Agenda and draft minutes

Scrutiny Advisory Board - Adults
Tuesday, 25th June, 2019 10.00 am

Venue: Conference Room A and B, Cumbria House, Carlisle

Contact: Lorraine Davis  Email: lorraine.davis@cumbria.gov.uk

Items
No. Item

1.

APOLOGIES FOR ABSENCE

To receive any apologies for absence.

 

Minutes:

Apologies for absence were received from Mr N Cotton, Ms C Driver and Mr K Hitchen.

 

2.

MEMBERSHIP

To report and note changes to the membership of the Board.

 

Minutes:

Members noted that Dr S Haraldsen had replaced Cllr J Mallinson as the Vice Chair of the Board.

 

3.

DISCLOSURES OF INTEREST

Members are invited to disclose any disclosable pecuniary interest they have in any item on the agenda which comprises

 

1          Details of any employment, office, trade, profession or vocation carried on for profit or gain.

 

2          Details of any payment or provision of any other financial benefit (other than from the authority) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member, or towards your election expenses.  (This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992.

 

3          Details of any contract which is made between you (or a body in which you have a beneficial interest) and the authority

 

(a)     Under which goods or services are to be provided or works are to be executed; and

 

            (b)     Which has not been fully discharged.

 

4          Details of any beneficial interest in land which is within the area of the authority.

 

5          Details of any licence (alone or jointly with others) to occupy land in the area of the authority for a month or longer. 

 

6          Details of any tenancy where (to your knowledge)

 

            (a)     The landlord is the authority; and

 

            (b)     The tenant is a body in which you have a beneficial interest.

 

7          Details of any beneficial interest in securities of a body where

 

(a)     That body (to your knowledge) has a place of business or land in the area of the authority; and

 

(b)     Either –

 

         (i)        The total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body; or

 

         (ii)       If that share capital of that body is of more than one class, the total nominal value of the shares of any one class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class.

 

In addition, you must also disclose other non-pecuniary interests set out in the Code of Conduct where these have not already been registered.

 

Note

 

A “disclosable pecuniary interest” is an interest of a councillor or their partner (which means spouse or civil partner, a person with whom they are living as husband or wife, or a person with whom they are living as if they are civil partners).

 

Minutes:

There were no declarations of interest at this meeting.

 

4.

EXCLUSION OF PRESS AND PUBLIC

To consider whether the press and public should be excluded from the meeting during consideration of any item on the agenda.

 

Minutes:

There was no resolution to exclude the press and public from any part of this meeting.

 

5.

MINUTES pdf icon PDF 189 KB

To confirm as a correct record the minutes of the meeting of the Scrutiny Advisory Board – Adults held on 1 April 2019 (copy enclosed).

 

Minutes:

The minutes of the meeting held on 1 April 2019 were approved as a correct record and signed by the Chair.

 

6.

Promoting Independence Programme pdf icon PDF 503 KB

To receive a presentation by the Executive Director – People (copy enclosed).

 

Minutes:

Members received a update on the Promoting Independence Programme from the Assistant Director – Adults (Deputy DAS) (officer). The presentation covered the historic legacy demand, approaches to promoting independence, achievements to date, culture and practice, adult social care restructure and what it would mean for both customers and the workforce.

 

A project group had been established to support strength based practice and develop a practitioner toolkit, to provide a less onerous approach to assessments.  A customer charter was in the process of being developed.  The officer assured members that the programme wasn’t to reduce the level of support but to ensure the services provided were proportionate to need.  167 reviews of the highest cost packages had been undertaken, with 231 still ongoing.

 

In answer to a question about the effectiveness of the redesigned ‘front door’ approach to the service and the adequacy of the proposed staffing structure, the officer responded that it was an opportunity to work with providers and partners to reshape and commission services that promoted positive risk taking to prevent the likelihood of over provision. The programme was being dovetailed into the Adult Social Care reshaping and the Director of Public Health’s Thriving Communities work.   The new structure moved towards single points of contact with immediate access to an enhanced social worker and an experienced occupational therapist in order to delay, prevent and reduce service use.  The Kendal office was operating under this system and members were invited to visit to see it in operation.  The officer agreed to provide members with a set of emergency telephone numbers for distribution to members of the public for instant contact.

 

A member raised concerns about the possible reduction in care packages following reviews, fear expressed by services users of the outcomes and asked if there was a right to an appeal.  The officer replied saying the level of care could increase or decrease but would be more tailored to meet the individual’s needs.  It was hoped that service users’ fears in undergoing a review would dissipate when they took place regularly.  Any feedback received by members on the process was welcomed.  The officer agreed to circulate three review case studies. 

 

The next part of the presentation concentrated on culture and practice, the reason for the transformation, the midpoint staffing structure, what it would mean for the citizens and workforce and next steps to be taken.  The officer emphasised the strong leadership team that was in place to take the programme forward.  Weekly senior management meetings had been put in place to avoid the ‘silo’ effect of the structure and each area having different approaches.  The new structure would hopefully address challenges of recruitment and retention of staff.

 

A member raised concern about the difficulties experienced by some third sector organisations of non payment and gaps in learning.  The officer agreed to liaise direct with the member on the non payment issue but informed members that training and scheduled learning events for third sector organisations formed part of the thriving  ...  view the full minutes text for item 6.

7.

ADULTS SCRUTINY ADVISORY BOARD BRIEFING pdf icon PDF 68 KB

To consider a report by the Executive Director – People (copy enclosed).

 

Additional documents:

Minutes:

The Senior Policy and Scrutiny Officer introduced his report, highlighting that since the last meeting, the Joint Advisory Group had met with Board members to focus on North and South Systems Health and Care Systems Plans. 

 

The Scrutiny Management Board had agreed that the Joint Advisory Group run for four meetings over a twelve month period.  The four meetings had taken place and members’ views were sought on the need for the continuation of the Group.  Following a short discussion, it was agreed that a request for a further four meetings be made to the Scrutiny Management Board

 

Members also considered the updated scrutiny work programme to date which was appended to the report.  It was agreed that the following two items be included on the Board’s work programme:-

 

·         Development of Adult Social Care Standards;

·         Update on the All Ages Carers Charter

 

The Senior Policy and Scrutiny Officer advised members that a Cumbria Care Briefing Session had been arranged for 19 July 2019 at the new Carlisle Care Home. 

 

RESOLVED, that the report be noted.

 

 

 

8.

SAFEGUARDING ADULTS AT RISK FROM ABUSE AND NEGLECT pdf icon PDF 938 KB

To consider a report by Executive Director – People (copy enclosed).

 

Additional documents:

Minutes:

The Senior Manager – Safeguarding presented a report providing an update and analysis of adult safeguarding activity for the fourth quarter 2018/19, briefing members on progress against the key areas of performance relating to ‘Making Safeguarding Personal’, providing a benchmark against other local authorities and describing actions planned to strengthen and consolidate improvements in adult safeguarding in Cumbria through the Safeguarding Adults Board. 

 

The Senior Manager – Safeguarding advised members that the spike in the number of reported self neglect concerns was expected as there had been focused, targeted work to improve the reporting mechanism.

 

During discussion of the report, it was agreed that future reports on data on North West Benchmarking would be presented per thousand head of population to allow for a better comparison.

 

The Chair queried the high number of individuals involved in safeguarding concerns in the age bands 75-84 and 85-94.  The officer reported that older adults tended to have the highest rate of neglect and that there were more opportunities for the concerns to be spotted and raised ie through carers or care homes.

 

The officer updated members on the work of the Cumbria Safeguarding Adults Board (CSAB) which included attendance at the National SAB Chairs meeting, work that had taken place on the Mental Capacity Act and Deprivation of Liberty Safeguards and the Furness and South Lakes Drug Deaths.  A report on the latter issue was expected to be published in September.

 

The officer then introduced Ms Jeanette McDiarmid, Independent Chair of the Cumbria Safeguarding Adults’ Board who attended the meeting to present the Safeguarding Board’s Strategic Plan 2019/20.  Ms McDiarmid highlighted the main points from the Strategic Plan including the Board’s core duties, their vision and commitment, who they protect, the governance arrangements and the strategic objectives.  The Board had concentrated on governance arrangements to develop a strong foundation to provide assurance that effective safeguarding arrangements were in place across the county. 

 

In answer to a question on the review, monitoring and reporting of inadequate safeguarding practices, the Independent Chair outlined the Board’s reporting mechanisms.   A member asked how safeguarding measures would be promoted to third sector organisations and volunteers and in reply, the Independent Chair said that a number of learning events were planned to raise safeguarding awareness. 

 

The difficulties of ensuring an effective strategy for adults with severe learning disabilities was discussed.  This issue had been raised at the last CSAB meeting and was an issue being addressed nationally.

 

The officer and Independent Chair were thanked for their reports.

 

RESOLVED,that

 

1.    the report be noted;

 

2.    future reports on data on North West Benchmarking would be presented per thousand head of population.

 

9.

DATE OF NEXT MEETING

To note that the next meeting of the Scrutiny Advisory Board – Adults is scheduled for 4 October 2019 at 10.00 am at County Offices, Kendal.

 

 

Minutes:

The next meeting of the Scrutiny Advisory Board – Adults is on 4 October 2019 at 10.00 am at County Offices, Kendal.