Kent Social Care Accommodation Strategy

74 Pages·2016·0.6 MB·English

Right Homes : Right Place : Right Support
Kent County Council 2019-2021
Kent County Council
Contents
Foreword ...................................................................................................................................................................................................3
Introduction ............................................................................................................................................................................................4
Progress and achievements (summary) ................................................................................................................................5
The Local Picture ..................................................................................................................................................................................6
Local Strategy and Policy ................................................................................................................................................................7
Current Provision and Demand ..................................................................................................................................................11
Future Demand Forecasting .........................................................................................................................................................18
Financial considerations and opportunities .......................................................................................................................24
Future Strategic Priorities ................................................................................................................................................................26
Implementation and measuring impact ..............................................................................................................................29
.........................................................................................................................................................................................................................
Appendices .............................................................................................................................................................................................31
Progress and achievements (full version) .............................................................................................................................32
Market Position Statements ..........................................................................................................................................................38
Case Studies ............................................................................................................................................................................................39
References and Links to other strategies ..............................................................................................................................41
Glossary .....................................................................................................................................................................................................44
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Adult Social Care and Health
Foreword
By: Clair Bell,
Cabinet Member for
Adult Social Care and Public Health,
Kent County Council
Across Kent, all involved in health, housing To achieve this, we will need to work closely
and social care are reshaping the way services with the private sector, who deliver the majority
are delivered. There is a greater focus on of residential care within Kent, along with
preventative community-based services district councils, housing associations and
community for health and social care to support health partners to ensure we can give people
people to stay living in the community, with access to the right home to meet their needs, in
their own front door for as long as is possible. the right place and with the right support.
Kent has a strong commitment to developing
partnerships and the ongoing appetite to This is an opportunity to deliver first class
deliver change collectively is crucial to the community health, housing and social care
success of this. services to all. We must work together and seize
this opportunity to deliver our strategy in this
To deliver the community support services in new decade.
an appropriate environment there will need
to be a significant increase in the provision of
care ready housing, with residential and nursing
care focusing on services for people with more
complex needs, like dementia. Clair Bell
Cabinet Member for Adult Social Care and
Public Health, Kent County Council
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Kent County Council
Introduction
The Adult Social Care Accommodation Strategy Since the launch of the Strategy in 2014
(originally launched in 2014) is unique in the the Care Act (2014) has been passed into
respect that it sets out a Kent wide position, Legislation, which aims to improve people’s
bringing together the aims of Districts, quality of life, delay and reduce the need for
Boroughs, the County Council and other key care, ensure positive care experiences and
stakeholders, to maximise opportunities for safeguard adults from harm. This legislation
integrated approaches, identifying collective along with many other strategies, polices and
demand and projects and wherever possible research have been considered when writing
aim to pool resources and work together to this strategy and formulating Strategic Priorities
improve the outcomes and life chances for for the future. All relevant documents are
Kent’s residents. The strategy will highlight the referenced in the bibliography in the Appendix.
progress achieved since 2014, examine the local
strategies, policies, projects, current market
provision, demand for services and future
population growth projections that impact on
the future priorities.
This updated strategy provides the strategic
direction for, and will help to enable the delivery
of, suitable housing and care home provision for
all Kent County Council Adult Social Care client
groups. The Strategy will be supported by
Market Position Statements outlining strategic
commissioning intentions for the future.
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Adult Social Care and Health
Progress and achievements (summary)
In summary the performance against the Strategic Priorities between 2014 and the end of 2018 are
highlighted below:
Right beds in the Increase in extra care Increase in
right place housing dementia specific
care homes
y A number of varying y Since 2014 almost
factors across the 1000 Extra Care homes y More care homes
County by District have been completed supporting those
and Care Group with Dementia
y Extra Care Housing – though not
y Number of Care development has been specifically an
Homes in areas of taken up in limited increase in care
largest population areas, leading to a homes for those
growth projects concentration in some with complex
would not at this areas. Dementia.
time appear to be in
line with the growth
projected.
Increase in nursing Increase in Less reliance on care
homes supported homes
accommodation
y CQC data shows y Kent County Council
the total number y There has been data shows there
of Nursing beds an increase in has been a steady
available has use of supported decline in the
increased. accommodation number of people
across all care placed in residential
groups or nursing care
homes.
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Kent County Council
The following table shows several measures used to be able to account whether the progress and
achievements have been met.
Goal Measure 2014 2015 2016 2017 2018 Direction
of travel
Increase in housing Housing
completions information audit 3815 4874 7036 7176 7982 ▲
Increase number of extra 429 50.9 898 898
▲
care housing units
Increase proportion Adults receiving
of adult (aged 18-64) long term adult
social care clients with social care
community services community 1.6 54.1 54.2 56.4 ▲
services per
10,000 population
aged 18 to 64
Reduce residential and Older people
nursing care admissions receiving long
(aged 18 to 64) term adult social
care community 1.6 15.8 1.7 0.5 1.8
services per 1,000
population aged
65 or over
Increase proportion of Supported
older people (aged 65=) admissions to
social care clients with permanent 6 18.2 16.6 16.5
community services residential and
nursing care per
1,000
Reduce residential and
nursing care admissions 6.7 5.9 5.7 5.6 ▼
(aged 65+)
Average size of care 35 40
▲
home in Kent
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Adult Social Care and Health
The Local Picture
The following section sets out relevant local 1. Children and young people in Kent get the
strategies, policy and projects, and the current best start in life
demand and population forecasts for Kent. 2. Kent communities feel the benefits of
economic growth be being in-work, healthy
Local Strategy and Policy and enjoying a good quality of life
3. Older and vulnerable residents are safe
The Kent and Medway Housing Strategy and supported with choices to live
(2012-2015) identified and delivered key independently
objectives regarding older people, including
the development of an Older Persons Outcomes 2 and 3 are relevant to this strategy.
Accommodation Protocol, Better Homes: The strategic statement sets out a mandate for
Housing for the Third Age. The focus of this both commissioners and providers across the
protocol was to set out a framework to ensure a public, private and voluntary sectors to innovate
consistent and positive approach to the delivery and redesign services to meet those outcomes.
of older persons accommodation across Kent Work has started to refresh the Strategic
and Medway, responding to the existing and Statement for 2020 onwards.
growing needs of the aging population across
the County. The review and development of 'Your life, your well-being' is Kent County
a new Kent and Medway Housing Strategy Council's vision and strategy for the future
‘A Place People want to call home’ (2019- of Adult Social Care (2018-2021). The vision
2023) has identified the importance and aims to help people to improve or maintain
commitment to meet the accommodation their well-being and to live as independently
needs of older people, across all tenure as possible. The demand for Adult Social Care
types. The emerging strategy builds upon is increasing, expectations are changing and
the successful commitment and outcome of Council finances are under pressure.
relevant partners from the previous edition of
the Kent and Medway Housing Strategy, with The Adult Social Care vision highlights three
new consideration of a more flexible approach themes that cover the whole range of services
to the delivery of accommodation for older provided for people with social care and
people, including how the type, tenure, place support needs and their carers:
and designation of accommodation, including y promoting well-being – supporting and
access to support and care services, can ensure encouraging people to look after their
that older people maintain independent living health and well-being to avoid or delay
for as long as appropriate. them needing Adult Social Care;
y promoting independence – providing
Kent County Council launched its Strategic short-term support so that people are
Statement: Increasing Opportunities, then able to carry on with their lives as
Improving Outcomes (2015-2020) in 2015, independently as possible;
setting out a vision to “focus… on improving y supporting independence – for people
lives by ensuring that every pound spent in Kent who need ongoing social care support,
is delivering better outcomes for Kent’s residents, helping them to live the life they want to
communities and business”. The statement live, in their own homes where possible, and
articulates the vision and priorities of the do as much for themselves as they can.
council into three outcomes to guide the work
of the council in a time of increasing complexity To achieve this vision, in place must be effective
and financial challenge. The three strategic protection (safeguarding), a flexible workforce,
outcomes are: smarter commissioning and improved
partnership working (see graphic overleaf).
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Kent County Council
KCC’s Adult Social Care Vision
Kent County Council has a statutory duty to The strategy seeks to achieve three high-level
provide support to identified vulnerable adults aims:
who meet the eligibility criteria for care and y Enabled People: Embedding intelligent
support. Statutory responsibility for housing information and new technologies that
sits with the twelve Kent District and Borough promote individual health and well-being to
Councils. empower people to self-manage and allow
them to effectively access services
The Being Digital Strategy (2019-2021) for y Empowered Workforce: Developing a
Kent County Council Adult Social Care and more productive, competent and confident
Health sets out the strategic direction for, and workforce in KCC and in the Care Sector to
help to enable the delivery of, digital innovation use the tools and information they need to
and technology to transform and support the provide high quality care and support
new operating models in Adult Social Care. y Improved Partnerships: Working closely
The vision is to help people achieve the best with key partners across Kent to ensure we
possible health and well-being outcomes, seek opportunities to collaborate, innovate
living independent and fulfilling lives in their and share information to deliver better
own homes and communities by using digital outcomes for people
innovation and technology.

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Adult Social Care and Health
Kent and Medway Transforming Care With the progression towards further
Partnership (TCP) Housing Strategy launched integration, and integrated commissioning,
in 2017 aims to manage and progress the the strategy would benefit from further
development of accommodation and support engagement and input from Health partners to
needs for the specific cohort of people with ensure a full picture of needs across all health
complex needs and or significant behaviour and social care accommodation and support.
that challenges.
Local Projects
The Kent Sufficiency Strategy (2019-22)
dovetails with Adult Social Care in the period In 2015 the ‘Your Life, Your Home’ project was
when a child moves from Children’s to Adult’s launched, focussing on the accommodation
services. There is an approach of working with needs for people with a learning disability, with
children from 0 to 25 years across social care, objectives that;
health and education. The accommodation
needs of this group of young people need to be y reduce the number of Learning
enshrined within this. Disability residential placements and the
development of supported living options;
System Transformation y design future cost effective service models
to support both existing and future service
Kent (and Medway), like other parts of England, users to live in the way they want, through a
have the challenge of balancing significantly range of housing options.
increasing demand, the need to improve
quality of care and improve access all within In 2017 the project principles were extended
the financial constraints of taxpayer affordability across services for people with mental health
over the next five years. Health and social needs with objectives to;
care, with partners, have come together to
develop the Sustainability and Transformation y create suitable supported living options to
Plan (STP). The partners have a track record increase flow through services from acute to
of working together and, increasingly, of complex and forensic care home provision,
integrating our approach to benefit our through fewer placements in standard
population by achieving more seamless care, mental health residential provision;
and workforce and financial efficiencies. The y design future cost effective service models
emerging integrated health and care model to support both existing and future service
across Kent and Medway is illustrated in the users to live in the way they want through a
graphic on page 9. range of housing options.

The main priority is to transform Local Care The Kent Integrated Homelessness Support
through the integration of primary, community, Service (commissioned by Kent County
mental health and social care and re-orientate Council) is comprised of a range of Supported
some elements of traditional acute hospital care Housing, Floating Support and Rough Sleeper
into the community, this allows residents to outreach services that enable Adult Social
get joined-up care that considers the individual Care and Health to support vulnerable people
holistically. This transformation aims to: that are homeless in each District. The service
supports vulnerable adults with support
y meet rising demand, including providing needs who are homeless to learn the skills
better care for the frail elderly, end of life necessary to recover from homelessness (and
care, and other people with complex needs; circumstances that lead to it) and establish or
y deliver prevention interventions at scale, regain their independence.
improve the health of our population, and
reduce reliance on institutional care.
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Kent County Council
NHS organisations, in particular with Providing system leadership to
local councils and others across bring together NHS providers and
Kent and Medway take collective commissioners and local authorities
responsibility for managing resources, to work in partnership in improving
delivering NHS standards and improving health and care in their area.
the health of the population they serve.
Will take more control of funding and
Integrated Care performance with less involvement by
System (ICS) national bodies and regulators.
Organisations within a defined Hospitals , community services,
geography forming an alliance to mental health services, social care
deliver services. and independent and third sector
providers may be involved.
Working together to deliver care by
agreeing to collaborate rather than An example of an ICP has evidence
Integrated Care compete. of improved health benefits of joined
Partnership up working.
Groups of GP practices coming together Retain the very best of how Primary
in partnership (GP Federations) along Care currently operates. Whilst
with community services, social care finding improved ways to deliver
and other providers of health and care care that: a) continues to meet
services typically servicing populations patients’ needs with support of the
of 30-50,000. “small enough to care, wider health and care system
big enough to cope” Networks provide b)Helps GPs and other professionals
Primary Care a platform for providers of care to be manage workload
Network (PCN) sustainable in the future. c)Attract and retain staff.
General practice remains the
cornerstone of Local Care, providing Retains the core values and strengths
holistic care to patients and serving the of general practice and the trust the
health needs of local communities. public has in it, however pressures
on general practice will mean it is
Population growth, aging patient unsustainable without changes in
profile with more complex needs and the whole model.
Practice rising expectations is placing ever
growing pressure on GPs and staff.
People are aware of how to look after A key element at the heart of the five
themselves and are encouraged and year forward view is prevention of
assisted to take responsibility for their non-communicable disease, which
own health. starts with encouraging behavioural
change. Key areas of focus for Kent
Helping people to stay well - and Medway; obesity and exercise,
supported to self care and access the mental health, diabetes, maternal
Person right services when needed. health and heart disease.
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