Equality Impact Assessment

Overview:

Assessment Name: Better Housing Solutions for Older People
Department: Adult Services Date Created: 23/11/2010
Lead Author: Steve Gowtridge Lead ID: sshqadsg
Additional Authors (if applicable): Damian Biles
Wendy Rushton
 
 
 
Aims and Objectives: Consultation over the transformation of in-house services for older people.

Transformation of in-house services for older people seeks to increase choice and control over their care. There are also significant changes in the expectations of clients, with people with social care needs expecting to be supported in their own home as their first choice and in community based settings where they can no longer be sustained at home

Within Hampshire County Councilís in-house portfolio there are a number of residential homes which are not fit for purpose, due to the age of the buildings and the facilities. The buildings were not designed for the service user group we cater for today, primarily high-end dementia users.

The home in question is Cherry Orchard, Andover.

Main Activities: Public and staff consultation over the future provision of residential care at Cherry Orchard, Andover.
Who's intended to benefit: This initiative is not designed to benefit any specific client group but rather to reduce facilities that are no longer fit-for-purpose as part of the strategy to improve choice in care at home.

Summary of Report:

Summary of Main Findings: The immediate impact of these proposals will focus on a small group of service-users based in one older people's residential care home. Alternative services will be available. These will not exclude anyone, who meets the eligibility criteria for these services (ie older people who meet the Adult Services eligibility criteria).

Older service users might find it difficult to accept new concepts, adapt to change and adapt to moving to new accommodation: this might cause upset and worries. To mitigate this, individual care assessments will be carried out with each of the current service users and dedicated care managers will work as part of the project team to ensure a smooth transition for them.

Should there be any issues relating to an individual's faith, sexuality, race etc, then appropriate guidance and training (if necessary) will be sought from the Community Development Officers.

Age:

What do you know about the breakdown of people who use your services compared to the community profile: All service users in the residential home involved in this potential change are over 65

Young people do not use these services

Will some people be unable to use or benefit from the service: Older service users might find it difficult to accept new concepts, adapt to change and adapt to moving to new accommodation: this might cause upset and worries.
How could the iniative improve equality of access: The impact should be minimal given that there has been an assessment regarding availability of suitable alternative placements, which should provide a higher quality environment for current service users as well as a longer term benefit for future service users

Disabled People:

What do you know about the breakdown of people who use your services compared to the community profile: Service-users. National data shows that an increasing number of people with complex needs are surviving into older age.

Staff. None of the staff working in the home under consideration are registered as disabled.

Will some people be unable to use or benefit from the service: No; in fact current Service provision has not moved forward in the same way for people with complex needs than it has for those with less complex needs.
How could the iniative improve equality of access: The alternative services will be flexible to meet individual needs and be person centred

Faith:

What do you know about the breakdown of people who use your services compared to the community profile: No information has been collected for this group. However since October 2010, we now have the ability to record this information on SWIFT so in time we will have this information on new service users. Similarly, we now ask new recruits for this data, so we will have it for new recruits but not current staff.
Will some people be unable to use or benefit from the service: Potentially. This is an opportunity to review peoples' needs with them.

Needs linked to faith (fasting, dress code, death rituals) may be ignored by service providers

How could the iniative improve equality of access: Community Development Officers are able to provide training and support for staff / providers of alternative services when needs linked to faith are identified

Gender:

What do you know about the breakdown of people who use your services compared to the community profile: The gender split for the services affected is as follows (May 2011) 12 female residents and 7 male residents.

Almost all of the staff are female (33/34), which is common in this type of service provision.

With regards to staff, the gender breakdown at Cherry Orchard is as follows:

Male 3%; Female 97%

Will some people be unable to use or benefit from the service: No.
How could the iniative improve equality of access: The impact should be minimal given that there has been an assessment regarding availability of suitable alternative placements, which should provide a higher quality environment for current service users as well as a longer term benefit for future service users. The proposal will impact mostly on female staff as they make up a large proportion of the workforce

Race:

What do you know about the breakdown of people who use your services compared to the community profile: The racial group split for the residents is 18 White British and 1 White Eastern European.

The staff group is predominantly White British (24/29), with 3 Other White Background, 1 Black African and 1 recorded as Other.

Will some people be unable to use or benefit from the service: No. The alternative services will be flexible to meet individual needs and be person centred .

Services will be community inclusive. The community must be tolerant and support people using their facilities . Work with local relevant ethnic community groups will need to undertaken to enable links are developed for people

How could the iniative improve equality of access: Community Development Officers are able to provide training and support for staff / providers of alternative services when needs linked to race are identified

Gay, Lesbian, Bisexual:

What do you know about the breakdown of people who use your services compared to the community profile: No information has been collected for this group. However since October 2010, we now have the ability to record this information on SWIFT so in time we will have this information on new service users. Similarly, we now ask new recruits for this data, so we will have it for new recruits but not current staff.
Will some people be unable to use or benefit from the service: No. This provides an opportunity to review peoples' needs
How could the iniative improve equality of access: Any specific needs relating to a person's sexuality will be taken into account as part of the individual's care assessment and person-centred planning

Socio Economic Factors:

What do you know about the breakdown of people who use your services compared to the community profile: The residents of Cherry Orchard are a mixture of people who's care is paid for by Adult Services and self-funders.

The area of Andover in question is in the 10% of least deprived areas according to the Index of Multiple Deprivation 2007

Will some people be unable to use or benefit from the service: Alternative accommodation will be found for all service users, irrespective of income, educational background etc.
How could the iniative improve equality of access: Provide clear information to service users and their families about appropriate alternative accommodation models available.

Rural Isolation:

What do you know about the breakdown of people who use your services compared to the community profile: Whilst Andover is included as rural in some definitions, it is an active market town that is able to support its residents. It also serves as a hub for surrounding rural areas. However, there is adequate alternative provision in Andover to meet the needs Cherry Orchard would have met.
Will some people be unable to use or benefit from the service: The alternative provision is in the same geographical area and will continue to serve Andover and its surrounding rural communities.
How could the iniative improve equality of access: NA

Other groups affected:

Are there other groups affected not already mentioned: No.

Conclusions of Potential Impact:

Possible Impact: Older service users might find it difficult to accept new concepts, adapt to change and adapt to moving to new accommodation: this might cause upset and worries. To mitigate this, individual care assessments will be carried out with each of the current service users and dedicated care managers will work as part of the project team to ensure a smooth transition for them.

Given the high percentage of women who both work within these services and use these services, it needs to be noted that it may appear to disproportionately impact upon them, although they are not being targeted specifically

If any groups are disadvantaged is this likely to be unlawful: Not applicable
Group Affected: Current service users (frail elderly older people or older people with dementia)
Evidence: NA

Further Actions to be taken:

Action: There will need to be effective transition and communication, based on person centred plans
Responsibility: Project Board
Timescale: By end 2011
Expected Outcomes: Smooth transition to new accommodation and services

Review Summary:

Review Update: