North Yorkshire Council

 

Skipton & Ripon ACC

14th December

 

Local Care Home Intelligence Report

 

Report of the Corporate Director

 

1.0       PURPOSE OF REPORT

 

            To provide local intelligence of care homes within the Skipton and Ripon constituency, in response to a request from Skipton and Ripon ACC

 

 

2.0       BACKGROUND

 

2.1 This paper sets out the following information is response to a request from Skipton and Ripon ACC:

·         Current capacity of care homes in Skipton and Ripon ACC

·         Information on any future closures

·         Relevant local issues, concerns or future plans around care home redevelopment.

 

3.0       DETAILED PRESENTATION OF THE SUBSTANTIVE ISSUE

 

3.1       Craven Locality

            Within the Craven locality we have 18 care homes providing the full range of care specialisms. These care homes have 630 registered beds with NYC currently commissioning 178 beds. The Council placements are a mix of permanent and short stay placements.

 

3.2       There are 2 care homes that accept the Actual Cost of Care (ACOC) in the Craven locality. As a result the majority of placements being made by NYC in Craven are above ACOC. ACOC is a term used in the context of residential and nursing services for people over 65 years. It refers to the actual costs a care provider incurs in delivering care at the point in time that the exercise is undertaken. It is typically presented as a unit cost for a bed per week in a care home. 

 

3.3       Providers accepting the ACOC rate are prioritised through the Council’s Brokerage Process. For residential and nursing care services where ACOC does not apply (services delivered to people 18-64), providers are required to submit a weekly rate for delivery of the direct care hours set out by ACOC within their service(s). The average weekly cost of the 178 Council commissioned beds is £1,254.88.

 

3.4       Of the 18 care homes, 15 have a rating of Good by The Care Quality Commission (CQC) and 3 have a rating of Requires Improvement. CQC is the national regulator of Social Care in England. CQC register and inspect care services including those provided by care homes.

 

3.5       We are not aware of any care homes with financial sustainability concerns in the Craven Locality. 

 

3.6       We have seen 1 care home closure and 1 closure pending replacement in the last year:

           

·        Neville House in Gargrave - NYC owned – people moved to Ashfield EPH, NYC owned. A Executive Members report was submitted in June 23 covering the work to support the development of the care market and care services in the Craven area and meeting the emerging and changing needs of the locality. The link to the report is available at Appendix A.

 

·        Public consultation has recently concluded on the development of a new Extra Care Housing scheme in Gargrave on a Council owned site at Eshton Road. This feedback is being analysed and will inform future recommendations for the development of Extra Care.

 

·        Thornton Hill - Anchor Group owned - closed with a new build, The Mill Care in Skipton which opened in July 2023.  All people were moved to the new care home.  Thornton Hill was a 45 bed residential and dementia home. The Mill is 86 beds offering residential and dementia care.

 

3.7       There are no concerns about further care home closures, and no intelligence about any new schemes providers are considering. NYC Quality teams are not currently providing support to any care homes in Craven. At the current time Health and Adult Services have not supported any care homes via the sustainability policy.

 

3.8       Ripon Locality

            Within the Ripon locality we have 10 care homes providing the full range of care specialisms.  These care homes have 362 registered beds with NYC currently commissioning 136 beds. The Council placements are a mix of permanent and short stay placements.

 

3.9       There is 1 care home that accepts the Actual Cost of Care (ACOC) in the Ripon locality. As a result, the majority of placements being made by NYC in Ripon are above ACOC. ACOC is a term used in the context of residential and nursing services for people over 65 years. It refers to the actual costs a care provider incurs in delivering care at the point in time that the exercise is undertaken. It is typically presented as a unit cost for a bed per week in a care home. 

 

3.10     Providers accepting the ACOC rate are prioritised through the Council’s Brokerage Process. For residential and nursing care services where ACOC does not apply (services delivered to people 18-64), providers are required to submit a weekly rate for delivery of the direct care hours set out by ACOC within their service(s). The average weekly cost of the 136 Council commissioned beds is £1,296.21.

 

3.11     Of the 10 care homes, 8 have a rating of Good by The Care Quality Commission (CQC) and 2 have a rating of Requires Improvement. CQC is the national regulator of Social Care in England. CQC register and inspect care services including those provided by care homes.

 

3.12     We are not aware of any care homes with sustainability concerns in the Ripon Locality.

 

3.13     We have seen 0 care home closures in the last year in the Ripon locality.

 

3.14     No concerns about any future care home closures, and no intelligence about any new schemes providers are considering. NYC Quality teams are not currently providing support to any care homes in Ripon area. At the current time Health and Adult Services have not supported any care homes via the sustainability policy.

 

3.15     All care homes included in have been accepted onto Health and Adult Services (HAS) Approved Provider List.

 

 

4.0       ALTERNATIVE OPTIONS CONSIDERED

 

4.1       Not applicable – information only

 

5.0       FINANCIAL IMPLICATIONS

 

5.1       Not applicable – information only

 

6.0       LEGAL IMPLICATIONS

 

6.1       Not applicable – information only

 

7.0       EQUALITIES IMPLICATIONS

 

7.1       No negative impact

 

8.0       CLIMATE CHANGE IMPLICATION

 

8.1       Not applicable

 

9.0       PERFORMANCE IMPLICATIONS

 

9.1       All approved providers are subject to regular Quality and Performance checks by the Quality and Service Continuity team. 

 

9.2       All providers must be registered with the Care Quality Commission (CQC).  CQC is the national regulator of Social Care in England. CQC register and inspect care services including those provided by care homes.

 

 

10.0     CONCLUSIONS

 

10.1     The information in this report reflects the position on 01/12/23.  We continue to see increasing costs in relation to the placements being made in all care homes, however, in the Craven and Ripon localities these increases are lower than other areas. The Quality of the care homes in these localities continues to be good, with no concerns currently identified by NYC or CQC. We have enough vacancies in the care homes to meet current demand.

 

11.0     REASONS FOR RECOMMENDATIONS

 

11.1     There are no recommendations – request for information.

 

12.0

RECOMMENDATION(S)      

 

i) N/A

 

ii) N/A

 

 

            APPENDICES:

 

Appendix A: Developing care services in the Craven area Executive Report – June 23. https://edemocracy.northyorks.gov.uk/ieListDocuments.aspx?CId=1147&MId=6709&Ver=4

 

           

 

BACKGROUND DOCUMENTS:

Capacity Tracker NHS website

NYC - Data Dashboard – Open Bed

NYC – Care Home Bed Vacancies 2023-24 (Craven)

NYC – Care Home Bed Vacancies 2023-24 (HARA)

NYC – Controcc database

NYC – Quality and Market Support Meeting

 

Richard Webb

Corporate Director - HAS

County Hall

Northallerton

5th December 2023

 

Report Author – Steven Crutchley

Presenter of Report – Steven Crutchley, Strategic Service Development Manager

 

 

Note: Members are invited to contact the author in advance of the meeting with any detailed queries or questions.

 

PLEASE ALSO NOTE THAT IF ANY REPORTS / APPENDICES INCLUDE SIGNATURES THESE MUST BE REMOVED / DELETED PRIOR TO SENDING REPORTS / APPENDICES TO DEMOCRATIC SERVICES.  Appendices should include an Equality Impact Assessment and a Climate Impact Assessment where appropriate

 

 

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