For adults with : learning disabilities a diagnosis of mental ill health living in:

1. Framework Agreement: Provision of Supporting People Services and Supported Living Services • For adults with: • learning disabilities • a diagnosis of mental ill health • living in: • supported living settings • supported housing settings • non residential care home settings Guide: How to use the Framework 1st April 2009

2. ADULT SOCIAL CARE CONTENTS Introduction Eligibility Overall Service Outcomes Services which come under the framework agreement • Learning Disabilities Services Lists • Master • Hinckley and Bosworth • North West Leicestershire • Charnwood • Melton • Harborough • Oadby Wigston and Blaby • Autism Spectrum Disorder Lists • Master • Hinckley and Bosworth • North West Leicestershire • Charnwood • Melton • Harborough • Oadby, Wigston and Blaby • 3. How to use the Framework • 4. FAQ • 5. Appendix • Supported Living Information Form • Invoice • Villages in each area

3. ADULT SOCIAL CARE INTRODUCTION • Framework agreements are agreements with one or more suppliers which set out the terms and conditions for subsequent procurements • The Framework agreement has been put in place in line with Procurement Rules. All contracts made by or on behalf of the Council are subject to the Procurement Rules. • Providers have been put through a robust procedure to ensure we have a list or providers who are good quality and provide value for money. • The Framework Agreement will replace the approved list of providers for Supported Living services. • Services which are covered under this framework include (but are not restricted to): • Care and Support • 1. Accommodation based support • 2. Traditional personal care • Floating Support • 1. Home based services • 2. Community based activities (Not community opportunities) • Health and Personal Care Tasks • Other Support • Information about the types of support are on page 7 • The Framework agreement will be managed by Strategic Commissioning and Service Development. Any queries relating to this should be made to: • Strategic Commissioning 0116 2255225, nlsmith@leics.gov.uk • The Contracts will be managed by the Commissioning and Contracting Team. Any queries relating to contractual issues should be made to: • Carol Stanyard, 0116 305 7554, cstanyard@leics.gov.uk • This document will be reviewed on an annual basis.

4. ADULT SOCIAL CARE ELIGIBILITY The arrangements for assessment and care management to meet the requirements of the NHS and Community Care Act 1990 and the Department of Health’s guidance on ‘Fair Access To Care Services’ is set out in the Adult Social Care Eligibility Criteria For Community Care Services. This can be found on the intranet: http://cis/social_services/library/older_phys_dis/guidance/community_care_services_criteria/ The requirement by the Department to carry out assessments and provide community care services is within a legislative framework, which is set out in the Adult Social Care Eligibility Criteria for Community Care Services and Supporting Practice Guidance March 2003, section B 1.1 – 1.14. The assessment of need forms the basis on which the Department responds to requests for assistance and is concerned with exploring a persons presenting needs and determining their eligibility for services.

5. ADULT SOCIAL CARE OVERALL SERVICE OUTCOMES • The service will enable people to have opportunities to participate in: • domestic activities associated with daily living, • seek employment, • enjoy community based facilities • pursue interests of their choice on an equal level with others in society. • The service will: • promote independence when providing personal and practical support. • promote positive community attitude towards people with a disability. • help the individual to develop links with their local community. • The seven outcomes identified in the Departments Service Plan shall be met by the service provider in its delivery of service. • Providers will work towards offering a service to people which allows them to have more choice and control in line with personalisation.People will have the opportunity to choose who provides the support, and control when and where the services are provided. • Providers will offer support tailored to individual choice and preference. • Providers will support people to become empowered and feel they have a life rather then a set of services.

6. ADULT SOCIAL CARE OVERALL SERVICE OUTCOMES Services must be delivered to achieve the following set of principles and outcomes for individuals: Support to Carers – where carers are involved, their own needs and rights will be respected and their views taken into account. Choice & autonomy – people’s opportunities and choices will be maximised. They will be supported to develop confidence and skills to make choices and be involved in service planning and development wherever possible. They will be enabled to access independent advocacy if needed. Competence and personal development – people will be supported to acquire the skills knowledge, responsibility and confidence so that they can live outside of institutional care and decide what they want to do with their life. Communication – people’s range and depth of communication skills will be maximised, having the opportunity to use alternative means of communication, e.g. use of symbols. Advocacy – people have a right to appoint a friend carer or agent to express their views regardless of age, race, culture, sexuality or disability. Complaints – people have the right to make a complaint and access the providers or the Council’s complaint procedure. Employment and Leisure – people will have the opportunity to access a range of leisure interests and employment in ordinary settings. Healthy Living – people will be supported to maintain and maximise both their physical and mental health. Awareness of Heritage – people will be enabled to have information and understanding about their personal and wider, history and heritage. Inclusion – people will have the opportunity to experience ordinary patterns of daily life and access community facilities in a non-segregated way. Independence – people’s independence (including financial) will be maximised wherever possible, to ensure that they are fully involved in all decisions affecting their lives. Continued..

7. ADULT SOCIAL CARE OVERALL SERVICE OUTCOMES Individuality – people’s needs and wishes will be respected and responded to on an individual basis regardless of age, race culture, sexuality or disability. Privacy – people have a right to privacy and confidentiality and this will be respected at all times taking into account their religious and cultural needs. Psychological Well-being – people will be supported emotionally and enabled to develop personal resources to deal with life changes, stresses and crisis, in order to optimise their mental health. Respect and Dignity – the service will enable each individual to develop self respect and feel a valued member of the community. People need to feel that who they are and what they say is important and people listen. Safety – people will be offered safe services that minimise potential risk through assessment and risk management Relationship – people will be encouraged to develop a variety of different relationships that are appropriate for and wanted by the individual concerned. Reviews/Monitoring – people have the right to have their individual care places reviewed and monitored at agreed intervals and for Adult Social Care and Health to monitor the service.

8. ADULT SOCIAL CARE SERVICES WHICH COME UNDER THE FRAMEWORK AGREEMENT The following are examples of services which would come under the Framework Agreement. Please note this is not an exhaustive list. • Care and Support • Accommodation based support • Providing a staff group to support an individual service user or a group of service users living in shared accommodation / own accommodation • Assisting service users to carry out day to day living tasks e.g. cleaning, gardening, dealing with post, planning meals, preparing food, choosing clothes and getting dressed • Assisting service users to communicate with statutory services e.g. benefit agencies, health providers, the Council, Adult and Community Services, housing providers • Assisting service users to manage money • Assisting service users to understand and fulfil the terms and conditions of their tenancy • Supporting service users to manage health matters • Providing sleeping in or waking night support • Supporting service users to go shopping • Supporting service users to keep in touch with families, friends, local community groups etc • Supporting service users to attend (not provide) daytime activities in the community – including college courses, leisure/fitness opportunities, pursuing other interests e.g. cinema, clubs, hobbies, crafts, visits to the park etc • Supporting service users to attend evening activities of their choice • Supporting service users to attend GP appointments and other visits • Supporting service users to use public transport • Traditional Personal Care • Personal care of the kind requiring the provider to be registered as a domiciliary provider with the Commission for Social Care Inspection. Some examples of tasks would include getting a service user up, putting a service user to bed, cleaning, toileting, giving medication, manual handling etc. • Support to carer to continue their caring

9. ADULT SOCIAL CARE SERVICES WHICH COME UNDER THE FRAMEWORK AGREEMENT • Floating Support • Home based services • Assisting service users to carry out day to day living tasks e.g. cleaning, gardening, dealing with post, planning meals, preparing food, choosing clothes and getting dressed • Assisting service users to communicate with statutory services e.g. benefits agency, health providers, the Council, Adult and Community Services, housing providers • Assisting service users to manage money • Assisting service users to understand and fulfil the terms and conditions of their tenancy • Supporting service users to manage health matters. • Community based activities (not community opportunities) • Supporting service users to go shopping • Supporting service users to keep in touch with families, friends, local community groups etc • Supporting service users to attend (not provide) daytime activities in the community – including college courses, leisure/fitness opportunities, pursuing other interests e.g. cinema, clubs, hobbies, crafts, visits to the park etc • Supporting service users to attend evening activities of their choice • Supporting service users to attend GP appointments and other visits • Supporting service users to use public transport

10. ADULT SOCIAL CARE SERVICES WHICH COME UNDER THE FRAMEWORK AGREEMENT • Health and Personal Care Tasks • The service provider will be expected to provide all commissioned social care services as defined within the Health and Social Care Protocol 2005. (copies available on request) or it can be found on the intranet. http://cis/social_services/library/older_phys_dis/guidance/continuing_care/appendices/health_social_care_protocol/index.htm • Arrangements for carrying out any health care tasks are covered within the protocol. The provider will not undertake any services which are defined within the protocol as responsibility of the health professionals unless: • The tasks are those defined as ‘Delegated Health Care Tasks • The support workers have received the appropriate training from a health professional • The task has been commissioned by the Council • Any requests for additional services or tasks from a health professional or any difficulties in interpretation of the protocol must be referred to the Council, before any changes are implemented. • Please Contact Strategic Commissioning for further information. . • Other Support • Packages of support to meet one off needs e.g. supporting an individual to move into new accommodation • Supporting an individual to develop independent living skills to prepare them to move into supported living from a family setting • Support young people in transition to access ordinary housing, introduce individual budgets and promote good transition planning in partnership with other agencies and young people and families, • Support to service users to manage the transition from residential care into supported living • Management and provision of a 24 hour on call system using a single telephone number which is accessible to service users.

11. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES Master List If a provider is VAT registered and quotes the price including VAT we will be able to claim the VAT back. The rate per hour is the true hourly rate. Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

12. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES Hinckley and Bosworth Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

13. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES North West Leicestershire Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

14. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES Charnwood Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

15. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES Melton Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

16. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES Harborough Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

17. ADULT SOCIAL CARE LEARNING DISABILITIES SERVICES Oadby, Wigston and Blaby Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

18. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER Master List If a provider is VAT registered and quotes the price including VAT we will be able to claim the VAT back. The rate per hour is the true hourly rate. Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

19. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER Hinckley and Bosworth Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

20. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER North West Leicestershire Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

21. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER Charnwood Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

22. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER Melton Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

23. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER Harborough Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

24. ADULT SOCIAL CARE AUTISM SPECTRUM DISORDER Oadby, Wigston and Blaby Confidential – Please note this information is highly confidential and sensitive. This information should only be used when commissioning new packages. This information must not be shared with or distributed to anyone outside of Leicestershire County Council Adult Social Care.

25. ADULT SOCIAL CARE HOW TO USE THE FRAMEWORK • For all new services and where TUPE does not apply: • Identify the support package required and complete a needs profile/ support plan • If a new package and a new property identify appropriate model of support – please see details about models of support. • If it is a new package in an existing scheme ensure any shared hours are appropriate for the individual. If the individual does not require elements of the shred hours make sure this is documented. • Contact Strategic Commissioning to confirm which provider to approach – usually this will be the first provider on the list however if the provider has been offered more then 1000 hours business per week then you may need to approach a different provider. • Contact the provider. If they can meet the service users needs within the required timescales this will be at the price identified in the Framework lists. • If the provider is unable to meet the service users needs, unable to meet the timescales or quotes a different price contact Strategic Commissioning. They will be able to contact the provider or offer an alternative provider. • Ensure that it is documented on the individual case records which providers are contacted and any reasons why the service was not commissioned from the provider. This is used for Audit purposes to ensure compliance with the Framework. • If the provider is able to meet the service users needs at the quoted price and in the required timescale – seek approval for the package through Team Manager / Panel. • Once Package has been approved inform Provider and Strategic Commissioning • Complete Supported Living Information Form and send to Strategic Commissioning – this is vital as it allows a record to be kept of business offered to providers. • Complete an Order Form on SSIS – This will ensure the provider is paid. • Ensure the fairer charging team are notified of new placements.

26. ADULT SOCIAL CARE HOW TO USE THE FRAMEWORK • For all existing services and where TUPE does apply: • A mini tender will be run – all providers who are on the framework list for the geographical service area will be given the opportunity to submit a bid for the service. • Operational staff will be consulted to confirm the number of hours which are required for the service and for each individual • A meeting will be arranged with the current provider and all parties will be asked to sign up to a consultation plan identifying who will inform service users and stakeholders and the most appropriate method and time to do this. • Anonymous personal profiles for each individual will be drawn up which will include number of hours required and current support needs • TUPE information will be gathered by Strategic Commissioning for staff who may be eligible to transfer with the service. • This information will be sent to the providers on the list in the relevant geographical area. • Providers will be invited to submit a bid including a price for the service taking into account possible TUPE staff, an action plan demonstrating how the service would be delivered including timescales, details of the base from where the service would be managed, how much management time would be dedicated to the service and how the service would be staffed including any specialist skills or experience would may be required. • This application would be evaluated by strategic commissioning and operational staff. The evaluation will be scored: • Action Plan 40% • Evidence the provider can deliver person centred and needs led approaches 20% • Price 40% • Service users and carers will be offered the chance to meet and interview bidders • A joint decision will be made with strategic commissioning, operational staff, service users and carers.

27. ADULT SOCIAL CARE FAQ How Long is the Framework in place for? The Framework is in place for two years from 1st April 2009. This may be extended for a further two years until 31st March 2013. Do the rankings stay the same for the lifetime of the Framework? No. The rankings will be reviewed periodically and can be changed. Can providers be added onto the Framework? No. Once the framework is in place providers can not be added onto this list. Can Providers be removed from the Framework? Yes. Providers can be removed from the framework if they consistently do not meet required standards, consistently refuse work or do not meet the requirements under the framework. Will the prices change? The prices will be subject to consideration for an annual uplift set by the Council in April each year. Why do I need to contact Strategic Commissioning before approaching a provider? Strategic Commissioning hold a database which records the number of hours support a provider is currently providing. Within the Framework Agreement the provider who is ranked first on the list can only be offered a specific amount of business before the next provider on the list if offered the business. In order to be fair and equitable to the providers who have not been ranked first on the list we need to ensure business is being offered to others as soon as providers reach the number of hours business they can be offered. What if a provider refuses a package? If a provider refuses a package please inform Strategic Commissioning and include this information on the Supported Living Information form. Providers can refuse packages if they are unable to meet the persons needs or if they are unable to meet the timescales required for implementation of a package and we would want them to do this rather then try and take on work they will be able to effectively do. However we will keep a record of al refusals within Strategic Commissioning as a monitoring method.

28. ADULT SOCIAL CARE FAQ What if a provider cannot meet the service users needs? If a provider cannot meet the service users needs please contact Strategic Commissioning and they will be able to suggest other providers from the framework list. What if I am unhappy with a provider? If you are unhappy with a provider please try and resolve this with the provider. If you are having problems resolving any issues please contact the Contracts Officer for the Provider. Please complete a PPMF even if you resolve the issue without referring to a Contracts Officer as this is used as a monitoring method. Why do I have to do a Supported Living Information Form as well as an Order Form? The Supported Living Form is essential to enable Strategic Commissioning to record which providers are supporting individuals and the number of hours support each provider has. This will allow the business to be offered fairly to the providers and ensure one provider is not being given all the packages. The Supported Living Form also records hourly price paid and the weekly cost which will enable finance to pay the invoices and develop a BACs payment system which is more efficient for everyone. What happens if there is Supporting People funding as well as ASC funding? Supporting People have a list of providers who have been successful in their application to be included on the framework. Where possible we will jointly commission services with the same provider. The provider must be on the list for both service areas. What if I want to commission a service from a provider not on the framework? You will need to consider individual budgets or direct payments. Why are providers ranked differently on the different geographical lists? Each provider has been ranked in each geographical area not on a master list. Providers have changed positions on the list dependent upon the other providers in that area. The quality score for providers has remained the same however the score for price has changed as in each area there are different providers who have submitted different hourly rates. This means that the average is different in each area which has had an impact on the price score and the rankings.

29. Appendix 3 ADULT SOCIAL CARE Hinckley and Bosworth

30. Appendix 3 ADULT SOCIAL CARE North West Leicestershire

31. Appendix 3 ADULT SOCIAL CARE Charnwood

32. Appendix 3 ADULT SOCIAL CARE Melton

33. Appendix 3 ADULT SOCIAL CARE Harborough

34. Appendix 3 ADULT SOCIAL CARE Oadby, Wigston and Blaby