A Service User and Carer
About Possible Changes To
Residential Short Stay And
Day Services For
Older People In Cheshire
If you require the Consultation
Booklet in larger print, in a different
language or in other formats such as
Braille, please contact the CSC
consultation team on
Welcome to Cheshire County Council’s consultation document on the
possible changes to the County’s directly provided residential short
stay and day services for older people.
We recognise that any decision to change your care service is
important. At the moment we have made no decisions about how best
to provide our residential short stay and day services in the future.
Before we make any decisions, we feel it is important to consult with
you and your family to discuss the available options.
This document is split up into sections. These are as follows:
The Consultation Process
No decision yet
What will happen after the consultation has ended
Appendix 1: This lists the services that are within the scope of
Like the rest of the United Kingdom, Cheshire has a growing
population of older people who are expected to live longer but who
are also expected to have longer periods of ill health towards the end
of their lives. There is also a link between age and the onset of
dementia type illnesses, with the result that there is a likely to be an
increase in the number of older people requiring specialist dementia
services. Older people are also changing their expectations of how
they want to live, how any needs might be met and the importance of
being able to exercise choice and dignity throughout their lives.
As well as this growth in potential demand and increase in
expectations, costs of care provision are rising and the funding from
Central and Local Government is not increasing sufficiently. This is
creating an estimated funding gap of £5,000,000 in Older Peoples
Services in Cheshire by 2011. Therefore it has become really
important to ensure that while services are provided to a satisfactory
quality, they are as economic as possible so that the money available
can stretch further.
Cheshire County Council commissions a range of services for older
people who have social care needs. This includes residential and day
services. All long stay residential care is now purchased in the private
and independent sectors, but most short stay care is provided by
Cheshire County Council directly, either in one of the eight
Community Support Centres or in one of two specialist dementia
centres located across the County. Day services are also provided
from these centres or within the three day care centres in Crewe,
Middlewich and Northwich.
Research tells us that most people would like to stay in their own
homes as they become older. A move towards more community based
services, which enable people to manage in their own homes, is set out
in Government policy in “Our Health, Our Care, Our Say: A new
direction for community services” published in January 2006. This
policy is guiding the way in which older people’s services in Cheshire
Research also advises that older people want to be able to choose from
a range of options and that while short stays and day services work
well for some people, they are not always the best option for
everyone. Different forms of support are being developed including
extra care housing, telecare, and the use of direct payments for older
people to purchase their own care directly. If you would like to
receive further information about any of these options, please contact
01625-374725 and we will arrange for you to receive details.
What are the proposals?
We recognise that while short stay residential care and day services
may not be the preferred options for some people, they are really
important and highly valued by others. Carers in particular can
appreciate the opportunity to have a break from caring, confident in
the knowledge that their relative is being assisted and supported in a
safe environment. The proposals, therefore, recognise that there
continues to be a need for this kind of provision as part of a range of
community based services available.
However, the current Community Support Centres and specialist
residential and day care centres are located in buildings built some
years ago when expectations and building requirements were
different. They generally do not have the space and facilities to meet
the aspirations of older people for privacy and dignity. For example,
most of the bedrooms do not have en suite facilities and lack of space
limits the installation and use of new aids and equipment.
Other factors, which influence the viability of continuing to provide
short stays and day services from all our current buildings, include the
size, location and usage of these centres. For care homes to be
economically viable, it is recognised nationally that they need to
provide at least 45 beds, and for those beds to be occupied at least
85% of the time. The typical occupancy level of the centres in
Cheshire providing short stays over this last year is 80%.
Some exploratory work has taken place to see whether there would be
any advantage in commissioning our services instead from the private
and independent sectors. However the feedback has been that there
would be no significant financial advantage to doing this.
The proposals are therefore as follows:
1. To continue to provide residential short stays and day services in
Cheshire County Council centres, including the provision of
specialist residential and day services for older people with
2. To improve the efficiency and cost effectiveness of residential
short stays and day services by providing them on a smaller
number of sites across the County. This would have the benefit
of reducing the costs involved, developing services on the
remaining sites and reducing the extent of disruption for the
majority of service users and carers.
In order to achieve the above, three residential centres across the
County would close, one each in west, central and east Cheshire.
Early indicators would suggest that the three most likely centres,
which could close, based on the criteria of size, location,
potential of the building and demand for services are:
Lightfoot Lodge, Chester
Santune House, Shavington
Bexton Court, Knutsford
However more work will need to be completed before a decision
is reached on which three centres would have the greatest
feasibility for closure. Any specialist services affected would be
relocated on to the remaining sites in the locality, so there would
not be a reduction in the level of service provided. Further work
on this feasibility study will continue during the period of
3. Some of the financial efficiencies made as a result of the
changes will be available to explore the development of other
forms of care, for example Direct Payments. Thus, the range of
options available to older people and their carers may be able to
4. Early discussions are also taking place with Primary Care Trusts
to explore the potential for new build developments of care
homes in Cheshire particularly in Central and Eastern Cheshire.
The aim would be to provide short stay social care alongside a
range of healthcare provision, including continuing healthcare,
intermediate care and nursing respite.
The Consultation Process
Consultation with all the people and organisations, who would be
affected by or who have an interest in these proposals, in particular
service users, carers and staff, will be taking place over a twelve week
period from July to mid-October.
As a person who currently uses the service, or as a carer, you can take
part in this consultation in several different ways:
By writing to the County Council in response to the information
you have received in this booklet. A comments form is enclosed
to express your views and a stamped addressed envelope is
included for you to return this form. Your comments can be
anonymous if you wish, but if you would like any specific issues
responded to, please can you include your name and address. All
personal information given will be treated confidentially. The
timescale for returning comments and feedback is 12 October
You can also e-mail us at firstname.lastname@example.org
If you have any specific queries, please contact a member of the
CSC consultation team on Tel:01625-374725
There will also be three consultation meetings held in September
for service users and/or their carers to attend. They are being
held in the west, centre and east of the County to enable as many
people, who want to take part, to come along.
The details of these meetings are as follows:
10.30 am – 1.00pm on Tuesday 18 September at Crewe Football
Ground, Gresty Road, Crewe, Cheshire CW2 6EB
10.30 am – 1.00pm on Wednesday 19 September at the Ramada
Hotel, 107 Whitchurch Road, Chester CH3 5QL
10.30 am – 1.00pm on Monday 24 September at Macclesfield
Town Football Club, Moss Rose Ground, London Road,
Macclesfield SK11 7SP
If you would like to take part in one of these meetings, please contact:
01625-374725 to confirm a place. It would be helpful if you could
make your own arrangements to get to these venues but please let us
know if this is a problem.
No decision yet
Proposals are now being discussed but no decisions have yet been
made. The only decision made to date is to consult on these proposals.
Your views are important to us and we would like to encourage you
and your family, along with other interested people and organisations,
to participate in the consultation and to use these opportunities to
make your voice heard.
What happens after the consultation?
All the feedback from the consultation will be collated, analysed and
then included in information presented to elected Council Members
for decisions on the proposals to be made. This will be happening in
the late autumn.
If the proposals are approved, there will be a period before any
changes take place, during which time individual discussions will take
place with anyone affected. If necessary, this will also include a re-
assessment of needs. The earliest time for any changes will be April
2008. Whatever the outcome, information will be shared with you to
ensure that you are aware of any plans and developments.
COMMUNITY SUPPORT CENTRES AND SPECIALIST
Old Hall Road
South Acre Drive
Davenham Day Centre
By Pass Road
Jubilee House Day Centre
St Paul’s Street
Salinae Day Centre