Agenda · 2014\Minutes - 19.06.2014.doc Page 1 of 4 LB and SP have been working on Dementia leaflets for five locality areas and SP will bring a draft to the next meeting

$Page 1: Agenda · 2014\Minutes - 19.06.2014.doc Page 1 of 4 LB and SP have been working on Dementia leaflets for five locality areas and SP will bring a draft to the next meeting$
Agenda

Title of Meeting:

Bedford Older People’s Partnership Board

Date: Thursday 31st July 2014

Time: 10.00am – 12.00 Noon

Venue: Committee Room 1, Borough Hall, Cauldwell Street, Bedford, MK42 9AP

Contact: Gemma Halfpenny - 01234 276249 (ext 44249)

No Item Please tick box below if there is an attachment

Time Lead Person

1. Apologies & Welcome Kate Walker 2. Minutes of Last Meeting & Matters Arising

All

3. Hate Crime - TBC TBC 4. Orbit – St Bedes Claudette Campbell 5. Action Plan Kate 6. Fuel Poverty Janet Millar 7. Transport Update Ted Bowen 8. Service User & Carer News All 9. Mental Health Partnership Board Feedback Wilf Deakin 10. Any Other Business

All

11. Date of next meeting:- 25th September 2014 Future Dates: 27.11.14 15.01.15 26.03.15

All to note

Bedford Borough Council, Borough Hall, Cauldwell Street, Bedford, Beds, MK42 9AP

Minutes

Title of Meeting: Older People’s Partnership Board

Date of Meeting: 19th June 2014

Attendees: Wilf Deakin (Co-Chair), Kate Walker (Chair), Gemma Halfpenny (Minutes), Pat Horn (MCAG), Glenda Tizzard (Pohwer), Sally Petre (Carers in Beds), Jean Ceiriog-Jones, Max Coleman, Ted Bowen (Federation for Occupational Pensioners), Paulette Rennie, Steph Randalph, Pam Knight (Guild House), John Abington (Civil Service Pensioners Alliance), Terry Darlow (Civil Service Fellowship & Healthwatch Bedford Borough), Lisa Sparks (Bedford Borough), Jodi Simpson (Bedford Borough), Lianne Bowskill (CCG), Jenny Poad (Bedford Borough), Kuldip Rupra, David Hebblethwaite?, Elyzabeth Hawkes (Pohwer) and Vanessa Connolly (BCHAL). Apologies: Karen Perry, Ayla Patton, Jackie Golding, Cllr Atkins, Alan Clarke and Roslyn Harding.

No Item Actions 1 Wilf welcomed everyone to the meeting and introduced Kate Walker the new Assistant

Director for Community Care Services. Kate introduced her role and gave a brief overview of her experience; that she has been working for the former Council and in the Bedford area since the 1980’s across many sectors involving a variety of service users groups in a social work and management capacity, Kate explained that her first role started in the NHS working with older people in a hospital setting in the early1980’s.

2 The minutes of the 20th March 2014 were discussed and agreed and it was decided that future meeting papers will be emailed out as attachments and not as a link. TB advised that bus stops don’t always have a concrete path to walk over which he has various pictures of which he has sent to Chris Petifer and Cllr Hill. In the monthly ‘Focus’ report there is an article which said that the Mayor had approved a fund of £700,000 to approve bus stops. Jean agreed that not all bus stops have somewhere to sit down.

3

Dementia Champions: SP advised that in 2012 the Prime Minister issued his commitment to Dementia and Public Understanding of it. We are keen in Bedford that people are aware and can access information and training about dementia through champions. There is a one day training course available and afterwards people can become a Dementia Champion and can then promote and show how the public can make a difference. They will also be issued a card and badge. Sue Wilson is the contact and if anyone is interested they are welcome to contact her at [email protected] Sue has already delivered training to the Police, Supermarkets and The Swan Hotel. The target is that by 2015 to have 1 million Dementia friends. EH suggested the presentation would be ideal for the Healthwatch Reference Group. LB and SP have written to Practice Managers in Bedford Borough offering them training and so far four have replied and are keen. If Practices want to do more, Carers in Bedfordshire can also come out to talk about the services they offer.

SP

H:\Web for BBPB\Thematic Partnerships\Adult Health & Well-being\Older People PB\31 July 2014\Minutes - 19.06.2014.doc Page 1 of 4

mailto:[email protected]

LB and SP have been working on Dementia leaflets for five locality areas and SP will bring a draft to the next meeting. MC asked if anyone thought of the patient with a bad memory. Where can that person get help if they are unsure or have questions about Dementia. SP explained that this is why we are raising awareness, to help people in this situation as well. Suggestion that Charities could be asked to be signposted. Carers Pilot Hub: The CCG have been contacted by the Royal College of GP’s about a Carers Pilot Hub. It would be a website for GP’s, patients etc to access information a carer would need and local information offering help and support. Carers in Bedfordshire are supporting the CCG with this pilot. LB explained that she can’t force all GP Surgeries to take up this offer but has given them very factual information. GP’s to be encouraged with this pilot by managers, patients, patient participation groups etc.

4 Housing Update: LS introduced her self and explained that she works in the Supporting People Team at BBC. The team have contracts with sheltered housing providers. They are currently looking into remodelling sheltered housing in Bedford. There will be the traditional housing which provides pull cords for assistance, older people community housing and extra care housing schemes. The contracts for these will be in place very soon. The Team are also reviewing the Older People Accommodation Strategy this year. The Strategy was originally a five year strategy but we need to be clear about what it is we want in the Borough and what other needs there are. Jean asked for views on the St Bedes Retirement Village. She is concerned that mentally ill people have been placed in the retirement village. This is making the residents of St Bedes feel very uncomfortable as they want to retire and feel safe. Jean advised that the idea was to keep the residents fit in mind and body but there are many who do not leave their apartments, Jean feels probably 70% of the residents at St Bedes do not leave their apartments. Jean is keen to know what percentage of disabled people live in St Bedes. Jean explained that she has been dealing with this since 2008. LS advised Jean that there is an allocations policy but over time people’s circumstances can change. LS explained that there are differences between retirement villages and extra care housing but that there has to be a balance to meet the needs of individuals. Jean is concerned that able bodied people are being turned down placements at St Bedes. LS explained that St Bedes is an extra care scheme and not a retirement village and is a home for life. Anyone is allowed to live there either renting or buying. It was suggested that Orbit are invited to the next partnership board meeting to talk about the aims of the scheme. If anyone has any questions etc Lisa is happy to be contacted at: [email protected]

GH

5 Pohwer (Attached): EH and GT talked through their presentation. WD asked how to liaise with PALS?


mailto:[email protected]

EH explained that if PALS can resolve the issue informally they will, otherwise they will give the person a leaflet about the services Pohwer offers. All agreed that having a Pohwer Advocate in the Hospital would improve accessibility. LB agreed that this is a good service as long as the link is made between PALS and Pohwer.

6 Strategy Action Plan: The Action Plan was discussed and it was agreed that GH would send to the group to review/update.

GH

7 Transport Update (Attached): TB updated on the transport issues from his report. TD advised that the kiosk at the bus station is never manned. KR said that he had walked from Union Street to the bus station and had seen a man on a motorised wheelchair having trouble on the footpath due to the roots of the trees in the pavements. No thought has gone in to wheelchair access or elderly access. TB to visit and take photographs. Jean also commented on how bad the pavements are outside the Police Station. TB to discuss these issues with Cllr Hill and feedback to the group. SP commented on the timings on pedestrian crossings. They do not give the elderly time to get across the road safely and in comfort. GH/KW to feedback to the transport / environment team. JA raised concern about the motorcycles and cars that drive too fast down the high street and embankment. He has recorded some of them on camera and has sent to the Police Commissioner. JA feels that the Police should be present at the times ‘boy racers’ meet in the town and other known meeting places to arrest them and take firm action.

TB TB GH/KW

8 Service User and Carer News: SP informed the group that Carers Week had been very successful and we are keen to identify as many hidden carers as we can. PH handed out the MCAG open meeting dates.

9 Mental Health Partnership Board Feedback: WD reported that this Board now meets regularly. SEPT will continue to provide services in Bedford until a new provider has been appointed and the contract signed, so far four have tendered. KW advised that the CCG are leading on this process and that the Borough Council are involved in the procurement. KW confirmed that SEPT will not be tendering for the contract. BBC have managed to source funding for the Impact Mental Health Peer Support project to continue for a little while longer.

10 AOB: PH handed out his update, attached. Hate Crime – leaflets were handed out on raising awareness on hate crime. GH to invite the police to a future meeting to discuss Hate Crime further. KW advised everyone about Safeguarding of Vulnerable Adults and how this was everyone’s business. Kate read out a recent press release in response to the Panorama programme ‘Behind Closed Doors’ which was aired by the BBC. The programme was

GH


disturbing and highlighted abuse to older people by carers. It was emphasised that the documentary was not in any way related to any services in Bedford but that everyone must do what they can to prevent anything similar happening in this area and what to do if they have any safeguarding concerns. Kate confirmed that all homes commissioned by Bedford Borough come under our contract and the Care Standards Review Team and that visits take place by the Council as well as the regulatory visits undertaken by the Care Quality Commission. Behind Closed Doors Panorama Programme – GH to send out public notice article and information. VC advised that there is an open day tomorrow at Charter House, 2pm – 4pm. TD expressed his praise for Charter House. SR asked if BBC hold information about privately run homes housing around 8 people. KW confirmed that the Council know about all homes in the area and these are available in the care directory and on line. EH advised that these homes should also be registered with CQC. GH to bring copies of the new Care Directory to the next meeting. GH and KW to discuss police and fire service representation at this board. TD advised he is still having issues with Blue Badges and will update at the next meeting.

GH GH/KW TD

11 Date of Next Meeting: 31st July 2014


Joint Commissioning Strategy for Older People Strategic Action Plan

Page 1 of 11

Last Updated: 12.09.13

Strategic Priority 1: Enhancing quality of life for older people with care and support needs.

Objectives Progress Update

1. Ensure Healthwatch Bedford Borough is successfully launched and integrated into the local system during 2013.

1. Launch Healthwatch Bedford Borough

2. Ensure Signposting and ICAS functions properly commissioned

3. Raise public awareness

4. Review and plan for 2015 onwards.

1. In place on 1st April as required. Community Interest Company set up and based at Gadsby Street Centre.

2. Signposting commissioned separately from PALS and ICAS (NHS Complaints) from POhWER.

3. Website and Healthwatch mailing list set up. Signposting and ICAS leaflets produced and distributed. General Healthwatch publicity in development. Stakeholder group formed and Healthwatch volunteer roles recruited to.

2. Adult services will work with Highways in the context of the local transport plan to better understand trips and falls in the streets and identify what can be done to reduce them within resources.

1. 1. Review Highways information on trips and falls

2. 2. Estimate costs of trips and falls

3. 3. Identify opportunities to reduce trips and falls within resources.

1. We review our programme of footway works annually based on inspectors reports, insurance records (trips and falls) and condition surveys.

2. The highways team would welcome further collaborative exploration of the cost of trips and falls with public health colleagues.

3. We are currently in the process of reviewing our highways inspection regime and that the location of care homes (amongst a number of other factors) is being fed into a revised policy on frequency and focus of routine highways inspections.

3. Encourage, support and enable clients to use public transport rather than day services transport.

1. Maintain concessionary travel for older people.

2. Identify barriers to use of public transport versus day services transport for older people.

3. Make recommendations to remove barriers as far as practically possible

4. Design transition plan to ensure use of public transport is optimised and day services transport minimised.

1. Three year deal agreed which maintains free travel before 0930 until 2015.

2. The Passenger Transport Users Forum continues to meet quarterly and has representations from the Mature Citizen’s Action Group and National Federation of Occupational Pensioners. This provides an opportunity to updates users on service developments and for them to contribute to public transport strategies. Both the above group were consulted on the council’s successful better bus bid.

3. As part of the above the Passenger Transport users forum identified priorities from which the local transport plan funding was spent – this included talking bus stops, RTPI locations etc.

4. The transport operations group liaise with day centre staff when arranging new services and keep them update with local bus services.

4. Increase volunteer engagement in the management

1. Launch pilot Park Champion scheme at several targeted sites.

1. Following ‘soft’ launch of Park Champions pilot in Council’s Community Volunteering bulletin, received several expressions of interest to be Champions at Russell and Addison Howard Parks.


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and promotion of Council owned parks and amenity green spaces.

2. Evaluate and subject to findings, roll out Borough wide

3. Support development of Priory Country Park conservation volunteer group into fully constituted Park Friends Group

Ordered equipment and anticipate first volunteer Champions being operational by Sept 2013

5. Increase older peoples’ access to the rights of way network by removing barriers and improving structures.

1. Remove 30 stiles or upgrade 30 existing gate structures to easy access standard on rights of way in 9 targeted parishes.

40 easy access structures or gaps installed throughout Borough during 202/13. On-going survey and replacement activity scheduled for 2013-14

6. Improve older people’s health and well being through development and promotion of opportunities for outdoor exercise.

1. Work with Sports Development and Public Health to trial development and promotion of adult outdoor ‘gym’ fitness programme in Jubilee Park.

2. Work with Public Health to support expansion of volunteer led health walk scheme.

1. Worked with Stuart King and local Ward Member to develop two ‘Get fit for life’ information boards for Jubilee Park. Each board promotes park facilities with user friendly health message.

2. The Active Bedfordshire project, funded by Public Health and delivered by SEPT Community Health Service, supports adults aged 50 years and over to become more physically active through the development of community based programmes, specialist exercise classes and walking schemes run by trained volunteers and health professionals. A new class to improve strength, flexibility and posture started at Bedford Library on the 20th June. The Active Bedfordshire website is: http://www.sept.nhs.uk/activebedfordshire

7. Increase volunteer engagement to assist the Council with rights of way survey, maintenance and promotion works.

1. Recruit, train and mobilise volunteers to report rights of way problems and undertake basic routine maintenance tasks across the Borough.

54 volunteers trained and signed up to rights of way (ROW) volunteers programme – 4 training sessions held (October 2012 and April 2013). Volunteers completed 2 ROW survey programmes (survey 120 + paths). Starting to carry out minor ROW maintenance tasks, such as waymarking/ cutting back vegetation. Collaborative volunteers programme (RIPPLE) started with Ramblers Association in 2013

8. Review the support available to older employees in the Council.

1. Review key policies and procedures to ensure no age discrimination

2. Review flexible working and phased retirement procedures

3. Review support available to Carers

All HR polices are regularly reviewed in accordance with the policy review schedule and all new and reviewed policies are subject to an Equalities Assessment to assess the impact of the policy on groups possessing any of the protected characteristics of the Equalities Act, including age. The Council has in place flexible working (including for Carers) and flexible retirement policies, which are also subject to review in accordance with the policy review schedule.

9. Monitor the effectiveness of the newly

1. Quarterly contract review meetings

2. Benchmarking

Monitoring did not take place over summer due to vacant commissioning officer post. Informal feedback is that activity levels are low. To investigate further over 2nd half


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commissioned welfare rights services from Citizens Advice Bureau

against previous levels of service

3. Refine service specification based on reality of delivery

of year.

10. Ensure older people and carers help decide what services should be provided, how they should be delivered and how well they are being delivered.

1. Review membership of Older People’s Partnership Board to ensure it is appropriate

2. Consult through the Board and partner organisations on all changes to policy and services

3. Further develop older people’s involvement in the ‘mystery shopping’ programme.

Questionnaire to Board members produced inconclusive results. Overall review of entire Board structures taking place at Mayor/Chief Exec level. Boards are likely to remain but with an even greater emphasis on service user and carer engagement.

11. Increase the number of older people who are volunteers, especially from ‘hard to reach’ groups.

1. Review scope of volunteer activity in Adult Services and Health

2. Identify where it can be increased and/or enhanced

3. Design a programme to attract more older people to be volunteers

Developing questionnaire to send out to third sector organisations receiving funding from adult services to understand the profile and amount of support provided by volunteers. Questionnaire will be sent out by end of July.

Strategic Priority 2: Delaying and reducing the need for care and support.

2013 - 2014 Objectives Progress Update

1. Implement the Older People’s Accommodation Strategy.

1. Identify sites for the development of Extra Care housing units

2. Review sheltered housing stock for rent with landlords to identify potential schemes for decommissioning, or upgrading

3. Continually monitor the impact of extra care provision, reablement services, aids and adaptations, telehealth and telecare on the requirements for

1. Opening of St Bedes has been delayed due to contractor delays in the building programme (outside of Council control). 3. Service monitoring and action group for GCH has systematically identified problems and worked to solve them.


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residential care provision and adjust the model for future needs accordingly.

2. Undertaking a tendering exercise for the 6 Council owned registered care homes

1. Produce prospectus and open competitive tendering.

2. Undertake competitive dialogue to arrive at the most favourable service design.

3. Award contract. 4. Detail plan transition

to new service configuration.

5. Assuming planning and consultation requirements are met, commence service reconfiguration.

6. Complete reconfiguration.

1. Competitive tendering is underway. 2. The Council is talking to bidders about suitable new

buildings but no firm proposals yet. Consultation will take place before a preferred solution is identified and before a final decision is made.

3. Conduct a Community Beds Review in partnership with BCCG and make recommendations

1. Review all non-acute bed based social care and health services and identify how the system as a whole can function more effectively.

2. Produce a report with recommendations in an action plan.

3. Consult on the above.

4. Implement final action plan.

The Community Bed Review has been shared with OSC and the agreed status in year is to continue the same service model, pending starting a project to review options for a new model for all elderly care treatment & pathways in (North Bedford) this work will be part of an integrated care programme of work. Organisations in South Bedfordshire are already committed to work together to develop a model. An Action plan will need to be agreed by all parties in the North to develop this further once commitment to working together is agreed.

4. Respond to the Supporting People Strategy Consultation and produce a final version of the Strategy

1. Collect all consultation responses

2. Review strategy in light of the above

3. Produce final version with action plan

Strategy is complete with action plan.

5. Take action to combat Fuel Poverty by implementing the Warm Homes Healthy People Programme for as long as funding is made available.

1. Bid for funds as they become available

2. Implement a co-ordinated programme of actions with partners to the programme

3. Ensure proper financial

1. No news yet on whether funding will be made available this year.


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management of specific grant resources

6. Take action to reduce the number of older people being injured through falls.

1. Complete the Fracture Liaison Service Business Case

2. Roll out the Falls Awareness and Information Pack for Care Homes including risk assessment and checklists, post fall assessment, root cause analysis and information.

3. Monitor the effectiveness of the Complex Care Team in supporting nursing and residential homes to reduce avoidable hospital admissions.

1. Following changes of personnel within Bedfordshire PCT and the subsequent transfer to Bedfordshire Clinical Commissioning Group, the development of the business case was suspended. A Bedfordshire and Luton Falls and Osteoporosis Strategy and subsequent action plan is currently in development (1st draft of the strategy is developed). A fracture liaison service remains a recommendation at this stage. 2. & 3. The Complex Care Team is delivering falls awareness training to care homes that they support in Bedford Borough. Also, ‘Train the Trainer’ training has been delivered to 20 staff from 10 care homes in Bedford Borough – more training will be delivered. 3. Information from the Complex Care Team regarding early outcomes is pending.

7. Review the ‘health’ Rehabilitation & Enablement and the ‘social’ reablement teams and identify opportunities for more effective use of resources such as one team with joint social care and health performance indicators eg Accident and Emergency attendances and care home admission reduction. They should deliver a strategy to match the national best rate of reablement within three years.

1. Agree terms of reference for review

2. Undertake review and provide report with recommendations

3. Consult and fine tune recommendations

4. Implement agreed actions

SEPT are undertaking a consultation on the Rehab and Enablement and Rapid Intervention Services (September 2013) in order to produce a more generic workforce and reduce duplication by up skilling staff.

8. Develop a residential

1. Partner identified (Charter House)

Charter House identified to provide 5 Reablement beds. Admission and discharge pathway identified and


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reablement service within existing resources

2. Agree admission criteria and pathway

3. Agree how outcomes will be measured

4. Implement service an monitor outcomes

confirmed. Outcomes are a) use of the beds b) number of people supported to return to a community setting i.e. home.

9. Increase the use of Telehealth, where people can take readings of vital signs such as heart rate in their own home and send the results sent to a website for review by health professionals who take action when necessary, and work together to integrate telecare and Teleheath provision.

1. Review Telehealth Strategy

2. Identify how Telehealth can best be used in the Borough

3. Identify opportunities for closer integration of Telecare and Telehealth provision

4. Produce joint Telehealth/Telecare strategy & procurement plan

CCG: there is an opportunity to jointly commission with LAs for 2014, We are reviewing current telecare and tele-health services by mapping the interventions. This work includes Central Beds telecare service, The Northampton and Milton Keynes models. We would request a joint working group with HC & LA leads to Jointly take this work forward to discuss the reviews and put the options forward for possible joint procurement.

10. Increase numbers of people aged 50+ participating in sport and physical activity.

1. Deliver the annual programme of physical activity courses for over 50s

2. Deliver externally funded initiative of gentle exercise for over 70s.

3. Continue concession rates via the Bedford Leisure Card for the over 60’s, people with a disability and those on a range of benefits.

4. Continue to offer a range of physical activities including the GP Exercise Referral Scheme (developed in partnership with NHS Bedfordshire) and Re-Active8 Gold which encourages older people to participate in physical activity.

5. Introducing new

Adult activities currently supported: ReActive8 Gold (50+ years) ReActive8 Gold Rural (50+ years) Over 70’s exercise classes Concession rates continue to be in place GP referral scheme continues


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participants to activity prior to enrolment on pre paid courses via the ‘pay on the door pre-Active8 initiative’.

11. Support voluntary and community groups in the Borough that provide activities for older people e.g. social clubs, lunch clubs, day services, educational opportunities, village help and community transport schemes.

1. Review funding to third sector

2. Ensure budget is focussed on priority areas

3. Support organisations to focus on outcomes

4. Monitor outcomes and make recommendations for any changes to specifications or contracts

1. In line with published policy options, the Adult Services voluntary and community sector commissioning budget will reduce by 50k in 2014/15. A review of all services will commence in October and services will know where they stand by the end of December.

12. Take action to support Government’s target to eradicate fuel poverty as far as reasonably practicable, by 2016.

1. Report on energy conservation measures that the Council considers practicable, cost-effective and likely to result in significant improvement in the energy efficiency of residential accommodation in its area.

2. Develop fuel poverty actions and targets as part of the ‘Climate Local Commitment’.

Strategic Priority 3: Ensuring that older people have a positive experience of care and support


1. Engage older people in all parts of the Borough with a planned programme of activities and consultation.

1. Take relevant policy and procedure changes and service development plans through the Older People’s Board

2. Deliver the Aging Well event taking into account feedback from previous years

3. Introduce ‘Are we

1. Older Peoples Partnership Board to receive information on consultations and to respond to consultations.

2. Ageing Well Exhibition took place in June 2013 and was positively received. In excess of 400 people received information and advice.


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getting it right?’ Service User Questionnaire.

4. Run ad-hoc focus groups

2. Enable older

people and carers to have choice and control over their care and support and the resources that pay for it.

1. Ensure that each person eligible for services knows how much their personal budget is and what flexibility they have to spend it on.

2. Introduce payment cards for direct payments

1. Personal budgets are offered to all eligible customers. Support providers in place for customers taking their personal budgets as a direct payment.

2. Payment cards currently under consultation.

3. Improve the range and quality of information, advice and advocacy services available to older people and, in particular, to people who are ‘hard to reach’.

1. Evaluate Drop-in for Deaf People

2. Ensure advocacy information is available to people in hospital and care homes

3. Review Information Advice and Advocacy Strategy

4. Update the above and provide a new action plan

1. Pilot discussed at PDSI pb in April 2013. Board suggested a number of changes to format, but agreed drop-in should continue

2. Discussion with POhWER and AOP at Contract monitoring meeting (Jul 2013) to ensure service promoted accordingly

4. Ensure everyone with end of life care needs is identified and their needs assessed.

1. Review Care home contracts to require care homes to support people to stay there to die if that is their wish

2. Review contracts with domiciliary care providers that require them to train staff that are competent to deliver palliative care and end of life care

3. Review contracts with care and support providers who deliver on site care in extracare settings to provide palliative care and end of life care, including breaks for carers by providing care workers who can step in for a few

CCG: Training opportunities need reviewing across all areas there is an opportunity to deliver GSF training for care homes and Dementia care and we need a co-ordinated approach. Need to link with LA commissioning leads to discuss funding and sharing a budget to enable this to happen. Currently there are pockets of training happening. The EOL Strategy needs updating for 2014 onwards and work-planning for this is shared at the EOL LIG. We need to focus on identifying people earlier who are approaching EOL and get them registered on the PEPs.


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hours while the carer takes a break.

4. Ensure appropriate support after someone has been diagnosed with a life limiting condition for end of life planning.

5. Support for former carers after a bereavement, to come to terms with their loss and to help them move forward in their lives.

5. Ensure that unpaid carers are identified when the person with care needs is assessed, and ensure that the unpaid carers are referred to appropriate help, such as Carers in Bedfordshire and the Council’s Adult Services.

1. Increase the number of carers who are offered assessment and receive an appropriate service as a result

2. Monitor effectiveness of Carers Support Services (Carer’s in Bedfordshire)

3. Increase number of Carers with an emergency plan

2. Carers in Bedfordshire is subject to quarterly contract reviews and continues with excellent delivery of services. 3. Online and hard copy of Carers Emergency Support plan is drafted. Likely to launch ahead of schedule in October 2013.

6. Ensure sufficient capacity and quality of home care providers including providers who can meet end of life needs.

1. Maintain approved providers agreements

2. Ensure website is kept up to date with changes

3. React quickly to quality concerns if they arise

1. Approved Provider Agreements for home care all extended to April 2014. 3. All concerns reported via Care Standards Quality Assurance Report are actioned by the team and outcomes fed back to reporting worker. The need to carry out site visits and full Care Standards Assessments are assessed using intelligence gathered from the above reports, annual reviews and safeguarding alerts. All services are assessed against CQC Outcomes and Bedford Borough Framework Standards.

7. Ensure that staff delivering care in all settings (home, extracare and in care homes) are competent to deliver care to people at the end of their lives.

1. Identify the competencies required

2. Provide appropriate education and experience

3. Assess competence

Commissioning Officer post has been vacant. Ros Harding is now joining the EOL network and will be taking this forward.

8. Improve quality of 1. Hold a managers My Home Life Project completed with excellent


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care in local care homes by implementing the ‘My Home Life’ programme.

event to celebrate and share learning the My Home Life way across the Borough

2. Hold a wider stakeholder event to identify ways to work together better across agency and professional boundaries

outcomes. Going forward learning will be shared in regular manager’s forums to be hosted by BB. Course mentor has been commissioned to deliver a similar course for Learning Disability provider managers commencing Oct 13. Provider forums are held quarterly and are used to share information involving our health colleagues and other partners. Care Standards Review Service act as a conduit for disseminating information which will help providers to achieve the best outcomes for their service users. Quality Assurance Safeguarding Steering Group meeting is held bi monthly and attended by partner agencies, the remit of the group is to share information in order to keep abreast of the standards of all service provision in BB and act upon intelligence accordingly.

Strategic Priority 4: Safeguarding older people whose circumstances make them vulnerable and protecting them from avoidable harm.


1. Protect people from discrimination or harassment due to their age, ethnicity, gender, physical disability, learning disability, mental ill-health, sexuality or any other cause.

1. Implement the Safeguarding Strategy

2. Raise awareness of the need to safeguard vulnerable people.

3. Raise awareness of Hate Crime and what to do if it happens

4. Ensure Equality Analysis is undertaken as required

1. Safeguarding strategy in place and in the Annual Safeguarding report which was presented to Executive on 11th September 2013.

2. Awareness raising and training are consistent themes and activities for the Council as lead for Safeguarding.

3. Hate Crime presentation by the Police to be made to the Safeguarding Board in November 2013.

2. Enable increased use of home safety services.

1. Raise awareness of the Bobby Van and increase utilisation

2. Promote Neighbourhood Watch to increase public involvement

3. Promote to older people the Council’s ‘Trusted Traders’ scheme which accredits services such as housework, shopping, locksmiths and plumbers.

1. Planning to liaise with provider regarding publicity and promotion


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3. Implement and keep under review the joint strategy for the Safeguarding of Vulnerable Adults with partners.

1. Complete strategy action plan

2. Co-ordinate safeguarding activities with partners

3. Audit safeguarding practice and evidence continued improvement

1. Action plan in place and monitored by the Safeguarding Board.

2. Safeguarding Board in place with key partner agencies.

3. Regular audits of safeguarding practice undertaken. Most recent audit took place in September 2013.

4. Improve advocacy for people in care homes and extracare settings.

1. Ensure information about how to access advocacy is available to residents and tenants

2. Review specific advocacy activity in care homes and extracare and make recommendations

3. Implement recommendations

1. Discussion with POhWER and AOP at Contract monitoring meeting (Jul 2013) to ensure service promoted accordingly

5. Ensure specialist support is available out of hours for service users and carers living in the community.

1. Review arrangements for Mental Capacity Assessment including out of hours.

2. Review arrangements for Independent Mental Health Advocacy including out of hours

3. Make and implement recommendations

Commissioning Officer post has been vacant. Ros Harding is now in post and will be taking this forward.

6. Do ‘Meeting the Dignity Challenge’ across Adult and Community Services

1. Prepare materials and briefing for teams

2. Roll out programme across directorate

3. Support delivery throughout the year

4. Compile final report

1. Dignity posters, reporting materials designed and distributed with briefing notes to 32 teams across ACS.

2. Good participation from teams demonstrating how they uphold dignity. Reports compiled for management team can be made available to Board on request.

7. Put in place the

new PLACE assessments to replace the current Patient Environment Action Team (PEAT) inspections, in hospitals offering

1. Review national requirements and develop local plan for implementation

2. Ensure Healthwatch Bedford Borough has good communication channel with Bedford Hospital and SEPT re PEAT

1. No progress yet.

A Bedford Borough one-stop information leaflet which brings together existing services offered by Bedford Borough Council, and other organisations that can help residents keep safe, healthy and well.

Environment and Sustainable Communities

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Safe, Healthy and Well

Introduction

This leaflet provides tips on keeping warm, and information on where to find advice and support to help you keep safe, healthy and well.

Energy Efficiency and Home

Improvements

Insulation

Home Improvements

Fire Safety Checks

Good Neighbour Network

Stop Smoking Service

Change 4 Life

Flu ImmunisationsNHS Health

Checks

Activity App

Home Security Checks

Key Safes

Jobs Advice

Benefits Advice

Debt and Housing advice

Home Help, Gardening and Accompanied

Shopping

Armed Forces Personnel And

Veterans Advice

Handyperson scheme

Maximising Your Income And

Related Advice

Security Improvements

Health Living and Wellbeing

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Bedford Borough Council

Reduce Your Energy Bills:• Check with your current energy supplier to see if you are on the best

tariff and payment method for your circumstances, or if they can offer you any discounts to cut your bills.

• Switch your tariff or energy supplier if you are able to get a better deal. Try using an energy price comparison service.

• Save on your energy bills by reducing wasted energy: close your curtains at dusk to stop heat escaping through the windows and avoid leaving appliances such as TVs on standby.

• Insulate your loft, to the recommended depth of 270mm (10 inches) to reduce heat loss. Insulating the cavity walls of your home will also keep the heat in and reduce your energy bill.

Keeping Warm:• Try to keep the temperature of your living room at the recommended

temperature of 70°F/ 21°C and the rest of the house heated to at least 64°F /18°C.

• Make sure that you have some warm slippers or shoes that have a good grip. Try to keep your feet up as the air is cooler at ground level.

• Put on several warm, light layers of clothing which will keep you warmer than one thick layer. Have hot drinks, use a hot water bottle and if you’re sitting down, put a blanket over you.

• Keep moving, avoid sitting down for long periods as muscles become stiff and slow when they are cold. Even housework will generate body heat and help to keep you warm.

Keep warm with these top tips:

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Sustainability Team:Advice and information on saving energy and home efficiency and referrals to schemes available for insulation and heating improvements.

Eligibility CriteriaResidents of Bedford Borough.

Contact Detailswww.bedford.gov.uk/sustainability

Home Improvement Team:Disabled Facilities Grant (DFG), Home Repair Assistance Grant, and Home Efficiency Grant and referral to schemes such as the Green Deal and Energy Companies Obligation (ECO).

Eligibility CriteriaEligibility criteria apply.

Contact Details01234 718294

www.bedford.gov.uk/housing/housing_grants.aspx

Handyperson Scheme:Low cost repairs in the home: fitting grab rails or stair rails (must be referred by an Occupational Therapist), installing key safes, fitting small ramps, door / window repairs and adjustments, minor joinery work, minor plumbing repairs, locks and security chains, draught proofing, and similar small works.

Eligibility CriteriaCharge of £16.00 per hour, unless in receipt of a qualifying benefit then no charge for labour, but there may be a charge for materials.

Contact DetailsRichard Teakle: 01234 276231

[email protected]

Energy Efficiency and Home Improvements

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Green Deal:Government scheme to help you make energy-saving improvements to your home without having to pay all the costs up front.

Contact DetailsEnergy Saving Advice Service: 0300 123 1234

www.gov.uk/green-deal-energy-saving-measures

Handyperson Service: Work undertaken includes:

• Painting and decorating

• Fitting and supplying grab and stair rails

• Fitting and supplying key safes

• Light carpentry work

• General DIY

• Fitting and supplying smoke alarms

• Hot packs and small winter aids available.

Eligibility CriteriaResidents of Bedfordshire, over 50 years. Charge of £16 per hour.


www.ageuk.org.uk/bedfordshire

78 - 82 Bromham Road, Bedford, MK40 2QH

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Home Security Checks:Improved security and advice from Bedfordshire Police

Partnership Trust Scheme. Can install door chains, window locks and smoke alarms etc. Advice on securing the home and dealing with bogus callers.

Eligibility CriteriaGenerally for residents over 60 years or vulnerable.

Contact Details01234 842619 (leave a message if answer phone)

Energy Companies Obligation (ECO):Government scheme, funded by the energy suppliers to support those on a low-income or vulnerable to the impact of living in cold homes. Also works with the Green Deal to cover

the installation of measures like solid wall and hard-to-treat cavity wall insulation.

Affordable Warmth Obligation:This element of ECO provides loft and cavity wall insulation and a boiler repair or replacement if you own or privately rent your home and receive pension credit or one of a number of means-tested benefits.

Eligibility CriteriaMust be in receipt of certain benefits.

Contact DetailsEnergy Saving Advice Service: 0300 123 1234

www.gov.uk/energy-company-obligation

www.gov.uk/energy-grants-calculator

For Affordable Warmth Obligation - contact Street Energy: 0800 043 5690

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Free Home Fire Safety Check:Includes expert, tailored advice and supply and fit of a free smoke alarm, where necessary.

Eligibility CriteriaAvailable for residents at most risk from fire: the elderly, those with chronic health problems or disabilities; those living in areas of deprivation, particularly young single parent families; those living in low cost housing, or those on lower incomes.

Contact DetailsEmail name, full address and contact number to:

[email protected]

0800 043 5042

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Key Safes:Supplied and fitted outside the property, within 48 working hours. Charge of £16 per hour.

Eligibility CriteriaResidents of Bedfordshire, over 50 years.




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Maximising Your Income and Related Advice

Advice on Housing Benefit & Council Tax Support:Including a Housing Benefit calculator.

Eligibility CriteriaResidents of Bedford Borough.


www.bedford.gov.uk/advice_and_benefits/benefits

Customer Service Centre, 2 Horne Lane, Bedford, MK40 1RA

[email protected]

Bedford & District Citizens Advice Bureau: Information and advice on various topics including:

• Debt: Comprehensive money advice service

• Benefits: Benefit calculations, completing claims and helping with appeals

• Housing: Problems include repossession, establishing the rights of tenants and landlords, homelessness.

Eligibility CriteriaFree, independent, confidential and impartial advice for those who live or work in Bedford Borough.

Contact Details0844 245 1290

www.bedfordcab.org.uk

7a St Pauls Square, Bedford, MK40 1SQ

@

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Independent information, support and advice:Topics include:

• Benefits (can arrange home visits to help complete benefit application forms)

• Finance

• Residential and non-residential care

• Health

• Housing issues

• Finding help at home, including Home Help, Gardening and Accompanied Shopping.

Eligibility CriteriaResidents of Bedfordshire, over 50 years.




[email protected]@

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Just Ask! Community & Village Agents: Provide free signposting and 1 to 1 information, advice and support:

• Pensions & benefits, including home visits to help complete application forms

• Health & housing issues

• Feeling safer at home

• Keeping warm at home, including accessing national & local initiatives such as the Warm Home Discount, if eligible, and local oil-buying schemes.

• A limited number of free radiator sheets, insulation products and other winter warmth items available for eligible residents.

Eligibility CriteriaResidents of all villages in Bedford Borough.

Also residents within the wards of Kempston, Cauldwell & Kingsbrook, Harpur & Castle, and Goldington.


www.bedsrcc.org.uk/justask/justask1.html

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Assists residents into work, training or enterprise.Services include:

• Individual help with CVs, job applications and interviews

• Access to job vacancies and internet access for job searching

• Advice about education and training, including apprenticeships

• Business start-up workshops and enterprise coaching

• NHS health checks for residents aged 40 – 74 years

• Referral to the local, free stop smoking service

Eligibility CriteriaBedford Borough residents of all ages.


[email protected]

15 Greyfriars, Bedford, MK40 1HJ

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Armed Forces Personnel and Veterans information:• Including useful contacts and related links.

• National Forces Discount Schemes.

Eligibility CriteriaIn-Service and Ex-Service personnel and Reservists.

Contact Detailswww.bedford.gov.uk/council_and_democracy/civic_and_ceremonial/armed_forces.aspx

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Bedfordshire Rural Communities Charity Good Neighbour & Village Care Scheme Network:Groups of volunteers that help to keep an ‘extra eye’ on vulnerable residents during cold weather with lifts to

appointments, collecting shopping, etc.

Eligibility Criteria

Residents in: Brickhill; Clapham; Felmersham & Radwell; Renhold; Sharnbrook; and Wilstead.


[email protected]

Healthy Living and Wellbeing

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Bedford Borough Stop Smoking Service:Provides support in relation to:

• Individuals wanting to quit

• Smoking in pregnancy

• Smokefree homes and cars


Anyone wishing to quit smoking.


www.smokefreebedfordshire.co.uk

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The Pat ‘Do Something’ App:Provides information about a wide range of local activities, societies, clubs and organisations.


Available FREE to anyone with a suitable mobile phone.

Contact DetailsTo download the App go to: http://goo.gl/va8Ut4 or http://goo.gl/hcw49j or search in your apple or android app store

NHS Health Checks:Screen people’s risk of heart disease, stroke, type 2 diabetes or kidney disease.


Residents aged 40 to 74 years who don’t already have any long term conditions such as diabetes or heart disease. Look out for an invitation from your GP.

Contact DetailsFor more information go to: www.nhs.uk/Planners/NHSHealthCheck/Pages/NHSHealthCheckwhat.aspx

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Flu Immunisations:Flu jabs are available annually to:

• Pregnant women

• Children aged 2 and 3 years

• Children aged 2 to 18 with a long term health condition

• Adults aged 65 and over

• People under 65 with a serious medical condition

• Health and social care workers or formal and informal carers in receipt of carers allowance

• People living in a residential or nursing home


Free to people in the listed groups.

Contact DetailsFor more information go to:

www.nhs.uk/conditions/flu/Pages/Introduction.aspx

Change4Life:Aims to help families and adults make small, sustainable yet significant improvements to their diet, activity levels and alcohol consumption.


Free information for everyone.


http://nhs.uk/change4life


Finding out more

01234 718259

Bedford Borough Council Borough Hall Cauldwell Street Bedford MK42 9AP [email protected]

If you would like further copies, a large-print copy or information about us and our services, please telephone or write to us at our address below.

@

PHDesign/1310054 | November 2013 www.bedford.gov.uk

Documents

Agenda · 2014\Minutes - 19.06.2014.doc Page 1 of 4 LB and SP have been working on Dementia leaflets for five locality areas and SP will bring a draft to the next meeting