Agenda and minutes

Adult Social Care Cabinet Committee - Wednesday, 29th September, 2021 10.00 am

Venue: online

Contact: Theresa Grayell  03000 416172


No. Item


Introduction/Webcasting Announcement


The Vice-Chairman of the Committee, Mr S Webb, said he was chairing today’s meeting at the request of the Chairman, Mr A Ridgers, who was unwell but in attendance. Mr Ridgers expressed his gratitude to Mr Webb.



Apologies and Substitutes


There were no apologies for absence and no substitutes.


Declarations of Interest by Members in items on the agenda


There were no declarations of interest made by Members.


Later in the meeting, Mrs Wright declared an interest under Item 9 – Local Government and Social Care Ombudsman Public Report on Deprivation of Liberty Safeguards (DOLS) – as an appointee for a family member.


Minutes of the meeting held on 22 June 2021 pdf icon PDF 240 KB


It was RESOLVED that the minutes of the meeting held on 22 June 2021 were correctly recorded and they be signed by the Chairman when this can be done safely.


Verbal Updates by Cabinet Member and Corporate Director pdf icon PDF 86 KB


1.    The Cabinet Member for Adult Social Care and Public Health, Mrs C Bell, gave a verbal update on the following:


Consultation for Adult Social Care Strategy - The consultation was launched on 13 September 2021 and would close on 24 October 2021.  This was the five-year vision and overarching strategy of the Making A Difference Every Day (MADE) programme.  There were three main themes – putting the person at the centre, innovation and measuring outcomes.  There would be an additional focus consultation shortly on a carers’ strategy.


Consultation for Community Mental Health and Wellbeing Services– The consultation was launched on 23 August 2021 and would close on 3 October 2021. A wide range of local charities and organisations currently delivering these services were jointly commissioned by KCC and Kent & Medway Clinical Commissioning Group.  Direct contracts with two strategic partners delivering services directly, and subcontracting to other providers, were coming to an end on 31 March 2023. Four services were included in the consultation, Live Well Kent Medway, Mental Health Housing Related Support, 24-7 Telephone and Online Support Service for Kent and Medway, and Activity Programme for Young People aged between 14-35 who have suffered from a first episode of psychosis.


Government Plans for Health and Social Care – Mrs Bell said she was speaking to colleagues and Officers in the Adult Social Care and Policy Teams to understand the proposals and potential implications for the Council, and how this may impact on budget, demand, and the delivery of services.


Digital Social Care Project - KARA – Mrs Bell said she was pleased to attend the KARA Video Carephone Celebration Event on 14 September 2021 and that, so far, 1,700 video phone devices had been deployed to vulnerable residents.  The video phone devices were initially used to keep people safe but had since been used for assessments, medication reminders, online classes, bingo and to connect with friends and family.  Feedback received had reflected the success of the device and how it was supporting health and wellbeing.


2.    The Corporate Director of Adult Social Care and Health, Mr R Smith, then gave a verbal update on the following:


Kent Care Awards 2021 – Mr Smith attended the Kent Care Awards ceremony, supported by KCC and other organisations, where awards were made to direct care staff who had worked tirelessly throughout the pandemic providing essential services.


Staff Update – The recruitment of two directors, Director of Adult Social Care and Public Health and Director of Adult Social Care for East Kent, were being finalised and would complete the Operational Senior Leadership Team.


Equality – The Equality Forum held a session, facilitated by Mr McKenzie and Ms Agyepong and supported by external speakers, to encourage Officers to think differently about equality and to look at different ways of working with, and supporting, communities.  Conversations on this would continue including the consideration of equality statements.


ADASS Care Conference – Mr Smith attended the ADASS Conference on 21 September 2021 which recognised the challenges  ...  view the full minutes text for item 16.


Adult Social Care and Health Performance Q1 2021/22 pdf icon PDF 450 KB

Additional documents:


1.    Mr Chatfield introduced the report and highlighted the key areas of performance.


2.    Mr Chatfield and Mr McKenzie responded to comments and questions from the committee, including the following:


(a)  asked about trends in the continued increase of mental health issues and Deprivation of Liberty Safeguards (DOLS), and how Kent residents could be supported, Mr McKenzie said teams were under pressure to deal with the increase in demand and the strategic approach of the Make a Difference Every Day (MADE) programme was one way in which this demand would be met.  The increase in awareness of Deprivation of Liberty Safeguards (DOLS) had increased applications, and performance had significantly improved in the last year with the undertaking of a higher number of applications; and


(b)  asked about the coordination of services between Social Services and community work in the district, Mr McKenzie said the long term strategic MADE programme would develop a locality-based approach where services were joined up within communities.  In addition, Adult Social Care Directors’ responsibilities were defined by geographical area, and this was enabling stronger relationships to be formed with district councils and partner agencies.  Mr McKenzie said he was happy to discuss any specific issues directly with Members.


3.    It was RESOLVED that the performance of services in quarter 1 of 2021/22 and the addition of the Mental Health activity measure for 2021/22 be noted, with thanks.


Domestic Abuse Update Including Strategy Addendum pdf icon PDF 194 KB

Additional documents:


1.    Ms Agyepong, Ms Annan-Veitch and Ms Westlake introduced the report which set out the Council’s new responsibilities under the Domestic Abuse Act 2021 and its progress against these new duties.  These new responsibilities included the creation of a Local Partnership Board, commissioning activity in relation to accommodation-based services and the publication of a Domestic Abuse Strategy by October 2021.  The Council had been allocated over £3.1m in new funding for 2021/22 in relation to the new statutory responsibilities under the Act and the progress being made on proposals to use the new funding effectively and compliantly through the Kent Integrated Domestic Abuse Service (KIDAS) was highlighted.


2.    Ms Agyepong, Ms Annan-Veitch and Ms Westlake responded to questions and comments from the committee, including the following:


(a)  asked whether funding and support followed a person who was placed outside of Kent, Ms Westlake said under the Domestic Abuse Act 2021 each tier 1 local authority had their own allocation of funding and a duty to help survivors fleeing Kent who required support in safe accommodation.  Communication with neighbouring authorities was taking place to promote geographic equitability;  


(b)  asked about accessibility and what was being done to reach out to survivors of domestic abuse, Ms Westlake said the KIDAS providers were proactive in raising awareness and there were numerous ways in which survivors could access support, for example, through telephone, text, email, or website.  Safe contact routes were used following a referral;


(c)  asked how Members could help in raising awareness Ms Westlake said she would contact Members regarding the communication plan across Kent and Medway so that Members could share information within their areas.  Ms Agyepong added that the Local Partnership Board had recommended that Members be provided with more insight and Officers were preparing a briefing to take place in due course;


(d)  asked whether support networks were available for men, Ms Westlake said the KIDAS offer of support was inclusive and meeting the needs of a diverse range of survivors.  Support was tailored to individual needs and there were specialist Independent Domestic Violence Advisers (IDVA) workers for male and LGBT survivors;


(l)    asked whether family pets of survivors could be accommodated, Ms Westlake said this depended on the refuge and other residents.  KIDAS providers were currently liaising with the Dogs Trust to see what arrangements could be made for pets of domestic abuse survivors.  Members offered their support in this regard and Ms Westlake would make contact;


(e)  asked how survivors of domestic abuse could seek help, Ms Westlake said the Ask for ANI scheme with pharmacies enabled survivors to ask for help in a discreet way and a response system had been set up in covid testing and vaccination sites.  The need for a national or Kent and Medway scheme with a recognisable sign or logo was discussed. Ms Agyepong said she would take this forward with the Communication Group to look at how this could be progressed and would feed back to Members.


Ms  ...  view the full minutes text for item 18.


Making A Difference Every Day - Our Strategy For Adult Social Care In Kent 2022 To 2027: Consultation pdf icon PDF 214 KB

Additional documents:


1.    Mr Thomas-Sam introduced the report and summarised the progress that had been made towards the development of the new Adult Social Care Strategy and the related engagement and consultation process. 


2.    An animation video explaining the development work of the Making a Difference Every Day (MADE) strategy was shown to Members.


3.    Mr Thomas-Sam and Ms Clinton responded to comments and questions from the committee, including the following:


(a)  asked how Kent residents who do not speak or read English could access the consultation information, Ms Clinton said early engagement had taken place with community organisations around the provision of information in different formats including different languages and sign language.  Ms Clinton said colleagues and experts from learning disabilities and autism groups had been consulted on the design of materials and an easy read version was available online; and


(b)  asked how this strategy would link in with the new Carers’ Strategy Mr Thomas-Sam said the Carer’s Strategy would support the MADE overarching document.  Work on achieving this, including the formation of a planning group, was underway.  


4.    It was RESOLVED that the content of this report and the attached ‘Making a Difference Every Day, Our Strategy for Adult Social Care in Kent 2022 to 2027 Consultation Document’ be noted, with thanks.


Local Government And Social Care Ombudsman Public Report On Deprivation Of Liberty Safeguards (Dols) In Kent pdf icon PDF 423 KB


Mrs Wright declared an interest as an appointee for a family member.


1.    Mr McKenzie and Ms Agyepong introduced the report and provided an overview of the Council’s proposed response to a report published by the Local Government and Social Care Ombudsman (LGSCO) on 2 September 2021 about a complaint received from a Kent resident.  The LGSCO upheld the complaint, and a public report was issued highlighting the Council’s failings in response to the matter concerned and made recommendations.  Ms Agyepong summarised the actions that the LGSCO had recommended the Council undertake, including those where work in achieving them had commenced and those where Officers believed it was not possible for the Council to comply with the LGSCO’s recommendations.  Ms Agyepong highlighted the reasons why the Council was unable to comply with these recommendations including the limited availability of Best Interest Assessors (BIAs).


2.    Ms Agyepong said there would be ongoing scrutiny for the work undertaken by the DOLS team involving regular engagement with the Kent and Medway Adult Safeguarding Board, and the DOLS work would remain on the Council’s risk register.


3.    Ms Agyepong said since the Cheshire West Judgment the Council had invested £1.54 million into services to ensure DOLS work was carried out in accordance with legislation. Continued investment along with wider service improvement driven by the MADE programme would result in an increase in the number and quality of assessments undertaken. 


4.    Ms Stirrup said that performance data indicates that the Council has moved from 11th to 3rd in ranking against its CIPFA neighbours.


5.    Mr McKenzie, Ms Agyepong and Ms Stirrup responded to comments and questions from the committee, including the following:


(a)  asked whether a precedent existed where LGSCO had made unachievable recommendations, Mr McKenzie said he was aware of a report in relation to Staffordshire County Council where recommendations were less punitive on the local authority and more time was given to comply;


(b)  asked about the repercussions of a second report from LGSCO stating the Council had failed to comply, Ms Agyepong said there was a reputational risk for the Council and there was a need to weigh this risk against operational risk.  Ms Agyepong said a large number of additional BIA’s would be required to meet the recommendations and, along with the prioritisation of historical cases, would have an impact on the system including new applications;


(c)  Mr Smith said since the Cheshire West judgment meeting demand had been a challenge for NHS and local authorities nationally. The replacement of the DOLS scheme with Liberty Protection Safeguards (LPS) would reduce demand and pressure on local authorities as assessments would last longer and there would be fewer authorisations made to the Council.  Ms Stirrup said local authorities were still waiting for the Code of Practice which had not yet been published;


(d)  asked about additional resources required to meet the recommendations, Mr McKenzie estimated an additional 96 Full Time Equivalent (FTE) BIAs would be required and said the DOLS team currently had  ...  view the full minutes text for item 20.


21/00081 - Care And Support In The Home Service Phase 2 - Supported Living pdf icon PDF 875 KB

Additional documents:


1.       Mr Stephen introduced the report, about which there were no questions.


2.       It was RESOLVED that the decision proposed to be taken by the Cabinet Member for Adult Social Care and Public Health to:


(a)  Award contracts to additional providers as detailed in EXEMPT Appendix 1; and


(b)  Delegate authority to the Corporate Director Adult Social Care and Health to take relevant actions, including but not limited to finalising the terms of and entering into required contract or other legal agreements, as necessary to implement the decision, be endorsed.



Decisions Taken Outside Of The Cabinet Committee Meeting Cycle pdf icon PDF 135 KB


The Committee NOTED that decisions 21/00063 – Kent Integrated Domestic Abuse Service (KIDAS) Contract Extension (this decision was noted under Item 9) and 21/00078 – Princess Christian’s Farm had been taken in accordance with the process as set out in Part 2 paragraph 12.35 of the Constitution.


Work Programme - 2021/22 pdf icon PDF 256 KB

Additional documents:


The Democratic Services Officer said that since the work programme had been published an additional item – Dynamic Purchasing System Update - was added to the agenda for the December committee meeting.


It was RESOLVED that the committee’s work programme for 2021 be noted.