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Agenda and minutes

Contact: Peter Moore  020 7527 3252

No. Item




The Chair introduced Members and officers to the meeting


Apologies for Absence


Councillor Janet Burgess, Executive Member Health and Social Care, and Councillors Hyde, Turan and Calouri for lateness


Declaration of Substitute Members




Minutes of the previous meeting pdf icon PDF 119 KB



That the minutes of the meeting of the Committee held on 10 September 2019 be confirmed as a correct record of the proceedings and the Chair be authorised to sign them


Chair's Report




Public Questions

For members of the public to ask questions relating to any subject on the meeting agenda under Procedure Rule 70.5. Alternatively, the Chair may opt to accept questions from the public during the discussion on each agenda item.


The Chair outlined the procedures for public questions, filming and recording of meetings and fire evacuation procedures


Health and Wellbeing Board Update - Verbal




Scrutiny Review - Adult Paid Carers - Witness evidence - Verbal


Witness presentations were received from Helen Sanderson, Wellbeing Teams (Video presentation), Nicki Bones and Denis Repard, Sweet Tree Specialist Care, and Jo Mackie, Centre 404.


In addition, a letter was circulated by Bob Padron, outlining the model of Penrose Care


Following these presentations, the following main points were raised –


Penrose Care


·         Penrose Care is a recognised provider of ethical home care services. It has been rated outstanding by the CQC and received a number of awards, including twice being named as a Living Wage Champion, and is internationally recognised for its innovations in Home Care. In July 2019 Penrose Care became one of the first 16 private businesses accredited with the Mayor of London’s Good Work Standard, an initiative to promote decent work in London

·         Penrose Care stated that they felt it would be beneficial to improve the service to reform the timing and geographic location of services to make home care roles more attractive. Home Care providers struggle with attracting new social care workers to provide frontline services, and in complying with their statutory obligations to their employees. It was felt that Councils could alleviate the pressure on home carers by booking home care visits sequentially, and allocating users to groups of providers by small geographic regions. Currently it is standard practice for social workers to book home care visits generally at the same time, e.g. morning, lunch and evening, which can lead to the systematic underemployment of home care workers, as they may be left without work between the standard visit times. By booking visits sequentially, providers can offer home care workers a full daily work, making it easier to attract home carers, and reduce staff turnover

·         Penrose Care stated that users who have sensitive medications that they cannot administer independently should have priority for visits during the peak morning, lunch and evening visit times. However, there is a need for responsible bodies to assess if it is prudent for public social care to be supporting individuals who cannot manage their medications independently, or if such persons should be referred to residential social care options, such as assisted living centres, care homes or nursing homes. Furthermore, home care providers have historically struggled to comply with paying the National Minimum Wage, due to the need to compensate employees for travelling between clients. Social Care Commissioners can alleviate this pressure by allocating users by small geographic regions to small groups of providers

·         Social Care professionals can make positive impacts on users lives in the areas of falls prevention, hydration, and the early detection of infections. Falls prevention can be achieved by social workers ensuring that there is adequate allocation of occupational therapists, and physiotherapists. Social care professionals can assist by checking if visits by such health professionals have taken place. Hydration can easily be boosted by social care workers encouraging users to switch to decaffeinated tea and coffee. In addition, undetected infections can cause users’ health to take steep declines, and as a result it was felt that  ...  view the full minutes text for item 111.


Healthwatch Annual Report/Work Programme pdf icon PDF 342 KB

Additional documents:



Emma Whitby, Healthwatch was present, and outlined the report to the Committee, following which these main points were made –


·         Vision – Improved health and social care outcomes for local residents – Part of a national network, in which Healthwatch leads on impact measurement)

·         Part funded by LBI to fulfil statutory functions of Health and Social Care Act 2013 – Healthwatch gather, and report, on views on health and social care, and provide people with information on services

·         Healthwatch has a collaborative, critical friend approach, working in partnership, wherever it can

·         Healthwatch impact in 2019 - autism health checks for adults introduced, autism awareness training for GP practice staff, environment checks of GP practices being carried out by parents of children with autism, patients waiting for an ADHD assessment can now access peer support, whilst waiting for their assessment, and provision of sign language interpreting has increased. This will help deaf residents to access same-day GP services

·         More residents were reached in 2019 – 1400 people shared their health and social care story with Healthwatch, 40% more than last year. 197 residents participated in a Healthwatch digital inclusion workshop. 324 people accessed Healthwatch Islington advice and information service, and Healthwatch visited 53 services, and 25 community events, to understand people’s experience of care

·         Healthwatch partnerships – Healthwatch shares responsibility and finances fairly, and brings resources to small grass roots organisations, supporting their development through skills sharing and training, and valuing their experience

·         Healthwatch works with BAME communities with Diverse Communities Health Voice

·         Healthwatch works closely with Manor Gardens, Cloudesley, Elfrida Society, and are seeking out other partnerships

·         Healthwatch activities 2019 – Led on a community sector response to the Camden and Islington Estates Strategy Consultation, and responded to other key consultations. Supported resident engagement in Mental Health Day Centre specification design and procurement. Worked with Diverse Communities Health Voice, to gather BAME resident input on experiences of primary care social prescribing. Delivered two Islington Patient Group meetings on key topics of relevance to residents – supplemented by e-surveys, and community conversations. Visited care homes for older people to find out how residents are given choice, and control, of everyday activities, such as what to wear, and visited hospitals about the Accessible Information Standard

·         Healthwatch Work Plan 2019/20 – Continued to deliver signposting service to at least 250 residents, reflecting the diversity of the borough, has led a community sector response to the Moorfields strategy, engaged residents from protected characteristics in the Whittington Estate discussions, visited health centres to gather views on the NHS long term plan, held two Islington Patient Group meetings on topics of interest, worked with Diverse Communities Health Voice to gather BAME input on mental health support, and visited care homes for older people to find out about residents experiences of oral health care

·         It was stated that concern had also been expressed by some residents about hate crime and an event had been organised with the Police which had been successful. Emma Whitby stated  ...  view the full minutes text for item 112.


Performance Update - Quarter 1 pdf icon PDF 156 KB


Councillor Janet Burgess, Executive Member Health and Social Care was uanble to be present, and therefore the item was deferred until the next meeting







That the report be deferred until the next meeting of the Committee




Work Programme 2019/20 pdf icon PDF 48 KB



That the report be noted