PWYLLGOR CRAFFU – GOFAL CYMDEITHASOL AC IECHYD

21 TACHWEDD, 2019

 

PWNC:

AROLYGIAD AROLYGIAETH GOFAL CYMRU O

WASANAETHAU OEDOLION HŶN

CYNGOR SIR CAERFYRDDIN

Y Pwrpas:

Nodi a chymeradwyo'r Adroddiad Arolygu a'i brif ganolbwynt ar atal a hyrwyddo annibyniaeth oedolion hŷn (dros 65 oed) sy'n byw yn y gymuned.

 

 

Ystyried y materion canlynol a chyflwyno sylwadau arnynt:

Y cynnydd a wnaed gan yr adran o ran cyflawni heriau a chyfleoedd y Ddeddf, gan nodi'n benodol y cryfderau a'r blaenoriaethau ar gyfer gwella a nodir yn yr Adroddiad.

 

Y Rhesymau:

Er gwybodaeth i'r Pwyllgor.

Cynhaliodd Arolygiaeth Gofal Cymru (AGC) arolygiad ar y cyd ag Arolygiaeth Gofal Iechyd Cymru (AGIC) i archwilio pa mor dda y mae Cyngor Sir Caerfyrddin a'i bartneriaid yn hyrwyddo annibyniaeth ac yn atal anghenion rhag cynyddu i oedolion hŷn. Nododd yr arolygiad lle y gwnaed cynnydd o ran rhoi'r Ddeddf ar waith, a lle mae angen gwelliannau.

Cafodd yr Arolygiad, a barodd bythefnos, ei gynnal ym mis Ebrill a mis Mai 2019 a chafodd ei gyhoeddi ym mis Awst 2019.

 

Angen cyfeirio'r mater at y Bwrdd Gweithredol / Cyngor er mwyn gwneud penderfyniad:      NAC OES

 

 

YR AELOD O'R BWRDD GWEITHREDOL SY'N GYFRIFOL AM Y PORTFFOLIO:-

Y Cyng. J. Tremlett (Deiliad y Portffolio Gofal Cymdeithasol ac Iechyd)

Y Gyfarwyddiaeth

Cymunedau

Enw Pennaeth y Gwasanaeth/Awdur yr Adroddiad:

Neil Edwards

 

 

Swydd:

Pennaeth y Gwasanaethau Integredig (dros dro)

 

Rhif Ffôn

01267-228900

Cyfeiriad e-bost:

Nedwards@sirgar.gov.uk

 


 SOCIAL CARE & HEALTH SCRUTINY COMMITTEE

21ST NOVEMBER 2019

 

 

SUBJECT:

CARE INSPECTORATE WALES INSPECTION OF

OLDER ADULTS’ SERVICES

CARMARTHENSHIRE COUNTY COUNCIL

Purpose:

To note and approve the Inspection Report and its primary focus of prevention and promotion of independence for older adults (over 65) living in the community.

 

 

Context

 

The Social Services and Well-being (Wales) Act 2014 (SSWBA) has been in force for three years. The principles of the Act are:

 

·     Support for people who have care and support needs to achieve well-being

·     People are at the heart of the new system by giving them an equal say in the support

    they receive

·     Partnership and co-operation drives service delivery

·     Services will promote the prevention of escalating need and the right help is available

    at the right time

 

The Welsh Government’s strategic plan, A Healthier Wales, explains the ambition of bringing health and social care services together so that they are designed and delivered around the needs and preferences of individuals with a much greater emphasis on keeping people healthy and promoting well-being. A Healthier Wales describes how a seamless whole system approach to health and social care should be seamlessly co-ordinated.

 

This Report provides the evaluation by the CIW and HIW of the Authority’s implementation of the Act against the theme as noted above. The Report identifies the strengths and the priorities for improvement. These are listed in the Report.

 

Inspection process

 

As required, the Authority provided a two week programme that included:

·         A presentation to the CIW on seamless services (attached at Appendix 1) (This was also provided to members of the Scrutiny Committee following conclusion of the formal meeting on the 20th May, 2019.)

·         Interviews with the Executive Board Member for Health and Social Care, the Chair and Vice Chair of the Health and Social Care Scrutiny Committee and senior officers of the Authority and Hywel Dda University Health Board.

 

 

 

 

 

·         Interviews with service users and their case workers (social workers, occupational therapists)

·         Interviews with, and observations of, a range of health and social professionals that work in Integrated Services

·         Interviews and observations of the Authority’s safeguarding service

·         A range of different meetings that reflected health and social care collaboration and integration.

 

Evaluation

 

The Report identifies a significant number of strengths operating within the department‘s services for older people. Noteworthy among these include:

 

·         Social workers and partners recognise adults are the best people to judge their own well-being

·         Different professional disciplines work effectively together to support well-being and independence

  • Safeguarding practice across a multi-disciplinary group is collaborative, there are good working relationships at strategic and operational levels
  • People who lack mental capacity can be confident that assessment and decision making is made in the best interest of the individual
  • There is an active approach to enabling people to receive a service in the language of their choice
  • Staff feel supported by the management group
  • There are many examples of collaborative thinking and working by health and social care managers
  • Health and social care staff work collaboratively towards a shared vision of addressing the needs of people in the community with a developing focus on prevention and the promotion of independence
  • Some excellent initiatives are being driven to support communities to be more resilient in meeting the increasing needs of older people in the population

 

In addition, the Report references evidence that the inspectors found. Some of the comments (not exhaustive) are as follows

 

·         The quality of the assessments and care and support plans we reviewed captured what was important to people, were outcome focussed and strength based.

·         We found practice was characterised by compassionate practitioners working well to identify what matters to the person.  People routinely told us they were satisfied with the services that had helped them.

·         Most staff we interviewed were positive about their jobs and talked enthusiastically about their work, The CIW staff survey (267 responses) recorded approximately 90% of staff felt supported by their managers and colleagues to do their job.

 

 

 

 

 

·         From file reviews it was evident OT led assessment focussing on double handed support were thorough, balanced and represented people’s best interest.

·         Learning and Development opportunities were highly regarded by staff

·         We found CCC worked collaboratively with partners

·         We found CCC embraced relationships with the third sector

 

On the subject Priorities for Improvement, the Authority developed an Action Plan (attached at Appendix 2) following the Inspection. Each priority for improvement has been considered and actions taken to address these. Some have been completed, others are on-going. This Plan has been shared and agreed with CIW.

 

 

DETAILED REPORT ATTACHED ?

YES –

·            Appendix 1 - Presentation to Care Inspectorate Wales (20th May, 2019)

·            Appendix 2 – Care Inspectorate Wales Action Plan

 

(Link to CIW Inspection Report 2019 –

https://careinspectorate.wales/sites/default/files/2019-08/190807-carmarthenshire-en.pdf

 

 

IMPLICATIONS

 

 

I confirm that other than those implications which have been agreed with the appropriate Directors / Heads of Service and are referred to in detail below, there are no other implications associated with this report :

 

Signed:    Neil Edwards                                                               Head of   Integrated Services (Interim)                       

 

Policy, Crime & Disorder and Equalities

 

Legal

Finance

ICT

Risk Management Issues

Staffing Implications

Physical Assets 

NONE

 

NONE

 

NONE

 

NONE

 

 NONE

 

NONE

 

NONE

 

 

 

CONSULTATIONS

 

 

I confirm that the appropriate consultations have taken in place and the outcomes are as detailed below

 

Signed:       Neil Edwards                                                           Head of           Integrated Services (Interim)                                    

 

 

1.Local Member(s)  - N/A

2.Community / Town Council - N/A

3.Relevant Partners  - N/A

4.Staff Side Representatives and other Organisations  - N/A

 

Section 100D Local Government Act, 1972 – Access to Information

List of Background Papers used in the preparation of this report:

 

THESE ARE DETAILED BELOW    

 

Title of Document

 

File Ref No.

Locations that the papers are available for public inspection

CIW Inspection Report 2019

 

CIW website – Link to Report -

https://careinspectorate.wales/sites/default/files/2019-08/190807-carmarthenshire-en.pdf