Adults with Learning Disabilities Community Support
To provide community based support for five adults in Ruthin, Denbighshire. The contract will run initially for one year, renewable for a further five years bsubject to satisfactory performance.Community Benefits do not apply to this contract.
UK-Prestatyn: Health and social work services
Section I: Contracting authority
Denbighshire County Council
Ty Nant, Nant Hall Road
For the attention of: Alison Heaton
LL19 9LG Prestatyn
Telephone: +44 1824706528
Fax: +44 1824706660
General address of the contracting authority: http://www.denbighshire.gov.uk
Address of the buyer profile: http://www.denbighshire.gov.uk
Further information can be obtained from: The above mentioned contact point(s)
Specifications and additional documents (including documents for competitive dialogue and a dynamic purchasing system) can be obtained from: The above mentioned contact point(s)
Tenders or requests to participate must be sent to: The above mentioned contact point(s)
Section II: Object of the contract
Service category No 25: Health and social services
Main site or location of works, place of delivery or of performance: Denbighshire.
NUTS code UKL13
85000000, 85300000, 85320000
The scheme is to provide the care and support required under this contract to the 5 people living in 3 co-located properties in Ruthin.
The Properties – The Council (Social Services) is currently working with North Wales Housing Association (NWHA) to develop 2 bungalows and a self contained flat in Ruthin specifically for adults with learning disabilities who have been identified by their Social Worker as needing such accommodation.
The 3 properties will accommodate 5 individuals in total (3 tenants in the largest, 4 bedroom bungalow, 1 tenant in the smaller, 2 bedroom bungalow and 1 tenant in the 1 bedroom flat). The properties will all be located on the same site and will form part of a small housing development which comprises of the renovation of 3 existing empty properties (into 2 houses and 2 flats) and the construction of the 2 new bungalows (on land at the rear of the existing empty properties) – 6 properties in total – 3 properties specifically for adults with learning disabilities and 3 properties for general needs housing Building work should take 9 months so the properties should be ready for occupation by autumn 2013, (20/09/13).
The 3 properties have been given ‘house names’; Hafan Bach (the 1 person bungalow), Hafan Mawr (the 3 person bungalow) and Nythfa (the upstairs flat). These proposed names have been used in subsequent sections of this document.
The people – this scheme will provide community based accommodation to people with learning disabilities who might otherwise have to live in a Care Home setting. Social Services have already identified individuals who are considered to be suitable for this type of accommodation; – some are currently living with elderly parents in a situation which is unsustainable in the long term, whilst others are either living in a Care Home temporarily or will need to move into a Care Home if alternative accommodation can’t be found.
It is anticipated that the tenants will move in to the properties as soon as they are ready for occupation, which should be by 20th September 2013 (see 2.1 above).
Section 1.1.2 of this service specification provides more information about the support needs of the individuals. The finer detail of each individual’s care plan will be provided once the contract has been awarded
The service – In order to support the tenants who will live there, a 24 hour tenancy based support service will need to be established. This service specification is intended to provide an outline of the proposed support service for registered domiciliary care providers who may wish to tender for the contract to provide support.
The overall aim of the proposed service is to provide community based flexible support to each tenant, based on their individual needs and preferences. It is vital that this support promotes rather than inhibits the independence of each person and that individuals are enabled to live full and rewarding lives.
The Provider will be expected to have an office base within the county and a local point of contact within 3 months of the contract start date
1.1.2. Individuals who will be supported by the service
Four individuals have already been identified as ‘potential’ tenants who could benefit from living in a tenancy based setting in Ruthin. Potential tenants have been selected on the basis of their assessed support needs, their cultural backgrounds, their needs and preferences in relation to the type and location of the accommodation being developed, and, for the large bungalow, their suitability and compatibility with other potential co-tenants.
In addition, a number of people have been identified as ‘reserve’ tenants should it not be possible or appropriate for one or more of the ‘potential’ tenants to move. As the tenants will live in 3 separate properties, a ‘potential tenants’ and ‘reserve tenants’ list has been developed for each property.
The 3 individuals selected for Hafan Mawr are all ladies with learning disabilities aged between 50 – 60 years. They have lived in mid / south Denbighshire all of their lives and their families either live locally or retain links in the area. Two of these ladies come from a farming background where Welsh is the preferred spoken language. This is an important part of their culture and their identity. It is vital that they are supported in a way that positively promotes their language, backgrounds and identities. All staff providing direct support to these ladies will need to be bi-lingual and will need to support them in a way that compliments their culture. Maintaining close links with family members will be important to these ladies. All 3 ladies will need support at night and whenever they are at home. See section 5 for the estimated hours of support
The tenant selected for Hafan Bach is a gentleman in his 40s who has a moderate learning disability as well as physical health problems. This gentleman is English speaking. He has a degenerative condition which means that he often has to use a wheelchair outdoors. His use of a wheelchair is likely to increase as his condition progresses. The bungalow has been designed to accommodate the needs that he has (or is likely to have in the future) as a consequence of his condition.
This gentleman is very sociable and enjoys the company of other people but he can present with challenging behaviours at times. He has a reasonably good level of understanding and can be left alone unsupervised for periods of time, (although he will need to be able to contact staff when needed). It is anticipated that the design of the bungalow, the in-built technology and the setting will help to maximise his independence. Telecare response service for emergency situations., (although telecare technology will be included in the property, the response from staff will need to be provided as part of the contract being tendered for.
This gentleman has a motability car which staff will be expected to drive on his behalf on a daily basis. As such, staff supporting this individual will need to meet current criteria for driving a motability car.
A key element of his support will be the development of social skills and independent living skills. See section 5 re the estimated hours of support
A number of individuals have been identified for the 1 bedroom flat (Nythfa) but no decision has been made yet as to which person will move in. The selection criteria for the flat are different to the other properties; it is likely that the person who moves in will have a lower level of need than the tenants in the bungalows. The anticipation is that this person will be able to live more independently. He or she will require the use of a telecare response service (from on-site support staff in the bungalows) and some additional 1:1 time for specific tasks or activities.
1.1.3 Description of the proposed service
The Provider who secures the contract for this service will be supporting all 5 tenants. See section 5 for the estimated total number of hours of support for the tenants. The service will provide direct support to tenants (as per their care plan) via trained Support Workers. The Support Workers will be employed and managed by the Provider who secures the contract following the tender process.
Given the different needs of the tenants across the 3 properties, there will be 3 different elements to the direct support service, one for each property, (see below). The nature and extent of each element of the direct support service has been informed by the nature and extent of the anticipated needs of tenants within each property. The estimated total number of hours for the project is outlined in section 1.1.4. The actual number of hours of support provided to each tenant will be detailed in the contract documentation.
It is important to note that although each element of the service will be distinct, there may be situations where staff will be required to transfer support between properties (eg. In order to avoid staff burnout in any of the properties). The transfer of staff should not lead to compromised levels of support in any one property, and tenants must be kept informed of any staffing transfers. Each of the 3 elements of the direct support service will have a different focus as detailed below.
Hafan Mawr – The 3 tenants living in Hafan Mawr will require 24 hour support. Retaining close links with their Families and existing social networks will be an important outcome for each of the 3 tenants. The cultural (farming) background of 2 of the ladies is also very important to them and this will need to be reflected in the service characteristics. All direct support staff will need to be bi-lingual and have a good knowledge and understanding of rural communities. Given that staff may need to support the tenants with family visits it would also be helpful if there were staff members who come from a rural or agricultural background – who are confident in a farm setting.
Hafan Bach – Given the needs outlined in section 3.4 the support staff will need to be confident with this tenant’s behaviours and meeting his personal care needs. This gentleman is currently living mid county in a Care Home setting (as a temporary arrangement). When he moves he will require support to establish a social network and a programme of community based activities in the south of the county (as well as maintaining his existing social networks). Promoting his independence will be an important aspect of the service provided to this person – one of the key outcomes will be for this gentleman to have periods of time without formal support.
Nythfa – staff will need to be available as a response and also to give 1:1 help and advice to the tenant and regular prompts with personal care. Further details will be provided once a final decision has been made as to which person will be moving in to this flat.
Staff turnover – It is important to note that this move will be a big step for each of these tenants so staff consistency will be crucial. They will find it difficult to cope with sudden or unforeseen changes to key personnel. As such, staff turnover should be kept to a minimum. Staff turnover levels within tendering organisations will be requested and considered as part of the tender evaluation and scoring process. In addition, turnover levels will be monitored throughout the duration of the contract.
Given that staff continuity will be important, (see para. above) staff terms and conditions (including anticipated pay levels for direct support staff) will be requested and considered as part of the tender evaluation process.
Staff characteristics – section 8 (staff matching information) provides detailed information about the characteristics that are important to the tenants themselves and their families. This information has been collected via the individuals and / or their families and should be used by the successful tenderer to inform the recruitment of direct support staff.
Telecare – This will be a hub and spoke project. Telecare will be an integral part of the direct support service, and tailored telecare technology will be included in each of the properties. This will include the use of appropriate sensors and staff alerts.
The provider will be expected to provide a telecare response service to the 2 tenants in Hafan Bach and Nythfa, (the 3 tenants in Hafan Mawr will have support staff in situ). Direct support staff will be expected to work with, and respond to, telecare alerts from tenants particularly at night.
Direct support staff will need to know how to use the telecare technology. As such, we would expect the successful Provider to be included in the initial telecare set up and training. Telecare training /briefing sessions (which will be coordinated via the telecare Provider) will be an essential part of the induction package for support staff.
1.1.4 Hours of support
It is anticipated that there will be 158 hours of day time support pw(direct support) plus 7 x 8 hour sleep ins pw. There will be an additional 5 hours pw (4 hours pw for pcp, admin and finances and 1 hour for team meetings) and additional 1:1 hours for the Nythfa tenant (to be confirmed). Given that the needs of individuals can change this is for guidance only and is not contractually binding.
Section III: Legal, economic, financial and technical information
Description of particular conditions: Registration with CSSIW or equivalent and should be signed up to or be willing to sign up to the North Wales APL for Domiciliary Care.
(b) is the subject of proceedings for a declaration of bankruptcy, for an order for compulsory winding-up or administration by the courts or for an arrangement with creditors or is the subject of any other similar proceeding under national laws or regulations;
(c) has been convicted of an offence concerning his professional conduct by a judgement which has the force of res judicata;
(d) has been guilty of grave professional misconduct proven by any means which the contracting authorities can justify;
(e) has not fulfilled obligations relating to the payment of social security contributions in accordance with the legal provisions of the country in which he is established or those of the country of the contracting authority;
(f) has not fulfilled obligations relating to the payment of taxes in accordance with the legal provisions of the country in which he is established or those of the country of the contracting authority;
(g) is guilty of serious misrepresentation in supplying the information required under the provisions of the Directive on the criteria for qualitative selection;
(b) balance sheets or extracts of balance sheets;
(c) statement of turnover for a maximum of the last three years.
(b) a list of principal deliveries effected or services provided in the last 3 years and evidence of delivery;
(d) a description of technical facilities and measures used to ensure quality;
(e) educational and professional qualifications of the supplier and staff responsible for performing the contract;
Section IV: Procedure
Section VI: Complementary information
VI.5)Date of dispatch of this notice:19.3.2013