We want to build the provider market of alternative, more flexible options for people to buy themselves with a personal budget or direct payment if they want to that helps them stay in their own homes for as long as possible. This could be support with accommodation or support they receive in their own home.

At the moment we have a small market of these types of services with two providers of support with accommodation and approximately six providers delivering a variety of outreach and support options.

At the moment these providers are largely providing services for people with learning disability, cognitive difficulties or mental health issues. We would like to extend these options to more people and build the new markets and systems to make this happen.

As part of the plan to make this happen a wellbeing co-ordination service started in June 2016 in Torbay, mainly funded for 2 years by the Ageing Well Torbay Big Lottery funded programme and Torbay and South Devon NHS Foundation Trust (12 months confirmed) as a test and learn commission and delivered in partnership with Age UK Torbay and Brixham Does Care.

The service is targeted at people aged 50+ who either have long-term health conditions, social care packages, or have accessed the Early Intervention Service more than 3 times in the last year.  Its aim is to reduce social isolation and improve wellbeing through ‘social prescribing’, rather than clinical or medical intervention, and so also reduce activity and cost to the statutory system.

The service has had 362 referrals so far, and the Ageing Well Torbay Programme has benchmarked and set a target of 1000 referrals in 2 years in Torbay.

These alternative options also include possibilities to have a personal assistant.

A voluntary sector organisation helps people with employing and managing the payroll of a personal assistant/care worker to provide support to live independently. They were providing this service for 194 Torbay adults on 24 January 2017.

Table 10: Number of Torbay adults supported to employ and manage the payroll of a personal assistant/care worker
Time period Number of clients
As on 19 August 2013 166
As on 12 September 2014 173
As on 11 January 2016 178
As on 24 January 2017 194

A Shared Lives Service is a highly flexible form of accommodation with care and/or support, provided by individuals or families in the local community. It currently (February 2017) supports 41 adults funded through Adult Social Care. South West ADASS is working with Local Authorities in the region to consider a regional approach to the commissioning of Shared Lives.

The supply of specialist equipment can help support people either in their own home or other accommodation.

Complex aids to daily living are provided through a Torbay Council contract. This equipment is provided on loan following an assessment from a Torbay and South Devon NHS Foundation Trust practitioner.  This service provides equipment for people with short and long-term needs as well as end of life care.

As part of a ‘simple aids to daily living pilot’ from 2017 to 2018, where appropriate, people are either supported to access retailers to seek further advice or chose to make a private purchase. Where this is not a suitable option a prescription may be provided following an assessment from a Trust practitioner.  Visit the Safe and Well website for further information.

And very importantly we need to give people the advice and information they need to make it possible for them to live as independently as they can, staying healthy and well for as long as possible.

Figures below count people who have received complex aid equipment which is on loan.  These figures count the individuals once however some will receive several different orders of equipment throughout the year.  Further from this, 2,789 prescriptions were issued in 2016/17 for simple aid equipment.

Table 11: Loan equipment - number of individual people served
Financial year Number of people served
2014/15 2,679
2015/16 2,353
2016/17 2,847
Table 12: Number of individual people who received equipment
Financial year 0-17 years 18-64 years 64+ years Age unkwown
2014/15 370 885 4443 771
2015/16 418 988 3907 663
2016/17 380 1232 4408 760
Table 13: Number of individual people who received adaptations
Financial year 0-17 years 18-64 years 64+ years Age unkwown
2014/15 15 43 203 10
2015/16 22 102 358 10
2016/17 28 115 413 9

A June 2016 snapshot of day care services and activities provided in various settings in Torbay, including care homes, shows that 258 service users received this service at that time.

  • 91% of the contracts for day care are funded by adult social care, the rest by the NHS
  • 72% of the spend is on people with learning disabilities
  • 17.5% on older people
  • 1% on people with a mental illness
  • 78% of the day care budget at that time was spent on the independent sector

Torbay Council, the Trust and the CCG provide a great deal of advice on their websites for people accessing health and social care services. 

Torbay community and voluntary services also provide advice and support and the Orb and Family Information Service directories provide information about services for families in the Torbay area.

From 1 April 2015, the Care Act 2014 placed a new duty on local authorities to provide access to independent advocacy to those who would have substantial difficulty in being involved in care and support ‘processes’ and have no appropriate individual(s) - carer, family or friend - who can support their involvement. It applies to adults and also applies to children who are coming up to ‘transition’ to adult care and support from children’s services. Under the Care Act, independent advocacy means a service that is independent of the local authority.

Under the Mental Capacity Act 2005, an Independent Mental Capacity Advocate (IMCA) service may have to be involved in very specific circumstances where there is no one appropriate who can be consulted in the decision making process.

The Local Authority contracts with the Trust to provide advocacy services commissioned via the Trust under the Care Act and the Mental Capacity Act. The following providers are in use:

The CCG also commission advocacy services from the Trust delivered by the independent sector.

Table 14: Accepted referrals (new cases) of Torbay residents (people aged 18+ and a small number of 16-17 year olds) into primarily adult social care focused advocacy services during the year
Year Estimated number of eligible referrals that proceed
2015/16 290

Torbay Domestic Abuse Service (TDAS) is an integrated service including:

  • 12 units of crisis accommodation located across the Bay
  • outreach service
  • Multi Agency Risk Assessment Conference (MARAC)
  • Independent Domestic Abuse Advisers
  • support programmes for adults and their children
  • a perpetrator programme
  • a survivors group
  • a telephone line staffed by volunteers shared with its sister service in Plymouth

TDAS supported 520 people in 2015/16. 

50 units of supported accommodation for young homeless people are provided in Torbay, through supported lodgings with host families and a Foyer.