supporting people caerphilly supporting people team floating support forum 16 th december 2011
TRANSCRIPT
Supporting People
Caerphilly Supporting People TeamFloating Support Forum
16th December 2011
Contents
Redistribution and Handover - MalAccreditation & Outcomes - EdwinCommissioning and Framework - ShellyCentralising Referrals and Use of Sprint - TiffenyBreakGovernance – MalEligibility and Monitoring – EdwinFuture Scheme Proposals (local/regional) -Shelly
Redistribution and Handover
Malcolm Topping
Distribution of Supporting People funding was not fair in
2003 Amount of SP Grant was not linked to the
needs of the population – SEE TABLE OVERLEAF
How do you decide what each Local Authority should receive?
Introduce formula that identifies % of population needing housing related support
Local AuthorityTOTAL SP BUDGET Population
Ranking SP Budget per person
Per unit - population
Welsh Indicators Multiple Deprivation Ranking
Anglesey 3,464,611.10 66,829.00 £51.84 2Blaenau Gwent 1,882,292.36 70,064.00 19 £26.86 23.4 2Bridgend 5,893,979.47 128,645.00 £45.81 11Caerphilly 5,955,533.19 169,591.00 15 £35.11 14.5 7Cardiff 20,231,179.64 305,353.00 £66.25 16 6Carmarthenshire 6,453,672.65 172,842.00 £37.33 5.4Ceredigion 4,760,942.71 74,941.00 £63.52 0Conwy 8,847,073.33 109,596.00 1 £80.72 2.8 17Denbighshire 7,183,353.02 93,065.00 2 £77.18 10Flintshire 7,537,058.37 148,594.00 £50.72 4.3Gwynedd 6,849,455.04 116,843.00 £58.62 4Merthyr Tydfil 1,400,195.03 55,981.00 20 £25.01 25 1Monmouthshire 1,785,937.11 84,885.00 21 £21.03 0.00NPT 4,591,769.04 134,468.00 £34.14 15.4 5Newport 4,327,768.84 137,011.00 18 £31.58 16.00 4Pembrokeshire 2,216,323.21 114,131.00 £19.41 4.2Powys 6,468,384.12 126354 £51.19 1.30RCT 9,410,301.26 231,946.00 13 £40.57 17.8 3Swansea 15,153,078.34 223301 £67.85 11.60Torfaen 3,810,930.92 90949 £41.90 6.7Vale of Glamorgan 4,021,776.81 119212 £33.73 6.40Wrexham 6,711,728.78 128476 £52.24 5.9
TOTAL 138,957,344.34
Local AuthorityTOTAL SP BUDGET Population
Ranking SP Budget per person
Per unit - population
Welsh Indicators Multiple Deprivation Ranking
Blaenau Gwent 1,882,292.36 70,064.00 19 £26.86 23.4 2
Caerphilly 5,955,533.19 169,591.00 15 £35.11 14.5 7
Conwy 8,847,073.33 109,596.00 1 £80.72 2.8 17
Merthyr Tydfil 1,400,195.03 55,981.00 20 £25.01 25 1
TOTAL 18,085,093.91
How does the formula work? This is the calculation!
Welsh Index of Multiple Deprivation [20%] Social Fragmentation Index [20%] Number of people in receipt of at least the middle rate
of the care component of Disability Living Allowance [10%]
Age structure of the population (the proportion of older people living alone) [20%]
Local measures of homeless people [30%] What period of time does the redistribution take? Impact on LA’s that lose funding e.g. Cardiff
What will the formula mean to Caerphilly?
Insert modelling work being completed by WG
Handing over the SPRG from Providers
From April 2012, No more SPG/SPRG – All grant is known as Supporting People Programme Grant (SPPG)
In Caerphilly £1.2 million of grant will be moving from providers to Local Authority
Ring fencing /auditing being introduced to safe guard the funding.
Moving from SPRG tariff to a different system of funding former SPRG schemes
Where does the funding go?
Voluntary sector - £3,290,302 –53% Statutory sector - £1,943,457 – 31% Private sector - £984,055 –16%
How much do we fund?
Breakdown of Supporting People Funding by Client Group
Phys Dis14%
Vulnerable Families
4%
Homeless13%
Young People10%
Sub Misuse3%
Offenders0% Mental Health
8%Dom Abuse
7%
Learning Dis28%
Older People13%
Older People
Learning Dis
Phys Dis
Mental Health
Dom Abuse
Offenders
Sub Misuse
Vulnerable Families
Homeless
Young People
Accreditation and Outcomes
Edwin Yhap
Accredited Support Provider Criteria – July 2009
2.3.1 Proposed Role 2.3.2 Governance 2.3.3 Standards of Conduct 2.3.4 CRB/Police Checks 2.3.5 Financial Viability 2.3.6 Other Criteria
Accreditation
In exercise of the powers conferred, by Sections 180, 181 and 182 of the Housing Act 1996 and Section 93 of the Local Government Act 2000, and in conjunction with Section 70 and Section 71 of the Government of Wales Act 2006, the Welsh Ministers of the Welsh Assembly Government have established the criteria, which must be satisfied by a body which is seeking accreditation on or after the date of this document.
Who can apply? a registered charity, a society registered under the Industrial and
Provident Societies Act 1965 which satisfies the conditions in Subsection (2),
is a Welsh Local Authority. Where an Accredited SP is contracting with such
Co, robust subcontracting, selection and financial procedures must be in place to manage risks.
Private and ‘for Profit Companies’ are not eligible to apply, as the Welsh Ministers do not have the powers under SPRG Schemes to make direct payment to providers (2.2.3)
Criteria for accreditation
2.3.1 Proposed Role A support provider must provide a statement of
organisational aims and objectives Accredited bodies should not contract any part
of a grant funded service unless or until they are satisfied that the contractor is able to provide the specified service as set out in the Grant Conditions, at a level which is likely to be acceptable to the Welsh Ministers. (Ref private Co).
Criteria for accreditation
2.3.2 Governance The support provider must be under the control
of a Board of Directors or a Committee or of trustees, except where the provider is a local authority , and must be a ‘fit and proper person’
Criteria for accreditation
2.3.3 Standards of Conduct Members must understands their own role and
responsibilities understands the constitution and statutory
requirements within which they will operate understands and has policies that reflect the
regulatory regime, which governs accredited support providers including Protection of Vulnerable Adults (POVA) guidelines. (Safeguarding Vulnerable Group Act 2006).
Criteria for accreditation
2.3.4 Criminal Records Bureau (“CRB”)/Police Checks
has obtained enhanced CRB checks for all staff working directly with vulnerable service users
has obtained standard CRB checks for all other staff including Board Members, Managers who have contact with or access to personal information on vulnerable service users
It is a condition of continuing accreditation that all checks are updated every 3 years.
Criteria for accreditation
2.3.5 Financial Viability All applicant bodies must be able to demonstrate
their financial viability and fundability (SP teams have an updated Cost Calculation
document which provides guidance).
Criteria for accreditation
2.3.6 Other Criteria accredited support providers must adopt and
implement acceptable policies and procedures across various activities, which must include policies on: equal opportunities service user participation access to the service staff training/ development protection of vulnerable adults health and safety policy
Outcomes
WG has decided that it will be mandatory from April 2012 for all SP schemes to implement a means by which support provided can be measured-’outcomes’.
1. Outcomes spreadsheet-following on from pilot 2009.
2. Outcomes measurement.-working tool
1. Outcomes spreadsheet
In 2009 SPIN (Supporting People Information Network) agreed to develop an Outcomes Framework to try to evidence:
Achievements Best practice Value for money of the Supporting
People Programme across Wales.
Outcomes Spreadsheet -cont’d
Intended that the framework would be used across Wales by all Providers & Local Authorities to: Encourage consistent data collection Evidence SP success Reduce the number of varying & burdensome
collection tools used by the 22 LA’s Reduce the frustrations of providers who are
sometimes providing multiple sets of information to their commissioner
This is still being worked on
Outcomes Spreadsheet -cont’d
Excel spreadsheet utilised & collected at a local level:
Exit Questionnaire for individual service user
Data Collection spreadsheet-Collate all service user information per scheme-still not quite completed. Exit questionnaire overleaf
2. Outcomes Measurement most methodology is based on the
‘Outcomes Star’ recovery model. Supporting people requirements: All service users must have their needs/risks
formally assessed All service user must have an Individual Support
Plan (ISP) identifying clear goals All SWs should be able to understand the
assessment and review process. All files must show what steps have been made
towards achieving those goals
Legislation
Safeguarding Vulnerable Groups Act 2006 Housing Legislation 1996 WAG Improving Lives in the Community: Homes in
Wales 2010. National Service Framework 2005. Health, social Care and Wellbeing Strategy 2008/11 Carers(Equal Opportunities) Act 2004. National Occupational Standards 2002. Code of
Practice Fundamentals of Care-2003 (Essence of Care 2001
DOH)
Methodology
Shows the continuous process Commences with referral -right through to exit New documents should detail the assessment
process-SU’s identification of needs-risk assessment- summary of the ISP
Methods for monitoring/reviewing
Methodology Cont’d
The process should enable SUs to recognise where they are, where they would like to be and what steps they need to take to get there. Control/empowerment
It should be designed to assess the changes that SU is making in their attitudes and behaviour which will move them towards being able to live more independently.
Communication
Waged/unwaged work
leisure
cook
Manage home environment Your home
Sample of medium of communication
Outcomes-Journey of Change The journey is from the SU’s first assessment
through to independent living (hopefully!) and everything in between!
Methodology outlines key steps - each step depicts a transition (outcomes) from dependence towards independence.
It should show where a SU is on their journey, what support they need, and to measure this at various points during their support
Workshop-this can be arranged with the SP team.
OS LADDER
The ladders and detailed scales For each outcome area measured by the Star
there is a brief description of the behaviour and attitudes expected at each scale point. For example, below is the Self care and living skills ladder from the Outcomes Star™ for homelessness
Outcomes-Finally Hoped that the framework –when completed-will
be instrumental in demonstrating the SP programmes effectiveness It is intended to provide some awareness sessions of its use.
Its contribution to a number of different national agendas
And most importantly….will allow staff to focus on positive work that they are already doing with service users, highlighting their strengths, & the excellent outcomes that they are achieving
Commissioning and Framework
Shelly Jones
Commissioning
What is Commissioning? What is Procurement? Collaborative Approach
Strategic themesTeams/providers/services usersBoundaries
Options for Securing Services Restricted Tender
Two Stages Selection and Award Open Tender
One Stage Competitive Dialogue
Two Stage Framework
Two Stage
Commissioning since 2009
Restricted TendersMotivational Cleaning Service (2009)Older People FS (2010)Young and Vulnerable FS (2010)People with Sensory Impairment FS (2010)
Service Level/Partnership Agreements Service Specifications updated
Contract types
Block Subsidy Tariff Cost volume
Centralising referrals and use of Sprint
Tiffeny Davies
Housing Related Support Promoting Independence and Control
Help to set up & maintain a home Help to access services, support & social networks Help to access education, volunteering, training &
employment Help to claim benefits/maximise income Help with budgeting/managing money Emotional support/good neighbour role Help to increase independence Help with practical living & parenting skills Help to prevent homelessness
Housing Related Support Promoting Personal and Community
SafetyHelp to access services, support & social
networks Help with personal/community safety &
security Emotional support/good neighbour role Help to increase independence
Housing Related Support Promoting Health & Wellbeing
Help to access services, support & social networks
Help to access education, volunteering, training & employment
Help with personal/community safety & security
Emotional support/good neighbour role NOT A CARE SERVICE
Housing Related Support Promoting Economic Progress and
Financial ControlHelp to access education, volunteering,
training & employment Help to claim benefits/maximise incomeHelp with budgeting/managing money
Why Centralise Referrals? Streamline the management of referrals One central point of contact Initial risk assessments Ensure appropriateness of referrals Prioritise those with the greatest need Help reduce providers’ initial workload
Current Position SPT are currently taking all referrals for
GwaliaSolasReach GenericReach Older Persons’ (Via Age Concern)Domestics
Referrals Floating Support 2009-10 and 2010-11 and 2011-12
4
10
1416
18 1922
38
4343
34
27
46
40
47
30
34
24
54
63
44
50
82
69
6159
6562
6
53
0
10
20
30
40
50
60
70
80
90
Nu
mb
er
of
Ref
err
als
2009-10
2010-11
2011-12
Introduction of Sprint Waiting Lists Risk and Needs Assessments Support Planning Improved communication (referrals /
schedules etc) Access to R&M information Data Protection
Governance
Malcolm Topping
Governance
The way in which a organisation takes decisions and allocates resources
Sometimes our services are not the most popular!
Governance
Need to demonstrate improved transparency and inclusiveness
Establishment of a National SP Advisory Group
Establishment of six Regional Collaborative Committees (RCC) – Gwent
Retention of improved Local Supporting People Planning Groups
National Advisory Group
Chaired by Huw Lewis – Housing and regeneration
Membership Roles and responsibilities
Regional Governance
Chaired by Local Authority Rep Membership Roles and responsibilities
National Advisory
Board
Welsh
Government
Regional Collaborative Committee
LA representatives
(e.g. 5 in Gwent)
Health
Probation
Short term services
Provider reps
Long term services
CHC
Co-opted members
Regional collaborative arrangements
ServiceUsers
LA Chairs of local Planning
Groups
Providers + Service users
RSLs + tenants/residents
SP Managers
LA members (Cabinet/scrutiny)
Regional DevelopmentOfficer
LocalGovernanceArrangements
What the Regional Collaborative Committee does
Responsibility for maintaining oversight of regional and local delivery against national Supporting People Programme, Grant Conditions and Guidance.
To agree local and regional spend against agreed priorities
Ensure systems are in place for the appropriate monitoring of SP spend including for timely identification and reporting of underspend
Maintain an overview and receive reports on regional and local compliance with regulation, grant conditions, policy and legislation
Local Governance
Arrangements
Community Safety
Partnership
Caerphilly Homeless
Forum
Health Social Care and Well
Being Partnership
Caerphilly Voluntary Sector
Committee
Children’s and Young Peoples
PartnershipCaerphilly
Supporting People Planning Group
Regional Collaborative Committee
Where do SP Services fit into corporate Strategies?
HSCWB CYPP Community Safety
Homelessness
Older People FS
Vulnerable Families FS
DA Refuges Homeless Hostel
Mental Health FS+Acc
Young Person FS
Substance Misuse services
Homeless FS
Learning Disability FS+ Acc
Mediation Ex Offender Services
Sheltered Housing
Anti social behaviour Services
Telecare
Physical Disability FS
What the Local Planning Group does
Determines local commissioning priorities for Caerphilly and assist RCC in regional prioritisation
Oversee performance of the Supporting People team
Approve reports to RCC
How much do we fund?Supporting People Funding to Partnerships
HSCWB63%
Homelessness14%
Community Safety
9%
CYPP14%
HSCWB
CYPP
Community Safety
Homelessness
Total £6,217,814
How can you feed in to the governance process?
Caerphilly Provider Forum Voluntary Representative on Caerphilly
Supporting People Planning Group Caerphilly Homeless Forum
Eligibility and Monitoring
Edwin Yhap
Eligibility Based on the Gwent Supporting People
allowable activities and definitions of Housing Related Support (HRS) (8/12/07)
Why is a definition needed?To assist providers, service users and referrers
to understand the purpose, function, and boundaries of HRS.
Eligibility Interpretation of support
The document is task based criteria only, and it is recognised that outcome measurements and monitoring will be key to evidencing the strategic relevance of SP services.
Mandatory service aimsProvision of services need to reflect these and
options under SP funding.
Eligibility Integrated model of service provision The need to be creative, flexible, innovative
and integrated with primary care services. It is not a ‘stand alone service’ Length of time service should be
provided
Monitoring Arrangements Compliancy SP service aims Legislative framework-housing, Equalities,
Safeguarding, fit for purpose Financial viability Welsh Government expectations Support ‘Fulfilling the promise’
Monitoring Training Engaging with Service users Networking Sharing good practice. GNME Service development
Future Scheme Proposals
Shelly Jones
Needs Gathering information
GNME WHO12 Welsh Data Unit Daffodil – care needs projection system Social Care (SWIFT) Health commissioners Providers
Strategic Priorities
Strategic Overview Identify Local Needs Remodelling of existing schemes Decommissioning of existing schemes Commissioning of new projects –
Accommodation and floating support
Young People
EXISTING Floating Support Supported Accom. -
16 units SAFE Project - 7 units Young Mums Project
2 units Mediation Service B&B’s
PLANNED Countryman 14
units Sergeants 5
units George Street 8
units (Regional)
Homelessness
EXISTING Hostel – 8 units Floating Support B&B’s Complex Needs
Refuge - regional
PLANNED Short term
Emergency Family Accommodation –12 units
Hostel – 10 units
Potential Commissioning Priorities
7/8 bed MH supported accommodation – location unspecified
7 move on bed sits for young people – Bargoed
Remodelling of ‘in house’ sheltered services
Expanding older persons and homeless floating support services
Expanding young mums project
THANK YOUSUPPORTING PEOPLE TEAM CONTACT DETAILS 01443 864548 [email protected] WWW.CAERPHILLY.GOV.UK/SUPPORTINGPEOPLE
Any
questions?