Agenda and minutes

People and Health Scrutiny Committee - Thursday, 14th November, 2024 10.00 am

Venue: Meeting Room 1, County Hall, Dorchester, DT1 1XJ. View directions

Contact: George Dare  01305 224185 - Email: george.dare@dorsetcouncil.gov.uk

Media

Items
No. Item

23.

Apologies

To receive any apologies for absence.

 

Minutes:

There were no apologies for absence.

 

 

 

24.

Declarations of Interest

To disclose any pecuniary, other registrable or non-registrable interest as set out in the adopted Code of Conduct. In making their disclosure councillors are asked to state the agenda item, the nature of the interest and any action they propose to take as part of their declaration.

 

If required, further advice should be sought from the Monitoring Officer in advance of the meeting.

 

Minutes:

There were no declarations of interest.

 

 

 

25.

Minutes

To confirm the minutes of the meeting held on 24 October 2024.

 

The draft minutes are to be published ahead of the meeting.

 

Minutes:

The Chairman stated that the minutes of the previous meeting on 24 October 2024 would be signed at the next meeting, as they were still in draft.

 

 

26.

Public Participation

Representatives of town or parish councils and members of the public who live, work, or represent an organisation within the Dorset Council area are welcome to submit either 1 question or 1 statement for each meeting.  You are welcome to attend the meeting in person or via Microsoft Teams to read out your question and to receive the response.   If you submit a statement for the committee this will be circulated to all members of the committee in advance of the meeting as a supplement to the agenda and appended to the minutes for the formal record but will not be read out at the meeting. The first 8 questions and the first 8 statements received from members of the public or organisations for each meeting will be accepted on a first come first served basis in accordance with the deadline set out below.  For further information read Public Participation - Dorset Council

 

All submissions must be emailed in full to george.dare@dorsetcouncil.gov.uk by 8.30am on Monday, 11 November 2024.

 

When submitting your question or statement please note that: 

 

·         You can submit 1 question or 1 statement.

·         a question may include a short pre-amble to set the context.

·         It must be a single question and any sub-divided questions will not be permitted.

·         Each question will consist of no more than 450 words, and you will be given up to 3 minutes to present your question.

·         when submitting a question please indicate who the question is for (e.g., the name of the committee or Portfolio Holder) 

·         Include your name, address, and contact details.  Only your name will be published but we may need your other details to contact you about your question or statement in advance of the meeting. 

·         questions and statements received in line with the council’s rules for public participation will be published as a supplement to the agenda. 

·         all questions, statements and responses will be published in full within the minutes of the meeting.

 

Minutes:

There was no public participation.

 

 

 

27.

Councillor Questions

To receive questions submitted by councillors.  

 

Councillors can submit up to two valid questions at each meeting and sub divided questions count towards this total.   Questions and statements received will be published as a supplement to the agenda and all questions, statements and responses will be published in full within the minutes of the meeting. 

 

The submissions must be emailed in full to george.dare@dorsetcouncil.gov.uk by 8.30am on Monday, 11 November 2024.

 

Dorset Council Constitution – Procedure Rule 13

 

Minutes:

There were no questions from councillors.

 

 

 

28.

Urgent Items

To consider any items of business which the Chairman has had prior notification and considers to be urgent pursuant to section 100B (4)b) of the Local Government Act 1972.  The reason for the urgency shall be recorded in the minutes.

 

Minutes:

There were no urgent items.

 

 

 

29.

Safeguarding Adults Board Annual Report pdf icon PDF 1 MB

To receive feedback from a People & Health Scrutiny Committee working group on the Safeguarding Adults Board Annual Report 2023-24.

 

The annual report is attached to this agenda.

 

Minutes:

The Chairman introduced the item. A working group of committee members had received a presentation and reviewed the annual report, ahead of the meeting. The working group had a positive meeting.

 

The committee discussed the annual report, and the following points were raised:

 

·         There was a concern with electronic records not being able to be shared by GP’s between countries, within the UK, which causes delays for patients. The Safeguarding Adults Board Chair responded that this issue was escalated to the Department for Health and Social Care and the Chair’s Network was anticipating a response by December. It may take time to resolve the issue due to a change in legislation needed.

·         The Corporate Director for Adult Care Operations would raise this issue with the Senior Leadership Team, so it could be shared with MP’s.

·         A concern was raised with the South-West Ambulance Service (SWAST) using a manual referral process and the time taken to implement a new system. In response to this concern, the Safeguarding Adults Board Chair was confident that SWAST was using a robust risk assessment to manage the referrals until a new technical system was in place.

·         In response to a question about the relationship with prisons, the Safeguarding Adults Board Chair was ensuring that the engagement of prisons at Board meetings has been more meaningful. There has been work with prisons to ensure they have a better understanding of escalating safeguarding issues to Adult Social Care.

·         In relation to the deaths at the Gainsborough Care Home, if there was a Care Act referral to the Safeguarding Adults Board and if it met the criteria for a review, then a review would be commissioned to find learning points.

 

 

30.

Prisoner Early Release Scheme pdf icon PDF 58 KB

To receive a briefing note from the Corporate Director for Housing and Community Safety.

 

Minutes:

The Committee received a briefing note, from the Corporate Director for Housing and Community Safety, on the Prisoner Early Release Scheme. There were 2 prisoners released in the Dorset Council area. It was business as usual as other prisoners were released regularly.

 

In response to a question about reviewing early releases, the Corporate Director advised that a 12-week review taking place depended on how smoothly the release went.

 

The Committee welcomed the briefing note.

 

31.

Corporate Complaints Team Annual Report 2023-24 pdf icon PDF 144 KB

To consider a report by the Complaints Manager.

 

Additional documents:

Minutes:

The Complaints Manager introduced the Corporate Complaints Team Annual Report. He outlined the key messages from the annual report, highlighting that although there was a 13% decrease in complaints, it was the second highest year for complaints since Dorset Council was formed. There were 117 approaches to the council made by the Local Government and Social Care Ombudsman. Half of the complaints investigated by the Ombudsman were related to SEND Provision.

 

The Committee discussed the report and asked questions, and the following points were raised:

 

·         In response to a question on the number of approaches from the Ombudsman, the Complaints Manager explained that of the 117 approaches made by the Ombudsman, only 42 of these were investigated.

·         Although complaints could be seen as negative, it was positive that people can make complaints and if they are dealt with well, it should not lead to negativity.

·         There was a concern about poor communication in the early stages of contact with SEND teams, which has led to complaints. In response to these complaints SEND teams were receiving training on how to better phrase responses to families when the outcomes are not as families would wish.

·         A member challenged how elderly people, particularly living in rural areas, could make complaints when they may not be comfortable doing them online. In response to this, there were other options to submit complaints, such as calls to customer services who can complete a complaint form on behalf of someone.

·         There was a concern that 17% of responses to complaints exceeded the 20-day timescale. There was an understanding that there are reasons why deadlines cannot be met on some occasions, but it was important that this should not cause a long delay following a deadline. There was a need to monitor and improve response times.

·         There was a role for councillors in resolving issues, such as by directing residents to the right officer. However, this needs to be recorded to ensure that the complaints system is used effectively.

·         A question was raised on the potential costs of legal action. There was uncertainty about the costs of legal action due to outcomes not being known until legal proceedings were complete.

·         A complaint referenced black bin bags being provided to a child in care to move belongings. The Committee were concerned that this had happened because the predecessor council had banned their use; and that it should not happen in the future. The Corporate Director for Education and Learning gave assurance that this would not happen again.

 

 

32.

Performance Scrutiny

A review of the relevant Dorset Council performance dashboard to inform the scrutiny committee’s work programme and to identify items for further review.

 

The following link is the dashboard for the committee:

 

People and Health Scrutiny Dashboard

 

Minutes:

The Service Manager for Business Intelligence and Performance introduced the item. In a pre-meeting the Committee identified 4 performance indicators of concern which officers needed to address.

 

The first performance indictor was the number of outstanding Care Act assessments, which has remained high. The Corporate Director for Adult Social Care responded that it was a challenge to ensure that capacity was evenly spread across months, with August typically seeing a reduction in productivity due to annual leave. At the current time there were approximately 1200 outstanding assessments.

 

The next performance indicator was the number of safeguarding concerns received during the month. The number of safeguarding concerns had risen and the committee sought assurance that these concerns would be responded to. The Corporate Director for Adult Social Care assured the committee that all safeguarding concerns were triaged to ensure the most important issues could be addressed in a timely manner.

 

A member raised that care homes were being put under pressure by the CQC to report concerns, which may lead to things being reported that do not need to be, which puts extra pressure on the number of safeguarding concerns. The Corporate Director confirmed that further work will be done with care providers on this issue.

 

The next performance indicator was the proportion of older people who were still at home 91 days after hospital discharge. This indicator was raised because it had worsened significantly. The Corporate Director recognised this issue and that a deep dive was commissioned to identify the reasons for it. The initial information suggested that readmissions were caused by urinary tract infections, falls, and sepsis. There was a health system-wide review of urgency and emergency care which would identify improvements to the reablement offer, which would help to reduce the number of readmissions. The Committee would receive a report on this work at a future meeting.

 

The final performance indicator was the net number of single households in B&B accommodation. Although this indicator was showing an improvement, it was still above the target. The Corporate Director for Housing and Community Safety responded to the performance indicator, stating that performance in this area was strong compared to the national average and that there was an aim to reach 0 single households in B&B accommodation by the end of 2025. In response to a question on how long people are staying in B&B accommodation for, he explained that it depended on how complex their accommodation needs were and it could range from a number of days to several weeks, aiming to move them as quickly as possible into more settled and appropriate accommodation.

 

 

33.

Cost of Living Challenge Update pdf icon PDF 391 KB

To consider a report by the Business Partner – Communities and Partnerships.

 

Minutes:

The Cabinet Member for Customer, Culture, and Community Engagement introduced the report. He outlined the 14 projects being progressed through the Cost of Living fund, and that the projects aimed at filling gaps where there was no longer government support. He highlighted that there was an £0.5m underspend which could be transferred into the next financial year, and there was a risk that 3 unapproved projects not proceeding.

 

The Business Partner for Communities and Partnerships gave a breakdown of the spend and progress of each project, emphasising the need for regular reviews to monitor the progress of projects. Some projects, particularly cost of living caseworkers at Citizens Advice, and emergency and affordable food security, had no spend yet and it was anticipated that this would happen by Quarter 4. The Business Partner outlined the recommendations to the committee.

 

The Committee asked questions and discussed the report. During the discussion, the following points were raised:

 

·         The uptake for cost-of-living support has been positive, but the specific data will be provided by the Department for Work and Pensions at the end of the financial year. The data would be available to the committee in the next update report.

·         A member appreciated the flexibility to respond to emerging trends in take up of the support.

·         There was a targeted grant programme for food security starting in November. The allocation of funding from this grant would be based on the number of people supported by the food back or social supermarket.

·         There were efforts to restart community lunch clubs in partnership with Age UK. Members were asked to contact the Business Partner if there was a need for a community lunch club or one that has ceased to exist in their ward.

·         The committee requested that the local Ward Members are kept updated on the projects in their wards, as well as ensuring that Town and Parish Councils are updated.

·         A member sought assurance on how it was ensured that schemes were spread across Dorset. In response to this the Business Partner assured that the team knew Dorset well and they receive knowledge from members, officers, and the voluntary sector. It was known where the areas of deprivation were. It has taken longer to start projects in rural areas which was why initial progress in Weymouth was quicker.

·         The £50k investment in Lendology CIC was clarified. Members would receive a briefing on this topic with further information.

·         A member asked about the cost effectiveness of the projects, suggesting that Citizens Advice was the most cost effective. The Cabinet Member felt that the value residents received from the cost-of-living support was immeasurable.

·         A member noted difficulties for charities in supporting ongoing projects, particularly community transport, due to insurance issues. The Business Partner highlighted that the Community Transport team had a small grant scheme which may help with these issues.

·         A member raised a concern about core funding for community projects, where grants do not cover their core funding. The Business Partner stated that there was  ...  view the full minutes text for item 33.

34.

Committee's Work Programme and Cabinet's Forward Plan pdf icon PDF 98 KB

To consider the committee’s Work Programme and the Executive Forward Plans.

 

Additional documents:

Minutes:

The Chairman updated members on the committee’s work programme. There had been a request to add Birth to Settled Adulthood, to review its implementation, at the meeting on 6 February.

 

There were no comments on the work programme or the executive forward plan.

 

35.

Exempt Business

To move the exclusion of the press and the public for the following item in view of the likely disclosure of exempt information within the meaning of paragraph x of schedule 12 A to the Local Government Act 1972 (as amended). The public and the press will be asked to leave the meeting whilst the item of business is considered.  

 

There are no exempt items scheduled for this meeting.

 

Minutes:

There was no exempt business.