Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 346 16 3 372 17 2Older people in private nursing homes 727 34 1 678 32 1Older people receiving home care 1,462 68 3 1,383 64 3Older people in special needs housing 4,049 189.2 1 2,716 126.4 2People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 2,745 127.7 4 1,282 59.6 4For mental health problems/dementia 56 0.6 4 43 0.5 4(aged 18-64)For physical disabilities (aged 18-64) 570 6.7 4 381 4.4 4For learning disabilities (aged 18-64) 55 0.6 4 300 3.5 2For drug/alcohol abuse problems 3 0 4 36 0.4 3(aged 18-64)The rate of older people receiving a community care service was lower than in most otherauthorities in 1999-2000 and numbers more than halved in 2000-2001. A higher proportion ofolder people live in nursing or residential care homes than in many other authorities; in contrastto the trend in other authorities, the number of older people in residential care increased between1999 and 2000. Older people are less likely than counterparts in other authorities to receive ahome care service, but when they do they are likely to receive more hours per week.There are indications that the volume of community-based care is insufficient to meet demand.The existence of a persistent number of delayed discharges is attributable in part to theparticular pressures on the residential sector, and in part to the need for more comprehensiveservices to support older people at home. The Council has set up a Best Value StrategicReview of Services for Older People.The Ayrshire Doctors on Call scheme ensures that out-of-hours home care is available at therequest of a GP or Community Nurse. The scheme was recently set up because 10% of hospitaladmissions were made for want of home care support. The Doctor calls Community Alarms(Alert Service) who in turn contact one of a range of home care providers. Care is provided until12 noon the following day, by which time mainstream services can be organised. It is proposedto allocate 2 home helps to the Alert Service each evening.The Council has developed and rationalised provision of equipment and adaptations, improvedmanaging of community occupational therapy services and enhanced links with health serviceOTs. Waiting lists have now been cleared, and a joint store is in operation.The number of people receiving a community care service for learning disability increased morethan fivefold between 1999 and 2001. An all-Ayrshire Joint Partnership in Practice agreementprovides a framework for development of services for learning disabilities. Partnership withhousing has enabled a good number of people with learning disabilities to live independently intheir own tenancies.178