Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 402 16 3 408 16 3Older people in private nursing homes 556 22 3 610 24 3Older people receiving home care 2,610 103 1 2,586 102 1Older people in special needs housing 5,559 218.5 1 5,449 215.2 1People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 4,237 167.3 3 4,052 160 4For mental health problems/dementia 204 2.3 3 236 2.7 3(aged 18-64)For physical disabilities (aged 18-64) 902 10.3 3 825 9.5 3For learning disabilities (aged 18-64) 421 4.8 1 415 4.8 1For drug/alcohol abuse problems 128 1.5 1 96 1.1 2(aged 18-64)Relatively few older people live in residential or nursing home care. A high proportion of olderpeople live in special needs housing. The Council has consistently provided more older peoplewith home care support than most other mainland authorities. Care services have been reorganisedto provide a more efficient re-distribution of resources. This has involved developingthe level and range of practical suport while maintaining a steady increase in the number ofpeople with complex and personal care needs accessing appropriate levels of support.The Council is implementing an older people’s strategy, which incorporates new approaches todelivering home care and extra care housing. Its key features are:• home support services divided between domestic or practical support and personal care;• social care officers working to neighbourhood teams to provide the personal care between7:00 a.m. and 10:00 p.m., 7 days a week with management support; and• day care services to be redeveloped, particularly for older people with dementia: a model ofprovision which integrates health and social care is being rolled out.The Dundee Partnership in Practice (PiP) with NHS Tayside allows for systematic assessment oflocal needs and prominent consultation with people with a learning disability and their carers.Social work and health jointly lead integrated community learning disability teams. The socialwork department is introducing a range of initiatives as alternatives to traditional day services.With Sense Scotland, it has developed a weekend respite service for 13 adults.It was recognised that work had to be done to identify the needs and provide locally basedservices for mentally disordered offenders. Processes have been put in place to achieve this.There have been Tayside-wide difficulties in progressing the strategic agenda for communitymental health services. A Tayside-wide accountability steering group has been charged withformulating strategic priorities and more recently a mental health review group, with anexternal facilitator, has been established.56