Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 79 11 4 71 10 4Older people in private nursing homes 59 8 4 102 14 4Older people receiving home care 501 71 3 497 70 3Older people in special needs housing 1,277 180.2 1 1,288 180.8 1People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 1,579 221.7 2 1,630 228.9 2For mental health problems/dementia 346 11.5 1 138 4.6 2(aged 18-64)For physical disabilities (aged 18-64) 391 13.0 3 398 13.3 2For learning disabilities (aged 18-64) 93 3.1 3 78 2.6 3For drug/alcohol abuse problems 20 0.7 2 17 0.6 3(aged 18-64)Compared with most other authorities, rates of older people in residential and nursing homecare are lower and rates of older people in special needs housing are higher. The number ofolder people living in nursing homes has increased significantly between 1999 and 2000. Therate of those receiving home care is less than in many other authorities, but indications arethat the Council provides more intensive support. There are few delays in receiving equipmentand aids to daily living. Recent joint investment has led to:• expanded home care;• better rapid response to individual needs; and• improved access to services 24 hours a day.The Council works with partner agencies in Forth Valley to plan and develop services for peoplewith a learning disability. Users and carers have a prominent role in the local implementationgroup, which has advised on advocacy, respite care, modernising day care and the needs ofpeople with autism.Services for mental health have been developed in partnership with other Forth Valley councilsand the Health Board. Day care and work skills have been priorities of the local implementationgroup which operates within the overall joint mental health strategy. However, between 1998and 2000 the number of people receiving a community care service for mental health problemsdecreased sharply, due to a number of staffing vacancies which have now been filled.The single shared assessment process will be implemented during 2002. Joint information andtraining sessions have been delivered to nursing and community care staff. Health and socialwork staff are to have access to the same services, with budgets held by team leaders.A Forth Valley group plans services for people with sensory impairment. The group has startedto work through the recommendations of Sensing Progress but cannot commit resources.42