Transcript Slide 1

Supporting People
Caerphilly Supporting People Team
Floating Support Forum
16th December 2011
Contents
Redistribution
and Handover - Mal
Accreditation & Outcomes - Edwin
Commissioning and Framework - Shelly
Centralising Referrals and Use of Sprint - Tiffeny
Break
Governance – Mal
Eligibility and Monitoring – Edwin
Future 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 Authority
Anglesey
Blaenau Gwent
Bridgend
Caerphilly
Cardiff
Carmarthenshire
Ceredigion
Conwy
Denbighshire
Flintshire
Gwynedd
Merthyr Tydfil
Monmouthshire
NPT
Newport
Pembrokeshire
Powys
RCT
Swansea
Torfaen
Vale of Glamorgan
Wrexham
TOTAL
TOTAL SP
BUDGET
3,464,611.10
1,882,292.36
5,893,979.47
5,955,533.19
20,231,179.64
6,453,672.65
4,760,942.71
8,847,073.33
7,183,353.02
7,537,058.37
6,849,455.04
1,400,195.03
1,785,937.11
4,591,769.04
4,327,768.84
2,216,323.21
6,468,384.12
9,410,301.26
15,153,078.34
3,810,930.92
4,021,776.81
6,711,728.78
138,957,344.34
Population
66,829.00
70,064.00
128,645.00
169,591.00
305,353.00
172,842.00
74,941.00
109,596.00
93,065.00
148,594.00
116,843.00
55,981.00
84,885.00
134,468.00
137,011.00
114,131.00
126354
231,946.00
223301
90949
119212
128476
Ranking
SP
Budget
per
Per unit person
population
19
15
1
2
20
21
18
13
£51.84
£26.86
£45.81
£35.11
£66.25
£37.33
£63.52
£80.72
£77.18
£50.72
£58.62
£25.01
£21.03
£34.14
£31.58
£19.41
£51.19
£40.57
£67.85
£41.90
£33.73
£52.24
Welsh
Indicators
Multiple
Deprivation
2
23.4
11
14.5
16
5.4
0
2.8
10
4.3
4
25
0.00
15.4
16.00
4.2
1.30
17.8
11.60
6.7
6.40
5.9
Ranking
2
7
6
17
1
5
4
3
Ranking
SP
Budget
per
Per unit person
population
Welsh
Indicators
Multiple
Deprivation
Local Authority
TOTAL SP
BUDGET
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
Population
Ranking
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
Homeless
13%
Vulnerable
Families
4%
Young People
10%
Older People
Older People
13%
Learning Dis
Phys Dis
Mental Health
Dom Abuse
Learning Dis
28%
Sub Misuse
3%
Offenders
Sub Misuse
Vulnerable Families
Offenders
0%
Dom Abuse
7%
Mental Health
8%
Phys Dis
14%
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?

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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

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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

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
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
themes
 Teams/providers/services users
 Boundaries
Options for Securing Services

Restricted Tender
 Two

Open Tender
 One

Stage
Competitive Dialogue
 Two

Stages Selection and Award
Stage
Framework
 Two
Stage
Commissioning since 2009

Restricted Tenders
 Motivational
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
Safety
Help
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
Help
Health & Wellbeing
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 Control
Help
to access education, volunteering,
training & employment
Help to claim benefits/maximise income
Help 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
Gwalia
Solas
Reach
Generic
Reach Older Persons’ (Via Age Concern)
Domestics
Referrals Floating Support
2009-10 and 2010-11 and 2011-12
90
82
80
70
69
65
50
59
53
50
2010-11
2011-12
43
40
40
38
34
34
30
30
27
24
20
10
18
16
14
22
19
10
6
4
ch
M
ar
ry
br
ua
Fe
ar
y
nu
Ja
m
ec
e
D
ov
e
m
be
r
be
r
r
O
ct
o
be
N
Se
pt
e
m
be
r
gu
st
Au
ly
Ju
ne
Ju
M
ay
0
ril
2009-10
54
47
46
44
43
Ap
Number of Referrals
60
63
62
61
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 Chairs of local
Planning Groups
Regional collaborative
arrangements
LA representatives
(e.g. 5 in Gwent)
Health
Service
Users
Probation
Providers +
Service users
Short term services
Provider reps
Long term services
RSLs +
tenants/residents
CHC
Co-opted members
Local
Governance
Arrangements
SP Managers
LA members
(Cabinet/scrutiny)
Regional Development
Officer




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
Regional
Collaborative
Committee
Children’s and
Young Peoples
Partnership
Community
Safety
Partnership
Caerphilly
Supporting People
Planning Group
Health Social
Care and Well
Being Partnership
Caerphilly
Voluntary Sector
Committee
Caerphilly
Homeless
Forum
Where do SP Services fit into corporate Strategies?
HSCWB
Community
Safety
Homelessness
Older People Vulnerable
FS
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
Telecare
Physical
Disability FS
CYPP
Anti social
behaviour
Services
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
Homelessness
14%
Community
Safety
9%
HSCWB
CYPP
Community Safety
Homelessness
CYPP
14%
HSCWB
63%
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 aims
 Provision
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



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
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 YOU
SUPPORTING PEOPLE TEAM CONTACT DETAILS
 01443 864548
 [email protected]

WWW.CAERPHILLY.GOV.UK/SUPPORTINGPEOPLE
Any
questions?