Bournemouth and Poole Learning Disability Partnership Board
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Bournemouth and Poole
Learning Disability Partnership Board
Thursday
12 July 2018 St Mark’s Church
Wallisdown Road
11am to 2.30pm
Notes of the meeting
Who was at the meeting …..............….............. pages 2 - 5
Welcome ………………………………………...…. page 6
What we talked about last time …….................page 7
People First Forum ………………………….……... page 8
Finance update - Adult Social Care ..…....….. page 9
Safeguarding Adults Board ……………………….page 16
Where I Live action group …………………….... page 22
Task and Finish group …………………………..….page 26
Any Other Business ………………………….......... page 25
Future meetings ……………………......….........… page 26
Who came to the meeting
People First Forum
Alex Ridealgh Self advocate 3
Alison Bale Self advocate 3
Amanda Frost Assistant Co-Manager 3
Amanda Parsons Co-Manager 3
Anna Harris Assistant Co-Manager apologies
Anthony Giles Self advocate 3
Dan Murray Self advocate apologies
Emily Snelling Co-Manager apologies
Jenny Bennett Administrator 3
Jenny Phillips Self advocate apologies
John Lyle Self advocate 3
Kimberley Fields Administrator 3
Lisa Selby Self advocate 3
Les Hebditch Self advocate 3
Natalie Smith Self advocate 3
Robert Stevens Self advocate 3
Russell Knipe Self advocate 3
Shaine Singer Self advocate 3
Shaun Hayward Self advocate 3
Sue Hudson Development worker 3
2
Councillors and Directors
Blair Crawford Bournemouth apologies
Jane Kelly Bournemouth 3
Karen Rampton Poole apologies
Sean Gabriel Poole apologies
Family Carers
Bridget Campbell Poole 3
Denise Oran Bournemouth Carer 3
Marion Burgess Bournemouth Parent Carer 3
Forum
Phyllis Rodgers Poole apologies
Sam Pavey Carer Support Worker 3
Steve Beare Poole apologies
Joint Bournemouth and Poole Officers
David Vitty Service Director apologies
Debbie Hyde Commissioner 3
Jenni Collis-Heavens Service Manager 3
Jo O’Connell Commissioner 3
Borough of Poole
Anna Keegan Manager Community team 3
Jan Thurgood Director People Services apologies
Phil Hornsby Head of Service Unit apologies
3
Bournemouth Borough Council
Carly Ashton Community Team 3
Sam Johnson Equality apologies
Clinical Commissioning Group
Will Barnwell Senior Programme Lead for 3
Mental Health and
Learning Disability
Dorset Advocacy
Gary Harris 3
Dorset Health Care
Ginny Boniface Senior Community Nurse 3
Gary Billen Specialist Service Manager 3
Dorset Police
Teri Roberts Strategic Equality Specialist apologies
Dorset Race Equality Council
Natalie Sherring Community Development x
Officer
Healthwatch
Louise Bate Engagement and x
Communications Lead
4
Provider Representatives
Mary Stepin East Boro Housing Trust apologies
Rachel Keeling Stable Family Home Trust apologies
Shared Lives
Nikki Brown Bournemouth + Tricuro apologies
Sam Way Poole 3
Tricuro
Sal James Operations manager apologies
Guests and substitutes
Danielle Traves- For Shared Lives 3
Barnett Bournemouth and Tricuro
Claire Hughes Safeguarding Adults Board 3
Tracey Kybert Bournemouth Housing 3
5
Welcome and introductions
Amanda Frost and Jo O’Connell co-chaired
the meeting in the morning.
Shaun Hayward and Jo O’Connell co-chaired
the meeting in the afternoon.
Jo O’Connell welcomed Ginny Boniface to
the Board who will come instead of Anita
Hazell. Jo also welcomed Danielle Traves-
Barnett for Nikki Brown of Shared Lives in
Bournemouth for Tricuro.
Jo O’Connell welcomed guest Claire Hughes,
the Business Manager for the Safeguarding
Adults Board.
The last meeting was May 2018. The Board
looked at just the actions and any comments.
Action This means action has been done.
Action This means action has not been done.
Action This means there is a new action.
6
What we talked about last time
Page 7 Mortality Review
There was some confusion with Care and
Treatment Review and the Mortality Review.
Also, the person who was asked to find out at
the Clinical Commissioning Group has left.
Anthony Giles had asked a question at the
March Board.
How many people in the last year of the
? mortality review have been reviewed and
how many more need to be reviewed?
Anita Hazell had given information at the May
Board which answers Anthony’s question.
There have been 23 deaths over the last
year, 2016 - 2017.Only a handful have
been reviewed because the reviewers do
this job as well as their day job.
None of the 23 deaths have been found
to be avoidable.
Action Action complete.
7
Page 26 Carers update
The Carers action group looked at the ideas
at the meeting on 10 July 2018. The action
group will use the ideas to help make an infor-
mation pack to give to families in Transition.
Action Action complete.
Page 28 Supported employment changes in
Bournemouth
Supported employment update is on the
forward plan.
Someone from Bournemouth will come and
update how the new of is working is doing.
Action Action complete.
Bournemouth People First and Poole Forum update
Amanda Frost and Shaun Hayward gave an
update.
The 2 organisations joined together on 1 July
2018. The new organisation is called
People First Forum.
There have been a few technical problems
with the move, but everyone is working hard
and settling in to the new offices.
There are cakes for the Board to help
celebrate the joining together.
8
Finance update
The finance update is for learning disability
and is for Bournemouth and Poole.
There was a presentation that had been sent
to the Board before the meeting.
Jo O’Connell talked about Poole.
Jenni Collis-Heavens talked about Bourne-
mouth.
CORRECTION CORRECTION on slide 7
£0.6m should be £0.06m and £0.25m should be
£0.025m.
They talked about
for 2017 / 2018:
The budget
What money was spent
How Bournemouth and Poole spent money
compared to the budget
Graphs to show where the money was
actually spent
For 2018 / 2019
The budget
Things that will cost more
How much money will be needed
Savings that need to be made
Graphs about the money to spend this
year compared to last year
Jo added one package had made the
overspend in residential care. The package is
very expensive and is about keeping the
person in the community.
9
? There were some questions and comments.
?
Alex Ridealgh: Does the residential care
? funding include people who may not live
here, like in Fareham?
Jo O’Connell: Yes, because the funding is
about the people who are from Poole or
Bournemouth.
? Alison Bale: How many people are in
residential care?
Jo O’Connell: about 40 to 50 from Poole and
about 100 people from Bournemouth live in
residential care.
Jane Kelly: Is the Tricuro money on top of the
? Bournemouth budget or part of the
Bournemouth budget?
Jenni Collis-Heavens: Yes, the Tricuro budget is
on top of the Bournemouth budget.
Gary Billen asked if the savings target for
? Bournemouth might be higher as the slide did
not take account of the additional costs
needed for 2018/19 in the same way that the
Poole slide did.
Jo O’Connell: Agreed that there probably is a
higher saving to be made by Bournemouth
which the slide did not show.
10Slide 6
? Alison Bale: How is there such a big saving on
learning disability services?
Jo O,Connell: It is about £0.7m which is about
3%. The council is trying to find savings across
all the council
Slides 6 and 7
Shaine Singer: What will happen to the money
? that is left over? Can you use the under spend
in other departments or is this money only to
be used in learning disability services?
Jo O’Connell: Whenever there is an under
spend in one area, the money is used to help
in another area where there has been an
overspend. We can’t keep the money for the
next year.
Slides 8 and 9
? Shaun Hayward: Why did Poole spend more
on Home Care than Bournemouth?
Jo O’Connell. Poole commissions more home
care than Bournemouth. We probably have a
similar number really, but more people in
Bournemouth take their money as a Direct
Payment.
Slides 8 and 9
? Russell Knipe: Can you tell us what Day Care is
please?
Jenni Collis-Heavens: Some are in Tricuro, like
all the Connect services. Day care is when
people go out of their own home for services.
11Slides 8 and 9
?
Shaun Hayward: Why are people in Poole
using less money on Direct Payments than
Bournemouth? Are people in Poole getting the
same choice?
Jenni Collis-Heavens: There are less people
getting Direct Payments in Poole, but both
teams do make sure that people are offered
the choice.
Jo O’Connell: In Bournemouth there is not a
framework so families felt there was not
enough choice, so they took Direct Payments.
This could change with the new Framework.
Slides 8 and 9
? Amanda Frost and Dan Murray: Why is there so
little money being spent on advocacy and
why is there more money being spent in Poole
than Bournemouth?
Jo O’Connell: We are paying about the same
money, but it is where the accounting is
reported.
In Poole it is all in the learning disability budget.
In Bournemouth it only the learning disability
self advocacy contract on the graph. The rest
of the advocacy contract is accounted in a
different department.
12Slide 12
?
Shaun Hayward: Why do we not have
information on what money is being spent by
Tricuro in Poole?
Jo O’Connell: This is because Tricuro is
included in the Poole budgets.
Bournemouth did not include Tricuro in their
budget, so the money is counted differently.
Just under £1m for Tricuro is part of the budget
in Poole.
Slide 15
? Shaun Hayward: How can you save when you
have already cut so many services? What
services will you be cutting this year?
Jo O’Connell: We have increased the budget.
But some things now cost more.
We are looking at areas for more efficiency,
and may be a change in service, not
necessarily getting rid of a service.
Jenni Collis-Heavens: We are working to make
efficiency too.
13Slides 17 and 18.
Bridget Campbell: There is a difference
? between actual spend and budget. In Poole,
the total spend comes to about £17m. How
can this be when the budget was £13m?
Jo O’Connell: We are buying some services,
and then recharging to the Clinical
Commissioning Group, other authorities, and
getting money from contributions made by
some individuals. This is probably why there is a
difference.
Action Jo O’Connell will check the numbers for spend
and money from income (also known as
recharge) and update the carers. He will
check for Bournemouth and Poole. Jo will also
update Carer Group and People First Forum.
Debbie Hyde: Why was about double the
? money spent on residential care in
Bournemouth compared to Poole? Why are
there more people in residential care in
Bournemouth than Poole?
Jo O’Connell: Because there are about
double the number of residents are in
residential care. Also there is a history for some
people. They have been in residential care for
a long time, maybe 15 years, and they do not
want to change to supported living.
Also, when Dorset changed to Bournemouth,
Dorset and Poole in 1997, it just happened to
be there were more in Bournemouth.
14Anthony Giles. Tricuro is one organisation so
should be one budget.
Jo O’Connell. You are right, but Bournemouth
and Poole have to each pay money into the
one organisation. Bournemouth pays more
than Poole because there are more services in
Bournemouth.
Add Tricuro budgets to future finance
Action
presentations.
Amanda Parsons: It is in the Big Plan to look at
residential care and to reduce the number of
people.
Jo O’Connell: It is in the Big Plan to reduce the
numbers in residential care, but we still have to
meet the needs of people.
? Bridget Campbell: Why has the Tricuro Budget
been reduced in Bournemouth? We don’t
know if Poole’s Tricuro budget is more or less.
Jo O’Connell: The Tricuro budget has been
reduced by £0.4m in Bournemouth. Poole was
about £0.975m for 2018/2019, and we don’t
have last year’s numbers.
Jenni Collis-Heavens: One reason for less
Tricuro budget is because there have been
changes in employment services.
15Safeguarding Adults Board
Claire Hughes gave an update about the
work of the Safeguarding Adults Board.
There was a presentation that had been sent
to the Board before the meeting.
Claire talked about
Why there is an adults safeguarding board
Who is in the business team
Barrie Crook is the chair of the Board
Who the Board works with, including our
Partnership Board
The sub groups of the board and what
they do
The Board’s Strategic Plan
Safeguarding is everyone’s business
Claire also talked about the serious case
review and why it cannot be shared yet.
? There were some questions and comments.
?
John Lyle for Alex Ridealgh: What kind of
? training is there for adults with learning
disabilities? Members would like to have more
training about Safeguarding. Maybe they
could come to Go Forum. It would be good to
have more training on financial abuse and
scams.
Claire Hughes: The Board wants to create
some training for you. Part of it will be about
safeguarding. We will need to work with the
partners too. This will make sure there is some
good training, and everyone knows what is
available. We can put the training on our
website. 16Shaun Hayward: Why is there no-one with a
? learning disability on the Safeguarding Board
or sub groups?
Claire Hughes: We are working with people
who have learning disabilities, with older
people, and other groups of people.
We have a lots of the partners who work with
lots of groups of people.
The partners represent different groups of
people. We do have people come to the
board to share their views with us, like you and
Amanda Frost did.
Alison Bale: Can you raise a safeguarding alert
? for yourself?
Claire Hughes: You can by calling the
Helpdesk or Care Direct. You might want to
talk to someone first and they can make the
alert for you or with you.
Amanda Frost: In the future will you cover
? Christchurch as well?
Claire Hughes: Yes. In April next year the
councils will create a new council with
Christchurch. So the Board will be a new
Bournemouth, Christchurch and Poole
Safeguarding Adults Board. This will may
include a new logo, or we may ‘squeeze’
Christchurch on to the logo! But Christchurch is
a long word!!
17Amanda Frost: We could work together on
? scams and issues about internet safety.
Jo O’Connell: In the Big Plan there are actions
about keeping safe. The Keeping Safe group
can work with the Safeguarding Adults Board.
Slide 12
? Amanda Parsons: Can you explain what a
Provider Market is please?
Claire Hughes: They are the providers that give
services. The big providers are for residential
care or domiciliary care. These are our own
provider market.
Sue Hudson: There is not a lot of information
? about identifying domestic abuse. People
often don’t see the patterns for abuse.
Claire Hughes. There are difficulties with
people identifying patterns. We would like to
work on this kind of information.
Slide 11 (Serious Case Review)
? Amanda Frost on behalf of Dan Murray: We
are concerned that this is all taking too long.
Something should have been done by now.
Claire Hughes: There are a couple of things.
She is sorry she can still not talk about the
case. Barrie and Claire will be meeting with Jo
to talk about the learning that can be learnt.
Also there is a legal process. We are working
at the moment to get the learning shared.
18Gary Billen: The legal process doesn’t stop
? people dealing with some of the actions from
the review.
Claire Hughes: Yes, some of the learning is
being shared with professionals.
? Amanda Frost: People with learning disabilities
could have helped with this learning from the
review.
Claire Hughes: Some of you could still help, if
you are willing. Perhaps when I have done the
draft, some of you could look at the easy read
version and give some feedback.
Jo O’Connell. This could be part of the
Keeping Safe action group to look at .
Kimberley Fields: Martin Underhill, the police
commissioner, came to Poole Forum. He
asked members to put up their hand if they
had ever had some kind of abuse. Everyone
put up their hand. It was pretty shocking.
Martin was shocked too.
Claire Hughes. It is pretty shocking. We need
to look at the training that is already in place.
We can take this back to the Safeguarding
Adults Board. There are police on the Board.
We can ask questions and what can be done.
Kimberley: We have a list of things Martin
Underhill said he would do to support, but
nothing has happened yet.
19Amanda Parsons: What do we do with all the
? information released in the press?
Claire Hughes; It is difficult. If there is
information released, people will need to
speak to people they trust and feel able to
share their feelings with.
Anna Keegan: If there are any worries when
information gets released, people can ring the
community teams.
Debbie Hyde: You could you tell me more
? about the ‘whole family’ approach.
Claire Hughes. In the past we have worked
with adults. We are now working with the
children’s safeguarding board too.
When working with a person who has a
safeguarding issue, they have family around
them. It could be children, parents, or other
family members. It is better to work with the
whole family, not just the one person.
Debbie Hyde: You may want to look out for
young carers, as they often do too much and
sometimes not the appropriate kind of care. It
should be adult social care that provides the
care and support.
Claire Hughes: Children’s services have to look
out for children who are carers. They have to
make sure they are not being abused by
doing too much.
20? John Lyle: If it is going to cause emotional
distress, is that emotional distress caused by
the press.
Claire Hughes: There is a lot of bad and
emotional news, and can be found easily on
the internet.
The chance of people knowing who the
perpetrator or victim is quite small. However,
people can feel sad at the news. This was not
caused by the press.
Bridget Campbell: What happens at the
? provider event?
Claire Hughes: At the last event in January we
asked providers what their problems are.
Some said keeping staff and financial costs of
running services.
We want to find out about the problems and
see if we can help.
21Where I Live action group update
Alison Bale, Les Hebditch and Tracey Kybert
gave an update.
The presentation had been sent to the Board
before the meeting.
They talked about:
What is working
What is not working
Actions the group is working on
? There were some questions and comments.
?
Bridget Campbell: In the care and support
? Framework they have been working on a
jargon buster. It would be good to develop
this for the tenancy agreement.
Gary Billen: We got legal advice about the
tenancy agreement, because we had to
make sure it was correct.
Tracey Kybert: It is guidance only, not the
actual contract. It would be about helping
people understanding their tenancy using the
tenancy agreement guidance. It will be
called guidance.
John Lyle: If the person does not understand, it
could mean the contract is void because
they are signing something not understood?
Tracey Kybert. That might be true, but the
guidance will also help local landlords to help
people understand.
22John Lyle. There could be a questionnaire to
ask people to make sure they understand.
Tracey Kybert: It is mostly covered in the
guidance.
Amanda Frost: Can we help check we can
understand the easy read.
Jo O’Connell: It will be done through the
Where I Live group.
Tracey Kybert: Amanda Parsons offered to
help at the last Where I live group.
4 tables took part in the group work.
The Where I Live action group asked for help
about:
How we reach out to the following 2 groups
Young people preparing for future housing
for people that we know, people
that we don’t know.
People living at home with older parent or
carers about housing,
for people that we know, people
that we don’t know.
There were 2 questions
Your ideas?
Who can help with this?
The Where I Live action group will look at the
Action ideas at their next meeting on 25 September
2018.
23Task and Finish group update
The task and finish group is about the Care
and Support Framework that will start next
year.
Amanda Frost, John Lyle and Jo O’Connell
gave a presentation.
The presentation had been sent to the Board
before the meeting.
They talked about:
What is working
What is not working
What the group is working on
Co-production
? There were some questions and comments.
?
Shaine Singer: You are doing a really good
job.
Amanda Frost: The whole group includes me,
John Lyle, Bridget Campbell for carers as well
as the officers.
Jo O’Connell: This is the first task and finish
group and a new way or working.
Thank you to everyone who is making it work
so well.
The framework will include Christchurch too.
24Any other Business
Open Day at the Bridge
Amanda Parsons: There is an open day next
Wednesday 18 July at The Bridge.
There is a new sensory garden. Many of the
organisations at the Bridge will be there,
including Access Dorset.
Come along from 2.30pm to 4.30pm.
There will be cake!!
25Next meeting
Thursday 13 September 2018
11am to 2.30pm
St Mark’s Church, Wallisdown Road, BH10 4HY
Dates of future meetings 2018
Day Date Time Place
Thursday 8 November 11am - 2.30pm Cattistock Room, Civic
Centre, Poole
Dates of future meetings 2019
Day Date Time Place
Thursday 17 January 11am - 2.30pm St Mark’s Church, Wallisdown
Thursday 14 March 11am - 2.30pm St Mark’s Church, Wallisdown
Thursday 9 May 11am - 2.30pm St Mark’s Church, Wallisdown
Thursday 11 July 11am - 2.30pm St Mark’s Church, Wallisdown
Thursday 12 September 11am - 2.30pm St Mark’s Church, Wallisdown
Thursday 14 November 11am - 2.30pm St Mark’s Church, Wallisdown
For more information contact Amanda Wheeler
a.wheeler@poole.gov.uk 01202 631039
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