AGENDA ITEM NO. 4

EXECUTIVE BOARD
DATE: 5TH SEPTEMBER, 2011

SUBJECT:

TO CONSIDER THE NOTICE OF MOTION FROM CLLR SIAN M CAIACH AND CLLR ARTHUR DAVIES ON DAY CLUBS AND DAY CENTRES

RECOMMENDATIONS / KEY DECISIONS REQUIRED:

The Notice of Motion

The following is the Notice of motion received from Cllrs. Sian M Caiach and Arthur Davies

“There is an urgent need to review the policy on closure of day clubs and day centres for the elderly. It is particularly concerning that there has been very little notice given and no prior consultation before making radical changes. It will have a severe impact on our frail elderly in this worsening economic situation. These services not only give support to users through social interaction but also providing vital respite for their carers. Withdrawal of this service can only result in further increased dependency and possible need for residential care”.

Motion:

It is proposed:

    i. To re-instate the services removed from day clubs for the frail elderly provided by properly trained and supported council staff.
    ii. That no further changes to services provided for frail elderly be made without a proper assessment of the needs of the users involved, and proper consultation with all concerned.
    iii. If any future changes are proposed then they must be made on similar or improved basis with a commitment from CCC to monitor and financially support the services ensuring that they are adequate and sustainable.

It is recommended that no action need be taken on the Notice of Motion for the reasons set out below which state that the developments within Council Policy and the new arrangements for Day Clubs provide a much improved and more flexible service with access to a wider group of older people as eligibility criteria is not applied.

REASONS:

    County Council on 10th April, 2000 approved that Local Authority day centres should in future cater for higher levels of need and concentrate on the provision of personal care.

    Separate facilities would be developed locally for those with lesser needs with continued local consultation on the best ways of achieving this.

    Officers have undertaken a review of day clubs run by the local authority, including the needs of the service users and identified that the council could withdraw from the operation of Day Clubs and develop these services in association with third sector organisations following the model developed for the operation of luncheon clubs which are now solely run by the independent/third sector and have been highly successful.

    The changes have been brought about through consultation with service users and undertaking assessments of need to ensure the appropriate support was arranged

    For example a new Day Club has been established in Llandeilo to be operated by the voluntary sector and offering greater access and flexibility and those who attended Noddfa Teilo have the opportunity to attend this club. There are already far more people attending the new Day Club than used to attend the old Council run facility.

    The summary and attachment at Appendix 1 provides information on the approach taken to re-providing the Day Clubs and a list of all the facilities which are currently available in the County by area previously covered by the Council run day club.

PEB:
Relevant scrutiny committee to be consulted NO

Exec Board Decision Required YES
Council Decision Required NO

Directorate:
Social Care, Health & Housing

Legal Services

Name of Heads of Service:
Bruce McLernon

Linda Rees-Jones

Report Author:
Bruce McLernon

Linda Rees-Jones

Designations

Director of Social Care, Health and Housing

Head of Legal & Administration

Tel No. 01267 224697

E Mail Address:
BMcLernon@carmarthenshire.gov.uk

Tel No: 01267 224010

E-mail Address:
LRJones@Carmarthenshire.gov.uk

EXECUTIVE SUMMARY

EXECUTIVE BOARD

DATE: 5th SEPTEMBER, 2011

SUBJECT:

To consider the motion from Cllrs. Sian Caiach and Arthur Davies on Day Clubs and Day Centres

The Notice of Motion

The following is the Notice of motion:

There is an urgent need to review the policy on closure of day clubs and day centres for the elderly. It is particularly concerning that there has been very little notice given and no prior consultation before making radical changes. It will have a severe impact on our frail elderly in this worsening economic situation. These services not only give support to users through social interaction but also providing vital respite for their carers. Withdrawal of this service can only result in further increased dependency and possible need for residential care.

Motion:

It is proposed:

    i. To re-instate the services removed from day clubs for the frail elderly provided by properly trained and supported council staff.
    ii. That no further changes to services provided for frail elderly be made without a proper assessment of the needs of the users involved, and proper consultation with all concerned.
    iii. If any future changes are proposed then they must be made on similar or improved basis with a commitment from CCC to monitor and financially support the services ensuring that they are adequate and sustainable.

    The purpose of this report is to provide information which indicates that no action is required to be taken on this Motion as the developments are within Council Policy and the new arrangements for Day Clubs provide a much improved and more flexible service with access to a wider group of older people as eligibility criteria is not applied.

Background
County Council in 2000 approved that Local Authority Day Centres should in future cater for higher levels of need and concentrate on the provision of personal care. Separate facilities would be developed locally for those with lesser needs with continued local consultation on the best ways of achieving this.

There have been a number of reports to Executive Board and Executive Board Member during the intervening period as day services for older people have been rationalised and the services provided and access to theses services brought in line with the Council’s Fair Access to Services Policy (Eligibility Criteria).

In 2010, the Health and Social Care Scrutiny Committee Task and Finish Group on the review of Luncheon Clubs recommended that the council works with current independent/voluntary sector providers to expand their provision of luncheon clubs within the county, thus allowing the council to divert resources to meet priority care services and their statutory responsibility.

Review Findings
During 2010, officers have worked with the 3rd sector to facilitate the transfer of the luncheon clubs. A review of Day Clubs was also undertaken during 2010 as these facilities are in essence an extension of the Luncheon club offering social interaction, a hot meal and some activities. Those attending are independent, do not have complex needs and under the Fair Access to Care Policy the majority would not meet the Council eligibility criteria threshold of substantial or critical. Day Care Centres by contrast provide personal care and can be part of a wider package of care providing support to carers and preventing admission to residential care. Those attending must meet the eligibility criteria. There are significant vacancies in both the Day Clubs and Day Care Centres.

The review of Day Clubs has been completed and considered by the Social Care, Health and Housing Departmental Management Team and the recommendation was that the council withdraw from the operation of Day Clubs and develop these services in association with the third sector organisations following the precedent set by the work carried out on the luncheon clubs development.

Scope

The Day Clubs included covered by the review were:

    ● Caemaen, Llanelli
    ● Ystradowen
    ● Noddfa Teilo, Llandeilo
    ● Gwendraeth Day Club, Pontyates
    ● Teifi Valley Day Club, Newcastle Emlyn

Consultation

Formal consultation was carried out with staff and trade unions to inform about the review and formal consultation was also undertaken with service users and local members.

The review of Older People Day Services is included in the Department’s Budget Strategy and was referred to in the Consultation meetings with Scrutiny Committee, though not in detail but highlighting the potential 400,000 savings which could be delivered by adopting a similar approach to that used for the Luncheon Clubs.

Staffing

The small number of staff who were employed in the Day Clubs have been offered alternative employment which includes the Council’s Day Centres where there are permanent vacancies.

Service Users

Service users who were assessed as having higher level needs have been offered places at those Day Centres operated by the Council though the majority of service users continue to enjoy access to a day Club though operated by a 3rd sector organisation.

Noddfa Teilo, Llandeilo

One example of the new arrangements is a new club which opened on the 8th June at the Council’s Maes Elfryn Sheltered Housing Scheme in Llandeilo replacing Noddfa Teilo and those who attended are now going to the new club with the other members. The larger number of members attending the new club provides more sustainability and because it is run by the WRVS and volunteers the Council’s eligibility Criteria need not be applied thus allowing more flexibility as to who can attend.

All the Council Day Clubs have now transferred successfully to the voluntary sector and positive reports have been received on their progress.

DETAILED REPORT ATTACHED?

NO -

    ● Appendix 1 – Day Clubs Developments in Carmarthenshire

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: Bruce McLernon Director of Social Care, Health and Housing
Linda Rees-Jones Head of Legal & Administration

Policy and Crime & Disorder

Legal

Finance

ICT

Risk Management Issues

Organisational Development

Physical Assets

NONE

YES

NONE

NONE

NONE

NONE

NONE

1. Legal
To note the Notice of Motion in accordance with CPR 12.11.

CONSULTATIONS

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

Signed: Bruce McLernon Director of Social Care, Health and Housing
Linda Rees-Jones Acting Head of Legal & Administration

1.Local Member(s)
Not applicable
2.Community / Town Council
Not applicable
3.Relevant Partners
Not applicable
4.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:

THESE ARE DETAILED BELOW

Title of Document

File Ref No.

Locations that the papers are available for public inspection

County Council Agenda
10th April 2000

 

Agenda item :Reshaping Social Services