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Minutes of the

Enfield Learning Disability Partnership Board

23rd

February 2015

This Meeting’s Big Issue Was

Implications of the Care Act –

Information, advice and

Advocacy Safeguarding Carers and Charging

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Present -

People Who Were There

Niel Niehorster Co-Chair - London Borough of Enfield Head of Integrated Learning Disability Services, Enfield Community Services

Lesley Walls Specialist Participant – Voluntary Sector

Kellie Scott Admin Support, London Borough of Enfield

Jane Richards Carer2Carer network

Lucy Whitman Volunteer and engagement officer, Healthwatch Enfield

Surojit Walawalker Family Carers Champion - Parent Carer and CAPE Chair

Wendy Berry Family Carers Champion - Parent Carer/ CAPE

Sue Wilkinson Advocacy Support, Enfield Disability Action Advocacy Project

Elizabeth Taoushanis Advocate, Community Link and One-to-One

Tamara McNamara Acute Liaison Nurse, Barnet and Chase farm Hospital

Paulette Blackwood Acute Liaison Nurse, Royal Free and North Middlesex Hospital.

Peppa Aubyn Integrated Learning Disability and Mental Health Services Commissioning Manager

Geoff Lambrick Personalisation Champion, London Borough of Enfield, Service Manager Assessment and Care Management,

Shirley-Anne Wheeler Employment Champion – London Borough of Enfield Service Manager Equals Employment

Bernadette Reigar Parent Carer/ (CAPE)

Monika Rivers Specialist Participant - Development Manager (Volunteer Coordinator), Enfield Mencap

Maureen Ncube Community Nurse, representing Jon Robson

Ineta Miskynte Transition Champion - London Borough of Enfield Transition Manager

Chris O’Donnell Facilitator - Person Centred Planning Coordinator

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Apologies –

People who could not be there

Sheila Barry Co-Chair – Self Advocate and User Forum

Bill Barry Peer Advocate, User forum

Dr Ujjal Sarkhar Enfield Clinical Commissioning Group

Lorraine Davis Assistant Director Health and Adult Social Care

Josephine Carroll Central and North West London NHS Foundation Trust

Liane Burn Hate Crime and Leadership & Advocacy Champion - Specialist Participant, Voluntary Sector.

Cllr Christiana During Councilor

Margaret Stewart Project Manager, Partnership Board Work Plan.

Stephen Moslin Advocate, User Forum

Pamela Burke Chief Executive, Enfield Carers Centre

Jon Robson Health Champion - Team Leader Community Nursing

Cllr Alessandro Georgiou

Councillor

Stephen Young Peer Advocate, Formont User Forum

Cllr Sarah Doyle Councillor

Caroline Mayger Community Services Manager, London Borough of Enfield.

Guests

Tracey Owen Acting Income Assessment Team Leader

Suzanne Hutchinson Acting Performance Manager (presenting on charging)

Helen Tapfumaneyi Team Manager Safeguarding Adults (presenting on making safeguarding personal)

Michael Sprossen Service Manager Procurement (presenting on Information advice and advocacy)

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Helen Tapfumaneyi gave this presentation on ‘Making Safeguarding Personal’

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Helen also said there is a ‘Multi-Agency Safeguarding Hub’ or MASH.

This includes experts from all teams and the police.

The police are there for information. They have very secure systems to find out about the history of alleged perpetrators.

Helen also has a case study, which Chris will send out with these minutes

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The Board had these comments on the presentation

We also have other examples to send?

The board wanted to know how this worked if the alleged abuse happened in hospital.

There would still be a capacity assessment and best interest decision on how to proceed.

Acute Liaison Nurses are also there to support people

Sometimes people may feel intimidated and not want to complain.

Staff still have a duty to report suspected abuse. Investigators will decide if the is a public interest to continue.

There are also drama based workshops to help people to feel confident speaking up

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Hospitals are also represented on the Safeguarding Board

The board were also interested in what happens if the abuse involved a crime

The police involvement in the MASH is just for information. Crimes would still need to be reported as usual.

Although ‘making safeguarding personal’ is not process driven, the processes are still there! Certain things need to be done in certain timescales.

There is a flowchart for this. Chris will send it out with these minutes.

The board were pleased that person centred approaches are being used in safeguarding, and were interested in how this was being done in practice.

There are lots of very good resources, video’s and social stories available on line that MASH could use.

Board members will send links to good resources to Chris. Chris will talk to Helen about this before the next board.

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Michael Sprossen then spoke to the Board about Information

advice and advocacy

The Care Act gives councils the responsibility to provide accessible information and advice about support services.

The Care Act has 52 requirements and Enfield fully or partially meets all of them.

Health, Housing and Adult Social Care are checking all the documents they give to people.

The council also commissions information and advice from some voluntary and community sector organisation. Contracts with service providers also say they should give information and advice as part of the service they provide.

The council is also talking to GP’s and Library’s to make sure they have the right information and advice to give people.

The council is also working on its website all the time.

The council website will be linking to ‘AskSara’, an information and advice service from the Disabled Living Foundation. This provides information and advice to people with low or moderate needs that do not meet Fair Access to Care Services.

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The council also has to give financial information and advice about how to fund care and support. There is a new section on the Adult Social Care section of the website, called ‘My Care – Money Matters’

This section has links to sites for different types of information and advice. These sources are all regulated by the ‘Financial Conduct Authority’.

The council is also developing an ‘Information and Advice Plan’. This may be part of the joint health and wellbeing strategy. This plan will look at the sorts of information people want, and different ways to communicate it.

The council is also updating its advocacy policy to meet Care Act Requirements. This includes things like -

How and when to decide if someone has ‘Substantial Difficulty’ being involved in decisions, and is provided with an independent advocate.

How to decide if someone has good informal advocacy in place (family friends etc.). Some people may not want family members to advocate for them.

How an independent advocate fits in with other things, like a ‘Lasting Power of Attorney’.

How to make sure independent advocates have the right skills, training and experience.

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The council will be commissioning an advocacy service, probably later this year or early 2016.

The council still needs to understand how much advocacy is actually needed.

Until the new service starts, the council will ‘Spot purchase’ advocacy for people as they need it.

The Board had these comments on Michael’s talk

The board accept that a lot of work will be done to make information available on the council website.

Many board members found the council website very difficult to use. They say it is difficult to find things.

Some board members preferred face book. Chris will speak to Lesley about the possibility of the partnership board creating an easy access website or face book page which can link to useful information.

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Suzzanne Hutchinson then gave this presentation on Care

Charging

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The Board had these comments on the presentation

The board though some of the charts were quite complicated, and some people would need help to understand them.

Board members are also aware of a separate consultation on possible charges for transport to day services. This will not be completed until after the charging policy consultation closes.

The board felt that any outcome from the transport consultation should not come into effect until next year.

The says that anyone who became disabled before the age of 25 will be exempt from charging. Note – The government now suggests this only applies to people who are under 25 on 1st April 2016.

Board members are encouraged to take part in the national consultation. Chris will send the link out with these minutes.

The board were interested to know how much money is raised by care charging for people with learning disabilities. Chris will send this out with these minutes.

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The board noted that the minimum income guarantee puts some people at a disadvantage. People living on their own only have a few pounds a week more than people living with their family or friends and sharing living expense.

Chris and Niel will complete a response to the consultation and circulate it to the board for comment. The final version will be sent out with these minutes.

Members of the board are also encouraged to formally take part in the consultation.

The income team are also reviewing disability related expenses, but have not produced any easy read information for people with learning disabilities. Niel will offer to do a workshop with the income team on the needs of people with learning disabilities.

Any Other Business

The board noted that the carers centre was not represented again. Carers feel that the needs of carers of people with learning disabilities do not get sufficient support from the carers centre. Niel will arrange a meeting with the carers centre to discuss this.

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Work Plan

In order to move on with the Autism strategy, the council are tendering out an Autism Coordinator post. This has now gone out.

The Equalities and Inclusion workstream is still working on the Learning Disability Parliament. Things should start happening soon.

The board also noted that the housing report did not refer to the service at Old Church Court losing its lease. This will involve 18 people needing to find new homes. Geoff said that the Integrated learning Disability Service were confident everyone will find a place.

The board noted there has not been a Health Sub Group since November. Niel will chase this up with Jon.

There is still no champion available for workforce development. We will make this the big issue for the next meeting.

Effects of financial climate

We did not have time to discuss this at this meeting. Niel will update the next board on the financial situation for 2015/2016

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Outcomes from November 2014

Who Will do What By When Outcome

Chris Send out the new review guide with these minutes

8th December

This was done

Chris Send out Jacqui Smith’s presentation on people transport with these minutes.

8th December

This was done

Chris Update the Board on TFL’s feedback on the missing person protocol

8th December

TFL though our guidelines were very good. They thought we could talk to community safety police at the transport sub group if we want more advice.

Niel Update the board on how ‘My Personal Assistant’ are meeting their targets.

Feedback to next board

Deferred

Stephen Send the results of the transport survey to Councillor Georgiou to take to the Public Transport Consultative Group.

Feedback to next board

We will talk about this at the next meeting

Niel/

Wendy

Meet with Doug Wilson to look at how people can be made aware of Disability Related Expenses when being assessed for care charges.

Feedback to next board

Deferred

Chris Discuss with Peppa the possibility of setting up a ‘Peer Planning’ group.

Feedback to next board

Chris and Peppa have meet to look at ways to train more Peer Support Planners. We can feedback progress top the next board

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Actions

Who Will do What By When

Chris Send out safeguarding case study with these minutes

16th March

Chris Send out safeguarding timescales with these minutes

16th March

Chris Send out information about how much money is raised through care charging for people with learning disabilities with these minutes.

16th March

Niel/Chris Pull together the boards feedback on the Care Charging Policy and submit as part of the consultation

16th March

Chris Talk to Helen Tapfumaneyi about the person centred approaches used in safeguarding, such as accessible information, person centred protection plans, video information and social stories.

18th May

Niel Arrange a meeting with the carers centre and representatives of cares groups.

18th May

Chris/

Lesley

Discuss the possibility of the partnership board hosting an easy read website or facebook page.

18th May

Niel Offer to do a workshop with the income team on the needs of people with learning disabilities.

18th May

Niel Talk to Jon about setting health sub group dates 16th March

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The ‘Big Issue’ for our meeting on

February 23rd will be….

Meetings for the rest of the year 18

th May

17th August

16th November

Workforce Development