Joint Reviews of Local Authority Social Services JOINT REVIEW OF SALFORD COUNCIL 17 th June 2003

Joint Reviews ofLocal AuthoritySocial Services

JOINT REVIEW OF SALFORD COUNCIL

17th June 2003



Joint Reviews

To improve services for individuals

To enable authorities to shapebetter services

To promote better standards andimprove the management ofpractice

To secure better value for money



District Audit

Aut

horitie

s ow

n d

ata

Validated external evidence

User/carer

survey

Policydocuments

Case recording

Meetings with leading

politiciansIndividualmeetingswith users

Meetings with user/

carer groups

Meetings with front line staff

Meetings with

managers

Meetingswith

external partners

Meetings with

corporatepeople

e.g. ACPIs , KIGs ,

inspections by SSI

Reports

Authority’sown data

Evidence to support Joint Reviews


Sound professional practice User involvement Balanced budget Business planning Stress on promoting independence Services from partnerships Good communication

Adults with disability

Child and adolescent

mental health services

Support for high need

families

Children with disabilities

How well are people served?


Councillor and corporate support

Track record of positive changes

Excellent partnership working

Benefits from Community developments

Slow progress on integration

Embed project management systems

Develop a quality framework

Develop a workforce strategy

Complete roll out of IT

Better use of complaints

What are the prospects?


Excellen

tp

rosp

ects

Pro

mis

ing

pro

sp

ects

Un

cert

ain

pro

sp

ects

Poor

pro

sp

ects

Overall ServingPeople well

Serving mostpeople well

Serving somepeople well

Not serving people well

Salford


Index of Deprivation 2000 (DETR): extent score

0

10

20

30

40

50 Salford

Comparator group

Source: Department of Health Performance Indicators, 2000/1


Meeting individual needOverall strengths Developing community strength Promoting independence Providing quality services

Overall areas for more work Improving recording and file management Focussing on outcomes for users in care

plans Making it easier to find the right service


Meeting individual need Child care -Good quality, sound work, butUnco-ordinated services for children

with disability and their familiesContinuing pressure from numbers

of children looked after through lack of care managed prevention services

Greater role for corporate parent


Lack of children in need assessments

Lack of early intervention

Families reach collapse or crisis

Although services are good, too late for the family to respond

Package collapses

High numbers of LAC

Pressure on caseloads and budget


Child care in Salford

0

100

200

300

400

500 All other authoritiesSalfordComparator group

Children looked after 31 March per 10,000 population

aged under 18

Number of children looked after in placements outside

the council area

Registrations per 10,000 population aged under 18


Source: Quality Protects Data, 2001


0

20

40

60

80

100

120 Salford

Comparator group

0

10

20

30

40

50

60 Salford

Comparator group


ADD Centre

Homestart

Family Centre

Health Visitor

C A B

C A M H SPsychologist

Social Worker

Finding the right door


Meeting individual need Adult services Good services promoting independence,

but Resolve delays and eligibility Some services need more user focussed

developmentHome careServices for people with physical

disability and sensory impairmentGreater integration for mental health,

and more inclusion


Providing information - letting people know aboutservices or plans for the future

Consultation - stopping and asking people for their views before the final decision in made. Usually one off

Participation - discussing issues that need to be tackledand working on the solution together. Usually ongoing

Delegation - providing a framework and people are then left to decide for themselves

Devolution - providing resources and people decide how to use them.

Stages of user involvement


Shaping servicesScale of change achieved, with

support from members, users, staff and Trades Unions

Good processes developing Commissioning Business planningPartnerships for developing

and delivering services


Shaping Services But City Council pledges not easy fit for planning in

CSSD Some work with partners not delivering for users

Mental healthHome careCAMHSHousing strategyEducation for children looked after Access for families with children with a

disability


Managing performance

Use of Best Value principles A range of mechanisms to monitor

quality, but No explicit framework for quality Some inconsistencies in standards Lack of appraisal Better use of complaints Greater use of target setting


Full use of complaints

Overview needed

Contract monitoring

Appraisal

Team level performance

indicators

Training integral to business planning

Project management

Quality framework

Managing performance Areas for development


Managing resources StrengthsCommunication at all levelsPride and commitment from staffFamily friendly recruitmentPositive TU relationshipsRobust acceptance of ITGood attendance managementBalanced budget for 3 yearsElectronic financial accounting


Managing resources Areas for developmentDisability access for buildingsCapital investment for IT in a

shorter timescaleInvest to save to fund reduction

of children looked after Full workforce strategyHome care transaction costs


Resourcing service development


Priorities for action

Users central to the whole serviceFamily support to prevent care Improved corporate support Full and explicit framework for qualityComplete business planning process Improve staff support - IT, appraisal

and workforce strategy


Projects

Service develop

ment

WorkforceService integration

A thousand flowers??????

Performance framework

IT infra-structure

Organising the blooms!


Reviewing Social Servicesin

Salford

Thank you

Documents

Joint Reviews of Local Authority Social Services JOINT REVIEW OF SALFORD COUNCIL 17 th June 2003