Adult Social Care Performance Report - Quarter 3 2022-23
North Lanarkshire Council · 16 May 2023
Back to Adult Care and Social Work Committee — 16 May 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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North Lanarkshire Council Report Adult Care and Social Work Committee Does this report require to be approved? ☐ Yes ☒ No Ref RMcG/GC Date 16/05/23 Adult Social Care Performance Report – Quarter 3 2022/23 From Ross McGuiffie, Chief Officer, Health & Social Care E-mail Ross.McGuffie@lanarkshire.scot.nhs.uk Telephone 01698 858 143 1. Background 1.1 The Chief Officer has joint quarterly performance review meetings with the Chief Executive of NHS Lanarkshire and the Chief Executive of North Lanarkshire Council. These meetings are supported by a Chief Executive Performance Framework comprising a range of performance measures from across both health and social work systems, including relevant targets and trajectories. 1.2 Based on a traffic-light system there are areas for improvement identified within the performance framework each quarter for those that are flagged as Red or Amber. The performance review meetings are used as a means for jointly agreeing corrective actions. 1.3 Information from these performance reviews has been supplemented with additional performance information below to offer the committee a wider overview of performance across some key areas of adult social care delivery. Executive Summary The purpose of the report is to provide an update to the Committee on the performance of key areas of activity within Adult Health & Social Care for the period 1 October to 31 December 2022 (Quarter 3). Recommendations It is recommended that the Adult Care and Social Work Committee: (1) Endorse the improvement actions included within Appendix 2 of the report; and (2) Note the performance of key areas of activity within Appendix 1 of the report. The Plan for North Lanarkshire Priority Improve the health and wellbeing of our communities Ambition statement (12) Ensure our residents are able to achieve, maintain, and recover their independence through appropriate supports at home and in their communities
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2. Report 2.1 The purpose of the report is to provide an update to the Committee on wider performance of key areas of adult social care delivery, in addition to the performance areas for improvement which have been identified as part of the Chief Executive Quarterly Performance Review for the period 1 October to 31 December 2022 (Quarter 3). 2.2 The performance data for Quarter 3 and associated trend information is included as Appendix 1. 2.3 Areas for improvement and planned actions are agreed and developed on an exception basis (i.e., for those indicators which are amber or red, based on tolerance thresholds). These are detailed as Appendix 2 of this report. 3. Measures of success 3.1 Measures of success are contained within Appendix 1 of this report. 4. Supporting documentation 4.1 Appendix 1: Adult Social Care Dashboard 4.2 Appendix 2: Areas for Improvement (Quarter 3, October - December 2022) Ross McGuffie Chief Officer Health & Social Care North Lanarkshire
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5. Impacts ( http://connect/report-template-guidance ) 5.1 Public Sector Equality Duty and Fairer Scotland Duty Does the report contain information that has an impact as a result of the Public Sector Equality Duty and/or Fairer Scotland Duty? Yes ☐ No ☒ If Yes, please provide a brief summary of the impact? If Yes, has an assessment been carried out and published on the council’s website? https://www.northlanarkshire.gov.uk/your-community/equalities/equality- and-fairer-scotland-duty-impact-assessments Yes ☐ No ☐ 5.2 Financial impact Does the report contain any financial impacts? Yes ☐ No ☒ If Yes, have all relevant financial impacts have been discussed and agreed with Finance? Yes ☐ No ☐ If Yes, please provide a brief summary of the impact? 5.3 HR policy impact Does the report contain any HR policy or procedure impacts? Yes ☐ No ☒ If Yes, have all relevant HR impacts have been discussed and agreed with People Resources? Yes ☐ No ☐ If Yes, please provide a brief summary of the impact? 5.4 Legal impact Does the report contain any legal impacts (such as general legal matters, statutory considerations (including employment law considerations), or new legislation)? Yes ☐ No ☒ If Yes, have all relevant legal impacts have been discussed and agreed with Legal and Democratic? Yes ☐ No ☐ If Yes, please provide a brief summary of the impact? 5.5 Data protection impact Does the report / project / practice contain or involve the processing of personal data? Yes ☐ No ☒ If Yes, is the processing of this personal data likely to result in a high risk to the data subject? Yes ☐ No ☐ If Yes, has a Data Protection Impact Assessment (DPIA) been carried out and e- mailed to dataprotection@northlan.gov.uk Yes ☐ No ☐ 5.6 Technology / Digital impact Does the report contain information that has an impact on either technology, digital transformation, service redesign / business change processes, data management, or connectivity / broadband / Wi-Fi? Yes ☐ No ☒ If Yes, please provide a brief summary of the impact?
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Where the impact identifies a requirement for significant technology change, has an assessment been carried out (or is scheduled to be carried out) by the Enterprise Architecture Governance Group (EAGG)? Yes ☐ No ☐ 5.7 Environmental / Carbon impact Does the report / project / practice contain information that has an impact on any environmental or carbon matters? Yes ☐ No ☒ If Yes, please provide a brief summary of the impact? 5.8 Communications impact Does the report contain any information that has an impact on the council’s communications activities? Yes ☐ No ☒ If Yes, please provide a brief summary of the impact? 5.9 Risk impact Is there a risk impact? Yes ☒ No ☐ If Yes, please provide a brief summary of the key risks and potential impacts, highlighting where the risk(s) are assessed and recorded (e.g. Corporate or Service or Project Risk Registers), and how they are managed? The associated risks for Home Support are identified and managed in accordance with the agreed corporate project risk management and methodology and monitored through the Home Support programme board and wider corporate groups where appropriate. 5.10 Armed Forces Covenant Duty Does the report require to take due regard of the Armed Forces Covenant Duty (i.e. does it relate to healthcare, housing, or education services for in-Service or ex- Service personnel, or their families, or widow(er)s)? Yes ☐ No ☒ If Yes, please provide a brief summary of the provision which has been made to ensure there has been appropriate consideration of the particular needs of the Armed Forces community to make sure that they do not face disadvantage compared to other citizens in the provision of public services.
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Appendix 1 – Adult Social Care Dashboard PLEASE NOTE FOR ALL INDICATORS UPWARDS ARROWS DENOTE POSITIVE PERFORMANCE Outcome (National Health & Wellbeing) Ref. KPI Target / Indicator 2022/23 2021/22 Q4 2022/23 Q1 2022/23 Q2 2022/23 Q3 Performance Compared to Previous Quarter Performance Compared to Same Quarter Previous Year Current Performance 2. People, including those with disabilities or long term conditions, or who are frail, are able to live, as far as reasonable practicable, independently and at home or in a homely setting in their community 2.1 Assistive Technology - Number Of People With Technology (0-17 yrs) 36 34 34 33 GREEN Assistive Technology - Number Of People With Technology (18-64yrs) 1452 631 635 629 629 Assistive Technology - Number Of People With Technology (65+) 866 852 853 839 2.2 Reablement - Number Of People Completing Reablement Process (cumulative) 2000 (500 per quarter) 1170 354 678 1049 RED 2.3 Reablement - % Of New or Increased Home Support Packages Which Are Reablement 70% 63.1% 67.1% 60.6% 55.0% RED 2.4 Reablement - % Of People With No or Reduced Level of Home Support Service At End Of Process 70% 52.2% 56.2% 50.2% 50.3% RED 2.6 Balance Of Care - % Of People (Age 65+) 45% 45.3% 45.5% 45.4% 43.7% AMBER 2.7 IEAS - % Deliveries Achieved Within 7 Working Days Quarterly 80% 61.7% 66.6% 75.1% 63.4% RED 4. Health and social care services are centred on helping to maintain or 4.2 Care Home Placements At End Of Quarter - Per 1000 Popn 65+ 24 21.3 22.0 22.2 21.5 GREEN 4.3 Care Home Placements At End Of Quarter - Per 1000 Popn 75+ 50 44.0 45.5 46.3 44.8 GREEN 4.4 Care Home - Average Length of Stay 865 819 828 939 743 GREEN
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improve the quality of life of people who use those services 4.5 Number Of People With Self Directed Support 1000 1256 1280 1322 2042 GREEN 4.6 Number Of People With A Direct Payment 240 321 298 328 336 GREEN 7. People who use health and social care services are safe from harm 7.1 % Of Adult Protection Referrals Passed To Care Team For Investigation 20% 18.9% 15.0% 17.5% 16.2% 7.2 % Of Adult Protection Investigations Going To Initial Case Conference 20% 23.9% 19.6% 16.3% 14.1% 7.3 Adult Protection - % Of Referrals With Decision Within 5 Days 60% 79.3% 72.8% 76.3% 78.4% GREEN 7.4 % of Adult Protection Referrals Which Did Not Go On To Investigation Or Other Service 50% 66.3% 72.1% 67.4% 69.0%
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Appendix 2 – Areas for Improvement (Quarter 3, October – December 2022) 1. Reablement & Home Support Home Support i) Waiting List position All teams are currently working towards waiting lists being reduced with care permanently placed where it can, significant work has been completed in partnership with quality assurance regarding community capacity building with colleagues form the independent sector. Once we see the bulk of this work transfer over this should create much needed capacity within locality teams which will allow reablement teams to function and progress as normal. It is anticipated that most of this work will be completely transferred across by the end of April. ii) Service Users awaiting a Home Support Service: All teams have been undertaking significant work to reduce the number of service users waiting on support commencing. Cumbernauld has the added difficulty of Glasgow Hospital Discharges and referral rates have increased significantly over the last few months. Teams continue to prioritise referrals; however, the focus has continued to be on supporting hospital discharge due to the ongoing pressures that hospital sites have in terms of capacity. iii) Absence Issues All Home Support Teams meet regularly with their respective ER advisor and a monthly meeting now takes place between Service Managers, Senior Manager Older Adults and the HR business Partners where monthly absence performance is reviewed within the respective locality teams. There are several Home Support staff who are off long term due to a variety of serious health issues, however it is the short-term absence that is having the greatest impact across all teams. The monthly meetings that are taking place ensures SDC’s are progressing absence management and support in line with the services managing attendance policy. iv) Recruitment Home Support Worker recruitment has continued with 21 awaiting start dates and a further 23 appointed this week following interview. The main concern for the service is the delay in advertisements going out for Support Officers and Service Delivery Coordinators which has been raised with HR. A focussed recruitment advert for Home Support Workers for Cumbernauld and Wishaw has been ran with the closing date of the 24.03.23. Given the pressures in both teams it is essential that capacity is created to meet the demands of community and hospital referrals while increasing reablement capacity to meet service demands. Reablement 354 people commenced with the reablement service during quarter 3, which is lower than the same quarter of last year (385), and lower than previous quarters of 2022/23. 374 people completed the reablement during quarter 2, which is higher than the same quarter of last year (223) and higher than previous quarters of 2022/23. This reflects the efforts to work with individuals who have not been able to progress through the reablement service for
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a variety of reasons, and identify more appropriate, long-term supports. This has also impacted the proportion of people who require no or reduced level of support at the end of the reablement process. 2. Integrated Equipment & Adaptation Service The service continues to prioritise work for supporting hospital discharges and admission prevention, which can often affect its ability to deliver other equipment requests within agreed timescales. The service has had significant challenges in relation to the recruitment of staff to vacancies across the entire service.