Decision details

10.1

The Strategic Director of Adult Health and Safeguarding introduced the report which provided an update to the Committee on Adult Care and Wellbeing delivery on the strategy, performance and council plan as well as our preparation for CQC. The reports provided Committee with updates in relation to the following areas:

•        Overview of the final ACW self-assessment for CQC assessment for information and comment.

•        Update on ACW preparations for CQC.

•        Provide Members with the quarterly update on performance for ACW, including key highlights, mitigations and resolutions.

•        Update members on current strategy development in ACW, including engagement and collaboration.

This ensures that:

•        Members have consistent and transparent updates on performance and strategy delivery in ACW.

•        Our performance, strategy delivery and CQC preparation and self-assessment are visible and in the public domain, as part of our Governance Framework and accountability.

10.2

RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee:-

1. Endorses progress in delivering upon the Adult Care Strategy Living the Life You Want to Live and notes realignment of the Adult Care change programme around outcomes in the Strategy.
2. Notes performance update and notes follow up reports will be provided to Committee setting out details of actions to deliver our expected standards.
3. Notes Adult Care Structure set out at Appendix 1.
4. Requests that the Strategic Director of Adult Care and Wellbeing continues to bring an update to Committee on our performance and delivery upon the Strategy.
   
   

10.3

Reasons for Decision

10.3.1

Asking for regular updates and refreshes of the Strategy Delivery Plan, Our Performance and CQC will keep the Committee, wider stakeholders, and the public the ability to hold the Council to account for progress and impact and will provide an additional mechanism to input to future development.

10.3.2

Noting the Structure at Appendix 1 enables Committee to understand the leadership arrangements for delivery upon adult social care and the strategy.

10.3.3

Noting the CQC update, including wider assessment preparations and communications will enable Committee to have oversight and assurance that Adult Care know themselves and are able to drive forward service improvements, alongside the assurance that we are well prepared for the CQC assessment process.

10.4

Alternatives Considered and Rejected

10.4.1

Alternative Option 1: Do Not Provide an Update on The Strategy Delivery Plan Progress – When the Strategy Delivery Plan was approved by Committee in June 2022 the was a commitment to review the plan regularly and by not reviewing, we would not be meeting that commitment. Due to the significant amount that has been delivered on the plan, leaving it as it would make it harder to identify the priorities going forward.

10.4.2

Alternative Option 2: A different delivery plan - The real options for the delivery plan are around the individual elements, which will be worked through as part of the constituent pieces of work. These will be worked through in different ways, with many of them resulting in their own future reports to the Committee.

10.4.3

Alternative Option 3: Do not work in partnership / collaboratively – It is a statutory requirement to work in partnership with colleagues across the health, care and wellbeing system, as set out in the 2021 White Paper. The Statutory Duty to Involve also requires us to engage and involve people who use services, and unpaid carers in the design and delivery of care and wellbeing. We would not be meeting these requirements if we did not work in meaningful partnership across, they system, and with all stakeholders.

10.4.4

Alternative Option 4: Do not share the ACW CQC Self-Assessment with partners and in the public domain - To not share the self-assessment and ask for comment would go against the approach and principles we are embedding as business as usual in Adult Care. To have both credibility and relevance, it is vital that this is a report which provides an honest and transparent narrative for adult social care informed by the voices and experiences of staff, partners, commissioned providers, VCSE, and the people who access our services, their families, carers, and those with lived experience.