Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 113 38 1 126 42 1Older people in private nursing homes 0 0 4 0 0 4Older people receiving home care 444 149 1 567 188 1Older people in special needs housing 658 221.2 1 388 128.7 2People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 606 201.1 3 858 284.7 1For mental health problems/dementia 26 1.9 3 30 2.2 4(aged 18-64)For physical disabilities (aged 18-64) 240 17.4 2 268 19.5 1For learning disabilities (aged 18-64) 15 1.1 4 26 1.9 4For drug/alcohol abuse problems 2 0.1 4 14 1.0 2(aged 18-64)There has been a 40% increase in the rate of older people who receive a community careservice between 1999 and 2001. There are no nursing homes in Shetland but the rate of olderpeople living in residential homes is high. The rate of older people in special needs housing hasdropped significantly, but it remains relatively high. A high rate of older people receive homecare, after a major increase between 1999 and 2000.A comprehensive review of home-delivered services has resulted in a development project inthe island of Unst to promote a local integrated social and health care service and to exploreways of providing more flexible care together with locally supervised home carers. Subject toevaluation and available resources, this type of devolved provision is to be rolled out to otherrural areas.Learning disability services have been well developed in Shetland over the years. There is anestablished independent living project, a range of supported accommodation and respite care,and a resource centre. The Partnership in Practice agreement reflects the joint approach toservice improvement. The number of adults with learning disabilities – some with severe learningdifficulties – is projected to increase over the next ten years, and the rebuilding of the Kanterstedresidential home is planned to provide additional permanent and respite accommodation. Thebudget for people with learning disabilities is projected to rise over 10 years from £2.2m to £3.5m– a significant proportion of the community care budget.The Eric Gray Resource Centre for people with learning disabilities supports 32 adults: it hasdeveloped education, training and employment programmes, and brings together social andhealth care, and voluntary organisations, under one roof. Staff supervise various activities andtraining for independent living. A key worker devises a programme of activities to help peopleto learn new skills and develop existing ones.226