Agenda item

Market Shaping and Review of the Estates & Commissioning Strategies

Decision:

Cllr Carole Allaway Martin introduced the report providing feedback on the Market Engagement Review and sought approval for the recommendations to influence and aid the sustainability of the Independent Health & Social Care Market of Gloucestershire.

 

 

Having considered all of the information, Cabinet noted the report and

 

RESOLVED to:

 

1) Delegate authority to the Executive Director of Adult Social Care and Public Health, in consultation with the Cabinet Member for Adult Social Care Commissioning,:

 

a) To agree the revised purchasing model for the volume and location of care home beds that support frail individuals awaiting hospital discharge under the Enhanced Independence Offer, as approved by GCC Cabinet June 2019. The EIO programme of change is currently underway. Initial findings much of which is predicated on learning from the pandemic, indicate that future purchasing patterns and procurement processes will require a more flexible approach combining the benefits of both block and spot purchasing.

 

b) To agree the revised purchasing model for a blended model for Home Care and Reablement, currently being developed under phase 2 of the Enhanced Independence Offer, to support collaborative working and therefore investment in Domiciliary care providers

 

2) Support and stabilise the care home market by approving consultation on the proposed decommissioning and closure of four homes within the Gloucestershire Care Partnership:

 

a) Orchard House, Bishops Cleeve, Tewkesbury

b) Westbury Court, Westbury, Forest of Dean

c) Bohanam House, Gloucester

d) The Elms, Stonehouse Stroud

 

3) Consult on the proposed closures and the potential impact of the closures

 

4) Delegate authority to the Executive Director of Adult Social Care and Public Health, in consultation with the Cabinet Member for Adult Social Care Commissioning, to enter into an agreement with Gloucestershire Care Services to ensure continuity of care for residents during the consultation period set out in Recommendation 2 and other ancillary matters, including reimbursing Gloucestershire Care Partnership for agreed additional costs incurred that arise as a direct result of the consultation process.

 

5) Agree, following consultation, to return to Cabinet to consider the outcome of the consultation and agree how to take forward outcomes of the consultation.

Minutes:

Cllr Carole Allaway Martin introduced the report and sought approval for the recommendations to influence and aid the sustainability of the Independent Health & Social Care Market of Gloucestershire.

 

The Cabinet Member welcomed the questions and comments from the public on this item.

 

The purpose of the paper and its focus was to begin consultation on the potential closure of four care homes.

 

The council has a duty to work in partnership with providers to sustain the market.  This paper comes forward following extensive engagement with residential and domiciliary care providers.  This engagement confirmed the need to fundamentally change the market as a result of trends that begun before the recent COVID-19 pandemic.

 

Cllr Allaway Martin praised the heroic efforts of the care system to respond to the pandemic, but also reflected that the pandemic had demonstrated that the Council’s residential home estate was not well suited or easily adapted to infection control.

 

The market needed to be sustainable and viable and offer consistency of care and responsive to the changing needs of the people of Gloucestershire. The technical strategy later in the agenda went hand in hand with the actions being taken here

 

The Cabinet Member detailed the part of the report that considered purchasing models to enable the required flexibility, including the need to expand the domiciliary care market, review the capacity and location of existing residential provision within the council’s control and make better provision for reablement.  She reiterated the importance of the consultation process and her hope that it will help to allay the fears of those potentially affected by the proposals

 

The Cabinet Member commented on the importance of ensuring the quality of services being provided and the focus on allowing individuals to remain in their own home as long as possible.

 

The Leader outlined the importance of the item in ensuring sustainability of the market and the need to act to ensure changing demand was met. He emphasised that unless the Council acted, there was a real risk of market failure and the unplanned closure of good care homes.  He stated that the pandemic has raised questions about the suitability of buildings. It has also brought into focus the fact that some of these homes are not of the standard expected by residents and their families. 

 

He  recognised that this was a difficult conversation and gave assurances that the team would ensure that caring for individuals would be at the forefront of their minds going forward.

 

Having considered all of the information, cabinet noted the report and

 

RESOLVED to:

 

1) Delegate authority to the Executive Director of Adult Social Care and Public Health, in consultation with the Cabinet Member for Adult Social Care Commissioning:

 

a) To agree the revised purchasing model for the volume and location of care home beds that support frail individuals awaiting hospital discharge under the Enhanced Independence Offer, as approved by GCC Cabinet June 2019. The EIO programme of change is currently underway. Initial findings much of which is predicated on learning from the pandemic, indicate that future purchasing patterns and procurement processes will require a more flexible approach combining the benefits of both block and spot purchasing.

 

b) To agree the revised purchasing model for a blended model for Home Care and Reablement, currently being developed under phase 2 of the Enhanced Independence Offer, to support collaborative working and therefore investment in Domiciliary care providers

 

2) Support and stabilise the care home market by approving consultation on the proposed decommissioning and closure of four homes within the Gloucestershire Care Partnership:

 

a) Orchard House, Bishops Cleeve, Tewkesbury

b) Westbury Court, Westbury, Forest of Dean

c) Bohanam House, Gloucester

d) The Elms, Stonehouse Stroud

 

3) Consult on the proposed closures and the potential impact of the closures

 

4) Delegate authority to the Executive Director of Adult Social Care and Public Health, in consultation with the Cabinet Member for Adult Social Care Commissioning, to enter into an agreement with Gloucestershire Care Services to ensure continuity of care for residents during the consultation period set out in Recommendation 2 and other ancillary matters, including reimbursing Gloucestershire Care Partnership for agreed additional costs incurred that arise as a direct result of the consultation process.

 

5) Agree, following consultation, to return to Cabinet to consider the outcome of the consultation and agree how to take forward outcomes of the consultation.

 

Supporting documents: