Live Well

Specialist Mental Health Residential Care

We commission residential care placements for those people with the highest needs.

	18-19	19-20	20-21	21-22	22-23*
	£'000	£'000	£'000	£'000	£'000
Residential care spend ‘000s	482	602	797	687	979

Where we are now

We currently commission the following provision:

Approx 20 - 25 residential / nursing placements for people with long term multiple diagnosis that need 24 hour care, including a handful out of area.

We have a very limited number of suitable residential placements as very few homes are able to provide the right environment and staffing. Some care homes are experiencing financial difficulties due to the age, layout, and condition of the buildings they operate in, which causes both a cost pressure to deliver improvements and may also make the home a less attractive environment for people to live in.

Fee rates for residential/nursing homes vary depending on the type and complexity of support required by the person and the level of support towards recovery that the home offers. Additional 1:1 agreed with health partners is often required to meet the needs of some residents.

Where we want to be

We want to encourage development of new care homes with elements of specialist support.

We want to become much clearer about fee rates structures at care homes. We want to have a clear contract and a clear set of expectations of care homes that is in line with a Care Act assessment. In the future we will be looking for closer relationships with providers and a good understanding of what a fair cost of care is.

We want care homes to support staff with longer term contracts and minimise agency use for 1:1 support.

Who we need

We want to work with care providers and developers to identify opportunities for new developments which can meet the needs of people with the highest level of needs.

Our commissioning intentions

• We intend to nurture the growth in more suitable high need specialist mental health bed capacity.

• We intend to provide capital investment to kickstart the development of new mental health specialist accommodation.