Adult Social Care Improvement
We’re making big changes to improve adult social care in Gloucestershire and have recently published our Improvement plan.
“The senior staff changes …are seen as positive by staff and partners”…
|
Activity |
Working Well |
Improvement |
|
73.6% response rate to last staff survey (Nov 2023). |
PDRs (Appraisals) across the directorate at 85.7% complete. |
Our sickness absence rate is at 6.1% across the whole of the directorate (target 2%). With stress being the biggest factor (35.8%). This has remained fairly static over the last 12 months (Jan 2024). |
|
78% of our staff are female, 9% come from a diverse ethnic background and 8% have a reported disability. |
Reduction in the use of agency staff (45 in June 2023 and in December 2023 this was 33). |
Whilst vacancy rates are generally reducing across the whole of the directorate, we have teams where this is higher than we would like where we struggle to recruit and retain staff e.g. Cotswolds team have a turnover rate of 21.4%. |
|
Headcount of 1131 equivalent of 1010fte (Jan 2024). |
Turnover of staff is reducing (Q3 22/23 this was at 15.6% and Q3 23/24 this had reduced to 11.1%). |
|
Political leadership is shared between two Cabinet members, whose portfolios cover Commissioning and Operations respectively. The Cabinet Member for Commissioning has held that role since January 2020, and has provided political direction and leadership for reshaping of the care market, including the closure of a number of residential homes that were no longer fit for purpose in order to free up resources for more community-based care and specialist residential and nursing provision. The Cabinet Member for Operations was appointed in Q1 2023 following the retirement of the portfolio holder but previously held the position of chair of the scrutiny committee with responsibility for oversight of Adult Social Care. As a result, he brings an understanding of the issues facing the council and the sector. He also brings a wealth of experience related to Transformation and Data and Intelligence and has recently started to chair our Transformation Board.
Our corporate Finance Performance and Risk process is a quarterly process whereby the Directors assurance report and our management information is provided for support and challenge by the Leader and Chief Executive. This gives the Directorate leadership team face to face time and space with the Council’s leadership. As a result of these, there is a good understanding of the challenges and opportunities facing the Council about Adult Social Care, and a strong commitment to supporting the changes required.
We have mechanisms for collating staff views on their ability to provide the right level of support to promote independence; qualitative feedback is received as part of team meetings or through supervision, which are acted upon, for example feedback from staff has resulted in an improved pathway for in-house service provision. Overall engagement from the Adults directorate is good with a 73.6% response rate to the last staff survey (November 2023). The thematic feedback can be viewed in Table 1. GCC and NHS staff surveys are run separately and the data is shared via the HR and OD teams within the ICB at various meetings and have contributed to the creation of the ICB One People Strategy and associated action plans and interventions. Our numbers of staff whistleblowing are very small therefore we are unable to share details.
GCC has a widely publicised Speak Up If It’s Not Right[i] campaign which includes both internal and external mechanism for Whistleblowing. The Whistleblowing Steering group meet every other month to consider any new disclosures and will have extraordinary meetings if and when required.
Employee voice groups have been operational corporately since 2017. In 2021 the staff survey identified the need to improve visibility of leadership, management of change and communication within the department. We implemented our “Adults in Focus” newsletter, all staff Q&A sessions plus an EDI focussed Directorate group. We are keen to build on this and are developing a refreshed communication strategy which has been published July 2023, which has been developed directly from feedback from our employee voice group. The 2023 staff survey results are now being discussed with teams and via our Employee Voice Group with the aim of creating team and directorate level action plans to address areas of improvement from April 2024.
We hold regular Safe to Speak Out events, where staff with protected characteristics meet with directors and share their experiences of working for GCC in a confidential safe space. Our Practice Development team have also been widely promoting the ED&I awareness and competency within our workforce to strengthen practice, some examples include the teams work around the Ally Group, which is aimed at supported those on Social Work Programmes and new to the profession, engaged our Black Workers Network to participate in the moderation process of newly qualified social workers and jointly hosted with Children's Social Work Academy an annual anti-racist practice conference.
We acknowledge the importance of training staff to collect information in a culturally sensitive manner and approach potentially difficult conversations about sensitive topics. There are established staff networks which are sponsored by some of our Directorate leadership team, Staff networks include; the Black Workers Network, Carers Network, Dignity at Work Network, Disability Network, Prism LGBTQ+ staff network, and Young Employees Network, to promote equalities, diversity, and inclusion.
| Key categories | 2023 average category score |
|
Change management |
40% |
|
Communication |
51% |
|
Career and progression |
62% |
|
Leadership |
66% |
|
Reward and recognition |
69% |
|
Health and wellbeing and respect at work |
70% |
|
Teamwork |
71% |
|
Job satisfaction and motivation |
79% |
|
Performance direction/management |
80% |
|
Equality and diversity |
81% |
|
Working here |
82% |
We have clear responsibilities, roles, systems of accountability and good governance (see governance structure in appendix 5). We use this structure to manage and deliver good quality, sustainable care, treatment and support. Our leadership team at Director level have been in appointed in the last three and half years. This has provided the directorate with stability following a period of interim support after a series of retirements. The LGA Peer Challenge team said:
“The recent changes in the adult social care leadership team where all senior staff are new appointments over the last eighteen months are seen as positive by staff and partners. There is a shared understanding that there is a real opportunity for transformation of the service by this new team.”
We monitor through quarterly reporting to management and our performance board; establishment, vacancy levels, turnover, sickness absence, PDR completion, training for operations and in-house services. Corporately these dashboards are then reported through Corporate Leadership Team and to Councillors. In addition, we have Knowledge, skills and resources as a pillar of improvement within our Adults Data and Intelligence Strategy (2023).
Our financial position has been stable in the past three years due to a significant savings programme, this is overseen by a Savings and Investment Board.
Governance of our processes and systems is through our Adult Social Care Processes and Systems Change Board (also referenced as GAPS), this forum ensures operational decision implementation including IT system functionality, performance information is captured correctly following process changes, supporting on data quality and improvement initiatives etc.
The development of the wider leadership team across Integrated Commissioning, Operations and Public Health is continuing through a series of dedicated organisational development sessions that meet quarterly, where we have focused on our mission and values, our communications and our leadership style using the Insight Discovery model. Our organisational development lead supports our leadership and management programme of work and following a skills and competency audit we have commissioned a provider to deliver a programme of CPD for our senior leaders, and each has an individual learning plan to support their own development. The LGA Peer Challenge said this about our Operational Leadership
“Staff demonstrated frontline operational leadership that is instrumental in prioritising and successfully executing critical functions such as assessments, reviews, safeguarding responses and risk management. Through such strong guidance and management of frontline teams, effective responses can be provided for those with a lived experience with diverse needs.”
Our Adult Social Care Operational Staff have access to CCInform and we can evidence strong use of this resource to support practice
HR business partners liaise directly with relevant Head of Service at regular meetings and highlight teams/cases that require additional HR support. There are clear transparent procedures for managing informal and formal capability, conduct, sickness, and grievance procedures available on the intranet with HR and Occupational Health advice available daily in office hours.
Management training is available via a yearly calendar of events. A new HR system is being implemented in 2024 which will include improved modules for performance management and PDRs.
LGA Annual Health Check (IR 36.3) – across all of the 8 employer standards we were graded the highest category (good), this represents an overall improvement since 2021-2022 where we achieved good in 7 out of 8 standards. The Survey asked Social Workers what the biggest challenges of Social Work were, our Social Workers commented:
“lack of care agency and care home capacity . . . increased demand for services . . . pressures on NHS affecting Social Care . . . shortage of care and shortage of Social Workers . . . change fatigue . . . increasing number of long-serving professionals leaving the sector . . . lack of consistency and unfairness in roles/rotas . . . slow recruitment into our team”.
When asked for their reasons for working in Social Work as part of this health check; comments from our social workers included:
“The senior staff changes …are seen as positive by staff and partners”…
|
Activity |
Working Well |
Improvement |
|
73.6% response rate to last staff survey (Nov 2023). |
PDRs (Appraisals) across the directorate at 85.7% complete. |
Our sickness absence rate is at 6.1% across the whole of the directorate (target 2%). With stress being the biggest factor (35.8%). This has remained fairly static over the last 12 months (Jan 2024). |
|
78% of our staff are female, 9% come from a diverse ethnic background and 8% have a reported disability. |
Reduction in the use of agency staff (45 in June 2023 and in December 2023 this was 33). |
Whilst vacancy rates are generally reducing across the whole of the directorate, we have teams where this is higher than we would like where we struggle to recruit and retain staff e.g. Cotswolds team have a turnover rate of 21.4%. |
|
Headcount of 1131 equivalent of 1010fte (Jan 2024). |
Turnover of staff is reducing (Q3 22/23 this was at 15.6% and Q3 23/24 this had reduced to 11.1%). |
|
Political leadership is shared between two Cabinet members, whose portfolios cover Commissioning and Operations respectively. The Cabinet Member for Commissioning has held that role since January 2020, and has provided political direction and leadership for reshaping of the care market, including the closure of a number of residential homes that were no longer fit for purpose in order to free up resources for more community-based care and specialist residential and nursing provision. The Cabinet Member for Operations was appointed in Q1 2023 following the retirement of the portfolio holder but previously held the position of chair of the scrutiny committee with responsibility for oversight of Adult Social Care. As a result, he brings an understanding of the issues facing the council and the sector. He also brings a wealth of experience related to Transformation and Data and Intelligence and has recently started to chair our Transformation Board.
Our corporate Finance Performance and Risk process is a quarterly process whereby the Directors assurance report and our management information is provided for support and challenge by the Leader and Chief Executive. This gives the Directorate leadership team face to face time and space with the Council’s leadership. As a result of these, there is a good understanding of the challenges and opportunities facing the Council about Adult Social Care, and a strong commitment to supporting the changes required.
We have mechanisms for collating staff views on their ability to provide the right level of support to promote independence; qualitative feedback is received as part of team meetings or through supervision, which are acted upon, for example feedback from staff has resulted in an improved pathway for in-house service provision. Overall engagement from the Adults directorate is good with a 73.6% response rate to the last staff survey (November 2023). The thematic feedback can be viewed in Table 1. GCC and NHS staff surveys are run separately and the data is shared via the HR and OD teams within the ICB at various meetings and have contributed to the creation of the ICB One People Strategy and associated action plans and interventions. Our numbers of staff whistleblowing are very small therefore we are unable to share details.
GCC has a widely publicised Speak Up If It’s Not Right[i] campaign which includes both internal and external mechanism for Whistleblowing. The Whistleblowing Steering group meet every other month to consider any new disclosures and will have extraordinary meetings if and when required.
Employee voice groups have been operational corporately since 2017. In 2021 the staff survey identified the need to improve visibility of leadership, management of change and communication within the department. We implemented our “Adults in Focus” newsletter, all staff Q&A sessions plus an EDI focussed Directorate group. We are keen to build on this and are developing a refreshed communication strategy which has been published July 2023, which has been developed directly from feedback from our employee voice group. The 2023 staff survey results are now being discussed with teams and via our Employee Voice Group with the aim of creating team and directorate level action plans to address areas of improvement from April 2024.
We hold regular Safe to Speak Out events, where staff with protected characteristics meet with directors and share their experiences of working for GCC in a confidential safe space. Our Practice Development team have also been widely promoting the ED&I awareness and competency within our workforce to strengthen practice, some examples include the teams work around the Ally Group, which is aimed at supported those on Social Work Programmes and new to the profession, engaged our Black Workers Network to participate in the moderation process of newly qualified social workers and jointly hosted with Children's Social Work Academy an annual anti-racist practice conference.
We acknowledge the importance of training staff to collect information in a culturally sensitive manner and approach potentially difficult conversations about sensitive topics. There are established staff networks which are sponsored by some of our Directorate leadership team, Staff networks include; the Black Workers Network, Carers Network, Dignity at Work Network, Disability Network, Prism LGBTQ+ staff network, and Young Employees Network, to promote equalities, diversity, and inclusion.
| Key categories | 2023 average category score |
|
Change management |
40% |
|
Communication |
51% |
|
Career and progression |
62% |
|
Leadership |
66% |
|
Reward and recognition |
69% |
|
Health and wellbeing and respect at work |
70% |
|
Teamwork |
71% |
|
Job satisfaction and motivation |
79% |
|
Performance direction/management |
80% |
|
Equality and diversity |
81% |
|
Working here |
82% |
We have clear responsibilities, roles, systems of accountability and good governance (see governance structure in appendix 5). We use this structure to manage and deliver good quality, sustainable care, treatment and support. Our leadership team at Director level have been in appointed in the last three and half years. This has provided the directorate with stability following a period of interim support after a series of retirements. The LGA Peer Challenge team said:
“The recent changes in the adult social care leadership team where all senior staff are new appointments over the last eighteen months are seen as positive by staff and partners. There is a shared understanding that there is a real opportunity for transformation of the service by this new team.”
We monitor through quarterly reporting to management and our performance board; establishment, vacancy levels, turnover, sickness absence, PDR completion, training for operations and in-house services. Corporately these dashboards are then reported through Corporate Leadership Team and to Councillors. In addition, we have Knowledge, skills and resources as a pillar of improvement within our Adults Data and Intelligence Strategy (2023).
Our financial position has been stable in the past three years due to a significant savings programme, this is overseen by a Savings and Investment Board.
Governance of our processes and systems is through our Adult Social Care Processes and Systems Change Board (also referenced as GAPS), this forum ensures operational decision implementation including IT system functionality, performance information is captured correctly following process changes, supporting on data quality and improvement initiatives etc.
The development of the wider leadership team across Integrated Commissioning, Operations and Public Health is continuing through a series of dedicated organisational development sessions that meet quarterly, where we have focused on our mission and values, our communications and our leadership style using the Insight Discovery model. Our organisational development lead supports our leadership and management programme of work and following a skills and competency audit we have commissioned a provider to deliver a programme of CPD for our senior leaders, and each has an individual learning plan to support their own development. The LGA Peer Challenge said this about our Operational Leadership
“Staff demonstrated frontline operational leadership that is instrumental in prioritising and successfully executing critical functions such as assessments, reviews, safeguarding responses and risk management. Through such strong guidance and management of frontline teams, effective responses can be provided for those with a lived experience with diverse needs.”
Our Adult Social Care Operational Staff have access to CCInform and we can evidence strong use of this resource to support practice
HR business partners liaise directly with relevant Head of Service at regular meetings and highlight teams/cases that require additional HR support. There are clear transparent procedures for managing informal and formal capability, conduct, sickness, and grievance procedures available on the intranet with HR and Occupational Health advice available daily in office hours.
Management training is available via a yearly calendar of events. A new HR system is being implemented in 2024 which will include improved modules for performance management and PDRs.
LGA Annual Health Check (IR 36.3) – across all of the 8 employer standards we were graded the highest category (good), this represents an overall improvement since 2021-2022 where we achieved good in 7 out of 8 standards. The Survey asked Social Workers what the biggest challenges of Social Work were, our Social Workers commented:
“lack of care agency and care home capacity . . . increased demand for services . . . pressures on NHS affecting Social Care . . . shortage of care and shortage of Social Workers . . . change fatigue . . . increasing number of long-serving professionals leaving the sector . . . lack of consistency and unfairness in roles/rotas . . . slow recruitment into our team”.
When asked for their reasons for working in Social Work as part of this health check; comments from our social workers included:
|
Activity |
Working Well |
Improvement |
|
During the third quarter of the year 178 people across Adult Social Care Operations logged into CCInform. Top areas of research were related to Hoarding, Mental Capacity Assessments and the Care Act. We are one of the top users in the Country of this resource. (IR 36.6). |
Dementia Training for Social Care Staff 82.6% compliance (target is 80%). |
Autism training 53% compliance – 8 courses have been scheduled between April 2024 – July 2024. |
|
|
All mandatory role specific e-learning for operational staff is above 80% target (IR 36.4). |
Low compliance with Corporate Mandatory Training (29%) from My Compliance training (e-learning platform used by corporate governance). |
Corporately there is a workforce strategy (IR 19.1) which runs from 2024 – 2027 and details our plans as an authority to meet the strategic aims and objectives of the Council and how we will support the workforce. The key focus of the strategy is digital skills, equalities, diversity and inclusion (EDI), recruitment and retention and agile working and runs through three pillars of Capacity, Culture and Capability. There is a training programme to support leadership and management, digital skills and EDI.
Our Adults Transformation Workforce Stream (IR 36.1) is aligned with the corporate workforce strategy. Much of our Adult Social Care workforce development, learning, recruitment, and retention planning is supported through our Transformation programme which has a specific portfolio for our internal workforce. The priorities for this portfolio of work are:
Our Adults Recruitment and Retention Strategy (IR 19.2) details the focus for the Adults Directorate. The action plans to achieve these aims are monitored through the Adults Transformation & Improvement Board. We have achieved many of our objectives including having a dedicated recruitment team for adults who have created a website for recruitment which has allowed us to optimise our social media based recruitment alongside the team attending over 50 recruitment events
We are working towards having a single learning management system which offers a single platform for staff from across the system and enables review of attendance and evaluation of the training offer (we currently have two systems through SAP and Learnpro). We have a Training Programme (IR 36.6) which details the requirements for professional and mandatory training for each role within our operational teams.
With the oversight of the Principal Social Worker (PSW) this enables the team to provide regular input to the operational teams, joining team huddles to promote and maintain our strengths based model of practice and using their observations to inform future training and CPD delivery; in addition the expansion of the PD Team has enabled the expansion of the Social Work Apprenticeship programme and ASYE programme as well as increasing the number of training and CPD workshops directly delivered by the PD Team. The PSW through the PSW regional and national network has opportunity to share innovation and learning with PSW peers as well as bringing back learning and innovation from peers and developments in Social Work from the Chief Social Workers office (DHSC). Our PSW has produced an annual report (which covers the last 2 years, IR 31.1) which sets out the PSW priorities and aims to provide a greater platform and visibility for social work leadership in Gloucestershire.
|
Activity |
Working Well |
Improvement |
|
During the third quarter of the year 178 people across Adult Social Care Operations logged into CCInform. Top areas of research were related to Hoarding, Mental Capacity Assessments and the Care Act. We are one of the top users in the Country of this resource. (IR 36.6). |
Dementia Training for Social Care Staff 82.6% compliance (target is 80%). |
Autism training 53% compliance – 8 courses have been scheduled between April 2024 – July 2024. |
|
|
All mandatory role specific e-learning for operational staff is above 80% target (IR 36.4). |
Low compliance with Corporate Mandatory Training (29%) from My Compliance training (e-learning platform used by corporate governance). |
Corporately there is a workforce strategy (IR 19.1) which runs from 2024 – 2027 and details our plans as an authority to meet the strategic aims and objectives of the Council and how we will support the workforce. The key focus of the strategy is digital skills, equalities, diversity and inclusion (EDI), recruitment and retention and agile working and runs through three pillars of Capacity, Culture and Capability. There is a training programme to support leadership and management, digital skills and EDI.
Our Adults Transformation Workforce Stream (IR 36.1) is aligned with the corporate workforce strategy. Much of our Adult Social Care workforce development, learning, recruitment, and retention planning is supported through our Transformation programme which has a specific portfolio for our internal workforce. The priorities for this portfolio of work are:
Our Adults Recruitment and Retention Strategy (IR 19.2) details the focus for the Adults Directorate. The action plans to achieve these aims are monitored through the Adults Transformation & Improvement Board. We have achieved many of our objectives including having a dedicated recruitment team for adults who have created a website for recruitment which has allowed us to optimise our social media based recruitment alongside the team attending over 50 recruitment events
We are working towards having a single learning management system which offers a single platform for staff from across the system and enables review of attendance and evaluation of the training offer (we currently have two systems through SAP and Learnpro). We have a Training Programme (IR 36.6) which details the requirements for professional and mandatory training for each role within our operational teams.
With the oversight of the Principal Social Worker (PSW) this enables the team to provide regular input to the operational teams, joining team huddles to promote and maintain our strengths based model of practice and using their observations to inform future training and CPD delivery; in addition the expansion of the PD Team has enabled the expansion of the Social Work Apprenticeship programme and ASYE programme as well as increasing the number of training and CPD workshops directly delivered by the PD Team. The PSW through the PSW regional and national network has opportunity to share innovation and learning with PSW peers as well as bringing back learning and innovation from peers and developments in Social Work from the Chief Social Workers office (DHSC). Our PSW has produced an annual report (which covers the last 2 years, IR 31.1) which sets out the PSW priorities and aims to provide a greater platform and visibility for social work leadership in Gloucestershire.