Older People’s Partnership Board

5th March, 2018

St Ives Corn Exchange, Market Hill, St Ives PE27 5AG

Minutes

Present:
AB Anna Bailey Councillor, Adults Committee
SC Sally Cleghorn Development Officer, CAIL
JE Jenny Egbe Independent Member
MF Michelle Foster Commissioning, Adult Social Care, CCC
JG Jackie Galwey Head of Operations, Complex and Long Term
Care, CCC
GL Graham Lewis Development Officer, CAIL
DM Diarmid MacKenzie Independent Member
PM Paul McCloskey Independent Member
MM Margaret Moffatt Independent Member
GP Gareth Peters Adult Safeguarding Manager, CCC
ST Shauna Torrance Acting Head of Commissioning, Adult Social Care,
CCC
BW Brian Walker Chair, Independent Member

1. Welcome, introductions, apologies

Apologies: David Bache, Helen Duncan, Sue Honour, Amanda Morgan, Jean
Newman, Lynne O’Brien, Barry Payne, Janet Warren and Susie Willis. Lynne
Byrne (Age UK) is retiring.

Fen House, Fen Road, Cambridge, CB4 1UN

Tel: 0300 111 2301 Email:admin@cambridgeshirealliance.org.uk
Registered Charity No. 1132290 Company limited by guarantee No 06861653
 Fiona Davies (Head of Mental Health) and alternate Janet Warren (Assistant
Commissioner Mental Health) were proposed to join the Older People’s
Partnership Board. Following a brief discussion and vote it was unanimously
agreed that they should be invited to join the Board.
Action: SC to send formal invitations.

2. Older People’s Team update, Jackie Galwey

JG introduced the Adults Positive Challenge Programme. Cambridgeshire County
Council felt it was appropriate to have external consultants review the work that is
currently carried out, review challenges that are being faced such as increased
demand and reduced funding.
The purpose of the consultation is to:
 Provide a sound baseline of analysis
 Introduce new ideas and innovation
 Engage staff and wider stakeholders
 Define a programme of change and quantify the impact on future costs.

Findings have included:

 CCC spends less per head but achieves outcomes in line with the national
average
 Most money is spent on longer term care, with only 17% of net spending on
staff costs
 Demand growth could add over £2.5million a year by 2022.

Emerging themes for change included:

 Empower providers to innovate

 Create different relationships between Council and citizens
 Empower staff to make decisions
 Shape support and care at a local level
 Use digital services to put the client in control of their choices

BW The oldest older who may be in greatest need may not use IT
compared to younger older.

Page 2 of 7
 JG The system needs to be able to be more flexible.
JE Recently been purchasing on Amazon. When looking at some of the
sites a chat box opens to find out if she would like to discuss with
customer service.
JG We need to do more of this.
PM Has concerns regarding the reducing capacity of people (eg due to
dementia).
JG We need to be able to engage with the circle of people around the
person such as care staff and family.
ST Need to be outcome focussed rather than time/task driven with care
organisations that are commissioned.
JG Carers survey shows deterioration in people’s satisfaction with the
service and offer.
ST Carers Strategy and tendered services are being reviewed; drawing in
GPs and primary care as they may be the first to be aware of issues
AB Will be interesting to see the review of the Neighbourhood Cares pilot
project. A more sustained process, knowing the people and
maintaining the relationship.
JG A better understanding is also needed of self-funders to ensure they
are given best support and advice to make good choices to meet their
needs now and in the future, rather than purchase services that aren’t
needed at this time but result in lack of resources when support is
needed.
SC When will Neighbourhood Cares roll out across the county?
AB Pilot is running to April 2019 with the review starting in October 2018.
JG Do you want me to come back and update the OPPB at a later date?
Action: SC to contact JG to discuss potential dates.

3. Independent Members’ Feedback

BW Transport seems to be a key issue, increased social isolation occurs
when bus services are withdrawn. The bus passes provided to older
people and people with disabilities are no good if there isn’t a bus
service.

Page 3 of 7
 AB CCC spends approx. £6million per year to pay for journeys for people
with bus passes for free travel. £1.5million is spent to subsidise very
small number of rural bus services. Funding for community transport
such as FACT and HACT also comes out of this funding. The Mayor of
the Combined Authority has delegated this to Cambridgeshire County
Council for the next financial year and has started a review of services.

4. Making Safeguarding Personal, Gareth Peters

GP Explained that March is Promoting Safeguarding Awareness Month
and is organised by the Safeguarding Board. The Board provides
resources and training to community groups for free. Events have been
organised across the county to promote the month.
Action: Circulate contact details for Gareth and details of the website to the
OPPB.
GP The key message is everyone is entitled to live life free of harm and
neglect. The Board has priority areas of: Domestic Abuse, Mental
Health and neglect (includes self-neglect and neglect by omission).
Once informed of a concern the County Council has a duty to carry out
enquiries. During 2016/17 approximately 4,000 concerns were raised
of which 1,250 progressed beyond initial enquiry. The County Council
is part of the MASH (multi agency safeguarding hub) which brings
together a range of agencies to discuss concerns, such as Police,
Social Care, CPFT, housing etc. The most likely to be abused are
those who are socially isolated with very few contacts. It is hoped that
the neighbourhood cares project will identify people at risk of abuse
and also reduce the likelihood of abuse.

The making safeguarding personal work is about finding out what a

person wants to happen, creates a conversation about the risk they are
experiencing and ways of removing or reducing the risk.

Page 4 of 7
5. Care Homes Development Project, Shauna Torrance

ST introduced the Care Homes Development Project for the County Council. Over
the next 20 years the older people population growth forecast is that the 65-74 age
group will increase by 36%; the 75-84 age group by 71% and the over 85 group by
154%. This means that the County Council will need extra beds for residential /
nursing care. Demand is expected to double from 4,500 to nearly 9,000. The key
premise of this project is to use council land to stimulate interest in building more
care homes. The County Council is working with a strategic partner to design, build,
operate and maintain new care homes to deliver 450 beds, of which 150 would be
affordable council beds and 300 beds for self-funders.
ST wanted feedback and involvement from older people to find out what is going well
at the moment and what isn’t, what could improve people’s experience and support
with the evaluation of provider responses.
ST Part of the Commissioning team at Adult Social Care, CCC and
introduced her colleague Michelle Foster.
The aim is for people to live independently for longer. As previously
identified by JG the number of older people in the County is increasing.
BW have you involved Healthwatch?
ST Yes, had many conversations with Sandie Smith, CEO of Healthwatch.
BW How many care and nursing homes at present?
ST There are approximately 80. People very rarely get their first choice of
home. All homes have a CQC rating of good and above.
SC CAIL is aware of issues relating to the amount care home staff are
paid. It is common to hear that people may earn more working at a
supermarket than for a care company.
ST Very aware of this. Also the Council is looking at other issues such as
can social housing be provided near to care and nursing homes. This
will mean that people don’t have to travel so far to work or can then
reduce their costs.
ST Seeking feedback from people on:
 What works and doesn’t work?
 What could improve their experience?
 Evaluation of provider experience?
ST Do members of the OPPB want to feedback or should the CCC run
focus groups?

Page 5 of 7
MM Had visited a home where people with dementia were living on ground
floor, and people without dementia on the first floor. Visitors were not
happy about this so people moved floors.
ST not just looking at care provision but also design of homes.
OPPB A focus group should be set up.
Action: SC will set up and promote a focus group in near future.

6. Adult Social Care Forum (feedback from/items for)

BW Any items to be taken to ASCF? None raised.
GL The Fairer Contributions Policy consultation was raised by CAIL at the
ASCF following feedback from other partnership boards. This included
the survey being difficult to find on the website, information not being
sent to all people who manage finances on behalf of family members
etc, information not being sent to people in a timely fashion about
consultation events taking place near their home resulting in having to
travel to events further away. The consultation was also carried out
over the Christmas holiday period. This meant either people ignored
the consultation to focus on Christmas or else were caused worry at
this difficult time of year. Some of these points had been taken back to
the county council by Cllr Costello (attends the LDPB) and action was
taken.
AB 315 responses were received from people. These are being discussed
at the Adults Committee on Thursday 8 March.
Action: AB will also raise points identified by CAIL and raised at ASCF at the
Adults Committee.
7. Minutes and Action Log
Board confirmed the minutes were taken as read.
Differing responses to falls in care homes. This is an old action. JG
clarified that the CPFT covers the overall Falls Strategy and that Jackie
Riglin would be the appropriate contact.

Action: SC to contact Jackie Riglin for an update.

Page 6 of 7
8. AOB and Agenda ideas
SC Insights – exploring common issues. This is the final Cross
Partnership Board event from CAIL and is based on feedback from
Independent Members. The event is on 29th March 2018, starting at
10am (closing at 2.30pm) at The Marriott Hotel, Hinchingbrooke
Business Park, Huntingdon. All are welcome!

GL Ceasing of operations by CAIL. This was formally announced on

Tuesday 20th February. The Trustees of CAIL have made a difficult
decision based on information relating to the next financial year. CAIL
staff are working hard to ensure a smooth handover to whoever takes
on the participation project.
GL Wheelchair Users Forum meets on 26 March 2018 at the Meadows
Community Centre, St Catharine’s Rd, Cambridge CB4 3XJ.
SC As Lynne Byrne has retired does the Board want another
representative from Age UK Cambridgeshire & Peterborough? Board
agreed.
Action: SC to invite Age UK to nominate a representative.

Next meeting: Monday 4th June 2018, 10:30am – 12:30pm. Venue to be

confirmed.
Please note that there will be a pre-meeting for independent members starting
at 10:00am

Page 7 of 7