Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 257 18 2 247 17 2Older people in private nursing homes 330 23 3 144 10 4Older people receiving home care 1,388 97 1 1,387 98 1Older people in special needs housing 1,689 118.3 2 1,761 124.6 2People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 2,948 208.6 2 3,808 269.5 1For mental health problems/dementia 255 4.4 2 300 5.2 2(aged 18-64)For physical disabilities (aged 18-64) 811 14 2 1,154 20.0 1For learning disabilities (aged 18-64) 244 4.2 2 230 4.0 2For drug/alcohol abuse problems 128 2.2 1 275 4.8 1(aged 18-64)The rate of older people receiving a community care service has continued to increasesignificantly and is now higher than in most authorities. The rates of older people living inresidential and nursing home care are falling and are lower than in many other authorities. Thenumber in nursing homes more than halved between 1999 and 2000. Although there are fewernursing home places than in most other authorities, the Council has succeeded in reducing thenumbers of delayed discharges. A higher rate of older people receives home care than in mostother authorities and they are likely to receive a high number of hours per week. There is arelatively high number of special needs housing units, including houses with alarms. This housingforms a key part of community-based support.The Council has used Transitional Housing Benefit to prepare for implementation of SupportingPeople, generating an additional £2m each year to fund improved provision of shelteredhousing, home care, and care & repair schemes. The funds will be extended to additionalhousing support services for older people in residential and sheltered housing complexes.A joint Partnership in Practice agreement is in place for people with learning disabilities. ThePiP was informed by extensive consultation with people with learning disabilities and theirfamilies. Two local area co-ordinators have been appointed initially, in Clydebank and Dumbarton.A joint management board is to oversee the development of local area co-ordination. The RNIB(Royal National Institute for the Blind) provides a visual screening service for people with learningdisabilities who have left long-stay hospitals. Young people with learning disabilities have accessto an all-age inclusiveness project to obtain jobs and further education places. Fifty people withlearning disabilities are living independently in their own tenancies.The numbers receiving a community care service for mental health problems continue to increase.Future development in mental health services depends on agreement between the Council andArgyll and Clyde Health Board about financing and the level of resources released by the closureof psychiatric beds. An example of joint working on the ground is the Healthy Minds project,part of the Social Inclusion Partnership, through which health and social work staff supportchildren whose parents have mental health problems.260