Adult Services work with people aged 18 to 64 and their families and carers to provide assessment and care management for people with a variety of needs including learning and physical disabilities, mental health conditions and substance misuse issues. Based on an assessment of needs we provide support and protection underpinned by the principles of adult protection legislation. Services include:
- respite breaks
- care at home
- employability services.
Older people's services
Older people's services provide assessment and care management to help service users live as independently as possible in their own home, or in a homely setting, for as long as possible. We work with health colleagues, independent providers and carers to monitor the level of care and ensure it responds to an individual's needs. Services include respite care, care at home, day services and dementia support.
North Ayrshire Adult Health and Social Care have responsibility for 6 Local Government Benchmarking Framework indicators:
- home care costs, per hour, for people aged 65 or over
- average weekly cost per resident in residential care
- self-directed support spend for people aged over 18 as a percentage of total social work spend on adults
- percentage of people aged 65 or over with intensive needs receiving care at home
- percentage of adults receiving any care or support who rate it as excellent or good
- percentage of adults supported at home who agree that their services and support had an impact in improving on or maintaining their quality of life.
Of the 6 indicators only 2 have improved performance, while 1 has improved ranking. One indicator has been reset due to reporting anomalies.
- the 0.02 percent increase in self-directed support spend for people aged over 18, from 1.94% in 2013/14 to 2.07% in 2015/16, is attributed to focus on uptake of direct payments and the implementation of personalisation
- in 2015/16, 34.37% of people aged over 65 in North Ayrshire with an intensive care need were receiving care at home. This exceeded the target of 34%. Comparison with previous years is not possible at present due to the change in calculation of Continuing Care Beds.
Compare our performance, against other councils, on the My Local Council website.
The Chief Social Work Officer (CSWO) produces an annual report outlining activity, pressures, governance issues, challenges and statutory functions. The CSWO Annual Report (PDF, 1mb) addresses all of these issues for the period of 2015/16.
Steps to improvement
A new model of care for older people and adults with complex care needs is being developed across Ayrshire to support people to live as independently as possible at home or in a homely setting. To improve outcomes and the quality of care and support for older people and people with complex needs living in Ayrshire. We want our partner organisations and all professions that provide health and social care, to work together with communities and in communities, to support people to stay well and reduce the demand for visits to hospital.
A programme of personalisation and change aims to improve the uptake of direct payments.
Care at Home Services are being redesigned to include re-ablement services and increase response time to:
- facilitate hospital discharge
- prevent admission to residential care
- improve the percentage of older people with intensive care needs receiving care at home.
With the formation of North Ayrshire Health and Social Care Partnership (HSCP) it is expected that we will deliver seamless services for all users of the services. We have developed a strategic plan for this partnership against which we will be able to measure our progress.
We aim to:
- tackle inequalities in areas such as health, wealth and employment opportunities
- engage with communities by developing local links, listening to residents, developing ways of engaging with people we previously had not successfully involved
- bring services together and work closely with GPs and primary care
- invest in prevention and early intervention by promoting health and wellbeing
- improve mental health and well-being
- review our forensic services with the aim of developing a joint forensic team
- develop a Supported Accommodation Strategy aimed at increasing availability
- work with community based services which are commissioned by the local authority and delivered by the third sector (these include independent advocacy, day opportunities, supported accommodation and housing based support)
- develop multi-disciplinary teams around children to support their physical and mental health and well-being.
How to get involved
We have encouraged community engagement as part of the redesign of our services. Our 6 Locality Planning Forum are now functioning across North Ayrshire.
Care and Support in North Ayrshire (Carena)
Helping people find the best health and social care services and community activities to meet their needs. The website showcases services and allows users to access information in a single place.
Provider forums build relationships and facilitate development with the independent and third sectors. Evidence suggests this has resulted in improved relationships.
Carer's advisory group
Consists of 60% carers and membership includes our statutory and third sector partnership organisations. The role of the group is to:
- find out where carers need support and ensure that partners react to demand
- help carers deal with issues that impact upon their health, wellbeing and ability to care
- ensure that the work of the group informs the planning, design and commissioning of support for carers.
CPP Community Engagement Network
A Community Planning Partnership group that allows organisations from statutory, voluntary, community and private sectors to come together to share good practice.