Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 262 13 4 219 10 4Older people in private nursing homes 616 30 1 656 31 1Older people receiving home care 1,011 48 4 1,178 56 3Older people in special needs housing 1,627 78 3 1,629 77.7 3People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 6,700 319.4 1 5,741 273.7 1For mental health problems/dementia 446 6.5 1 450 6.5 1(aged 18-64)For physical disabilities (aged 18-64) 1,885 27.3 1 1,621 23.5 1For learning disabilities (aged 18-64) 275 4 2 310 4.5 1For drug/alcohol abuse problems 99 1.4 2 75 1.1 2(aged 18-64)The rate of older people in residential care is low, having dropped between 1999 and 2000.The rate of older people in nursing homes has increased to a higher level than in most otherauthorities. There is a fairly low rate of special needs housing provision. The Council has apolicy of separation of housing and support services, i.e. maintenance of people in their ownhomes as long as possible, with support services brought to their homes.The rate of older people receiving a home care service is relatively low, though it increasedfrom 1999. In 2000, South Ayrshire provided a higher percentage of its clients with an intensivecare service (more than 10 hours per week) than all but one other authority.Following a best value review of services for older people, the Council has introduced a moreflexible home care service, in which all carers are trained in personal care tasks, and can providea service between 7:00 a.m. and 10:00 p.m. The Council has changed its provision ofresidential care, creating individual accommodation units from previous homes and retrainingstaff to provide care in older people’s own homes.There is a productive home care partnership with the independent sector. An independentsector forum enables independent providers to speak to each other and to consider goodpractice and common themes, such as staff training.South Ayrshire has forged ahead with its own learning disability strategy, and also leads an all-Ayrshire strategy group. It has involved all the key stakeholders. The Council’s priority is tocontinue:• re-configuring in-patient, respite, day and residential services; and• carrying out a programme of person-centred planning.Day services are being changed so that people with learning difficulties get services to meettheir individual needs and assist them in achieving their aspirations. Resource centres for thosewith challenging behaviour and complex needs will still be available. A local area co-ordinator isbeing appointed on a pilot basis to stimulate the modernisation of traditional services. Kirkbrae234