Agenda and draft minutes

Adult Social Services Review Panel
Wednesday, 24th April, 2019 5.00 pm

Venue: F10, Town Hall, Katharine Street, Croydon CR0 1NX. View directions

Contact: Thomas Downs
020 8726 6000 x86166  Email: Thomas.Downs@croydon.gov.uk

Items
No. Item

11/19

Apologies for Absence

Minutes:

There were none.

12/19

Minutes of the Previous Meeting pdf icon PDF 111 KB

To approve the minutes of the meeting held on 30 January 2019 as an accurate record.

Minutes:

The minutes of the meeting held on 30 January 2019 were agreed as an accurate record.

13/19

Disclosure of Interests

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.

Minutes:

There were none.

14/19

Urgent Business (if any)

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.

Minutes:

There were no items of urgent business.

15/19

Special Sheltered Housing pdf icon PDF 145 KB

The purpose of the report is to provide the Adult Social Services Review Panel with an overview of the Special Sheltered housing offer within Croydon.

Minutes:

The Head of Adult Day Operations introduced the item by informing the Panel that a review would be undertaken of all special sheltered housing sites, of which there were seven, with all having been inspected by the Care Quality Commission (CQC). The Panel heard that six of these sites were run by Care UK, who had subcontracted to London Care.

 

Members heard that the council was looking to bring care delivery of these sites back in house, and that a report would be going to Cabinet in July 2019; an insourced team would fall under the Social Care division, meaning the council would have direct oversight of staff, and that the team would have broad access to the resources of the council.

 

The Panel learned that many issues had been raised across the sites, but that each had been or were being addressed, but more were being raised as progress was made. A Resident Involvement Officer had been hired to liaise with tenants and ensure that residents were involved and engaged around all updates and renovations to the sites. Members raised the importance of having the Resident Involvement Officer as a main point of contact as there had been reports of residents raising issues and nothing having been done; the need to have someone the site who could identify issues was also raised, as many residents were unwell and unable to do so.

 

Members were told that the service aimed to provide a home for life for residents that needed or wanted it, with the ability to move to other services if required, pooling the combined resources of the council and aiming to move all sites from ‘Good’ CQC ratings to ‘Outstanding’. The aim to move all sites to an ‘Outstanding’ rating was stressed and supported by the Chair.

 

Members explained that there had been a number of different issues with the sites which fell into distinct strands, and sighted the care element, the maintenance of the properties, disabled access to gardens, maintenance of the kitchens and heating, and the overarching audit of related contracts and responsibilities. Members queried why the report had not separated the issues in this way, and how issues would be monitored going forward. It was also asked what would be done before Summer 2019 to make residents of the sites safer and more secure.

 

The Head of Adult Day Operations responded that the council would be taking a coordinated approach to these issues and that the care needs of each resident would be reviewed. There were a list of jobs on the improvement plan which were being worked through; some of these were quick (improving the gardens, fixing or replacing furnishings, urgent works), but some were planned works and would take longer (such as fixing issues with the heating). Members heard that the Resident Involvement Officer had been visiting the sites and that the kitchens were being looked into. The Executive Director for Health, Wellbeing and Adults and Director of Commissioning and Procurement had chaired  ...  view the full minutes text for item 15/19

16/19

Croydon Mental Health Update (including the Community & Crisis Pathways Transformation) pdf icon PDF 102 KB

The purpose of this report is to update the Panel on the scope of ambitions for the Community & Crisis Pathways Transformation, and on the work being planned and in progress around Mental Health in Croydon.

Additional documents:

Minutes:

The Director of Commissioning for the Croydon CCG introduced the item and went through the slides included in the agenda which covered ‘Crisis Care Delivery’ and ‘Places of Safety’, local engagement, the Croydon ‘Community and Crisis Pathway Transformation Programme’, Thrive LDN and ‘Good Thinking’.

 

The ‘Places of Safety’ which had been identified locally were Maudsley Hospital and St George’s Hospital. The Chair queried why these locations had been chosen as they were not the most local for Croydon residents, and enquired how easy they were to access for people in crisis. The Director of Commissioning answered that the sites had been selected after engagement across South East London, and that the decision to have two large main sites had been evaluated to be better than the former offer of inconsistent offers over many smaller sites. Whilst the sites were not in Croydon, they were close enough that transfers would be easy.

 

In response to queries about why New Addington and Thornton Heath had been shortlisted as sites for locality hubs, the Panel learned that the business case identified greatest levels of need in the North of the borough and in New Addington, but that this would be mapped in future. Members asked why there were no locations planned for the South of the borough and suggested a site in Purley may be a good point of access for residents; further questions were raised over how closely the council had been worked with, in respect of data sharing on current provisions, as there were concerns about duplications of services and information. The Director of Commissioning informed the Panel that the sites were not yet finalised, and that work was being done with social care teams to improve the joining up of services. Some of the sites had been identified as there were existing council proposals there. Members informed the Director of Commissioning that there had been reports that Purley Hospital was being underutilised and could be a good potential site; the Director of Commissioning agreed to look into this.

 

The Director of Commissioning responded to queries about Croydon’s historical record on mental health by explaining that Croydon had started from a low baseline. An example of this had been the talking therapy service, which had started small, but which had reached its access target; this target would increase at the end of 2019, but there was extra funding in this contract to ensure the higher target would be met. Members heard that the mental health investment target was being met, and that for 2019 there was a target of 6% reinvestment. The Director of Commissioning stressed that partnerships with Housing, Social Services and the voluntary sector had been key, and there would be a focus on cementing this alliance of partners in the future.

 

The Chair requested that in the future the reports should contain simple explanations of what the patient experience would actually be like. The Director of Commissioning responded that there were case studies comparing the customer experience before  ...  view the full minutes text for item 16/19

17/19

Presentation on Social Prescribing

Presentation from Brian Dickens and Les Persaud, from the Croydon Social Prescribing Community Engagement Team.

Minutes:

The Croydon Social Prescribing Community Engagement Team representatives introduced the item by explaining that the Croydon SocialP had been built on creating engagement opportunities, providing support with the aim of affecting long term behavioural change and developing local opportunities to assist in health self-management. The Panel heard that referrals to these programmes could come from General Practitioners (GPs) or self-referrals from organisations or individuals, with sustainability and community development at the heart of the programme.

 

The Croydon Social Prescribing Community Engagement Team representatives explained that patient lists for GP practices were increasing and becoming unmanageable, and that 20% of consultations that took place at GPs did not require clinical intervention. There were a minority of patients taking up a majority of time at these practices, and this combined with a shortage of GPs and reduced NHS budgets had created a strain on these services. The Social Prescribing model would seek to reduce this by moving to a model of health self-management and modifying patient and community behaviours.

 

The Panel were informed of some of the prominent local health issues for Croydon, with some of these being obesity, poverty and lack of exercise. Life expectancy in Croydon was 9.1 years lower for men and 7.7 years lower for women than the national average. There were also significant social issues including high unemployment, social isolation, diet, community cohesion and mental health (among others).

 

There were plans to build local providers and community hubs which could be referred to from GPs and eventually from patient self-referrals. The overall aim was to improve the patient experience while connecting and joining up services with a multi-agency approach, and to develop more holistic community interventions. The Croydon Social Prescribing Community Engagement Team representatives informed Members that over 60 partnerships had been developed, and these included the council, local councillors, MPs, corporations and others. The Croydon Social Prescribing Community Engagement Team representatives informed the Panel that one of the projects had been started with £1000 funding from a ward budget, and now had attendances of up to 100 people per week. It was stressed that no money had been taken from the corporations who the programme were in partnership with, but other forms of support had been provided in the form of equipment and marketing, etc.

 

The Croydon Social Prescribing Community Engagement Team representatives talked in more detail about some of these partnerships, including NHS England, who had been vital in providing access to a control group. Nuffield Health in Croydon had agreed to start a cinema club for isolated people, and were also providing swimming time to patients. Palace for Life were running seven local programmes, and the Parchmore Church had been running a Food Stop project which aimed to provide cheaper food for 200 families.

 

The Panel were informed that the programme had won the NHS Parliamentary Award for excellence in Primary Care, and had received national media coverage. There were 32 community hubs signed up to participate in the programme, and 42 GP practises;  ...  view the full minutes text for item 17/19

18/19

Exclusion of the Press and Public

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:

 

“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”

Minutes:

The following motion was moved by Councillor Hopley and seconded by Councillor Bird to exclude the press and public:

 

“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”

 

The motion was put and it was agreed by the Committee to exclude the press and public for the remainder of the meeting.

19/19

Minutes of the Previous Meeting

To approve the Part B minutes of the meeting held on 30 January 2019 as an accurate record.

Minutes:

The Part B minutes of the meeting held on 30 January 2019 were agreed as an accurate record.

20/19

Adult Safeguarding in Croydon

The purpose of this report is to update the Adult Social Services Review Panel on the key developments in Croydon in regards to Adult Safeguarding.

Minutes:

The Panel received an update on Adult Safeguarding in Croydon.