Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 881 16 3 881 16 3Older people in private nursing homes 1,218 22 3 1,213 22 3Older people receiving home care 6,375 115 1 5,486 99 1Older people in special needs housing 4,820 87.3 3 4,993 89.8 3People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 14,673 263.9 1 14,640 263.3 2For mental health problems/dementia 822 3.8 2 807 3.7 3(aged 18-64)For physical disabilities (aged 18-64) 3,048 14.1 2 2,849 13.2 2For learning disabilities (aged 18-64) 1,026 4.7 1 965 4.5 1For drug/alcohol abuse problems 145 0.7 2 176 0.8 3(aged 18-64)The rates of older people living in residential or nursing homes or in special needs housing arerelatively low. Although Fife provides home care services to more older people than most otherauthorities, it provides fewer hours per week than many others. Some of its services, forexample, shopping delivery and meals on wheels are provided without using home carers.The Council has made a number of changes by investing in:• improvements in home care services, in equipment and in adaptations;• more nursing home places; and• (in collaboration with the health board) integrated response teams, which have begun tohave an impact on the relatively high numbers of older people unable to be dischargedfrom hospital.The Oakley integrated team is a pilot project designed to enhance the care provided by homecarers, to assist with hospital discharges and avoid the need for admissions. Trained homecarers provide the service and are supported by nursing staff to deal with problems such aseye care, dermatology, sensory loss, continence and dementia. Professional nursing staff canconcentrate on higher-level tasks. The project evaluation has confirmed that key objectiveshave been achieved and older people now have the kind of service they want. In addition, thework of home carers is now more highly valued and they manage personal care tasks withgreater confidence.Learning disability services are underpinned by a Partnership in Practice Agreement (PiP)between the Council and the NHS and by joint decision-making on the allocation of ChangeFund resources. Responsibility for implementing the review of services for people with learningdisabilities, ‘The same as you?’ rests with senior managers from social work and from FifeNHS. People with learning disabilities and their families are well engaged in planning andimplementation, through stakeholder conferences, membership of all 11 implementationgroups, and employment in the implementation project (SAY project). Fifteen people withlearning disabilities receive direct payments to pay for their own services.128