Appendix 4

1

Version Control: 06 2016.01.08

Leading for Better Outcomes Community Impact Assessments

Name of Proposal: Modernisation of Older People’s Day Opportunities: May Place Day Centre, Newcastle

State here which of the county council priorities the proposal will deliver against:

Be healthier and more independent Feel safer, happier and more supported in and by their community

This project will support the delivery of the council’s strategic priorities by:

Safeguarding adults whose circumstance make them vulnerable and protecting them from avoidable harm

Enabling individuals to purchase services to meet their needs as outlined in ‘Putting People First’ – December 2007

Enabling people to have a wider choice, as set out in the department of Health White Paper – ‘Our Health, Our Say: a new direction for community care services.

Fitting services around people needs and improving services for Older People as set out in the ‘National Framework for Older People’

Making services more efficient and help to deliver the cashable savings required by the MTFS and provide value for money

Developing a thriving local market of good quality services across the County Council.

Contribute to achieving the following national Performance Indicators:

o Enhancing quality of life for people with care and support needs

o Ensuring that people have a positive experience of care and support

Project lead: Mark Hewitt, District Commissioning Lead Names of other officers involved

Rosanne Cororan, Commissioning Manager, Older People Diane Davis, Staffordshire Cares Manager Helen Dixon, HR Advisor Lee Bickerton, Senior Finance Business Partner

Matthew Lovatt, Team Leader Clayton, Madeley, Silverdale ILCT, SSOTP Sharon Palphreyman, Project Support Officer, TSU

Date: 08.01.2016

Appendix 4

2

Executive summary of the assessment This Community Impact Assessment has been prepared to support the cabinet member in making a decision regarding the future of May Place Day Centre and in particular the following three options :

1. Continue to operate May Place Day Centre, Newcastle 2. Re-commission the service to be operated by an alternative provider 3. Discontinue and close the service from May Place Day Centre and offer older

people and their carers the opportunity to select from a range of local alternatives (preferred option)

The modernising of older people’s day opportunities will help to deliver the Staffordshire Cares Vision, promoting a far wider range of opportunities for older people, enabling them to maximise their independence and supporting them to access community based opportunities. This approach will deliver the best outcomes for older people and people with disabilities through offering a mixed menu from which people may choose, i.e. community groups, user led organisations and building based opportunities for people with complex needs.

The aim is to achieve this for the people of Staffordshire by making the best use of the resources available to the county council and by delivering a wide range of day opportunities for older people and people with disabilities, delivered using a person centred approach so that the individual has increased choice and control as to how they are supported. In addition, for 2015/16 there is an MTFS requirement to save £1,000,000 across day opportunities for older people. Staffordshire reflects a wide range of communities ranging from large town developments to sparse rural communities all of which have individual elements to their social care requirements. The population of Staffordshire has increased by 7% over the last 20 years and is projected to increase by a further 7% by 2037, to a figure of around 919,000. Projected population increases are not evenly distributed across all age groups. The Office of National Statistics predicts that the balance of the population is shifting towards older age groups (65+), with a fall in those aged 20-64. The population aged 65 and over is projected to increase by 19,800 by the year 2020. With a growing elderly population, estimates from the Institute of Public Care suggest that the number of adults suffering from dementia (currently 11,945) will rise sharply, with an expected increase of 2,363 sufferers by 2020 (and 8,632 by 2030). Source: The Staffordshire Story 2015 (http://www.staffordshireobservatory.org.uk/documents/StaffordshireStory/storyofstaffordshire2015.pdf) Staffordshire Observatory

The monitoring processes in place in respect of service user assessments and contract monitoring of county council commissioned services will enable the ongoing improvement of quality and appropriateness of services to be assessed. Groups impacted by the review have had the opportunity to contribute to the consultation regarding the future of this service. This Community Impact Assessment has been developed and updated post consultation and prior to the delegated decision.

Appendix 4

3

Signature: Mark Hewitt, District Commissioning Lead

1. Describe in summary the aims, objectives and purpose of the proposal, including desired outcomes

The modernising of older people’s day opportunities will help to deliver the Staffordshire Cares Vision, promoting a far wider range of opportunities for older people, enabling them to maximise their independence and supporting them to access community based opportunities. This approach will deliver the best outcomes for older people through offering a mixed menu from which people may choose, i.e. community groups, user led organisations and building based opportunities for people with complex needs.

The aim is to achieve this for the people of Staffordshire by making the best use of the resources available to the county council and by delivering a wide range of day opportunities for older people, delivered using a person centred approach so that the individual has increased choice and control as to how they are supported.

There are numerous national policy drivers for change in terms of improving quality of life for people with physical disability and older people, including:

o Care Act 2014

o Putting People First Concordat (DOH, 2007)

o Our Care, Our Health Our Say (DOH White paper 2006)

o Think Local, Act Personal (DOH Jan 2011)

o National Dementia Strategy (Feb, 2009)

Based on the 2014-18 Strategic Plan and People Strategy and the linkages created between Modernisation and outcomes through the work PSLT have undertaken on outcome chains the following outcomes are deemed those most impacted by the Modernisation programme:

Staffordshire County Council’s Outcome

People’s Service Area Outcome

Project Outcomes

In Staffordshire's communities people are able to live independent and safe lives, supported where this is required

Independent - People manage their own life, make their own choices, deal with issues their own way

SO7: The care and support that people need to live independently is accessible, available and flexible enough to meet assessed needs in the way that people want

Staffordshire is a place where people live longer, healthier and fulfilling lives

Healthy & Well - People live long and fulfilling lives, being able to address the health and wellbeing issues that affect them

SO8: People are supported to access wider support that improves health, such as decent housing, education, jobs and things to do

SO9: People are supported to manage their own health and wellbeing

SO10: People are helped to live healthy

Appendix 4

4

lifestyles and make healthy choices

SO11: People can access targeted services that can help manage a problem

Financial Implications MTFS savings requirement. Older People’s Day Opportunities has been identified to achieve savings over a 5-year programme of transformation. Saving targets:

2012/13 £400,000 2013/14 £600,000 2014/15 £800,000 2015/16 £1,000,000 2016/17 £1,200,000

Due to the increased choice available through the personalisation agenda, the numbers of people choosing support options provided by the wider community is increasing which has reduced the numbers attending in-house services. This has resulted in high unit costs for in-house services compared to the private sector.

The current unit cost per service user per day is £161 (as at 2014/15 final outturn).

This compares to an average unit cost of £50 per day in the Independent Sector for tendered older people’s day opportunities.

2. Who are the main people that will be affected? Extensive research has been undertaken to assess the current and future demand for

services, details of which are given below: Population profile

Name 65+ 65-69 70-74 75-79 80-84 85-89 90+

Staffordshire 175,730 56,266 43,201 32,756 22,716 13,367 7,424

Cannock Chase 17,533 5,733 4,257 3,257 2,175 1,428 683

East Staffordshire 21,122 6,574 5,109 3,938 2,889 1,704 908

Lichfield 23,129 7,485 6,028 4,183 2,867 1,567 999

Newcastle-under-Lyme 24,830 7,867 5,801 4,683 3,428 1,991 1,060

South Staffordshire 25,244 7,817 6,331 4,868 3,277 1,882 1,069

Stafford 28,060 8,765 6,900 5,282 3,603 2,224 1,286

Staffordshire Moorlands 22,866 7,497 5,551 4,255 2,906 1,690 967

Tamworth 12,946 4,528 3,224 2,290 1,571 881 452

Stoke-on-Trent 41,770 13,429 10,011 7,778 5,662 3,208 1,682 Source: Office for National Statistics, 2014 Mid-Year Population estimates

The new “Story of Staffordshire” states: “The population of Staffordshire has increased by 7% over the last 20 years and is projected to increase by a further 7% by 2037, to a figure of around 919,000. These increases will be more considerable in the districts of East Staffordshire, Lichfield and Tamworth. Projected population increases are not evenly distributed across all age groups. The Office of National Statistics predicts that the balance of the population is shifting towards older age groups

Appendix 4

5

(65+), with a fall in those aged 20-64. The population aged 65 and over is projected to increase by 19,800 by the year 2020.” Source: The Staffordshire Story 2015 (http://www.staffordshireobservatory.org.uk/documents/StaffordshireStory/storyofstaffordshire2015.pdf Staffordshire Observatory

With the increase in life expectancy combined with the increase in the number of older people, the projected number of people with long-term illness will also increase. The outcome is an expected increase in the number of people requiring more intensive service provision across the social care and health sector.

Source: Projecting Older People Population Information System (POPPI)

Dementia is very strongly linked to age, so with an ageing population there is likely to be increasing numbers of people suffering from the disease. With a growing elderly population, estimates from the Institute of Public Care suggest that the number of adults suffering from dementia (currently 11,945) will rise sharply, with an expected increase of 2,363 sufferers by 2020 (and 8,632 by 2030). Source: The Staffordshire Story 2015 (http://www.staffordshireobservatory.org.uk/documents/StaffordshireStory/storyofstaffordshire2015.pdf Staffordshire Observatory

There is also likely to be a large increase in the number of older people from Staffordshire being admitted to hospital as a result of falls. By 2030, an estimated 5,593 hospital admissions are expected for people above the age of 65 years old, an increase of 79% from 2010. Source: Adaptations in Staffordshire, September 2011 ( produced by Staffordshire Observatory).

Appendix 4

6

3. Who is currently using the service?

Total

Ethnic Origin

White

-

British

White

- Irish

White

-

Other

Mixed -

White and

Black

Caribbean

Asian or

Asian

British -

– Indian

Black or

Black

British -

Black

Caribbean

Black or

Black

British -

Black

African

Not

known

May Place 10 10

Name Under

65 65-69 70-74 75-79 80-84 85-89 90+

May Place 2 2 2 4

As at September 2015 the current service user profile is 10 people who attend different sessions throughout the week. Of these 10 people, all 10 are deemed to have high (complex) needs. It’s expected that all current users would be eligible for an ongoing day opportunity. The centre has an average daily attendance of 5 users with an average 15 vacancies every day. Attendance levels have decreased by 75% since June 2010.

Research has been undertaken to assess if capacity exists within alternative provision for existing service users and it is considered that adequate capacity exists to offer choice to all. We are confident that suitable, appropriate, localised and specific day care opportunities are available for people to access in North Staffordshire and across the local area. Alternative services have facilities that could meet the assessed needs of people with complex manual handling needs and those of people with both physical and mental health needs. The following alternative options have been identified for people with high level (complex) needs, which promote choice and opportunity for individuals/groups:

Approach provides dementia support specifically. Day Break and Morecare could also meet the needs of people with dementia. Moorcroft is another provider that could be considered as part of the care package. In addition, True Colours and Crossroads could provide home based respite supporting people to undertake structured activities in their own home or in the local community.

Approach – different venues across the district with a main day centre facility in Fenton (opening hours 10:30 – 3:30, although they could offer more flexible/extended hours on an individual basis to those whose care packages reflect a need for this)

Morecare – venues across the district (day opportunities Monday to Friday between 10am and 3pm, they also offer a PA service 7 days a week, hours vary depending on the individual need).

Day Break – based in Biddulph (opening hours 10:30 – 3:00)

Moorcroft (opening hours 9:00 – 5:00)

Appendix 4

7

People who are eligible for ongoing social care support would be able to access these services using a Direct Payment/ managed budget. If transport is an assessed need this would be arranged within the care package. Some of the alternatives have transport (Approach, More Care and Day Break). Other options may require alternative arrangements for transport which would be considered as part of the assessment. Some services such “My Way My Day” support individuals to access existing opportunities; in addition, alternative options for people with eligible support needs exist through the employment of Personal Assistants. Consultation has taken place with the people who use the service and their carers in relation to the future of the service and the options available. Any transition to a new / different service would be done through careful care planning and discussion with service users and carers. This may include the maintenance of friendship groups, for example they may wish to make use of a PA to support access to community opportunities which could include meeting friends, or to use a building based provider, where existing friends or potential new friends may also be. Each person would receive an assessment review, the social care assessor/social worker would work closely with the service users and their carers to identify interests, preferences, disabilities and friendship groups, to determine what is important to them and what sort of alternatives they would like to consider to meet the needs of their assessed care package, and to ensure these are reflected in the care plan. This gives reassurance to the individual and their carers that issues relating to them have been addressed. May Place Day Centre staff and the social work teams would work closely with the individual and their carers to seek to ensure that any transition to a new / different provider is carried out with the minimum of stress and anxiety for those involved. Each service user would have a key worker who would ensure that the transition was managed sensitively. There would be a thorough assessment which would incorporate any risks and how they would need to be managed in the transition to a new service and in the care plan of how their needs were to be met by the new provider including travel needs arrangements. This would be in partnership with the Staffordshire & Stoke on Trent Partnership Trust (SSOTP), people who use the service and their families/carers. There would also be an opportunity to visit the alternatives too. The social worker would also review the alternative opportunity with the individual after the transition has taken place, to see that assessed needs were being met.

Implications for Carers Staffordshire County Council acknowledges the important role carers play in keeping people at home living independent lives. This option to develop local, personalised opportunities would support carers and individuals. A key element of the review and reassessment of needs is to take into account the needs of carers and family members. All carers are entitled to their own assessment and services can be provided to support carers to sustain their caring role.

The service delivered by May Place Day Centre plays a significant role in giving carers a break from caring. It is acknowledged that any review / change could result in carers experiencing a level of anxiety. This would be mitigated by good communication and by involving carers in any reviews / planning. We would endeavour to minimise the impact of any change and support both service users and carers through the process. Any transition to a new / different service would be done through careful care planning and discussion with

Appendix 4

8

service users and with carers. The Care Act includes a right for Carers to have an assessment of their presenting needs, and if eligible, the provision of carer’s services. In 2015 the new integrated Carers Hub went live across Staffordshire and Stoke and the Staffordshire County Council’s current Carer’s contracts with CASS and NSCA will cease (although we understand that NSCA will continue to deliver a service for carers through their other funding streams, however this will now be a condensed delivery and they will be referring carers to the Hub for those they are unable to offer a service to). Through the re-tendering of these carers’ services, the awarding provider, PeoplePlus, will ensure that carers receive support across the county. The support that will be provided via the Carers Hub will include information, advice and guidance, emotional support, communication support, financial advice, face to face support, telephone support, peer and social support, employment support and signposting. The new hub went live in 2015 and provides a single point of access for carers across Staffordshire and Stoke-on-Trent and will make it easier for carers to get the help and support they need for themselves and the people that they care for. The Hub has main bases in Hanley and Stafford and has many community locations (“spokes”) spread across the districts It is therefore anticipated that, if the preferred option were to be implemented, the medium term impact on carers would be neutral. The process of change proposed could cause some short term anxiety for carers, but this would be mitigated by good communication with carers.

4. Would the proposal have an impact on staff?

Analysis of the staff providing the in-house Day Centre services as at September 2015 is

detailed below:

Total

Gender Age Disabled?

Female Male 20-29

30-39

40-49

50-59

60-69

70-79

Yes No Not Declared

9 People* 8 1 0 1 3 5 0 0 0 8 1

Total

Ethnic Origin

White - British

White -

Irish

White -

Other

Mixed - White and

Black Caribbean

Asian or Asian

British - Indian

Black or Black British -

Black Caribbean

Black or Black British - Black African

Unknown

9 People*

9 0 0 0 0 0 0 0

(* 9 people working to 11 employment contracts)

Consultation has taken place with staff and trade unions regarding the review of the service, the three options being consulted upon, and the impact that these would have on the employment of the staff working in the establishment. If the preferred option, option 3, were to be accepted, it would reduce the number of people employed by Staffordshire County Council if staff were not redeployed. Should the preferred option, option 3, be decided upon, staff would be at risk of redundancy. Support and facilities would be available via SCC i.e. Thinkwell, redeployment procedures, outplacement support, up-skilling in interview techniques / CV writing, and signposting to support from other agencies. The ongoing development of a market place of independent providers could provide job opportunities for people with skills and experience in working with older people.

Appendix 4

9

5. Public Sector Equality Duty

Could the proposal impact on protected groups?

Protected groups/ characteristics

Is there any potential for positive or negative impact

Could the proposal create better opportunities or minimise disadvantage?

Please detail what measures or changes would be put in place to mitigate adverse implications

Race No foreseeable impact

Disability

Negative

Consultation feedback says that people with dementia do not cope well with change

Each service user would have a key worker who would ensure that the transition was managed sensitively. There would be a thorough assessment which would incorporate any risks and how they would need to be managed in the transition to a new service and in the care plan of how their needs were to be met by the new provider including travel needs arrangements. Any transition would be carefully planned following individual assessments and the individual would be supported through the transition in a sensitive and timely manner. This would be in partnership with the Staffordshire and Stoke on Trent Partnership Trust (SSOTP), people who use the service and their families/carers, supported by the May Place Day Centre staff.

No foreseeable impact

Consultation feedback says that people are concerned about how they will travel to new providers

If transport is an assessed need this would be discussed and appropriate provision would be arranged within the care package. There would be a thorough assessment which would incorporate any risks and

Appendix 4

10

how they would need to be managed in the transition to a new service and in the care plan of how their needs were to be met by the new provider including travel needs arrangements.

Negative Consultation feedback voiced concerns about whether alternative providers would meet individual’s physical and mental health needs

In the local area there are other providers of structured day care. Alternative services have facilities that could meet the needs of people with complex manual handling needs and those of people with both physical and mental health needs.

Positive

If the Day Centre closes, service users would be offered a wider range of alternative services.

Each person would receive an assessment review, the social care assessor/social worker would work closely with the service users and their carers to identify interests, preferences, disabilities and friendship groups, to determine what is important to them and what sort of alternatives they would like to consider to meet the needs of their assessed care package, and to see these are reflected in the care plan. This gives reassurance to the individual and their carers that issues relating to them have been addressed.

Gender No foreseeable impact

Age Positive People are not accessing this traditional type of service

The development of independent providers would provide more choice and control to individuals in how their assessed needs are met. Alternative day opportunities offer a variety of services that can personalise a care package.

Religion/belief No foreseeable impact

Appendix 4

11

Gender reassignment No foreseeable impact

Sexual orientation No foreseeable impact

Pregnancy/maternity? No foreseeable impact

In respect of the preferred option, option 3, the older people fall within the protected groups mentioned above. If the preferred option were to be implemented, the following action would be taken:

Appropriate communication with older people and their carers to ensure all stakeholders are able to understand the decision and next steps

The social care assessors would support service users to have care in place that meets their assessed day opportunity needs, or have been offered something that meets their assessed day opportunity needs.

Outcomes for older people would be assessed as part of the Peoples Service Area Performance Framework

6. Are there any gaps in your evidence or conclusions that make it difficult for you to quantify potential adverse impact? No – please see information provided above.

7. Please provide details of all consultation undertaken specific to the proposals you are making, either prior to the CIA or as part of it. A period of formal consultation with people who use the service and their carers, regarding the three options relating to future intentions to the day centre, commenced on 12th November 2015 and concluded on 11th December 2015.

On the 12th November 2015 all people who currently use the service and their carers were invited to a meeting to explain the three options being considered, and to invite them to comment on each of the three options.

In addition, consultation details and forms to return were sent out to all of the people currently using the service and their carers. Consultation forms were sent back by a mixture of people who use the service and carers. The forms were sent in by:

• 9 carers (representing 7 service users)

• 7 service users (6 of these forms were completed with the assistance of an independent advocate from the Beth Johnson Foundation).

90% of the 10 service users either responded and/or were represented by carers.

Details of the service users and carers consultation process and the full feedback and Staffordshire County Council’s responses to it are attached in Appendix 2.

The most common themes raised were:

Appendix 4

12

Keep May Place Day Centre open: o I just want May Place to stay open o Why are people not being referred to May Place Day Centre? o If the service was marketed properly the numbers attending would rise. o May Place offers a quality service in a safe, familiar, caring environment

Concerns about the impact of change on the service users with dementia: o Any “change” is detrimental to users of this service with Dementia, who have

little cognitive reasoning, but who respond to some extent to familiar environments and life patterns. Change would bring great disruption to the routine of any dementia sufferer

o The closure would be very traumatic for my mother because she does not like change to her routine and gets agitated if something is altered

o My wife would not get the stimulation or the one to one attention she receives at May Place.

Concerns re other providers being able to offer the service that May Place offers: o May Place is a unique facility that provides a good quality Day Service for

people with complex and diverse needs with Dementia and Alzheimer’s? o Manual handling needs and those of people with both physical and mental

health needs. o We need the right service/organisation that can provide for a client base with

such needs as: Challenging Behaviour, Personal Care/toileting needs, Mobility and transferring needs, Dietary needs/assistance, Safeguarding needs.

Transport concerns: o Transport needs to be provided to and from the provided centre o A vehicle that is adapted for wheelchairs and big enough to carry large

equipment.

Respite for carers o My dad needs constant 24hr care and the day centre gives mum a break. If

the centre were to shut mum would not get a break. o Without this respite I would not be able to carry on.

Previous consultation exercises undertaken by the county council will also be used to inform the proposal, for example:

Campaign for Older People – Insight and Evidence Supporting the Strategic Approach – produced by the SCC Customer Insight Unit – June 2012

This document provides outcomes of the following research: o How satisfied are older people with the county council?

- Around two-thirds of residents are satisfied with the way the county council is working for Staffordshire people. This figure increases to 70% of those aged between 55 and 64 years old and 73% of those above the age of 65.

o What are the most important quality of life issues for older residents of Staffordshire? - Being fit and health (mentioned by 45% of respondents) - Having enough money (21% of respondents) - A network of family and friends (20% of respondents)

o Help with Daily Hassles - Approximately 27,000 people in Staffordshire claim attendance allowance –

around 17% of the population aged 65 and over. The majority of these claimants are over the age of 80 with two-thirds of these being female.

o Being Social - A focus group with residents over the age of 50 highlighted perceptions of social

isolation. Respondents widely agreed there were not always the opportunities for

Appendix 4

13

them to socialise and this lack of socialisation can lead to: anti-social behaviour, withdrawal, reduced motivation and reduced self-esteem and wellbeing.

o Advice and Accessing Information - Health and community care advice stands out as being important for older

residents. Over 55s are much more likely to value health and social care information with 81% of over 65s and 70% of 55-64 year olds feeling this is important.

Extract from The Community Voice of Staffordshire: an insight into the views of our communities in 2011: Supporting vulnerable people to live independent and safe lives Supporting vulnerable people to live independent and safe lives is also one of the county council’s priority outcomes. Therefore listening to the views of these communities is vital to ensure the services are developed in a way which contributes to this outcome. We do this in many ways. Feedback from the Staffordshire People’s Panel highlights the importance communities place on providing care and support to vulnerable people. THE BIG MESSAGES identified by the people of Staffordshire:

o Supporting vulnerable people to live independent and safe lives is one of people’s top priorities for Staffordshire.

o Improve the overall health and wellbeing of our most vulnerable communities. o Ease of access to information and advice to enable people to live healthier and more

independent lives. This survey showed that this was people’s second top priority for Staffordshire’s communities, with 51% (161 people out of 319 responses) of panel members indicating this area as a top three priority. Around three quarters of respondents felt that social isolation or poor mental health and well-being were issues for the elderly, isolated or vulnerable adults in Staffordshire. The more effective ways of dealing with these issues were felt to be participation in community based social activities followed by friendship clubs. Staffordshire People’s Panel survey (Nov 2011) – 319 people took part in the survey

8. Consultation with staff As at September 2015, the service employed 9 staff (6.9 FTE), working a total of 11 employment contracts consisting of: 1 Attendant Driver 4 Care Assistants 1 Clerical Assistant 2 Coach Guides 1 Day Centre Officer 1 Domestic Assistant 1 Senior Day Centre officer (These figures exclude casuals and the Manager who primarily manages Learning Disability Day Services across Newcastle). These staffing numbers include the Maryhill Day Centre staff that transferred with the service users in Summer /Autumn 2014. A period of formal staff consultation regarding the options relating to the future of the day centre commenced on 12th November 2015 and concluded on 11th December 2015. Details of the staff consultation process and the full feedback including Staffordshire County Council’s responses to it are attached in Appendix 3.

Appendix 4

14

The most common themes raised were:

Whether the assessed needs of service users could be met by other providers

That May Place Day Centre has supported people with dementia since 1987

To continue to operate May Place Day Centre, Newcastle

The reason for the decline in referrals into the Day Centre

For the county council to consider providing a service for people/older people with complex needs who have a diagnosis of Alzheimer’s/Dementia

A copy of feedback raised from staff, and the council’s response to these concerns is attached (Appendix 3). A suggestion was received from staff, as part of the staff consultation feedback. The suggestion has been considered as part of the consultation, and is detailed in the staff consultation feedback response document (included in Appendix 3).

9. Making a decision Following consultation a recommendation has been made to the cabinet member for delegated decision. The delegated decision will be published to cabinet and would be subject to call in prior to being implemented

10. Actions The community profile detailed in this document will be considered by the cabinet member as part of the decision making process. The CIA has been reviewed and updated as appropriate during the project. Opportunities available against the relevant levels of need have been included in the business case to ensure there is appropriate opportunity for choice. If the recommendation is approved:

Service users, carers and staff would receive communications prior to any changes being implemented

Individual assessments would be undertaken prior to the identification of appropriate alternative services to meet the individuals assessment needs

Following transition to another day opportunity, a 6 week review would be undertaken with each service user to ensure they are happy with the new provision. This would be supported by an annual review to ensure the continued appropriateness of services.

There is on-going quality monitoring of commissioned services

Communication and individual one to one meetings would take place with staff regarding their future, preferences, support and timescales. Support and facilities would be available via the employer i.e. ThinkWell, redeployment procedures, outplacement support, benefits advice for staff.

Consultation with service users, carers and staff has already taken place. A communication plan has been established.

11. Monitoring and review Project Governance would be established in the form of a Project Board. The TSU would provide assurance re the delivery of the project to meet quality, timescales and financial constraints.

Appendix 4

15

Rural considerations: Work has been completed to identify a range of day opportunities in Newcastle District and surrounding areas. This information includes a range of activities in a variety of locations and times across the district. If the preferred option were to be implemented, all individuals who currently attend May Place Day Centre would receive an individual assessment and support to identify and transfer to appropriate alternative services if required. Details of day opportunities available are included in the business case/delegated decision. Through the individual assessment and support process with the work already completed to identify provision, we are confident that suitable, appropriate, localised and specific day care opportunities are available for people to access in North Staffordshire and across the local area. Where the need for transport has been identified as an eligible need as part of the assessment process, arrangements suitable for the individual would be made. Some of the alternatives have transport (Approach, Morecare and Day Break). Other options may require alternative arrangements for transport which would be considered as part of the assessment. Every effort would be made to locate suitable alternative provision within the local area for individuals. Key contact for queries Hilary Foxley, Rural Development Officer Tel: 01785 895524 Email: hilary.foxley@staffordhire.gov.uk

Health considerations A Health Impact Assessment is attached to the Delegated Decision Paper for Modernisation of Older People’s Day Opportunities: May Place Day Centre, Newcastle (Appendix 5). For queries Key Contact: Marc Neeld, Health Development Officer Staffordshire Public Health. 01785 278290. marc.neeld@staffordshire.gov.uk

Appendix 4

16

Climate change implications Will your proposal result in an increase or decrease in:

Question Answer

1 Business mileage by officer or; Expected to be neutral

2 Mileage of our badged fleet or; Expected to be neutral

3 Mileage under contract (e.g. taxis) Expected to be neutral

4 Fuel use in our building or other infrastructure (e.g. street lighting) or;

Expected to be neutral

5 Fuel use in the building or on the sites of private sector contractors delivering a service on our behalf or;

Expected to be neutral

6 Waste generated in the workplace Expected to be neutral

7 Other

Publication The Equalities Team will quality-assure CIAs, and prepare for publishing Please return completed copy of the CIA to wendy.tompson@staffordshire.gov.uk

Author: Mark Hewitt, District Commissioning Lead