Cyngor Gwynedd Training Fact Checks Need Checking...

Cyngor Gwynedd Care Scrutiny Committee met on the 20th April, 2023, to hear progress on the autism plan.

Councillor Gwynfor Owen asked the senior operational manager, Aled Gibbard, if the training of staff had taken place yet. The officer did not give a simple yes or no but rambled on about e-modules for staff (created by the National Autistic Team) and that over 300 people have viewed the video.
So no - the Councillor retorted.

The senior operational manager appears to have forgotten the 'intense training' that senior officers put forward as evidence in an Ombudsman's investigation. The original recommendation agreed to was -
81 (f) Reviews its process on monitoring commissioned services for adults.
(g) Undertakes a review of its ASD procedures, specifically those for adults and children with high functioning ASD, and ensure that the requirements of the SSWA 2014, MHM 2010 and ASD SAP have been met.
(h) Undertakes an audit of its ASD trained officers, identifies any shortfall and arranges appropriate training within the following 12 months.

When the Ombudsman followed up with the council to check compliance with its orders, the senior officers informed -
Further to the request below for information, here’s the latest information we have about the situation in terms of the ASD service. There has been no specific review, but intense training has been undertaken in the subject (and in the plans).I have prepared an answer below. You are welcome to pass this forward, by also explaining that no specific review has yet taken place.

"The staff delivering Learning Disability services are acutely aware of the increasing need for timely and effective provision of high quality services for people living with ASD. We have implemented an extensive training and awareness programme as evidenced by the Training Unit. In addition, we are proactive members of the North Wales Integrated Autism Service (details attached). We have also begun work to establish a new team within the Learning Disability service which will be taking a preventative approach to service delivery, with effective ASD provision being an integral part." 

Even though this 'intensive training' was not autism specific the Ombudsman accepted this as a 'variance' and only then closed the investigation. A reminder that this case 201700388 was featured in the Ombudsman's hall of shame casebook - Equality and Human Rights 2019/20.

Cyngor Gwynedd had even posted details of this 'extensive training and awareness programme' on its website - but removed it soon after the Ombudsman received a critique of the officers 'evidence' after a Freedom of Information request revealed the disconnect with reality. Luckily for officers, the Ombudsman does not reopen cases - even after new evidence is provided.

Something is very wrong within Gwynedd council - the problem is the senior officers.

 

Cyngor Gwynedd Council Fail.: Training Fact Check - Cyngor Gwynedd Council.:

Cyngor Gwynedd - Age Friendly...?

The dementia update by cyngor Gwynedd is grim -
'...it is difficult to know exactly how many people are living with the condition. There are national
studies that estimate the proportion of the population of different age groups with the condition, and based on that it can be estimated that there are 2,049 individuals with dementia in Gwynedd, representing 1.67% of the population (122,864). Daffodil Cymru research predicts that the number of people over 65 in Gwynedd with dementia will increase from 2,018 in 2020 to 3,085 in 2040; a 35% increase in twenty years.

The 35% increase is incorrect and should read 52% - an apology was given. Whilst the figures are concerning the data is not specific to Gwynedd and its aged population.

The update also contains a table which highlights care homes offering specialist dementia support -
https://democracy.gwynedd.llyw.cymru//documents/s37698/Support%20for%20Individuals%20with%20Dementia%20in%20Gwynedd.pdf

The number of these beds is recorded as 84 - but the report continues -
'Across six of our care homes we will have 84 specialist dementia beds, which is 26% of the total number of beds we have across the county. Please note that not all of these beds are in use yet. Understaffing has meant that we have been unable to open 9 specialist dementia beds in Bryn Blodau, Llan Ffestiniog. In addition, in relation to a total of 14 beds, the units at Hafod Mawddach and Plas Hedd are yet to be completed.'

So not 84 beds...Is 61 more accurate? Less?
The crisis in Gwynedd social care services has been building for many years. The former Director of SS rang the alarm bell during her tenure even asking for ideas at one meeting.

So what is the reality for those with dementia and their families? The husband/wife will usually be the main caregiver and they will be exhausted. They will be dealing with medication, food and toileting. Some of their loved ones will be 'sundowning' - increased anxiety when darkness falls - and sleep patterns go out of the window. All this and no support...

There is no support for OAP's either. Frail elderly have been leaving hospital without a care package in place. No home help getting in/out of bed, no help with washing, dressing and meals. This domiciliary care has tradionally been used to keep the elderly and vulnerable safe in their own homes instead of a hospital or care setting.

The Gwynedd Adults Population Needs Assessment gives more information -
https://democracy.gwynedd.llyw.cymru//documents/s37696/Appendix%201%20Gwynedd%20Adults%20Population%20Needs%20Assessment%202022-2027.pdf

This document also mentions direct payments and developing their use -
The intention is to review our arrangements for Direct Payments and make it easier for people to access funding...
We need to promote the use of Direct Payments, simplify the process around it and develop
arrangements that make it easier to establish DP arrangements in an emergency.

In a past meeting, one officer admitted to problems with the private company the council employ to process direct payments and people are not receiving the available funding. Why the council use a private company was not revealed - the council's webcasts are also contracted out... 

The council believe that new technology and robots are the answer and inform of heavy investment in this area. One officer mentioned robots roaming the Gwynedd countryside - more like flying pigs...

Cyngor Gwynedd Council Fail.: Cyngor Gwynedd Council - Age Friendly...?: