Venue: Civic Centre, High Road, Wood Green, N22 8LE
Contact: Dominic O'Brien, Principal Scrutiny Officer
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FILMING AT MEETINGS Please note that this meeting may be filmed or recorded by the Council for live or subsequent broadcast via the Council’s internet site or by anyone attending the meeting using any communication method. Although we ask members of the public recording, filming or reporting on the meeting not to include the public seating areas, members of the public attending the meeting should be aware that we cannot guarantee that they will not be filmed or recorded by others attending the meeting. Members of the public participating in the meeting (e.g. making deputations, asking questions, making oral protests) should be aware that they are likely to be filmed, recorded or reported on.
By entering the meeting room and using the public seating area, you are consenting to being filmed and to the possible use of those images and sound recordings.
The chair of the meeting has the discretion to terminate or suspend filming or recording, if in his or her opinion continuation of the filming, recording or reporting would disrupt or prejudice the proceedings, infringe the rights of any individual or may lead to the breach of a legal obligation by the Council. Additional documents: Minutes: The Chair referred Members present to agenda Item 1 as shown on the agenda in respect of filming at this meeting, and Members noted the information contained therein’. |
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Apologies for absence Additional documents: Minutes: Apologies for absence were received from Cllr Nick da Costa.
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Items of Urgent Business The Chair will consider the admission of any late items of urgent business (late items will be considered under the agenda item where they appear. New items will be dealt with as noted below). Additional documents: Minutes: None.
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Declarations of Interest A Member with a disclosable pecuniary interest or a prejudicial interest in a matter who attends a meeting of the authority at which the matter is considered:
(i) must disclose the interest at the start of the meeting or when the interest becomes apparent, and
(ii) may not participate in any discussion or vote on the matter and must withdraw from the meeting room.
A member who discloses at a meeting a disclosable pecuniary interest which is not registered in the Members’ Register of Interests or the subject of a pending notification must notify the Monitoring Officer of the interest within 28 days of the disclosure.
Disclosable pecuniary interests, personal interests and prejudicial interest are defined at Paragraphs 5-7 and Appendix A of the Members’ Code of Conduct. Additional documents: Minutes: Cllr Pippa Connor declared an interest by virtue of her membership of the Royal College of Nursing.
Cllr Pippa Connor declared an interest by virtue of her sister working as a GP in Tottenham.
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Deputations/Petitions/ Presentations/ Questions To consider any requests received in accordance with Part 4, Section B, Paragraph 29 of the Council’s Constitution. Additional documents: Minutes: None.
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To approve the minutes of the previous meeting. Additional documents: Minutes: Cllr Connor noted that there was an outstanding action point from the previous meeting regarding a briefing for Members on prevention and early intervention which would be followed up. The accuracy of the minutes from the previous meeting was then agreed.
AGREED: That the minutes of the meeting held on 5th September 2019 be approved as an accurate record.
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St Ann's Hospital update PDF 1 MB To receive an update on the redevelopment of St Ann’s Hospital, including on plans to address the increasing demand for access to beds. Additional documents: Minutes: Andrew Wright, Director of Strategic Development at Barnet, Enfield and Haringey Mental Health NHS Trust and David Kovar, Managing Director – Haringey at Barnet, Enfield and Haringey Mental Health NHS Trust, gave a presentation to the Panel on the redevelopment of St Ann’s Hospital and mental health beds.
o Barnet – 41 o Enfield – 51 o Haringey – 50 o Recovery House beds (one per Borough) – 30 o Male psychiatric intensive care beds (across the whole Trust) - 14
In response to questions from the Panel, Andrew Wright and David Kovar said:
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Haringey Safeguarding Adults Board - Annual Report 2018/19 PDF 60 KB To consider the annual report of the Haringey Safeguarding Adults Board for 2018/19. Additional documents: Minutes: Dr Adi Cooper, Independent Chair of the Haringey Safeguarding Adults Board, introduced the Board’s annual report for 2018/19. The Board is required to produce this report as a statutory duty. The report provides details of how the Board is delivering on its annual Strategic Plan and how it is improving safeguarding for adults in Haringey. It also includes information from partners who have varying roles and responsibilities.
Dr Cooper explained that the Board meets four times a year but that much of the work is carried out through a series of sub-groups. The Safeguarding Adults Reviews sub-group covers one of the largest areas of work and looks at referrals of cases that meet the statutory criteria and to oversee all Safeguarding Adults Reviews (SARs). This year there had been a referral from the Police which didn’t meet the threshold for a SAR did require the sub-group to look at issues of homelessness and rough sleeping which became a work programme for the Board. There was also a referral which led to a new priority being identified for 2019/20 to review the transitional safeguarding in conjunction with Children’s Services.
In terms of SARs, workshops had been held and progress monitored on the Robert SAR which took place a couple of years ago. The report on the Ms Taylor SAR was published in February 2019 which is the second SAR published in Haringey since the Care Act 2014 was implemented. That report is summarised in the annual report. A successful workshop had recently been held on disseminating and understanding the learning from this SAR.
The Quality Assurance sub-group provides a monitoring function for the Board looking at performance information, care services and policies and procedures. It also provides a function to hold partners to account. The sub-group also looks at the data on safeguarding adults and can escalate any issues that the Board needs to consider.
The Prevention and Learning sub-group’s role is to promote awareness across the Borough through actions such as events, information stalls and leaflets on issues such as modern slavery, self-neglect, fire risks and domestic abuse. There is ongoing work on training and development with a focus last year on the charity and voluntary sector to build community awareness of safeguarding.
The report also includes a summary of the Safeguarding Improvement Plan, an NCL Challenge Event bringing partners across the area together to share learning, activity data, the priorities for 2019/20 and the Strategic Plan for 2018-21.
Overall the Board is pushing to move forward each year and improve in different areas and there is a really high level of commitment from partners. There are challenges with the churn of front line staff, changes in organisational structure and pressures of demand and lack of resources on services.
In response to questions from the Panel, Dr Cooper, Beverley Tarka, Director of Adults & Health and Charlotte Pomery, AD for Commissioning said:
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To receive a general overview of CQC inspections recently carried out in the Borough. Additional documents: Minutes: Sujesh Sundarraj, Commissioning and Safeguarding Officer, introduced the report which covered the quality assurance functions in the Council and the CCG and the joint work with the CQC. The Council has a risk register in place for providers and inspections are carried out with different variables used to risk assess including CQC reports, whistleblowing, complaints and feedback from professionals and families.
There are four providers high on the risk register currently as set out in paragraph 2.2 of the report. These all require intervention and the outcomes are recorded on the right hand side of the table which include measures such as improvement plans and increased monitoring visits.
The report also covers the 33-bedded Ernest Dene residential care home which had closed for a two-year period for refurbishment work. This impacted on five service users, wo were then reviewed appropriately and supported to move to alternative accommodation.
A total of 13 CQC inspections had been carried out in the previous quarter (Jul-Nov 2019), 12 of which were rated ‘good’ and 1 rated ‘requires improvement’. Out of the overall 22 locations in Haringey rated ‘inadequate’, ‘requires improvement’ or uninspected, there are existing placements in 6 locations. Of the 16 others, there is one rated as ‘inadequate’ by the CQC but the service provided has now decided to close the business. As a percentage of commissioned services located in Haringey, 91% are rated good with 9% requiring improvement.
With regards to out of borough placements around 80% are in the NCL area. A lot of dialogue and information sharing takes place in the NCL quality sub-group which meets on a monthly basis.
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Domestic Violence Perpetrator Service PDF 242 KB To receive an update about the planned changes to Haringey’s domestic violence perpetrator programme as part of the Violence Against Women and Girls (VAWG) strategy. Additional documents: Minutes: Will Maimaris, Director of Public Health, provided an update on Haringey’s domestic violence perpetrator scheme. He described domestic violence as endemic with three out of ten women suffering domestic violence in their lifetime. Haringey has one of the highest levels of domestic violence in London. Haringey Council has a Violence Against Women and Girls (VAWG) Strategy for 2016-2026 which has 4 key strategic priorities. The report focuses on prevention and intervention strategies which target domestic violence perpetrators. This is a new area with emerging evidence.
Haringey’s programme in this area since 2016 is the Domestic Violence Intervention Project (DVIP) commissioned through the Richmond Fellowship which works closely with Children’s Social Care. The programme has three core elements which are an expert risk assessment, a violence prevention programme for perpetrators and a women’s support service. The programme is currently oversubscribed with 64 referrals received in 2018/19 and 28 places commissioned. One limitation is that it is an English language programme but 60% of the men referred speak English as a second language so steps are being taken to identify community groups to train individuals as interpreters and mentors to perpetrators. The main concern with the programme is that the interventions could be taking place at an earlier stage to reduce harm. The programme also has links to other services such as the substance misuse service.
In response to questions from the Panel, Will Maimaris said:
The Panel requested that a further update on this topic is provided in around 9 months time. (ACTION)
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Performance update - Q1 (2019/20) PDF 362 KB To receive information about the progress against performance indicators for Priority 2 (People) for Q1 of 2019/20. Additional documents: Minutes: Charlotte Pomery presented the performance indicators for the People priority for Q1 of 2019/20. This includes three outcome measures on children & young people although parts of these cover some of the transition issues. In terms of Adults & Health the two areas of focus are outcome 7 on healthy and fulfilling lives and outcome 8 on strong communities. Will Maimaris said that one of the indicators, healthy life expectancy, is the years lived in good health and there is a significant gap of 15 years between the west and east of the borough which underpins all of the efforts that the Council is making on public health.
Charlotte Pomery said that the Green-Amber indicator on non-elective admissions to hospital and the Green indicator on delayed transfers of care reflects the partnership work carried out through the Better Care Fund. The indicator on the proportion of adult safeguarding cases with risks removed or reduced is also on track. The proportion of residents with a high happiness score had not recently been surveyed which is why it is grey in the report. Similarly data is not always regularly available for some of the Strong Communities indicators so some of these are grey as well. Overall, the relevant parts of the performance wheel are green, amber or grey.
Asked about the healthy life expectancy figures which were showing as red, Will Maimaris said that there is a long time lag with the data which presents problems in tracking progress. The Haringey life expectancy has improved and overtaken the London average, though there are significant inequalities within the borough. Asked why the indicators life expectancy at birth is showing as red for men and green for women, Will Maimaris said that he would provide further details on this in writing. (ACTION)
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Dates of Future Meetings - 6th January 2020 (6:30pm) - 25th February 2020 (6:30pm) Additional documents: Minutes: - 6th January 2020 (6:30pm) - 25th February 2020 (6:30pm)
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