proforma: equality impact assessmentcouncilportal.cumbria.gov.uk/documents/s59414/appendix 3 cab...

16
Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017 Equality Impact Assessment Modernisation of Cumbria Care residential care homes Directorate Health, Care and Communities Unit/Team Cumbria Care Assistant Director Responsible for EIA Deborah Butcher Service EIA or Proposal Proposal Date of this EIA 10 January 2017 Aims of the EIA Purpose of the EIA To support the Cabinet report on Modernisation and contribute to the assessment of the impact of proposals regarding the future of Cumbria Care Residential Care Homes. The EIA was formulated at the start of public consultation (05.10.16) on these proposals, updated at the mid-point of consultation (14.11.16) and revised following the close of consultation and analysis of feedback received. This report is an updated EIA. Summary of findings The proposals within the consultation may potentially have a disproportionate impact on protected characteristics under the Equality Act (2010), on the grounds of age, gender and disability. Residential Care, by way of who it aims to support, is ordinarily a service for older adults, over the age of 55 and supports some adults over 100 years old. In the homes in scope of these proposals there are significant numbers over the age of 85 and the male to female ratio of residents is almost 1:3. Many residents would be described as frail elderly either due to physical impairments or mental ill health and as such the characteristic of disability has been identified within the resident population. In line with the initial findings detailed within this EIA, an action plan has been APPENDIX 3

Upload: others

Post on 24-Mar-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Equality Impact Assessment Modernisation of Cumbria Care residential care homes

Directorate Health, Care and CommunitiesUnit/Team Cumbria CareAssistant Director Responsible for EIA Deborah ButcherService EIA or Proposal ProposalDate of this EIA 10 January 2017

Aims of the EIAPurpose of the EIA To support the Cabinet report on Modernisation and contribute to the assessment of

the impact of proposals regarding the future of Cumbria Care Residential Care Homes. The EIA was formulated at the start of public consultation (05.10.16) on these proposals, updated at the mid-point of consultation (14.11.16) and revised following the close of consultation and analysis of feedback received. This report is an updated EIA.

Summary of findings The proposals within the consultation may potentially have a disproportionate impact on protected characteristics under the Equality Act (2010), on the grounds of age, gender and disability. Residential Care, by way of who it aims to support, is ordinarily a service for older adults, over the age of 55 and supports some adults over 100 years old. In the homes in scope of these proposals there are significant numbers over the age of 85 and the male to female ratio of residents is almost 1:3. Many residents would be described as frail elderly either due to physical impairments or mental ill health and as such the characteristic of disability has been identified within the resident population.

In line with the initial findings detailed within this EIA, an action plan has been

APPENDIX 3

Page 2: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

formulated to ensure any identified issues are addressed in line with the council’s commitment to include Equality in the delivery of the its functions and in addition advance equality of opportunity, eliminate discrimination and foster good community relations.

Scope of the EIA: One directorate Cross directorate Outsourced organisation

Cross directorate & outsourced organisations.

Phase 1: Gathering information

Type of information Findings1. Cabinet Report:

February 2016 Budget Settlement

2. Refurbishment and capital works programme of planned maintenance

3. Demographic

In February 2016 the Council set its budget and agreed savings for 2016-2019. For Cumbria Care this included agreement to a capital programme for the build of 2 new 60 bed residential care homes. Alongside this, Council agreed to an overall reduction in the number of residential care beds provided by Cumbria Care. In order to achieve both of these aims, Cumbria Care is undertaking a public consultation of proposals for the situation of 2 new care homes and proposals for reducing the overall bed base through a phase closure of a number of existing care homes.

In addition to these proposals the Council is continuing to invest in a programme of refurbishment and renovation of several care homes and conduct its programme of planned maintenance and upgrade works on Cumbria Care properties. 2 care homes are currently undertaking major renovation and refurbishment – Elmhurst in Ulverston and Richmond House in Workington.

General information about the, geography, population distribution, and rural nature of Cumbria is available via the Cumbria Intelligence Observatory:

APPENDIX 3

Page 3: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

information (Public Health)

3. Commissioning Strategy for Care and Support delivered by Adult Social Care 2016-2020.

http://www.cumbriaobservatory.org.uk/instantatlas/Cumbria_Atlas_Single_Map_Electoral_Wards/atlas.html

In addition, the following information relates to the districts within the scope of consultation.

Carlisle district is made up of twenty two wards. The total population of this district is 108,022. There are 67,615 residents of working age (16-64 years) accounting for 62.59% of the total population; 21,743 residents are aged 65+, accounting for 20.13% of the total population.

Barrow-in-Furness district is made up of fifty one wards. The total population of this district is 67,648. There are 41,763 residents of working age (16-64 years) accounting for 61.74% of the total population; 14,021 residents are aged 65+, accounting for 20.73% of the total population

South Lakeland district is made up of fifty nine wards. The total population of this district is 103,271. There are 60,143 residents of working age (16-64 years) accounting for 58.24% of the total population; 27,747 residents are aged 65+, accounting for 26.87% of the total population.

Copeland district is made up of twenty five wards. The total population of this district is 69,823. There are 43,477 residents of working age (16-64 years) accounting for 62.27% of the total population; 14,697 residents are aged 65+, accounting for 21.05% of the total population.

Available at http://www.cumbria.gov.uk/healthandsocialcare/adultsocialcare/about/strategies.asp

APPENDIX 3

Page 4: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Supply maps, created by commissioners, for residential and nursing home beds in Carlisle, Copeland, Furness and South Lakes (appended to the cabinet report)

The proposals are to build 120 beds of new, purpose built residental care across two sites. This is in addition to Park

View Gardens, a new 60 bed home built in Barrow and completed in September 2016 and registered with the CQC in December 2016.

To reduce the number of Cumbria Care beds by 185, through the phased closure of 10 existing homes (total of 365 beds – 325 within this consultation and an additional 40 as Bevan House closes and residents move to Park View Gardens). There are 3 homes affected by the proposals in Carlisle and 4 Copeland; as well as 1 site in Ulverston and 1 site in Furness. The sites for the two new build homes are one in Carlisle and one in Copeland.

APPENDIX 3

Page 5: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

4. Cumbria Care capacity and utilisation of care homes under proposal

Table 1: Number of residents within Council residential care facilities who may experience service change depending on the decision made at the end of the consultation period.

Establishment TotalNumber of Permanent Residents. (Utilisation in %)Snapshot taken: End Dec 2016

Total number of beds (Capacity)

Area of Cumbria

Combe House 20 (50%) 40 Barrow

Marsh House 14 (50%) 28 Ulverston

Castle Mount 27 (79%) 34 Copeland:

Dentholme 25 (66%) 38 Copeland:

Pow Beck House

26 (68%) 38 Copeland:

Brackenthwaite 21 (70%) 30 Copeland:

Langrigg House 26 (65%) 40 Carlisle:

Petteril House. 21 (57%) 37 Carlisle:

Elizabeth Welsh House

19 (48%) 40 Carlisle:

Total 199 (61%) 325

APPENDIX 3

Page 6: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

The age/gender profile of current residents of the affected Cumbria care homes (End Dec 2016)

Table 2:

55 to 65 65 to 75 76 to 85 86 to 95 96 and over TotalDistrict Residential Home

M F M F M F M F M F M F

Carlisle Elizabeth Welsh 0 1 0 0 2 3 2 9 0 2 4 15

Carlisle Langrigg House 0 0 2 2 3 3 1 8 1 6 7 19

Carlisle Petteril House 0 0 0 0 1 9 2 9 0 0 3 18

Copeland Brackenthwaite 0 0 0 1 3 7 3 6 0 1 6 15

Copeland Castle Mount 0 0 1 1 3 8 3 10 0 1 7 20

Copeland Dentholme 0 0 1 0 4 3 6 11 0 0 11 14

Copeland Pow Beck House 0 1 0 1 4 9 2 8 0 1 6 20

Furness Combe House 0 0 0 0 2 3 3 8 0 4 5 15

Furness Marsh House 0 0 3 1 1 3 0 5 0 1 4 10

Totals 0 2 7 6 23 48 22 74 1 16 53 146

APPENDIX 3

Page 7: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Phase 2 Impacts From the evidence above use this section to identify the risks and benefits according to the different characteristics protected by the Equality Act.

All/general: Any issue that cuts across a number of protected characteristics Issue Positive Impact or benefits Negative impact or risks Action Required

A need to fully understand impact and assess the issues arising from consultation so a well- balanced decision can be made.

The availability and future supply of residential care beds within the geographical areas affected by these proposals

A comprehensive consultation plan is now in operation to ensure the views of local communities are well represented. Targeted engagement activity includes “drop in” engagement sessions, an online survey via the council’s “Have Your Say” page http://www.cumbria.gov.uk/haveyoursay/which will have all relevant consultation documents. Meetings are planned with local Stakeholders. .

The commissioning intention is; to provide more care for more people at home; for more models of complex care to be available, to reduce reliance on residential care beds; to develop Extra Care housing schemes in significant numbers

A need to ensure explanation of the diversity of alternative service provision should the decision be to close in order to reassure concerns from local people.

The availability of residential care provided by Cumbria Care will reduce overall and therefore put the onus on a sufficiently well-developed external residential market

Include full information in the consultation document.

Continue to develop Communications Plan. The Communications Plan has been developed throughout the consultation.

Commissioning plans developed for affected areas to

APPENDIX 3

Page 8: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

The cost of residential care for Cumbria Care clients

Contributions to Care costs are determined through a means tested financial assessment and as such the overall cost of the care placement does not affect this contribution. There is no intention to increase the cost of care in new build homes. If care costs increase this would affect a limited number of people who are determined as self-funding

inform the cabinet report and address this issue raised

Address the issue directly through feedback to residents and families at the mid- point individual home meetings.

Disability and health and wellbeing: All forms of disability recognised under the Disability Discrimination Act including sensory impairment, mental health, learning disabilities, mobility related conditions, conditions such as heart disease, diabetes, asthma. This also covers any impact on health and well beingIssue Positive Impact or benefits Negative impact or risks Action Required

Consultation will need to take account of communication needs of the people with dementia or other disabilities, and those who have a physical or learning disability or sensory impairment.

All residents (Service Users) have been regularly reviewed under the Care Act, and their requirements are to some extent known and can be accommodated. Any implementation will include a review of the individual’s care and support needs and suitable support found to meet eligible needs.

Advocacy (instructed and non-instructed) available, alongside support from ASC practitioners, who have a good understanding of individual requirements.

APPENDIX 3

Page 9: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Some relatives may be older or disabled and negatively impacted by needing to travel further to alternative provision if home closures are approved.

Residents of the homes detailed in the proposals may be anxious of any negative impact on their physical and mental health and wellbeing from potentially having to move home

This can be established and quantified as part of the consultation, given the proposals include developing new accommodation, location and travel should be a minor consideration

A detailed implementation plan will ensure that the transition to any new environment will be carried out sensitively and in a person centred way with clear communication throughout.

Families and residents have expressed some concern of the added travel and distance to the proposed site of new build facilities

Concern and anxiety expressed on the possibility of two moves; if homes are closed in a phased approach, residents may possibly face a first move into other existing homes, then a second move when new build is mobilised

Ensure clear and accessible information available in a variety of formats.

If proposals are agreed by cabinet and there is a need to move any individuals, this will be done in line with evidence based good practice for care home closures and transfer of care to new homes.

Gender, Transgender and Marital Status Issue Positive Impact or benefits Negative impact or risks Action Required

Gender The current Cumbria Care workforce reflects the representation of female residents

The current occupancy of the homes affected by these proposals has a male to female ratio of almost 1:3.

Ensure any individual affected by the proposals and

APPENDIX 3

Page 10: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Therefore the implementation of these proposals will have a disproportionate effect on women.

In addition, of the 438 staff affected by these proposals 426 are female. Again the significant impact is on women.

Consideration of whether new build facilities can accommodate married couples and the feasibility of providing this, should married couples, both with a residential care need, wish to live together

their implementation, is fully supported to make the transition to a new home and that issues of gender and marital status are considered within the transition work.

Support through formal staff consultation to understand issues and concerns raised regarding working arrangements, environments and locations

Detailed design and feasibility within new build home design phase

APPENDIX 3

Page 11: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Ethnicity: All ethnic groups including Asian, Black, East Asian and white minority ethnic groups, including Eastern Europeans and Gypsy and Travellers. Issue Positive Impact or benefits Negative impact or risks Action Required

No obvious impact or issue apparent

Sexual Orientation: including heterosexual, gay, lesbian and bisexual peopleIssue Positive Impact or benefits Negative impact or risks Action Required

No obvious impact or issue apparent

Age: Where a person is at risk of unfair treatment because of their age groupIssue Positive Impact or benefits Negative impact or risks Action Required

The biggest impact is likely to be on the people who are permanently resident within these settings and their families. We do not know how any decision to close will impact or be received by

This can be established as part of the consultation, and in the course of meetings and reviews from the local Adult Social Care team under the Care Act 2014.

Any individual whose assessed needs would continue to be best met through residential care will be supported to decide on a suitable home. Individuals will be supported with a range of

A significant proportion of the current residents are over the age of 85 which poses a risk to the safe implementation of care home moves and successful transition from one environment to another.

There may be some age and mental ill health associated risks with understanding, using and interpreting information required to make

Advocacy has been commissioned to properly establish the wishes, views, beliefs of permanent residents, together with their families.

Meetings have taken place with residents and families present

APPENDIX 3

Page 12: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

them.

Older people in the community and their Carers may be impacted in future if home closure proposals are approved.

information to enable this choice. Any planned move will be sensitive to the needs of the individual and timed appropriately.

The consultation can take account of the requirements of the community and include planning from commissioning for future requirements.

Supply mapping can establish the extent of alternative local provision and identify gaps.

informed decisions about their care during implementation, if proposals are approved.

in each of the homes that are affected by the plans under consultation. Onward engagement is also needed to provide opportunity for everyone to put forward their views. Actions have been taken to improve engagement levels.

Religion/belief: all faiths including Christianity, Islam, Judaism, Hinduism, Buddhism, Sikhism and non religious beliefs such as HumanismIssue Positive Impact or benefits Negative impact or risks Action Required

No obvious impact or issue apparent.

Socio-Economic Status: This can include people on low incomes, as well as issues around rural and urban deprivationIssue Positive Impact or benefits Negative impact or risks Action Required

Contribution to cost of care

There is intended to be no change to the contribution to cost of care for any resident as this is based on ability to contribute towards the cost rather than

In the case of self- funding residents, of which there are 52 identified within the current resident population; any decision to change the chargeable

Ensure the charging and contributions policy is applied equally to all

APPENDIX 3

Page 13: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

the cost of residential care home placements.

cost of care, based on full cost recovery for the Council, may impact on these individuals

residential clients and any impact is clearly communicated to residents

Community Cohesion: This is where a decision or a change to services may risk creating tensions between community groups in a local area. Issue Positive Impact or benefits Negative impact or risks Action Required

Some areas may see individual homes as part of the community and may voice concern over their closure and no longer being part of the immediate community

A strong contribution to the consultation.

An understanding of the alternatives and further plans under consultation e.g. new build work or refurbishment of other homes

Risk of challenge to any individual proposal and the effect to the local area

Consultation responses have raised some concern of the loss of community facilities and voiced a suggestion that change of purpose or use should be addressed in the cabinet report

Concerns have been highlighted about public transportation links at

Local public drop-in events have occurred and questions have been answered.

Engagement with local stakeholders including residents and local community groups.

Any suggested feasibility study should be in liaison with the commissioning plans and commissioners

Support will be provided and review

APPENDIX 3

Page 14: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

the sites of the new builds. This will impact on the relatives and/or friends who will visit residents in the new homes.

of transport links to enable local contact to be maintained.

Phase 3: Action PlanningBased on actions raised in the action required box aboveArea for further action

Actions proposed Lead officer When Resource implications

Outcome

Advocacy for individuals during consultation phase

Additional general advocacy capacity will be commissioned to support all residents and families to fully contribute to the consultation process

Donna Story September 2016

Additional advocacy spend. Fixed term contract of cost and volume.

Availability of advocacy to support those who cannot independently contribute to consultation. Advocacy support is for people directly affected.

Area based Commissioning Plans

In recognition of the need for services which are responsive to local requirements, work will take place to develop place based plans to map current service provision and help to formulate a detailed local response to the

Donna StoryPeter Knock, Service Development Managers.

2017 Within current resources.

Shift of resources to alternative forms of care and support and diverting propotionally more money away from residential

Onward planning, with partners, to identify and respond to any unique local requirements.

APPENDIX 3

Page 15: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

aims of the countywide Commissioning strategy

placement to community facilities.

Detailed implementation Plan for each proposal

To develop detailed implementation plans for each proposal agreed by Cabinet. To consider the resources, communication, timing and support necessary to make a successful transition for each resident

Deborah Butcher

Feb/March 2017

Will require collaborative working between social work teams and Cumbria Care staff, with the full involvement of residents and families as well as instructed and non-instructed adovacy where required.

Successful implementation of individual proposals with detailed implementation plans which will be subject to a further EIA.

Formal process of staff consultation

To develop new staffing structures and working arrangements for two new care homes and to fully consult on the future operational delivery.

Deborah Butcher

March 2017 – June2019

Requires wider council resources of HR, finance, legal and collaborative working with Trade Unions and Cumbria Care senior managers

Documents appended to the Equality Impact Assessment:

Quality Assurance and EIA completion

APPENDIX 3

Page 16: Proforma: Equality Impact Assessmentcouncilportal.cumbria.gov.uk/documents/s59414/Appendix 3 CAB 0202 - Modernisation of...Cumbria County Council Equality Impact Assessment Cumbria

Cumbria County Council Equality Impact Assessment Cumbria Care Modernisation. January 2017

Date completed (first completed to inform public consultation & updated at midpoint) 23 August 2016Lead officer Deborah ButcherEIA taken through Directorate Equality Group/or DMT YESHave staff been involved in developing the EIA? YESHave community organisations been involved? (*indirectly through public consultation) YES*Date of latest update of EIA 10 January 2017

APPENDIX 3