Bournemouth and Poole Learning Disability Partnership Board

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Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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 and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
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
Bournemouth and Poole Learning Disability Partnership Board
?       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.

                                                             10
Slide 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.
                                                    11
Slides 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.

                                                      12
Slide 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.

                                                   13
Slides 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.

                                                         14
Anthony 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.

                                                         15
Safeguarding 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.                                        16
Shaun 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!!

                                                      17
Amanda 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.

                                                          18
Gary 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.
                                                     19
Amanda 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.

                                                     21
Where 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.
                                                       22
John 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.

                                                          23
Task 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.

                                                             24
Any 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!!

                                             25
Next 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

                                                                     26
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