An apology for absence was received from Councillor Barnby.

To review the response from Torbay and South Devon NHS Foundation Trust Torbay Hospital to the Care Quality Commission Inspection Report published on 4 March 2022.

The Chief Nurse for the Torbay and South Devon NHS Foundation Trust, Deborah Kelly, presented the response from Torbay and South Devon NHS Foundation Trust, Torbay Hospital, to the Care Quality Commission (CQC) Inspection Report.  Miss Kelly drew members attention to the CQC Improvement Actions required from the Trust and detailed those actions which had already taken place.

Miss Kelly responded to questions in relation to the following:

·         Who was responsible for ensuring that patients had the correct levels of nutrition and hydration and how was this recorded.

·         What was the expectation of the levels of reporting to be achieved.

·         How long would it take for the Trust to achieve the improvements required by the CQC.

·         What measures were being taken to support nurses in their work and to provide additional training.

·         Had the provision of nutrition and hydration improved since the CQC inspection.

·         How would future enquiries from the CQC be shared with the Board.

·         How did the Trust measure its performance to ensure it was meeting the levels required by the CQC in the future.

·         How was the discharge of patients into the community monitored.

·         What information was provided to patients and would details of access to primary care be included.

·         How would Healthwatch Torbay be promoted.

Resolved (unanimously):

1.            that the Torbay and South Devon NHS Foundation Trust continue to monitor the discharge improvement programme and report back to the Board at a future meeting; and

2.            that the Trust be recommended that statistics concerning issues raised by the CQC be included in the dashboard of compliments and complaints.

To receive an overview of the changes to Adult Social Care Governance (Note: Paper submitted to Cabinet on 24 May 2022).

The Director of Adult Social Services, Joanna Williams, provided an update on the Adults Social Care Governance Changes and the appointment of the Adults Social Care Continuous Improvement Board.  Members noted the Vision for Adult Social Care in Torbay and the projects and key priorities contained in the report.

Members asked and received responses to the following questions:

·                What improvements were expected through the Mental Health Residential Review project for the under 65’s.

·                What measures would be put in place for those patients that had difficulty in living outside residential care.

·                How did the Mental Capacity Act affect the work of Adult Social Services.

·                How would the Adult Social Care Continuous Improvement Board be constituted.

·                What factors were causing the increase in suicide rates in the Bay.

·                Was there work to be done on mapping what the voluntary sector was doing for mental health.

·                How would the performance of the Adult Social Care Continuous Improvement Board be monitored.

·                How would children going on to young adulthood be supported.

Resolved (unanimously):

1.            that the Board noted that the current Adults Improvement Board would be revised and replaced with a newly appointed Adults Social Care Continuous Improvement Board, with an independent Chair, to provide the principal mechanism by which Torbay Council oversees the delivery of Adult Social Care, jointly with Torbay and South Devon NHS Foundation Trust. The Head of Governance Support be delegated authority to prepare the terms of reference and membership for the revised Board in consultation with the Cabinet Lead for Adult Social Care, the Director of Adult Social Services and the Chairwoman of the Adult Social Care and Health Overview and Scrutiny Sub-Board; and

2.            that the overall governance structure for Adult Social Care (as set out in the submitted report), including the relationship with the newly appointed Adult Social Care and Health Overview and Scrutiny Sub Board, be noted.

To note the Terms of Reference and Membership of the Sub-Board and to consider if the Sub-Board wishes to appoint any additional non-voting co-opted members to help provide expert advice and support.

Members noted the Terms of Reference and Membership of the Adult Social Care and Health Overview and Scrutiny Sub-Board.  It was agreed that additional speakers to provide expert advice and support, would be invited to future meetings as required.

To approve the work programme for the Board for the 2022/2023 Municipal Year.

The Board noted the contents of the Adult Social Care and Health Overview and Scrutiny Sub-Board Work Programme for 2022/23.

Resolved (unanimously):

That, subject to the review of the Torbay and South Devon NHS Foundation Trust Draft Quality Account in July and the change to the date of the Torbay and South Devon NHS Foundation Trust Draft Quality Account to 2021/22,  the Initial Adult Social Care and Health Overview and Scrutiny Sub-Board Work Programme for 2022/2023 as presented, be approved, and be kept under regular review by the Chairwoman of the Adult Social Care and Health Overview and Scrutiny Sub-Board and the Democratic Services Team Leader.