Agenda and minutes

Report of Chair of Overview and Scrutiny Management Committee, seeking a response to recommendations made by the Committee at the meeting held on 15^th January 2015, regarding Decision Numbers:

·  CAB 14/15 13741 - Future of the Respite service for adults with learning disabilities; and

·  CAB 14/15 13739 - Future of Day Services in Southampton;

attached.

Cabinet noted the report of the Chair of Overview and Scrutiny Management Committee setting out the recommendations made at the meeting held on 15^th January 2015.

Report of the Cabinet Member for Health and Adult Social Care detailing recommendations for the future of the respite service for adults with learning disabilities, attached.

Reconsidered decision following Call-in of Decision Number CAB 14/15 13741 on the 15^th January 2015:-

Having received representations from members of the public and MENCAP Cabinet confirmed the decision to agree the modified recommendations:

(i)  To consider the responses received during a public consultation into the future of respite services for adults with learning disabilities conducted between 24 July and 23 October 2014, outlined in Appendix 1.

(ii)  To note the intention to move the provision of respite care towards individual packages of care that make increased use of Direct Payments through a range of alternative options including shared lives and short breaks.

(iii)  To note that the needs of current service users and their carers will be thoroughly assessed prior to and following their moves to ensure that these needs continue to be met and to reduce any impact on their wellbeing.

(iv)  To authorise a phased closure of Kentish Road beginning with supporting clients with lower needs, followed by those with higher needs to access alternative respite options with a clear focus on more personalised support being accessed and resulting in the eventual total closure of the Kentish Road service by April 2015.

(v)  To note that if the proposal is agreed to undertake a 45 day consultation with affected staff with a view to minimising or avoiding compulsory redundancies.

(vi)  To delegate authority to the Cabinet Member for Health and Adult Social Care following consultation with the Leader and the Director, People to do anything necessary to give effect to the proposals in this report.

(vii)  To approve the establishment of a dedicated team of experienced social work practitioners (from existing resources) to complete a thorough assessment of the needs of all individuals who currently receive a directly provided day and, or, respite service and that the anticipated outcome of these assessments will be:

(a)  The individual will be deemed not to have eligible social care needs and so will be signposted to access universal or other appropriate services or support;

(b)  The individual or their representative will choose to receive a Direct Payment and will use this to purchase the care and support needed to meet their eligible social care needs; or

(c)  The council will commission the care and support needed to meet an individual’s eligible social care needs on their behalf.

(d)  The council will then seek to carry out an annual assessment of individuals’ and carers’ needs.

(viii)  To note that it is anticipated that the assessments will be completed by 28 February 2015.

(ix)  To note that no service will be closed or withdrawn until all assessments have been completed and individuals with eligible social care needs have been supported to move to suitable alternatives.

(x)  To require a progress report at the Cabinet meeting in March 2015. This report will include a list of costed options for respite care.

(xi)  To note that the commissioning of any new service will involve engagement with service users and carers. 

(xii)  To  ...  view the full minutes text for item 52.

Report of the Cabinet Member for Health and Adult Social Care detailing recommendations for the future of Day Services in Southampton, attached.

Reconsidered decision following Call-in of Decision Number CAB 14/15 13739 on the 15th January 2015:-

Having received representations from members of the public and MENCAP Cabinet confirmed the decision to agree the modified recommendations:

(i)  To consider the responses received during a public consultation into the future of Southampton Day Services conducted between 24 July and 23 October 2014, outlined in Appendix 1.

(ii)  To authorise the restructured Southampton Day Services service to cease service delivery out of two centres, (St Denys and Freemantle) and all satellite bases when all of their current service users have been supported to move to suitable alternative care settings and to restructure the remaining service to provide an alternative model of delivery that is fit for the future needs of Southampton residents and users.

(iii)  To note that the needs of current service users and their carers will be thoroughly assessed prior to and following their moves to ensure that these needs continue to be met and to reduce any impact on their wellbeing.

(iv)  To note that if the proposal is agreed to undertake a 45 day consultation with affected staff with a view to minimising or avoiding compulsory redundancies.

(v)  To note that a further review may be required into alternative delivery models following a restructure.

(vi)  To delegate authority to the Cabinet Member for Health and Adult Social Care following consultation with the Leader and the Director, People to do anything necessary to give effect to the proposals in this report.

(vii)  To approve the establishment of a dedicated team of experienced social work practitioners (from existing resources) to complete a thorough assessment of the needs of all individuals who currently receive a directly provided day and, or, respite service and that the anticipated outcome of these assessments will be:

(a)  The individual will be deemed not to have eligible social care needs and so will be signposted to access universal or other appropriate services or support;

(b)  The individual or their representative will choose to receive a Direct Payment and will use this to purchase the care and support needed to meet their eligible social care needs; or

(c)  The council will commission the care and support needed to meet an individual’s eligible social care needs on their behalf.

(d)  The council will then seek to carry out an annual assessment of individuals’ and carers’ needs.

(viii)  To note that it is anticipated that the assessments will be completed by 28 February 2015.

(ix)  To note that no service will be closed or withdrawn until all assessments have been completed and individuals with eligible social care needs have been supported to move to suitable alternatives.

(x)  To require a progress report at the Cabinet meeting in March 2015.

(xi)  To note that the commissioning of any new service will involve engagement with service users and carers. 

(xii)  To authorise support for those service users and their carers (who need it) wishing to take a Direct Payment, provided either by the  ...  view the full minutes text for item 53.

Report of the Cabinet Member for Health and Adult Social Care in consultation with the Cabinet Member for Housing and Sustainability detailing a response to the Health Overview and Scrutiny Panel’s inquiry, attached.

DECISION MADE: (Ref: CAB 14/15 14148 )

On consideration of the report of the Cabinet Member for Health and Adult Social Care, Cabinet agreed to receive and approve the proposed responses to the recommendations of the Health Overview and Scrutiny Panel, as detailed in the attached Appendix 1.

Report of the Cabinet Member for Health and Adult Social Care, in association with Cabinet Members for Education and Change, Children's Safeguarding and Housing and Sustainability, seeking approval of the Southampton local plan for the Better Care Fund, attached.  

DECISION MADE: (Ref: CAB 14/15 14175)

On consideration of the report of the Cabinet Member for Health and Adult Social Care, Cabinet agreed the following:

(i)  To recommend that Council approve entering into a S75 of the National Health Service Act 2006 Partnership Agreement pooled fund, noting the minimum statutory requirement to pool £15.325m revenue and £1.526m capital.

(ii)  To recommend that Council approve exceeding the minimum requirement to pool up to the total value of the first 3 schemes identified in Section 13 of this report (Cluster development, Supporting carers and Integrated discharge, reablement and rehabilitation) from 1 April 2015, noting Southampton’s ambition to achieve integration at scale at a total cost of approximately £61m.

(iii)  To recommend that Council approve the addition of the remaining budgets included within Section 13 of this report into the pooled fund as and when appropriate, bringing the total value to approximately £132m.

(iv)  To recommend that Council delegate authority to the Director, People, following consultation with the lead Cabinet Member for Health and Adult Social Care, the Chair of the Health and Wellbeing Board and the Head of Legal and Democratic Services, to (a) agree the terms and conditions of the pooled fund agreement under Section 75 (S75) of the National Health Service Act 2006 and (b) to carry out any ancillary actions needed to give effect to this recommendation.

Report of the Cabinet Member for Health and Adult Social Care seeking approval to award potential providers on the Framework Agreement for Domiciliary Care Services, attached.

DECISION MADE: (Ref: CAB 14/15 13718 )

On consideration of the report of the Cabinet Member for Health and Adult Social Care, Cabinet agreed the following:

(i)  To approve the award of the contracts which make up the domiciliary care provision to the providers and on the key terms and conditions set out in Confidential Appendices 2a – 2e and 3.

(ii)  To delegate authority to the Director, People, following consultation with the Head of Finance and IT and the Head of Legal and Democratic Services to do anything necessary to give effect to the recommendation above.