Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 96 30 1 97 30 1Older people in private nursing homes 0 0 4 0 0 4Older people receiving home care 382 120 1 337 105 1Older people in special needs housing 123 38.7 4 123 38.4 4People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 390 121.8 4 998 311.6 1For mental health problems/dementia 19 1.6 4 152 12.9 1(aged 18-64)For physical disabilities (aged 18-64) 92 7.8 4 54 4.6 4For learning disabilities (aged 18-64) 9 0.8 4 52 4.4 2For drug/alcohol abuse problems 3 0.2 4 58 4.9 1(aged 18-64)Between 1999 and 2001 there was a massive increase in the number of older people receivinga community care service; the rate changed from low to high in comparison with otherauthorities. There are no nursing homes in Orkney. The rate of older people living in residentialhomes is high. The council is investing £3m in a single status residential unit. There are fewspecial needs housing places. Orkney’s Care and Repair scheme has addressed the needs ofolder people living in their own homes. Older people are more likely to receive a home careservice than people on the mainland and are more likely to receive an intensive service (ofmore than 10 hours per week).A multi-disciplinary Rapid Response service has been provided by the Council for 5 years(social care, care management and Occupational Therapy). It is currently being developed tobecome more formally inter-agency. A multi-disciplinary intensive home care service is alreadyin operation. With NHS Orkney the Council is reviewing the provision of the mainstream homecare service – particularly the need for contracted hours, links with community nursing, thedevelopment of career opportunities and the involvement of home carers in care planning.The joint occupational therapy service is provided flexibly by community and hospital basedoccupational therapists. A joint service manager has a delegated budget. Improvements havebeen achieved in communications, in the management of adaptation requests and through ajoint equipment store.Community care staff work closely with partners in health, higher education and private andvoluntary sector providers to provide services for the increasing number of service users whohave learning disabilities. The Partnership in Practice agreement (PiP) plans for a full range ofhealth and social services, and is clear about how the change fund is to be spent.Following joint appointment of a local area co-ordinator, day opportunities are being expanded(including the development of SVQ modules in animal welfare and agriculture), St Colm’s daycentre and the voluntary sector group homes are increasingly used for people with complexneeds and short breaks for carers can be arranged on Mainland or, for short periods, onindividual islands.194