Professional Documents
Culture Documents
Minutes
Present:
AB Anna Bailey Councillor, Adults Committee
SC Sally Cleghorn Development Officer, CAIL
JE Jenny Egbe Independent Member
MF Michelle Foster Commissioning, Adult Social Care, CCC
JG Jackie Galwey Head of Operations, Complex and Long Term
Care, CCC
GL Graham Lewis Development Officer, CAIL
DM Diarmid MacKenzie Independent Member
PM Paul McCloskey Independent Member
MM Margaret Moffatt Independent Member
GP Gareth Peters Adult Safeguarding Manager, CCC
ST Shauna Torrance Acting Head of Commissioning, Adult Social Care,
CCC
BW Brian Walker Chair, Independent Member
CCC spends less per head but achieves outcomes in line with the national
average
Most money is spent on longer term care, with only 17% of net spending on
staff costs
Demand growth could add over £2.5million a year by 2022.
BW The oldest older who may be in greatest need may not use IT
compared to younger older.
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JG The system needs to be able to be more flexible.
JE Recently been purchasing on Amazon. When looking at some of the
sites a chat box opens to find out if she would like to discuss with
customer service.
JG We need to do more of this.
PM Has concerns regarding the reducing capacity of people (eg due to
dementia).
JG We need to be able to engage with the circle of people around the
person such as care staff and family.
ST Need to be outcome focussed rather than time/task driven with care
organisations that are commissioned.
JG Carers survey shows deterioration in people’s satisfaction with the
service and offer.
ST Carers Strategy and tendered services are being reviewed; drawing in
GPs and primary care as they may be the first to be aware of issues
AB Will be interesting to see the review of the Neighbourhood Cares pilot
project. A more sustained process, knowing the people and
maintaining the relationship.
JG A better understanding is also needed of self-funders to ensure they
are given best support and advice to make good choices to meet their
needs now and in the future, rather than purchase services that aren’t
needed at this time but result in lack of resources when support is
needed.
SC When will Neighbourhood Cares roll out across the county?
AB Pilot is running to April 2019 with the review starting in October 2018.
JG Do you want me to come back and update the OPPB at a later date?
Action: SC to contact JG to discuss potential dates.
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AB CCC spends approx. £6million per year to pay for journeys for people
with bus passes for free travel. £1.5million is spent to subsidise very
small number of rural bus services. Funding for community transport
such as FACT and HACT also comes out of this funding. The Mayor of
the Combined Authority has delegated this to Cambridgeshire County
Council for the next financial year and has started a review of services.
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5. Care Homes Development Project, Shauna Torrance
ST introduced the Care Homes Development Project for the County Council. Over
the next 20 years the older people population growth forecast is that the 65-74 age
group will increase by 36%; the 75-84 age group by 71% and the over 85 group by
154%. This means that the County Council will need extra beds for residential /
nursing care. Demand is expected to double from 4,500 to nearly 9,000. The key
premise of this project is to use council land to stimulate interest in building more
care homes. The County Council is working with a strategic partner to design, build,
operate and maintain new care homes to deliver 450 beds, of which 150 would be
affordable council beds and 300 beds for self-funders.
ST wanted feedback and involvement from older people to find out what is going well
at the moment and what isn’t, what could improve people’s experience and support
with the evaluation of provider responses.
ST Part of the Commissioning team at Adult Social Care, CCC and
introduced her colleague Michelle Foster.
The aim is for people to live independently for longer. As previously
identified by JG the number of older people in the County is increasing.
BW have you involved Healthwatch?
ST Yes, had many conversations with Sandie Smith, CEO of Healthwatch.
BW How many care and nursing homes at present?
ST There are approximately 80. People very rarely get their first choice of
home. All homes have a CQC rating of good and above.
SC CAIL is aware of issues relating to the amount care home staff are
paid. It is common to hear that people may earn more working at a
supermarket than for a care company.
ST Very aware of this. Also the Council is looking at other issues such as
can social housing be provided near to care and nursing homes. This
will mean that people don’t have to travel so far to work or can then
reduce their costs.
ST Seeking feedback from people on:
What works and doesn’t work?
What could improve their experience?
Evaluation of provider experience?
ST Do members of the OPPB want to feedback or should the CCC run
focus groups?
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MM Had visited a home where people with dementia were living on ground
floor, and people without dementia on the first floor. Visitors were not
happy about this so people moved floors.
ST not just looking at care provision but also design of homes.
OPPB A focus group should be set up.
Action: SC will set up and promote a focus group in near future.
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8. AOB and Agenda ideas
SC Insights – exploring common issues. This is the final Cross
Partnership Board event from CAIL and is based on feedback from
Independent Members. The event is on 29th March 2018, starting at
10am (closing at 2.30pm) at The Marriott Hotel, Hinchingbrooke
Business Park, Huntingdon. All are welcome!
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