Scottish Community Care Statistics 2002

Residential Care Homes

Tables 1.12 to 1.20 contain information on private and voluntary residential care homes registered with social work registration and inspection units and local authority run residential care homes. Tables in this chapter cover residential homes primarily intended for older people; homes for other client groups are included in chapters 2-5. For definitions on which the data are collected, please refer to the notes in annex A.

In 1998 a new methodology was introduced for dealing with non-response. Care should be taken when comparing time series data before and after 1998 as the figures may not be directly comparable. Please refer to annex A for more details.

Table 1.12: Residential Care Homes for Older People, 1980-2002

		1980 ¹	1985	1990	1995	1996	1997	1998	1999	2000	2001	2002
No. of Homes	Local Authority	247	267	277	260	256	246	239	219	213	202	198
	Private		60	247	258	246	249	273	275	261	261	254
	Voluntary	175	142	137	157	161	169	169	165	157	158	153
	Total	422	469	661	675	663	664	681	659	631	621	605
No of Beds	Local Authority	9,348	9,816	9,712	8,317	8,071	7,694	7,464	6,852	6,525	6,001	5,813
	Private		1,044	4,124	4,514	4,407	4,622	5,025	5,280	5,074	5,107	5,032
	Voluntary	5,061	4,477	4,510	4,157	4,123	4,211	4,188	4,144	4,215	3,977	3,998
	Total	14,409	15,337	18,346	16,988	16,601	16,527	16,677	16,276	15,814	15,085	14,843
No of Residents	Local Authority	8,790	9,068	8,807	7,584	7,407	7,108	6,706	6,059	5,917	5,442	5,203
	Private		924	3,195	3,934	3,818	3,846	4,386	4,477	4,143	4,367	4,399
	Voluntary	4,672	4,193	4,355	3,807	3,812	3,815	3,791	3,684	3,702	3,544	3,557
	Total	13,462	14,185	16,357	15,325	15,037	14,769	14,883	14,220	13,762	13,353	13,159

¹ In 1980 the figures for the private and voluntary sectors are grouped together.
Source: SEHD Community Care Statistics - R1 Return

Table 1.12 provides a breakdown of the number of residential care homes, beds and residents over time, split by sector.

The number of beds available has increased since 1980; but more recently it has been steadily decreasing. There were 14,843 beds available in 2002.

As is apparent from chart 1.3, the proportion of residential care beds in the local authority sector has been decreasing since 1990, whilst the number in the private and voluntary sectors has been on the increase.

Table 1.13 presents the number of residential care homes for older people, their associated places and residents by sector for each local authority in Scotland.

Overall in Scotland there were 16 residents per 1,000 population aged 65 and over. Shetland Islands with 41 residents per 1,000 population aged 65 and over, had the highest rate. At the other end of the scale East Dunbartonshire had only 4 residents per 1,000 population aged 65 and over.

Table 1.14 provides a time series breakdown of admissions and discharges in homes for older people by sector. See annex A for a definition of short stay.

Chart 1.3 Residential Care Homes for Older People by Sector

chart

Table 1.13: Residential Care Homes for Older People, 2002

Local Authority	Local Authority			Private			Voluntary			Total			Residents per 1,000 pop'n 65+
Local Authority	Homes	Beds	Residents	Homes	Beds	Residents	Homes	Beds	Residents	Homes	Beds	Residents	Residents per 1,000 pop'n 65+
Aberdeen City	5	181	174	3	37	31	9	337	291	17	555	496	15
Aberdeenshire	13	335	303	11	160	128	5	133	127	29	628	558	17
Angus	4	112	108	17	325	294	2	70	62	23	507	464	23
Argyll & Bute	7	114	110	17	340	296	4	99	95	28	553	501	29
Clackmannanshire	1	40	40				1	12	12	2	52	52	7
Dumfries & Galloway				22	527	422	14	435	352	36	962	774	27
Dundee City	4	160	127	6	132	122	4	93	81	14	385	330	13
East Ayrshire	4	92	87	12	169	149	2	72	64	18	333	300	15
East Dunbartonshire				2	55	48	1	33	28	3	88	76	4
East Lothian	3	111	101	2	62	55	2	59	55	7	232	211	13
East Renfrewshire	1	37	23	1	25	23	5	160	149	7	222	195	14
Edinburgh, City of	14	575	538	8	180	162	17	413	359	39	1,168	1,059	15
Eilean Siar	15	166	147	1	6	6	1	14	14	17	186	167	32
Falkirk	6	173	166	3	49	42	3	51	50	12	273	258	11
Fife	10	328	306	20	483	449	9	186	168	39	997	923	16
Glasgow city	22	885	676	14	311	281	19	437	401	55	1,633	1,358	15
Highland	21	322	290	27	441	352	7	156	147	55	919	789	22
Inverclyde	2	54	53	2	53	50	3	80	77	7	187	180	13
Midlothian	3	122	118	3	74	69	3	75	69	9	271	256	21
Moray	1	40	38	7	140	137	1	54	52	9	234	227	16
North Ayrshire	6	128	113	12	185	161	3	89	82	21	402	356	16
North Lanarkshire	10	386	356	6	132	129				16	518	485	11
Orkney Islands	3	81	73	2	17	16	1	5	5	6	103	94	29
Perth & Kinross	3	126	114	17	390	353	8	191	162	28	707	629	25
Renfrewshire	6	226	198	4	107	101	2	56	48	12	389	347	13
Scottish Borders	6	200	193	8	127	107	4	88	76	18	415	376	18
Shetland Islands	3	52	50				6	81	78	9	133	128	41
South Ayrshire	4	96	89	7	71	22	3	65	55	14	232	166	8
South Lanarkshire	7	245	234	11	272	252	6	322	271	24	839	757	16
Stirling	3	62	59	5	99	85	5	100	95	13	261	239	17
West Dunbartonshire	7	220	198	2	37	34	1	10	10	10	267	242	16
West Lothian	4	144	121	2	26	23	2	22	22	8	192	166	9
Scotland	198	5,813	5,203	254	5,032	4,399	153	3,998	3,557	605	14,843	13,159	16

Source: SEHD Community Care Statistics - R1 Return

Table 1.14: Admissions and Discharges in Homes for Older People, 1985-2002

Sector		1985	1990	1995	1996	1997	1998	1999	2000	2001	2002
Local Authority	Admissions
	Long Stay	3,840	3,208	2,911	3,115	2,861	2,369	2,242	2,169	1,940	1,837
	Short Stay	3,161	6,587	9,973	11,223	10,656	10,805	9,473	8,725	8,405	9,108
	Total	7,001	9,795	12,884	14,338	13,517	13,174	11,715	10,894	10,345	10,945
	Discharges
	Long Stay	3,752	3,449	3,007	3,159	2,926	2,616	2,525	2,303	2,145	1,910
	Short Stay	3,138	6,567	9,930	11,165	10,637	10,798	9,445	8,684	8,399	9,019
	Total	6,890	10,016	12,937	14,324	13,563	13,414	11,970	10,987	10,544	10,929
Private	Admissions
	Long Stay	511	1,286	1,360	1,472	1,401	1,619	1,692	1,499	1,573	1,560
	Short Stay	49	197	455	654	1,134	1,473	1,593	1,266	1,495	1,212
	Total	560	1,483	1,815	2,126	2,535	3,092	3,825	2,765	3,068	2,772
	Discharges
	Long Stay	292	1,114	1,159	1,392	1,226	1,340	1,612	1,527	1,342	1,471
	Short Stay	48	192	453	622	1,143	1,454	1,597	1,243	1,479	1,200
	Total	340	1,306	1,612	2,014	2,369	2,794	3,209	2,770	2,821	2,671
Voluntary	Admissions
	Long Stay	1,110	1,115	1,018	1,203	1,150	1,103	1,170	1,277	1,156	1,188
	Short Stay	275	454	1,211	1,348	1,276	1,300	1,640	1,827	1,861	1,567
	Total	1,385	1,569	2,229	2,551	2,426	2,403	2,810	3,104	3,017	2,755
	Discharges
	Long Stay	1,154	1,218	1,027	1,198	1,186	1,069	1,304	1,395	1,111	1,140
	Short Stay	276	468	1,203	1,350	1,262	1,316	1,639	1,801	1,863	1,576
	Total	1,430	1,686	2,230	2,548	2,448	2,385	2,943	3,196	2,974	2,716
Total	Admissions
	Long Stay	5,461	5,609	5,289	5,790	5,412	5,091	5,104	4,945	4,669	4,585
	Short Stay	3,485	7,238	11,639	13,225	13,066	13,578	12,706	11,818	11,761	11,887
	Total	8,946	12,847	16,928	19,015	18,478	18,669	17,810	16,763	16,430	16,472
	Discharges
	Long Stay	5,198	5,781	5,193	5,749	5,338	5,025	5,441	5,225	4,598	4,521
	Short Stay	3,462	7,227	11,586	13,137	13,042	13,568	12,681	11,728	11,741	11,795
	Total	8,660	13,008	16,779	18,886	18,380	18,593	18,122	16,953	16,339	16,316

Source: SEHD Community Care Statistics - R1 Return

The number of admissions and discharges steadily increased until 1996 where the numbers peaked. Since 1998 both admissions and discharges have fallen by 12 per cent.

Tables 1.15 to 1.19 provide information on long stay residents only as this level of detail is not collected for short-stay residents.

Table 1.15: Age of Residents ^1,2 in Homes for Older People, 1980-2002

Age Group	1980	1985	1990	1995	1996	1997	1998	1999	2000	2001	2002
Under 55 Years	1%	1%	0%	0%	0%	0%	0%	0%	0%	0%	0%
55 - 64 Years	4%	3%	2%	1%	2%	2%	1%	2%	1%	1%	1%
65 - 75 Years	17%	13%	11%	10%	11%	10%	10%	11%	10%	10%	10%
75 - 84 Years	43%	44%	41%	35%	35%	34%	34%	33%	33%	34%	34%
85 and over	36%	41%	46%	53%	53%	54%	54%	54%	55%	55%	55%
Unknown (Number)	..	..	240	453	154	69	-	-	-	-	-
Total Residents	13,202	14,070	15,742	14,803	14,513	14,178	14,398	13,781	13,293	12,918	12,710

¹ Total residents relates to long stay residents only.
² Percentages are based on the number of residents with known ages.
Source: SEHD Community Care Statistics - R1 Return

Table 1.15 presents the number of residents in homes for older people categorised by age group.

The majority of residents in homes for older people are aged 85 or over. This proportion has increased steadily between 1980 and 2002, to represent 55 per cent of residents in 2002. Between 1990 and 2002, around of 2 per cent of residents in homes for older people were under 65.

Table 1.16: Incomplete Length of Stay of Residents ^1,2 in Homes for Older People as at 31 March, 1985-2002

Age Group	1985	1990	1995	1996	1997	1998	1999	2000	2001	2002
Under 3 Months	9%	9%	8%	9%	8%	8%	9%	9%	9%	9%
3 - 5 Months	7%	7%	6%	7%	7%	7%	7%	7%	7%	7%
6 - 11 Months	12%	11%	12%	12%	13%	13%	13%	13%	13%	13%
1 - under 3 Years	33%	33%	34%	33%	34%	36%	36%	36%	36%	36%
3 - under 5 Years	16%	19%	18%	19%	18%	16%	17%	18%	17%	18%
5 Years and Over	23%	21%	21%	20%	20%	20%	18%	17%	17%	17%
Unknown (Number)	47	233	428	122	47	-	-	-	-	-
Total Residents	14,070	15,742	14,803	14,513	14,178	14,398	13,781	13,293	12,918	12,710

¹ 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

Table 1.16 illustrates the distribution of length of stay of residents remaining in residential care homes at 31 March from 1985 to 2002. The highest proportion (just over one-third) of residents have been in homes for between
1 and 3 years. The distribution has remained fairly stable over time, although the proportion of residents staying for 5 years or more has decreased slightly, remaning stable over the last 3 years.

Table 1.17: Destination on Discharge from Homes for Older People ^1,2, 1980-2002

Age Group	1980	1985	1990	1995	1996	1997	1998	1999	2000	2001	2002
Died	38%	48%	56%	46%	46%	50%	51%	51%	50%	51%	55%
Entered Hospital	23%	28%	28%	26%	23%	21%	20%	20%	21%	19%	18%
Transferred to Other Home	6%	8%	8%	14%	15%	17%	20%	18%	19%	19%	19%
To Sheltered Housing	0%	0%	1%	5%	1%	0%	0%	1%	1%	1%	0%
To Own Home	22%	14%	4%	5%	8%	6%	5%	4%	4%	5%	4%
Other Discharge	10%	2%	3%	5%	8%	6%	5%	7%	5%	5%	4%
Unknown (Number)	2	-	147	382	328	114	60	52	44	49	23
Total Residents1	5,551	5,340	5,781	5,193	5,749	5,338	5,025	5,441	5,225	4,597	4,521

¹Total residents relates to long stay residents only.
²Percentages are based on the number of residents where destination on discharge is known.
Source: SEHD Community Care Statistics - R1 Return

Table 1.17 presents the number of residents entering hospital on discharge from residential homes which has steadily declined since 1985. Over the same time period the number of residents transferred to other homes has increased. Four per cent of residents were discharged to their own homes in 2002.

Table 1.18: Financial Support of Residents ^1,2 in Private and Voluntary Residential Care Homes for Older People, 1995-2002

Support	1995	1996	1997	1998	1999	2000	2001	2002
Wholly or mainly by private means	36%	34%	33%	33%	33%	38%	41%	40%
Wholly or mainly by HB	0%	1%	1%	1%	1%	0%	0%	0%
Wholly or mainly by DSS	37%	30%	24%	19%	15%	12%	11%	8%
Wholly or mainly by LA	26%	35%	42%	47%	51%	49%	48%	52%
Unknown (Number)	1,368	773	495	254	376	194	278	2
Total Residents	7,719	7,581	7,527	8,062	8,053	7,691	7,766	7,821

¹ Total residents relates to long stay residents only.
² Percentages are based on the number of residents where support is known.
Source: SEHD Community Care Statistics - R1 Return

Table 1.18 details the funding arrangements for residents in private and voluntary homes from 1995 to 2002. The support categories were reviewed and changed in 2000. A full definition of the categories of funding is included in annex A.

The proportion of privately funded residents has remained fairly stable over time at around 33 per cent until 2000 when it increased to 38 per cent and has risen again in 2002 to 40 per cent. Meanwhile the proportion of residents funded wholly or mainly by the DSS has fallen considerably, from 37 per cent in 1995 to 8 per cent in 2002.

Table 1.19: Financial Support of Residents ^1,2 in Private and Voluntary Homes for Older People, 2002

Local Authority	Wholly or mainly by private means	Wholly or mainly by DSS preserved rights	Wholly or mainly by LA	Unknown	Total
Aberdeen City	35%	7%	58%	-	319
Aberdeenshire	48%	8%	45%	-	248
Angus	54%	5%	42%	-	352
Argyll & Bute	39%	16%	45%	-	387
Clackmannanshire	27%	0%	73%	-	11
Dumfries & Galloway	39%	6%	56%	-	767
Dundee City	34%	8%	58%	-	201
East Ayrshire	17%	5%	78%	-	212
East Dunbartonshire	34%	17%	49%	-	76
East Lothian	45%	17%	39%	-	109
East Renfrewshire	41%	8%	52%	-	172
Edinburgh, City of	57%	8%	35%	-	518
Eilean Siar	15%	5%	80%	-	20
Falkirk	32%	9%	60%	-	92
Fife	48%	13%	39%	-	614
Glasgow City	24%	6%	70%	1	675
Highland	42%	8%	51%	-	474
Inverclyde	27%	11%	62%	-	127
Midlothian	41%	8%	51%	-	138
Moray	48%	12%	40%	-	188
North Ayrshire	46%	4%	50%	-	234
North Lanarkshire	18%	4%	78%	-	124
Orkney Islands	29%	24%	48%	-	21
Perth & Kinross	49%	5%	46%	-	499
Renfrewshire	49%	8%	43%	-	146
Scottish Borders	23%	3%	74%	-	178
Shetland Islands	11%	2%	87%	-	62
South Ayrshire	47%	3%	51%	-	73
South Lanarkshire	50%	9%	41%	2	519
Stirling	37%	13%	50%	-	179
West Dunbartonshire	33%	2%	65%	-	43
West Lothian	28%	5%	67%	-	43
Scotland	40%	8%	52%	3	7,821

¹ Total residents relates to long stay residents only.
² Percentages are based on the number of residents where support is known.
Source: SEHD Community Care Statistics - R1 Return

Table 1.19 presents the main sources of funding of residents in each local authority.

The local authorities with the largest proportion of self-funding residents were Angus and the City of Edinburgh, with 54 and 57 per cent respectively. Shetland Islands had the smallest proportion of self-funding residents with 11 per cent.

Table 1.20: Average Weekly Charge ¹ per Resident in Residential Care Homes for Older People, 2002

Local Authority	Local Authority	Private & Voluntary	Total
Aberdeen City	403	328	352
Aberdeenshire	354	314	335
Angus	419	295	323
Argyll & Bute	518	284	332
Clackmannanshire	390	*	*
Dumfries & Galloway	-	313	313
Dundee City	528	268	376
East Ayrshire	326	275	289
East Dunbartonshire	-	*	*
East Lothian	423	*	345
East Renfrewshire	379	335	342
Edinburgh, City of	373	365	369
Eilean Siar	474	317	457
Falkirk	504	332	441
Fife	471	308	362
Glasgow City	374	303	341
Highland	418	291	336
Inverclyde	381	287	314
Midlothian	315	291	302
Moray	355	281	293
North Ayrshire	354	295	314
North Lanarkshire	345	277	328
Orkney Islands	595	*	541
Perth & Kinross	372	298	311
Renfrewshire	373	314	348
Scottish Borders	318	302	310
Shetland Islands	796	293	490
South Ayrshire	390	313	345
South Lanarkshire	298	294	295
Stirling	416	298	326
West Dunbartonshire	398	*	375
West Lothian	330	*	321
Scotland	395	305	340

¹Where the average is based on less than five homes in the independent sector, the figure has been starred out for confidentiality reasons.
Source: SEHD Community Care Statistics - R1 Return

Table 1.20 presents information on the average weekly charge per resident in residential care homes by local authority and sector in 2002. The data have been weighted to reflect the capacity of residential care homes in each local authority.

The average weekly charge for all sectors in Scotland increased by 6 per cent since 2001. East Ayrshire had the lowest weekly charge in 2002 at 289, while Orkney Islands had the highest weekly charge at 541.

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Scottish Community Care Statistics 2002