Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 317 25 1 255 20 2Older people in private nursing homes 497 39 1 496 39 1Older people receiving home care 780 61 3 759 59 3Older people in special needs housing 1,439 111.8 2 1,444 111.7 2People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 1,958 151.5 4 2,406 183.8 3For mental health problems/dementia 82 1.5 4 77 1.4 4(aged 18-64)For physical disabilities (aged 18-64) 228 4.2 4 368 6.8 4For learning disabilities (aged 18-64) 117 2.2 4 142 2.6 3For drug/alcohol abuse problems 10 0.2 4 12 0.2 4(aged 18-64)The rate of older people receiving a community care service in Stirling is increasing in line withthe population changes from a relatively low base. Compared to many other authorities Stirlingprovides a lower rate of home care support for older people – though in 2000, 21 per cent ofits home care was provided in the evening or overnight (between the hours of 7 p.m. and 7a.m.), this was the highest of all local authorities. It provides higher rates of residential andnursing home care – though the number of older people living in residential homes has fallenbetween 1999 and 2000. The rate of special needs housing is relatively high.The Council is extending the range of home support services through:• a personal care pilot project introduced in 4 areas, with active support from nursing staff;• a bathing service established for the whole area, including provision at weekends;• a “Tuck In” service provided Stirling-wide; and• a “Night Link” for dementia care launched in late 2001.Improvements to practical services and meals-on-wheels are planned.A multi-agency strategy for older people across NHS Forth Valley and the three partner councilsis nearing completion. This will inform the Local Partnership Agreement between NHS ForthValley and Stirling Council.Services for people with learning disabilities have focused though not exclusively on theclosure of the Royal Scottish National Hospital. Joint working between agencies and theinvolvement of service users, have contributed to quality alternatives to institutional care. Plansfor integrated social work and health services are advanced. Work is yet to move forward inrelation both to direct payments, and to local area co-ordination. The Streets Aheadcommunity-based day service is in place, and a new resource centre at Riverside is due toopen.In mental health services a joint care programme approach is in place. Voluntary organisationsprovide housing support. The Council’s review of the assessment and care managementstructure, together with the introduction of single shared assessment, provides an opportunityto extend effective joint working and user involvement to all care groups.252