Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 273 13 4 258 12 4Older people in private nursing homes 431 20 4 470 22 3Older people receiving home care 2,111 98 1 1,966 91 2Older people in special needs housing 1,770 82.6 3 1,770 82.1 3People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 6,479 300 1 6,737 312.5 1For mental health problems/dementia 215 2.4 3 214 2.4 3(aged 18-64)For physical disabilities (aged 18-64) 1,579 17.4 2 1,671 18.4 2For learning disabilities (aged 18-64) 353 3.9 2 369 4.1 2For drug/alcohol abuse problems 63 0.7 2 61 0.7 3(aged 18-64)A higher rate of older people receive a community care service than in most other authorities.The rate of older people in residential and nursing home care is lower than many other authorities.A relatively high rate of older people receive a home care service, but most receive the serviceonly in the morning or at lunch time.Following a joint best value review of services for older people the Council and health partnershave acted:• to redesign residential care in order to increase services available to older people withdementia and with functional mental illness; and• to redevelop and make more flexible the home care service.The redevelopment of the home care service was to be completed by mid 2002, as part of arange of initiatives to improve services for older people and to enable more to be cared for athome. They include:• provision of personal care;• integration with sheltered housing;• shift patterns that allow delivery of home care at more flexible hours;• a shopping scheme; and• extension of the Mobile Emergency Care Service to fit more closely with a developing rapidresponse/crisis care service.The Council is part of the joint Forth Valley Partnership in Practice agreement, which builds on apre-existing strategy for learning disability services. An implementation group set up to progressthe strategy includes representatives of primary care and education services and users and carers.Local area co-ordination pilot schemes are to be resourced by the Change Fund. An integratedhealth and social work team focuses on people with complex needs.120