Greenwich Local Statistics

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Dear Greenwich Borough Council,

Processes within the commissioning team:
1. Can you explain your commissioning process for private residential adult with learning disabilities care providers?
2. Do you operate an approved provider’s list of private residential care providers?
3. If so, how many providers are currently on this list?
4. Is the list closed, and if yes for how long?
5. Do you operate competitive tendering when introducing new organisations in the council’s procurement?
6. How can a private residential care home provider approach the council when wishing to introduce their service?
7. Who should be approached within the council to discuss referrals, rates, and commissioning?
8. Once a service is established how is this service promoted in the council?
Current services in place:
9. How many Adults with learning difficulties care homes does the council operate?
10. How many Adults with learning difficulties are placed in care homes that you operate?
11. How many Adults with learning difficulties are placed with private residential care providers?
12. What is the average weekly cost of placing an adult with learning disabilities in a care home you operate?
13. What is the average weekly cost of placing an adult with learning disabilities in a private care home including lowest and highest amount based on their needs?
14. What is the average size of the care homes you place adults with learning disabilities in (i.e. how many adults can they accommodate)?
15. What is the average distance adults with learning disabilities are a placed from their home?
16. Do you make more referrals to short stay residential placements or long-term residential placements for adults with learning disabilities?
17. When an adult with learning disabilities is referred do we have a contract for a set period of time?
18. How much do you charge private care homes per adult with learning disabilities for emergency referrals (maximum and minimum prices) and how much notice is the home given before an adult is placed?
19. Is there more of a need for more short-term placements or long-term placements for adults with learning disabilities?
20. What is the process for local authorities when making a referral to a private care home?
21. Do local authorities negotiate or have set rate or prices based on an adult's with learning disabilities needs?
22. Do rates vary depending on need/ behavioural problems?
23. Once established as a provider how will the organisation be promoted within the council?
24 What are the areas that local authorities feel need more service provision in?
25. What other services in the council refer adults with learning disabilities to homes?
26. How long do adults with learning disabilities stay in emergency short stay placements on average?

Yours faithfully,

Everton Wynter

foi, Greenwich Borough Council

Dear Mr Wynter

Freedom of Information/Environmental Information Regulations request: FOI-9915

Thank you for your request dated 02 December 2017

Your request will be answered by 04 January 2018

If you have any queries about this request, please contact me, quoting the reference number above.

Yours sincerely,

Jackie Jago
Head of Corporate Services
Corporate Services
Directorate of Central Services
Royal Borough of Greenwich

020 8921 5044
 Room 20 Basement The Town Hall, Wellington Street, London SE18 6PW
www.royalgreenwich.gov.uk

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foi, Greenwich Borough Council

Dear Mr Wynter

Freedom of Information/Environmental Information Regulations request: FOI-9915

Thank you for your request dated 2nd December 2017.

Our response is as follows:

1.Can you explain your commissioning process for private residential adult with learning disabilities care providers? Services are procured either through open tender - for block contracts - or through spot purchase arrangements for individual service
2.Do you operate an approved provider’s list of private residential care providers? No
3. If so, how many providers are currently on this list? n/a
4. Is the list closed, and if yes for how long? n/a
5. Do you operate competitive tendering when introducing new organisations in the council’s procurement? Only for block contracts

6. How can a private residential care home provider approach the council when wishing to introduce their service? Contact via email commissioning-quality @royalgreenwich.gov.uk. Greenwich Providers can submit their details to the Greenwich Community Directory after self-registration. https://www.greenwichcommunitydirectory....

7. Who should be approached within the council to discuss referrals, rates, and commissioning? Potential providers may request a meeting with learning disability commissioners but, (for spot purchases) referrals are made by brokers based on the needs of the individual and their stated outcomes. Similarly rates will be negotiated with providers based on the needs of the individual and the providers ability to support them achieve their stated outcomes.

8. Once a service is established how is this service promoted in the council? Brokers will search for local services using our community directory, the CQC and other resources in order to identify services that best meet the assessed needs of the service user and their stated outcomes. A placement panel meets every two weeks to consider their recommendations.

Current services in place:
9. How many Adults with learning difficulties care homes does the council operate? The Council directly manages five care homes and four supported living services. In addition the Council directly manages the local Shared Lives service.

10. How many Adults with learning difficulties are placed in care homes that you operate? 42. Number in residential homes: 30. Number in supported living: 12

11. How many Adults with learning difficulties are placed with private residential care providers? 251. Number in residential homes: 150. Number in supported living: 100. Number in nursing homes: 1.

12. What is the average weekly cost of placing an adult with learning disabilities in a care home you operate? £1,695.95

13. What is the average weekly cost of placing an adult with learning disabilities in a private care home including lowest and highest amount based on their needs? £1148.97
£386.04 (lowest)
£2,750.00 (highest)

14. What is the average size of the care homes you place adults with learning disabilities in (i.e. how many adults can they accommodate)? The Council currently uses services that vary in size, but it is our preference to place people in services of no more than six units

15. What is the average distance adults with learning disabilities are a placed from their home? This information is not held.

16. Do you make more referrals to short stay residential placements or long-term residential placements for adults with learning disabilities? The majority of people are placed in services that do not have a maximum length of stay.

17. When an adult with learning disabilities is referred do we have a contract for a set period of time? Block contracts are for set periods of time. Spot contracts are dependent on the needs of the individual, their stated preferences and the provider's performance and quality.

18. How much do you charge private care homes per adult with learning disabilities for emergency referrals (maximum and minimum prices) and how much notice is the home given before an adult is placed? It is assumed that the question means what is the Council prepared to pay providers for emergency placements. In general we will look to make temporary, emergency placements at our respite service or in directly managed services. If we do need to use an external service we will negotiate a price based on the person's assessed need. As far as possible in a crisis we will take into account the person's preferences but our primary concern is their health and well-being.

19. Is there more of a need for more short-term placements or long-term placements for adults with learning disabilities? The Council is currently assessing the range of provision that is required.

20. What is the process for local authorities when making a referral to a private care home? The allocated social worker or care manager makes a request to our Care Brokers, they in turn contact providers that i) have vacancies, ii) have the relevant expertise and iii) are able to meet the person's stated outcomes. Providers will be asked to detail how they would meet the person's assessed needs and stated preferences and to provide a cost for doing so.

21. Do local authorities negotiate or have set rate or prices based on an adult's with learning disabilities needs? The Council uses indicative figures (a ready reckoner) to determine a person's personal budget but, prices are agreed in negotiation with the provider following the process described in Q20.

22. Do rates vary depending on need/ behavioural problems? See above

23. Once established as a provider how will the organisation be promoted within the council? See Q8.

24 What are the areas that local authorities feel need more service provision in? The Council is currently engaged in the development of a housing strategy for people with a learning disability and is working on a delivery plan that will set out exactly what provision needs to be developed over the next five years. It is likely that more age appropriate accommodation (i.e. sheltered) is likely to be needed but we have not yet determined how much. The Council believes that it is over reliant on registered care and is aiming to develop more supported living services and reduce the number of care homes it uses.

25. What other services in the council refer adults with learning disabilities to homes? The local Clinical Commissioning Group is responsible for placing people assessed as eligible for Continuing Health Care. Typically they will use the Council's placement procedures but on occasion they will place directly.

26. How long do adults with learning disabilities stay in emergency short stay placements on average? 6 days (only 4 cases in the last couple of years).

If you have any queries about this correspondence, please contact me, quoting the reference number above.

If you are not satisfied with our response to your request, you can ask for an Internal Review. Internal review requests should be submitted within two months of the date of receipt of the response to your original request. If you wish to do this, please contact us, setting out why you are dissatisfied.

If you are not satisfied with the outcome of the Internal Review, you may apply directly to the Information Commissioner (ICO) for a decision. Generally, the ICO cannot make a decision unless you have exhausted the Internal Review procedure provided by the Council. You can contact the ICO by emailing [email address], or by post at Customer Contact, Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, SK9 5AF.

Yours sincerely,

Jackie Jago
Head of Corporate Services
Corporate Services
Directorate of Central Services
Royal Borough of Greenwich

020 8921 5044
 Room 20 Basement The Town Hall, Wellington Street, London SE18 6PW
www.royalgreenwich.gov.uk

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