Agenda and minutes

Venue: Members Suite - 4th Floor, Brent Civic Centre, Engineers Way, Wembley, HA9 0FJ. View directions

Contact: Bryony Gibbs, Governance Officer  Email: bryony.gibbs@brent.gov.uk

Items
No. Item

1.

Apologies for absence and clarification of alternate members

Minutes:

Apologies for absence were received from Councillor Promise Knight and Dinah Walker (co-opted member)

2.

Declarations of interests

Members are invited to declare at this stage of the meeting, the nature and existence of any relevant disclosable pecuniary or personal interests in the items on this agenda and to specify the item(s) to which they relate.

Minutes:

The following interests were declared in relation to item 4:

 

·         Cllr Ketan Sheth declared that he was the Lead Governor/Vice Chair at Central and North West London NHS Foundation Trust Governor and CNWL NHS Trust

·         Cllr Shahzad declared that his spouse worked for the NHS

·         Cllr Ethapemi declared that his spouse worked for the NHS

·         Cllr Thakkar declared that she worked as a care navigator at Brent Mencap

·         Cllr Gill declared that he worked as a Consultant Psychiatrist at CNWL NHS Trust

3.

Deputations (if any)

To hear any deputations received from members of the public in accordance with Standing Order 67.

Minutes:

There were no deputations received.

 

4.

Adult B Safeguarding Adult Review (SAR): Update on Action Plan and Progress with Recommendations pdf icon PDF 125 KB

This report will place the process of commissioning, conducting, publishing and disseminating the findings of the Adult B SAR within the national legal and policy context. This report will also outline local arrangements for commissioning, contract monitoring and quality assurance of care and support arrangements, for collaboration between the local authority, CCG and service providers, and for adult safeguarding. The report will also provide an update on the Adult B SAR itself, with specific reference to how the recommendations have been taken forward and how Adult B herself has been safeguarded.

Additional documents:

Minutes:

The Chair opened the discussion by inviting Professor Michael Preston-Shoot (Independent Chair of Brent Safeguarding Adults Board) to introduce the item which provided the Committee with an update on the action plan and progress with recommendations relating to the Adult B Safeguarding Case Review.

 

Professor Preston-Shoot stated that Adult B’s case was an unsettling example, indicative of wider, nationwide issues in social care and conveyed his deep regret of the failure and inadequacy demonstrated by services in relation to Adult B. Nevertheless, he expressed confidence that the report had provided reassurance by drawing upon and disseminating both locally and nationally the lessons learnt. Members’ attention was drawn to the recommendations in the report and the specific changes which had resulted from these in relation to people with learning disabilities and their respective family carers. In particular, Helen Woodland (Operational Director, Social Care) highlighted the review of residential and nursing care provision through commissioning services, which had enabled the Council to have a more holistic view of patients and the quality of care provided to them. Councillor Harbi Farah, Lead Member for Adult Social Care added that the report had been brought to his  attention and commended Professor Preston-Shoot and Phil Porter (Strategic Director, Community Wellbeing) for their leadership and commitment to the learning process.

 

In welcoming the report, the Committee raised a number of questions/lines of enquiries in the subsequent discussion.

 

Members questioned the lack of knowledge and professional curiosity in Adult B’s circumstances at the time of the incident and sought further clarification about the prevention measures undertaken since then by the Council to ensure that mistakes were not repeated.

 

Professor Preston-Shoot stated that lack of knowledge and professional curiosity was not an isolated, Brent specific problem and was not unusual for services to be experiencing difficulties in recording/following up the chronology of patients they were working with. He explained that the lack of professional curiosity seen in Adult B’s case was partly due to changes in care management following the introduction of the Care Act 2014 as well as systemic issues with information sharing between GPs and providers. Furthermore, insufficient emphasis was placed on making safeguarding personal, which had to be rectified within all levels of care. Whilst a challenge task, the expectation was that every time a person moved, their personal information, including any social and GP records, should follow them, gradually leading to the situation where the individual held the information themselves, with each interaction should be added to the record and updated.

 

Helen Woodland (Operational Director, Social Care) stated that a key part in transforming care, was the development of supported living, which would allow the Council to design care around the individual and ensure full transition and communication between services. Within the context of Adult B’s case, Ms Woodland also noted that the communication issues experienced by some individuals which had highlighted the need for further work with providers was required to ensure the patients’ needs were understood and met. The Committee was informed  ...  view the full minutes text for item 4.

5.

Any other urgent business

Notice of items to be raised under this heading must be given in writing to the Head of Executive and Member Services or his representative before the meeting in accordance with Standing Order 60.

Minutes:

None.