Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 498 30 1 465 28 1Older people in private nursing homes 193 12 4 178 11 4Older people receiving home care 812 50 4 830 50 4Older people in special needs housing 1,022 62.4 4 866 52.6 4People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 1,881 114.2 4 2,507 152.2 4For mental health problems/dementia 127 2.3 3 142 2.6 3(aged 18-64)For physical disabilities (aged 18-64) 268 4.9 4 256 4.7 4For learning disabilities (aged 18-64) 227 4.1 2 273 5.0 1For drug/alcohol abuse problems 9 0.2 4 12 0.2 4(aged 18-64)Despite having one of the highest concentrations of older people in Scotland, Argyll and Buteprovides a comparatively low number of older people with a social work service. A high rate ofolder people (though reducing recently), still live in residential care compared to many otherauthorities. The rate of older people living in special needs housing is low and decreasedbetween 1998 and 2000. Older people are less likely to receive a home care service than theyare in many other authorities, but if they do it is more likely to be an intensive service (morethan 10 hours per week). The numbers of older people receiving home care are increasing asnumbers living in residential care are falling.Following a best value review of home care services the Council is implementing significantchanges:• introduction of 3 different services (domestic, personal and intensive) for children and adultservice users;• a more flexible service appropriate to the sparsely populated area in which staff work;• enhanced remuneration for staff undertaking personal and intensive care; and• separate management in the 4 principal divisions of the authority.To enable more older people to live longer in their own homes with support the Council has:• made significant increases in the number of houses with community alarms;• enhanced budgets for Care and Repair; and• increased the number of aids and adaptations completed.The Council has established a framework for joint working with its health partners in a Partnershipin Practice agreement (PiP) which still needs to be finalised. Features of joint working are:• high priority for learning disability services, following best value reviews;• replacement of residential provision where possible by independent living, in conjunctionwith local housing providers;34