Allerdale Borough Council
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APPENDIX A Consultation on proposals for care services in Allerdale and Distington areas November 2011 – February 2012 Report by Fran Branfield & Jenny Willis On behalf of Cumbria County Council Consultation report on proposals for care services in Allerdale and Distington areas 1 Contents Page Acknowledgements 3 Overall Summary 4 1. Introduction and background 6 2. Responses to public questionnaire 9 3. Conversations with residents 42 4. Responses by letter and email 56 Park Lodge 57 Richmond Park 69 Woodlands 74 General letters 77 5. Public Meetings 80 6. Drop in session feedback 90 7. Staff views 100 Appendix 1: Copies of full responses from: Age UK 106 Alzheimer’s UK 108 Copeland Borough Council 113 Allerdale Borough Council 115 Cumbria LINKS 121 122 Adult Social Care comments on LINk response to consultation 148 Appendix 2: Petitions about Park Lodge and Richmond Park 161 Appendix 3: Public questionnaire 162 Appendix 4: Public meeting/drop in questionnaires 167 Consultation report on proposals for care services in Allerdale and Distington areas 2 Acknowledgements We would like to thank all the residents of the homes we visited who shared their thoughts about where they live and on the Councils plans for their future, as well as relatives, staff and members of the public who took the time to contribute to the consultation. Consultation report on proposals for care services in Allerdale and Distington areas 3 Overall summary This report by Cairn Community Partnerships is based on the views and opinions of people living in the Allerdale and Distington areas of West Cumbria. This includes present residents of three Cumbria Care homes which have been proposed for closure in the consultation document, Park lodge (Aspatria), Richmond Park (Workington) and Woodlands (Distington); the voices of relatives and friends and of other community stakeholders, as well as staff and people attending ‘drop-ins’ and public meetings run by the Council. Views in favour of the proposals Most people recognised that the council’s proposals were positive and welcomed aspects of them. In particular respondents recognised: That many people wanted to live in their own homes for as long as possible. That extra care schemes, if properly staffed, were a positive step for many older people. That assistive technology, if used alongside traditional care, could be helpful and constructive to the health and well-being of older people. Concerns about the proposals There was a remarkable degree of consistency and agreements in what people told us were their concerns. These centred on: The health and wellbeing of present residents in the lead up to closure if it goes ahead. That there is felt to be a real need for local residential homes. That older people frequently feel isolated and/or lonely and that the Council’s proposals do not adequately address this major issue, and may actually increase isolation and loneliness. Fears that there will be a shortage of suitably qualified and experienced local staff for Home Care services. That whilst recognising staying at home seems the best solution and what people want, it is not always practical or appropriate for the support needs of all older people. That whilst assistive technology might have a place to play it could not replace human care and the ‘personal touch’. That technology could be frightening and confusing for older people. Home closures would have a negative impact on the whole community. Consultation report on proposals for care services in Allerdale and Distington areas 4 Home closures would have a negative impact on respite care and day care services. The responses also indicated that: Many felt that residential care is the safest option for older people who are unable to care for themselves. The majority of people living in the communities where the Council are proposing to close three care homes strongly disagree with the proposed home closures. This was particularly true in Aspatria. That people living in areas where the local home was to be improved e.g. Wigton were much more supportive of the Council’s proposals. That homes be accessible and on good bus routes. Financial concerns. Although there was broad support for the Council’s proposals to support people to stay at home as long as possible, there were fears that home closures were not appropriate before other options were in place. Equally people wanted evidence of good home care provision for people with high level needs as at present this did not reflect respondents’ experiences. This is summed up below with a quote from a letter in response to this consultation by Age UK: Age UK West Cumbria remains concerned regarding the provision of personal care and supported care within the community and would seek reassurance that the needs of people are being met with sufficient choice and affordability. Ideas for improvements to the proposals Respondents had many ideas to improve the proposals. People living in the communities where the council propose to close the homes suggested that the homes remain open. Other people suggested the need for: More information about the proposals, including more definite plans for new services. Look at alternative providers to run the care homes. Look at the wider picture the closures will have, for example on employment and sense of community. Other general findings Several respondents suggested the Council adopt a more person centred approach to the closure of some homes and listen to what the service users want. Consultation report on proposals for care services in Allerdale and Distington areas 5 The responses signalled that there was concern over domiciliary care services. This focused on High turn-over of staff Limited time staff spent with older person and subsequent risk of loneliness and isolation Quality of care and support provided Consultation report on proposals for care services in Allerdale and Distington areas 6 1. Introduction and background Service users now play an increasingly important role in efforts to improve social care services. As older people are the largest group of users of adult services, it is important that they are involved in all decision making that impacts on their lives. Cumbria Council recognises this and the rising numbers of older people in its area. The Council also acknowledges: the rising expectations of service users in the future, government priorities and current gaps in services in the Allendale and Distington areas. (CCC Consultation document Nov. 2011) In response to this need for changes in service delivery to older people Cumbria Council has developed proposals which have resulted in this consultation. This consultation took place between 14th November 2011 and 14th February 2012. 1200 consultation documents with questionnaires were produced by the County Council and sent directly to staff, residents of Woodlands, Richmond Park and Park Lodge residential care homes and family members of the care home residents. Questionnaires were distributed to public buildings across Allerdale including libraries, GP Surgeries and County Council and Allerdale Borough Council public offices. The consultation document was also available via the County Council’s website. Public consultation events were held at Distington, Workington and Aspatria along with eight public drop-ins which were promoted locally and advertised in the local press. Stakeholders including NHS Cumbria, Allerdale Borough Council, Housing Associations, independent sector care providers and the voluntary sector including Age UK, The Alzheimer’s Society and Cumbria CVS were sent an electronic copy of the consultation document and asked for a response or to share widely with their networks. 11 consultation information meetings were held with residents and family members at each home over four days and evenings at the start of the consultation. Consultation report on proposals for care services in Allerdale and Distington areas 7 Three staff meetings were held at the start of the consultation at the three homes followed by three staff drop-ins at Distington, Workington and Aspatria. Home Care teams were also asked for their views on the proposals. The County Council’s local Area Support Team advised on the consultation arrangements and Area Engagement Officers supported the public information events and public drop-ins. Over 620 people took part in the consultation by attending meetings and/or submitting responses, in addition to the organisations whose responses are included in Appendix one. A further 9868 signed petitions – see Appendix 2 for details. The structure of this report This Report is divided into seven main sections. This, the first section, details why and how this consultation took place. Sections 2-5 report on the views, concerns and suggestions offered by residents, relatives, community members, staff and other respondents to the questionnaire in the public consultation document, in face-to-face conversations with the researchers, in letters and as a result of questionnaires filled in at public meetings. Sections 6 and 7 reflect the views, recorded by Cumbria Council staff, at ‘drop-ins’ with the public and staff working in care homes affected by the proposals and in home care teams. Consultation report on proposals for care services in Allerdale and Distington areas 8 2. Responses to the public questionnaire This section of the report analyses the sixty eight completed questionnaires which were submitted by people who received the full consultation document. Profile