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Kent county council adult social care

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Claire Thornton

Dear Kent County Council,

Please can you enclose a list of in house provisions used to support physically disabled people and their carers and the percentage of the total expenditure for in house provisions they recieve.

Please can you enclose a list of provisions for meeting the needs of carers who have completed a carers assessment both in house and direct payments. What is the total expenditure for meeting the needs assessed in individual carers assessments and how is it allocated?

What is the average, maximum and minimum spend , per carer, per year
What is the average, maximum and minimum spend, per disabled person in their own home per person per year
What is the average, maximum and minimum spend, per disabled person in residential care, per person per year.

What is the maximum number of hours support recieved by kcc for physically disabled people living in their own homes ?

How many calls per day are offered to continent people who cannot use a toilet unassisted.

What is the minimum number of times per day that a disabled person should have access to a toilet?

Is it acceptable for a carer to make a disabled person wait to use a toilet? If so, how long?

Please can you provide a current list of criteria for direct payments, how they are allocated, how they can be spent and how service users are informed of the permitted uses
Please can you also provide this information as it was in 2007/08 and 2011/12.

in what circumstances can social services insist that an adult physically disabled person with mental capacity is cared for in a residential home against the persons will? And against their main carers will?

What in house provisions are used to meet the needs of those with physical disabilities for
1) respite
2) domicillary care
3) daycare
4) carer breaks

How do you ensure that disabled people have a choice over the care they recieve and by whom?
When do you consult with service users and their carers in order to ensure that the services meet their needs?

 

Information request
Our reference: 7328669

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Dear Ms Thornton
 
Freedom of Information Act 2000
 
Thank you for your email which we received on 3 July 2019.
 
Kent County Council acknowledges your request for information under 
the Freedom of Information Act 2000.  Assuming KCC holds this information,
we will endeavour to supply the data to you as soon as possible but no
later than 31 July 2019 (20 working days from date of receipt).
 
We will advise you as soon as possible if we do not hold this information
or if there are exemptions to be considered and/or any costs for providing
the information.
 
Please quote our reference - 7328669 in any communication regarding this
particular request.
 

Please see our [1]Information Rights Privacy Notice for details of how we
process your personal data.

 
Yours sincerely
 
 
Kelly Leeson
Strategic and Corporate Services
 
NOTE: Please do not edit the subject line when replying to this email.

References

Visible links
1. https://www.kent.gov.uk/about-the-counci...

Dear Kent County Council,
I have not recieved a response despite the 20 working day timescale having passed.
Please can you advise when I can expect a response, otherwise I will refer the matter to the information commissioner

Yours sincerely,
Claire Thornton

Kent County Council

1 Attachment

Dear Ms Thornton

 

Thank you for your request for information made under the Freedom of
Information Act (FOIA) 2000, relating to Adult Social Care. I am pleased
to provide the response below:

 

 

 1. Please can you enclose a list of in house provisions used to support
physically disabled people and their carers and the percentage of the
total expenditure for in house provisions they received – Please see
the attached.

 

 2. Please can you enclose a list of provisions for meeting the needs of
carers who have completed a carers assessment both in house and direct
payments. What is the total expenditure for meeting the needs assessed
in individual carers assessments and how is it allocated? Finance?

 

Services Apr-16 Apr-17 Apr-18 Apr-19
Adult Placement Scheme £75,649.73 £77,983.54 £163,578.75 £39,764.88
Residential - £769,416.34 £1,102,177.95 £1,197,350.11 £360,259.15
Non-Permanent
Direct Payment £236,302.33 £292,352.68 £347,719.26 £70,556.80
Nursing – Non £5,303.35 £165,623,95 £117,678.47 £27,558.00
Permanent
Other Community Care £1.53 £1.56 £0.03 £0.00

 

 

 3. What is the average, maximum and minimum spend , per carer, per year
What is the average, maximum and minimum spend, per disabled person in
their own home per person per year What is the average, maximum and
minimum spend, per disabled person in residential care, per person per
year.

KCC does not provide minimum costs as there could be an element of joint
funding with the NHS and in order to identify the true lowest cost would
certainly exceed the appropriate limit of £450 (18 hours @ £25 per hour),
so under section 12 of the Freedom of Information Act, we are not obliged
to deal with this element of your request.

 

  Apr-16 Apr-17 Apr-18 Apr-19
Carer – Average £9,723.72 £11,894.74 £13,787.53 £5,772.86
Carer – Maximum £111,592.81 £121,354.68 £135,779.76 £58,761.15
PD Community - Average £8,354.80 £9,042.51 £9,945.24 £3,705.95
PD Community – Maximum £171,217.38 £179,541.56 £188,990.67 £59,796.39
PD Residential - Average £38,700.21 £39,485.91 £41,794.85 £14,169.95
PD Residential - Maximum £119,600.00 £186,888.00 £147,914.36 £36,903.20

 

 

 

 4. What is the maximum number of hours support recieved by kcc for
physically disabled people living in their own homes ?  

 

  Apr-16 Apr-17 Apr-18 Apr-19
PD Domiciliary Maximum 188 169 106 115.5

 

Please note that we were not able to go back 12/15 years as we do not hold
data for longer than the retention period of 7 years but also it would
take in excess of 18 hours allowed to go back further than April 2016
therefore under section 12 of the Freedom of Information Act, we are not
obliged to deal with this element of your request.

 

 

 5. How many calls per day are offered to continent people who cannot use
a toilet unassisted.

We do not hold this information. This will be based on individual need,
the assessment and what has been identified as a unmet need in the care
and support plan.

 

 

 6. What is the minimum number of times per day that a disabled person
should have access to a toilet?

It is not possible to answer this question, KCC does not provide a minimum
number of times a person should have access to the toilet.

 

 

 7. Is it acceptable for a carer to make a disabled person wait to use a
toilet? If so, how long?

Opinions are outside the scope of the Freedom of Information Act 2000
unless they have been recorded and there is no way of identifying if this
is held anywhere.

 

 

 8. Please can you provide a current list of criteria for direct payments,
how they are allocated, how they can be spent and how service users
are informed of the permitted uses Please can you also provide this
information as it was in 2007/08 and 2011/12.

Anyone who meets KCC eligibility criteria and has been assessed as having
an unmet need can have a Direct Payment if they choose. People who do not
have capacity can have a Direct Payment as long as they have an agreed
authorised person. Those who can manage a Direct payment but need help in
certain areas can do so with support of an agreed nominated person.

The Direct Payment must be spent on what’s been agreed in the Care and
Support Plan. The individual can either buy what they need to meet their
un- met need or employ their own staff. The County Council does not
provide a list of services as the individual is in control. The County
Council does monitor spend to ensure care needs are met. A Direct Payment
can be used for respite care but it cannot be used for permanent
residential/nursing care.

This was the same in 2007/08 and 2011/12

 

 

 9. in what circumstances can social services insist that an adult
physically disabled person with mental capacity is cared for in a
residential home against the persons will? And against their main
carers will?

It is not legal to detain a disabled person with capacity against their
will in a residential home.

 

What in house provisions are used to meet the needs of those with physical
disabilities for

 1. respite

There are three flats available at Broadmeadow and placements in
Meadowside.

KCC also have block beds with two external providers.

 

 2. domicillary care

KCC offers in-house enablement services for those who need short term care
to facilitate speedy hospital discharge or prevent hospital admission.
Enablement works to support the individual gain confidence and reach their
full potential. The Council commissions with a range of external providers
to provide Care in the Home on its behalf.

 

 3. Daycare

Some individuals use their Direct Payment to purchase this type of service
or use the money more creatively to meet their un met need.

 

 4. carer breaks

Carers breaks can be available and needs based on the assessment of un-met
need for the cared for and the carers assessment. They can be a mix of
services depending on need.

 

10. How do you ensure that disabled people have a choice over the care
they receive and by whom? When do you consult with service users and
their carers in order to ensure that the services meet their needs?

KCC engage with disabled people and their carers during assessment and
review. Any service change requires formal consultation.

 

If you are unhappy with this response, and believe KCC has not complied
with legislation, you have 40 working days from the date of this response
to ask for a review. You can do this by following our complaints process;
details can be found at this link
[1]https://www.kent.gov.uk/about-the-counci...
on our website. Please quote reference 7328669.

 

If you remain dissatisfied following an internal review, you can appeal to
the Information Commissioner, who oversees compliance with the Freedom of
Information Act 2000. Details of what you need to do, should you wish to
pursue this course of action, are available from the Information
Commissioner’s website [2]http://ico.org.uk/concerns

 

Yours sincerely

 

Kirsty-Leigh Robertson| Information Access Officer  | Information
Resilience & Transparency Team | Room 2.87, Sessions House, Maidstone |
Tel 03000 418301 | Fax 03000 420303 |
[3]http://www.kent.gov.uk/about-the-council...

 

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We don't know whether the most recent response to this request contains information or not – if you are Claire Thornton please sign in and let everyone know.