Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 493 27 1 470 25 1Older people in private nursing homes 495 27 2 477 26 2Older people receiving home care 1,629 88 2 1,560 84 2Older people in special needs housing 2,303 124.9 2 2,391 129.5 2People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 4,784 259 1 5,058 274.4 1For mental health problems/dementia 263 3.9 2 225 3.4 3(aged 18-64)For physical disabilities (aged 18-64) 667 10 3 717 10.7 3For learning disabilities (aged 18-64) 258 3.8 2 255 3.8 3For drug/alcohol abuse problems 30 0.4 3 28 0.4 3(aged 18-64)The rate of older people receiving a community care service is relatively high, reflecting a higherthan average percentage of households with pensioners. The Council has more residential homebeds for older people than most mainland authorities in Scotland. The rates of older people innursing home care and in special needs housing are relatively high. While the rate of older peoplereceiving home care is also relatively high, indications are that relatively few have received morethan ten hours of home care each week.The home help service is being restructured into a home care service, which embraces the“Supporting People Agenda” and a new service for meals on wheels. The meals service willmake use of vans which heat frozen meals on a staggered basis during the delivery process,so that the service can be provided to remote areas of Angus.A joint planning group has developed the Partnership in Practice agreement (PiP) for learningdisability services and is responsible for implementation and for allocating Change Fundresources. The PiP is being widely circulated, including to GPs and local health care co-operatives.Stakeholder events have been held to involve people with learning disabilities and their families.Day care opportunities for people with learning disabilities are being modernised, and tworesource managers have been appointed to help develop, as alternatives to traditional centrebasedservices, employment, educational and leisure and recreation opportunities. Co-ordinatorshelp young people with learning disabilities and their families to experience a seamless transitionbetween children’s services and adult services.The mental health strategy in Angus (now in its fourth year), has had an external evaluation bythe Scottish Development Centre for Mental Health. The evaluation identified:• positive progress in establishing the identity and role of the joint teams and in developingformal systems to support their operation; and• integrated working within and between the teams.The evaluation identified that further work was required to involve service users and carers,and to develop targeting, priority setting and gate keeping.26