Equality Impact Assessment

Name of the proposal : Transforming Adult Social Care - following consultation

Department : Adult Services

Name of lead officer : Steve Gowtridge

Publication date: 13/09/2012

Review date: 13/12/2012

Departmental Manager Approval by : Richard Ellis

Departmental Manager Approval date : 06/09/2012

 

 

Main purpose and aims of the policy, plan or project

Subject to Executive Member approval, and following a full 12 week public consultation, it is recommended that permission is granted to close Addenbrooke, Cornerways and Thurlston House residential care homes. It is recommended that the Lutman day centre be moved to alternative premises, and that the Kings Worthy day centre remains on site until new day care facilities are developed as part of a new Extra-Care scheme in Winchester.

The future strategy for services for older people seeks to increase people's choice and control over their care, offering a range of services including Extra-Care Housing which will help people to stay in a home of their own for longer. These three homes do not meet the needs and expectations of older people of the future due to the limitations of the buildings, and it is therefore recommended that they are closed. Savings would be reinvested into in-house residential and nursing services, and the capital receipts would be invested in the development of further Extra-Care Housing.

The feedback from the consultation indicated support for the provision of Extra-Care as an option for older people, though many did not see it as an option for current residents. It was found that there was strong support for local alternatives to be offered. Some respondents suggested that the homes should be refurbished or kept open while the current residents are there. The consultation process enabled us to identify people's needs for alternative care, including for example relating to people whose first language is not English. Many respondents were concerned about older people, many of whom are physically frail or have dementia, moving to alternative homes. This Impact Assessment proposes actions to mitigate the impact of a move on the residents. Other than these concerns about the ability of people who are older and disabled to adapt to a move, no specific issues were raised in relation to the protected characteristics.

Main elements of the policy, plan or project

If the decision is made to close the homes, person centred plans will be developed with each resident to help them plan their future care. The home closures would be subject to suitable alternative accommodation for the residents being found and their care needs met. Residents and their families will be supported throughout the planning and moving process by social workers, and their progress will be carefully monitored after the move.

It is planned that an extension will be built at Westholme care home in Winchester which will provide additional affordable care home capacity in Winchester.

In the longer term there will be a day service in Winchester linked to the provision of Extra-Care Housing in the city, but in the interim the day service provided at Kingsworthy day centre will remain in situ. The service users who use the day service provided at the Lutman Day Centre (on the Addenbrooke site) will be accommodated at an alternative day service in Gosport.

Staff will be offered a voluntary redundancy package, and we will work with those who wish to continue working for Hampshire County Council to enable them to move to vacant roles within other homes.

Detailed Assessment

Age: Impact : Medium
Any specific issues identified: Older service users might find it difficult to adapt to change and may find change worrying.
What action will be taken to address any identified issues: A dedicated social worker has already been allocated to the project and is working alongside residents and their families to provide reassurance. If the decision is made to close the homes, an effective transition plan will be put in place for each resident based on person centred plans. Residents will be supported before, during and after they move to another residential home or other care setting. This will include familiarisation visits and support from staff that the resident knows. Families of residents will be fully involved. Friendship groups within the homes will be identified so that people can move together.
Disability: Impact : Medium
Any specific issues identified: People may find it difficult to adapt to new accommodation because of their disability, or have concerns about doing so.
What action will be taken to address any identified issues: Detailed dependency assessments for each resident will be carried out in order that a range of suitable alternative accommodation can be identified to meet each person's specific needs. An effective transition plan will be put in place for each resident based on person centred plans. Dedicated care management support is already in place to support residents. Residents' next of kin and familiar staff will be involved in supporting them to make decisions and visit alternative accommodation.
Faith: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Gender: Impact : Medium
Any specific issues identified: If the decision is made to close the homes this may cause uncertainty or anxiety for those older people and staff involved, many of whom are women.

Service users: might find it difficult to adapt to change and may find change worrying.

Staff: changes may create uncertainty or anxiety for staff involved as their current posts will no longer be available if the decision is made to close the homes.

What action will be taken to address any identified issues: Service users: A dedicated social worker is in place to support the residents. An effective transition plan will be put in place for each resident based on person centred plans. Friendship groups will be identified so that people can move together. Support will be offered before, during and after a move to another care setting and the resident's family will be fully involved.

Staff: There will be continuing engagement with staff and trade unions. If the decision is made to close the homes all staff will be offered the enhanced voluntary redundancy package. Work has already started to identify vacant roles in other homes for staff who wish to remain with the county council to move to. These will be matched to the skills, preferences, and home locations of staff to avoid redundancies. Staff will also be offered additional training to ensure they have all the skills they need for a new role. We would also support staff to seek alternative employment through our contacts in the care sector.

Transgender: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Race: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Sexual Orientation: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Marriage / civil partnership: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Pregnancy & maternity: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Other factors: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  

Details of why some groups are low and/or no impact

The proposals will mainly affect the residents of the 3 homes, who are all over 65 and physically frail. There will be no impact on the other groups because the proposals will not specifically affect any of these groups. Person centred planning will ensure that the needs of people in terms of their faith, race, sexual orientation are fully met in any alternative services. If required, appropriate guidance and training in addressing these needs will be sought from the Community Development Officers.

Conclusion

The immediate impact of these proposals will focus on small groups of service users in the three residential homes affected. 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 to plan their future care and the dedicated social worker will work as part of the project team to ensure a smooth transition for them. Residents' families will be fully involved and support will be given to residents before, during and after their move. Friendship groups will be identified so that residents can move together with other members of their friendship group.

Due to the high proportion of women who both work in and use these services, many of those affected would be women, and actions will be taken to mitigate any impact on this group. In terms of the service users, this would involve carrying out individual person-centred planning, and providing dedicated support from social workers within the project team. For the staff group, the impact of the proposals will be mitigated by offering voluntary redundancy to all staff, by utilising the County Council's redeployment procedures and matching staff to vacant roles in other homes, and providing additional training and support if needed.

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.

 

For more information please visit the Hampshire County Council Equality & Diversity web page.