Future of Dementia Care Home Provision
Case ID: IIA-647770990
Date of assessment: 21/11/2024 15:46:26
Lead officer: Sarah Nunns
Strategic directorate: Adults & Health
Directorate: Learning Disabilities & Mental Health
Service: In-House Provision
What is being assessed: Changing a service
Outline of the proposal and the overall aims/purposes:On 26 September 2023 Cabinet approved a consultation process to commence on the future of the Dementia Care home provision at Castle Grange and Claremont House At the time, the report sought approval from the Council to withdraw from the long stay residential care market and focus its direct care delivery in other parts of the care market. A consultation process ran on this from 11th October 2023 to 3rd January 2024. The report presented at Cabinet on the 12th of March 2024 recommended that following approaches made to the Council by independent sector operators, we would wish to explore potential opportunities to transfer the homes into the independent sector. These recommendations were approved by Cabinet. Following an indication during informal consultations with potential providers that there may be an appetite from the private sector to acquire the two dementia care homes, as going concerns, Cabinet authorised progression of the process at their meeting on 08 October 2024.
Who does this proposal impact upon: Employees and residents
Does this proposal concern health care, education or housing: yes
What wards will be affected by this proposal: Heckmondwike, Newsome
Index of multiple deprivation,Kirklees area profiles,Kirklees joint strategic assessment,Other https://www.gov.uk/government/statistics/dementia-profile-updates https://digital.nhs.uk/data-and-information/publications/statistical/recorded-dementia-diagnoses/ https://fingertips.phe.org.uk/search/dementia https://www.kirklees.gov.uk/beta/adult-social-care-providers/pdf/kirklees-adults-market-position-statement.pdf Care home capacity trackerComments in relation to intelligence and insight considered:
Consideration to dementia prevalence and population trends, impact on wider social care market through exit of Council role as a provider.
To what extent were Public Sector Equality Duty (PSED) aims considered: Fully
Comments in relation to how PSED aims were considered:Through completing this IIA.
Does the proposal include residents/service users accessing information or a service from the council: yes
Details why residents/service users access has not been considered:Does this project involve making a planning application: No
Did this proposal require an Environmental Impact Assessment (EIA) completing: No
Were any groups consulted: no
Details of consultation: Summary of action plan including how negative impacts were mitigated:Equality, diversity and inclusion - Protected characteristics
Type of impact: Neutral
No impact, although a high proportion of staff are 'older' employees.
Level of impact: High
Type of impact: Negative
All service users have advanced dementia. Residents would remain in the care home that they are currently residing in however there could be a transfer of the care provider. A transfer to alternative provider will ensure continuity of care, but the change could also have a negative impact on existing residents due to their complexity of need.
Type of impact: Neutral
Staff and residents are from a wide diverse background
Type of impact: Neutral
Service users are from a wide and diverse communities across Kirklees, the current residents are predominantly from a white British background
Type of impact: Neutral
No impact
Level of impact: Medium
Type of impact: Negative
All service users have advanced dementia. Residents would remain in the care home that they are currently residing in however there could be a transfer of the care provider. A transfer to alternative provider will ensure continuity of care, but the change could also have a negative impact on existing residents due to their complexity of need.
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Level of impact: High
Type of impact: Negative
The vast majority of employees are female
Type of impact: Neutral
No impact
Level of impact: Medium
Type of impact: Negative
Staff will transfer across to the new provider under TUPE rules. Further information will be considered as part of ongoing negotiations.
Level of impact: Medium
Type of impact: Negative
The Council uses a financial assessment, also known as a means test, to work out how much people should pay towards their care home costs. A number of service users pay a contribution based on their financial assessment, and in most cases the charge to them is capped in line with their ability to pay through a means test. As soon as the threshold for financial support has been reached the council will be able to support in line with the charging policy following a financial assessment.
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
Unknown if any employees are currently pregnant, Many are female employees
Type of impact: Neutral
No Service users are affected
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
Faith/cultural needs of each resident are considered as part of a social work reassessment and in accordance with the Equality Act 2010 and the Health and Social Care Act 2008 (Regulated Activities (Regs 2014)).
Type of impact: Neutral
No impact
Level of impact: High
Type of impact: Negative
Relatives/carers/families, although not direct unpaid carers, will be affected by a change in provider and have informed us that they are more confident about the quality of Council run provision as opposed to the Private Sector.
Access to services
Level of impact: High
Type of impact: Negative
All service users have dementia and the majority, if not all will not have the capacity to understand this process. Many will have legal representatives through Power of Attorney to act on their behalf.
Type of impact: Neutral
Any contact will be specific to this proposal and likely to be for a short period of time.
Type of impact: Neutral
Council staff will no longer be the first point of contact.
Environment
Type of impact: Neutral
No impact
Does this proposal affect an Air Quality Management Area (AQMA): No
Type of impact: Neutral
No impact
Does this proposal include changes to a location within a Site of Special Scientific Interest (SSSI), local wildlife sites or green belt: No
Will the proposal be impacted by climate change: No
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
Type of impact: Neutral
No impact
To what extent was reducing the amount of waste created in the first place been considered: Fully
Details, information or evidence in relation to waste reduction: No impact
Type of impact: Neutral
No impact
Does this proposal involve the installation or use of a private water supply: No
Type of impact: Neutral
No impact