“If your home chooses not to extend its existing contract, all current residents can remain at your home at your current contract rate. No new placements can be made until an extension to your contract is agreed.”
“(1) Subject to and in accordance with the provisions of this Part of this Act, a local authority may with the approval of the Secretary of State, and to such an extent as he may direct shall, make arrangements for providing (a) residential accommodation for persons aged 18 or over who by reason of age, disability or any other circumstance are in need of care and attention which is not otherwise available to them …”
“References in this Act to accommodation provided under this Part thereof shall be construed as references to accommodation provided in accordance with this and the five next following sections …”
“… arrangements under section 21 of this Act may include arrangements made with a voluntary organisation or with any other person who is not a local authority where – (a) that organisation or person manages premises which provide for reward accommodation falling within subsection (1)(a) or (aa) of that section, and (b) the arrangements are for the provision of such accommodation.”
“Any arrangements made by virtue of this section shall provide for the making by the local authority to the other party thereto of payments in respect of the accommodation provided at such rates as may be determined by or under the arrangements .…”
“… the local authority shall only be required to make or continue to make arrangements for a person to be accommodated in his preferred accommodation if – (a) the preferred accommodation appears to the authority to be suitable in relation to his needs as assessed by them; (b) the cost of making arrangements for him at his preferred accommodation would not require the authority to pay more than they would usually expect to pay having regard to his assessed needs; (c) the preferred accommodation is available; (d) the persons in charge of the preferred accommodation provide it subject to the authority’s usual terms and conditions, having regard to the nature of the accommodation, for providing accommodation for such a person underPart III of the National Assistance Act 1948 .”
“As with all aspects of service provision, there should be a general presumption in favour of people being able to exercise choice over the service they receive. The limitations on authorities’ legal obligation to provide preferred accommodation set out in the direction are not intended to deny people reasonable freedom of choice, but simply to ensure that authorities are able to fulfil their obligations for the quality of service provided and for value for money. The terms of the direction are explained more fully below. Where for any reason an authority decides not to arrange a place for someone in their preferred accommodation it must have a clear and reasonable justification for that decision which relates to the criteria of the direction.”
“7.4 The test should be whether the cost of preferred accommodation is more than the authority would usually expect to pay for someone with the same assessed needs as the individual concerned. This is not necessarily the same as the cost that the authority would have in fact have incurred had the particular individual not decided to exercise their right to chose, since that might be either higher or lower than the authority would usually pay. For example, the cost of a one particular placement at a given time might be determined by the fortuitous availability for whatever reason of a place below the cost that an authority would usually expect to meet, or else by the temporary unavailability of accommodation at the authority’s usual price. 7.5 The costs being compared should be gross costs before income from charging. Given the different amounts that authorities will recover from individuals by way of charges it would not be possible to determine a usual net cost an authority would expect to pay. 7.6 Costs will vary around the country. … 7.7 Costs may also vary according to the type of care. For example, the cost an authority might usually expect to pay for respite care might be different from its usual cost for permanent care.”
“For example, where authorities are conducting, or have completed, exercises designed to draw up closed lists of approved suppliers they will need to make it clear that as a result of this direction such a list cannot now be regarded as an exhaustive statement of those providers with whom the authority will contract. It would not be reasonable for an authority to use as a test of the suitability of accommodation its presence on or absence from a previously compiled list of approved suppliers. The direction does not, however, prevent an authority having a list of preferred providers with which it will contract where a potential resident expresses no preference for particular accommodation, nor from recommending such providers to prospective residents.”
“5.5.2 It is now well documented nationally that home owners within the sector are facing increasing financial pressures due to the legislative changes which are taking place. The new Care Commission standards are placing additional obligations on providers and for some home owners the likely costs of meeting the new national minimum standards are prompting their decision to leave the sector. Issue 10, February 2002 of the ‘Care and Health’ publication indicated that approximately 50,000 or 10% of care home places have ‘reportedly disappeared since 1997 as a result of the mismatch between fee levels paid and what homes estimate as their costs’. In Birmingham, the Service Contracts section recently produced a report on home closures (See Appendix three). This showed that a net reduction of 314 independent sector residential beds had occurred in Birmingham since April 1999 – this mirrored the national trend as it represented 10% of the overall provision. 5.5.3 There have been consultation sessions with providers over the past 12 months in which providers have discussed their financial position in the light of new legal obligations facing them. Homeowners from the Birmingham Care Consortium (which is an amalgamation of Private Sector Trade Associations in Birmingham) have recently provided the Department with a proposal for fees based on their current actual costs. These have been developed by Burgess and Bullock (Chartered Accountants and Business Advisors) and state that fee levels should be set at£326 and for nursing provision at£487 . To reflect the possible impact on the Department’s budget the Finance section have advised that a£50.00 uplift on current prices would incur an additional£9 million pounds expenditure in the year 2002/3. The Department proposes that negotiation with providers on fee levels will be informed by objective information about the predicted costs of care given factors such as Care Commission Standards. The Department would seek to establish a member led, Joint Working Group with providers to consider this issue. Working closely with other Local Authorities some of whom have already commissioned work on this matter. Through this means a realistic price and modelling of the impact of standards should be achieved.”
“The table below summarises the results from the spreadsheets. It should be noted that these apply to a care home that meets all of the national minimum standards and any additional ones that the Council imposes. We expect very few, if any, of Birmingham’s current homes to meet these standards, and so the Council should devise a formula to reduce the rate payable based on the degree of falling short. This deduction will be a percentage of the weekly allowance for the capital value of the home, and would reduce the fair price for care by up to£108 .”
“Clearly, however, Birmingham Council should not reimburse sub-standard homes at the same rate. To avoid this, a formula needs to be developed for discounting the building and equipment allowance for each home by a factor that represents the degree to which the home falls short of the required physical standards. … Such an adjustment factor would be very important in reducing the cost consequences of any decision in principle for local authorities to allow for a return on capital 16% in fees. For a new build or existing home which is fully compliant with all physical standards and ‘valued’ at£32,500 per bed excluding land, such a return on capital allowance would account for£108 per week in fees at an assumed occupancy rate of 92.5%. If a sub-standard home were ‘valued’ it would halve that figure, which is not out of line with current care home market values, it would imply a halving of the return on capital allowance (at the same rate of 16%), i.e. a saving of£54 per week for the local authority.”
“The following 4 tables summarise the results from the spreadsheets. It should be carefully noted that these apply to a care home that meets all of the national minimum standards and any additional ones that the Council’s care purchasers impose. We expect very few, if any, of Birmingham’s current homes to meet these standards, and so the Council should devise a formula to reduce the rate payable ( deduction for non-compliance with physical standards ) based on the degree of falling short.”
“8. At the time when the Laing & Buisson April report was provided to the Defendants, they did not make available the material which supported their recommendation that a 16% per annum return on capital should be allowed for (see paragraph 3.3.1). This was the reason why my paper referred to the report being incomplete. The basis of this calculation was eventually provided in a national report they prepared for the Joseph Rowntree Foundation. No further work, however, has been done to analyse this calculation because it was based upon the implementation of the new higher national minimum care standards which the government then announced were themselves to be reviewed. My colleague, David Jones, refers to this in his witness statement. It should also be noted that central government has not approved the findings of Laing & Buisson report for the Joseph Rowntree Foundation. 9. We disagreed with Laing & Buisson about their assumed rate of return on capital investment, which they themselves recognised ‘may seem high’ (paragraph 3.3.1). Our work on this area suggested that a lower rate of return was reasonable, which is why the resulting figures which we proposed (i.e.£401 pw for nursing home care,£284 pw for low dependency residential care,£343 pw for high dependency residential care) were lower than Laing & Buisson’s. I understand that this aspect of the Defendants’ decision is not under challenge. These figures were based on the assumption that a home met the new higher national care standards. 10. For present purposes, the key feature of the Defendants’ proposal was the phasing in of the increase over the period up to 2007. This was when the new higher national minimum care standards were (as it was then understood) to be implemented. As Laing & Buisson stated, very few if any homes in Birmingham were expected to meet these standards currently, and the value placed by Laing & Buisson on the difference between current and future standards was as much as£108 per week. Accordingly, there was considerable investment and change required before these significantly higher levels of payment could be justified, as reflected in the substantial 5 year implementation period.”
“Councillor McCorry, the Cabinet Member, and myself acknowledge the gap between current fee levels and a ‘Fair Cost of Care’ in the context of the Care Standards Act and other legislative pressures on the care sector.”
“… where a local authority has a statutory duty to provide services and to fund them in part or in whole out of monies provided by its taxpayers it must balance two duties one against the other. On the one hand it must provide the statutory services required of it; on the other, it has a fiduciary duty to those paying for them not to waste their money. It must fairly balance those duties one against the other.”
"However, (reading to the words). Consequently my accountants have undertaken work to estimate this element as detailed in the attachment."
"The City Council accepted that at the present time it was not meeting the real cost of care at home"