AUDIT COMMITTEE

 

14TH DECEMBER 2018

 

WAO REPORT CONCERNING STRATEGIC COMMISSIONING OF ACCOMMODATION SERVICES FOR ADULTS WITH LEARNING DISABILITIES (MAY 2018)

 

Purpose: To receive an update regarding the LA’s position in relation to the above report.

 

Recommendations / key decisions required:

·         To receive an update on the recommendations contained in the WAO report presented  in the July  2018 Audit Committee

 

Reasons:

To ensure that the Audit Committee is fully appraised regarding the Authority’s commissioning strategy concerning accommodation for adults with a learning disability.

 

Relevant scrutiny committee to be consulted:

The Health and Social Care Scrutiny Committee will be reviewing and monitoring the Commissioning strategy and accommodation plan for adults with a learning disability.

 

Exec Board Decision Required                    

Not Applicable.

 

Council Decision Required                        

Not Applicable.

 

 

EXECUTIVE BOARD MEMBER PORTFOLIO HOLDER: Councillor J Tremlett

Directorate: Communities

 

Name of Head of Service: Avril Bracey

 

Report Author: Avril Bracey

 

 

 

Designations:

Head of Service, Mental Health, Learning Disabilities and Safeguarding

 

 

 

Tel No.

01267 242492

E Mail Addresses:

Abracey@carmarthesnhire.gov.uk

 


EXECUTIVE SUMMARY

AUDIT COMMITTEE

14TH DECEMBER 2018

 

WAO REPORT CONCERNING STRATEGIC COMMISSIONING OF ACCOMMODATION SERVICES FOR ADULTS WITH LEARNING DISABILITIES (MAY 2018)

In July 2018 the Audit Committee received for consideration a WAO report concerning the strategic commissioning of accommodation services for adults with a learning disability. The report concluded that:

·         The approach to commissioning accommodation for people with a Learning Disability is potentially unsustainable

·         LA’s generally do not have effective arrangements to commission accommodation services for people with a Learning Disability.

·         Ineffective evaluation of outcomes for Learning Disability services means LA’s are not always able to demonstrate the positive impact of their accommodation choices.

 

A verbal update was provided regarding the authority’s plans to develop accommodation services for adults with learning disability in Carmarthenshire .The Committee agreed that it would be beneficial to have an update on these developments at a future audit meeting. The following is an initial summary of Carmarthenshire’s position in response to the WAO report.

 

Work began during 2017 with the social work teams to identify those individuals with   accommodation needs over the next three to five years. As part of the implementation of the Social Service and Wellbeing (Wales) Act, the West Wales Care Partnership (WWCP) led the development of a Market Position Statement and Area Plan which informed the development of a commissioning strategy for adults with a learning disability in Carmarthenshire. This strategy which confirms our strategic commissioning intentions is subject to final consultation and will be published in the spring of 2019.

 

The WWCP also this year commissioned the Housing LIN to undertake an assessment of the housing and accommodation needs of people with a Learning Disability for the next 10-20 years on a regional footprint.  A Housing Need predictor Tool was used to forecast accommodation need at a local and regional level. This quantitative evidence base is to be used as one source of evidence for future planning alongside other sources of data such as qualitative research with people with a Learning Disability and their Carers. Whilst this document will  not  be available in the spring of 2019 in relation to  Carmarthenshire  we have emerging themes which are  informing  our strategic and commissioning  priorities such as:

 

 

 

 

 

 

·         The majority of adults with a Learning Disability are living at home with family/carers.

·         There is an over reliance on residential care

·         There is a lack of alternatives to residential care, particularly in rural areas

·         Limited home ownership/tenancies

·         Limited options for those with complex needs.

We will be using the data from this document to develop a sustainable accommodation plan for adults with a Learning Disability in Carmarthenshire and extending this work to Mental Health.

In the meantime we are collaborating with colleagues in health and housing to progress a number of accommodation projects such as:

·         Utilisation of Carmarthenshire’s council housing stock

·         Stepping down individuals from residential care to supported living

·         Working with Registered Social landlords to develop housing options.

·         Utilisation of the Integrated Care (Capital) Fund to develop bespoke housing projects locally and regionally.

·         Enhancement of the Shared Lives scheme.

In conclusion, reducing the numbers of people in   residential care and Commisioning a range of accommodation options to improve outcomes for individuals is a priority for the mental health/learning disabilities division.

As some of the detailed documents referred to in this report are not currently available, the Audit Committee may wish to receive a further update at the next meeting.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DETAILED REPORT ATTACHED?

NO


IMPLICATIONS

 

I confirm that other than those implications which have been agreed with the appropriate Directors / Heads of Service and are referred to in detail below, there are no other implications associated with this report :

Signed:
Avril Bracey - Head of Service, Mental Health, Learning Disabilities and Safeguarding

Policy, Crime & Disorder and Equalities

Legal

Finance

ICT

Risk Management Issues

Staffing Implications

Physical Assets 

NONE

NONE

NONE

NONE

NONE

 

NONE

NONE

 

CONSULTATIONS

I confirm that the appropriate consultations have taken in place and the outcomes are as detailed below

Signed:     
Avril Bracey - Head of Service, Mental Health, Learning Disabilities and Safeguarding

 

 

1. Scrutiny Committee: The Health and Social Care Scrutiny Committee will be reviewing and monitoring the Commissioning strategy and accommodation plan for adults with a learning disability.

2.Local Member(s)  Not Applicable

3.Community / Town Council Not Applicable

4.Relevant Partners  Not Applicable

5.Staff Side Representatives and other Organisations  Not Applicable

 

 


Section 100D Local Government Act, 1972 – Access to Information

List of Background Papers used in the preparation of this report:

WAO Report on accommodation for adults with a Learning Disability May 2018