[To be introduced by the Cabinet Member for Health and Wellbeing .Report of the Deputy Chief Executive.] This report seeks Cabinet agreement to specific consultation and further engagement, with residents and partners on specific issues, as detailed in section 6 of the report including:
· Increasing our capacity to provide re-ablement services and support intermediate care.
· Increasing our capacity to provide suitable accommodation that promotes individual well being through expanding Supported Living Accommodation and Shared Lives schemes
· Increasing the availability and flexibility of specialist services within the borough meeting the individual needs of residents.
The Cabinet Member for Health and Wellbeing introduced the report which sought Cabinet agreement to specific consultation and further engagement, with residents and partners on specific issues, as detailed in section 6 of the attached report. This was a significant consultation process and the Cabinet Member for Health and Wellbeing would be actively involved in the consultation and listening to families and carers.
To approve the following proposals for public consultation:
a)To increase the Council’s capacity to deliver re-ablement and intermediate care services by:
i. The closure of Osborne Grove Nursing Home and change of use to intermediate care service or to continue with the current provision at Osborne Grove, but through an external provider and to include a re-ablement care service
ii.The closure of The Haven day centre and change of use to a community re-ablement service delivered by an external provider; and
iii. Changing the delivery of the Council’s in-house Re-ablement Service to an external provider
b)To increase the Council’s capacity to provide Supported Living Accommodation and Shared Lives schemes by:
i. The closure of Linden Road Residential Care Home; and
ii. Changing the delivery of the Council’s in-house Share Lives Service to an external social enterprise provider
c)To increase flexibility and availability of services within the borough by:
i. The closure of Roundways, Birbeck Road and Always day centres for adults with a learning disability;
ii. Delivering a new model of day opportunities for adults with a learning disability from Ermine Road Day Centre, through social enterprise
iii. The closure of The Grange Day Centre and delivery of dementia day services from the Haynes through a social enterprise model
d)To approve the consultation period to commence on 29th June 2015 and to end on 27th September.
e)That a report on the findings of the consultation and the proposed recommendation be brought back to Cabinet for a decision in November 2015.
f)That the engagement undertaken by Adult Social Services during the MTFS and Corporate Plan consultation. See item 819 for Cabinet February2015
Alternative options considered
Alternative options have been considered, including the retention of additional services and differential options for delivery. However, the options available to the service are limited, due to the scale of the reduction required. Therefore all areas of the service will be redesigned to ensure compliance with our statutory responsibilities and the continued delivery of high quality service provision within the reduced budget.
An additional option is not to make the budget savings agreed in the Medium Term Financial Plan. This would result in serious financial difficulty for the Council as a whole and call into question the sustainability of services in the future.
Consideration was given to the reduction in Care Package costs, forecast to reduce Council expenditure by approximately £5.7 million. This was reviewed and removed from the proposals for transformation following the engagement undertaken by Adult Social Services during the consultation on the MTFS and Corporate Plan.
Reasons for Decision
To implement a new operating model for Adult Social Services which enables all Haringey residents to live healthy, long and fulfilling lives with control over what is important to them. National policy drivers are very much about empowering people to take control. As well as legislative changes and changes in people’s expectations, there is growth in need and demand for support. To meet these challenges we need to transform the delivery of care and support, shifting from providing high cost services, such as residential care, to supporting people to live in their own homes and communities as far as possible.