Wrthi'n llwytho
Nododd y Pwyllgor ei aelodaeth a'i gylch gorchwyl, ac yna cafodd ddiweddariad gan yr Aelod Cabinet a swyddogion ar wasanaethau Byw'n Annibynnol a Gofal Cymdeithasol yn y Gymuned. Cytunodd y byddai'r Cadeirydd yn ysgrifennu at yr Aelod Cabinet gydag arsylwadau'r Pwyllgor.
It was noted that Council, on 21st May 2026, appointed Cllr Dan Naughton as Chair of the Committee and the following as Members of the Committee: Cllrs A. Ahmed, Boes, Lent, Lewis, McGarry, Littlechild and Melbourne (+ 1 vacancy).
The terms of reference were noted.
Apologies were received from Grace Lee (Youth Council) and Cllr Littlechild.
There were none.
The minutes of the 11th May meeting were approved and signed as a correct record.
Y penderfyniad fel y'i cofnodwyd
AGREED: that the Chairperson, on behalf of the Committee, writes to the Cabinet Member conveying the observations of the Committee when discussing the way forward.
Members were provided with an update on the progress of the Independent Living and Community Social Care services. For this item, the Chair welcomed: Cllr Norma Mackie Cabinet Member for Social Services (Adult Services and Public Health) Jane Thomas Director of Adults, Housing & Communities Louise Bassett Assistant Director, Adult Services Claire Gilhooly Independent Living Support Service Manager Dawn Harries OM Reablement Services The Cabinet Member was invited to make an opening statement, in which she emphasised Cardiff’s ageing population. People needed more support to help them stay at home, and the council needed to do things differently and join up services to get the best outcomes, providing the right help in the right place at the right time. Small amounts of support could stop problems getting worse, and they were seeing earlier interventions already along with faster and smoother hospital discharges. More people were also being supported to stay home thanks to reablement technology and practical support. There was more to do but good progress had been made. Officers gave a presentation providing further support, explaining that the structure of Independent Living Support (ILS) brought together preventative and support services. It also included reablement services, occupational therapy, CRT Homecare, technology and adaptations, and worked closely with hospitals, independent living, community social services and performance, project and programme support to provide a whole system of support for the individual. They added that the ILS primarily sought to support people to live independently at home and connected to their communities, through tailored information, advice and support, enabling people to take control of their own lives. It focused on prevention and early intervention and individually tailored support, and followed a stage process where the first point of contact was followed by a comprehensive Occupational Therapist-led functional and care assessment, before social worker intervention for more complex needs. Tailored information and advice sought to empower individuals to express their priorities, goals and concerns, built trust and relationships and promoted personal wellbeing. In total, there had been 10,913 calls last year, leading to 2,480 wellbeing assessments, of which 56% did not result in the individual requiring formal care and support. Officers suggested that people might be reluctant to approach social care as they thought they would lose their independence, and it was essential to reassure them that the service was intended to do the opposite of that. On wellbeing and prevention, officers cited money and debt advice, benefits health check, living aids and equipment, fuel poverty prevention, meal management and fall prevention as some of the many ways that they could help keep people independent. 99% of users had reported an increase in independence following a visit from the wellbeing team. Neighbourhood-based officers tended to have a good understanding of the local community, and trusted assessors could prescribe low level aids and minor adaptations, with 450 devices already having been prescribed as part of Tech Enabled Care. 287 referrals had been made from GP cluster MDTs, 80% of which had been resolved with community-based interventions. Officers moved on to the reablement service, which used a Trusted Assessor model to meet demand and use resources as effectively as possible. Independent Living Officers prescribed aids and equipment, while occupational therapists provided care. In particular the service sought to identify preventative services and reduce reliance on statutory services, and review cases of double-handed care. Officers noted that the most complex cases were managed by social work officers, with statutory services avoided unless absolutely necessary. Officers assessed cases and ensured that care and support packages remained stable. The Hospital Integrated Discharge Hub provided multi-agency, multi-disciplinary coordination between health, social care, community, housing and information, advice and assistance services, and was a single system-wide point of oversight for patients who were ready for discharge. The Hub sought to improve patient flow, integration and outcomes, and had seen a reduction in the average end-to-end discharge to recover and assess pathway 41.5 days to 33, while total delayed transfer of care days had reduced by 30% from 8,531 to 5,973. Officers emphasised that reablement in practice meant supporting the individual to do things rather than doing them ‘for’ the individual. Reablement Home Care had seen 1,440 referrals and delivered 32,000 care hours, with an average care duration of 35 days. They were moving away from a traditional model of care and providing a bridging service based on short-term support to bridge gaps in provision while long-term services were arranged, on average for 28 days. Reablement First sought to promote independence, reduce dependence on care, build on the Trusted Assessor model and provide a central point of contact for providers. 68 citizens had gone through this pathway so far, with 12 (37%) not progressing to long term care. A full pilot evaluation would take place to develop learning. Finally, officers outlined ongoing work on technology, equipment and adaptations, with Technology Enabled Care continuing to expand. 643 TEC solutions had been prescribed to help people remain at home, and the Disabled Facilities Service continued to carry out high volumes of adaptation work, following around 100 recommendations from Occupational Therapists per month. The Telecare service had been integrated into the ILS last year, seeking to focus on proactive rather than reactive prevention, and coordinated follow-ups linked to the right support. 210,715 calls last year had led to 10,791 call-outs, with an average of 33 minutes from the call being placed to the person being helped. This significantly reduced the risk of hospital admission, with only 9% requiring an ambulance. The next steps included building a responsive, joined-up system with rapid responses based on risk, and the creation of Locality Care Coordinators to act as a single consistent point of contact. The main focuses included care planning and reducing the length of hospital stays, as well as recommissioning residential and domiciliary care to meet current and future demands. Members were invited to ask questions and make comments; the discussion is summarised below. Members explored the work of Telecare and heard that in around 90% of cases where they were called out, it was possible to get the person who had fallen back up again without the need for an ambulance. Prevention was key, and the service sought to help individuals improve their strength and balance by fixing them up with rehab coaches and exercise classes, and wider public health services like Live Well Age Well. Dehydration was a common factor in falls, along with confusion and lack of sleep. Officers carried out home environment assessments, and ensured their medications were right. It wasn’t possible to stop all falls, but they were doing as much as they could to ensure that citizens knew what was available. Members asked about the qualifications of Trusted Assessors, and heard that they were comprehensively trained over and above Welsh government standards. Occupational Therapists had a degree while other assessors had in-house training, and Community Support Officers were level 4s in Health and Social Care. Members asked about the progress of the rapid response team and heard that officers aimed to have it in place this year. They had reviewed all current services to assess gaps, and hoped to have it signed off by directors this month. Members noted that 56% of wellbeing assessments resulted in no formal care packages, and asked how the service ensured that these individuals did not re-present in a worse state later on. Officers acknowledged that needs changed over time, especially as people aged, and they tried to identify what mattered to that person at that time. For instance, if someone had a fall, they could look at providing equipment within the home to reduce that risk in the future. Members advocated assessing gaps in early intervention so that isolated individuals without family support or those who weren’t digitally literate did not get excluded from support. Officers suggested that while they had not yet seen a huge demand for digital inclusion, they were constantly seeking to understand the needs of the population. Private organisations had a role to play, and they had set up a telephone line with Morrisons so people could order shopping without needing to use the internet. Members noted positive performance on hospital discharge relative to the Welsh average, and asked about the specific figures for Cardiff compared to the rest of the country. Officers were happy to provide greater detail in response to the Chair’s letter. Members asked how technical and technological adaptations would be delivered within tight budgets and with an ageing population. Officers explained that the focus on early intervention would save money in the long run, while prioritising the most urgent cases and continually reviewing provision helped to ensure resources were effectively used. Grant money had enabled them to increased staffing, and the Trusted Assessor model sought to use resources creatively and avoid double handing. AGREED: that the Chairperson, on behalf of the Committee, writes to the Cabinet Member conveying the observations of the Committee when discussing the way forward.
There were none.
The next meeting was scheduled for 6th July at 4:30pm.
Rhaid i gynghorwyr ddweud pan fydd ganddyn nhw gysylltiad personol â rhywbeth sy'n cael ei drafod, fel swydd, eiddo neu aelod o'r teulu. Mae buddiant sy'n rhagfarnu yn ddigon cryf i'r cynghorydd adael yr ystafell fel arfer a pheidio â chymryd rhan.
Dyw'r cofnodion ddim yn cofnodi unrhyw ddatganiadau o fuddiant.
Yn rhestru cynghorwyr presennol y cyngor yn unig. Nid yw aelodau cyfetholedig, swyddogion a chyn-gynghorwyr yn cael eu dangos.