Developing Community Based Services 25th March 2010 Developing Community Based Services Part of the Transforming Social Care Agenda Research, what we know and Conversations

Developing Community Based Services – 25 th March 2010 Why do we need to develop services? Changing Population - It is estimated that by 2025 the number of people over 85 will have increased by two thirds nationally. - There are approximately 700,00 people with dementia, In 30 years this figure is expected to double to 1.4 million. Take up of Personal Budgets as direct payments. In pilot 44.8% of service users who had a personal budget opted to have a direct payment to arrange their own care/support Consultation underway on new charging policy for day services

Developing Community Based Services 25th March 2010 Christchurch Day Service for older people Expenditure in 2008/2009 was £500, Cost per day, per person, in 2008/2009 was £47.40 Estimated that 18% of those at the centre are currently suffering from dementia Present estimate is that 39% of people attending Christchurch day centre would be liable to pay day centre charges, if introduced. 100 sessional places with 157 people attending 81% Occupancy Christchurch Day Centre

Developing Community Based Services 25th March 2010 Juniper Day Service Juniper Day Service for people with a learning disability Expenditure in 2008/2009 was £556, Cost per person, per day in 2008/2009 was £ places 90% Occupancy

Developing Community Based Services 25th March 2010 Woodlands View Day Service for people with a physical disability Expenditure in 2008/2009 was £73, Cost per person, per day, in 2008/2009 was £ places 53% Occupancy Woodlands View

Developing Community Based Services 25th March 2010 Conversations 216 conversations held with service users, carers, staff and independent groups within the Christchurch area Overall key themes established Most significant finding was the large number of individual choices

Developing Community Based Services 25th March 2010 Service Users - “What’s working?” -Support from family/friends/neighbours -Direct Payments -Ability to get out of the house and be sociable -Watching television -Support from G.P At the Day Centre: -Social Contact -Exercise -Staff -Catering Provisions -Choice of activities -Respite care for carers -Day centre transport and drivers -Positive effects on mental well being

Developing Community Based Services 25th March 2010 Service Users - “What’s not working?” -Desire for more independence -Feelings of isolation -Changes in care need to be better communicated -Transport difficulties. e.g. expensive and/or inconvenient -Need better access to current activities -Require more opportunities for exercise -More information on progression of illness -Lack of evening activities At the Day Centre: -Would like more time at the day centre -Need more (and more variety of) activities/services -Need more outings -Cost of attending/food/drink is too expensive -Time wasted “waiting around”

Developing Community Based Services 25th March 2010 Carers - “What’s working?” -Brendon Care -Greystones -Stepping Stones -Carers Groups -Medical support -Alzheimer's Society -Brain Injury Rehabilitation -Access to universal services, for example, church, pub, library At the Day Centre: -Described as a ‘lifeline’ -Respite Care -Staff highly valued -Provides a personalised service -Ensures cared for person is safe and secure

Developing Community Based Services 25th March 2010 Carers - “What’s not working?” -Need more respite care -Lack of communication between services -Delay in receiving care -Need more information on care services available -Lack of funding for activities -Transport issues -Withdrawal of services, for example, sitting service - Need more activities in the evening, for example, a club At the Day Centre: -Concerns about the effect of SDS on attendance -Staffing capacity means difficult to meet complex needs

Developing Community Based Services 25th March 2010 Staff - “What’s working?” -Mobile library -Social Groups in Christchurch -Salvation Army -POPP -Agency Support -Supported Living -Range of activities available in the community At the Day Centre: -Staff provide additional assistance at mealtimes -Provides carer with respite -Trips out encourage community integration -Staff are committed to improving lives of service users -Training and development -Multi-sensory room -Themed Days

Developing Community Based Services 25th March 2010 Staff - “What’s not working?” -Need more choice of activities, especially in the evening -Activities and courses are expensive and inaccessible -Difficult to access community facilities At the Day Centre: -More publicity for day centres needed -Lack of clarification over future of day services -Need an outreach programme -Inflexible and restrictive opening hours -Staff capacity is too low -Lack of outings

Developing Community Based Services 22 th March 2010 “If you had a direct payment what would you spend it on?” Activities: Watch football Swimming Horse Riding Arts and Crafts Cookery Going to the Cinema Trips Bowling Services: Day Centre Social clubs One to one support The provision of services in the evenings Sustainable activities/services Some SU and Carers required more information about Direct Payments/Personal Budgets

Developing Community Based Services 22 th March 2010 Developing Community Based Services Part of the Transforming Social Care Agenda PART TWO Examples from other localities

Developing Community Based Services 25 th March 2010 Social Enterprises - The bread maker Aberdeen - The Shetland Soap Company Community Hubs- Devon Leicester- older people Discovery Centres - Hampshire What are other areas doing?

Developing Community Based Services 25th March 2010 Men-in-sheds - Gloucestershire -Enhanced Reviews -Community Connector West Sussex Council Project Search - Norfolk Shared Lives Scheme What are other areas doing?