Home care provision – contracts, contacts, assessments

1.Can you provide the following details of each of the private domiciliary care providers delivering Adult Social Care that are currently signed up to your local authority framework as of September 2019? And To include:
– Contact name: 
– Job title:
– Contact number:
– Business email address of contact:
– Business website address:
– Registered business postal address:

We can provide a full list of providers below. This includes contact names in many cases. This list is in partial response to Questions 1-4.

Providers – adult residential and domiciliary – framework and spot

The full contact details requested may be available through other means – linked to below:

Individual company websites – search internet by name

Companies House

PinPoint – Community Directory

– Total Number of hours and people receiving services that have/are contracted in 2018 and 2019 (as of September 2019)

We have interpreted this part of the request to refer to figures relating to each provider. We believe this information is exempt under the Freedom of Information Act Section 43(2) commercial information as disclosure may prejudice the commercial interests of both Devon County Council and our providers. We also believe the time needed to identify, locate and compile the figures would add to the time taken for the next question.

– For each person currently receiving care services can you specify the 5 digit postcode area (postcode district) and geographic area they fall under as defined by your own geo classification:

To identify, locate and compile this information would require a manual examination of thousands of client cases, each one taking several minutes and the total time needed to be well in excess of the 18 hours specified under the Freedom of Information Act 2000 Section 12 – Cost of Compliance.

2.Can you provide the following details of each of the private nursing/residential care home providers delivering Adult Social Care that are currently signed up to your local authority framework as of September 2019? To include:
– Contact name 
– Job title
– Contact number
– Business email address of contact
– Business website address
– Registered business postal address
– Total number of local authority fully funded and part funded placements within each home as of September 2019
– Total number of new placements by funding type in the last 12 months

Please see the response to the previous question.

3.Can you provide the following details of each of the private domiciliary care providers delivering Adult Social Care that you utilise for Spot Contracts within your local authority as of September 2019? To include:
– Contact name: 
– Job title:
– Contact number:
– Business email address of contact:
– Business website address:
– Registered business postal address:
– Total Number of hours and people receiving services that have/are contracted in 2018 and 2019 (as of September 2019)
– For each person currently receiving care services can you specify the 5 digit postcode area (post code district) and geographic area they fall under as defined by your own geo classification:

Please see the response to Question 1.

4.Can you provide the following details of the private nursing/residential care home providers delivering Adult Social Care that you utilise for Spot Contracts within your local authority framework as of September 2019? To include:
– Contact name: https://www.devon.gov.uk/accesstoinformation/archives/information_request/domiciliary-care-2 confirm from list
– Job title
– Contact number
– Business email address of contact
– Business website address
– Registered business postal address
– Total number of local authority fully funded and part funded placements within each home as of September 2019
– Total number of new placements by funding type in the last 12 months

Please see the response to Question 1.

5.What information do you provide to a privately funded care seeker who is wishing to source a care provider delivering Adult Social Care within your local authority area?

Care and health – supporting your independence 

Devon Safeguarding Adults Board – arranging care and support safely 

Please see the relevant results on our Community Directory – Pinpoint 

6.Can you provide a link to the local authority care provider directory for Adult Social Care which is available to the general public? I understand this will feature every care home and domiciliary care provider delivering Adult Social Care in your local authority area whether on your framework or not. The name of the person and email to get on this list.

Please see the response to the previous question.

PinPoint Directory Contact Details

7.Can you provide a contact name, email address and a contact number for the person responsible for commissioning Adult Social Care domiciliary care services and nursing/residential home services in your local authority?

Domiciliary/Home care = Ian Hobbs

Care Homes = Rebecca Hudson

Contact details are as follows = email firstname.lastname @devon.gov.uk, telephone 01392 383000 – ask for by name

8.Can you provide a contact name, email address and a contact number for the person responsible for commissioning Adult Social Care nursing/residential care home services in your local authority?

Please see the response to the previous question.

9.Can you provide the number of service users currently receiving a direct payment or SDS option 2 within your local authority?

Adults in receipt of long term support.

10. On assessing an individuals’ needs, which of the following bands must they fall in to qualify for local authority funding?:
Critical
– Substantial
– Moderate
– Low

The Care Act 2014 set out a new national eligibility criteria. This superseded previous criteria set out above that gave local authorities a choice as to what level of need they would support. The vast majority of local authorities, including DCC, at the time choose to meet substantial and critical needs. The Government stated that the new eligibility criteria set out within the Care Act 2014 aligns to critical and substantial needs as set out in previous legislation.

Care Needs Assessments 

11. How many people are currently waiting for an assessment for Adult Social Care within your local authority?

1393(06/10/2019)

These are individuals over 18s with a current open waiting list activity with Care Direct Plus, Community Health and Care Teams, Health and Social Care Teams, Cross Locality (Autism, Sensory, Supported Living, Prisons) and Social Care Assessment Teams

12. What % of people qualify for Adult Social Care following an assessment?

Based on all completed Your Care Act, Occupational Therapy (OT) or Sensory Assessment between September 2018 and August 2019 and where the contact status is categorised as new – no current services at point of referral

Assessment EligibilityCount of Assessments Percentage
Yes71.8% (3181)
No12.4% (547)
Not recorded15.8% (697)
Total100% (4405)

13.How many people died while waiting for an assessment or while waiting for Adult Social Care to start in the last 12 months?

114 people died whilst on the waiting list which were completed between September 2018 and August 2019.

14.What is the average waiting time for an Adult Social Care assessment by the social work department in your local authority?

35 days or 32 days if the Contact form is included.

Using waiting time for assessment data for the rolling 12 months to the end of August 2019. Based on Your Care Act, OT and Sensory Assessment forms.

15.In your local authority how many people are currently in hospital awaiting an adult/elderly domiciliary/care at home service/package?

20 = equates to .005% of those who get a service

16.In your local authority how many people are currently in hospital awaiting an adult/elderly nursing/residential care home placement?

32

17.What is the average, shortest and longest time someone has waited for Adult Social Care domiciliary care service or nursing/residential care home placement from the point of assessment in 2018/19?

Waiting Times 

Longest wait (days)320
Shortest wait (days)1
Arithmetic mean wait (days)17

Freedom of information previous response 

18.Post Adult Social Care assessment how many people are currently awaiting a domiciliary/care at home service/package for:
1 week 32
– 2-4 weeks 22
– 5-8 weeks 6
– 9-13 weeks 4
– 14-26 weeks 4
– 27 weeks+1

Total 69

Question 19
Post Adult Social Care assessment how many people are currently awaiting a nursing/residential care home for:
– 1 week
– 2-4 weeks
– 5-8 weeks
– 9-13 weeks
– 14-26 weeks
– 27 weeks+

We do not hold this information.

20. What are the payment or contractual arrangements for nursing/residential care homes and domiciliary/care at home providers if a client were to be admitted to hospital?
i.e is it still paid for up to x days so the service/placement is kept open?

Contract extracts :

For care homes
Where a Service User becomes absent from the Home for more than six weeks in the case of hospitalisation or three weeks in the case of other absences the Individual Contract shall automatically terminate upon the expiry of such period.
Where the period of absence is known or expected to be in excess of six weeks, the Service Purchaser may terminate the Individual Contract giving seven days’ notice in writing.
Where the Service User becomes absent from the home, except in the case of Fixed Term Contracts which shall terminate in accordance with the Individual Contract or by giving seven days’ notice in writing, the Service Purchaser shall pay the Price excluding any extras which shall cease immediately, for the first twenty-one consecutive days, thereafter the Price shall be adjusted to 80% of the Price for each and every day until the Service User returns or the Individual Contract is terminated.

Hospital Admissions
In the case of temporary absence due to a hospital admission; the Provider is expected, during the first 7 days after admission, to communicate directly with the hospital to determine when a person is fit for a safe discharge. If there has been no significant change in needs and therefore no change to the Care Plan is required, then the Provider should liaise directly with the hospital to secure a safe discharge within 4 normal working hours The Provider shall notify the Commissioners the date hospital admission and discharge.
If the Service User is discharged within 7 days following admission the Provider is expected to be in a position to deliver any required care visit within 4 hours normal working.

21. How many nursing/residential care home beds do you buy in block? Of those what is the average occupancy level? eg do you pay for 100 beds regardless of occupancy where occupancy is 90%?

We believe this question can be answered by a response to a previous request.