At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 31st July, 2018.

Present:-

Members

Role

Doug CROSS ( Chairperson)

Nominated by Health Board (Non Executive Member)

Roisin SMITH

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

Dave BERRY

Chief Finance Officer

Jane MARTIN

Chief Social Work Officer

Cesar RODRIGUEZ

Registered Medical Practitioner (not providing primary medical services)

Raymond MARSHALL

Staff Partnership Representative

Non members in attendance at request of Chief Finance Officer:-

Tony GASKIN

Chief Internal Auditor

Diane MCCULLOCH

Dundee Health and Social Care Partnership

Jenny HILL

Dundee Health and Social Care Partnership

Alexis CHAPPELL

Dundee Health and Social Care Partnership

Rosalind GUILD

Dundee Health and Social Care Partnership

Lynsey WEBSTER

Dundee Health and Social Care Partnership

Doug CROSS, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence was submitted on behalf of:-

David LYNCH, Chief Officer.

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 29th May, 2018 was submitted and approved.

IV ANNUAL PERFORMANCE REPORT 2017/18 UPDATE

 

There was submitted Report No PAC43-2018 by the Chief Finance Officer updating on progress towards producing the 2017/18 Health and Social Care Partnerships Annual Performance Report.

The Committee agreed:-

(i)                     to note the updates contained within the report;

(ii)                    to note that the summary version of the Annual Performance Report, which was attached to the report as Appendix 1, would be published on the Health and Social Care Partnership website on 31st July, 2018;

 

(iii)                    to note that the full version of the Annual Performance Report had been developed and would be submitted to the meeting of the Integration Joint Board on 28th August, 2018 for approval; and

 

(iv)                   that thanks would be passed on to all staff involved in the production of the Annual Performance Report.

 

V PERFORMANCE REPORT CARE INSPECTORATE GRADINGS DUNDEE REGISTERED CARE HOMESFOR ADULTS 2017/18

 

There was submitted Report No PAC26-2018 by the Chief Finance Officer summarising the gradings awarded by the Care Inspectorate to Dundee Registered Care Homes for Adults in Dundee for the period 1st April, 2017 to 31st March, 2018.

The Committee agreed:-

(i)                     to note the content of the report and the gradings awarded as detailed in the Performance Report which was attached as Appendix A and highlighted in section 4.2 of the report;

 

(ii)                    to note the range of continuous improvement activities progressed during 2017-18 as described in section 4.3 of the report;

 

(iii)                    to note that the position in relation to Helenslea and Bughties would continue to be monitored with a view to maintaining and improving on the level of performance;

(iv)                   to note that future reports would be set in the context of new standards now operated by the Care Inspectorate in terms of preparations; and

(v)                    that a report would be submitted to a future meeting of the Committee giving assurances that preparations were in hand in terms of the introduction of Care Standards.

 

VI PERFORMANCE REPORT CARE INSPECTORATE GRADINGS DUNDEE REGISTERED CARESERVICES FOR ADULTS 2017/18 (EXCLUDING CARE HOMES)

 

There was submitted Report No PAC39-2018 by the Chief Finance Officer summarising the gradings awarded by the Care Inspectorate to Dundee Registered Care Services for Adults (excluding Care Homes) for the period 1st April, 2017 to 31st March, 2018.

The Committee agreed:-

(i)                     to note the content of the report and the gradings awarded as detailed in the Performance Report which was attached to the report as Appendix A and highlighted in section 4.2 of the report;

 

(ii)                    to note the range of continuous improvement activities progressed during 2017-18 as described in section 4.3 of the report;  and

 

(iii)                    that a copy of the Care Inspectorates self-assessment framework would be issued to the Committee for their information.

 

VII PERFORMANCE REPORT QUARTERLY COMPLAINTS 2018/19 QUARTER 1

 

There was submitted Report No PAC27-2018 by the Chief Finance Officer providing an analysis of complaints received by the Health and Social Care Partnership over the first quarter of 2018/19.

The Committee agreed:-

(i)                     to note the content of the report in relation to the performance of Dundee Health and Social Care Partnership's complaints process; and

 

(ii)                    to note that information in relation to complaints would be examined to ascertain what could be shared with the Committee.

 

VIII OUTCOME OF CARE INSPECTORATE INSPECTION CARE AT HOME CITY WIDE

 

There was submitted Report No PAC42-2018 by the Chief Finance Officer advising of the outcome of the Care Inspectorate Inspection of the Home Care City Wide Service which was undertaken between 5th March, 2018 and 21st March, 2018. The report outlined the findings of the Care Inspectorate and gave a summary of the grades achieved.

The Committee agreed:-

(i)                     to note the content of the report and the content of the inspection report which was attached to the report as Appendix 1;

 

(ii)                    to note that the service received one recommendation for the care at Home City Wide Service as detailed at paragraph 4.11 of the report and the submitted action plan to address this which was attached to the report as Appendix 2; and

 

(iii)                    to note the grades awarded to the service, the strengths of the service, and the positive comments made by service users, relatives and staff as described in paragraph 4.13 of the report.

 

IX MENTAL WELFARE COMMISSION REPORT ON HOMELESS PEOPLE WHO EXPERIENCE MENTAL ILLHEALTH

 

There was submitted Report No PAC44-2018 by the Chief Finance Officer updating on progress in responding to recommendations made by the Mental Welfare Commission themed investigation report into homelessness and mental ill health.

The Committee agreed:-

(i)                     to note the content of the report and the recommendations made by the Mental Welfare Commission for Health and Social Care Partnerships outlined at section 4.1.2 and in Appendix 1 of the report;

 

(ii)                    to note progress made in response to the recommendations through the work of the Dundee Housing Options and Homeless Partnership and the implementation of the Housing Options and the Homelessness Strategic Plan as outlined in section 5.0 of the report; and

 

(iii)                    to note that a copy of the report on Not Just a Roof:  Housing Options and Homelessness Strategic Plan 2017-2020 which was considered by the meeting of the Integration Joint Board at their meeting on 31st October, 2017 would be distributed to the Committee for their information.

 

X OUTCOME OF MENTAL WELFARE COMMISSION FOR SCOTLAND VISIT TO KINGSWAY CARE CENTRE

 

There was submitted Report No PAC45-2018 by the Chief Finance Officer advising of the outcome of the recent Mental Welfare Commission visit to Kingsway Care Centre.

The Committee agreed:-

(i)                     to note the content of the Mental Welfare Commission's report following their recent visit to Kingsway Care Centre which was attached to the report as Appendix 1;

 

(ii)                    to note the positive comments made in the report and the good practice identified in relation to service delivery contained within the report as described in sections 4.1 to 4.5 of the report;

 

(iii)                    to note the actions in relation to the formal recommendations contained within the report as described in section 4.6 of the report;

 

(iv)                   to note the wish of the Chair that staff be commended for their efforts in achieving the outcomes indicated in the report; and

 

(v)                    to note that the position would be monitored, that Dave Berry was a member of the NHS Asset Management Group and that reports on the outcome on the recommendation would be submitted to a future meeting of the Committee.

 

XI DUNDEE INTEGRATION JOINT BOARD ANNUAL INTERNAL AUDIT REPORT 2017/18 AND ANNUALGOVERNANCE STATEMENT

 

There was submitted Report No PAC47-2018 by the Chief Finance Officer advising of the outcome of the Chief Internal Auditor's Report on the Integration Joint Board's internal control framework for the financial year 2017/18 and to agree the Integration Joint Boards revised Annual Governance Statement following this assessment.

The Committee agreed:-

(i)                     to note the content and findings of the Annual Internal Audit Report 2017/18 which was attached to the report as Appendix 1;

 

(ii)                    to instruct the Chief Finance Officer to develop an overall Governance Action Plan as recommended by the Chief Internal Auditor to be presented to the Performance and Audit Committee meeting to be held on 25th September, 2018;

 

(iii)                    to note and agree the revised Annual Governance Statement which was attached to the report as Appendix 2 to be incorporated into the Integration Joint Board's Draft Annual Accounts following the Chief Internal Auditor's conclusion that reliance could be placed on the Integration Joint Board's governance arrangements and systems of internal control for 2017/18;

 

(iv)                   to note that Raymond Marshall would identify some of the areas not currently governed by NHS and Dundee City Council in terms of staff governance and process this through the Partnership Forum; and

 

(v)                    to note that the governance framework for Chief Social Work Officers would be considered by Dundee City Councils Scrutiny Committee in September and would thereafter be reported to a meeting of the Performance and Audit Committee.

 

XII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN 2018/19 AND AUDITARRANGEMENTS

 

There was submitted Report No PAC48-2018 by the Chief Finance Officer on the proposed Dundee Integration Joint Board's 2018/19 Internal Audit Plan.

The Committee agreed:-

(i)                     to recommend approval to the Integration Joint Board of the continuation of the Internal Audit arrangements as outlined in section 4.1 of the report and appoints the Chief Internal Auditor of FTF Audit and Management Services as the Integration Joint Board's auditor for 2018/19; and

 

(ii)                    to note and approve the proposed Dundee Integration Joint Board 2018/19 Internal Audit Plan as outlined in Appendix 1 of the report.

 

XIII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

 

There was submitted Report No PAC37-2018 by the Chief Finance Officer providing a progress update in relation to the current Internal Audit Plan.

The Committee agreed:-

(i)                     to note the progress of the current Internal Audit Plan as outlined in the report and Appendix 1 of the report; and

 

(ii)                    to note that the remaining outstanding actions would be reported to the Performance and Audit Committee to be held on 25th September, 2018.

 

XIV MEETING OF THE PERFORMANCE AND AUDIT COMMITTEE 2018 ATTENDANCES

 

There was submitted Agenda Note PAC49-2018 providing a copy of the attendance return for meetings of the Performance and Audit Committee held to date over 2018.

The Performance and Audit Committee noted the position as outlined.

XV DATE OF NEXT MEETING

The Committee noted that the next meeting of the Committee would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 25th September, 2018 at 2 pm.

Doug CROSS, Chairperson.