date: thursday, 30 november 2017 · 2018. 1. 22. · tessa diment nottinghamshire county council -...

NOTES OF THE MEETING

Nottinghamshire County Council

Adult Social Care,

Health and Public Protection

Learning Disability and

Autism Partnership Board

Date: Thursday, 30th November 2017

Venue: Everyday Champions Centre

Newark

November 2017 Notes Learning Disability and Autism Partnership Board Page 2 of 38

Contents

Page Item

3 Who came to the Meeting

5 Who could not come to the Meeting

6 Welcome & Introductions

7 Ground Rules and House Keeping

7 Apologies

7 Notes from the last Meeting

8 Action Log

16 Progress Chart

17 ‘Housing’ The Board Theme - Introduction

21 Shared Lives

27 Tea Break

27 Housing Workshop Tables (Group Work Session)

33 Questions / Open Forum

38 Dates for Board Meetings in 2018


Who came to the Meeting

Tony Harper Councillor - Nottinghamshire County Council

Mark Taylor Vice-Chair & Service User Representative

Mandy Snowden Personal Assistant to Adult Social Care and

Health Service Directors

Service User Representatives

David Barrett Service User Representative

Christopher Belcher Service User Representative

Luke Hemstock Service User Representative

Paul Jones Service User Representative

Service User Visitors

David Whittaker Newark and Sherwood Day Service Newark Site

Alan Joynes Newark and Sherwood Day Service Newark Site

Ruth Palmer Newark and Sherwood Day Service Newark Site

Janice McGregor Newark and Sherwood Day Service Newark Site

Joyce Antcliffe Newark and Sherwood Day Service Newark Site

Donna Allsopp Broxtowe Day Service

Andrew Mitchel Broxtowe Day service

Carer Representatives

Adrian Hartley Carer Representative

Dianne Neal Carer Representative

John Parrott Carer Representative

Jan Harding Carer Representative / Voluntary Sector

Marek Melges Carer Representative

Parent Carers

Alyson Fisk Parent Carer

Dianne Welham Parent Carer

Alec Welham Parent Carer


Nottinghamshire County Council Board Representatives

Sheila Place Councillor - Nottinghamshire County Council

Steve Vickers Councillor - Nottinghamshire County Council

Mercy Lett-Charnock Nottinghamshire County Council -

Commissioning Manager

Jane McKay Nottinghamshire County Council -

Group Manager, Day Services & Employment

Nicki Anthony Community Voluntary Service (CVS) -Newark

Konrad Bakalarczyk Nottinghamshire County Council –

Access Officer

Sarah Craggs Nottinghamshire County Council -

Person Centred Training and Development

Manager (Meeting Facilitator)

Tessa Diment Nottinghamshire County Council

- Group Manager, Younger Adults North John Harty Nottinghamshire County Council -

Day Service Support Worker - Broxtowe

Val Wiltshire Nottinghamshire County Council -

Team Leader - Newark and Sherwood SU Support

Liz Moan Nottinghamshire County Council -

Day Service Support Worker Newark

Gary West Nottinghamshire County Council Driver Newark

Presenters and Facilitators Housing Theme

Eddie Morecroft We Can Do It Training

Ian Masson Nottinghamshire County Council -

Group Manager, Residential Services

Helen Hall Nottinghamshire County Council - Team Manger

Shared Lives (presenting)

Mark Jennison-Boyle Nottinghamshire County Council -

Team Manager - Younger Adults Project Team

Lesley Darnell Nottinghamshire County Council


Health Representatives

Della Money Notts Healthcare Trust Consultant Speech &

Language Therapist

Gary Watt NHS Bassetlaw - Clinical Complex Case

Manager

Marie McGahey Learning Disability Health Facilitator

- Strategic Lead

Ruth Harrison Acute Liaison Nurse – Sherwood Forest Hospitals

Other Partners / Attendees

Richard Cooper Autism East Midlands

Wendy Adcock Friend of the Board

Karen Aspley Smile Stop Hate Crime Co-Ordinator

Emma Pickford Fitzroys (Provider)

Neil Pike ROB Ollerton and Boughton Recycling

Tracy Radford TenFifty

Mark Townson Service User

Apologies-

Who could not come to the Meeting

Bryan Gray Percurra

Julie Hartley Parent Carer

Dale Hartley Service User Representative

Ainsley MacDonnell Nottinghamshire County Council - Service Director,

North Nottinghamshire & Direct Services

Darren Stapleton Nottinghamshire County Council

- Employment Co-Ordinator i-work

Stuart Wallace Councillor - Nottinghamshire County Council

Muriel Weisz Councillor - Nottinghamshire County Council

Yvonne Woodhead Councillor - Nottinghamshire County Council


1. Welcome and Introductions

Councillor Tony Harper welcomed everyone to

today’s Board meeting.

He said a ‘thank you’ to Eddie Morecroft for stepping

in to Chair the September meeting in Mark Taylor’s

absence.

Councillor Tony Harper gave a warm welcome to

Mark Taylor, Vice-Chair of the Board. You gave both

Eddie and Mark a round of applause.

Mark Taylor said he was looking forward to his new

role.


2. Ground Rules and House Keeping

Mark Taylor pointed out the Ground Rules were on

the tables and also on the walls. If anyone did not

understand the rules, you were asked to speak up

and let us know.

3. Apologies - who couldn’t come to the

meeting

Apologies were given and recorded on Page 5 of

these meeting minutes.

4. Notes from the last Meeting

(19th September 2017)

Councillor Tony Harper said the last Meeting Minutes

were in your papers and asked people to shout out if

any changes needed to be made.

John Parrot raised a correction to the last paragraph

on Page 17 – should read September to March, and

not September to January.


5. Action Log

What we said we would do, and

What we have done

ACTION:

Carers asked Questions about Direct Payments Uplift.

Cath Cameron-Jones will go to the next Carers

meeting to answer some of their questions.

Konrad said Cath had gone to the Carers meeting on

Tuesday, 21st November 2017.

Members agreed the action has been done and will

be taken off the Action Log.

ACTION:

Give answers to the Carers Questions from September

Board

Konrad said this has been done and was sent out on

9th October 2017.




ACTION:

Newark Leisure Centre Changing Places Toilet - Write

a letter on behalf of the Board asking for a date for all

the work to be completed.

Konrad said the work has now been completed and

Adrian Hartley had taken Dale Hartley to visit the

Leisure Centre and test out the facilities.

Adrian Hartley said the toilet could have been better

if the Board had been asked at the start of the

building work; however, we now have a great facility

for Newark.



ACTION:

Check the Health and Adult Social Care websites for

accessible and easy read information. Tell the Board

what you found and what you think.

Konrad said this action was for people to look at the

website and feed details back to the Board. If anyone

has any comments please let Konrad know.

Agreed the action has been done and will be taken

off the Action Log.


ACTION:

Find out the answers to questions about specialist

dentists in the rest of the County (information about

Bassetlaw already given out).

Konrad said answers were included with Carers

Questions.

Konrad said that carers had talked about this at their

meeting and was something they would like to look at

more closely.

John Parrot raised concerns about 2 of the 3

community dental services being closed in Bassetlaw.

Gary Watt said that community dentists are special

dentists trained to meet the needs of people who are

scared (anxious) about going to a high street dentist.

Gary said that Bassetlaw had 3 services.


The 2 services in Bassetlaw John are now closed (since

October 2017) because the dentist who ran those 2

services retired.

Gary said the NHS has not been able to arrange

cover but have been trying.

Gary said NHS Yorkshire and Humber (who are

responsible for the services) are trying to sort the

problem out.

Gary said Bassetlaw Clinical Commissioning Group

(CCG) have asked that the risk be recorded on the

NHS Risk Register while this problem is being sorted

out.

Councillor Tony Harper said it is clear that people are

not happy with the answers and said we should set-up

a Working Group to look at the problem.


John Parrot talked about taking a Safeguarding issue

out against NHS England about the lack of dental

care and posts not being filled.

Councillor Tony Harper said this is something the

Working Group can look at.

Jan Harding said that as soon as information is known,

can we make sure it is sent to families and members.

Councillor Tony Harper said we will make sure

information is sent out.

ACTION:

Charlotte Billson to update Board on what plans are in

place to make more people aware of Assistive

Technology and send this to Konrad Bakalarczyk.

Konrad said they are looking at producing a leaflet

telling people about the service and equipment.


ACTION:

Tanya Middleton and Liz Bailey to update Board on

what happened after the Promoting Independence

workshops and send the update to Konrad.

Konrad said a report has been written and is on the

table for you to take away.

ACTION:

Ask Cath Cameron-Jones about Brain in Hand smart

phone app.

Can people use their Direct Payment to pay for this

app?

Konrad said the answer to this question is, Yes.

However, this has to meet an individual’s support

needs and must be within their personal budget

(Direct Payment).

People would need to discuss this with their Social

Worker and it would have to be agreed and put in

your support plan.


ACTION:

Transport Assessments (moved onto Action Log from

the Progress Chart)

Ask teams to record how many people stop using a

service because they no longer get Council transport.

Konrad said he has spoken to Community Learning

Disability Team Managers. They said that generally

there has not been many problems as people have

been supported to find other ways to get to their

services.

Where a different way has not been found this has

been reassessed and people have continued to get

support from the Council, where appropriate.

If people are unhappy about changes made to their

transport they should speak with their support staff or

social worker.


Eddie Morecroft asked if we can get the numbers for

the amount of people who have stopped accessing

services due to transport problems.

Konrad said we do not record this as people are

supported to find other ways to get to their service or

to find other things to do.

People talked about transport in general.

Neil Pike said charges were £8.00 last year and it had

been agreed to put up to £9.00 in April.

Konrad said this was in the proposal that was reported

to the Board in January 2016. Transport will go up to £9

per day both ways in 2017/18.


ACTION:

Direct Payments

Moved onto Action Log from Progress Chart.

Process for using Direct Payments for Short Breaks.

What is the agreed process?

Konrad said, legally, people can use their Direct

Payments for Short Breaks. Although this must not be

a regular planned thing.

You and your social worker would have to agree this

before you can use your Direct Payment for short

breaks.

This does not mean that any money you have not

spent can be used to get extra short breaks.

Progress Chart

Progress Chart discussed and details updated – a

copy is with these minutes.


5. The Board theme….. ‘Housing’

~ Introductions to the Day

Mark Jennison-Boyle introduced himself and said he is

the Team Manager, for the Younger Adults Project

Team.

Mark went through his slide presentation (see copy of

presentation and a copy will be on the Board’s

website).

Mark said you have had our reports telling you about

some of the housing options in Nottinghamshire.

The report told you about residential homes,

supported living and Local Housing Networks.

Mark talked about Residential Care and said that for

some people, residential care is a good place to go

before they move on into supported living. He said

the Council knows that some people will always need

a lot of support.


Mark said that we know with the right support some

people can be more independent.

The Council has a plan that says that where it’s right

for people, we would like to support them to move

out of residential care if we can.

Mark said we have supported over 100 people to

move out of residential care into Support Living since

2013.

Mark also talked to you about Supported Living.

Mark said at the end of 2015, the Government

decided they wanted to change how people get

housing benefits.

Mark said the Government asked people what they

thought and have decided to keep funding most

Supported Living in the same way.

This means we can start planning some new

Supported Living services across the County.


Mark talked about Community Living Networks.

Mark said we have been thinking about having more

than one home on a site, or have larger services.

For example, flats or more than one house on a site.

Where people would still have their independence

and their own home.

Mark said a lot of people in Supported Living get 24

hour care and support, but we know that some

people have done really well and become more

independent and might be ready to move on.

Mark said a Community Living Network might be

something people can move on to. It could also be

more affordable and cost effective for Councils and

Housing Associations if people can share some of their

support with others.

We want to have up to 10 places for people to live

independently, but have these close to each other.


Mark said the Council is working with the Housing

Department in Bassetlaw to set-up a Community

Living Network.

Mark talked about Moving People from Hospital to live

in the community (Transforming Care).

Mark said there are 36 people who still need help to

move out of hospital but are still not ready to leave

yet.

Mark said the Council has to give a report each week

to the NHS to let them know how we are doing with

our plans to move people out of hospital.

Mark said after the Tea Break there will be a Group

Work session on table 7. We will be asking people to

talk about:

What would a good and successful Community Living

Network look like?


Eddie Morecroft said when looking at housing are you

also making sure people want to live there?

Mark said we do a lot of work around matching

people to see if they get on.

Dianne Neal talked about housing in Bassetlaw.

Dianne said both housing and the area it’s in makes

all the difference.

Vulnerable people need good support in accessing

good housing.

6. Shared Lives

Ian Masson and Helen Hall introduced themselves.

Ian and Helen said they wanted to talk to you about

Shared Lives and talked through their presentation

(copy available on the Board’s website).


Shared Lives supports adults by sharing a home with a

family where the carer is paid and will support them

to live their lives and be part of the carer’s family.

It can also offer short breaks and day time support to

individuals. This can help to support a person who

lives at home with a family carer.

Ian said it takes a while for a carer to become

established as a Shared Lives provider.

Shared Lives carers are assessed and supported by a

small team of Council officers called the Shared Lives

placement co-ordinators.

Ian said before a person stays with a Shared Lives

carer, we carefully match them so they have the

same sort of interests and to make sure the person is

happy with the match.


The Carer gets paid based on the needs and support

of the person staying with them.

There is more information in the report that was sent

out with your papers.

Question asked, How do to tell people about

becoming a Shared Lives Carers?

Helen Hall said we use Facebook, word of mouth –

hearing from other people who use Shared Lives.

Helen said, however, just because someone wants to

be a Shared Lives carer, doesn’t mean they are able

to do so and there is an assessment that’s done.

The assessment takes three to six months to do.

The process includes getting references from other

people, talking to other people, completing a

Disclosure and Barring Service (DSB) check with the

police.


Helen said we also provide training to ensure carers

understand Policies and Procedures. For example

Safeguarding and Carers being able to support

individuals with medications and managing money.

Ian said you can come and talk to us after the tea

break on our table where we will be asking you:

How can Shared Lives develop to better support

carers in their caring roles?

We said a big ‘hello’ to Rachel and Rita, our guests,

who came with Ian and Helen to talk to you.

Rachel and Rita live together in a Shared Lives

arrangement and they told you about their

experience of Shared Lives.

Rachel said she has lived with Rita (Shared Lives

carer) for 11 years.

Rachel said Shared Lives is excellent.


Rita said she has been a Shared Lives carer for 23

years and enjoys every minute. She has never looked

back.

Rita talked about people going on to independent

living, going on holiday and meeting lots of nice

people.

Rita said it is about using a lot of common sense and if

you can run your own home, you can do it.

Rita said we are here for the rest of the morning if you

have any questions.

Everyone thanked them both for coming and telling

the Board about their experience of Shared Lives

Helen Hall gave an example of a lady being

supported who has complex needs.

Helen said the lady has cerebral palsy, epilepsy,

asthma, diabetes, severe learning disabilities and

lacks mental capacity.


Her health needs are very complex and she is also

registered blind.

Helen said the lady has lived with carers since she was

a child and needs frequent support from Health

services and has daily physio.

Helen said the lady’s carers provide intensive care

and support, with help from other agencies.

Helen said the lady is very well supported by very

special people.

Neil Pike asked how it works regarding payments.

Rita said she is self-employed, reasonably well paid

and it helps keeps a roof over our heads.

Ian Masson said the scale of rates paid to carers

depends on the needs of an individual. There are 4

rates depending on the support needed and different

rates for daytime and night time.


Tea Break

Board members were reminded to look at the Action

Log, Progress Chart and Help Wanted sheets on the

walls.

Councillor Tony Harper asked people to take their

seats and welcomed everyone back to the meeting.

7. Housing Workshop Tables

~ Sarah Craggs

Sarah Craggs introduced herself and explained that

each table had a different question and asked

people to pick the question that they were most

interested in and to sit at that table.

Sarah said we want to find out what people think.

There were 5 tables and people could join different

tables when they had finished having their say. Each

table wrote down what people said.


Following the Group Work discussions, each table was

asked to tell everyone a few things from the table

discussions. What was said is below.

Table 1

What makes a good place to live?

Being near the police and fire station would be good.

Having your own room. Being near the Day Centre

and near to family and friends.


Table 2

How can Shared Lives develop to better support

carers in their caring roles?

By having enough carers to offer a service.

Keeping carers up to date when waiting for a service,

rather than going back to a Social Worker.


Table 3

What do you worry about when moving? What would

help you?

Knowing what is happening. Having the right support

and back-up support.

Having choices and support based on individual

needs.


Table 4

What is the best way to help people get the housing

they need?

By having early planning in place. Work on reviewing

and talk to people making changes.


Table 5

What would a good, successful Community Housing

Network look like?

When this is set up it would be good to ask providers

to come to the Learning Disability & Autism

Partnership Board to tell us what is working and not

working.

Councillor Tony Harper said it has been really good to

see people moving around tables and joining in.

Sarah Craggs said we will write up everything that was

recorded on your tables into a report.


A copy of the report is with these meeting notes and is

on the Board’s website.

8. Questions / Open Forum Councillor Tony Harper said we have not had any

questions sent in.

He asked if there are any questions from group.

Ruth Harrison said on Monday at Kings Mill Hospital in

Mansfield, between 10.00 am to 4.00 pm, we will be

relaunching Learning Disability Services in our

hospitals.

Ruth said for people to drop-in and there will be big

banners up to show people where to go.

Ruth mentioned the Accessible Information Standards

and said that all letters are now being sent out in an

easy read format.


Wendy Adcock said she was really pleased to see this

happening and if people cannot get to the event on

Monday, to give Ruth a call and she can arrange to

meet with you separately.

It was asked if this will also be taking place at the

Queens Medical Centre in Nottingham. Ruth said, no,

this is a different hospital trust.

People said you may have had a bad experience in

hospital and may not want to go back there again.

Can there be somewhere else for people to talk.

Marie McGahey said she will pass the comment onto

the nurses.

Neil Pike said there is a consultation out at the

moment and one idea is looking at Pre-Charging

Service Users for services.

Neil said it is about asking Service Users to pay up front

for their services.


Councillor Tony Harper asked for people to get

involved in the consultation and tell us what you think.

Ian Masson said a Carers Consultation is also out at

the moment and encouraged people to get involved

by completing the questionnaire.

Jan Harding said she had completed and returned

the form. Jan said that there was one question about

if you received a budget and ten questions on how it

is spent.

Jan said, this depends on the age of the person, their

needs and what someone wants to do at the time

(could change).

Councillor Tony Harper said this is a really good point

and that everyone is different.


Alyson Fisk said that the consultation hadn’t come to

the Partnership Board. It has come out of nowhere.

Alyson said it has gone out across the County to

people who do not understand the issues. This

happens again and again and the Board should be

involved

Alyson also said that although an easy read was

available today, why had no one thought of doing an

easy read version before the first letter went out to

people.

Sarah Craggs acknowledged what Alyson had said

and asked people what they would like her to write

down about this. People said:

• Give more time for consultations and information being sent out.

• When setting a date for consultations to end, make sure people get enough time to reply.


Eddie Morecroft said cards are on tables giving

contact information about ‘We Can Do It Training’

and asked for people to get in touch.

Councillor Tony Harper brought the Board meeting to

a close and wished everyone a very Happy Christmas

and New Year.


Dates for Meetings in 2018:

• Thursday – 25th January 2018

• Thursday – 29th March 2018

• Thursday – 24th May 2018

• Thursday – 26th July 2018

• Thursday – 27th September 2018

• Thursday – 29th November 2018

All meetings will take place in the Champions Suite,

Everyday Champions Centre, Jessop Close, Brunel

Close, Newark, NG24 2ER from 10 am until 12.30 pm

The website is at:

http://www.everydaychampionscentre.org.uk/newark

Meetings are public so anyone can come along and

see what we do.

For more information about the Partnership Board

please visit our website at:

www.nottscountypb.org

date: thursday, 30 november 2017 · 2018. 1. 22. · tessa diment nottinghamshire county council -...

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