1) Does Devon County Council either directly, or sub-contract provision of Domiciliary Social Care (Home Care) to adults?
2) If the answer to question 1 is “No”, please provide the name of the Local Authority responsible for providing these services to citizens within your boundaries. There is no need to answer any further questions.
3) What is a reasonable estimate of:
a. The number of annual hours of Domiciliary Care provided\commissioned?
Circa 38,000 across health and social care
b. The annual expenditure of specific care provision, either directly or paid to contracted providers?
Gross expenditure was approximately £37.3 million
c. The average number of service users provided for within a 12 month period. (Looking specifically for the number at any one time, rather than the number of individuals, which are assumed to be higher due to churn)?
d. The average price paid per hour to external Domiciliary Care Providers for an easy to calculate period, for example 3 months would suffice.
4) If you contract out these services, very briefly describe how are these arranged. For example, a framework with many providers of equal status, a lead provider and tier 2 and 3 model, spot contracting etc. If there are fixed prices applied, please provide these, or an average.
Devon is in 8 zones. 4 of these are managed by DCC, 4 are managed by a Primary Provider. There are variable prices in each zone.
5) With reference to the answer in question 4, please provide the names, and status (tier one, lead, spot etc) of each provider utilised within the current contract.
Provision to half the county is via a primary provider using sub – contractors, the remainder is via spot agreements. There are spot contracts with 80 providers, although some may be part of the primary provision but have legacy spot arrangements still active. There is a mixture of delivery, half the county being covered by a primary provider/s using sub – contractors, the rest is with spot agreements and one block contract arrangement. Of the spot agreements there are contracts with 80 domiciliary care providers, some of which are part of the primary provision but have historical legacy spot arrangements still active.
Domiciliary care providers are listed below – we do not hold information about their status, that varies around the county based on which Primary Provider they are contracted with.
ABSOLUTE CARE SOUTH WEST LTD
ADVANCE ENABLING ST JOHNS
ADVENT CARE TEAM LTD
AGINCARE L I C SOUTH WEST LTD
ALLIED HEALTHCARE/NESTOR PRIMECA
ANGEL CARERS (UK) LTD
ANGEL HOME CARE
ARK NURSING & CARE AGENCY
AROHA HOUSE LIMITED
ASHTON CLEANING SERVICES (SW) LT
ASSISTED LIVING SOUTH WEST
ASTORIA HOMECARE LTD
AXE VALLEY CARE LTD
BLUEBIRD CARE (PLYMOUTH&STH HAMS
BLUEBIRD CARE (TORBAY)
BOWDENS CLEANING SERVICES LTD
BRAIN INJURY REHABILITATION TRST
BRANDON TRUST THE
BRONTE RESIDENTIAL CARE HOME
CAMPHILL DEVON COMMUNITY LTD
CARASTON HALL SUPPORT LTD
CARERS DIRECT (SW) LTD
CARRINGTON NURSING AGENCY
CLEAR THINKING CARE
COMMUNITY CHOICES LTD
CREDITON CARE SERVICES LTD
CULM VALLEY CARE CENTRE
CULMSIDE SUPPORT LLP
D C HOMECARE
DEER PARK RESIDENTIAL HOME
DEVON HOMECARE LTD
DEVON SHELTERED HOMES TRUST
DOME COMMUNITY CARE SERVICES LTD
EASY LIVING CARE LTD
EMPOWERING LIVES LIMITED
ENCOMPASS CARE (DORSET)
FOURWAYS RESIDENTIAL HOME
GARLAND SUPPORT & TRAINING
GEMCARE SOUTH WEST LIMITED
GUINNESS CARE & SUPPORT
H & H HEALTHCARE LTD
H F TRUST LTD
HADLEY CARE LIMITED
HARCOMBE VALLEY CARE LIMITED
HELPING HANDS EXMOUTH LIMITED
HELPING HANDS HOME CARE
HESTIA CARE AT HOME
HOLMLEIGH CARE HOMES LTD
HOME INSTEAD (TAVISTOCK)
HOME INSTEAD SENIOR CARE
HOME INSTEAD SENIOR CARE(PM LTD)
HOMELIFE CARERS LTD(MID & SOUTH)
IGROW CARE AND SUPPORT LTD
INDEPENDENT LIFESTYLES SUP S LLP
ISCA SUPPORTED LIVING
IVERNA (CENTRAL) DEVON LTD
IVERNA NORTH DEVON
J M HEALTHCARE LTD
KAZLUM SUPPORT LTD
LARKSTONE SUPPORTED LIVING
LEAF COMPLEX CARE LTD
LIFEWAYS COMMUNITY CARE LTD (NEW
MALLANDS CARE LTD
MEARS CARE LTD
MOORCARE DEVON LTD
MY SUPPORT & CARE SERVICES
NETWORK VENTURES LTD
NEWCROSS HEALTHCARE SOLUTIONS
NEWCROSS HEALTHCARE SOLUTIONS LT
NHS DEVON CCG
NOK CARES/THUNCHANOK QUARTLY
NORTHAMPTONSHIRE COUNTY COUNCIL
NORTHERN DEVON HEALTHCARE TRUST
NURSE PLUS & CARER PLUS (UK) LTD
OCEAN CARE SOLUTION LTD
OGWELL GRANGE LTD
ONE TO ONE HOMECARE LTD
ORCHARD VIEW CARE HOME
OTTERHAYES TRUST LTD
OVERINGTON CARE LIMITED
PARTNERS IN CARE
PEE WEES PERSONAL HOMECARE LTD
PHOENIX CARE AT HOME LTD
PHOENIX LEARNING & CARE LTD
POTENS DOMICILIARY CARE AGENCY
PRECIOUS HOMES LTD
PREMIER COMMUNITY SERVICES LTD
PROSPERO RECRUITMENT LTD
PURPLE BALM LTD
QUAY CARE (NORTH DEVON) LTD
R V CARE LTD
SANCTUARY HOME CARE (PLYMOUTH)
SELBORNE CARE LTD T/A THE DOVE P
SOMERSET DOMICILLIARY SERVICE
SPECIALIST SUPPORT CARE LTD
SPRINGFIELDS RESIDENTIAL HOME
STEP BY STEP INDEPENDENCE LTD
STEP ONE SERVICES LTD
STEPPING FORWARD SUPPORT LTD
STEPS AHEAD CARE & SUPPORT LTD
SUNSHINE CARE LTD
TAVY CARE SERVICES
THE WHEEL HOUSE
THERA SOUTH WEST
VIRGIN CARE LTD – DEVON ICS
WELLBEING CARE SERVICES LIMITED
WEST VIEW – BERE PENINSULA CARE
WESTCOUNTRY HOME CARE
YOUR CHOICE ASSISTED LIVING LTD
6) With reference to question 5, if you keep a record of their Care Quality Commission Inspection rating (Outstanding, Good, Requires Improvement, Inadequate), please include this.
This information is published on the Care Quality Commission website, which you can view via the link provided.
7) If these arrangements referred to in question 4, have been established as part of a tender process and formal contract, when did these contracts start?
8) In reference to question 4, if these arrangements have a specific end date, then please provide that date, with explanation as to whether there are unilateral or multilateral extension clauses.
July 2021 with option of +1+1
9) If you utilise commissioning strategy that has preferred providers, please give reliable estimates of the utilisation of those providers against their expectation, over the last 6 months. For example: Lead Providers Expectation 65%, Actual 62%, Second Tier Expectation 33%, Actual 15%, Spot purchasing Expectation 5%, Actual 23% etc. If you want to break this down by area or other method, then this is acceptable, but not necessary.
We do not hold this information.
10) Do you anticipate launching a tender process to replace\generate arrangements to subcontract Domiciliary Care provision within the next 2 years, and if so, when?
We do not hold this information, the matter is currently under review.
11) Does your current contract utilise Electronic Call Monitoring in relation to billing and payments activity?
It has the option to do so
12) If the answer to question 11 is yes:
a. Is this a centralised purchased system, or do providers utilise their own, or a hybrid?
Providers use their own
b. Does it apply to all providers, or a specific subset by size, contract status etc?
This varies by provider.
c. What is the mechanism utilised to determine payments to providers, for example, commissioned care, a banding system of rounding (with details), a per minute system? Please briefly explain if there is another system employed.
Hourly rate pro rata in 15 minute intervals
13) In relation to the answers in question 12, do you anticipate making changes to this approach either in the next tender process or foreseeable future? If so, can you provide a brief reason?
14) In relation to question 12, have you made changes to the approach in the last 24 months, and if so briefly, why?
15) How much do you reliably estimate that DTOC in relation to Social Care, reason “E – Awaiting a Home Care Package”, cost Devon County Council over the last 12 months.
16) If you have an outstanding list of care hours that are waiting to be started under the arrangements referred to in question 4, then please provider either an average, or month by month detail, of the number of hours outstanding (sometimes referred to as pending). If these are collected and grouped by reason, then please provide the breakdown of reasons. C
Approximately 2500 per week but varies. Almost always due to lack of care worker availability.