POWYS COUNCIL SOCIAL SERVICES DEPARTMENT by x25E0Ql7

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									POWYS COUNCIL SOCIAL SERVICES DEPARTMENT




          JO INT REV IE W ACT IO N PLAN




                                           May 2006
                                                 Contents

Foreword

List of Lead Officers
                                                                                            Pages


Priority Area: 1. Work through the implications of the Council’s commitment
to putting Health, Social Care and Well Being as its top priority                           2-6


Priority Area: 2. As a matter of urgency, devise and implement a strategy for
Improving services to children and families                                                 7 - 14


Priority Area: 3. Ensure that services for adults and their carers provide increased
opportunities for independent living                                                        15 - 21


Priority Area: 4. Deal consistently with issues about shaping the pattern and delivery of
services in ways that meet the challenges of a dispersed population and workforce           22 - 28
Foreword

In 2005, the Social Services Inspectorate for Wales (SSIW) and the Wales Audit Office (WAO) undertook a Joint Review of Social
Services in Powys. The County Council is grateful to the Joint Review Team for their thorough and professional approach and for the courteous
and frank discussions that followed. It is recognised that the overall judgement that services are inconsistent and that prospects for
improvement are uncertain is a fair outcome. There is a determination to do better and real changes are already taking place.

Over the last six months the Council has started to reorganise the way it works to take account of past criticism and new aspirations. A clear set
of Council priorities has been established with Health, Social Care and Wellbeing at the top of the list. The Council is now beginning to align its
plans and expenditure to these priorities. At the same time, a new culture is being developed to encourage greater openness and co-operation
within the Authority. There is a particular emphasis on customer focus, performance management and the efficiency agenda. Effective
collaboration with partners across the public sector is being given fresh impetus, led by the Chief Executive, in order to exploit hitherto untapped
capacity.

This plan has been developed following consultation with service users, staff and partner organisations. To facilitate engagement and
ownership a series of seminars have been held with a range of Stakeholders and staff roadshows held in each Shire. The plan has been
endorsed by the Health, Social Care Partnership Board and by the Council’s Board.

The Action Plan sets out the Council’s response to each of the recommendations in the Joint Review Report, shows the progress that has
already been made and further actions that are being progressed. Lead responsibility and timescales for each action point are clear. The work
dovetails with existing and developing plans. There are quantifiable targets for improvement which have been included in service plans and
Corporate and departmental balanced scorecards. The plan will be monitored by the Social Services Heads of Service Group bi-monthly and by
elected Members through the Social Services Steering Group working to an advanced timetable. A risk assessment on the achievability of the
Plan has also been developed.

Progress has already been made, but there is much left to do. Staff in Social Services are excited by the potential of a very real
commitment to Social Care in the heart of communities which is backed up by new financial investment. The Council have been keen to
ensure that there is sufficient capacity to take forward our challenging agenda. I am heartened by the positive response from managers and
staff and their commitment to improve services in Powys.

                                                                                   Phil Robson
                                                                                   Executive Director: People Services
List of Lead Officers

Mark Kerr                         Chief Executive

Phil Robson *                     Executive Director – People Services

Jeremy Patterson                  Executive Director – Organisation and Governance

Graham Davey                      Executive Director – Policy, Regeneration and Environment

Nygaire Bevan                     Head of Service – Modernisation and Commissioning

Lynn Major                        Head of Service – Human Resources

Donna Wilson                      Head of Service – Performance and Business

Mike Gregory                      Head of Service – Operational Adults’ Services

Paul Meredith                     Head of Service – Operational Children’s Services

Geoff Petty                       Head of Service – Finance

Ian Fraser                        Head of Service – Housing


      * Statutory Director of Social Services
List of Lead Officers - continued

Paul Griffiths                 Head of Service – Leisure and Recreation

Ralph Harris                   Chief Health and Safety Officer

Amanda Lewis                   Senior Manager – Modernisation and Commissioning

Gerry Davidson                 Senior Manager – Modernisation and Commissioning

Ros Thomas                     Shire Manager – Radnorshire (Adults)

Sue O’Grady                    Shire Manager – Montgomeryshire (Adults)

Jonathan Griffiths             Shire Manager – Brecknockshire (Adults)

Chris Davies                   Shire Manager – Radnorshire (Children)

Ann Rowling                    Shire Manager – Brecknockshire (Children)

Clive Bartley                  Shire Manager – Montgomeryshire (Children)
                         PRIORITY AREA: 1. Work through the implications of the Council’s commitment to putting Health, Social
                         Care and Well Being as it’s top priority
Action             Lead                 Accountable
Number             Officer(s)           Officer                           Set budgets based on its explicit priorities, ensure sufficient resources to
                                                          Recommendation: fulfil Social Services obligations in all areas and focus these resources on
       1.1              Mark Kerr        Mark Kerr                        critical areas.
                       Phil Robson
                       Geoff Petty

PROGRESS SO FAR

   Health, Social Care and Wellbeing is top priority for the County Council.
   Council’s improvement plan reflects priorities and Social Services performance indicators feature prominently in the plan.
   6.8 million increased investment agreed over two year period with particular investment in Children’s Services. County Council budgets reflect
    reordering of priorities. 2.5% budget saving identified for schools, 3.5% for other Council departments.
   Corporate restructuring with the statutory Director of Social Services part of Council’s Executive Management Team.
   Social Services restructuring integrating all Social Service functions with Education, Leisure and the Youth Service.


                                                                                                  Interim Review                Target Completion
ACTION REQUIRED;                                                                                  Date                          Date

   Detailed costed plans to be developed linked to key service priorities and plans.                      June 2006               September 2006



FINANCIAL IMPLICATIONS:           Yes, included in growth funding.                                 PLANS: Corporate Improvement Plan,
                                                                                                          Medium Term Financial Plan,
                                                                                                          Health, Social Care and Well Being
                                                                                                          Strategy, Community Strategy,
                                                                                                          Directions and Improving Children’s
                                                                                                          Services Implementation Plan




                                                                                                                                                2
                         PRIORITY AREA: 1. Work through the implications of the Council’s commitment to putting Health, Social
                         Care and Well Being as it’s top priority
Action             Lead                 Accountable
Number             Officer(s)           Officer                              Review its executive and scrutiny arrangements for the unified Social
                                                             Recommendation: Services Function, ensure that these provide consistent policy
        1.2           Phil Robson             Jeremy                         direction and establish clear links between strategic aims,
                    Jeremy Patterson         Patterson                       improvement priorities and key success factors.


PROGRESS SO FAR;

   Members arrangements have been reviewed and a new Committee structure implemented from May 2006 which reflects Councils new priorities.
   Social Services Steering Group established as a sub committee of the Board. This Committee will drive policy and monitor progress.
   Principal Scrutiny Committee have nominated three members to specifically monitor Social Services improvement.
   Quarterly performance management reports to policy and Scrutiny Committee and Board.




                                                                                                 Interim Review             Target Completion
ACTION REQUIRED:                                                                                 Date                       Date

   Role of Portfolio Holders to be reviewed following changes to the political arrangements.            June 2006                Sept 2006
   Formal programme to be developed to increase opportunities for Portfolio Members to
    understand and engage in Social Services. This will include engagement at team level,                June 2006                 Ongoing
    shadowing of staff, visits to other Local Authorities and making links with User and Carer
    Groups within Powys, and the Voluntary Sector.
   Shire Managers to make links with local Members and report to Shire Committees.                        May 2006               Sept 2006


FINANCIAL IMPLICATIONS:            Within current budgets.                                        PLANS:    Council Constitution,
                                                                                                            Corporate Improvement Plan




                                                                                                                                              3
                         PRIORITY AREA:        1. Work through the implications of the Council’s commitment to putting Health,
                         Social Care and Well Being as its top priority
Action             Lead                 Accountable
Number             Officer(s)           Officer                              Assist the new Children and Community Services Directorate in
                       Phil Robson                           Recommendation: dealing with areas where the Council experiences difficulties
        1.3             Lynn Major         Phil Robson                       associated with staff turnover, with a focus on those posts where
                      Donna Wilson                                           recruitment and retention issues have caused most problems.
                        Geoff Petty

PROGRESS SO FAR;

   A new employment package and salary increase has been agreed for qualified Social Work and Occupational Therapy staff.
   Experienced new Head of Children’s Services appointed.
   Significant reduction in the numbers of vacancies in Children and Adult Teams.
   Increased management capacity and corporate Human Resources support in Children and Adults Services.
   New office accommodation allocated for new Children’s Services Team in Radnorshire.

                                                                                                     Interim Review            Target Completion
ACTION REQUIRED:                                                                                     Date                      Date

   Secure appropriate accommodation for all operational teams, particularly in Brecon and                  June 2006             December 2006
    Montgomeryshire
   Review staff vacancy levels and if appropriate explore the potential for overseas recruitment.          June 2006             September 2006
   Completion of Corporate People’s Strategy                                                              August 2006            November 2006
   Homeworking pilot projects to be evaluated and Corporate Policy agreed.                               September 2006          December 2006
   Corporate Leadership Programme for all Heads of Service and Senior Managers                              May 2006               March 2007


FINANCIAL IMPLICATIONS:           Yes – for new posts, included in growth funding.                   PLANS: Corporate People Strategy,
                                                                                                            Social Services Workforce Development
                                                                                                            Strategy, Asset Management Strategy




                                                                                                                                               4
                        PRIORITY AREA:     1. Work through the implications of the Council’s commitment to putting Health, Social
                        Care and Well Being as it’s top priority
Action            Lead                  Accountable
Number            Officer(s)            Officer                             Managers in Social Services should provide Councillors with reports
                                                            Recommendation: that help to ensure good decisions, implementation plans and scrutiny.
       1.4       Jeremy Patterson        Jeremy Patterson
                 Phil Robson

PROGRESS SO FAR;

   Formal process agreed for presentation of reports which includes Head of Service sign off and Corporate Management Team agreement.
   Advanced timetable agreed for reports for Portfolio Holder and Social Services Steering Group.




                                                                                              Interim Review              Target Completion
ACTION REQUIRED:                                                                              Date                        Date

   Template for Committee/ Board reports to be reviewed.                                              June 2006                 July 2006
   Training to be undertaken by all Senior Managers on Report content and structure.                 August 2006                Sept 2006




FINANCIAL IMPLICATIONS:          None                                                          PLANS: Council Constitution




                                                                                                                                             5
                      PRIORITY AREA:     1. Work through the implications of the Council’s commitment to putting Health, Social
                      Care and Well Being as it’s top priority
Action            Lead                Accountable
Number            Officer(s)          Officer                          Identify the resources needed for improved management and business
                      Phil Robson                      Recommendation: support, given the scale of the improvements the Council wants to make
       1.5           Donna Wilson        Phil Robson                   and the speed with which changes need to be made.
                     Nygaire Bevan

PROGRESS SO FAR;

   £1 million identified for increased Business Support function
   Integrated Performance and Business Support structure and operational framework agreed and implemented. This has led to increased resources
    within administration, training, quality assurance and performance management. The new Performance and Business Unit has implemented a
    balanced scorecard to monitor improvements as a result of the additional resources.
   Modernisation and Commissioning Unit created and includes strengthened policy /project and commissioning capacity.
   Career pathway and training programmes developed for Performance and Business staff.
                                                                                            Interim Review              Target Completion
ACTION REQUIRED:                                                                            Date                        Date

   Business and work plan to be developed for Modernisation and Commissioning Unit.                 April 2006                July 2006
   Formal project management training for appropriate Managers to ensure consistent/                March 2006                June 2006
    systematic implementation of projects into operational services.
   Development of formal Quality Assurance Strategy for Social Services.                            June 2006                 Sept 2006




FINANCIAL IMPLICATIONS:          Yes, included in growth funding.                            PLAN: Corporate Improvement Plan
                                                                                                   Service and Unit Plans




                                                                                                                                           6
                       PRIORITY AREA: 2 - As a matter of urgency, devise and implement a strategy for improving services to
                       children and families.
Action           Lead                  Accountable
Number           Officer(s)            Officer
                                                                                   In working with others, increase the range of services available to
                     Paul Meredith         Paul Meredith    Recommendation:        children and families, especially in respect of family support and
       2.1           Nygaire Bevan                                                 placement options for children who are looked after
                     Amanda Lewis

PROGRESS SO FAR;

   Children’s Services Directions Plan completed which includes key targets and timescales agreed by Board
   Tendering process for Development Partner for Family Support commenced
   Parenting Groups (commissioned by Barnardo’s) extended countywide
   Increased Funding to Tros Gynnal Advocacy Service for increased service
   The creation of five Children’s Teams across the County.
   Management accountabilities revisited and consolidated in Children’s Services.
   Devolved budget management agreed and robust monitoring in place for all Children’s Shire Teams.
   North and South Children with DisabilityTeams set up
   Analysis of cases of Children with Disabilities carried out.
   Joint Funding Panel established.
   Corporate Parenting Panel established and first meeting taken place.
   Establishment of Families and Communities Sub Group for Substance Misuse services.




                                                                                                                                               7
                                                                                                  Interim Review             Target Completion
ACTION REQUIRED;                                                                                  Date                       Date

   Revisit assessment, care planning and review process for Children with Disabilities.                 March 2006                 July 2006
   Sign off Transitional Policy and appoint new worker.                                                 April 2006              September 2006
   Recruit Safeguarding Manager, additional Independent Reviewing Officers and Policy Officer
    posts.                                                                                                May 2006                  July 2006
   Local forums discussion opportunities at Shire/ community level to engage user/ carers and            June 2006              September 2006
    other partners, to be developed by Shire Managers.
   Annual training and continuing professional development plan to be further developed.                 May 2006                 October 2006
   Audit programme, including case and recording audit to be introduced.                                April 2006                 May 2006
   Appoint additional leaving care workers (Personal Advisers).                                         March 2006                 May 2006
   Secure supported lodging scheme and nightstop shop.                                                   May 2006                  June 2006
   Review of Young Carers Support Service.                                                              March 2006                 June 2006
   Appoint additional adoption staff to meet new statutory requirements including enhanced
    information and post adoption support.                                                                April 2006                May 2006
   Appointed Independent Consultant and carry out implementation of Children with Disabilities
    Plan                                                                                                  April 2006               July 2006
   Implement outcomes of the review of Children with Disabilities                                       August 2006             November 2006
   Undertake the Comprehensive Review of Family Placement Service agreed by Members.                     May 2006                October 2006
   Implement the outcome of the Family Placement Review                                                November 2006              April 2007
   Reviewing all Out of County Placements to inform Commissioning Strategy for Looked After              April 2006               June 2006
    Children




FINANCIAL IMPLICATIONS:          Yes included in new growth funding.                              PLAN: Directions and Improving Children’s Services
                                                                                                        Implementation Plan




                                                                                                                                               8
                       PRIORITY AREA:       2 - As a matter of urgency, devise and implement a strategy for improving services to
                       children and families.
Action            Lead                  Accountable
Number            Officer(s)            Officer                            Require from officers a plan for ensuring that casework is done by
                                                           Recommendation: staff with appropriate qualifications and skills.
       2.2           Paul Meredith/       Paul Meredith
                     Donna Wilson


PROGRESS SO FAR;

   All statutory work now undertaken by qualified staff.
   Substantial increase in numbers of qualified staff.
   Management accountabilities clarified.
   Programme of coaching and training has been delivered with individuals and teams by experienced practitioners.
   Improved access/ duty systems operational to offer good customer care with timely and clear responses to requests for service.
   Skill mix maximises efficient use of qualified worker time and ensures that only qualified Social Workers undertake assessments, care planning and
    child protection work and Looked After Children cases.
   Developed and Agreed “Best Practice Model” of Assessment, Care Planning and Review of Children’s Services.
   Implemented “Best Practice” Model for five Children’s Teams and two Children with Disabilities Teams

                                                                                                Interim Review                Target Completion
ACTION REQUIRED:                                                                                Date                          Date

   Appoint Qualified Social Worker as Training Manager.                                                January 2006                 May 2006
   Agree a system for checking that Looked After Children / Child Protection cases are being             April 2006                 June 2006
    dealt with by Qualified staff.
   Corporate Human Resources reviewing CRB (Criminal Records Bureau) policy and                         June 2006                  August 2006
    reassessment process



FINANCIAL IMPLICATIONS: Yes included in new growth funding.                                     PLAN: Directions and Improving Children’s Services
                                                                                                      Implementation Plan




                                                                                                                                                 9
                     PRIORITY AREA: 2 - As a matter of urgency, devise and implement a strategy for improving services to
                     children and families.
Action           Lead                         Accountable
Number           Officer(s)                   Officer                            Secure compliance with statutory requirements in Children’s
                                                                 Recommendation: Services, especially in respect of safeguards for children living
       2.3               Paul Meredith          Paul Meredith                    away from home.
                        Gerry Davidson
                               A
PROGRESS SO FAR;

   Audit of the 6 Looked After Children placed in residential provision been undertaken by Independent Social Worker.
   Quality Assurance Manager appointed.
   Reinforced statutory requirement to staff setting out clear expectations of compliance.
   Development of Balanced Scorecard for Children’s Services which will monitor and demand immediate remedial action if necessary.
   Improved monitoring of statutory requirements of Looked After Children / Child Protection through the Independent Reviewing Officers.

                                                                                                      Interim Review         Target Completion
                                                                                                      Date                   Date
ACTION REQUIRED:
 Develop Commissioning/ Procurement plans for Family Support, Looked After Children and
  Children with Disabilities.                                                                               June 2006              October 2006
 Complete approved provider process for contracted children’s placements.                                  May 2006               August 2006
 Implement new contracts for children’s placements.                                                        July 2006             December 2006




FINANCIAL IMPLICATIONS: Yes, included in new growth funding.                                          PLAN: Directions and Improving Children’s
                                                                                                            Services Implementation Plan,
                                                                                                            Corporate Improvement Plan




                                                                                                                                                     10
                      PRIORITY AREA: 2 - As a matter of urgency, devise and implement a strategy for improving services to
                      children and families
Action            Lead                  Accountable
Number            Officer(s)            Officer                               Implement a programme for improving standards of casework
                                             Ann Rowling      Recommendation: practice and put in place effective systems for assuring good
       2.4            Donna Wilson           Chris Davies                     quality casework (with a baseline for improvement, clear targets
                      Paul Meredith          Clive Bartley                    and regular reporting)

PROGRESS SO FAR;

   Improved access/ duty systems operational to offer good customer care with timely and clear responses to requests for service.
   Skill mix maximises efficient use of qualified worker time and ensures that only qualified Social Workers undertake assessments, care planning
    and work child protection and Looked After Children cases.
   Implemented “Best Practice” Model for five Children’s Teams and two Children with Disabilities Teams
   Regular formal supervision and monitoring system in place
   Implemented “Best Practice” Model on Assessment, Core Planning and Reviews on Children’s Cases
   Detailed Audit Programme developed.
   Monthly attendance by Senior Performance Manager at Children’s Management Team meeting.


                                                                                                 Interim Review             Target Completion
ACTION REQUIRED:                                                                                 Date                       Date

   Annual training and professional development plan to be introduced.                                 March 2006                October 2006
   Quality Assurance programme to be implemented.                                                       May 2006                   Ongoing


FINANCIAL IMPLICATIONS: Yes included in new growth funding.                                      PLAN: Directions and Improving Children’s
                                                                                                       Services Implementation Plan,
                                                                                                       Corporate Improvement Plan




                                                                                                                                                     11
                         PRIORITY AREA: 2 - As a matter of urgency, devise and implement a strategy for improving services to
                         children and families
Action            Lead                   Accountable
Number            Officer(s)             Officer
                                                            Recommendation: Improve the experience of young people making the transition from
       2.5           Paul Meredith         Paul Meredith                    children’s services to adult services.
                     Nygaire Bevan


PROGRESS SO FAR:

   82.5K agreed in Children with Disabilities Plan for transition workers on flexible budget
   Transitions Policy developed to ensure consultation period engages all relevant groups.



                                                                                                     Interim Review           Target Completion
ACTION REQUIRED:                                                                                     Date                     Date

   Agree and implement Transitions Policy                                                                   May 2006               October 2006
   Appoint transition worker.                                                                               May 2006               October 2006
   Development of Protocol for Service Users transferring from Children to Adult Services as part
    of Transitions Policy.                                                                                   May 2006               October 2006


FINANCIAL IMPLICATIONS:          Yes, included in new growth funding.                                PLANS: Directions and Improving Children’s
                                                                                                            Services Implementation Plan,
                                                                                                            Social Care Strategic Plan,
                                                                                                            Single Education Plan




                                                                                                                                                   12
                     PRIORITY AREA: 2 - As a matter of urgency, devise and implement a strategy for improving services to
                     children and families
Action           Lead                  Accountable
Number           Officer(s)            Officer
                                                          Recommendation: Practitioners ensure that their work complies with statutory
       2.6           Paul Meredith       Paul Meredith                    requirements.



PROGRESS SO FAR;

   Expectations of practitioners clearly set out in best practice model.
   Identification of underachievement from individual staff.
   Temporary appointment of Education Adviser to assist in completion of Personal Education Plans.



                                                                                               Interim Review             Target Completion
ACTION REQUIRED:                                                                               Date                       Date

   Setting up Shire Workshops to explore professional practice as part of continuing
    professional development plan.                                                                      July 2006               October 2006
   Development of an evidence based practice model for staff using Research in Practice
    initiative as part of continuing professional development plan.                                     July 2006               October 2006
   Implement Integrated Children’s System (ICS)                                                      January 2005               April 2007
   Monitor compliance with best practice model and statutory requirements.                             April 2006                Ongoing


FINANCIAL IMPLICATIONS:        Yes, included in new growth funding.                            PLAN: Directions and Improving Children’s Services
                                                                                                     Implementation Plan,
                                                                                                     Corporate Improvement Plan




                                                                                                                                               13
                       PRIORITY AREA: 2 - As a matter of urgency, devise and implement a strategy for improving services to
                       children and families
Action            Lead                  Accountable
Number            Officer(s)            Officer
                                           Ann Rowling      Recommendation: For Practitioners to increase levels of partnership working with
       2.7           Paul Meredith         Chris Davies                     families and with service providers.
                     Nygaire Bevan         Clive Bartley

PROGRESS SO FAR;

   Shire structure in place, to facilitate formal and informal contacts with service providers.
   Improved understanding of the concept of partnership working with families through roll out of Best Practice Model.
   Workshop taken place on Best Practice Model on “customer care” for front line staff.



                                                                                                Interim Review             Target Completion
ACTION REQUIRED:                                                                                Date                       Date

   A range of opportunities to be developed to ensure local access and engagement with
    children, parents and local community                                                                May 2006               October 2006
   Shire forums with providers and voluntary organisations to be developed.                             April 2006              June 2006




FINANCIAL IMPLICATIONS:         Yes included in new growth funding.                             PLAN: Directions and Improving Children’s Services
                                                                                                      Implementation Plan



                                                                                                                                                 14
                      PRIORITY AREA: 3. Ensure that services for adults and their carers provide increased opportunities for
                      independent living.
Action           Lead                   Accountable
Number           Officer(s)             Officer
                                                             Recommendation:        Make partnerships and planning frameworks better able to deliver
       3.1            Phil Robson           Phil Robson                             solid outcomes and improvements more quickly
                     Nygaire Bevan
                     Mike Gregory



PROGRESS SO FAR;
 Health Social Care and Well Being Partnership Board re launched with decision making powers.
 Joint planning arrangements agreed.
 Multi Agency Reference Groups in place for all adult client groups.
 Older Person’s Commissioning Strategy agreed by all partners.
 Implementation of Fulfilling the Promises (three year action plan).

                                                                                                    Interim Review              Target Completion
ACTION REQUIRED:                                                                                    Date                        Date

   Older Peoples Commissioning Implementation and Financial Plan to be agreed                              May 2006                September 2006
   Action Planning Day to be held with all Multi Agency Reference Groups                                   June 2006                 June 2006
   Agree with Local Health Board implementation Plan concerning Mental Health Strategy                    August 2006              December 2006
   Agree and formally sign off Joint Review Action Plan with Local Health Board                            May 2006                  June 2006

                                                                                                    PLAN: Health, Social Care and Well Being Strategy,
FINANCIAL IMPLICATIONS:          £2 million investment over 2 years (included in the £6.8 million         Joint Commissioning Strategy for Older
new investment) to support Older Peoples Commissioning Strategy. Investment of 88K for the                People,
Support Time and Recovery Workers.                                                                        Community Safety Strategy,
                                                                                                          Carers Strategy, Mental Health Strategy,
                                                                                                          Fulfilling the Promises Action Plan


                                                                                                                                                     15
                      PRIORITY AREA: 3. Ensure that services for adults and their carers provide increased opportunities for
                      independent living.
Action           Lead                   Accountable
Number           Officer(s)             Officer                                   Work more effectively with partners to deal with key services
                                                                  Recommendation: gaps and to reshape services so that they are better able to
       3.2             Ian Fraser            Nygaire Bevan                        meet needs.
                     Mike Gregory
                     Nygaire Bevan
                      Paul Griffiths


PROGRESS SO FAR;

   Strategies in place for all client groups which have been agreed with partners;- Older People’s Commissioning Strategy, Older People’s Strategy
    Implementation Plan, Mental Health Strategy, Carer’s Strategy.
   Investment of £2 million over two years agreed by Board to modernise and develop Older People’s Services.
   Appointment of Policy Manager to drive forward disability agenda and develop occupational therapy service.
   Planning day held with Leisure, Art and Recreation colleagues to begin to reshape local integrated services.
   Delayed transfers of care have remained within target.
   Age Concern Cymru commissioned to provide a support, information and advice service for Older People.
   Powys People First to provide Advocacy Services to support people with Learning Disabilities. Mental Health advocacy provided by Community
    Health Council.
   Carer Services specifications for Provider and Support Services developed.
   Corporate Management Group established to develop Extra Care Housing.




                                                                                                                                                  16
                                                                                                      Interim Review             Target Completion
                                                                                                      Date                       Date
ACTION REQUIRED:

   Phased devolvement of budgets to Shire Managers to encourage locality commissioning.                   September 2006               March 2007
   Prepare costed and agreed implementation plan to support Older People’s Commissioning
    Strategy                                                                                                 March 2006                 March 2007
   Increase take up of Direct Payments through Support Agency.                                              April 2006                  On going
   Commission Advocacy Services for Older People in partnership with Voluntary Sector                       April 2006                 June 2006
   Reduce Occupational Therapy waiting times, via Management Action Plan and monitor via                    April 2006                  On going
    balanced scorecard.
   Develop intermediate care/reablement services in Radnorshire 2007 and Newtown 2008, and                   May 2006                  April 2008
    ensure Local Health Boards commitment to joint funding.
   Develop a range of Elderly Mentally Infirm Day Services with the voluntary and independent             September 2006               April 2007
    sectors throughout Powys.
   Commission range of respite care beds for older people.                                                   May 2006                November 2006
   Produce policy for assistive technology/ telecare.                                                      January 2006              December 2006
   Joint Commissioning Strategy for Services for Adults with Disabilities to be developed.                September 2006               April 2007
   Review of Sensory Loss services within Powys.                                                             April 2006              December 2006
   Explore development of Extra Care Housing and assistive technology.                                     August 2006               December 2006
   Commission with the independent sector to develop domiciliary care block contracts in                     April 2006              December 2007
    Radnorshire.
   Progress plans to create integrated model of health and social care delivery in Builth Wells as           June 2006               December 2006
    a pilot project
   Implement recommendations of the Best Value Review on Learning Disability                                 June 2006                  July 2007
    Accommodation
   Development of crisis resolution and home treatment model of support with Local Heath                     May 2006                December 2006
    Board for people with Mental Health difficulties
   Complete Best Value Review of Meals on Wheels Service and implement recommendations                       May 2006                December 2006


FINANCIAL IMPLICATIONS: £2 million investment (included in the £6.8 million new                       PLAN: Health, Social Care and Well Being Strategy,
investment) over 2 years to support Older People’s                                                    Joint Commissioning Strategy for Older People,
Modernisation. Funding to be identified to support Builth Wells project.                              Mental Health Strategy, Design for Care.



                                                                                                                                                     17
                       PRIORITY AREA: 3. Ensure that services for adults and their carers provide increased opportunities for
                       independent living
Action            Lead                   Accountable
Number            Officer(s)             Officer
                                                                     Recommendation:      Review the emphasis on risk as part of promoting
     3.2 (a)         Nygaire Bevan              Mike Gregory                             independence and choice
                      Mike Gregory
                      Ralph Harris
                     Shire Managers

PROGRESS SO FAR;

   Analysis of care packages of high cost particularly where risk assessment has identified the need for two carers.
   Development of Unified Assessment Personal Plans of Care.
   New Community Based detoxification services developed.

                                                                                         Interim Review                       Target Completion
ACTION REQUIRED:                                                                         Date                                 Date

   Review Council’s approach to risk management with particular emphasis to                            May 2006                   October 2006
    domiciliary care.
   Develop specialist domiciliary care services to meet complex needs e.g. Elderly                   January 2007                   April 2007
    Mental Infirm.
   With new UAP ((Unified Assessment Process) Framework develop outcome                               June 2006                  December 2006
    measures linked to Personal Plans of Care.
   Re-visit all external contracts, at annual reviews with Providers, to review risk.                  July 2006                     Ongoing


FINANCIAL IMPLICATIONS:           Within budget.                                          PLAN: Health, Social Care and Well Being Strategy,
                                                                                                Service Plans,
                                                                                                Design for Care




                                                                                                                                                  18
                      PRIORITY AREA: 3. Ensure that services for adults and their carers provide increased opportunities for
                      independent living
Action            Lead                 Accountable
Number            Officer(s)           Officer
                                                            Recommendation:         Improve systems for understanding people’s needs and joining
       3.3           Mike Gregory         Nygaire Bevan                             up service responses
                     Nygaire Bevan

PROGRESS SO FAR;

   Strategic commissioning framework agreed.
   New investment in Commissioning Unit.
   Commissioning Manager linked to Shire service delivery management team.




                                                                                             Interim Review               Target Completion
ACTION REQUIRED:                                                                             Date                         Date

   Person Centred Care Planning training to be delivered to all care management staff.               June 2006               December 2006
   Continue to monitor number of signed care plans agreed and signed by service users via            April 2006                June 2006
    balance scorecard.
   Revisit Carers Eligibility Criteria with Multi Agency Carers Group.                              April 2006               November 2006
   Monitor of Carers Assessments via balanced scorecard.                                            April 2006                   Ongoing
   Implement electronic Unified Assessment Record to include aggregation of need.                  October 2006                 April 2007
   Quality Assurance audit results to be reported to service commissioners.                       September 2006              January 2006



FINANCIAL IMPLICATIONS:                 Within budget                                        PLANS: Adult Service Plans,
                                                                                                    Design for Care




                                                                                                                                              19
                      PRIORITY AREA: 3. Ensure that services for adults and their carers provide increased opportunities for
                      independent living
Action           Lead                  Accountable
Number           Officer(s)            Officer                               Seek to increase the scale of joint commissioning and investment
                                                            Recommendation: especially with the Local Health Board in integrated services such as
       3.4           Mike Gregory         Nygaire Bevan                     Mental Health and Learning Disability.
                     Nygaire Bevan


PROGRESS SO FAR;

   Joint Commissioning with Local Health Board for Substance Misuse and joint Commissioning Manager appointed for Substance Misuse Services..
   Section 31 Agreements in place as part of Unified Assessment Implementation.
   Aids to daily living services commissioned and managed jointly by the Local Health Board and Social Services.
   Joint Commissioning Strategy for Older People developed with Local Health Board.




                                                                                                Interim Review            Target Completion
ACTION REQUIRED:                                                                                Date                      Date

   Work with the Local Health Board to develop integrated care teams, co–ordinating services         September 2006              April 2007
    provided by Health and Social Care linked to GP practices.
   Develop Section 31 Pooled Budget Agreement for enhanced integrated equipment service.               April 2006              October 2006
   Review Substance Misuse service and develop joint commissioning strategy.                          March 2006                March 2007
   Joint Commissioning Strategies to be developed for Learning Disability, Mental Health and         November 2006             August 2007
    Carers.
   Implement Mental Health Strategy.                                                                    July 2006                Ongoing




FINANCIAL IMPLICATIONS: Strategy development within budget, implementation will require PLANS: Health, Social Care and Well Being
joint finances to be identified. Bid made to Welsh Assembly Government for Enhanced     Strategy, Service Plans, Design for Care,
Equipment Service.                                                                      Doing More, Doing Better (Local Health Board)


                                                                                                                                               20
                       PRIORITY AREA: 3. Ensure that services for adults and their carers provide increased opportunities for
                       independent living
Action            Lead                  Accountable
Number            Officer(s)            Officer
                                                            Recommendation: Use periodic reviews to underpin plans for improving the quality of
       3.5            Phil Robson          Mike Gregory                     services (by dealing with problems of location, coverage reliability,
                     Nygaire Bevan                                          flexibility and choice).
                      Donna Wilson
                      Mike Gregory
                     Shire Managers

PROGRESS SO FAR;

   Shire structure in place to reflect location, local ownership and engagement.
   Increased investment in Quality Assurance and development of Quality Assurance Unit.
   Increased investment in occupational therapy posts.
   Extra Care Housing pilot developed in Llanidloes.


                                                                                                   Interim Review             Target Completion
ACTION REQUIRED:                                                                                   Date                       Date

   Engage voluntary sector in the development of social enterprise models for service delivery.            July 2006                April 2007
   Develop Quality Framework for services commissioned by the County Council to include in                 May 2006                October 2006
    house services.
   Develop clear Service Specifications and contracts for services we support with grants.                June 2006               December 2006
   Shire Managers to make local links and contacts and engage with their local communities.               April 2006                March 2007
   Work with local providers to review service provision and to develop service based on local          September 2006             January 2008
    need.
   Review complaint reporting process with particular reference to trend analysis for elected              April 2006                Ongoing
    Members.




FINANCIAL IMPLICATIONS: Within budget                                                              PLANS: Service Plans, Design for Care
                                                                                                                                                    21
                      PRIORITY AREA: 4. Deal consistently with issues about shaping the pattern and delivery of services in ways
                      that meet the challenges of a dispersed population and workforce
Action           Lead                  Accountable
Number           Officer(s)            Officer                                  Increase the opportunities for service users and carers to become
                                                            Recommendation:         involved in making decisions about priorities, service design,
       4.1           Mike Gregory         Nygaire Bevan                             quality assurance and the ways the new directorate will work with
                     Nygaire Bevan                                                  them to provide services they find helpful.
                     Donna Wilson


PROGRESS SO FAR;

   Powys Association of Voluntary Organisations commissioned to provide a range of consultation and service user engagement opportunities.
   Shire structure designed to engage users and carers locally.
   Series of information days concerning directorate services held in Breconshire and Radnorshire.
   Advocacy in place for Children, Learning Disability and Mental Health.
   50+ groups developed in Powys based around local Community Strategy Forum areas.
   Stakeholder Workshops held for Older People’s Commissioning Strategy.
   Residential, Nursing and Domiciliary Care Provider Forums held.
   Direct Payments support agency commissioned.
   Carers Strategy developed through multi agency user groups.

                                                                                              Interim Review                Target Completion
ACTION REQUIRED:                                                                              Date                          Date

   Comprehensive User and Carer Participation Strategy to be developed and implemented.                May 2006                December 2006
   Commission Advocacy Service for Older People.                                                      April 2006               September 2006
   Information Days to be held in Montgomeryshire and Radnorshire.                                    March 2006                October 2006




FINANCIAL IMPLICATIONS:         Yes – as included in new growth funding.                      PLANS: Service Plans,
                                                                                                     Design for Care

                                                                                                                                                  22
                     PRIORITY AREA: 4. Deal consistently with issues about shaping the pattern and delivery of services in ways
                     that meet the challenges of a dispersed population and workforce
Action           Lead                   Accountable
Number           Officer(s)             Officer
                                                               Recommendation:       Encourage a corporate and whole public sector response
       4.2             Phil Robson            Mark Kerr                              to issues caused by a dispersed population, such as
                     Graham Davey                                                    access to services.
                      Mike Gregory
                    Jeremy Patterson
                      Paul Meredith

PROGRESS SO FAR;
 Directorate level attendance at Corporate Management Team from Police, Local Health Board, Powys Association of Voluntary Organisations and
  National Parks.
 Access to Service high priority on Corporate Agenda, Heads of Service engaged in its development.
 New Corporate restructuring in place.
 Local Strategic Planning Away day held with Managers of all public services in attendance

                                                                                          Interim Review             Target Completion
ACTION REQUIRED:                                                                          Date                       Date

   Establish virtual local public service management teams within each Shire.                     May 2006              December 2006
   Corporate review of Community Strategy.                                                        May 2007                 July 2008
   Shire Meetings planned – Managers and Staff.                                                  April 2006             September 2006
   Shire Meetings planned – Users, carers, Stakeholders.                                          May 2006              September 2006
   Shire Meetings planned – County Councillors.                                                  April 2006             September 2006
   Implement Access to Service recommendations.                                                September 2006               Ongoing



                                                                                          PLANS: Corporate Improvement Plan,
FINANCIAL IMPLICATIONS: Corporate budget identified for Access to Service Project                Service Plans,
                                                                                                 Community Strategy



                                                                                                                                              23
                    PRIORITY AREA: 4. Deal consistently with issues about shaping the pattern and delivery of services in ways that meet
                    the challenges of a dispersed population and workforce
Action          Lead                 Accountable
Number          Officer(s)           Officer                                  Develop an organisational structure and approach that
                                                                              encourages appropriate autonomy at all levels and helps staff to
                      Mark Kerr                         Recommendation:       do well (though improved business planning, increased use of
      4.3           Phil Robson          Phil Robson                          performance management, better communication and
                  Jeremy Patterson                                            appropriate location of staff)
                   Graham Davey
                     Geoff Petty

PROGRESS SO FAR;
 Shire structure in place focussing on devolved decision making through local management and service delivery.
 Business planning template developed and implemented for all units and teams.
 Balanced Scorecards embedded in performance management for adults’ teams and implemented in children’s service teams.
 Corporate Communication Task Group established.
 Staff teams now located in five main towns.
 Quarterly Shire roadshows established for all staff facilitated by Director of Social Services.
 Intranet site well developed.
 Enhance performance management team.
 Additional administrative support for teams.
 Additional investment in training manager and officer posts for professional training and practice.




                                                                                                                                            24
                                                                                             Interim Review          Target Completion
                                                                                             Date                    Date



ACTION REQUIRED:

   Agree and develop key brief mechanism for all staff                                             May 2006             October 2006
   Training Plan to be developed based on needs analysis for operational teams.                    April 2006          September 2006
   Development and adoption of Corporate Communication Strategy.                                   June 2006           September 2006
   Recognition and rewards package to acknowledge staff achievements to be agreed.                 June 2006           December 2006
   Use partnership with University of Swansea to engage staff in research initiatives and
    evidence base our work.                                                                          May 2006              July 2006




FINANCIAL IMPLICATIONS: Yes included in new growth funding.                                  PLANS: Service Plans,
                                                                                                    Corporate Improvement Plan,
                                                                                                    Corporate Communications Strategy




                                                                                                                                         25
                     PRIORITY AREA: 4. Deal consistently with issues about shaping the pattern and delivery of services in ways that meet
                     the challenges of a dispersed population and workforce
Action           Lead                 Accountable
Number           Officer(s)           Officer                                    Use the commissioning framework to encourage a more
                    Gerry Davidson                           Recommendation:        disciplined approach to locating services/focusing
       4.4            Geoff Petty         Nygaire Bevan                             resources but also to allow commissioning at a locality
                     Mike Gregory                                                   level;
                     Paul Meredith

PROGRESS SO FAR;

   Joint Commissioning framework agreed with Local Health Board and in place.
   Commissioning Strategy in place for Older People’s Services
   Some budget delegation to teams for low level commissioning.




                                                                                                                                              26
                                                                                             Interim Review           Target Completion
                                                                                             Date                     Date
ACTION REQUIRED:

   Develop commissioning strategies for all service areas.                                        August 2006            November 2007
   Pursue regional purchasing/ commissioning of residential service for Mental Health and        September 2006           March 2007
    Learning Disability through South East Wales Consortia (Making the Connections).
   Develop training for Shire and Team Managers on locality commissioning model.                 September 2006             April 2007
   Devolve Grant Budget to Shire Managers                                                           May 2006              January 2007
   Stronger links and joint training with Corporate Procurement Unit                                May 2006             September 2006




FINANCIAL IMPLICATIONS: Yes, included in new growth funding.                                 PLANS: Service Plans
                                                                                                    Joint Commissioning Strategy for Older
                                                                                                    People, Over Seasoned Needs Analysis,
                                                                                                    Corporate Procurement Strategy.




                                                                                                                                             27
                      PRIORITY AREA: 4. Deal consistently with issues about shaping the pattern and delivery of services in ways that meet
                      the challenges of a dispersed population and workforce
Action            Lead                 Accountable
Number            Officer(s)           Officer

       4.5         All Shire Managers        Mike Gregory      Recommendation:        Ensure allocation of the right work to the right people
                                             Paul Meredith


PROGRESS SO FAR;

   See 2.2.
   Reablement teams take appropriate referrals, with good outcomes.
   Creation of five Children’s Teams, two Children with Disabilities Teams and two Family Placement Teams in five localities with appropriate skill
    mix.

                                                                                                 Interim Review                Target Completion
ACTION REQUIRED:                                                                                 Date                          Date

   Review work of Occupational Therapists and their assistants.                                          April 2006                 October 2006




FINANCIAL IMPLICATIONS:           Included in growth funding                                     PLANS: Corporate Improvement Plan,
                                                                                                        Service Plans.




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