Joint Inspection into Older Peoples Services

1
Joint Inspection into Older Peoples Services

• Inspection carried out by Healthcare Commission,
  Commission for Social Care Inspection (CSCI) and
  the Audit Commission
• October May 2005 fieldwork 25 Jan-11th Feb

2
Who was inspected

• Brent Council (star-rated)
• Brent Primary Care Trust
• Northwest London Hospitals
• Harrow PCT
• CNWL Mental Health Trust
• LAS NHS Direct

3
Areas inspected

• Progress on NSF
• Promotion of Independence Choice
• Service user carers views of service
  improvements and gaps
• Age Group 50

4
Findings - Positive

• Joint Commissioning Strategy forms a good
  platform for future developments
• Services reflect the rich ethnic diversity of the
  borough
• Staff enjoy working in Brent
• energised by developments in services
• and opportunities to make progress

5
Findings - Positive

• Commitment to partnership working
• Brent Better Government for Older People is an
  initiative that shows considerable promise
• More older people are being supported in their
  own homes through community based services

6
Findings - Positive

• The new Intermediate Care model proposal is based
  on a whole systems approach
• Plans for Emergency Care Diagnostic Centres are
  well developed
• The Willesden Hospital development will house the
  Social Services Older Peoples Department.

7
Findings - Negative

• Mental Health Services for Older People are under
  funded
• Progress on the Single Assessment Process has
  been slow
• Joint working to secure effective hospital
  discharge is not embedded (however Brent is
  performing above the London average)

8
Recommendations
The inspectors listed areas for improvement (to
be carried out jointly) based on the following
criteria

• Please see (Hand-out)
• Joint Action Plan

• Person Centred Care
• Vision
• Capacity
• Range of Services
• Commissioning