Agenda and minutes

Scrutiny Advisory Board - Adults - Friday, 16th October, 2020 10.00 am

Venue: Via Teams

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

Items
No. Item

32.

Roll call and APOLOGIES FOR ABSENCE

To receive any apologies for absence.

Minutes:

Members and officers confirmed their attendance at the meeting.  There were no apologies for absence received for this meeting.

 

33.

MEMBERSHIP

To report and note changes to the membership of the Board

Minutes:

It was noted that Councillor Paul Turner had been appointed to the Board.

 

34.

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 made at the meeting.

 

35.

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:

RESOLVED,that the press and public be not excluded from the meeting during consideration of any item on the agenda.

 

36.

MINUTES pdf icon PDF 72 KB

To confirm as a correct record the minutes of the meeting of the Scrutiny Advisory Board – Adults held on 16 January 2020 (copy enclosed).

 

Minutes:

RESOLVED,that the minutes of the meeting held on 16 January 2020 be agreed as an accurate record and signed by the Chair.

 

37.

Changes to Discharge Arrangements and Impact on Delayed Transfers of Care pdf icon PDF 111 KB

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

 

Minutes:

Members received a report from the Assistant Director – Adult (Deputy Adult Social Services (the officer) that summarised changes to discharge arrangements during the response to COVID-19 and outlined key learning which would be built upon to develop future hospital discharge arrangements.

 

Members were informed that an Admissions Oversight Group (AOG) had been established during the peak of the Covid 19 to provide system wide oversight and assurance that all admissions to care homes, extra care housing and supported living services were being managed appropriately and safely.  The officer outlined the purpose of the Group, to protect life and reduce excess mortality.  Members heard that the AOG was now well embedded and seen as business of usual approach for all admissions and the Group meetings had been stepped back up to twice weekly, due to the current increase in infection rates, to provide reassurance that all measures were being taken to minimise the risk of the virus spreading through care home settings. 

 

The officer informed members that in March 2020, the Government had released guidance re: hospital discharge arrangements during the pandemic and this included the decision to suspend the collection and publication of DTOC figures to free up capacity to focus on response.  The officer continued to inform that new Government guidance had been released in September 2020 which included requirements for reporting and managing performance and outlined the progress made to implement the new arrangements.  In summary, the policy set out that Discharge to Assess was the way that health and social care work together to facilitate safe and timely discharges from hospital via a Discharge to Assess Pathway outlined in the report.  Members noted that health and social care business intelligence schemes were working together to implement the new arrangements and in the interim, continued to review the previous DTOC reporting figures locally until the new systems were in place. 

 

The officer outlined North and South Cumbria’s Health and Social Care positions with regard to DTOCs.  Members were concerned that the current North Cumbria DTOC figure was above 11% meaning that service users were remaining in hospital much longer than necessary.  The officer cited one of the main reasons for delays to discharge was availability of domiciliary care to provide support at home and additional hours had been commissioned from the independent sector to meet this demand.  It was further noted that a Discharge Lead from South Cumbria was sharing information on its delivery with the North.  It was agreed that South Cumbria’s DTOC figures be circulated to members.

 

To conclude the officer assured members that there had been, and would continue to be, robust arrangements in place, to provide an adaptable and flexible system, wide oversight and to ensure as far as possible that admissions to care homes, extra care and supported living services were safe, and that the risk of spread of Covid 19 was mitigated.  It was recognised that confidence building in the care sector was needed.  In both North and South Cumbria increasingly  ...  view the full minutes text for item 37.

38.

All Ages Carers Charter pdf icon PDF 76 KB

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

 

Additional documents:

Minutes:

Members received a presentation from the Assistant Director – Adults (DASS) and the Senior Manager - Commissioning on the support which had been provided to Carers throughout the pandemic and also a brief on progress and plans going forward with the All Ages Carers Charter.

 

The presentation outlined the impact of Covid 19 on carer services, changes in service delivery, specific Covid 19 support, key challenges faced by the carers during the pandemic and outlined the recovery stage.  The presentation concluded by outlining the Charter development and proposed next steps.

 

A Board Member raised serious concerns and frustration on the lack of reopening of day and respite centres, highlighting that voluntary sector organisations had continued to provide support throughout the pandemic.  The Board Member also raised concerns around assessments and commented on the lack of clear communication from the authority to families and care organisations.  The officers replied that independent reviews and assessments had to take place to assure Covid safety measures and these took time.  Members were encouraged to report any individual concerns to the Assistant Director – Adults (DASS) to progress.

 

A discussion took place around hidden carers and utilising community based organisations as well as care organisations for the new plans that were being developed.  Members were pleased to note the opportunities to work with young carers and Alzheimer organisations in the Charter’s development.  A revised timeline of March 2021 for the Charter implementation was confirmed at the meeting.  

 

RESOLVED, that

 

(1)  the report be noted;

 

(2)  clear communication about the plans for the resumption of day services be sent to all families and care organisations;

 

(3)  a further report on the All Carer’s Charter be brought to a future meeting of the Board.

.

39.

SAFEGUARDING ADULTS AT RISK FROM ABUSE AND NEGLECT pdf icon PDF 620 KB

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

 

Minutes:

The Senior Manager – Safeguarding (the officer) presented a report providing an in-depth update and analysis of adult safeguarding activity for the first quarter 20/21, briefing members on progress against the key areas of performance relating to ‘Making Safeguarding Personal’ and describing the actions planned to strength and consolidate improvements in Adult Safeguarding through Cumbria Safeguarding Adults.  The report was in an accessible format which allowed an overview of the Safeguarding pathway in Cumbria.  The Vice Chair agreed to email the officer with a couple of changes to the formatting of the report.

 

Members welcome the new format and discussion centred around the reduction of abuse figures and abuse being hidden during the covid 19 pandemic.  The officer acknowledged this and said work was being undertaken to address this.  The availability of information from other sources of intelligence, such as community based organisation, was discussed.  The officer confirmed other sources were being utilised and safeguarding training had been arranged for them but maybe needed reenergised.  It was noted that it was the intention to arrange a number of safeguarding training sessions for members and senior officers.

 

RESOLVED,that

 

(1)  the report be noted;

 

(2)   short training sessions for members and officer be delivered on safeguarding and include advice to members on how to respond to specific queries from the public about cases.

 

40.

ADULT SCRUTINY ADVISORY BOARD BRIEFING pdf icon PDF 61 KB

To consider a report by the Executive Director – Corporate, Customer and Community Services (copy enclosed).

 

Additional documents:

Minutes:

Members received a briefing paper that informed of new or updated items of significance to the Adult Scrutiny Advisory Board.  Members were informed that the Scrutiny Performance Working Group had met on 8 October when the Performance Monitoring Report was considered and the Chair verbally updated member on issues raised and referred for inclusion in the Adult Scrutiny Board Work Programme. 

 

The Strategic Policy and Scrutiny Advisor informed members that the last meeting of the Joint Advisory Group was on the 27th February 2020 and focused on Cumbria’s Dementia Profile with input from the Alzheimer’s Society.  The Group discussed and reviewed engagement of Adult Social Care with individual ICC's and the promotion of the Dementia Tour Bus, providing training to carers (Sessions in May funded through Cumbria community foundation, NHS, and Copeland Local Committee).  The Group provided feedback to the draft refresh of the Cumbria Dementia Pathway in North Cumbria, importance of coordinated care planning with greater emphasis on prevention activities and person centred plan rather than service led plans.  The Scrutiny Advisory Board had considered the All Ages Carers Charter and Members had ensured to include the specific challenges associated with caring for a person with dementia are included.

 

Members gave consideration to the updated scrutiny work programme which was appended to the report.  It was noted that a series of planned meetings had been scheduled for the Chair and Vice Chair with the Executive Director – People for agenda setting.  Members were encouraged to submit potential items for consideration.

 

RESOLVED,that the report be noted

41.

DATE OF NEXT MEETING

The next meeting of the Scrutiny Advisory Board – Adults is scheduled for  7 January 2021 at 10.00 am.

Minutes:

It was noted that the next meeting of the Board will be held on 7 January 2021 at 10.00 am.