To receive any apologies for absence.

Apologies for absence were received from Councillor Heakin

Members are requested to approve the Minutes of the Meeting held on 25^th Nov 2021

RESOLVED that the minutes of the meeting held on 25^th Nov 2021 be agreed as a correct record.

Members are required to declare any disclosable pecuniary, personal or personal and prejudicial interests they may have and the nature of those interests relating to items on this agenda and/or indicate if S106 of the Local Government Finance Act 1992 applies to them.   

There were no declarations of interest received

To determine whether there are any additional items of business which, by reason of special circumstances, the Chair decides should be considered at the meeting as a matter of urgency.

There were no items of urgent business received

To determine any items on the agenda, if any, where the public are to be excluded from the meeting.

There were no items for exclusion of press and public

To consider a report of the Portfolio Holders for Health and Adult Care and Wellbeing

The Committee considered a report jointly prepared by the Director of Strategic Commissioning and the Director of Integrated Systems Development which provided an update on the work to implement Rochdale Locality Operating Model.

The Portfolio Holder for Health attended the meeting with the Director of Integrated Systems Development to present the information and addressed the questions of the Committee.

The Senior Officer outlined the key components of the operating model, including, these were:

•          Development of a System Board to set the strategic direction for place including population outcomes and finance;

•          Appointment of a Place Lead who would lead on the integration of the health and social in the locality;

•          Further development of the Local Care Organisation (LCO) Board to be the key delivery partnership for improving services for Rochdale population to deliver improved outcomes;

•          Further development of Rochdale Neighbourhoods model to drive the reduction in health inequalities, improvement in experience and outcomes taking an asset-based approach.

The Senior Officer continued outlining how the model aligned with the requirements set out in the Health and Care Bill and the high level decisions that had been made to support the development of the operating model to date.

The Senior Officer informed that this model of work aligned with the journey that Rochdale had already stared on integration of health and social care since 2013 and the ongoing collaboration between the Clinical Commissioning Group (CCG) and the Council.

The Senior Officer added that delivering this piece of work would improve the health and wellbeing outcomes for the population of Rochdale. The report outlined how the Shadow Locality Board had been vital to deliver this new model. Place Lead arrangements had been established and a role profile had been created. The LCO had been established for a number of year and it brought providers partners together to align services in a coherent way for the population to improve outcomes for residents. How we give best opportunities to population. Really impressed with level of integration in teams which have already been established and extended partnership over health and social care.

Chief Officer were keen to come to this Committee to inform about development of the Neighbourhood model and the plan to expand collaboration with Mental Health Services and Children’s Services.

Members sought and received clarification on a number of matters such as “wrap around” services, addressing health inequalities and poverty, how to measure success, access to Primary Care, groups who “fall through the net” and level of deprivation and how Rochdale compared with other authorities in GM.

The Senior Officer informed that the Neighbourhoods model would provide the opportunity to address health inequalities and break down barriers through use of resources. Covid-19 pandemic had helped galvanise Health, Social Care and other partner organisations as a system and how to address issue collectively and collaboratively putting the person at the centre of what these organisations do. This work would need to continue to address the inequality agenda.

The Committee welcome the information  ...  view the full minutes text for item 29.

To consider a report of the Portfolio Holder for Adult Care and Wellbeing

The Committee considered a progress report of the Assistant Director Adult Social Care Operations which south to provide quality assurance information for the services commissioned by the Adult Care service for the period comprised between March and December 2021. The Adult Care service team commissioned external provider services to deliver a range of care services to adults with eligible social care needs.

The report author was in attendance to present the information and addressed the questions and comments of the Committee.

The Senior Officer outlined the information provided in the appendix to the report demonstrating the range of commissioning activity across the borough for Quarter 1-3  2021/22 (March –December 2021), including: Quality Assurance Monitoring, Care Quality Commission (CQC) Ratings, Market Oversight and the impact of Covid 19 pandemic and North West Association of Directors of Adult Social Care Services (ADASS) update.

The appendix to the report provided detailed information on quality assurance for adult care commissioned services. It was important to note that the approach to quality assurance was focussing on homes that had ‘Requires Improvement’ or ‘Inadequate’ ratings in any of the five domains (Safe, Effective, Responsive, Caring and Well Led), with a particular focus on safe and well led.  

The Senior Officer informed of the outcomes of CQC inspections for commissioned services combined with non-commissioned services that sat within the Borough.  The overall position at the end of quarter three in relation to 53 care home providers was: 1 (2%) was rated as outstanding, 41 (77%) were rated as good, 8 (15%) were rated as requiring improvement, 2 (4%) were rated as inadequate, and an additional 1 (2%) provider was yet to be inspected.

Adult Care Services were working closely with providers to improve the quality of care services.  It had been difficult in the past two years with the pandemic and the a decline in the quality of ratings in some service areas however this needed also to be put into the context of a significantly lower number of inspections completed; a recovery plan was in place including the recruitment of more quality assurance posts.

Members sought and received clarification on a number of matters such as where Rochdale needed to be in the next 12 months and whether CQC had carried out unannounced inspections. The Senior Officer informed that a plan was in place to drive forward the quality of care in residential establishments. CQC had not conducted inspections for six months. Once their visits resumed, it would be possible to see the outcomes of the plans in place to improve quality of care.

Members also enquired about the measures in place for residents who were being discharged from hospital with Covid-19 infection to return to their residential care home. The Senior Officer informed that the Government funding would cease from April 2022 and infection would be managed through Health and Safety plan within each residential care home.

RESOLVED that the content of the report be noted.

To consider a report of the Portfolio Holders for Health, Children’s Services and Education and Adult Care and Wellbeing

The Committee considered a report of the Data Innovation and intelligence Manager which informed of the progress at the end of Quarter 3 (1st October – 31st December 2021) towards achievement of the targets contained in the Adult Care Directorate Plan 2021-22, Children’s Services Directorate Plan 2021-22 and Public Health Directorate Plan 2021-22.

Senior Officers in attendance provided a summary of performance against actions listed in their Directorate Plans.

Members sought and received clarifications on school readiness and Early Help services, children resettled in UK following the war in Ukraine and how services worked together to ensure their welfare and progress of Covid vaccination for priority groups.

RESOLVED that the content of the report be noted.

To consider a report of the Portfolio Holders for Adult Care and Wellbeing and Childrens’ Services and Education

The Committee considered a report of the Assistant Director Adult Social Care Operation which provided a summary of Adult and Children’s Social Care Complaints and Compliments received during the first half of 2021/22.  

Officers outlined the content of the report and informed the Committee that the lessons learnt from the complaints were used to improve process and procedures and utilised for training members of staff.  

RESOLVED:

1.     that the content of the report be noted;

2.    That a copy of the Local Government Ombudsman report which went to Corporate Overview and Scrutiny Committee be shared with the members of this Committee.

To consider a presentation of YourTrust representative

The Committee received a presentation of the Head of Strategic Projects, YourTrust which outlined the performance of the company in the period of October – December 2021.

RESOLVED that the content of the presentation be noted.