Adult Social Care - Key information in public interest

The request was successful.

Dear Derbyshire County Council,

1. How much was spent in total in adult social care in the financial year 2010-2011, 2011-12 and 2012-13?

2. Please provide a breakdown of the adult social care spending 2012-13 by locality and by service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Locality spending will be available as each team utilises a different budget code.

3. Please provide a copy (Word document if possible) of the adult social care assessment and care/support plan (general/older people applicable if multiple types of assessment available) currently in use.

4. Please provide a breakdown of the resource allocation (RAS) questions used to determine the indicative personal budget for an adult being assessed in social care (if different RAS calculators in use please provide the answers applicable to older people).

5. Please specify the number of points per RAS question and option.

6. Please specify the monetary value (£) of each RAS point. It is in the public interest to disclose these details as it directly affects the general public and is a foundation of local government's willingness to be open and accountable.

7. Please state the local authority's current eligibility level (moderate, substantial or critical) for adult social care. Has this changed since April 2010? If so - how?

8. Please state any policy conditions or alterations to the national eligibility framework when applied to adult social care (e.g. whether the eligibility is met in a global way or identified per area of care such as personal care, domestic routines, transport, carers needs, health deterioration and abuse/neglect).

9. Please state the funding bands and monetary value (£) of each band for residential and nursing placements for each service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Has this changed since April 2010? If so - how?

10. Please state the standard funding rate (£) of each band for day services (also known as day care) for each service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Has this changed since April 2010? If so - how?

11. Please state the standard funding rate (£) of each band for domiciliary care services (also known as home care) for each service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Has this changed since April 2010? If so - how?

12. Does the local authority operate funding panels (also known as scrutiny, risk and validation panels) for the approval of adult social care funding requests by social workers and associated social care workers? How often do these meet? Who sits on these panels (mix of professionals and seniority)? Do they only deal with specific types of requests (e.g. residential and nursing placements only)? If there is no panel who approves funding requests? If the panel does not approval all funding requests (e.g. only placements) who approves the other requests?

13. Does adult social care operate an electronic social care record (ESCR) system such as carefirst or AIS? What system(s) is in use? Does the local authority maintain paper files for adult social care service users in addition to the electronic system? Are there any plans to change this system before May 2015? If so to what system and at what estimated cost?

14. How many qualified adult social care staff are currently in post (please provide all figures as full time equivalents FTE if possible)? What changes have occurred in the number of adult social care social workers since April 2010? If this precise information is not available please give an indication of the changes in the adult social care workforce in an appropriate period which is available. Are any changes planned or in progress regarding the number of qualified adult social care front line staff - if so, what?

15. How many non-qualified adult social care staff are currently in post (please provide all figures as full time equivalents FTE if possible)? What changes have occurred in the number of adult social care non-qualified front line staff (assistant social workers, community care officers, social care facilitators) since April 2010? If this precise information is not available please give an indication of the changes in the adult social care workforce in an appropriate period which is available. Are any changes planned or in progress regarding the number of non-qualified adult social care front line staff - if so, what?

16. What percentage of older people service users currently have a personal budget (indicative amount)?

17. What percentage of older people service users currently have a direct payment (also known as cash budget or self-managed budget)?

18. What service/support does the local authority provide to assist people with direct payments to effectively manage their budget (e.g. is an external organisation contracted to provide managed accounts? If so - who and at what annual cost?)

19. How many referrals for older people are currently pending (not yet allocated to a front line worker to carry out an assessment in the next few weeks)? This information will be available as each local authority maintains a waiting list (by whatever name) in order that pending referrals are not lost. As this changes on a daily basis this can be provided as a reliable estimate or snap shot.

20. How many adult social care assessments and reviews were completed in 2012? This figure should be available as each intervention will be recorded on the central reporting system with an outcome for audit purposes. If possible please provide a breakdown according to service user group.

21. What was the total local authority budget for 2010-11? What percentage of the budget was allocated for adult social care?

22. What is the total local authority budget for 2013-14? What percentage of the budget has been allocated for adult social care?

Yours faithfully,

M Jones

Contact Centre (Chief Executives), Derbyshire County Council

Dear M Jones,

Thank you for contacting Derbyshire County Council.

I have forwarded your email to our Freedom of Information Department for reply.

Regards,

Tracey Thompson
Customer Care Assistant
Call Derbyshire
Derbyshire County Council
08456 058 058
01629 533190

Please address all replies to [Derbyshire County Council request email]

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Access2info (Corporate Resources), Derbyshire County Council

Dear M Jones

I refer to your request for information received on the 20th May 2013.

We will be dealing with your request under the Freedom of Information Act 2000. In accordance with the legislation, the deadline for responding is 20 working days from receipt of the request, this being the 19th June 2013. However, we shall endeavour to deal with your request promptly, and if possible before this date.

Yours sincerely

Lucie Collard
Access to Information Solicitor

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Brailsford,Neil (Adult Care), Derbyshire County Council

4 Attachments

Dear Mr Jones,

 

Thank you for your request dated 19^th May 2013.

 

I can confirm that we hold the requested information.

 

Your enquiry was as follows:

 

     Dear Derbyshire County Council,

    

     1. How much was spent in total in adult social care in the

     financial year 2010-2011, 2011-12 and 2012-13?

    

     2. Please provide a breakdown of the adult social care spending

     2012-13 by locality and by service user group (physical disability,

     learning disability, older people, sensory, mental health, other if

     applicable - please specify). Locality spending will be available

     as each team utilises a different budget code.

    

     3. Please provide a copy (Word document if possible) of the adult

     social care assessment and care/support plan (general/older people

     applicable if multiple types of assessment available) currently in

     use.

    

     4. Please provide a breakdown of the resource allocation (RAS)

     questions used to determine the indicative personal budget for an

     adult being assessed in social care (if different RAS calculators

     in use please provide the answers applicable to older people).

    

     5. Please specify the number of points per RAS question and option.

    

     6. Please specify the monetary value (£) of each RAS point. It is

     in the public interest to disclose these details as it directly

     affects the general public and is a foundation of local

     government's willingness to be open and accountable.

    

     7. Please state the local authority's current eligibility level

     (moderate, substantial or critical) for adult social care. Has this

     changed since April 2010? If so - how?

    

     8. Please state any policy conditions or alterations to the

     national eligibility framework when applied to adult social care

     (e.g. whether the eligibility is met in a global way or identified

     per area of care such as personal care, domestic routines,

    transport, carers needs, health deterioration and abuse/neglect).

    

     9. Please state the funding bands and monetary value (£) of each

     band for residential and nursing placements for each service user

     group (physical disability, learning disability, older people,

     sensory, mental health, other if applicable - please specify). Has

     this changed since April 2010? If so - how?

    

     10. Please state the standard funding rate (£) of each band for day

     services (also known as day care) for each service user group

     (physical disability, learning disability, older people, sensory,

     mental health, other if applicable - please specify). Has this

     changed since April 2010? If so - how?

    

     11. Please state the standard funding rate (£) of each band for

     domiciliary care services (also known as home care) for each

     service user group (physical disability, learning disability, older

     people, sensory, mental health, other if applicable - please

     specify). Has this changed since April 2010? If so - how?

    

     12. Does the local authority operate funding panels (also known as

     scrutiny, risk and validation panels) for the approval of adult

     social care funding requests by social workers and associated

     social care workers? How often do these meet? Who sits on these

     panels (mix of professionals and seniority)? Do they only deal with

     specific types of requests (e.g. residential and nursing placements

     only)? If there is no panel who approves funding requests? If the

     panel does not approval all funding requests (e.g. only placements)

     who approves the other requests?

    

     13. Does adult social care operate an electronic social care record

     (ESCR) system such as carefirst or AIS? What system(s) is in use?

     Does the local authority maintain paper files for adult social care

     service users in addition to the electronic system? Are there any

     plans to change this system before May 2015? If so to what system

     and at what estimated cost?

    

     14. How many qualified adult social care staff are currently in

     post (please provide all figures as full time equivalents FTE if

     possible)? What changes have occurred in the number of adult social

     care social workers since April 2010? If this precise information

     is not available please give an indication of the changes in the

     adult social care workforce in an appropriate period which is

     available. Are any changes planned or in progress regarding the

     number of qualified adult social care front line staff - if so,

     what?

    

     15. How many non-qualified adult social care staff are currently in

     post (please provide all figures as full time equivalents FTE if

     possible)? What changes have occurred in the number of adult social

     care non-qualified front line staff (assistant social workers,

     community care officers, social care facilitators) since April

     2010? If this precise information is not available please give an

     indication of the changes in the adult social care workforce in an

     appropriate period which is available. Are any changes planned or

     in progress regarding the number of non-qualified adult social care

     front line staff - if so, what?

    

     16. What percentage of older people service users currently have a

     personal budget (indicative amount)?

    

     17. What percentage of older people service users currently have a

     direct payment (also known as cash budget or self-managed budget)?

    

     18. What service/support does the local authority provide to assist

     people with direct payments to effectively manage their budget

     (e.g. is an external organisation contracted to provide managed

     accounts? If so - who and at what annual cost?)

    

     19. How many referrals for older people are currently pending (not

     yet allocated to a front line worker to carry out an assessment in

     the next few weeks)? This information will be available as each

     local authority maintains a waiting list (by whatever name) in

     order that pending referrals are not lost. As this changes on a

     daily basis this can be provided as a reliable estimate or snap

     shot.

    

     20. How many adult social care assessments and reviews were

     completed in 2012? This figure should be available as each

     intervention will be recorded on the central reporting system with

     an outcome for audit purposes. If possible please provide a

     breakdown according to service user group.

    

     21. What was the total local authority budget for 2010-11? What

     percentage of the budget was allocated for adult social care?

     

     22. What is the total local authority budget for 2013-14? What

     percentage of the budget has been allocated for adult social care?

    

     Yours faithfully,

    

     M Jones

 

Please see our attached response below –

 

For questions 1, 2, 9, 10, 11, 21 & 22 please see attached document named
M Jones.

 

For questions 14 and 15 please see attached document named Workforce data.

 

For all other questions please see attached document named Detailed
Summary of the Derbyshire FACE RAS, the document named MIT Response – M
Jones and the text below.

 

The assessment of adult social care needs in Derbyshire is based on an
approach developed over the past 5 years working with FACE Recording &
Measurement Systems Ltd. Derbyshire Adult Care uses assessment tools and
documentation developed with FACE and the FACE Resource Allocation System.
In most cases funding required to meet assessed eligible adult social care
needs is automatically calculated by the FACE RAS. Decisions are confirmed
at different levels of delegation depending on the level of expenditure or
complexity of care involved and the level of experience and training of
the staff concerned.

 

Derbyshire Adult Care does not use funding panels. Some cases may be
referred for Senior Practitioner Social Worker/OT or team review where the
circumstances require careful consideration and professional judgment. The
operating approach is geared to supporting timely decision making as close
as possible to the person concerned, based on assessments of eligible care
needs conducted by competent, confident and respected Social Workers and
community social work teams.

 

The department backs this approach by an  overall Quality Assurance (QA)
framework for self-directed support. This is based on the analysis of a
range of indicators including data on activity, complaints/compliments,
study of sample assessments and care/support plans. Feedback is also
obtained from a reference group of staff who work with the assessment
tools and system and from the Stakeholder Engagement Board, a reference
group for the department, which brings together a cross section of people
and groups who have experience of the department’s services.

 

I hope this now satisfies your request. Please do not hesitate to contact
me if I can assist you further.

 

However should you wish the outcome to be reviewed, please follow the
procedure as set out below:-

 

If you wish to challenge this decision further, please send your comments
to:

 

Stage 1

 

Lucie Collard

Legal Services

Derbyshire County Council

County Hall

Matlock

DE4 3AG

01629 538373

[1][email address]

 

Stage 2

 

After completing the above procedure, if you wish to challenge the
decision further, then you have a right to contact the Information
Commissioner’s Office as follows:

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

Tel: 0303 123 1113/Fax: 01625 524510

[2]www.ico.org.uk/complaints.aspx

 

Regards,

 

 

Neil Brailsford

Data & Information Manager

Adult Care Department

 

Derbyshire County Council | County Hall | Matlock | DE4 3AG

Tel: 01629 539890 | Ext: 39890 | Email: [email address]

 

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this email?

Derbyshire County Council works to improve the lives of local people by
delivering high quality services. You can find out more about us by
visiting 'www.derbyshire.gov.uk'. If you want to work for us go to our job
pages on 'www.derbyshire.gov.uk/jobs'. You can register for e-mail alerts,
download job packs and apply on-line.

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References

Visible links
1. mailto:[email address]
2. http://www.ico.org.uk/complaints.aspx

Dear Brailsford,Neil (Adult Care),

Thank you for your comprehensive and informative reply.

I could not identify the response to question 3 (a copy of the adult assessment/support plan documents).

In order to conclude this information request I would be greatful if a blank/exemplar word or pdf copy of these documents could be provided as an attachment to your reply as other local authorities have done.

Thank you for your assistance.

Yours sincerely,

M Jones

Brailsford,Neil (Adult Care), Derbyshire County Council

7 Attachments

Dear Mr Jones,

 

     Your question –

 

3. Please provide a copy (Word document if possible) of the adult

 

     social care assessment and care/support plan (general/older people

 

     applicable if multiple types of assessment available) currently in

 

     use.

 

 

Our response - Please find attached and apologies for the omission of this
information from our original response.

 

·        Initial Contact Assessment - Adult Contact Plus (informs the
section 47 decision)

·        Further Assessment

a.      B-Summary of Needs and Outcomes Non IB (more in depth assessment
for a residential or nursing placement – also forms a section 47
assessment)

b.      BD -Summary of Needs and Outcomes with IB (more in depth
assessment for a personal budget – also forms a section 47 assessment)

c.      BE -Summary of Needs and Outcomes complex IB (more in depth
assessment for a personal budget – also forms a section 47 assessment) has
a few more hidden questions to help the assessor derive a fuller picture
but visually appears identical to BD form changing shortly to show the
additional questions to the client

·        Support Plan

a.      My Support Plan Non PB (for residential / nursing placements)

b.      My Support Plan (for personal budgets)

c.      My Personal Budget Details and Timetable of Care (supplement to My
Support Plan – details the financial arrangements)

 

 

Please note we are unable to provide these documents in word format.

 

Regards,  

 

Neil Brailsford

Data & Information Manager

Adult Care Department

 

Derbyshire County Council | County Hall | Matlock | DE4 3AG

Tel: 01629 539890 | Ext: 39890 | Email: [email address]

 

 

 

Think before you print! Save energy and paper. Do you really need to print
this email?

Derbyshire County Council works to improve the lives of local people by
delivering high quality services. You can find out more about us by
visiting 'www.derbyshire.gov.uk'. If you want to work for us go to our job
pages on 'www.derbyshire.gov.uk/jobs'. You can register for e-mail alerts,
download job packs and apply on-line.

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