Agenda for Overview & Scrutiny Committee on Wednesday, 9th September, 2015, 4.00pm

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Agenda and minutes

Venue: The Ronuk Hall, Portslade Town Hall. View directions

Contact: Cliona May  Assistant Democratic Services Officer

No. Item


Procedural Business

    (a)          Declarations of Substitutes:  Where councillors are unable to attend a meeting, a substitute Member from the same political group may attend, speak and vote in their place for that meeting.


    (b)          Declarations of Interest: 


    (a)      Disclosable pecuniary interests;

    (b)      Any other interests required to be registered under the local code;

    (c)      Any other general interest as a result of which a decision on the matter might reasonably be regarded as affecting you or a partner more than a majority of other people or businesses in the ward/s affected by the decision.


    In each case, you need to declare

    (i)        the item on the agenda the interest relates to;

    (ii)      the nature of the interest; and

    (iii)     whether it is a disclosable pecuniary interest or some other interest.


    If unsure, Members should seek advice from the committee lawyer or administrator preferably before the meeting.


    (c)          Exclusion of Press and Public:  To consider whether, in view of the nature of the business to be transacted or the nature of the proceedings, the press and public should be excluded from the meeting when any of the following items are under consideration.


    Note:   Any item appearing in Part Two of the agenda states in its heading the category under which the information disclosed in the report is exempt from disclosure and therefore not available to the press and public.


    A list and description of the exempt categories is available for public inspection at Brighton and Hove Town Halls and on-line in the Constitution at part 7.1.



    (a)          Declarations of Substitutes


    17.1    Councillor Barradell was present in substitution for Councillor Cattell.


    (b)          Declarations of Interest


    17.2    Nicky Cambridge, Healthwatch Representative, declared an interest as she was also an employee of Brighton & Hove City Council, on secondment to Healthwatch Brighton and Hove.


    (c)       Exclusion of Press and Public


    17.3    In accordance with Section 100A of the Local Government Act 1972 (“the Act”), the Committee considered whether the public should be excluded from the meeting during consideration of any item of business on the grounds that it is likely in view of the business to be transacted or the nature of the proceedings, that if members of the public were present during it, there would be disclosure to them of confidential information as defined in Section 100A (3) of the Act.


    17.4    RESOLVED - That the public are not excluded from any item of business on the agenda.



Minutes pdf icon PDF 112 KB

    To consider the minutes of the meeting held on 22 July 2015 (copy attached).


    18.1    RESOLVED – That the Chair be authorised to sign the minutes of the meeting held on 22 July 2015 as a correct record.


Chairs Communications


    19.1    The Chair gave the following communications:


    “Welcome back to everyone after the summer holidays

    There was a lot of discussion at the last OSC about GP provision; there has been similar discussion at the Health and Wellbeing Board. There is work to organise a joint session in private with HWB members and the NHS, CCG etc as we share the same concerns. The current proposed date is 6 October but scrutiny officers will confirm asap. You will have seen that the CQC report on Goodwood Court is attached for information. I would rather we don’t spend any further time discussing it at this session but we will have the opportunity to do so at the session with Health and Wellbeing Board.

    A few members including myself attended the CCG session at the end of August about delegating GP commissioning to local CCGs. It’s clear that this is going to be an ongoing conversation between the CCG and the NHS; you were all emailed the presentation yesterday and we will keep updated at these meetings

    We agreed at the previous committee that we would run until 7pm if we need to do so. There will be a comfort break about halfway through the meeting with hot drinks and the chance for a snack if you’ve remembered to bring one.

    As usual due to the volume and complexity of the agenda we are restricted for time. Please focus your comments and questions on issues that would take the agenda forward for our residents. If you have technical questions that could be discussed at a later date, please let Scrutiny know and they can address these outside the meeting.

    Some Councillors have been getting complaints from neighbours and local residents about party houses.  I have always said that this is going to be a responsive and flexible agenda. Therefore we are therefore bringing the monitoring report forward to the next meeting so that we can try and address this as much as we can.

    Sadly this is Richard’s last meeting – he is leaving to train as a priest and I am really going to miss him. Thank you from me and everyone here for all of your hard work and dedication to the council.

    I am aware that this agenda is very health –focussed so do please raise any non-health scrutiny issues that could be covered.”


Public Involvement

    To consider the following matters raised by members of the public:


    (a)          Petitions: To receive any petitions presented by members of the public.


    (b)          Written Questions: To receive any questions submitted by the due date of 12 noon on the 2 September 2015.


    (c)          Deputations: To receive any deputations submitted by the due date of 12 noon on the 2 September 2015.


    20.1    The Chair noted that no items had been submitted for consideration at the meeting by members of the public.


Member Involvement

    To consider the following matters raised by Members:


    (a)          Petitions: To receive any petitions;


    (b)          Written Questions: To consider any written questions;


    (c)          Letters: To consider any letters;


    (d)          Notices of Motion: to consider any Notices of Motion referred from Full Council or submitted directly to the Committee.




    21.1    The Chair noted that there were no items for consideration from Members for the current meeting.


Update from Co-Optees

    To receive any updates from the non-voting co-optees.


    22.1    Healthwatch representative reported that Healthwatch had recently worked alongside CQC regarding safeguarding practices and staff training.


    22.2    A simple table that displayed the results found has been made. The Chair and Committee agreed for this to be brought to Committee or a workshop.


Sussex Partnership Foundation Trust CQC Inspection Summary and Brighton and Hove Action Plan pdf icon PDF 107 KB

    Report of the Assistant Chief Executive (copy attached).

    Additional documents:


    23.1    The Committee considered a report of the Assistant Chief Executive in relation to the Care Quality Commission inspection in January 2015. The report detailed the findings from the inspection and the actions that the Trust had planned. Dr Kay MacDonald, Sussex Partnership Trust, introduced the report and stated that the Care Quality Commission (CQC) held a planned week long inspection of services provided by Sussex Partnership NHS Foundation in January 2015.


    23.2    Dr Kay MacDonald introduced the report and stated that the CQC rated Sussex Partnership as an organisation which ‘requires improvement’ and the Sussex Partnership Trust stated that this was disappointing.


    23.3    Sussex Partnership Trust explained to the Committee that it was recommended to join Suicide Zero, as there was not an action plan currently in place to tackle the high rate of suicide in the City.


    23.4    It was explained to the Committee that the CQC felt the recording of statutory and mandatory training was not accurate and was overall not adequate enough as a trust.


    23.5    Sussex Partnership Trust explained that since the inspection, “My Learning” has been introduced and this would be shown in the next inspection.


    23.6    Mr John Child, Service Director, explained to the Committee that the majority of findings from the inspection were in relation to the trust wide, rather than local. The Service Director outlined the local findings in the report.


    23.7    The Service Director outlined that concerns were raised in relation to the safety in Hanover Crescent and concerns around medication management in Brunswick Care. It was explained that a monthly Quality Improvement Plan would be submitted to the CQC to improve on these areas.


    23.8    Councillor Allen requested a map and information to be sent to the Committee Members in relation to the areas around Brighton and Hove that were inspected, as the city’s residents were often treated outside of the city. Mr Child agreed to send these out.


    23.9    In response to Councillor Peltzer Dunn, it was expressed that the Sussex Partnership Trust wished to improve all the services in the City and especially improve patient confidence. It was stated that the services had started to communicate more with patients and listen to their feedback, in addition to working closely with the CQC and Brighton & Hove City Council.


    23.10  Dr MacDonald clarified to the Committee that the Sussex Partnership had their own inspection before the CQC inspection and were expecting some problems in relation to the accuracy of recording information.  It was explained that a new electronic recording system has now been introduced to help record care in a consistent way across the trust. It was currently being trialled in Child and Adolescent Mental Health Services (CAMHS) and would be introduced to other services in November 2015.


    23.11  Mr Child explained to Councillor Barradell that as Rutland Gardens being an old Victorian building, they had some problems with cleanliness. Since the inspection, the Sussex Partnership Trust had ensured more housekeeping staff have been employed and would continue to have regular infection control audits.


    23.12  Dr MacDonald offered to send a detailed report to the Committee Members that outlined the cleanliness of other services and properties in the City.


    23.13  Councillor Wares expressed concern that the Sussex Partnership Trust had not been reactive enough given their understanding of the situation. In response to Councillor Wares concerns, Dr MacDonald clarified that a further visit from CQC in November 2015 was scheduled and the Sussex Partnership Trust were required to show their work plans to them. It was also confirmed that local engagement will be incorporated the plans will cover all areas of concern.


    23.14  In response to the Healthwatch Representative, Dr MacDonald provided assurance that there had been interviews with carers and the CQC had looked into this feedback, alongside surveys. Mr Child added that they work closely with MIND and Brighton & Hove City Council to ensure feedback from services users.


    23.15  RESOLVED – The Committee agreed to note the report and asked the Trust to report back in six months on progress against the actions.


Clinical Commissioning Group Proposals for Hanover Crescent pdf icon PDF 94 KB

    Report of the Assistant Chief Executive (copy attached).


    Additional documents:


    24.1    The Committee considered a report of Assistant Chief Executive in relation to Clinical Commissioning Group Proposals for Hanover Crescent. Mr Child introduced the report to the Committee and stated that Hanover Crescent was a nine bedroom rehabilitation unit. It was stated the specific problems with Hanover Crescent, which resulted in the closure, related to confusion around the service log, which triggered concerns around staff understanding, the safety and environment of the building and it being an out of date model.


    24.2    It was explained that the staff from Hanover Crescent had been redeployed in other areas and services and the transition team and rehabilitation team were working with patients to move them into alternative accommodation. Mr Child also stated that they had also looked into offering rehabilitation services to patients in their own homes, as this could meet individual needs better than sheltered accommodation.


    24.3    Mr Child clarified to Councillor Marsh that the Sussex Partnership Trust owned Hanover Crescent but it would be sold, turned back into residential use and would no longer provide a service. The money from the sale will go back into the Sussex Partnership Trust but it had not been decided if it would be reinvested in a specific service area as yet.


    24.4    Councillor Deane questioned whether a patient with a high suicide rate should be in their own accommodation as an alternative to being in sheltered housing or a rehabilitation unit. In response, it was clarified that each individual was monitored and placed in suitable accommodation for their specific care needs.


    24.5    In response to the Committee, it was stated that it was really important to work on the design of the new centre and ensure it is flexible to all individual needs, as well as it being safe and of good quality.


    24.6    In response to Councillor O’Quinn, it was highlighted that there had been recognition that there was a gap for respite care in the City. Mr Child confirmed that the Sussex Partnership Trust were looking into it and are willing to come back to Committee with an update and plans on this, this was agreed.


    24.7    RESOLVED – The Committee note the report and ask the Trust to report back.


Homelessness Scrutiny Panel Monitoring Report pdf icon PDF 178 KB

    Report of the Executive Director for Environment, Development & Housing (copy attached).

    Additional documents:


    25.1    The Committee considered a report of the Assistant Chief Executive in relation to Homelessness Scrutiny Panel Monitoring Report. James Crane, Service Improvement Manager, introduced the Homelessness Scrutiny Panel Monitoring Report.


    25.2    In response to Councillor Deane, Mr Crane explained that the British Legion works closely with ex-servicemen and supported them with Post Traumatic Stress Disorder (PTSD); however, this was not a big problem in the City.


    25.3    In response to Councillor Barradell, Mr Crane explained that the Council did not have a statutory duty to find temporary accommodation but would still try to provide this service. The Council also worked to relocate homeless people who do not have any connection with the City.


    25.4    Mr Crane confirmed to the Committee that a rough sleeper’s count happened every November and all homeless organisations in the City keep a record and these are cross referenced regularly.


    25.5    The Chair stated to the Committee that other Committees would continue to monitor the situation and asked whether the Overview & Scrutiny Committee felt the report should come back.


    25.6    RESOLVED – The Committee decided the report would come back to a future Overview & Scrutiny Committee.


Bullying in Schools Scrutiny Panel Monitoring pdf icon PDF 156 KB

    Report of Executive Director for Children’s Services (copy attached).


    26.1    The Committee considered a report of the Assistant Chief Executive in relation to Bullying in Schools Scrutiny Panel Monitoring. Sam Beal introduced the report on Bullying in Schools and explained that it was not a full report on bullying in the City but it provided the update to the Committee. Ms Beal stated that a bullying leaflet had been produced and they had worked alongside School Admissions Team to provide training regarding sensitive situations.


    26.2    In response to Councillor Allen, Ms Beal confirmed that the original reports had gone to Children, Young People & Skills Committee.


    26.3    In response to Councillor Barradell, Ms Beal explained that children were being educated on prejudice based bullying, such as; gender equalities, LGBT and sexual harassment.


    26.4    RESOLVED – The Committee note the report, and amend recommendation 2.2 as set out below:


                The Overview and Scrutiny Members decide that future monitoring will be taken by Children, Young People & Skills Committee.


Goodwood Court Medical Centre, Quality Report pdf icon PDF 330 KB

    Report attached for information.


    27.1    RESOLVED – The Committee agreed to note the report.  


Overview & Scrutiny Committee Draft Work Plan/Scrutiny Update pdf icon PDF 106 KB

    (copy attached).


    28.1    RESOLVED – The Committee noted the work plan.


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