Wrexham Council homepage

Advertising

Agenda and minutes

With effect from 1 April 2016 Agenda and Minutes will be available in both Welsh and English. Reports are working documents and produced in English only in accordance with Welsh Language Standard 41 of this Council’s Final Compliance Notice from the Welsh Language Commissioner.

Venue: Meeting Room 1, Guildhall

Contact: Suzanne Price  Scrutiny Facilitator

Items
No. Item

9.

Apologies for absence

Minutes:

Apologies for absence were submitted on behalf of Councillors Krista Childs and Nigel Williams.

10.

Declarations of personal interests, if any

Members are reminded of their responsibility, under Paragraph 11 of the Members’ Code of Conduct, to declare the existence and nature of any personal interest in respect of any of the business to be transacted at this meeting.

Minutes:

Members were reminded of their responsibility, under Paragraph 11 of the Members’ Code of Conduct, to declare any interests in relation to any business to be transacted at this meeting.  The following declarations were made:

 

Agenda Item 6 – Adult Social Care Monitoring

 

Councillor Beverley Parry Jones – Personal and Prejudicial  – her father being a resident of a Care Home within the County Borough.  The Councillor withdrew from the meeting for this item taking no part in the discussion and voting thereon.

 

Agenda Item 7 – Police Community Support Officers 

 

Councillor Gwenfair Jones – Personal – being the wife of the Police and Crime Commissioner for North Wales.  The Councillor stayed in the meeting and took part in the discussion and voting thereon.

11.

Confirmation of Minutes pdf icon PDF 82 KB

To sign as a correct record the Minutes of the Meeting held on 20 June 2018.

Minutes:

The Minutes of the meeting held on 20 June 2018 were submitted.

 

AGREED – That the Minutes of the meeting held on 20 June 2018 be signed as a correct record.

12.

Work Programme pdf icon PDF 81 KB

To consider the report of the Head of Finance

Additional documents:

Minutes:

The Head of Finance submitted a report (HF/72/18s) to assist the Committee in considering its Work Programme for the coming year.

 

The Scrutiny Facilitator introduced the report and advised Members that the items identified for further scrutiny at previous meetings had been provisionally scheduled into the draft Work Programme, a copy of which was attached at Appendix 1 to the report.   She then provided updates on a further meeting with Betsi Cadwaladr University Health Board (BCUHB); Adult Social Care Budget Savings – Review of Day and Work Opportunities; and a meeting with the Governor of HMP Berwyn.  

 

In addition, the Chair read out information provided by the Lead Member for Organisation – Planning and Corporate Services  relating to the withdrawal of the Pay Policy Amendments report to the July meeting of the Executive Board. 

 

With reference to the tour of the prison, the Chair reported that, taking into account meetings already scheduled in the Council’s diary, the preferred date for the visit would be the morning of Monday, 17 September 2018.  Areas for discussion at the informal meeting could be agreed with the Governor in advance and Members were requested to notify the Scrutiny Facilitator of any issues they wanted to raise.  Questions should be of a general nature and by providing the Governor with them in advance, should enable a full response to be given at the meeting.

 

AGREED –

 

(i)         That the report be noted and the draft Work Programme attached at Appendix 1 to report HF/72/18s be approved.

(ii)        Representatives from BCUHB, including the Chief Executive, be invited to attend the October 2018 scheduled meeting of this Scrutiny Committee.  Matters for discussion to include Progress with the Mental Health Strategy; Child and Adolescent Mental Health; and Urology.

(iii)       That a report on the Adult Social Care Budget Savings – Review of Day and Work Opportunities be submitted to September 2018

meeting of this committee.

(iv)      The next Children’s Social Care – Departmental Service Activity and Performance report (scheduled for December 2018) includes specific information on the action being undertaken within the department to assist with recruitment and retention of key staff within the Children’s Social Care Department

(v)       That a visit to HMP Berwyn for Members of this Scrutiny Committee, to include a tour of the prison and informal meeting, be arranged for Monday, 17 September 2018.  The Chair and Scrutiny Facilitator liaise with the Governor of HMP Berwyn to make appropriate arrangements and to submit areas for discussion at the informal meeting.

13.

Annual Adult Protection Report 2017/18 pdf icon PDF 92 KB

To consider the report of the Lead Member for People – Health and Adult Social Care.

Additional documents:

Minutes:

The Lead Member for People – Health and Adult Social Care submitted a report (HASC/07/18) which provided details of Wrexham’s Adult Social Care Department’s performance in relation to the Protection of Adults at Risk from abuse for the year 2017/18.  In addition, the report provided a summary of activity and ongoing development.

 

The Lead Member together with Charlotte Walton, Head of Adult Social Care and Pauline Best, Practice Development Manager introduced the report and highlighted the main points contained therein.  Thereafter, they responded to Members questions accordingly.

 

During the ensuing debate Members referred to the following matters in particular:

 

·         There was a general consensus that the revised performance measures, as presented, and developed as part of the Social Services & Wellbeing Act (Wales) Act procedures were an improvement and easier to understand than those previously used. 

·         The Head of Adult Social Care was asked to consider re-introducing the following two measures for the 2018/19 report which had been included previously:

Ø  % of adults at risk referrals where the risk has been managed – this had previously been a national indicator and retained as a local indicator.

Ø  Risk assessment and protection plans reviewed – the 2016/17 Annual Report had identified this as a local good practice target with local targets being set to improve performance in this area.

·         The increase in the number of referrals coming into the Department year by year was noted.  Members commented upon the high percentage of referrals received (45%) which were subsequently deemed to be inappropriate by the Adult Safeguarding Manager as they did not meet the threshold of significant harm and sought further information on the action being taken to reduce this number. 

·         Chart 4 - The number of referrals received to Adult Safeguarding by type of abuse:   Due to referrals subsequently deemed ‘inappropriate’ being included, the chart did not accurately reflect performance.  Members requested that the information be reconfigured so that the figures for appropriate and inappropriate referrals in terms of the type of abuse were reported separately.

·         Members requested that the next Annual Report includes reference to the Council’s duty to signpost inappropriate referrals and includes details of where inappropriate referrals were signposted to.

·         Chart 7 – The number of referrals received by the Adult Safeguarding Team which are screened by an Adult Safeguarding Assistant Team Manager within 24 hours of receipt:  Members drew attention to the high number of referrals received for January 2018 as compared with the February and March 2018. 

 

·         In response, the Practice Development Manager commented that the increase may have resulted from concerns raised following visits from family members over the holiday period.  Members expressed concern that, if this was the case, problems may not have been picked up and dealt with during the rest of the year.   The Head of Adult Social Care agreed to further investigate this matter.

 

AGREED - The Committee commends the improvements made due to the change in working practices and encourages further improvements during the coming years.

14.

Adult Social Care Contract Monitoring pdf icon PDF 398 KB

To consider the report of the Lead Member for People – Health and Adult Social Care.

Minutes:

(Members’ declarations of interest in relation to this Agenda Item is set out in Minute 10 above)

 

The Lead Member for People – Health and Adult Social Care submitted a report (HASC/06/18) which provided Members with information on contract monitoring arrangements within Adult Social Care.

 

The Lead Member together with the Head of Adult Social Care and Helen Bainbridge, Service Manager for Old People, introduced the report.  Adult Social Care had a well established contract monitoring framework including observational based work to capture Provider’s performance.  This framework continued to be developed in conjunction with Providers, partner agencies such as Health, the Care Inspectorate Wales (CIW) and via collaborative working with other North Wales Authorities. 

 

During the ensuing debate Members commented upon the following matters in particular:

 

·         The Adult Social Care standard for each Provider of a care home to receive a monitoring visit at least every 12 months had been reintroduced.

·         Page 46 Paragraph 4.1 Residential Care Homes:  During the reporting period, two Care Homes Providers had been placed within the Escalating Concerns process and a further five care homes had been identified as being of increasing concern.   There was no information in the report regarding trends on the future WCBC  demand for long-term residential care home placements or the capacity within the sector to continue to meet that demand.   The Head of Adult Social Care agreed to include such information in the next annual report to this Committee.

·         With reference to charges, the Head of Adult Social Care confirmed that the Council and Providers have an agreed formula and set rate for the cost of residential care home placements.  Individuals may have to pay a ‘top-up’ charge for additional services provided by the care home.

·         Members continued to express concern regarding the recruitment and retention of staff employed by external care providers.    In response, the Head of Adult Social Care commented that this was a UK wide problem, particularly within the domiciliary care sector.  A quarterly forum had been set up with Providers to discuss issues affecting the domiciliary care market in Wrexham.  In addition, the Council’s Workforce and Development Team and domiciliary care providers were undertaking a recruitment campaign in September 2018.  Vacancies within Provider agencies were now being advertised on the Council’s job pages.

·         Members noted that the percentage of qualified staff has reduced across the residential / domiciliary sector compared to the previous reporting period.  The Head of Adult Social Care commented that the turnover and recruitment of qualified staff impacted on the level of training within provider organisations.   Adult Social Care continued to support Providers to access training and the numbers did not include staff working towards their qualifications.   Progress continued to be monitored by officers and a new suite of standardised qualifications for health and social care staff will become mandatory across Wales from September 2019.   This will be a significant move forward in recognising the professionalism of the workforce.

·         The Head of Adult Social Care confirmed that consultation with domiciliary care staff  ...  view the full minutes text for item 14.

15.

Police Community Support Officers pdf icon PDF 877 KB

To consider the report of the Lead Member People – Communities, Partnerships, Public Protection and Community Safety.

Minutes:

(Members’ declarations of interest in relation to this Agenda Item is set out in Minute 10 above)

 

The Lead Member for People – Communities, Partnerships, Public Protection and Community Safety submitted a report (LR/05/18s) which provided the Committee with the details of the proposed amendments to the Service Level Agreement with North Wales Police for the Police Community Support Officer (PCSO) provision in Wrexham County Borough. 

 

The Chair welcomed Chief Inspector Mark Williams to the meeting and reminded Members that in December 2017, the Scrutiny Committee considered revenue budget saving proposals for 2018/19 and 2019/20, including the proposal to reduce the Local Authority’s funding of PCSOs.    The Committee requested that the Lead Member submit the proposed implementation plan for pre-decision scrutiny.

 

The Lead Member, together with Chief Inspector Mark Williams, introduced the report and during consideration of the report the following matters were raised:

 

·         Chief Inspector Mark Williams gave an assurance that, subject to operational demand,  the allocation of PCSOs will continue to be based on the Welsh Index of Multiple Deprivation (WIMD) scores for each ward and a North Wales Police representative, either a PCSO or other will continue to attend Town and Community Council meetings or provide a written report.

·         The arrangement for the deployment of the four PCSOs funded by WCBC will be flexible, being deployed on a daily basis according to greatest demand.

·         With reference to the shortfall in the number of PCSOs in Wrexham County, the Lead Member confirmed that the Council would only pay for the four posts when operationally deployed.

·         There will be a dedicated e-mail address for both Wrexham Town and Wrexham Rural policing areas available for Councillors, Town and Community Councils and the public to access.

·         The proposal to vary the monitoring arrangements to provide an annual not six-monthly satisfaction and performance report to the Crime and Disorder Committee was noted. 

 

AGREED – The Committee thanked the Lead Member, Officers and the Chief Inspector for their report and attendance.  The Committee looked forward to the new improved way of working and asked for an annual report to this Committee at a suitable time in the future.