1. Learning Disability Services in Southend-on-Sea Prepared for Community Service Scrutiny Committee January 2006

2. The Need for Change Large Small Congregate Individual focussed Segregated Inclusive More Likely Less Likely Rights Choice Independence Inclusion

3. Challenges History… History… Hospital Hostels Day Centres Ordinary Citizenship Buildings People

4. 17 Recommendations and Actions 1. Commissioning Strategy – Agreed by Cabinet September 2004 1. Commissioning Strategy – Agreed by Cabinet September 2004 –Make sure we are spending money on the right things –Set out how services will be restructured over following 5 years 11. Carers Strategy. 11. Carers Strategy. 13. Clear about how services will be commissioned to support Carers 13. Clear about how services will be commissioned to support Carers

5. Recommendations 2. No one living in Care Home that does not meet national minimum standards 2. No one living in Care Home that does not meet national minimum standards 3. Consider use of 3 Council run homes 3. Consider use of 3 Council run homes 4. Graham House model adopted as good practice 4. Graham House model adopted as good practice

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

7. Recommendations 5. Framework for modernising day services 5. Framework for modernising day services 6. Timeframe to include how funding will be released to provide more individualised services 6. Timeframe to include how funding will be released to provide more individualised services 7. Learning Disability Partnership Board to agree optimum number for size of day services provided in groups 7. Learning Disability Partnership Board to agree optimum number for size of day services provided in groups 8. Look at how transport needs are best co- ordinated into Council’s transport policy 8. Look at how transport needs are best co- ordinated into Council’s transport policy

8. Actions Maybrook Closed January 2006 Maybrook Closed January 2006 Essex service users moved on Essex service users moved on Avro re-modelled Avro re-modelled –Carers respite –3 Community support bases –Satellite base at Spencer House Currently remodelled service less than 30 people at each community base Currently remodelled service less than 30 people at each community base Increased numbers in work Increased numbers in work

9. Issues Judicial review Judicial review Flexibility of services to support people to be ordinary citizens Flexibility of services to support people to be ordinary citizens Transport Transport

10. Recommendations 9.Acknowledge tension between involving people fully and speed of change 9.Acknowledge tension between involving people fully and speed of change 10.Communication needs included in plans 10.Communication needs included in plans

11. Actions Learning Disability Partnership Board Learning Disability Partnership Board Advocacy Advocacy SHIELDS SHIELDS Judicial review – strong decision Judicial review – strong decision Person Centred Planning Person Centred Planning Strengthening work with Carers – Carers forums Strengthening work with Carers – Carers forums Positive experiences of people who have benefited from changes Positive experiences of people who have benefited from changes

12. Recommendations 12. Link worker for Carers 12. Link worker for Carers 14. Consider a Carers service for information, advice and 24 hour crisis response 14. Consider a Carers service for information, advice and 24 hour crisis response

13. Actions Carers link worker within Learning Disability Community Team Carers link worker within Learning Disability Community Team Specific work with Carers over 65 Specific work with Carers over 65 Adult Placements, Direct Payments, Care Home respite, care at home Adult Placements, Direct Payments, Care Home respite, care at home Designated Carers information, advice and crisis response service still under consideration Designated Carers information, advice and crisis response service still under consideration

14. Recommendation and Action 15. Supporting Advocacy services 15. Supporting Advocacy services Maintained funding level through s31 Health Act 1999 agreement Maintained funding level through s31 Health Act 1999 agreement Additional £30,000 Learning Disability Development Fund this year Additional £30,000 Learning Disability Development Fund this year Southend Mencap – Lottery Funding Southend Mencap – Lottery Funding SHIELDS SHIELDS Looking for further opportunities Looking for further opportunities

15. Recommendationand Action 16. Bullying 16. Bullying Fulfilling Lives – local community policing Fulfilling Lives – local community policing Guide on staying safe and what to do Guide on staying safe and what to do Advocacy Advocacy POVA POVA

16. Recommendation and Action 17.Health services 17.Health services Good Health group Good Health group –Health Action Plans –GPs Review of Community Team – Health roles Review of Community Team – Health roles SEPT Service Level Agreement (and FT Contract) SEPT Service Level Agreement (and FT Contract) Consultation on changes to Specialised assessment, treatment and outreach services Consultation on changes to Specialised assessment, treatment and outreach services Dentistry questionnaire – PCT following up all responses Dentistry questionnaire – PCT following up all responses Accessibility issues being addressed Accessibility issues being addressed