Decision details

PROGRESS TOWARDS THE TRANSFORMATION OF ADULT SOCIAL SERVICES - FEE LEVELS FOR DOMICILIARY CARE, RESIDENTIAL, NURSING HOMES AND SUPPORTED LIVING

Decision Maker: Cabinet

Decision status: Recommendations approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

Outcome of consultation and further developments

Decisions:

The Director of Adult Social Services updated members on work being progressed to ensure that value for money was achieved in relation to Supported Living, Domiciliary Care and Residential and Nursing Care.  Members were asked to approve consultation on specific proposals to existing contracts.

 

Resolved:- That Cabinet resolves to consult with all providers on the proposals set out below and receive a further report on 19th March 2009.

 

General

 

(1)  The existing inflation clause calculation is revised for all the contracted services referred to in this report to ensure that future payment can be met within existing resources.

 

(2)  That the Employment and Appointments Committee be recommended to approve the permanent establishment of an additional Contract Officer and a Team Support Officer at an estimated cost of £80,000 per annum which will be offset against the savings achieved through these proposals.

 

With regards to Supported Living

 

(3)  A maximum rate of £13.18 is implemented as a variation to the existing contract payable from 1 April 2009.

 

(4)  Work is commenced with providers to specify specialist support and propose a banded fee structure for approval by members. 

 

(5)  Revised contracts for supported living will include responsibilities in relation to the Quality Assessment Framework that was introduced in January 2009.

 

With regards to Domiciliary Care

 

(6)  A maximum rate of £11 is implemented as a variation to the existing contract payable from 1 April 2009.

 

(7)  Offers of new business to domiciliary care providers who have not complied with the department’s e-monitoring requirements by 1 April 2009 will be suspended until such time as these requirements are met.

 

With Regards to Residential and Nursing Homes

 

(8)  Current fee levels as at 29 November 2008 are reduced by 5% and introduced as the Council’s “usual fee” levels from 1 April 2009 (as set out in section 4.5 Table 3). 

 

(9)  The existing quality premium criteria and differential amounts paid are retained as an interim measure.

 

(10)   Members note the Director of Adult Social Services intention to consult on the adoption of Commission for Social Care Inspection star ratings and the premium payments to be paid at each level subject to the availability of a declared rating for all homes.

Report author: Director of Adult Social Services

Publication date: 11/02/2009

Date of decision: 05/02/2009

Decided at meeting: 05/02/2009 - Cabinet

Effective from: 19/02/2009

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