The homes are Seagarth Lane and Orchard Mews and are currently registered with the Care Quality Commission (CQC) as residential homes. There are eleven service users in total, within the two homes, all of whom have learning disabilities. The current service is provided by Dimensions through a block contract with the City Council.
The options for consideration are:
1. For the homes to deregister and become supported living
2. For the homes to remain as residential care homes and go through
a tender process to be re-procured.
Option 1 to deregister the homes and become supported living is the
recommended option.
Decision:
To approve the preferred option, in accordance with the Scheme of Officer Delegation 10.9, 10.10 and 10.14 to deregister both of the residential homes into Supported Living schemes.
Reasons for the decision:
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1. Following an analysis of the responses to the consultation and the Equality Impact Assessment the reasons in support of deregistration are: Service users will have increased rights as ‘tenants’ rather than holding a license, which can be terminated within a short period of time. Service users and families will be able to develop a support plan with their social worker which is highly personalised and flexible and embeds the Reach Standards for supported living. This will include increased support to develop skills, to maximise independence and thereby have greater choice and control over their lives. |
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2. Service users will be supported to make more choices, from smaller, day to day decisions to more complex decisions, such as taking a personal budget, which again would offer increased flexibility to meet needs in a more person centred way. |
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3. In addition to the benefits to the service user, this change would supports the national and local direction and ambition to shift the focus of care from residential to community based approaches which support and promote greater independence. |
Alternative options considered:
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1. Option Two (for the homes to remain as residential care homes and go through a tender process to be re-procured), is not the preferred option as it does not support the national requirement to increase the focus of services for people with a learning disabilities towards community based options that are more person centred. Our ambition is to move to a position where people will be supported to hold their own tenancy wherever possible and for this to be a default option. Residential care models are limited in the choices that service users can make, due to the restrictions of the regulations. |
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2. Residential care is more costly that supported living approaches and although this cannot be the prime or only consideration it needs to be taken into account when designing services within available resources. This solution supports the national direction of travel and is, at the same time, most cost effective. |
Report author: Kate Dench
Publication date: 18/07/2016
Date of decision: 18/07/2016
Decided at meeting: 18/07/2016 - Officer Decision Making
Effective from: 26/07/2016
Accompanying Documents: