Funding for Carehomes

Details:

Reference Number: 5548
Request Date: 05/02/2019 Archived

Question and Response:

 
Q.1   For each financial year 2012/2013, 2013/2014, 2014/2015, 2015/2016, 2016/2017, 2017/2018 and 2018-present, how many S.42 safeguarding reports/enquiries have the local authorities recorded under the Care Act 2014, involving the abuse and neglect of patients under 65 years old with learning disabilities and/or autism, detained under the Mental Health Act 1983 in an NHS or independent sector hospital with a specialism in assessment or medical treatment for persons with learning disabilities and/or autism? Please list the names of the care provider and the number of reports of safeguarding incidents for each.

Q.2   In connection to the above, please list the type of safeguarding enquiries/reports (as per below) for each private provider:
a. Neglect and acts of omission
b. Emotional/psychological abuse
c. Physical abuse
d. Sexual abuse
e. Medication
f. Discriminatory abuse
g. Other type of abuse as recorded by the local authority

Q.3   In connection to the above Q1 and Q2, please provide the person alleged to be responsible for the reported safeguarding report/enquiry:
a. paid employee
b. other service user
c. agency staff member
d. family member or visitor
e. outside health professional (eg doctor psychiatrist)
f. other

Q.4   In connection to Q1, please provide the number of investigations that concluded during each financial year 2012/2013, 2013/2014, 2014/2015, 2015/2016, 2016/2017, 2017/2018 and 2018-present and the number, which resulted in:
a. non-criminal investigations
b. criminal investigations
NB. For each of the questions, if some of the hospital settings provide services for both patients over 65 and under, please refer to the ones under 65.

A.1 - A.4     Based on the information we hold, there were four enquiries under Section 42 of the Care Act 2014, or equivalent enquiries under the national framework for safeguarding adults which was in place before April 2015, which fell within the scope of your query.  Details of these is in the attached spreadsheet.
Adult Social Care:   cost of care
Children & Families:   looked after children
Children & Families:   foster care and adoptions
Finance & Payments:   funding for care homes
Politics, Policies & Minutes:   Policies & Legislation
Children & Families:   Funding for care homes - TO BE ADDED
The department holding the information is that which has lead responsibility for dealing with kinship (also known as family and friends care) support and placements. 
Please note that the information gleaned will be analysed and inform the evidence gathering stage of the work of the Parliamentary Taskforce on Kinship Care.
Please provide the following information that your local authority holds: 

Q.1   Provide a link to your local authority’s kinship care policy (this may also be known as your family and friends care policy).

A.1    https://www.northumberland.gov.uk/Children/Looked-after/Fostering.aspx#familyfriendscare

Q.2   Does your local authority have a named designated lead 
manager responsible for kinship care (also known as family and friends care)? If so, what is their name and contact details, and what is the title of their substantive post?

A.2   Liz Spaven, Senior Manager - Family Placements

liz.spaven@northumberland.gov.uk

Q.3   Does your local authority have a written policy and/or procedure that sets out financial support for children in kinship care under the following arrangements, and if so, please provide a copy of the policy and/or procedure(s):
a) Children placed or living in family and friends care overall (encompassing all the different types of arrangements below)
b) Children placed with family and friends foster carers?
c) Children subject to a Special Guardianship Order?
d) Children subject to a Child Arrangement Order or Residence Order?
e) Children living in private fostering arrangements?
f) Children living in kinship care informal arrangements (where there is no legal order)?

A.3   See attached document

Link to private fostering info:  https://www.northumberland.gov.uk/privatefostering.aspx

Q.4    See the attached document

Q.5   Do you have a written policy about how kinship carers can access legal advice including, how this is funded?   If yes, please provide this.
If you do not have a written policy, what guidelines do you use in determining whether to pay for independent legal advice or representation for a kinship carer or potential kinship carer? E.g. an initial consultation for £x.

A.5   See attached document

Q.6    Between 1 April 2017 and 31 March 2018, what was the total local authority budget spent on all children placed or living in family and friends care overall?
Can this be broken down by total local authority spend on:
a) Children placed with family and friends foster carers?
b) Children subject to a Special Guardianship Order?
c) Children subject to a Child Arrangement Order or Residence Order?
d) Children living in informal arrangements (where there is no legal order)?

A.6    See answer to question 4
 
Q.7    Please state how many looked-after children were placed in friends and family foster placements as of 31st March 2018.

A.7     67

Q.8     Of the number of looked after children placed in friends and family foster placements as of 31st March 2018, how many were previously placed by the local authority in: 

Q.8a)   A foster placement (or placements) with unrelated carers? 

A.8a)    8

Q.8b)    A different family and friends foster placement? 

A.8b)    5

Q.8c)    A residential children’s home setting? 

A.8c)    0

Q.8d)   Any other provision for looked-after children?

A.8d)   0
 


Details:

Reference Number: 5549
Request Date: 05/02/2019 Archived

Question and Response:

Q.1   Provide a link to your local authority’s kinship care policy (this may also be known as your family and friends care policy).

A.1    https://www.northumberland.gov.uk/Children/Looked-after/Fostering.aspx#familyfriendscare

Q.2   Does your local authority have a named designated lead 
manager responsible for kinship care (also known as family and friends care)? If so, what is their name and contact details, and what is the title of their substantive post?

A.2   Liz Spaven, Senior Manager - Family Placements

liz.spaven@northumberland.gov.uk

Q.3   Does your local authority have a written policy and/or procedure that sets out financial support for children in kinship care under the following arrangements, and if so, please provide a copy of the policy and/or procedure(s):
a) Children placed or living in family and friends care overall (encompassing all the different types of arrangements below)
b) Children placed with family and friends foster carers?
c) Children subject to a Special Guardianship Order?
d) Children subject to a Child Arrangement Order or Residence Order?
e) Children living in private fostering arrangements?
f) Children living in kinship care informal arrangements (where there is no legal order)?

A.3   See attached document

Link to private fostering info:  https://www.northumberland.gov.uk/privatefostering.aspx

Q.4    See the attached document

Q.5   Do you have a written policy about how kinship carers can access legal advice including, how this is funded?   If yes, please provide this.
If you do not have a written policy, what guidelines do you use in determining whether to pay for independent legal advice or representation for a kinship carer or potential kinship carer? E.g. an initial consultation for £x.

A.5   See attached document

Q.6    Between 1 April 2017 and 31 March 2018, what was the total local authority budget spent on all children placed or living in family and friends care overall?
Can this be broken down by total local authority spend on:
a) Children placed with family and friends foster carers?
b) Children subject to a Special Guardianship Order?
c) Children subject to a Child Arrangement Order or Residence Order?
d) Children living in informal arrangements (where there is no legal order)?

A.6    See answer to question 4
 
Q.7    Please state how many looked-after children were placed in friends and family foster placements as of 31st March 2018.

A.7     67

Q.8     Of the number of looked after children placed in friends and family foster placements as of 31st March 2018, how many were previously placed by the local authority in: 

Q.8a)   A foster placement (or placements) with unrelated carers? 

A.8a)    8

Q.8b)    A different family and friends foster placement? 

A.8b)    5

Q.8c)    A residential children’s home setting? 

A.8c)    0

Q.8d)   Any other provision for looked-after children?

A.8d)   0
 


Details:

Reference Number: 5810
Request Date: 21/03/2019 Archived

Question and Response:

This information relates to the care homes owned and run by the council.
Q.1     Council Provider (according to CQC)
Q.2     Location Name
Q.3     CQC Rating Feb 2019
Q.4     Total Beds
Q.5     Service Description (State all that apply)
Q.6     Average Weekly Fee/Cost per resident to include all Hotel and Care Costs) 
Q.7     State Week Used to calculate Average Weekly Fee
Q.8     Average Carer/Snr Carer Hourly Pay Rate (excluding On-Cost)
Q.9     Total Weekly Carer/Snr Carer Hours (all residents)
Q.10   Hours Per Resident Week (HPRW).  State the number of hours per resident week for all staff employed at the home including Manager and all carer and non-care staff)
Q.11   Are there any plans to dispose of this care home or to expand or change the services provided currently in any way? However please could you also give details of any new care home builds planned by your council 

A.1 - A.11    Northumberland County Council confirms that it holds the information you have requested, please see the attached information in response.


Attachments:

Details:

Reference Number: 6072
Request Date: 14/05/2019 Archived

Question and Response:

A.      Total gross local authority expenditure (actual spending) for older people (over 65) social care services for the financial year 2017/18

B.      For 2017/18, please provide the following breakdown:

1.      Gross local authority expenditure (actual spending) on residential care home services for older people (over 65) for the financial year 2017/18 (this includes the nursing care element of any residential services provided)

2.      Gross local authority expenditure (actual spending) on homecare services (domiciliary care) for older people (over 65) for the financial year 2017/18

C.      Please provide the gross expenditure (actual spending) of [B1] as broken down by:

1.      Directly provided local authority services
2.      Commissioned through contracts with for-profit providers
3.      Commissioned through contracts with not-for-profit providers

D.      Please provide the gross expenditure (actual spending) of [B2] as broken down by:

1.      Directly provided local authority services
2.      Commissioned through contracts with for-profit providers
3.      Commissioned through contracts with not-for-profit providers

E.      Total gross local authority expenditure (actual spending) for older people (over 65) social care services for the financial year 2018/19

F.       For 2018/19, please provide the following breakdown:

1.      Gross local authority expenditure (actual spending) on residential care home services for older people (over 65) for the financial year 2018/19 (this includes the nursing care element of any residential services provided)
2.      Gross local authority expenditure on (actual spending) homecare services (domiciliary care) for older people (over 65) for the financial year 2018/19

G.      Please provide the gross expenditure (actual spending) of [F1] as broken down by:

Directly provided local authority services
Commissioned through contracts with for-profit providers
Commissioned through contracts with not-for-profit providers

H.      Please provide the gross expenditure (actual spending) of [F2] as broken down by:

1.      Directly provided local authority services
2.      Commissioned through contracts with for-profit providers
3.      Commissioned through contracts with not-for-profit providers

Answer:    With one exception, all figures for 2017/18 covered by this request are published information, available on the website of NHS Digital, at the URL below:

https://digital.nhs.uk/data-and-information/publications/statistical/adult-social-care-activity-and-finance-report
 
The exception is a split of actual expenditure between for-profit and not-for-profit providers.  We do not hold this information in a form which would enable us to supply it without exceeding the time limit for FOI enquiries.

With the same exception, all information for 2018/19 is covered by an exemption in the FOI legislation, because it is scheduled for future publication, again by NHS Digital.  The processes of checking and validation which precede that publication have not yet been completed.