Supported Living and Residential Care - Find a freedom of information request

Request

Please accept this data request under the Freedom of Information Act as a Freedom of Information Request.

This request seeks to collect data for individuals living in Supported Living and Residential Care settings with Learning Disabilities and should include those with Learning Disabilities and Autism.

We are not asking for information related to those with only Autism who do not have a Learning Disability.

If the data you return is not in keeping with this requirement, please explain so it can be noted if you have included those with Autism only in your response.

LD Supported Living:

1. Please complete the following table with the information requested and state the period the data relates to. The data period for the data below should include the latest full calendar month for which this data is available within the last 3 months. Please confirm the month the data is related to: __________________ (2021)

Please Provide: Mean Number of Hrs per week

Mean hourly rate paid

Median hourly rate paid

Lowest hourly rate paid

Highest hourly rate paid For:

Hours provided during the day

Wake hours provided during the night

Sleep-ins provided Residential LD Care:

2. Please complete the following table with the information requested for the period stated.

The data period for the data below should include the latest full calendar month for which this data is available and consist of 6 months data in total.

Please confirm the period the data is related to: __________________ (2021 Residential) Please provide:

Mean rate paid

Median rate paid

Lowest rate paid Highest rate paid For:

Placements within the last 6 months

Placements in home longer than 6 months

Current total placements today (2021 Residential Care with Nursing)

Please provide:

Mean rate paid

Median rate paid

Lowest rate paid

Highest rate paid For:

Placements within the last 6 months

Placements in home longer than 6 months

Current total placements today

3. Please outline the 2022-23 timeline for Supported Living and Residential LD care fee uplifts.

Please include the process undertaken to establish provider costs, the internal review process and any benchmarking process undertaken, stating the decision makers, and timeline up to and including engagement and communication with providers through to applying any uplift agreed.

4. Please provide the annual fee uplift information below for the last 5 years:

(Supported Living) Please Provide:

Percentage uplift Number of Providers receiving this uplift

Number of Individuals receiving this uplift For: 2021-22 2020-21 2019-20 (Residential Care)

Please Provide: Percentage uplift Number of Providers receiving this uplift Number of Individuals receiving this uplift For: 2021-22 2020-21 2019-20 (Residential Care with Nursing)

Please Provide: Percentage uplift Number of Providers receiving this uplift Number of Individuals receiving this uplift For: 2021-22 2020-21 2019-20 

Decision

1.

Q1

LD Supported Living

 

Hours provided
during the day

Wake hours provided

Sleep-ins
provided (nights)

 
             

Mean Number of Hrs per week

   

24.2

n/a

5.1

nights

Mean hourly rate paid

   

£16.87

n/a

£76.70

amt per night

Median hourly rate paid

   

£16.92

n/a

£80.19

amt per night

Lowest hourly rate paid

   

£12.07

n/a

£10.00

amt per night

Highest hourly rate paid

   

£19.90

n/a

£98.03

amt per night

2. 

Q2

LD Residential

 

Placements starting
within the last 6 months

Placements in home
longer than 6 months

Current total
placements today

 

November 2021

       

Mean rate paid

   

£919.92

£1,118.73

£1,110.89

Median rate paid

   

£749.00

£795.00

£795.00

Lowest rate paid

   

£587.00

£533.00

£533.00

Highest rate paid

   

£2,776.76

£4,166.78

£4,166.78

           

 

 

 

 

 

 

           
 

LD Nursing

       
 

November 2021

       

Mean rate paid

     

£865.21

£865.21

Median rate paid

   

none started in last six months

£749.00

£749.00

Lowest rate paid

     

£375.00

£375.00

Highest rate paid

     

£2,342.75

£2,342.75

3. 

Please outline the 2022-23 timeline for Supported Living and Residential LD care fee uplifts. Please include the process undertaken to establish provider costs, the internal review process and any benchmarking process undertaken, stating the decision makers, and timeline up to and including engagement and communication with providers through to applying any uplift agreed.
 

  1. Residential LD Care Fee Uplifts

The Council’s Usual Costs for residential care are agreed following a thorough review of the local market conditions and engagement with the sector in which all contracted residential care providers are invited to participate. Key stages of the review process are summarised below:

 

i.Commissioning and completing an independent review of the Residential market in Lincolnshire resulting in a set of reports issued to the Council for its consideration in developing and setting its rates.

ii.Analysis of these reports to inform the decision-making process for establishing what the new Usual Costs may be.

iii.Consideration of any changes identified as necessary or beneficial to the current Usual Cost model, including in relation to the 2022-23 fee setting approach, consideration of the impact of COVID-19 and the future direction of the market

iv.Development of a proposal for the new Usual Costs for each service based upon the analysis undertaken and the required changes to manage emerging market conditions.

v.Market consultation process affording providers the opportunity to provide comments and feedback on proposed Usual Costs for the coming year

vi.Review and consideration of market comments and feedback, and finalisation of proposals in preparation for formal decision making.

Remaining activities and associated timescales for 2022-23 are summarised in the table below:

Activity

Date

Market Consultation

16th December 2021 to 23rd January 2022

Consideration of market comments and feedback, review and finalisation of proposals

24th January to 14th February 2022

Final proposals and presented to ACCW Scrutiny Committee

23rd February 2022

Executive Decision

1st March 2022

Contract issue and execution

2nd March to 31st March 2022

Effective Date

1st April 2022

 

  1. Supported Living Care Fee Uplifts

The Council’s community supported living rates are established as part of a competitive tender process, last undertaken in 2020 for the current contract period 2020-2025. Supported Living Fees, along with the rates the Council pays for other non-residential services, are subject to annual review and uplift to take account of inflationary cost pressures. This review takes place each year in December and January, and proposal is put forward to be agreed by the Adult Care and Community Wellbeing Executive Directorate Leadership Team (EDLT).

The rates review has been undertaken for financial year 2022/23 and proposed rates have been calculated, which if agreed by EDLT, will be communicated to contracted providers during February 2022 and will be applied with effect from 1 April 2022.

4. Please provide the annual fee uplift information below for the last 5 years:

(Supported Living)

 

2021-22

2020-21

2019-20

2018-19

2017-18

Hourly Rate Ceiling

£16.92

£16.52

£16.01

£15.35

£14.58

% Uplift

2.4%

3.2%

4.3%

5.3%

4.9%

No. of Providers

38

37

39

39

33

No. of Individuals

801

796

772

 

 



Please Provide:

Percentage uplift - Included in table above

Number of Providers receiving this uplift - Included in table above

Number of Individuals receiving this uplift - Included in table above

For:
2021-22
2020-21
2019-20

(Residential and Nursing Care)
 

 

2021-22

2020-21

2019-20

2018-19

2017-18

LD Residential Usual Cost (weekly rate)

9 band model introduced April 2018.  See tables below

9 band model introduced April 2018.  See tables below

9 band model introduced April 2018.  See tables below

9 band model introduced April 2018.  See tables below

£506 (LD STD)

% Uplift

3.2%

3.8%

3.96%

n/a (move to 9 band model distorts comparison)

5.2%

No. of Providers

23

20

17

 

 

 

No. of Individuals

352

334

309

 

 

 

LEARNING DISABILITY USUAL COSTS – 2018-19 to 2021-22

 

 

Band 3

Band 2

Band 1

 

 

Staffing Ratio

Very intensive , high levels of care, very complex needs by exception

Medium for substantial needs

Moderate for appreciable needs:

Total Number of Hours

1:7

 

 

21

1:5

 

29

 

1:3

45

 

 

 

Unit Rates

Band 3

Band 2

Band 1

2018/19

Standard

13+ beds

£859

£686

£599

Smaller

7-12 beds

£902

£729

£642

Smallest

1-6 beds

£945

£773

£686

         

Unit Rates

Band 3

Band 2

Band 1

2019/20

Standard

13+ beds

£893

£711

£619

Smaller

7-12 beds

£937

£755

£663

Smallest

1-6 beds

£980

£799

£707

         

Unit Rates

Band 3

Band 2

Band 1

2020/21

Standard

13+ beds

£924

£733

£637

Smaller

7-12 beds

£969

£778

£682

Smallest

1-6 beds

£1,013

£823

£727

 

         

Unit Rates

Band 3

Band 2

Band 1

2021/22

Standard

13+ beds

£944

£749

£651

Smaller

7-12 beds

£990

£795

£697

Smallest

1-6 beds

£1,035

£841

£743

 

One to one hours may also be commissioned in addition to the core band at the following hourly rates

2018/19

2019/20

2020/21

2021/22

£10.71

£11.29

£11.81

£12.07


Please Provide:

Percentage uplift - Included in table above

Number of Providers receiving this uplift - Included in table above

Number of Individuals receiving this uplift - Included in table above

For:
2021-22
2020-21
2019-20

(Residential Care with Nursing)

Included in section above.

Please Provide:

Percentage uplift – Per section above

Number of Providers receiving this uplift – Per section above

Number of Individuals receiving this uplift – Per section above
For:

2021-22
2020-21
2019-20

 

Reference number
3036145
Date request received
17/12/21
Date of decision
18/01/22