Decision details

8.1

The Executive Director, People Services submitted a report proposing the provision of an Enhanced Supported Living Framework for people with a learning disability and/or autism who display behaviour that challenges.  

8.2

RESOLVED: That Cabinet:- 

(a)

approves the provision of supported living services for people with a learning disability and/or autism who display behaviour that challenges (“Enhanced Supported Living Services”) in order to provide positive outcomes and sustainable quality at best value for the people of Sheffield;

(b)

delegates authority to the Director of Adult Services, in consultation with the Director of Finance and Commercial Services and the Director of Legal and Governance:

(i)

to decide the procurement strategy for Enhanced Supported Living Services;

(ii)

to negotiate and agree the invitation to tender documentation including the terms of the framework contract and any call-off contracts in respect of the Enhanced Supported Living Services;

(iii)

to award the framework contracts to the successful services providers chosen by the Council; and

(iv)

to take all other necessary steps not covered by existing delegations to achieve the outcomes outlined in the report; and

(c)

notes that the Council may call off services from the Enhanced Supported Living Services framework on behalf of Sheffield Clinical Commissioning Group (CCG) as described in paragraph 1.20 of the report; and delegates authority to the Director of Adult Services, in consultation with the Director of Finance and Commercial Services and the Director of Legal and Governance, to approve the terms of the arrangement with Sheffield CCG and also take all other necessary steps in order to minimise the Council’s risks in such arrangement.

8.3

Reasons for Decision

8.3.1

There is a gap in the local market for community-based support for people with learning disabilities and/or autism who display behaviours that challenge.  Without an Enhanced Supported Living Framework we would:-

• continue to rely on residential care options, including out of city services, which would limit individual choice and outcomes and can be more costly than Supported Living, and

• be limited to the regional enhanced community living framework for supported living options. 

8.3.2

The proposed  local Enhanced Supported Living Framework will also:-

• provide new options for children and young people who display behaviours that challenge to have local community-based support

• enable strong local partnership working with selected providers to continually develop and improve

• enable robust local monitoring of the quality of support for highly vulnerable individuals

• facilitate transition from Enhanced to standard Supported Living services

8.3.3

The proposed local Enhanced Supported Living Framework will allow Sheffield to secure good quality, resilient community-based support that guarantees best value for the city.

8.4

Alternatives Considered and Rejected

8.4.1

Option 1 – Regional Care Options

Without an Enhanced Supported Living Framework,  we would:-

• continue to rely on residential care options, which would limit individual choice and outcomes and can be more costly than Supported Living

• be limited to the regional enhanced community living framework for supported living options

8.4.2

Option 2 – Regional framework

We have appraised the option of using only the regional enhanced community living framework and consider there are significant benefits in having our own local enhanced framework. 

The Regional framework focuses exclusively on the Transforming Care cohort, whereas a local framework can be wider i.e. include prevention,  return from out of city residential care,  help with transition and other complex needs.

A local framework

• will facilitate smoother transition from an enhanced service to the standard framework where the same organisation provides both

• will allow small local organisations with local community-based networks who do not wish to bid to be on the wider regional framework to support people who display behaviours that challenge

• can be re-opened at our discretion, offering more local control over the market

• allow closer control over price

• builds on the local framework and relationships

• builds on success of local standard framework

8.5

Any Interest Declared or Dispensation Granted

None

8.6

Reason for Exemption if Public/Press Excluded During Consideration

None

8.7

Respective Director Responsible for Implementation

Jayne Ludlam, Executive Director, People Services

8.8

Relevant Scrutiny and Policy Development Committee If Decision Called In

Healthier Communities and Adult Social Care