The Director of Adult Social Care and Health Integration will provide the panel with a verbal update regarding adult day care services / provision.
The Director of Adult Social Care and Health Integration provided Members with a verbal update regarding adult day care services / provision; the following points were made:
· The Council operated a number of forms of day care, which was a purposeful activity provided in response to identified / assessed social care needs.
· Day care for younger individuals acted as a dual function in that it provided purposeful activity for the individual, whilst also providing respite for parents / carers to allow them to attend work, etc.
· Two streams of day care were currently operated: in-house day care and specialist provision. In-house day care was delivered by Local Authority staff in Local Authority facilities and there were three aspects to this:
– Community Inclusion – support was currently provided at Cumberland Resource Centre (learning disability provision), the Pavilion at the Park (learning disability provision) and Sandringham House (autism provision);
– The Orchard, which was a partnership between the Local Authority and Tees, Esk and Wear Valley (TEWV) Mental Health Trust, provided specialist day care primarily for younger adults; and
– North Ormesby Resource Centre, which provided an older persons day centre and a dementia focused day centre.
· With regards to the private sector, the Council currently contracted ten providers to support individuals, predominantly in respect of learning disability provision.
In terms of service provision and the impact of COVID-19, the following points were made:
· During the initial stages of the pandemic and upon entering the first spike in cases, decisions concerning the closure / suspension of day care services were taken in response to the statistics provided by the government.
· Since this time, all efforts have been made to remain as flexible as possible. For example: in instances where individuals could not enter day care services, staff provided support in domestic settings to ensure that both purposeful and social contact was maintained.
· There had been periods of opening / closing facilities in line with government directives, but day care provision had now resumed and was operating well. Reference was made to the progress achieved in terms of operational changes, including in relation to risk assessments, PPE, operation of bubbles and lateral flow and PCR testing, which had been implemented with assistance from infection control experts, Contracts and Commissioning officers and others.
· In some of the units, operating capacity had reduced relatively slightly. Some individuals had opted not to return to day care; others had sadly passed away during the period, although this was largely related to the turnover of individuals utilising day care and dementia and older peoples’ units, as opposed to necessarily being a direct consequence of COVID-19.
· The next step would be to resume services for those individuals living in residential care and attending day care in different settings.
· In terms of statistics, it was highlighted that there had been a marginal reduction in the number of individuals on the roll accessing day care across community settings. Prior to the pandemic there were 259 people on the roll; this currently sat at 190. In terms of capacity to accept individuals across the various sites per day, prior to the pandemic this number was 172; currently this was 141. It was indicated, however, that this was not causing any acute problems.
During the discussion that followed, Members raised a number of queries with the Director. In response, the following information was provided:
· Transport services had now resumed.
· With regards to the ten contracted providers, these were predominantly Middlesbrough-based and were as follows: Aapna Day Care Service for Older People – Milan; Autism Matters; Camphill Village Trust; Earthbeat Theatre Company; Just a Job; The Robin Centre; Teesside Ability Support Centre (TASC); Tees Valley Asian Welfare Forum Limited (TVAWF Ltd); Yatton House Society; and Young Persons Activity Group at Community Integrated Care.
· Regarding the statistics provided, it was explained that some individuals attended day care once per week, others three days and in some instances five days, although five days was unusual. There were limitations on numbers at the present time owing to COVID-19 restrictions.
· In terms of the fluidity of the COVID-19 situation, Members were advised that guidance was in place; advice provided by the government would be carefully monitored and responded to accordingly.
The Chair thanked the Director for the information presented.