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Public Performance Reports

Community care

The Council Plan Connect, outlines our objectives for 2012-17.  Connect ambitions and objectives should not be seen in isolation, they interact with each other and as we achieve success in one, we move closer to success in others.  In delivering our vision to ‘improve the quality of life of everyone in South Lanarkshire’ our ambitions show how our work links with our partners including our Community Planning Partners. 

Each year we produce an Annual Performance Report which details how we have performed in achieving our Connect objectives. To complement the Annual Performance Report we have created a suite of individual Public Performance Reports.  This report outlines the performance in relation to our community care service and how this links to the outcomes of our ambition to ‘Improve health, care and wellbeing’.

Community care

Community care is the term used to describe the care and support arrangements that are available to support the needs of our most vulnerable people, whether by age, disability or mental capacity.  Social Work Resources provide and commission a range of services that ensure service users are supported to remain in their homes.  Support available ranges from home care, day care, equipment adaptations and occupational therapy along with a number of community living residential services including Community Support teams.

The Local Government Benchmarking Framework (LGBF) brings together a wide range of information about how all Scottish councils perform in delivering better services to local communities, including the cost of services and how satisfied citizens are with them.  Some of our performance indicators relate to LGBT activity and some to a range of other Social Work performance activity.

Legislative implication for Community Care Services

The Public Bodies (Joint Working) (Scotland) Act 2014 provides the legislative framework for integration of health and social care in Scotland.  It requires Local Authorities and Health Boards to integrate adult health and social care services.  The Integrated Authority is South Lanarkshire Health and Social Care Partnership (SLHSCP). The Partnership’s activity is overseen by the Integration Joint Board (IJB)  The partnership has produced its first Commissioning Plan which sets out its direction from 2016–19. 

The Social Care (Self Directed Support ) (Scotland) Act 2013 continues to be implemented.  The Act necessitates whole scale change in the way in which assessment and care management and support planning is developed alongside service users and carers offering them choice and control over what care services and support they opt for from (1) Direct Payment (2) Individual Service Fund (3) Council Managed Support (4) mixture of the previous three.

The Carers (Scotland) Act 2016 received Royal assent on the 9 March 2016.  The Act makes provision about unpaid carers, including the identification of carer’s needs for support through adult support plans and young carers statements; the provision of support to carers; the enabling of carer involvement in certain services; the preparation of local carer strategies; and the establishment of information and advice services for carers.

Older Persons (age 65+): Home Care costs per hour – No target set

What this means Home Care is delivered in the client’s own home (including sheltered housing) and may include personal care, domestic help, laundry services, shopping services, and care attendant schemes. This is a significant cost for local authorities.
Why this matters This is one of the largest expenditures in Social Work and as such is an important indicator. With the increasing shift in the balance of care to the community and the ageing demographic we need to get it right.
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
SLC £19.40 £19.66 £20.38 No
Scotland £20.25 £20.24 £21.58
How we have performed in improving this public service

The hourly rate of providing this service within South Lanarkshire in 2015-16 has increased by £0.72 (3.5%); this remains below the Scottish average placing us 13th out of 32 councils.

The Home Care workforce is changing too.  Integrated Community Support Teams have been rolled out in all localities.  These teams consist of a range of staff disciplines, with many staff now trained in administration of medication.  We experienced increased costs as a result of greater numbers of older people with complex needs being supported in the community, associated staff training costs and the settlement of the equal pay claim.

Self Directed Support (SDS) allows people needing support to choose how their support needs will be met.

Self Directed Support (SDS) spend on adults 18+ as a percentage of total social work spend on adults 18+ – No target set

What this means This indicator calculates the cost of direct payment spend on adults as a proportion (%) of the total social work spend on adults (aged 18+).   
Why this matters The council monitors direct payments as a proportion of total adult social care expenditure, both over time and in comparison with other councils. Under the Self Directed (Scotland) Act 2013, direct payments is one of four options that local authorities must offer eligible people assessed as requiring social care.
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
SLC 1.8% 1.8% 1.8% No change
Scotland 6.4% 6.9% 6.8%
How we have performed in improving this public service

As Self Directed Support becomes more embedded further increased performance is anticipated as individual service users choose their own SDS option.   At the 31 March 2016 there were 254 service users with a direct payment, one service user with an individual service fund, 318 with council managed support and 11 with a blend of support.

 Older people with intensive needs receiving care at home

Percentage of people 65+ with intensive needs receiving care at home – No target set

What this means This indicator measures the extent to which the council is supporting people with intensive needs in the community. Home care is one of the most important services available to local authorities to support people with care needs to remain at home.
Why this matters Increasing the flexibility of the service is a key policy objective for both central and local government, to ensure that people receive the type of assistance they need, when they need it.  The indicator demonstrates the council's progress towards this policy goal of shifting the balance of care.
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
SLC 36.1% 35.8% 36.0% Yes
Scotland 34.2% 35.3% 34.7%
How we have performed in improving this public service

In 2015-16, we increased the support provided to people 65+ with intensive needs receiving care at home.  The council continues to perform above the national average and we placed 14th out of 32 councils.

Increasing the flexibility of the service is a key policy objective for both central and local government, to ensure that people receive the assistance they need, when they need it.  The indicator above demonstrates the council's progress towards this policy. Supporting Your Independence (SYI) recognises the strengths of service users, enabling and empowering them to achieve their maximum independence.  With assistance from a range of resources such as adaptations, equipment, and occupational therapy and the use of assistive technology service-users can continue living safely in their homes and community.  SYI referrals remain consistent but there can be a higher number of people who are at the end stage of life/requiring palliative care and for some, SYI would not be a suitable intervention. Look at our short video on Supporting your Independence.

Supervising Officer Visits - Guardianship

The Adults with Incapacity (Scotland) Act 2000 provides ways to safeguard the welfare and manage the finances and property of adults (aged 16 or over) who lack the capacity to make some or all decisions for themselves.   Local authorities look after the welfare of these adults through supervising officer visits.

Statutory supervising officer visits completed within timescale of six months – Target 90%

What this means This indicator records the percentage of visits completed on time, reflecting the timeliness of this service.
Why this matters In terms of protecting vulnerable people it is important that checks are undertaken to ensure their welfare is safeguarded.
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
.. for local authority guardianship orders SLC 91.0% 95.0% 88.0% No
Scotland N/A N/A N/A
.. for private welfare guardianship orders SLC 82.0% 86.0% 83.0%
Scotland N/A N/A N/A
How we have performed in improving this public service Our performance has decreased, however the actual number of visits that were to be undertaken within timescale has increased year on year.  For local authority visits this equated to 27 completed out of 32, and for private visits this equated to 512 completed out of 592. There is complexity associated with private guardianship visits, as one individual may have a number of welfare and financial guardians.

Customer satisfaction

The Local Government Benchmarking Framework (LGBF) has now established performance indicators for customer satisfaction.  This indicator records the percentage of adults receiving any care or support who rate it as excellent or good, and the percentage of adults supported at home who agree that their services and support had an impact in improving or maintaining their quality of life.

Percentage of adults receiving care or support who rate it as excellent or good – No target set

What this means This indicator measures the proportion (%) of adults surveyed who were satisfied or very satisfied with their social care or social work services (those people who gave no opinion on the service were excluded from the results).
Why this matters This indicator is important because it takes service user views into consideration, measuring satisfaction with social care services and the perceived impact this care has on the outcomes experienced.
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
SLC N/A 86.2% 76.7% No
Scotland N/A 85.0% 84.0%
How we have performed in improving this public service The decline in satisfaction is not supported by our own service users satisfaction surveys: 78% of our clients were satisfied with Home Care services, and 76% were satisfied with services for older people

 

Percentage of adults supported at home who agree that their services and support had impact in improving or maintaining their quality of life – No target set

What this means This indicator measures the proportion (%) of adults surveyed who were satisfied or very satisfied with their social care or social work services (those people who gave no opinion on the service were excluded from the results).
Why this matters This indicator is important because it takes service user views into consideration, measuring satisfaction with social care services and the perceived impact this care has on the outcomes experienced.
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
SLC N/A 85.3% 81.0% No
Scotland N/A 84.0% 81.0%
How we have performed in improving this public service Although this indicator has declined in 2015-16 we remain in line with the Scottish average.

Other customer service satisfaction is derived from The Health and Care Experience Survey (successor to the GP and Local NHS Services Patient Experience Survey), this survey asks about people’s experiences of:

  • accessing and using their GP practice and Out of Hours services;
  • aspects of care and support provided by local authorities and other organisations; and
  • caring responsibilities and related support.

 The survey is produced every two years. For further details on each survey, including copies of the questionnaire and all publications, please select the relevant link Health and Care Experience Survey

Service Awards

South Lanarkshire’s Home Care, Day Care and Residential Services have achieved the Customer Service Excellence (CSE) Award. The CSE Award assesses services in the following areas: customer insight, culture of the organisation, information and access, delivery, timeliness and quality of service.  In addition to meeting the standard, services can be awarded the status of Compliance Plus which demonstrates exceptional customer service practices. The following Social Work services have received the Compliance Plus award:

Service Area  2014-15                              2015-16                         
  Compliant Plus
Adult mental health services  6                              7
Home care  7                            9
Older people day care services  9                         11
Older people residential care  9                     10


Care homes

In a care home, suitably qualified and trained staff look after people day and night. People are supported with their personal care needs, such as assistance with bathing, washing, dressing, going to the toilet and taking medication.  The council has eight care homes, providing 268 placements with a further 53 independent care home providers, with 2,259 registered places (as of March 2017).

Follow the link to the list of the council’s Care homes
Social Work Resources offers advice on choosing a care home and care home options.
Please look at our videos illustrating Home care services in South LanarkshireResidential care in South Lanarkshire, and Day Care in South Lanarkshire.

Average weekly cost per resident – No target set

What this means In terms of older people's social care services, a substantial cost  is incurred by local authorities in supporting people in a residential setting. The cost per resident is outlined below.
Why this matters Social Work Resource provided financial support to 1,690 residents in care home settings during 2015-16. These residents are the most vulnerable members of our communities. 
Our performance and how we compare Comparator 2013-14 2014-15 2015-16 Are we improving?
SLC £402.08 £410.83 £401.21 Yes
Scotland £361.45 £372.65 £368.85
How we have performed in improving this public service.
The average cost per week in supporting an older person in a care home has decreased by £9.62 in 2015-16. 

Day Care Services for Older People and Adults

Older people who have become quite isolated socially can enjoy the company and activities on offer at day care centres provided by the council, where qualified and trained staff provide personal care and support.  All of our 14 day care centres are comfortable, modern, purpose built facilities with areas for group activities and private rooms for personal care.  Each centre is registered with the Care Inspectorate to provide a number of places ranging from 12 to 24, which are offered on weekdays, week evenings, or weekends.  In total, the service has 1,396 weekly places available. 

Day care fulfils a valuable role in supporting people with dementia in the community as well as carers/family members.  The council provides local, integrated community facilities for adults through, for example, the Lifestyles centres, which often host library and leisure facilities.  320 adults with learning disabilities attend the Lifestyles centres across South Lanarkshire.

Follow the links to our website for further information on Day care services for older people, Day care centres for adults or view our short video on Day care in South Lanarkshire.

Carers

Carers are people who provide unpaid care, without whom the demands on the council’s Community Care Services would greatly increase.  It is estimated that there are approximately 38,000 carers of all ages across the South Lanarkshire area.  Carers’ support is provided in a variety of ways.  Further information is available on the Carers page of our website.  South Lanarkshire’s Carers Strategy outlines how carers are currently supported and areas for future development.  There are two organisations within South Lanarkshire that specifically support carers Lanarkshire Carers Centre and South Lanarkshire Carers Network.  Between them, they are in touch with approximately 6,000 carers.  The council also provides a Young Carers’ Service.

Areas for improvement and action

We will take forward the following key areas for improvement:

  • continue to implement the Supporting Your Independence (SYI) approach by increasing the number of suitable referrals to home care going through the SYI intervention process
  • continue to maintain grades of “good” and above for external inspections of our registered care services
  • take forward the action plan resulting from the multi-agency inspection of older peoples services carried out by the Care Inspectorate and Health Improvement Scotland

Further information

Further information on Social Work Resources’ registered services can be found by following the link to the Care Inspectorate website.

Resource Plans are prepared each year by all council Resources to outline the key developments they intend to take forward in the year.  Performance and actions relating to community care can be found in the following Resource Plan:

Twice a year, performance reports are presented to council committees on progress against the Resource Plans. In addition, reports detailing progress against the Council Plan Connect objectives are prepared – see Quarter 2 and Quarter 4 performance reports.

More information on Council objectives can be found in the Council Plan Connect and also the Annual Performance Report.

The information contained within this report reflects the position based on the data available at the time of publication (March 2017).