Appendix 5
1. Purpose of the Report
This report summarises the findings of a survey of Adult Social Care day service users and staff conducted in September and October 2012. This survey was part of the Adult Social Care Day Services Strategic Business case. It aimed to learn more about the views of service users to develop a new service model in response to the ongoing Vision for Adult Social Care that places individuals at the centre, exercising choice and control over the type of day service they wish to use.
2. Summary of Findings
Most respondents felt that day services provided the benefit of social contact in a friendly environment (86%), followed by preventing isolation (85%) and providing reassurance and support (68%).
Most respondents said that the types of activities provided by day services should be: organised day trips (76%), social events (75%), therapeutic activities (69%), and access to computers and e-learning (60%).
The majority of respondents answered that day services should be provided at ‘smaller building facilities’ such as community centres, sports halls or church halls (69%). The next popular answer was ‘larger building facilities’ such as a day centre (53%).
Most respondents answered that day services should be available to ‘anyone that wishes to use them’ (67%).
Most respondents answered that day services should be available during the daytime on weekdays (94%).
Most people responded that day services should be provided by the Borough of Poole (65%) followed by the Voluntary and Community Sector (46%).
69% of respondents felt that day services should be funded by the Borough of Poole whilst 59% felt that day service users should contribute to the costs of providing this service.
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3. Method
The aim of the consultation was to answer the following main research questions:
1. What are the perceived benefits of day services? 2. What type of activities should be provided by day services? 3. Where should day services be provided? 4. Who should day services be available for? 5. When should day services be available? 6. Who should be providing this service? 7. Who should be funding this service?
In order to answer these, a questionnaire was produced to enable residents to give feedback in a structured way.
The questionnaire was mailed to 1,716 members of the Borough of Poole’s, Poole Opinion Panel on the 14th September 2012 by an external mailing organisation.
POP members were given the option to either complete the questionnaire online or return their completed copy in the post. To complete the questionnaire online the service users were required to enter their reference number to prevent duplicate responses. Reminder postcards were posted to the people who had not replied to the consultation two weeks after the initial mail out on the 26th September 2012. The deadline for all responses was the 12th October 2012.
4. Survey Respondents
Of the 1,716 service users asked to complete the survey, 860 did so giving a response rate of 50%.
Gender
47% of people who responded to the service user consultation were male and 53% were female.
Age
The largest age band was 45-59 and 65-74 year olds (both (27%). 399 respondents were aged 65 and over (48%).
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Figure 1: Age profile of Poole Opinion Panel (POP) respondents
Ethnicity
96% of people who responded to the survey were White British with the remaining 4% belonging to Black and Minority Ethnic Groups (BME) (Ethnicity information was known for 835 cases).
Limiting long-term illness or disability
Having a Disability or Limiting Long-term Illness (LLTI) was known for 821 respondents (95%). Of these 27% reported having a LLTI or disability.
MOSAIC
The results were weighted by Mosaic Group to make them representative of the local population, as the survey is skewed towards older groups (as is usually the case with surveys in Poole). Age was considered as a weight, however Mosaic Group was used as considers other factors as well as age, such as area and family type, making the results more representative of Poole.
The table on the next slide shows the weights applied for each of the Mosaic Groups. Group L is over-represented in the survey, so the responses for these people have been scaled down by 0.86, whereas Groups C are under-represented and have been scaled up by 5.62.
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Figure 2: MOSAIC Group profile of respondents
% of households Weight MOSAIC Group in sample (rounded)
A Residents of isolated rural communities 0.0 0.00 B Residents of small & mid-sized towns with strong local roots 18.6 0.83 C Wealthy people living in the most sought after neighbourhoods 0.7 5.62 D Successful professionals living in suburban or semi-rural homes 23.4 0.54 E Middle income families living in moderate suburban semis 11.0 1.00 F Couples with young children in comfortable modern housing 2.6 1.54 G Young, well-educated city dwellers 0.9 2.67 H Couples and young singles in small modern starter homes 9.8 1.06 I Lower income workers in urban terraces in often diverse areas 1.5 1.78 J Owner occupiers in older-style housing in ex-industrial areas 5.7 1.65 K Residents with sufficient incomes in right-to-buy social housing 5.2 1.31 L Active elderly people living in pleasant retirement locations 15.7 0.86 M Elderly people reliant on state support 4.0 1.51 N Young people renting flats in high density social housing 0.0 0.00 O Families in low-rise social housing with high levels of benefit need 0.9 1.75
Source: Experian 2012
Only analysis that is proven to be statistically significant is reported in the finding of this report. This is data that has a ‘Person’s Chi-square’ significance within 95%.
5. Analysis of Day Service Questions
Question 1. Are you responding as a:
The majority of POP respondents to the day services questions described the capacity in which they were responding to the survey as ‘other’ (72%). This category was used to describe members of the public who were not a current user of day services, carer/ or family member with a relative/friend who received day services, were not interesting in becoming a user of day services and didn’t represent a voluntary or community organisation.
10% of respondents were interested in using day services in the future and only 3% of respondents were current users of day services in Poole.
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Figure 3: Proportion of capacity that POP members were responding as.
Source: Borough of Poole, Poole Opinion Panel September 2012.
Statistically Significant Differences amongst respondents
Age Group
Respondents aged 75 or over (34%) were more likely to answer they were interested in using day services than any other age group.
Respondents aged 60-64 (26%) were more likely to answer they were a ‘carer/or family member with a relative/friend who receives day services than any other age group.
Limiting Long-term illness or disability
Respondents with a limiting long-term illness or disability (20%) were more likely to answer they were interested in using day services than those without (7%).
Respondents who answered ‘other’ (80%) were more likely to say they did not have a limiting long-term illness or disability.
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Question 2. What do you see as the benefits of day services?
Most respondents felt that day services provided the benefit of social contact in a friendly environment (86%). Other benefits that respondents felt that day services provided were that they helped prevent isolation (85%), provided reassurance and support (68%) and provided respite for carers (65%).
Respondents were less likely to say that access to employment opportunities (26%) was a benefit of day services.
Figure 4: Benefits of day services
Source: Borough of Poole, Poole Opinion Panel September 2012.
Other comments
43 people made comments under ‘Other’.
11 people answered that they didn’t know of any benefits because they didn’t have enough information about the service.
6 people made comments about how day services provided support by helping families to cope especially when family members have dementia. Other comments included how they prevented isolation, created a sense of belonging and was an environment where people learned together.
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Statistically Significant Differences amongst respondents
Gender
Figure 5 show that Women were statistically more likely to agree that they saw the following categories as benefits of day services than men. The biggest differences were evident in learning new skills (+23% points) and building confidence (+22% points).
Figure 5: Benefits of day services by gender
Activities Female Male Social contact 89% 84% Prevent isolation 88% 80%
Reassurance and support 74% 61% Respite for carers 71% 55% Building confidence 61% 39%
Learning new skills 57% 34% Becoming more active 56% 38% Access to employment 35% 15%
Source: Borough of Poole, Poole Opinion Panel September 2012.
Age Group
45-59 year olds (91%) were most likely to see ‘social contact in a friendly environment’ as a benefit of day services. People aged 75+ were less likely to see this as a benefit (77%).
60-64 year olds (90%) were most likely to ‘preventing isolation’ as a benefit of day services. People aged 75+ were less likely to see this as a benefit (79%).
45-59 year olds (77%) were most likely to see that ‘reassurance and support’ was a benefit of day services than any other age group. People aged 75+ were less likely to see this as a benefit (51%).
45-59 year olds (77%) were most likely to see ‘respite for carers’ as a benefit of day services than any other age group. People aged 75+ were less likely to see this as a benefit (41%).
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45-59 year olds (60%) were most likely to see ‘building confidence’ as a benefit of day services than any other age group. People aged 75+ were less likely to see this as a benefit (29%).
45-59 year olds (57%) were most likely to see ‘access to other services’ as a benefit of day services than any other age group. People aged 75+ were less likely to see this as a benefit (39%).
30-44 (59%) and 45-59 year olds (54%) were most likely to see ‘learning new skills’ as a benefit of day services than any other age group. Older people aged 65-74 (39%) and 75+ were less likely to see this as a benefit (28%).
30-44 (54%) and 45-59 year olds (52%) were most likely to see ‘becoming more active in the community’ as a benefit of day services than any other age group. People aged 75+ were less likely to see this as a benefit (35%).
Younger age groups were more like to see ‘access to employment’ as a benefit of day services (18-29: 45%, 30-44: 47%) than the older age groups (65-74: 18%, 75+: 7%).
Limiting Long-term illness or disability
People without a limiting long-term illness (88%) were more likely to see ‘social contact in a friendly environment’ as a benefit than those with a limiting long-term illness (81%).
People without a limiting long-term illness (68%) were more likely to see ‘respite for carers’ as a benefit than those with a limiting long-term illness (58%).
People without a limiting long-term illness (54%) were more likely to see ‘building confidence’ as a benefit than those with a limiting long-term illness (44%).
People without a limiting long-term illness (51%) were more likely to see ‘becoming more active in the community’ as a benefit than those with a limiting long-term illness (40%).
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People without a limiting long-term illness (49%) were more likely to see ‘learning new skills’ as a benefit than those with a limiting long-term illness (40%).
People without a limiting long-term illness (28%) were more likely to see ‘access to employment’ as a benefit than those with a limiting long-term illness (19%).
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Question 3. What types of activities should be provided at day services?
Most respondents felt that day services should be providing organised day trips (76%) followed by social events (75%), therapeutic activities (69%) and access to computers and e-learning (60%).
Respondents were less likely to think that day services should be helping service users to find a job (38%), taking part in local issues or attending training courses (both 35%).
Figure 6: Types of activities provided at day services
Source: Borough of Poole, Poole Opinion Panel September 2012.
Other comments
49 people made comments under ‘Other’.
7 people answered that the type of activities that should be provided by day services will depend of the circumstances (e.g. age, health) of the individuals attending the sessions.
7 people answered don’t know.
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Statistically Significant Differences amongst respondents
Gender
Women were statistically more likely to agree that the types of activities shown in figure 7 should be provided at day services than men. There was no significant statistical difference between men and women for taking part in local issues/campaign groups or access to computers and e-learning.
Figure 7 below shows the type of activities that should be provided at day services by rank of popularity by women.
Figure 7: Types of activities at day services by gender
Activities Female Male Organised Day trips 80% 71% Social events 80% 69% Therapeutic activities 77% 58% Taking part in community/interest 63% 51% groups Budgeting and financial advice 61% 42% Help with finding a job 47% 24%
Volunteering experience 47% 32% Attending a training course 41% 26%
Source: Borough of Poole, Poole Opinion Panel September 2012.
Age Group
45-59 (84%) year olds were most likely to see ‘social events’ an activity that should be provided by day services than any other age group. People aged 75+ were less to say that this activity should be provided (67%).
30-44 (77%) and 45-59 (78%) year olds were most likely to see ‘therapeutic activities’ as an activity that should be provided by day services than any other age groups. People aged 75+ were less to say that this activity should be provided (56%).
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Younger age groups were more like to see ‘attending training courses’ as an activity that should be provided by day services (18-29: 80%, 30-44: 50%, 45-59: 42%) than the older age groups (65-74: 29%, 75+: 17%).
Younger age groups were more like to see ‘help with finding a job’ as an activity that should be provided by day services (18-29: 85%, 30-44: 60%, 45-59: 44%) than the older age groups (65-74: 23%, 75+: 19%)
Younger age groups were more like to see ‘volunteering’ as an activity that should be provided by day services (18-29: 55%, 30-44: 54%, 45-59: 55%) than the older age groups (65-74: 30%, 75+: 24%).
45-59 (65%) year olds were most likely to see ‘taking part in community/interest groups’ an activity that should be provided by day services than any other age group. People aged 75+ were less to say that this activity should be provided (43%).
18-29 (90%) year olds were most likely to see ‘access to computers and e-learning’ as an activity that should be provided by day services than any other age group. People aged 75+ were less to say that this activity should be provided (41%).
18-29 (85%) and 30-44 (65%) year olds were most likely to see ‘budgeting and financial advice’ as an activity that should be provided by day services than any other age groups. People aged 75+ were less to say that this activity should be provided (37%).
45-59 (40%) year olds were most likely to see ‘taking part in local issues/campaign groups’ an activity that should be provided by day services than any other age group. People aged 75+ were less to say that this activity should be provided (19%).
Question 4. Where do you think day services should be provided?
Most respondents answered that day services should be provided at ‘smaller building facilities’ such as community centres, sports halls or church halls (69%). The next popular answer was ‘larger building facilities’ such as a day centre (53%). Only 21% of respondents answered that day services should be provided in their ‘own home’.
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Figure 8: Where day services should be provided
Source: Borough of Poole, Poole Opinion Panel September 2012.
Other comments
39 people made comments under ‘Other’.
9 people commented that it should be mixture of all the facilities outlined in question 4.
9 people commented that the services should be provided in the community using a mixture of locations including libraries, schools, sports clubs, churches, along with the facilities outlined in question 4.
Statistically Significant Differences amongst respondents
Gender
Women were statistically more likely to agree that day services should be provided at larger building facilities (57%) and community and voluntary groups (44%) than men (49% and 34% respectively)
There was no significant statistical difference between men and women for day services being provided in ‘smaller building facilities’, in their ‘own home’ or for those that answered ‘don’t know’.
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Age Group
Younger age groups were more likely to agree that day services should be provided in larger building facilities (18-29: 85%, 30-44: 64%, 45-59: 62%) than the older age groups (65-74: 49%, 75+: 35%).
30-44 year olds (77%) were more likely to answer that day services should be provided in smaller building facilities. People aged 75+ (61%) were less likely to agree that day services should be provided at smaller building facilities.
40-59 year olds (47%) were more likely to answer that day services should be providing in places run by the voluntary and community sector. People aged 75+ (29%) were less likely to answer this way.
People aged 75+ (21%) were most likely to answer don’t know than any other age group.
Limiting Long-term illness or disability
Non-disabled (60%) respondents were more likely to answer ‘larger building facilities’ than disabled respondents (41%).
Non-disabled (72%) respondents were more likely to answer ‘smaller building facilities’ than disabled respondents (63%).
Disabled (18%) respondents were more likely to have answered ‘don’t know’ than non- disabled respondents (8%).
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Question 5. Who should day services be available to?
Most respondents answered that day services should be available to ‘anyone that wishes to use them’ (67%).
Figure 9: Day services should be available for:
Source: Borough of Poole, Poole Opinion Panel September 2012.
Other comments
33 people made comments under ‘Other’.
9 people answered that it should be available to the elderly.
6 people answered that day services should be available to those that need it.
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Statistically Significant Differences amongst respondents
Gender
Women (70%) were statistically more likely to agree that day services should be available for anyone that wishes to use them then men (63%)
Men (21%) were more likely to respond that day services should be available to anyone entitled to Adult Social Care Support then women (12%)
Age Group
60-64 year olds (24%) and people aged 75+ (20%) were more likely to say that day services should be available to anyone entitled to Adult Social Care Support then any other age groups. 30-44 (7%) year olds were the least likely to say this.
65-74 year olds (19%) and people aged 75+ (22%) were more likely to say that day services should be available to anyone with a long standing illness then any other age groups. 30-44 (12%) and 45-59 (10%) year olds were the least likely to say this.
Limiting Long-term illness or disability
Disabled (21%) respondents were more likely to say that day services should be available to anyone with a long standing illness than non-disabled respondents (14%).
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Question 6. When would you prefer day services to be available?
Most respondents answered that day services should be available during the daytime on weekdays (94%). Respondents were least likely to have answered during the evenings for both weekdays (29%) and weekends (17%).
Figure 10: When should day services be available.
Source: Borough of Poole, Poole Opinion Panel September 2012.
Statistically Significant Differences amongst respondents
Age Group
65-74 year olds (97%) were more likely to say that day services should be available during daytime weekdays then any other age groups.
30-44 year olds (57%) were more likely to say that day services should be available during evening weekdays then any other age groups. People aged 75+ were less likely to say this (14%).
30-44 year olds (60%) were more likely to say that day services should be available during daytime weekends then any other age groups. People aged 75+ were less likely to say this (34%).
30-44 year olds (26%) were more likely to say that day services should be available during evening weekends then any other age groups. People aged 75+ were less likely to say this (9%).
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Question 7. Who should be providing this service?
Most people responded that day services should be provided by the Borough of Poole (65%) followed by the Voluntary and Community Sector (46%).
Figure 11: Who should be providing day services?
Source: Borough of Poole, Poole Opinion Panel September 2012.
Statistically Significant Differences amongst respondents
Gender
Women (11%) were more likely to answer ‘don’t know’ than men (5%).
Age Group
60-64 year olds (53%) were more likely to respond that the ‘voluntary and community sector’ should be providing day services. People aged 75+ (37%) were less likely to respond this way.
45-59 year olds (36%) were more likely to say that the private sector should be providing day services.
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Limiting Long-term illness or disability
Non-disabled (68%) respondents were more likely to answer ‘Borough of Poole’ than disabled respondents (59%).
Non-disabled (49%) respondents were more likely to answer ‘voluntary and community services’ than disabled respondents (39%).
Non-disabled (31%) respondents were more likely to answer ‘private sector’ than disabled respondents (21%).
Question 8. Who do you think should be funding this service?
69% of respondents felt that day services should be funded by the Borough of Poole whilst 59% felt that day service users should contribute to the costs of providing this service. 16% of respondents answered that they didn’t know who should be funding this service.
Figure 12: Day services should be funded by:
Source: Borough of Poole, Poole Opinion Panel September 2012.
Gender
Women (20%) were more likely to answer they ‘don’t know’ who should be funding day services than men (13%).
Age Group
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30-44 (75%) and 65-74 (73%) year olds were more likely to answer that the Borough of Poole should be funding day services. People aged 75+ (57%) were less likely to say that the Borough of Poole should be funding day services.
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Limiting Long-term illness or disability
Non-disabled (74%) respondents were more likely to answer the ‘Borough of Poole’ should be funding day services than disabled respondents (60%).
Disabled (20%) respondents were more likely to say they ‘don’t know’ who should be funding day services than non-disabled respondents (14%).
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