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Local Account

Our yearly report with information on how we supports adults with social care needs.

Your Life, Your Support

Welcome to our Local Account for 2019/20. Our Local Account for next year (2023/24) will be written in partnership with:

  • local groups;
  • people who draw on care and support
  • and their families/carers.

In the meantime, we will refresh this Local Account by October 2023.

The Local Account tells you:

  • How to get advice and information, or other support, in a way that is personal to you.
  • How you can feedback to us about our performance.
  • About some of the main things that we have done well this year.
  • The things we need to improve and do better.
  • What we are going to doing the coming year.

Our ambition is to support you to:

  • Build on your strengths, whatever your abilities.
  • Be as independent as you can, for as long as you can.
  • Play an active part in your community.
  • Lead the largest life you can by being in control of the things that are important to you.

There is a glossary at the end of this document which explains more fully the terms used in the Local Account.

If you do have any comments about this Local Account, please do let us know. Details of how to do this are in the Tell us what you think section of this document.

Thank you.

Cath Gormally
Director for Adults Health and Wellbeing.

1. What is social care?

Social care offers a range of support and advice. It may be provided by us or from organisations that we can put you in touch with. Social Care support enables you to continue to look after yourself, stay safe and live the life that you want.

We can help you in this regardless of whether you have the resources to pay for your care (self-funder) or not.

We will support you:

  • To do as much as you can for yourself.
  • By making sure that the decision you make, help you to stay safe and well.
  • To have the right support networks and feel connected to people who are important to you.

If you need support, email: gatewaytocare@calderdale.gov.uk to discuss how best to meet your needs. We will also help to make sure that you do not pay more for support than you can afford.

2. What if I just want some information?

There is a range of support available either from us directly, or from other organisations that we can put you in touch with, so please get in touch if you feel we could help.

Who to contact

Online

Find information and advice via our portal: Connect to Support Calderdale!

This will provide you with direct access to information. It will also enable you to browse and purchase products and services which might be helpful for you.

What if I need help to explain things?

Gateway to Care is there to answer your questions or concerns. If they cannot do this directly, they can put you in touch with Advocacy or Peer Support. For example, if you are living with Asperger's, mental health conditions or have a learning disability.

There are also groups that can assist you, or your carers; these groups that offer friendship, support and coping strategies.

Useful links

3. Getting help early

At times we all need a little extra support for a short while.

If you need support, we can help you in your own home with things like:

  • Increasing your confidence.
  • Providing technology to keep you safe at home, like care alarms or door sensors.
  • Linking you into community activities in your area.
  • Supporting you to be physically active.
  • Improving your mobility and preventing falls.
  • Everyday tasks, such as making a meal, cup of tea, medication prompting and more.
  • Supporting you to gain employment.
  • Supporting you with housing issues.

You can also get help from social care staff through our out of hours team.

Other early or preventative support that you can get in your home

Depending on your particular situation, the sort of things that might help you include:

Support In Mind Dementia Team. They give a specialist service to people who have been diagnosed with dementia.

Care Line System. A box can be fitted to your phone (landline) so you can contact a real person in an emergency. Sensors can be linked to this box, which include:

  • Fall detectors.
  • Door, bed and chair sensors.
  • Smoke or carbon monoxide detectors.

Medication dispensers/Pivitols. These make taking medication easier or remind you when to take it.

Tracking systems. Thes can help if you care for someone with dementia who goes "purposeful walking" at times.

The Reablement Team. They can support you for up to six weeks. This can be to help you recover from an illness or injury. They can also assist if you just need a bit of extra help, so you can carry on living at home.

For more information about these services, contact:

4. How do I get social care support?

Social care support can range from getting some information or advice through to 24-hour care. Our aim is to work with you to get the best outcome for you as quickly as possible.

How will I know what support I can get?

The first thing to do is to contact Gateway to Care to ask for an assessment of eligibility that will help shape a Wellbeing Plan for your care. Once you have this, you will have a six weekly review and one every year thereafter after, so that we can discuss your care and support needs with you.

What is an assessment?

This is where a social worker, service co-ordinator or occupational therapist will have a conversation with you about any social care support that you might need. They will discuss things with you, such as:

  • What is important to you and what you want to achieve.
  • Your strengths and support networks.
  • Your needs and well-being.
  • The things that matter to you.
  • Enabling you to identify your desired outcomes.

After the assessment, we will consider whether any of the needs you have may be eligible for care and support from us and if so, we will work out how your well-being can be maintained and agree a Wellbeing Plan with you.

If you want more information about the way we work or your entitlement to social care, see: Care Act 2014.

What is a well-being Plan?

This is a document that you get, which sets out the detail of your desired outcomes and how they will be achieved.

What type of services can I access after my assessment?

Some examples of support in your own home include:

Floating Support. Offers a range of assistance and advice as needed for people over 60 years old, in your own home.

Home Care. There are a range of care providers, approved by the council, who can visit you at home and help you to remain independent. Homecare can be provided several times a day if you need it and carers can support with personal care as well as helping you to prepare meals and look after your home.

Day Opportunities. These provide a range of opportunities and activities, across Calderdale, to support you. These provide health and social care support for older people or adults with a learning disability, or if you have complex needs, like dementia, autism or physical health needs.

Our Place. Based at Heath on Manor Drive, Halifax. Visit Facebook: Our Place Calderdale.

  • This offers care for older people on Saturdays and Sundays.
  • It is supported by volunteers.
  • Transport is available if you need it.

Some examples of more long-term support include:

Shared Lives. Provides focussed support in a range of home settings. This can be for a short time or longer period. We will work with you to match you to the carer who is best able to meet your needs. For more about this, please see: Adult placement schemes.

Supported Living. There is a wide range of accommodation and support available ranging from independent apartments, supported living and 24-hour support. We work with a wide range of housing and support providers to ensure that accommodation can meet a wide range of needs.

Extra Care. Where you live in a complex with other people. You still have your own front door but can have as much or as little support as you need to help keep you independent and safe. There are four schemes in Calderdale with a further scheme due to open in 2022 that will offer specialist accommodation for people with dementia.

Care Homes. There are a number of options for 24-hour care, such as:

  • Residential care, which gives help with all aspects of personal care.
  • Nursing care, where there is always a qualified nurse on duty. This is for those who have more complex needs.
  • Residential and nursing homes that offer specialist support to people with dementia.

Arranging and paying for care and support

We make sure that you do not pay more for support than you can afford. How much you actually pay will be based on your income and capital, less any deductions that will be made for allowable expenditure. The amount payable may range from nil to the Council's Maximum Charge, which is currently £500 per week.

We are updating our information about charging, which will be available in April. For the current information, please see:

What if I want to get my own care and support?

We will tell you about something called a Personal Budget. This is the amount of money that we work out that will cover the cost of your social care support. You can ask for this to be paid as a Direct Payment.

Direct Payments: This is a way you can get money from the Council, if you are eligible. It is to help you pay for the care and support you need. Choosing this method gives you more control over the services you use and where you get them from.

You can spend this on any services that are legal, keep you safe and healthy and meet your eligible needs. We will pay it into your bank or building society account.

Please note: Direct payments do not count as income and will not affect your benefits.

What if I cannot make decisions for myself?

Someone, who is interested in your welfare, can come with you to the assessment. We will work with them to agree on how your identified outcomes should be met. We will do all we can to achieve this.

What if I, or someone I care for, have learning disabilities?

Lead the Way. A community advice and support service for you and your carers.

Calderdale Advocacy Service (Cloverleaf). A self-advocacy service to help you make decisions and express your concerns.

If you want to get a job, there are some ways we can help you. These includes:

  • College Placements. 5-day support is available for people moving between children's and adults' services, in partnership with the local adult education provider.
  • Supported Internships and Project Search. This offers internships to young people in partnership with the local hospital. There are 12 internships each year.
  • Springboard to Employment Project (Ravenscliffe School). This support people up to 25 years old, to get a paid job.

We can support you to find accommodation and to be as independent as possible.

There is a wide range of accommodation and support available, from independent apartments, to supported living and 24-hour support. We work with a wide range of housing and support providers to make sure that this can meet a wide range of needs.

Short Breaks. These are available in a residential setting to give family carers a break and provide social opportunities. Breaks can range from a couple of days to a few weeks depending on your circumstances. Please note: Direct payments can also be used if you wanted more flexible short breaks.

Outreach. This support is available to ensure that you can access social opportunities, especially in the evening and at weekends. There are several approved providers who can offer outreach support.

What if I, or someone I care for, have mental health needs?

There are various teams that are based in the community that can help you:

Community Mental Health Teams (CMHTs).

  • CORE Team - low-level intensive input for people who need support for a short time.
  • Enhanced Service - for people with longer-term needs or complex mental ill-health.

Home-Based Treatment Team. Treatment and Support for people who are experiencing a mental health crisis in the community in order to help avoid a hospital admission. The Team also supports people discharged from hospital.

Approved Mental Health Professionals (AMHP) Service. Gives input, advice and Mental Health Act assessments. These are needed after other services have been involved and:

  • it is felt that you may not be able to make your own decisions (lack capacity);
  • or for your own safety.

There are other services, or we can see you at home and link you into activities taking place in your local area. These include:

Share. This is flats where you can stay to:

  • relearn skills (this could be after a period in hospital);
  • or have a short break to help avoid a relapse or support a carer.

There are also "crisis beds", an alternative to being admitted to hospital and staff are always on the premises.

Union Housing. Offers long-term supported accommodation if you are not able to live independently. There are 17 different properties that offer anything from:

  • four people living together in a shared house with staff available on site 24 hours a day;
  • to a person living on their own with staff visiting daily.

HOPE Recovery College. For a prospectus, visit: What can we help you with today? The prospectus has a list of courses available. Some of these courses are accessible to anyone in Calderdale and some accessible to just those people supported by mental health services. They are free of charge and they are co-produced with people who have lived experience of mental health needs.

Mental Health Vocational Team. The service can support with the skills you have and work with you to develop new ones that will help you get a job. The staff also support you to apply for jobs, help with interview skills and once you have a job help you to keep that job.

5. I am a carer, is there any social care support that I can get?

Do you care for a friend, relative or neighbour who would not be able to manage without this help? If so, we can:

  • Put you in touch with other carers to offer mutual support.
  • Give you information and advice.
  • Tell you about services and support groups.
  • Do an assessment of your needs.
  • Help you set up an emergency back-up plan for the person you care for. (This is in case you are not available for some reason.)

Other organisations that can give specialist support include:

We also offer offer Direct Payments to eligible carers in order to meet your needs. For more about this, please contact our Gateway to Care Team.

There is a range of support groups and activities across Calderdale for carers. These provide social opportunities and a chance to meet other carers.

Calderdale Carers Service provides specialist support for young adult carers aged 18 to 25.

6. Working with others

We work closely with our health and housing partners to make sure that any support you get is joined up. This is so you do not have to keep "telling your story".

Housing Services

Heatherstones

This is a Care Quality Commission (CQC) regulated service. It provides temporary accommodation and reablement/therapeutic services, if you have been discharged from hospital and:

  • are homeless;
  • or waiting for adaptations to your property.

There are 11 fully furnished apartments for adults of any age. There are three ground floor apartments fully accessible by wheelchair, two of these are double apartments so couples can stay or you can bring a carer. The remaining apartments are accessible via stairlifts.

This is not a 24-hour service, but each apartment has “telecare equipment”, such as fall detectors and access to Progress Lifeline. There are good links with housing services in case you need help with re-housing or adjustments to your home.

Health Services

Quest for Quality in Care Homes Service. This operates in 34 nursing and residential homes. It offers support from a team of professionals, such as nurses, pharmacists, consultants and support workers.

It helps residents and staff in a number of ways, such as saving the need to go to your GP.

This was set up to improve quality of care and make sure residents are supported to regain their maximum potential and mobility.

Care homes that are part of Quest can also support people through assistive technology with:

  • Telehealth. Monitoring of vital signs (blood pressure, weight, temperature and oxygen).
  • Telemonitoring. Out-of-hours video triage. This lets residents have a Skype consultation with a senior clinician if advice/diagnosis is needed out of hours.
  • Telecare. Sensors to detect falls, bed and chair occupancy.
  • Enhanced Health in Care Homes. Provides access to health care support, directly into the care home.

Support outside office hours

  • Emergency Duty Team. If you become concerned in the evening or at the weekend, phone: 01422 288000.
  • Hospital Avoidance Team. Aims to offer support seven days per week from 9am to 5pm at Calderdale Royal Hospital, phone: 01422 222220.

7. Keeping people safe

Do you feel at risk of or have you experienced abuse? Are you concerned for another adult? If so, phone Gateway to Care: 01422 393000

If you become concerned in the evening or at the weekend, phone the Emergency Duty Team: 01422 288000.

We want to support you to live the life you want, but sometimes things go wrong. At these times, we need to make sure that:

  • you are not harmed in any way;
  • and the support we give or commission is good quality and safe.

What is Safeguarding?

It means protecting your right to live in safety, free from abuse and neglect.

It is about working together to support you to make decisions about the risks you face in your life. Also, protecting you if you are not able to make decisions for yourself. For example:

  • Preventing safeguarding issues happening in the first place or intervening early to stop things getting worse.
  • Setting up a Protection Plan to deal with situations where there is risk of abuse or where abuse may have happened.
  • Making sure that you are not deprived of your liberty without the proper safeguards being in place. (Please see: Mental Capacity and Deprivation of Liberty below).
  • Monitoring to make sure provision of services are good quality.
  • Raising awareness on types of abuse and how safeguarding can help.

In Calderdale, we:

  • Always promote your well-being during any safeguarding arrangements.
  • Support you to share with us your understanding of safety and how best to identify and achieve your outcomes.

Positive risk-taking

We will support you to take positive risks to enhance your life chances. However, we do make sure people understand the positive and negative outcomes of risk. At times, this means supporting people whose choices may be seen as unwise.

The law says that professionals and other staff should not think that they know best by making people safe without taking account of individual well-being. For more about this, visit: Section 14.8 Care Act - Statutory Guidance (GOV.UK).

Here are some examples of how we would work with people to make sure they are safe in a way that supports their wishes.

Example 1 - Mr Smith

Mr. Smith lives in a care home, and he can be unsteady on his feet but likes to do as much for himself as he can. He falls quite frequently when he is walking around in his room or going to his bathroom, and he incurs varying injuries because of the falls, some are more serious than others which require notification to safeguarding to assess for possible signs of neglect. The home has had numerous discussions with Mr. Smith and the Safeguarding Team, and Mr Smith is able to understand the risks from his falling but does not want to lose his independence.

The home has worked with Mr. Smith and the Safeguarding and Falls Prevention Team to try and lessen the severity of this risk for Mr Smith whilst still promoting his right to take positive risks and maintain his independence. He has been amenable to the use of some falls sensors to enable staff to be alerted as soon as possible should he fall, and the rearrangement of some his furniture in the room to try and reduce the likelihood of him falling. At present he does not want to take up the recommendation of having a commode next to his bed during the night, but this is an open offer to him. This is reviewed with him when he has had a fall to see whether he has changed his mind and also a check to see whether he still has the capacity to  continue to choose to take this risk for himself.

Example 2 - Mrs Wilson

Mrs. Wilson has advanced dementia and lives with her husband who is her main carer. Home carers visit every other day to help Mrs. Wilson to have a shower or bath, but they have noticed that Mr. Wilson has become increasingly short tempered with his wife. The home care workers made a safeguarding alert after he lost his temper with his wife one morning when she did not want to have a shower as he shouted and became very aggressive with her.

Mr. and Mrs. Wilson were visited by a social worker and whilst Mrs. Wilson did not have any recollection or understanding of what had happened, it was clear to the social worker that she still recognised her husband and was very close to him. Mr. Wilson was becoming exhausted with providing support to his wife and he explained that this was taking a lot more time during the night and he was becoming exhausted and irritable as a result. A review of Mrs. Wilson’s support that took into account Mr. Wilson’s need for some rest and a break from his caring responsibility enabled a better suited type of support to be provided to them which enabled them to continue living together and supported Mr. Wilson in his role as his wife’s carer.

Ways in which we make sure that people are safe

The Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) Team

The law says that no-one should be deprived of their liberty unless this has been done properly and that they have access to a right of appeal. Anybody who has a high level of care and supervision could be deprived of their liberty in any setting. At home, in a care home/hospital or in supported living.

DoLS is a process that we can use to help people living in hospitals and care/nursing homes. The government has amended the law to update this scheme so that it can be used for people from 16 years of age who are in any setting and not just in a care home or hospital.

The team:

  • Helps you if you cannot make decisions for yourself because you lack the “mental capacity” to decide where to live and how to be cared for.
  • Makes sure that any deprivation of liberty is lawful by completing an independent assessment that is signed off by the Council.
  • Makes sure that anybody in a care home/hospital who does not have the mental capacity to agree to be there has a representative. Using paid representatives if needed.
  • Makes sure that any care and support is not more restrictive than it needs to be to keep you safe from harm.

For more about this, visit:

8. Keeping an eye on how well we are doing

Making sure that services are of good quality and provided safely

Care Quality Commission (CQC)

The CQC monitors, inspects and regulates care services that we provide or buy from other providers. It visits all regulated care providers and gives a quality rating.

The CQC makes sure health and social care services provide people with safe, effective, compassionate, high-quality care and they, along with the Council, encourage care services to improve. This covers:

  • Nursing homes.
  • Residential care homes.
  • Domiciliary care providers.
  • Other services in the area.

For the latest regulated services quality ratings in Calderdale services or other parts of the country, visit: Care Quality Commission.

A small number of care homes have had enforcement action by the CQC because of an "inadequate" rating. (This is where it is deemed that the service is failing.)

We report on the ratings from CQC every quarter and the position as at 31st March 2020 was that 70% of the care homes in Calderdale were rated outstanding or good, 28% required improvement and 2% were rated as inadequate.

For services in the community 85% were rated as outstanding or good. 5% required improvement and none were rated inadequate, as at 31st March 2020.

Calderdale Council Contracts Team

Our Contracts Team monitors the quality of services provided by the Council and independent providers, to make sure they are safe.

Where concerns arise in a service, contract meetings and supportive visits take place with providers. This is to guide and assist them in raising the quality of care.

In 2019/20, members of the team carried out 72 provider visits and works closely with providers to support improvements in the quality of care through focussed visits and sharing best practice between services.

There has been significant improvement in six care homes previously rated as Inadequate by with CQC. By the 31st March 2020, all these services were re-inspected by CQC and had improved their rating. For an overview of the quality ratings of all regulated services please see Appendix 3.

In December 2019, the team held a co-produced provider conference to celebrate the positive support being provided to service users and to explore future plans for commissioned services.

Business Relationship Managers (BRMs)

We have a group of staff who support the Registered managers across the Social Care Market. The focus is to drive up the quality of provision, to support those services where there are poor CQC ratings and those providers aspiring for Outstanding CQC rating.

The BRMs take the lead on developments and innovative projects that improve the experience of people receiving care both at home and living in residential care settings.

Collate the themes and trends emerging from Contract, Commissioning and Safeguarding colleagues within the Council and target actions to address these.

Provide specialist knowledge of relevant legislation such as Fundamental Standards of Care and regulation of these standards, Care Act, Mental Capacity Act and Making Safeguarding Personal.

Identify any providers where there is a risk of Provider Failure in the Market.

Comparing our performance with other councils

We compare our performance against a group of 16 statistical neighbour local authorities. These are the areas most like Calderdale in relation to their population size and levels of deprivation. For more about this, see: Appendix 1 below.

Performance Monitoring

We review our performance at our monthly Performance Board Meetings and where there are areas that we need to improve we set up a story card. This gives us an overview of progress, compares our performance to other councils and describes whether the actions that we are taking are helping to achieve better outcomes for people.

Learning from Complaints

We track the learning from complaints through to their conclusion with senior managers. this is to make sure that we really do learn from instances where things have gone wrong.

Our top priorities for next year

  1. Support you by recognising and building on your strengths.
  2. Help you to be better connected in your community and networks.
  3. Promoting your independence at or closer to your home.
  4. Maximising the use of digital technology in order to improve your life.
  5. Improving your health and well-being and tackle inequalities.
  6. We will plan and deliver services jointly with you.

Appendix 1: What people have told us

Asking people who receive support what they think

From the 2019/20 annual national survey called "The Adult Social Care All User Survey, we found out that:

  • Service user reported quality of life increased for the second year in a row.
  • The percentage of service users who felt that they had control over their daily life fell for the second year in a row to 74.8%.
  • Social contact perception improved for service users 48.9%.
  • Overall satisfaction with social care support declined for service users, falling to 54.6% from 64.3% last year.
  • A higher proportion of service users were able to find out information about services, rising to 69% from 66.9% last year.
  • Service users who reported feeling safe as a result of getting social care improved to 86.4%, from 84% last year.

Comparing how well we do with other councils regionally and nationally

Each year we send in reports to Government about how well we are doing. Some of this data is included in the national Adult Social Care Outcomes Framework, or ASCOF. This is a list of indicators that we can use to compare our performance to other areas, or to the national average.

We compare our performance against a group of 16 statistical neighbour local authorities. These are the areas most like Calderdale in relation to their population size and levels of deprivation. In 2019/20, 21 of the ASCOF indicators were reported.

Our performance ranked in the top three for the following five indicators:

  • Proportion of carers receiving self-directed support (100%).
  • Proportion of carers receiving direct payments for support direct to carer (100%).
  • Proportion of adults with learning disabilities in paid employment (8.5%).
  • Proportion of adults in contact with secondary mental health services in paid employment (10%).
  • Proportion of people who use services who reported that they had as much social contact as they would like (48.9%).

Our performance ranked in the bottom three for following three indicators:

  • Proportion of people who use services who reported that they had as much social contact as they would like (74.8%).
  • Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services (72.2%).
  • Overall satisfaction of people who use services with their care and support (54.6%).

For more about our performance, visit: The Adult Social Care Framework (Data Works).

We monitor our performance regularly and where there are areas that we need to improve we set up a story card. This gives us an overview of progress, compares our performance to other councils and describes whether the actions that we are taking are helping to achieve better outcomes for people.

Sharing our ideas with other councils and learning from them

The main purpose of the Sector Led Improvement(SLI) group is to work together to make sure that all the councils in Yorkshire and Humberside are providing good quality care and support to people who need it, by improving performance, sharing ideas and providing support to each other when needed. Some examples are:

  • We have worked as a Transforming Care Partnership with Kirklees, Wakefield and Barnsley to reduce the number of people with a learning disability and people with autism who are in inpatient beds and out of area placements. This has included a shared approach to market development, provider relationships and commissioning.
  • We have worked with other councils in the Yorkshire and Humber region on a Risk and Performance dashboard to help the 15 Directors of Adult Social Care see the things that need to be addressed regionally and be able to support each other.

Complaints and compliments

​We want you and your family to give feedback on your experiences of using our services and we will investigate any complaints in line with statutory procedures.

In 2019/20 we received 56 compliments (an increase from 46 in 2018/19) and we investigated 34 complaints (down from 42 in 2018/19).

The 34 complaints that we received were dealt with in the following timescales:

Days to resolve Complaints resolved
0 - 15 12
16 - 30 13
31 - 44 4
45+ 5

To make sure that we learn from complaints in order to improve the services that we provide or buy, we have a process where the learning and actions arising from complaints are tracked through to conclusion with senior managers on a monthly basis in order to make sure that we really do learn from instances where things have gone wrong.

How much does the council spend on social care support?

In 2019/20 we spent £91.4 million on social care services. Every year we have financial pressures, but we managed to stay within our budget, making sure people got the right service (demand management), though we did get some extra money from the Government and the Council.

We provide 30% of all the social care support in Calderdale, internally. The pie graph below shows that 81% of that spend is on service provision and 19% is on staffing costs.

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Split of Funding

Graph1: Split of Funding

In 2019/20 the Council had to save £7.3million; this includes the additional savings agreed at Budget Council in 2017, 2018 and 2019. The additional savings for 2020/21 are £2.1M followed by a further £2.5M in 2021/22. (The figures are incremental to 2019/20). This is going to be very difficult for us, particularly as there are uncertainties around Government funding in future years.

The tables below show how the money we spent was broken down by:

  • Type of support provided (Table 1).
  • Primary reason why people came for support (Table 2).
  • Type of care provided (Table 3).

Some of the tables below include spend on staffing so the totals are not the same in all three.

2019/20 Gross Expenditure (per Non-SALT Return on ASC-FR)

Category of support Expenditure % of Spend
Commissioning and Service Delivery £5,030,000 5.51
Social Support £737,000 0.81
Assistive Equipment and Technology £2,038,000 2.23
Social Care Activities £6,748,000 7.39
Information and Early Intervention £1,482,000 1.62
Long Term Support £72,420,000 79.26
Short Term Support £2,910,000 3.19
Total £91,365,000 100.00

(Table 1: Spend by category of support.)

Expenditure by Primary Reason for Support

Primary reason for support Expenditure % of Spend
Physical Support £33,861,000 44.95
Sensory Support £128,000 0.17
Support for Memory and Cognition £8,792,000 11.67
Learning Disability Support £27,514,000 36.52
Mental Health Support £5,037,000 6.69
Total £75,332,000 100.00

(Table 2: Spend by primary reasons for support.)

Expenditure by Type of Care

Type of care Expenditure % of Spend
Nursing £6,321,000 8.39
Residential £21,458,000 27.48
Supported accommodation £1,524,000 2.02
Direct Payment £10,176,000 13.51
Home care £11,721,000 15.56
Supported living £11,409,000 15.14
Other long-term such as ISF, flexible day support £9,812,000 13.03
Maximise Independence £2,911,000 3.86
Other short-term £0 0.00
Total £75,332,000 100.00

(Table 3: Spend by type of care.)

Appendix 2: Better Care Fund Indicators

The graphs here show performance relating to these four metrics:

  1. Delayed Transfers of Care (DToC)
  2. People still at home 91 days after discharge from hospital in reablement/rehabilitation services
  3. Non-elective admissions
  4. Permanent residential care admissions

Delayed Transfers of Care (DToC)

(Actual days delayed by month compared to target.)

  • The number of hospital delayed days and the target are shown for each quarter from 2017/18 to the end of 2019/20.
  • From November 2017 to December 2019 they are the nationally agreed targets.
Image
Delayed Transfers of Care

The graph shows:

Year - Quarter Result Target
2017/18 - First 270 206
2017/18 - Second 367 206
2017/18 - Third 318 213
2017/18 - Fourth 319 213
2018/19 - First 266 213
2018/19 - Second 135 280
2018/19 - Third 124 280
2018/19 - Fourth 198 280
2019/20 - First 257 280
2019/20 - Second 380 280
2019/20 - Third 603 280
2019/20 - Fourth 427 280

People still at home 91 days after discharge from hospital in reablement/rehabilitation services

(The proportion of older people aged 65 and over.)

  • Year end position in Calderdale for the last 6 years.
  • This is compared to the average position of the Yorkshire and Humber Region and nationally.
Image
Older people at home

The graph shows:

Year Calderdale Yorkshire and Humber National
2014/15 79.7 83.2 82.1
2015/16 79.3 82.9 82.7
2016/17 80.4 83.4 82.5
2017/18 80.4 84.4 82.9
2018/19 80.2 83.9 82.4
2019/20 72.2 80.4 82.0

Non-elective admissions

(by quarter compared to target.)

  • Targets and results are shown for each quarter from 2017/18 to the end of 2019/20.
Image
Non-elective admissions

The graph shows:

Year - Quarter Result Target
2017/18 - First 6495 6093
2017/18 - Second 6911 6093
2017/18 - Third 7206 6093
2017/18 - Fourth 7194 6093
2018/19 - First 7223 6093
2018/19 - Second 7248 6093
2018/19 - Third 7630 6093
2018/19 - Fourth 7469 6093
2019/20 - First 7171 6093
2019/20 - Second 7354 6093
2019/20 - Third 7498 6093
2019/20 - Fourth 6410 6093

Permanent residential care admissions

(Rate per 100,000 population for those aged 65 and older.)

  • The year end position in Calderdale for the last 6 years.
  • This is compared to the average position of the Yorkshire and Humber Region and nationally.
Image
Permanent residential care admissions

The graph shows:

Year Calderdale Yorkshire and Humber National
2014/15 613.3 Not available 658.5
2015/16 621.7 699.5 628.2
2016/17 538.6 658.4 610.7
2017/18 589.4 632.6 585.6
2018/19 552.8 644.3 579.4
2019/20 621.3 654.8 584.0

Tell us what you think

What you think about our services and priorities for the future is important to us. This is so that we can develop the right social care support.

We want to hear from:

  • Anyone who has had care and support from us.
  • Carers.
  • Family members.
  • Other people and organisations that have an interest in adult social care.

We specifically would like to know:

  • Have we got the balance right in terms of the types of things we think are important?
  • Have we set the right priorities?
  • Are there other areas of adult care and support that we should be looking at as a potential priority?
  • Has the information on this web page been easy for you to understand?
  • How can we improve this web page in the future?

To let us know what you think about our "Local Account" or to ask us about anything else, contact:

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