Learning Disability Learning Disability Services in Southend-on-Services in Southend-on-

SeaSea

Prepared for Community Prepared for Community Service Scrutiny CommitteeService Scrutiny Committee

January 2006 January 2006

The Need for ChangeThe Need for Change

LargeLarge Small Small

CongregateCongregate Individual focussed Individual focussed

Segregated InclusiveSegregated Inclusive

More LikelyLess Likely

RightsChoice

IndependenceInclusion

ChallengesChallenges

• History…History…

HospitalHostels

Day Centres

Ordinary Citizenship

Buildings People

17 Recommendations and 17 Recommendations and ActionsActions• 1. Commissioning Strategy – Agreed 1. Commissioning Strategy – Agreed

by Cabinet September 2004by Cabinet September 2004– Make sure we are spending money on Make sure we are spending money on

the right thingsthe right things– Set out how services will be restructured Set out how services will be restructured

over following 5 yearsover following 5 years

• 11. Carers Strategy. 11. Carers Strategy. • 13. Clear about how services will be 13. Clear about how services will be

commissioned to support Carerscommissioned to support Carers

Recommendations Recommendations

• 2. No one living in Care Home that 2. No one living in Care Home that does not meet national minimum does not meet national minimum standardsstandards

• 3. Consider use of 3 Council run 3. Consider use of 3 Council run homeshomes

• 4. Graham House model adopted as 4. Graham House model adopted as good practicegood practice

ActionsActions

• Berland House Closed 2005Berland House Closed 2005• Shelford due to close by March 2006Shelford due to close by March 2006• Saxon Lodge under reviewSaxon Lodge under review• Spencer House opened 2005Spencer House opened 2005• Other indep. supported living schemes Other indep. supported living schemes • Service dev. work with Care Home providersService dev. work with Care Home providers• Supporting PeopleSupporting People• Richmond Avenue / TACTRichmond Avenue / TACT• Revised Care Home and Community Revised Care Home and Community

Support contractsSupport contracts

RecommendationsRecommendations

• 5. Framework for modernising day 5. Framework for modernising day servicesservices

• 6. Timeframe to include how funding will 6. Timeframe to include how funding will be released to provide more individualised be released to provide more individualised servicesservices

• 7. Learning Disability Partnership Board to 7. Learning Disability Partnership Board to agree optimum number for size of day agree optimum number for size of day services provided in groupsservices provided in groups

• 8. Look at how transport needs are best 8. Look at how transport needs are best co-ordinated into Council’s transport policyco-ordinated into Council’s transport policy

ActionsActions• Maybrook Closed January 2006Maybrook Closed January 2006• Essex service users moved onEssex service users moved on• Avro re-modelledAvro re-modelled

– Carers respiteCarers respite– 3 Community support bases3 Community support bases– Satellite base at Spencer HouseSatellite base at Spencer House

• Currently remodelled service less than Currently remodelled service less than 30 people at each community base30 people at each community base

• Increased numbers in workIncreased numbers in work

IssuesIssues

• Judicial reviewJudicial review

• Flexibility of services to support Flexibility of services to support people to be ordinary citizenspeople to be ordinary citizens

• TransportTransport

RecommendationsRecommendations

• 9.Acknowledge tension between 9.Acknowledge tension between involving people fully and speed of involving people fully and speed of changechange

• 10.Communication needs included in 10.Communication needs included in plansplans

ActionsActions

• Learning Disability Partnership BoardLearning Disability Partnership Board

• AdvocacyAdvocacy

• SHIELDSSHIELDS

• Judicial review – strong decisionJudicial review – strong decision

• Person Centred PlanningPerson Centred Planning

• Strengthening work with Carers – Carers Strengthening work with Carers – Carers forumsforums

• Positive experiences of people who have Positive experiences of people who have benefited from changesbenefited from changes

RecommendationsRecommendations

• 12. Link worker for Carers12. Link worker for Carers

• 14. Consider a Carers service for 14. Consider a Carers service for information, advice and 24 hour information, advice and 24 hour crisis responsecrisis response

ActionsActions

• Carers link worker within Learning Carers link worker within Learning Disability Community TeamDisability Community Team

• Specific work with Carers over 65Specific work with Carers over 65

• Adult Placements, Direct Payments, Adult Placements, Direct Payments, Care Home respite, care at homeCare Home respite, care at home

• Designated Carers information, Designated Carers information, advice and crisis response service advice and crisis response service still under considerationstill under consideration

Recommendation and Recommendation and ActionAction• 15. Supporting Advocacy services15. Supporting Advocacy services

• Maintained funding level through s31 Maintained funding level through s31 Health Act 1999 agreementHealth Act 1999 agreement

• Additional £30,000 Learning Disability Additional £30,000 Learning Disability Development Fund this yearDevelopment Fund this year

• Southend Mencap – Lottery FundingSouthend Mencap – Lottery Funding

• SHIELDSSHIELDS

• Looking for further opportunitiesLooking for further opportunities

RecommendationRecommendation and and ActionAction• 16. Bullying16. Bullying

• Fulfilling Lives – local community Fulfilling Lives – local community policingpolicing

• Guide on staying safe and what to doGuide on staying safe and what to do

• AdvocacyAdvocacy

• POVAPOVA

Recommendation and Recommendation and ActionAction• 17.Health services17.Health services• Good Health groupGood Health group

– Health Action PlansHealth Action Plans– GPsGPs

• Review of Community Team – Health rolesReview of Community Team – Health roles• SEPT Service Level Agreement (and FT SEPT Service Level Agreement (and FT

Contract)Contract)• Consultation on changes to Specialised Consultation on changes to Specialised

assessment, treatment and outreach servicesassessment, treatment and outreach services• Dentistry questionnaire – PCT following up all Dentistry questionnaire – PCT following up all

responsesresponses• Accessibility issues being addressedAccessibility issues being addressed