Agenda and minutes

Scrutiny Advisory Board - Adults
Thursday, 18th January, 2018 10.00 am

Venue: Committee Room 1, County Hall, Kendal

Contact: Stewart Consterdine  Email: stewart.consterdine@cumbria.gov.uk

Items
No. Item

73.

APOLOGIES FOR ABSENCE

To receive any apologies for absence.

Minutes:

Apologies for absence were received from Christine Bowditch, Will Clark, Carni McCarron-Holmes and Andy Connell. Duncan Fairbairn did not attend and Lawrence Fisher was his substitution.

 

 

74.

MEMBERSHIP

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

Minutes:

Councillor Frank Cassidy has become a member of the board in place of Councillor Emma Williamson.

 

75.

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:

Councillor Keith Hitchen declared his interest in the Carers Strategy as he is a Carer and has help and support from West Cumbria Carers.

 

76.

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 should not be excluded from the meeting.

 

77.

MINUTES pdf icon PDF 75 KB

To confirm as a correct record the minutes of the meeting of the Scrutiny Advisory Board – Adults held on  2 November 2017 (copy attached).

Minutes:

Page 9 beginning of the third paragraph should have read “ Mr W Wearing asked” not Mr W McKewan.

 

RESOLVED that the minutes of the meeting held on 2 November 2017 be agreed.

78.

Care Quality Commission (CQC) Local System Review of Health and Social Care

To receive a verbal update from the Health, Care and Community Directorate on the preparations for the CQC inspection.

 

Minutes:

David Stephens, Strategic Policy and Scrutiny Advisor gave a verbal update on the Care Quality Commission (CQC) upcoming Review.

 

The CQC Review looks at the local Health Care system and how people over the age of 65 move through the system. The inspection will commence on 12 February and the inspectors will speak to a wide range of stakeholders including the Scrutiny Advisory Board Adults.

 

A question was asked if a mock inspection/review had taken place and if there had been any areas identified as weaknesses. The Board was informed that no mock review had taken place however currently a System Overview Information Request was being undertaken and a lot of work was being done by officers prior to the review. The overview would identify areas which require improvement.

 

Peter Thornton, Cabinet Member for Health and Care Services updated Members on how the Council would be engaging with the Review and its outcome.

 

The Members discussed various aspects of the report however due to the inclement weather officers were unable to attend the board meeting and provide answers to Member questions. The Members noted the report but had further questions which to which only report authors would be able to answer.

 

These were as follows:-

 

  1. What is the distinction between a CQC ‘inspection’ and a ‘review’           
  2. What work has been undertaken with those areas that have previously been reviewed to understand their experience               
  3. The CQC come with key lines of enquiry have any particular strengths or weaknesses been identified against any of these?               
  4. What would be the impact of a negative report resulting from the review, what effect would that have on plans to integrate Health and Care?         

 

David Stephens, Strategic Policy and Scrutiny Advisor informed the Board that he would ask each of the report authors to provide him answers to each these questions and he would compile and distribute these to Members.

 

RESOLVED that the update be noted

 

79.

Carers Strategy pdf icon PDF 61 KB

To provide input into the outline Strategy at an early stage of its development.

Additional documents:

Minutes:

The Council was considering its approach for an All Age Carers’ Charter, including an Action Plan. This would be the Council’s plan for continuing to support All Age Carers in Cumbria. 

 

The Government would not be publishing the Department of Health National Carers Strategy; it recently announced that it intended to bring forward a cross-Government action plan in the New Year to improve support for carers.  It would focus on these shorter term proposals ahead of the social care Green Paper expected by summer 2018. 

 

Given the recently announced longer-term consultation into the funding and provision of older people’s care and a parallel process looking at the care of working age adults; the government action plan will look at what could be done in the shorter term to improve support for carers ahead of the outcome of social care proposals.

 

Due to the inclement weather officers were unable to attend the board meeting and provide answers to Member questions. The Members noted the report but had further questions which to which only report authors would be able to answer.

 

These questions were:-

 

1.    Which other authorities are moving towards a Carers Charter and Action Plans. What are the remaining authorities doing?    

2.    Will there be a formal consultation period?

3.    Who would be involved in the Task and Finish Group to develop the charter, if co-production is meaningful surely Carers would need to be represented?

4.    The draft charter provides some statements that the Council may not be able to commit to at this time’. Could these be highlighted?

5.    Members welcome having early input on shaping the Charter; does choosing one Core Value Statement over the other have implications for the shape of the Charter as a whole?  

 

David Stephens, Strategic Policy and Scrutiny Advisor informed the Board that he would ask each of the report authors to provide him answers to each these questions and he would compile and distribute these to Members.

 

RESOLVED that the report be noted

 

           

 

 

80.

Safeguarding Adults at risk from abuse and neglect pdf icon PDF 254 KB

Standing Item for each board meeting, report to incorporate information on Domestic Homicide reviews and links to Safeguarding.

 

Minutes:

The report provided Members of the Board and update and analysis of adult safeguarding activity in quarter 1 and 2 of 2017/18 and also briefed Members on progress against key areas of performance relating to Making Safeguarding Personal.

 

Also the report provided a good practice example to demonstrate the Safeguarding work being undertaken in Cumbria and described the actions planned to strengthen or consolidate improvements in the service.

 

The Members discussed various aspects of the report however due to the inclement weather officers were unable to attend the board meeting and provide answers to Member questions. The Members noted the report but had further questions which to which only report authors would be able to answer.

 

These questions were:-

 

1.    What numbers of people in Cumbria who do not meet the s42 criteria have Safeguarding Enquiries undertaken?

2.    Why is there such a high conversion rate in Copeland and Carlisle?

3.    Members welcome that the improvements in advocacy support have reduced the ‘unable to answer’ response. What further can be done to address the increases in the number of people responding negatively? 

4.    What is the timeframe for the Safeguarding Adults Board to review its strategic priorities? 

 

David Stephens, Strategic Policy and Scrutiny Advisor informed the Board that he would ask each of the report authors to provide him answers to each these questions and he would compile and distribute these to Members.

 

RESOLVED that the report be noted

 

81.

Adults Scrutiny Advisory Board Briefing pdf icon PDF 54 KB

To consider items not covered elsewhere in the Board agenda, report from Performance Working Group and to agree work programme.

 

 

Additional documents:

Minutes:

The briefing paper was presented by David Stephens, Strategic Policy and Scrutiny Advisor, and informed members of new or updated items of significance to the Adult Scrutiny Advisory Board.

ITEMS ARISING FROM FORWARD PLAN OF KEY DECISIONS

 (1 FEBRUARY 2018 - 31 MARCH 2018)

Items for consideration by the Adults Scrutiny Advisory Board on the forward plan at

time of writing

Subject

 Key Decision Yes/No

Who will take Decision

Cabinet Portfolio

Award of Contract for the Supply of Care Equipment for Daily Living

To Award a contract from 1 April 2018 to appoint an approved list of suppliers of simple equipment for daily living for users of adult social care services.

The total estimated contract value is £2.4 million.

Yes

Corporate

Director - Health,

Care and

Community

Services

Not before 9th

Feb 2018

Peter Thornton,

Portfolio Holder Adult Social Care

and Ian Stewart,

Portfolio holder for Finance will be

consulted prior to the decision.

PERFORMANCE WORKING GROUP

The Group will meet on the 22nd January and the Chair of the Adults Scrutiny Advisory Board will provide feedback on how the target for the use of assistive technology were developed, and the Joint Health and Adults Advisory Group which will report back to its parent boards as well as the Performance Working Group.

JOINT HEALTH AND ADULTS ADVISORY GROUP

The scope and Membership for the joint one year advisory review into projects and initiatives contributing to Health and Adult Social Care integration across Cumbria, has now been confirmed, the membership of the Group is as follows:

Councillor

Board/Committee

Alan Bowness

Adults

Andy Connell

Adults

Phil Dew

Health

Claire Driver

Health

Derek Gwane

Adults

Keith Hitchen

Adults

Neil Hughes

Health

John Mallinson

Adults

Carni McCarron-Holmes

Health

Mark Wilson

Adults/Health

The first meeting of the Group has been scheduled for the 2nd March (after the CQC Inspection) and will be focused on Delayed Transfers of Care examining the work being undertaken to address this complex issue across the North and South, Health and Care systems. The group will elect its own Chair and report back to both the Health Scrutiny Committee and the Adults Scrutiny Board.

WORK PROGRAMME

 

Members were invited to consider the updated scrutiny work programme as it stands at January 2018. 

 

RESOLVED that the briefing be noted

 

82.

Late Urgent Item pdf icon PDF 97 KB

To consider a late urgent item copy enclosed.

Additional documents:

Minutes:

The Chair announced that there was a Late Urgent item on the agenda to consider regarding the review of fees and charges across the Health, Care and Community services directorate, the charging policy. The matter was urgent as the Scrutiny Advisory Board Adults needs to have input prior to the consultation period.

 

The purpose of this report was to inform scrutiny on the current proposal to review fees and charges across Health Care and Community Services Directorate, comprising of 3 proposals which are as follows:-

 

·                     Arrangement fee to full paying non-residential service users

·                     Decreasing the subsidy for non-residential services

·                     Revised administration fee for Deferred Payments

 

The Members fully understood the reasons for these proposals understanding what the County Council must do to balance the overall budget. The Members noted the report however they felt that here was a lot of work to do before a decision is made.

 

The Members discussed various aspects of the report however due to the inclement weather officers were unable to attend the board meeting and provide answers to Member questions. The Members noted the report but had further questions which to which only report authors would be able to answer.

 

These were as follows:-

 

  1. Do the majority of other authorities charge an admin fee, and what is the average level of the fee?
  2. Of the 24 customers benefitting from the current subsidy what is the range of financial subsidy, are there any particularly high cost cases?
  3. What numbers of people currently pay the fees for arranging and managing a deferred payment agreement?
  4. How will the consultation be undertaken, and could the timescale be clarified, discrepancy between start date on page 145 and 149 of the Equality Impact Assessment?

 

David Stephens, Strategic Policy and Scrutiny Advisor informed the Board that he would ask each of the report authors to provide him answers to each these questions and he would compile and distribute these to Members

 

The Chair indicated that he would pick up the issues raised by Members with the Director of Health and Care Services.

 

RESOLVED that the report be noted

 

83.

DATE OF NEXT MEETING

The next meeting of the Scrutiny Advisory Board – Adults is scheduled for 10.00 am on  19 March 2018 Committee Room 1, County Hall, Kendal

Minutes:

The next meeting of the Scrutiny Advisory Board Adults is 19 March 2018 at 10.00 am in Committee Room 1, County Hall, Kendal.