Scottish Community Care Statistics 2001

Table 2.7: Admissions and Discharges in Residential Care Homes for People with Learning Disabilities, 1985-2001

Sector		1985	1990	1995	1996	1997	1998	1999	2000	2001
Local	Admissions
Authority	Long Stay	693	121	62	55	97	70	67	57	58
	Short Stay	391	2,215	5,404	5,199	5,865	6,166	5,731	6,444	4,841
	Total ¹	1,084	2,336	5,466	5,254	5,962	6,236	5,798	6,501	4,899
	Discharges
	Long Stay	653	147	86	77	109	73	74	72	60
	Short Stay	386	2,206	5,389	5,175	5,876	6,171	5,730	6,432	4,838
	Total ¹	1,039	2,353	5,475	5,252	5,985	6,244	5,804	6,504	4,898
Private	Admissions
	Long Stay	5	49	57	55	65	35	38	72	46
	Short Stay	-	66	93	81	77	74	82	142	569
	Total ¹	5	115	150	136	142	109	120	214	615
	Discharges
	Long Stay	-	27	35	22	42	32	22	37	53
	Short Stay	-	67	91	80	79	74	80	143	567
	Total ¹	0	94	126	102	121	106	102	180	620
Voluntary	Admissions
	Long Stay	65	148	211	223	261	274	216	172	172
	Short Stay	52	147	6,885	4,795	1,487	2,229	6,977	7,180	7,220
	Total ¹	117	295	7,096	5,018	1,748	2,504	7,186	7,352	7,387
	Discharges
	Long Stay	57	96	164	158	167	208	201	194	166
	Short Stay	50	144	6,881	4,788	1,503	2,236	7,030	7,175	7,205
	Total ¹	107	240	7,045	4,946	1,670	2,444	7,231	7,374	7,377
Total	Admissions
	Long Stay	763	318	330	333	423	379	321	301	276
	Short Stay	443	2,428	12,382	10,075	7,429	8,469	12,790	13,766	12,630
	Total ¹	1,206	2,746	12,712	10,408	7,852	8,849	13,104	14,067	12,901
	Discharges
	Long Stay	710	270	285	257	318	313	297	303	279
	Short Stay	436	2,417	12,361	10,043	7,458	8,481	12,840	13,750	12,610
	Total ¹	1,146	2,687	12,646	10,300	7,776	8,796	13,137	14,053	12,895

Totals may not equal the sum of their component parts due to the effects of rounding.

Source: SEHD Community Care Statistics - R1 Return

The vast majority (98%) of admissions and discharges in residential care homes are for short stays.

Short stay admissions and discharges fell sharply in 1997 and 1998 but increased above the previous high for 1999 onwards. Further investigation has indicated that this may be due to under-reporting of short stay activity by some homes rather than an actual drop in short stay provision. Local authority short stay admissions and discharges each fell by a quarter between 2000 and 2001, whereas private short stay admissions and discharges quadrupled. Long stay admissions and discharges have stayed fairly stable since 1990.

In 1985, local authority admissions and discharges accounted for approximately 90 per cent of the total. However this has diminished over the years and now sits at around 38 per cent. Over the same period, the percentage of admissions/discharges in voluntary sector homes has risen from around 10 per cent to 57 per cent, whilst the private sector has remained fairly stable.

Please refer to annex A for a definition of short stay.

Tables 2.8 to 2.11 provide information on long stay residents only as this level of detail is not collected for short stay residents.

Table 2.8: Age of Residents ^1,2 in Homes for People with Learning Disabilities, 1985-2001

Age Group	Year
Age Group	1985	1990	1995	1996	1997	1998	1999	2000	2001
0-15 years	0%	0%	0%	0%	0%	0%	0%	0%	0%
16-30 years	39%	31%	23%	22%	21%	20%	18%	17%	14%
31-45 years	35%	35%	36%	35%	35%	36%	35%	35%	35%
46-65 years	24%	28%	36%	37%	37%	37%	39%	40%	41%
Over 65 years	3%	6%	5%	6%	7%	7%	9%	9%	10%
Unknown (number)	-	80	117	42	4	-	-	-	-
Total residents	1,328	2,236	3,578	3,716	3,797	4,192	4,062	4,185	4,071

Total residents relates to long stay residents only.
² Percentages are based on the number of residents whose age is known.

Source: SEHD Community Care Statistics - R1 Return

Table 2.8 presents a breakdown of the ages of all residents in homes for people with learning disabilities. Since 1985 the proportion of residents aged between 16 and 30 has been steadily decreasing and was down to 14 per cent in 2001. At the same time the proportion of residents aged 46 and over has risen to reach 51 per cent in 2001.

Table 2.9: Incomplete Length of Stay ^1,2 in Homes for People with Learning Disabilities as at 31 March, 1985-2001

Length of Stay	Year
Length of Stay	1985	1990	1995	1996	1997	1998	1999	2000	2001
Under 3 Months	8%	3%	2%	2%	2%	2%	2%	1%	1%
3 - 5 Months	4%	3%	2%	2%	2%	2%	2%	1%	1%
6 - 11 Months	6%	6%	4%	3%	5%	4%	3%	4%	4%
1 - under 3 Years	21%	28%	25%	14%	14%	17%	19%	18%	16%
3 - under 5 Years	15%	21%	21%	28%	21%	12%	12%	14%	16%
5 Years and Over	46%	39%	46%	51%	55%	63%	62%	62%	62%
Unknown (number)	3	29	143	39	6	-	-	-	-
Total residents	1,328	2,236	3,578	3,716	3,797	4,192	4,062	4,185	4,071

Total residents relates to long stay residents only.
² Percentages are based on the number of residents whose length of stay is known.

Source: SEHD Community Care Statistics - R1 Return

The majority of long stay residents with learning disabilities stay in homes for 3 years or more. In 2001, 78 per cent of residents stayed for more than 3 years. In contrast only one per cent of residents remained for less than 3 months.

The proportion of residents who stay for over 5 years has increased steadily over time and has remained at 62 per cent since 1999.

Table 2.10: Destination on Discharge ^1,2 from Homes for People with Learning Disabilities, 1990-2001

Destination	Year
Destination	1990	1995	1996	1997	1998	1999	2000	2001
Died	4%	11%	12%	14%	12%	12%	13%	20%
Entered Hospital	9%	15%	8%	8%	10%	6%	10%	7%
Transferred to Other Home	26%	36%	37%	39%	42%	42%	34%	40%
To Sheltered Housing	4%	3%	4%	5%	3%	2%	4%	4%
To Own Home	31%	24%	31%	22%	22%	27%	32%	24%
Other Discharge	27%	11%	8%	12%	11%	10%	7%	6%
Unknown (number)	1	58	32	19	21	15	3	4
Total residents	280	294	245	319	313	297	303	280

Total residents relates to long stay residents only.
² Percentages are based on the number of residents where destination on discharge is known.

Source: SEHD Community Care Statistics - R1 Return

Table 2.10 presents an overview of the destination of residents on discharge from residential care. There have been fluctuations over time in the proportion of residents being discharged to hospital, amounting to 7 per cent in 2001. Meanwhile the proportion of residents discharged to other homes has generally followed an upward trend, until 2000 where it fell to 34 per cent but returned up to 40 per cent in 2001. Since 1990 the number of residents being discharged to their own homes has fluctuated, percentages range from 22 to 32.

Table 2.11: Financial Support of Residents ^1,2 in Private and Voluntary Residential Care Homes for People with Learning Disabilities, 2001

Support	Private	Voluntary	Total
Wholly or mainly by private means	1%	2%	2%
Wholly or mainly by DSS	53%	47%	48%
Wholly or mainly by LA	46%	51%	50%
Unknown	24	1	25
Total	659	2,771	3,430

Total residents relates to long stay residents only.
² Percentages are based on the number of residents when financial support was known.

Source: SEHD Community Care Statistics - R1 Return

Table 2.11 details the funding arrangements for residents in private and voluntary homes. For definitions of categories of funding see annex A.

In 2001, very few residents (2 per cent) supported themselves by private means, whilst half received support wholly or mainly by local authority. Forty-eight per cent of residents are supported wholly or mainly by DSS.

Table 2.12: Average Weekly Charge per Resident in Homes for People with Learning Disabilities, 31 March 2001

Sector	Average Weekly Charge
Sector	2001
Local Authority	564
Private	369
Voluntary	492
Total	486

Source: SEHD Community Care Statistics - R1 Return

Table 2.12 presents the average weekly charge for residential care for people with learning disabilities for each sector in 2001. The figures have been weighted to reflect the capacity of the residential homes.

The average weekly charge in Scotland rose from 479 in 2000 to 486 in 2001. The average weekly cost of residential care in local authority homes was 545 in 2000, compared to 564 in 2001. The charge for residential care in private homes rose from 341 in 2000 to 369 in 2001.

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