Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 268 20 2 201 15 3Older people in private nursing homes 284 21 3 293 21 3Older people receiving home care 1,100 80 2 1,091 80 2Older people in special needs housing 1,705 124.7 2 832 61.3 4People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 3,912 288.5 1 4,747 350 1For mental health problems/dementia 365 7.1 1 368 7.1 1(aged 18-64)For physical disabilities (aged 18-64) 1,001 19.4 1 1,097 21.2 1For learning disabilities (aged 18-64) 241 4.7 1 260 5.0 1For drug/alcohol abuse problems 660 12.8 1 646 12.5 1(aged 18-64)The rate of older people receiving a community care service is high and increasing. The rates ofolder people living in nursing homes and in residential homes are low in comparison to manyother authorities. A shortage of residential and nursing home places within the area is attributedto the level of financial support which can be offered to independent providers, and thiscontributes to delays in discharges from hospitals. The rate of people living in special needshousing is low; numbers more than halved between 1999 and 2000. A relatively high rate ofolder people receive home care.A rapid response team enables people to be supported in the community rather than beingadmitted to hospital, thus encouraging continued independence and building confidence. Theteam is multi-disciplinary, developed around primary care, and is to be used as a pilot settingfor single shared assessment in respect of older people.The community learning disability team comprises solely health service staff. The Acorn Projectprovides community support to people with learning disabilities and is seen as a stepping stonebetween a traditional day centre and full community integration.The community mental health team, comprising health, social work and housing staff, hasgenerated its own service planning and development agenda to feed into the joint planningmachinery. A co-ordinator for the mental health strategy is jointly funded. Specialist serviceshave been developed for people with alcohol-related brain damage. The Council is workingwith a local housing agency to develop sheltered and supported accommodation.The Council and its health partners have now selected the CarenapE tool as the single sharedassessment tool to be used in Inverclyde, and a joint working group oversees implementation,with a sub-group working out process details.A local strategy for sensory impairment services envisages development of a new disabilityresource centre in 2003 as the focus for service improvement. Changes to the purchase ofservices have been made following a best value review.154