The Towards Excellence in Adult Social Care (TEASC) programme brings together partners at a local, regional and national level to improve outcomes for citizens. It uses the commitment of councils to share learning and support to find new ways of engaging local people; to invite challenge from peers and to use the knowledge of what works, data and innovation to act as drivers for improvement in the quality of services locally.
The programme is based on the sector’s confidence that this approach is best able to improve outcomes for local people and to identify risks. The experience of sector-led improvement in local government as a whole demonstrates how it is able to move every council towards excellence and manage the risk of underperformance, while acknowledging that statutory powers of intervention by the government remain in Adult Social Care.
The model aims to drive improvement by carrying out an assessment of how well outcomes are being achieved, analysing sources of information, testing the findings through benchmarking and challenge, and publishing results and transparently identifying priorities for improvement to support effective engagement with local residents.
We use the national Adults Social Care Outcomes Framework (ASCOF) to measure what difference we are making and outcomes for people in Solihull – some key current performance headlines at the end of the financial year 2014-15 are:
- Local health and social care services are working together to reduce avoidable permanent admissions to residential or nursing care to support people to live independently for longer. We aim to reduce the number of permanent admissions of older people to residential and nursing care in Solihull and we are currently achieving this and are performing better than the national average.
- We are 1 of 2 councils in the region who help people to leave hospital promptly. We measure this through delayed transfers of care which occur when a patient is ready for discharge from a hospital but is delayed due to other care not being available quickly for them to transfer to. This is expressed as a number per 100,000 population, where a lower score is better as this indicates patients are not in hospital longer than they need to be. Our average number of patients delayed was 9 patients per 100,000 population, which is better the national average of 11 and also our comparator authorities who have a rate in excess of 12. which is good as nationally and our comparator authorities have a rate in excess of 11 and 12, respectively. We aim to continue to ensure the number of delays remain low. As part of our recent Vanguard Status for ‘Urgent & Emergency Care’ by NHS England Vanguard programme we are looking at what we need to do to further support people leaving hospital.
- Research has indicated that personal budgets have a positive effect in terms of impact on well-being, increased choice and control, cost implications and improving outcomes. Studies have shown that direct payments make people happier with the services they receive and are the purest form of personalisation. Over 92% of adults in Solihull receiving services receive self direct support whereas national and comparator local authorities average figures are much lower between 82-84%. Of these adults, 30% receive this support through a direct payment. Again, this is better than comparator and national averages and better than most of the West Midlands authorities and supports the drive towards personalisation outlined in the Vision for Adult Social Care and Think Local, Act Personal, by demonstrating the success of councils in providing personal budgets and direct payments to individuals using services.
- 1 in 10 Adults in contact with Mental Health Services are in paid employment and 8 out 10 live independently, with or without support. Again, this is better than comparator and national averages.
- At the end of September 2015 there were 47 adults with learning disabilities receiving support services in paid positions, a small number of whom had more than one employment. Another 92 service users under the age of 64 and 6 service users over age 64 were being supported in voluntary positions.
- 6 out of 10 adults with learning disabilities receiving support services in Solihull live in their own home or with their family. We endeavour to ensure more adults with learning disabilities are supported to living in their own home or with their family and are aiming to increase this ratio this year to be more in line with comparators and national averages to 7 out of 10.
- We have the lowest rate of long term admission in the region for people over 65 and young people with disabilities to residential and nursing homes and are lower than comparator authorities and nationally.
- LGA Making Safeguarding Personal: Solihull has achieved the Association of Directors of Adult Social Services (ADASS) Gold Level and 94% safeguarding enquiries resulted in outcomes for those people being fully or partially met.
- A report from the Local Government Association (LGA “Review of Adult Social Care Complaints 2014/15” highlighted an 18% increase since the previous year in Adult Social Care complaints nationally. Solihull has shown a decrease.
- The same report detailed that 55% of LGO complaints are upheld whereas 35% are upheld for Solihull. We have reduced the timescale for dealing with complaints to 30 days from the national timescale of up to 6 months to ensure complaints are dealt with as soon as possible. The majority of complaints are being dealt with within the 30 days and a few more complex complaints have gone beyond this timescale as agreed with the complainants.
- Care Providers: we have a very low proportion of registered care providers who do not comply with Care Quality Commission (CQC) Standards and where issues are highlighted, we work with those providers to address and ensure they meet the standards set.
- There are a high proportion of Solihull residents who cannot afford to pay the costs of residential homes within Solihull, although the quality is recognised as good. A number of residents have to look for cheaper care provision outside of the Borough.