Equality Impact Assessment

Name of the proposal : Transforming Adult Social Care

Department : Adult Services

Name of lead officer : Alison Lawrence

Publication date: 17/05/2012

Review date: 03/09/2012

Departmental Manager Approval by : Richard Ellis

Departmental Manager Approval date : 18/04/2012

 

 

Main purpose and aims of the policy, plan or project

The national vision for adult social care is for services to be delivered in a way that is more personalised. This implies a strong focus on choice and control for individual service users to reflect the new and different expectations of older people. Following the commitment by Cabinet in October 2011 to invest £45m in Extra-Care housing, a review has been undertaken of the impact of the newly built Extra-Care Housing on the local market for older peopleís care, taking into account future needs and preferences of older people and the available range of modern care and support options. It has been identified following this review that 3 of the county councilís residential homes for older people are no longer suitable to meet the needs or expectations of the older people in the future, and it is proposed that, subject to Executive Member approval, a public consultation take place on their closure. In addition, 2 homes will be extended to provide modern care for those with higher levels of need. The future strategy for services for older people seeks to increase people's choice and control over their care, offering a range of services which will help people to stay in their own homes for longer.

The homes which will be included in the consultation are : Addenbrooke (Gosport); Cornerways (Winchester); Thurlston House (Fleet). Under the proposals, person centred plans will be developed with each resident to ensure that suitable alternative accommodation is identified before any home is closed. 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.

Main elements of the policy, plan or project

Subject to Executive Member approval, there will be a full 12 week public consultation on the future provision of care in the 3 locations. There will be full engagement with service users, their families, staff, stakeholders, and county councillors. Following this a further report with recommendations on closure of the homes will be submitted to the Executive Member for Adult Social Care in September 2012.

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: Detailed communication plan put in place, to involve the staff in the homes and relatives of the service users. Effective transition plan in place for each resident based on person centred plans. Dedicated care management support in place to support residents.
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 assessment for each resident currently taking place in order that a range of suitable alternative accommodation can be identified to meet each person's specific needs. Effective transition plan in place for each resident based on person centred plans. Dedicated care management support in place to support residents. Residents' next of kin and familiar staff involved in supporting them to make decisions and visit alternative accommodation.
Faith: Impact : No Impact
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What action will be taken to address any identified issues:  
Gender: Impact : Medium
Any specific issues identified: The proposals for consulting on changes to older people's services 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: proposals for change may create uncertainty or anxiety for staff involved. It is likely that posts will be at risk if the proposed changes are accepted following consultation.

What action will be taken to address any identified issues: Service users: Detailed communication plan put in place, to involve the staff in the homes and relatives of the service users. Effective transition plan in place for each resident based on person centred plans. Dedicated care management support in place to support residents.

Staff: There will be full and early engagement with staff and trade unions, including a full consultation process running concurrently with the public consultation. In order to avoid redundancies, the Council's redeployment procedures would be utilised, and the Council would strive to ensure alternative employment within the range of services it provides. We would also support staff to seek alternative employment through our contacts in the care sector. Staff would be offered additional training to ensure they have the necessary skills to take up a new role. Voluntary redundancy would be offered to all staff. Sensitive and timely support services will be put in place for all staff during the period of consultation.

Transgender: Impact : No Impact
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Race: Impact : No Impact
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Sexual Orientation: Impact : No Impact
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Marriage / civil partnership: Impact : No Impact
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Pregnancy & maternity: Impact : No Impact
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Other factors: Impact : No Impact
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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 and dedicated care managers will work as part of the project team to ensure a smooth transition for them.

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 care managers within the project team. For the staff group, the impact of the proposals will be mitigated by early and full consultation with staff and trade unions, utilising the County Council's redeployment procedures, 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.