SUPPORTING PEOPLE COMMISSIONING BODY, 22nd June 2009
AGENDA ITEM 4 – Performance Monitoring and outcomes reporting
The Commissioning Body is asked to:
§ Note the Supporting People specific performance data collected and 2008/09 National Indicator performance
§ Note the learning disability, mental health, floating support, young people and rough sleeper performance, outcomes and activity data
§ Agree the targets contained in the report
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1. Measuring Supporting People Overall Performance
CLG have defined Performance Indicators (PIs) to be collected by each authority for each service. PI data is collected on a quarterly basis by the Supporting People team. Provision of this information is a provider contractual requirement and this information is then provided by the Supporting People team to the CLG and this is then used for the National Indicators NI 141 and NI 142. Targets were set for
· KPI 1 –service uses who have been supported to establish and maintain independent living,
· KPI 2 – Service users who have moved on in a planned way from temporary living arrangements
· SPI 1 – Service availability
i.e. the number of units that are available to let as a percentage of the total units contracted
· SPI 2 – Percentage utilisation
i.e. Occupancy levels: the number of days that support is utilised as a percentage of the number of days support is contracted
The table below shows the targets and performance over the last three years:
Performance Indicator / Target % / 08/09 / 07/08 / 06/07 / 05/06KPI 1 / 90% / 98% / 99% / 96% / 99%
KPI 2 / 75% / 75.58% / 70.68% / 73% / 61%
SPI 1 / 90% / 99.2% / 99.22% / 99.28% / 99.22%
SPI 2 / 90% / 93.5% / 93.76% / 95.64% / 91.92%
KPI 1 Data Analysis
The following graph breaks down the KPI 1 percentage of service users establishing and maintaining independence by client group
All long term services have exceeded the existing target of 90% of service users establishing and maintaining independence over the year.
National Indicator 142 Data Analysis
The following table summarises by client group the NI 142 data during the year. The final year figure of 75.58% exceeded the target set. As has been mentioned in previous reports it is important that, given Westminster’s high levels of homeless services, that the setting of this target does not lead to provider organisations not taking the most appropriate and vulnerable referrals in case a positive move-on outcome is not achieved (this is particularly the case within rough sleeper services.) It is thus recommended that the target of 75% is retained.
Westminster National Indicator Data 2008/092008/09 Quarter 1
Client Group / Pos Moves / Total moves / KPI %
Rough Sleepers / 88 / 133 / 66.17%
Young people / 207 / 266 / 77.82%
Mental Health / 15 / 17 / 88.24%
Domestic Violence / 11 / 12 / 91.67%
Single Homeless / 53 / 81 / 65.43%
Offenders / 2 / 2 / 100.00%
Substance Misuse / 9 / 11 / 81.82%
Learning Disability / 0 / 0 / 0.00%
Total / 385 / 522 / 73.75%
2008/09 Quarter 2
Rough Sleepers / 106 / 167 / 63.47%
Single Homeless / 57 / 71 / 80.28%
Young People / 216 / 276 / 78.26%
Domestic violence / 18 / 23 / 78.26%
Learning Disability / 1 / 1 / 100.00%
Mental Health / 11 / 15 / 73.33%
Offenders / 0 / 2 / 0.00%
Substance misuse / 8 / 14 / 57.14%
Refugees / 1 / 2 / 50.00%
Total / 418 / 571 / 73.20%
2008/09 Quarter 3
Rough Sleepers / 74 / 98 / 75.51%
Single Homeless / 64 / 78 / 82.05%
Young People / 193 / 242 / 79.75%
Domestic violence / 10 / 13 / 76.92%
Learning Disability / 1 / 1 / 100
Mental Health / 12 / 20 / 60.00%
Offenders / 2 / 2 / 100.00%
Substance misuse / 9 / 14 / 64.29%
Refugees / 1 / 1 / 100.00%
Total / 366 / 469 / 78.04%
2008/09 Quarter 4
Rough Sleepers / 61 / 94 / 64.89%
Single Homeless / 61 / 69 / 88.41%
Young People / 169 / 207 / 81.64%
Domestic violence / 10 / 19 / 52.63%
Learning Disability / 0 / 0 / 100
Mental Health / 17 / 21 / 80.95%
Offenders / 1 / 4 / 25.00%
Substance misuse / 4 / 16 / 25.00%
Refugees / 1 / 1 / 100.00%
Total / 366 / 469 / 78.04%
Total Year To Date / 1535 / 2031 / 75.58%
SPI 1a Data Analysis
Available units as a percentage of contracted units
Although most services have exceeded the target set for availability there have been some variations throughout the year in some services
SPI 2a Data Analysis - Occupied units
Generally utilisation in most services is very high although again there has been some variations throughout the year in some services and this is addressed through contract monitoring.
2. Learning Disability Pathway Report
Introduction
The Learning Disability Housing Strategy and 2008/09 Pathway set out targets to increase the number of people with a Learning Disability living in independent accommodation by:
· Increasing the amount of support housing available
· Developing supported housing in borough for people with complex needs
· Identifying people who are ready to move on from registered care to supported housing with tenancies
· Improving use of the Learning Disability Quota, ensuring the quota is targeted at the most appropriate referrals and in turn frees up housing resources
· Making use of alternative housing options
The targets set for 2008 - 2009
Action / Met or pending6 people move to independent living from supported living by accessing the annual learning disability quota and other social housing. / Exceeded.
· 6 people moved to independent living from supported living by accessing W34 learning disability housing quota.
· 4 people moved from supported housing to independent living by accessing new housing provision in addition to quota
2 people move to independent living from supported housing through private leasing / Met
· 2 people moved to independent living from supported housing through private leasing
4 people move from out of borough placements back into borough / Exceeded
· 3 people moved back to Westminster to registered in borough care
· 1 person moved back to Westminster to supported living scheme (settled accommodation)
· 1 person moved back from long term respite (out of borough) to supported living in Westminster (settled accommodation)
· 2 people moved from NHS out of borough resource (assessment) to supported living schemes (settled accommodation)
4 people move to supported living from residential in borough placements following remodelling of services (see table of pipeline developments) / Met
· 2 people moved from registered care in borough to in borough supported living schemes (settled accommodation)
· 1 person moved out of residential care to independent living
· 1 person moved from out of borough residential care to out of borough supported living scheme
2 people move to shared ownership model from supported living or from family /carer / Not met
· Difficulties in market have created some mistrust in house purchase. Systems being developed a special needs affordable housing scheme
National Indicator 145: Adults with learning disabilities in settled accommodation.
The overall objective of the indicator is to reduce the use of out of borough residential care placements in favour of more independent in borough supported and independent housing.
The indicator focuses on people aged 18 to 64 and looks at their accommodation status at the time of their assessment or latest review. It makes a distinction between people living in ‘settled’ accommodation and ‘non-settled’ accommodation.
Accommodation status of people with learning disabilities aged 18 to 64 at the time of assessment / review (NI 145)Period when assessed / reviewed
Apr to Sep / Oct to Mar / Grand Total
Settled accommodation (18 to 64)
A-S1a Owner Occupier / 1 / 1
A-S2a Tenant-Public Sector Without Support Linked To Tenancy / 23 / 52 / 75
A-S2b Tenant-Public Sector With Support Linked To Tenancy / 15 / 29 / 44
A-S3 Tenant-Private Landlord / 1 / 3 / 4
A-S4a Settled Mainstream Housing With Family / 46 / 100 / 146
A-S4b Settled Mainstream Housing With Friends / 2 / 2
A-S5 Supported Accommodation/Lodgings/Group Home / 2 / 2 / 4
A-S6 Approved Offenders Accommodation / 1 / 1
A-S7b Extra Sheltered Housing / 2 / 2
A-S7c Other Sheltered Housing / 1 / 1
Total (settled accommodation) / 87 / 193 / 280
Non-settled accommodation (18 to 64)
A-NS11a Residential School / 1 / 1
A-NS11b Other Temporary Accommodation / 2 / 2
A-NS2 Night Shelter/Emergency Or Direct Access Hostel / 1 / 1
A-NS6 Acute/Long Stay Healthcare Residential Facility Or Hospital / 6 / 7 / 13
A-NS7 Residential Care Home / 49 / 119 / 168
A-NS8 Residential Nursing Home / 3 / 1 / 4
A-NS9 Adult Placement Scheme / 1 / 1
Total (non-settled accommodation) / 58 / 132 / 190
Grand total (settled and non-settled) / 145 / 325 / 470
% in settled accomm. at time of assessment / review / 60.0% / 59.4% / 59.6%
% in non-settled accomm. at time of assessment / review / 40.0% / 40.6% / 40.4%
The table above shows that in the period 1/10/08 to 31/3/09 59% of people aged 18 to 64 were in settled accommodation at the time of their assessment or review. This is virtually the same as the proportion for the year as a whole.
We do not yet have benchmarking information from other inner London authorities but it is likely that this will place us among the lower performing authorities. The targets below have been set to deliver the housing options to improve the settled accommodation ratio.
Targets for 2009 -2010
Action / Progress to date5 people move from out of borough placements back into borough / · 1 person moved to in borough registered care
· 2 pending moving to in borough registered care
9 people move from NHS Campus provision to residential in borough and supported living model provision / · 4 people are now in registered care models of support who were previously in campus defined accommodation
· One person to move to the North West Sector development in June 09
· Five people remaining and awaiting outcome of DOH campus reprovision bid.
7 people move to supported housing model from residential placements in borough because of new supply (see table of pipeline developments) / · 1 person in phase one pipeline development: 100 Shirland Rd June 09
· 2 people in phase two pipeline development 135 Kilburn Park Rd Nov 09
· 5 people in phase three pipeline development Leonora Hse
3 people move from residential service to supported living due to remodelling of service into a supported housing model as part of the programme to deregister this provision. / · 3 people in deregistration of Dartington House
· 3 people in deregistration of Lapworth Court
· 7 people in deregistration and move on Westbourne Park Road
· 10 people in deregistration of Cato Street
6 people move to independent living from supported living model by accessing public sector housing nominations / · 3 people identified in first quarter to move on from Supported Housing to W34 nomination property
· 1 person identified to move on from PCHA supported housing to independent PCHA property
3 people move to shared ownership model from supported living or from family/carer. / · 3 people identified and placed on Catalyst waiting list and Octavia Housing list for affordable homes and work eing carried out with WCC and housing partners to look at promoting shared ownership options
New Supply
We have 10 one bed Learning Disability quota flats this year and a 2 bed unit giving us 11 move on opportunities to independent tenancies. We have acquired a 2 bed ground floor property owned by Peabody and managed by Lookahead Support Service who are currently funded by supporting People.
New pipeline development opportunities
In partnership with Octavia Housing Association Westminster are supporting a bid to the Homes and Communities Agency for a supported housing scheme of five self contained units with staff support based on site to provide 24/7 input. It is planned to develop this as a specialist autism service to meet the needs of those people in transition who have complex needs. If the application is successful the scheme would be operational in autumn 2010
Shared Ownership and Private sector leasing
We have three people currently on the waiting list for take up of affordable housing under shared ownership schemes. We are forging links with agencies to promote this option to people in Westminster with a Learning disability.
Conclusion
The targets set out in The Pathway Flow are achievable and on target. Providers are working in partnership with the Learning Disability Team to identify people who are ready to move on and systems are being improved around joint working with Care Managers and Placement Monitoring Officers. The development of 161 Shirland Rd has been well received by service users and families and carers. Further developments of supported housing models are on track for 2009. Remodelling of registered care to supported housing is planned to achieve the first deregistrations in the programme in this year.
3. Mental Health Accommodation and Support Services
Move on has been high on the agenda since October 2007 when the Move on Quota for mental health supported housing (MHSH) was introduced. All provider organisations have been active in ensuring that service users in the supported housing schemes are appropriately accommodated with the right level of support to meet their assessed needs.