"options for the future at St David's could be set along a spectrum. However 2 options are not up for consideration - (1) the removal of any scheme manager/support presence; (2) the staffing arrangements remaining as they are."
"Financial Appraisal 1.1 The new service model will achieve savings as a result of ending the Directly Provided Services (DPS) on-site staff team that currently provides support to tenants. The savings will be approximately£130,000 per year. The current funding arrangements involve Supporting People (SP), Lewes District Council and Adult Social Care (ASC) as detailed at Appendix 1. A saving of approximately£40,000 should be achieved from the ASC budget. 1.2 The current SP funding into St David's Court is approximately three times higher than comparable sheltered housing schemes. The revised service model provides an opportunity to reallocate funding more equitably. 1.3 It is possible that small increases in packages of care purchased from the independent sector may result in the future, however, significant reductions in funding will be achieved as several tenants will move to the Downlands Court extra care scheme, with their care [to] be delivered through the on-site care and support contract. 2 Key issues - background 2.1 St David's Court is a 35 unit sheltered housing scheme located in Peacehaven and managed by Lewes District Council. Most of the tenants are older people. The model of care has been a hybrid; more support than a sheltered scheme and less support than an extra care scheme. The scheme has operated in this way for approximately ten years. 2.2 The on-site team provides a 24 hour presence, funded primarily by SP, but Lewes District Council and ASC also contribute to these costs. The on-site team provide mainly 'housing related support' rather than care, although these distinctions have become blurred over the years. 2.3 Operations managers in the directly provided service and Assessment & Care Management have expressed concern over the service model over recent years. These concerns have been based on ASC funding care that is not its responsibility and the potential double funding of support, as in addition to the on-site team a number of individuals may also have home care provided by an independent company, funded by ASC. 2.4 Lewes District Council, SP and ASC agreed that the level of need at St David's was not significantly higher than many other sheltered schemes and that although tenants were generally very positive about the on-site team it was not sufficient justification to continue to fund this level of support. 2.5 A process of consultation on potential changes commenced early in 2008. The views of tenants, relatives and carers have been recognised through monthly meetings that included tenant and carer representatives, general meetings of tenants and carers. 2.6 Whilst there is still some concern, more from carers and relatives than tenants, there is acknowledgement that the changes being proposed are reasonable. 2.7 Several tenants have applied for and been allocated homes in Downlands Court which opened in the second week of September. This has significantly reduced the level of care needs and further reinforces the case for change. Downlands Court is an Extra Care Housing Scheme and provides a higher level of support than a sheltered scheme. 3. Conclusions 3.1 The overall level of need within this scheme does not merit an on-site team. 3.2 Most of those with higher levels of need or concerns about how their needs will be met in the future have opted to apply for and been offered accommodation at Downlands Court. 3.3 Though the process to date has been inclusive and has achieved a high level of cooperation, some tenants, carers or relatives have expressed concern as to how needs will be managed in the future. Additional telecare and the provision of an on-site manager, from Monday to Friday (funded by SP and LDC), plus individual home care services (funded by ASC), will provide sufficient support and care. 3.4 SP funding can [be] deployed more effectively in the future. 3.5 Staff have already been informed of the potential changes, which if agreed, will mean the implementation of the Council's Employment Stability Scheme for those affected."