Public performance reports

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 care at home, meals at home, equipment adaptations and occupational therapy, assistive technology along with a number of community living services including the community mental health teams, care and support service, residential care home, and day care services.

Local councils have a duty under the Social Work (Scotland) Act 1968 to assess a person's community care needs and decide whether to arrange any services. Any assistance should be based on an assessment of the person's care needs and should take into account their preferences.

The Public Bodies (Joint Working) (Scotland) Act 2014 provides the legislative framework for the 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 now produced its second Strategic Commissioning Plan and an Annual Report which sets out its intentions for the future of communities in South Lanarkshire.

The Social Care (Self Directed Support ) (Scotland) Act 2013 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 or (4) mixture of the previous three.

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

The Carers (Scotland) Act 2016 makes provisions for 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.

The Mental Health (Care and Treatment) (Scotland) Act 2003 and the Adults with Incapacity (Scotland) Act 2000 play an important role in guiding how some services are delivered.

The Care at Home service plays a pivotal role in supporting people to live independently and safely at home.

South Lanarkshire Care at Home staff provide over 25,000 visits to service users per week. The South Lanarkshire service currently employs around 1,000 staff, with this expected to rise to around 1,200 as the new Home First approach is implemented throughout South Lanarkshire.

Home First, introduces a new approach that provides support to individuals to return home with appropriate supports following an admission to hospital and to support others to remain at home as independently as possible.

The Home First team co-ordinate and promote a reablement and rehabilitation approach.  Through this, we aim to maximise the opportunities and outcomes for individuals and support people to live independently at home with choice and control.

This short-term reablement and rehabilitation service, for a period of up to 6 weeks, focuses on maximising the independence and abilities of service users. Individuals with ongoing support needs following the assessment period will be referred and supported by an alternative internal or commissioned Care at Home service.

The Care at Home Service has embarked on a programme of modernisation to enable it to better respond to service demand and to the increasingly complex needs of service users. Work undertaken within the service as part of the redesign include the following:

• The establishment of scheduling and response teams that operate between 6.30am and 11pm every day of the year to ensure support to staff and service users is aligned to periods when services are delivered.
• The transfer of the out of hours support function for the service from Emergency Social Work Services (ESWS) to Care at Home.
• The implementation of a new electronic scheduling system across all localities.
• Communication enhanced with Home Carer through the implementation of new technology.
• Investment in the staffing infrastructure within the service and the redesign of coordination roles within the service to reflect changing responsibilities with a focus on service user and staff support and quality assurance.
• The establishment of specific roles focussed on the enhancing the assessment and care management function within the service.
• Recruitment campaigns for Home Carers launched to attract new recruits into the service.

The following indicator shows 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.

The following indicator shows the percentage of adults supported at home who agree that they are supported to live as independently as possible.

The Care Inspectorate is the independent scrutiny and improvement body for care services in Scotland. They make sure people receive high-quality care and ensure that services promote and protect their rights. All our care services are registered and inspected by the Care Inspectorate and you can view the individual reports on their website. They currently inspect five themes.

Please see the table below for current grades for Care at Home Services within South Lanarkshire:

Grades Guide: 1. Unsatisfactory   2. Weak   3. Adequate    4. Good     5. Very Good     6. Excellent

 Look at our short video on Supporting your Independence and our video illustrating Care at Home Services in South Lanarkshire.

Care homes for older people provide suitably qualified and trained staff look after service users over a 24-hour period. These teams of staff are individually registered with the Scottish Social Services Council. This is the regulatory body for care staff. Our homes are registered with the Care Inspectorate who are the regulatory body for the service provision. Our homes are inspected by this independent body. Grades are awarded with, supporting reports being held on the Care Inspectorates public website (see table below).

Our care home staff provide service users with all aspects of daily living. We aim to maintain as much independence as possible and, encourage families and friends to continue to be involved and maintain their relationships while their loved one lives in our home. 

Our staff are on hand to meet the care needs of each service user. This may include providing personal care, such as assistance with bathing, washing, dressing, going to the toilet, and taking medication. Nutritional meals are provided with snacks and drinks being available throughout the day and night.

Each of our care homes have enhanced contracts with their local GP surgery. This ensures access to the GP advanced nurse practitioners and Community Nursing when required.

We ensure that all service users are registered with the local dentist, unless they prefer to remain with their own dentist. This will be discussed at the point of admission.

 Each SLC care home has WIFI to allow service users to maintain contact with loved ones as well as supporting the use of laptops, phones, and other technology that we all use in our daily lives.

We have a hairdresser that visits each care home on a weekly basis, or service users can use their own hairdresser if they prefer.

The council has five care homes, providing 192 placements with a further 39 independent care home providers, with 2336 registered places.

Please see the table below for current grades for Care Homes within South Lanarkshire:

Grades Guide:     1. Unsatisfactory     2. Weak     3. Adequate     4. Good     5. Very Good     6. Excellent

Follow the link to the list of the council’s Care homes. Social Work Resources also offers advice on choosing a care home and care home options and you can watch our video illustrating Residential care in South Lanarkshire.

Buildings were required to close on 19 March 2020, in response to government Covid-19 guidance. An Outreach Service was established immediately to ensure those most vulnerable, who had been attending day services were offered individualised support at home. Working closely with care at home services, steps were taken to reduce the footfall within service users’ homes, with day services seeking a service variation to enable them to also carry out personal care tasks within service users’ homes. Prior to the pandemic, an evidence-based review of all adult and older people's day services was underway. An appreciative inquiry approach was taken to consult fully with all stakeholders during 2019 and early spring 2020, to gain views and opinions about what works well in the current day service model and where there is scope to improve. Review activity has now recommended and, whilst there is steady progression to resume some building-based services, Outreach support will continue during the period of recovery. More information can be found in our Annual Performance Spotlights.

We provide supported living to adults with learning disabilities. This support is provided in the adult’s own home. Adults are first assessed by their social worker and a self-directed support package is agreed. This could be anything from a few hours per week up to 24 hours per day. This would be determined by the assessment of needs and the agreement of what kind of care and support required by the adult.

The care and support team are individually registered with the Scottish Social Services Council. This is the regulatory body for care staff. Our homes are registered with the Care Inspectorate who are the regulatory body for the service provision. Our homes are inspected by this independent body. Grades are awarded with, supporting reports being held on the Care Inspectorates public website.

Please see the table below for current grades for the Care and Support Service:

TEC has seen an unprecedented rise in services accessing technology-enabled care as an option to provide care and support since early March 2020, as a result of restrictions on travel, shielding, and social distancing. Consultations have risen from 75 in the month of February 2020 to a current average of over 1,800 consultations per week. Services are now redesigning their care pathways to include video consulting, Near Me, following its regular use by a wide range of health and social care and independent providers to maintain the quality-of-care provision throughout the pandemic.

A review was completed at the end of January 2020, with a recommendation to streamline the assistive technology pathway and improve efficiency and effectiveness including:

• the development of tech hubs in three SLC care homes
• the development of an assistive technology assessment on the Social Work information system
• the collation and submission of telecare benchmarking data to the national TEC programme

The number of assistive technology requests dramatically reduced at the start of the lockdown. However, demand for assistive technology installations quickly bounced back with 382 assistive technology items being installed in service users' homes between September and November 2020, a 137% increase on those installed during the same period in 2019.

The assistive TEC team continues to be involved in a range of Covid-19 related activities. One notable example is that the team procured, configured and distributed tablets to all South Lanarkshire Council care homes and Children's Houses at the start of lockdown. Care Homes have used the tablets to enable video consultations between residents and health professionals using NHS Near Me, together with enabling residents to keep in touch with their loved ones.

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 40,000 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 pages of our website whilst South Lanarkshire’s Carers' Strategy outlines how carers are currently supported and areas for future development. 

The following indicator shows the percentage of carers who feel supported to continue in their caring role.

 Lanarkshire Carers is commissioned by South Lanarkshire Health and Social Care Partnership to provide carer engagement, empowerment, and representation services along with dedicated information, advice, and a range of direct support to unpaid carers.

For more information about the support that Lanarkshire Carers provides, visit their website.

Action for Children is commissioned to support young carers. They raise awareness, identify and provide direct support to children and young people who look after or help to look after someone in their family.

For more information or to make a referral visit the Action for Children website.

The Money Matters Advice Service Welfare Rights Officers have supported Carers to access a range of Carer related benefits (Carers Allowance, Universal Credit Carers, Carers Allowance Supplement (Scotland) and claim benefits as follows:

The Health and Social Care Partnership continues to support carers in their caring role and also provide support for the cared-for person. If a carer has eligible support needs, they may be offered a budget to support the sustainability of carer support. This will mostly be to support a complete break from caring where this has been identified at the assessment.

The following indicator shows the percentage of adults supported at home who agree that they had a say on how their help, care or support was provided.

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
• continue to engage and consult with stakeholders in relation to the improvement and re-design of day services for adults and older people
• take forward any actions resulting from multi-agency inspections of older peoples services carried out by the Care Inspectorate and Health Improvement Scotland
• continue to support Carers to continue in their role as a carer

Resource Plans are prepared each year by all council Resources to outline the key developments they intend to take forward in the year. In addition to the continuing demands presented by Covid-19, there are several factors that present specific challenges to Social Work Resources in relation to the demand for key service provision. In the coming year Social Work Resources will take forward all necessary actions, where reasonable and appropriate, to mitigate or reduce the Resource's exposure to these risks.  More information on performance and actions relating to community care can be found in the Social Work Resource Plan, the Chief Social Work Officer Report, and the IJB Annual Performance Report.

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 Priorities are prepared. See Quarter 2 (September) and Quarter 4 (March - year end) for performance reports for further information.

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

Local Government Benchmarking Framework (LGBF) allows councils to work together, to use performance information in a way which will help understand variations, share knowledge, expertise and good practice, with a view to making improvements. For more information and links relating to this framework go to the 'Benchmarking' paragraph on the Improvement and how we compare page on our website.

The information contained within this report reflects the position based on the data available at the time of publication (March 2023).