Scottish Community Care Statistics 1999: page 18



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Scottish Community Care Statistics 1999

Residential Care Homes

Tables 3.5 to 3.12 contain information on residential care homes primarily intended for people with mental health problems. Homes for other client groups are included in chapters 1, 2, 4 and 5. Please refer to the notes in annex A for definitions on which the data are collected.

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 3.5: Residential Care Homes for People with Mental Health Problems, 1980 - 1999

		1980 ¹	1985	1990	1995	1996	1997	1998	1999
No of Homes	Local Authority	27	31	30	14	14	3	2	2
	Private	3	-	5	9	12	13	13	15
	Voluntary	-	3	39	134	158	170	174	177
	Total	30	34	74	157	184	186	189	194
No of Beds	Local Authority	167	181	156	60	62	28	21	21
	Private	42	-	35	76	115	123	122	147
	Voluntary	-	57	251	969	1,046	1,101	1,157	1,271
	Total	209	238	442	1,105	1,223	1,252	1,300	1,439
No of Residents	Local Authority	142	129	96	40	33	25	15	18
	Private	40	-	33	71	109	112	114	121
	Voluntary	-	39	246	862	915	944	1,009	1,115
	Total	182	168	375	973	1,057	1,081	1,138	1,254

¹ In 1980 the figures for the private and voluntary sectors are grouped together.

Source: SEHD Community Care Statistics - R1 Return

Table 3.5 shows the number of residential care homes, beds and residents for people with mental health problems in each sector from 1980 to 1999.

The number of beds has risen significantly since 1980 but has risen more slowly since 1995 to reach 1,439 in 1999. Since 1990, the majority of residential care beds have been within the voluntary sector. Since 1995, the proportion of beds in the local authority sector decreased from 5 per cent to one per cent.

In 1999, 89 per cent of residents were in voluntary run homes, 10 per cent in privately run homes and only 1 per cent were in homes run by the local authority.

Table 3.6: Residential Care Homes for People with Mental Health Problems, 1999

Local Authority	Homes	Beds	Residents	Residents per 10,000 Pop'n aged 16-64
Aberdeen City	25	282	250	17.6
Aberdeenshire	2	20	18	1.2
Angus	2	21	18	2.6
Argyll & Bute	3	37	35	6.1
Clackmannanshire	1	20	20	6.4
Dumfries & Galloway	5	57	44	4.8
Dundee City	1	8	7	0.8
East Ayrshire	-	-	-	-
East Dunbartonshire	1	5	5	0.7
East Lothian	6	27	25	4.4
East Renfrewshire	-	-	-	-
Edinburgh, City of	61	199	167	5.5
Eileanan Siar	2	7	5	2.9
Falkirk	7	53	41	4.3
Fife	1	18	16	0.7
Glasgow City	25	281	258	6.4
Highland	9	97	91	6.9
Inverclyde	3	30	28	5.2
Midlothian	3	13	10	1.8
Moray	1	21	18	3.3
North Ayrshire	2	22	19	2.1
North Lanarkshire	7	43	29	1.3
Orkney Islands	-	-	-	-
Perth & Kinross	1	9	8	1.0
Renfrewshire	2	20	20	1.7
Scottish Borders	1	6	5	0.8
Shetland Islands	-	-	-	-
South Ayrshire	2	14	11	1.5
South Lanarkshire	5	34	31	1.5
Stirling	1	9	3	0.5
West Dunbartonshire	3	34	31	5.1
West Lothian	12	52	41	3.9
Scotland	194	1,439	1,254	3.8

Source: SEHD Community Care Statistics - R1 Return

Table 3.6 shows the local authority split of the number of residential care homes for people with mental health problems, places and beds at 31 March 1999.

In Scotland there were 194 homes with on average 7 places per home and 6 residents per home.

There were 3.8 residents in care homes for people with mental health problems for every 10,000 of the population aged between 16 and 64. However, in Aberdeen City this figure was as high as 17.6, whilst Stirling had only 0.5 residents per 10,000 of the population aged 16-64. Four local authorities had no homes primarily intended for people with mental health problems.

Table 3.7: Admissions and Discharges in Residential Care Homes for People with Mental Health Problems, 1985 - 1999

Sector		1985	1990	1995	1996	1997	1998	1999
Local Authority	Admissions
	Long Stay	99	48	17	36	22	17	21
	Short Stay	2	6	-	1	1	-	-
	Total ¹	101	54	17	37	23	17	21
	Discharges
	Long Stay	117	55	20	42	12	17	18
	Short Stay	2	6	-	1	-	-	-
	Total ¹	119	61	20	43	12	17	18
Private	Admissions
	Long Stay	-	3	9	17	18	14	13
	Short Stay	-	-	-	2	2	1	-
	Total ¹	-	3	9	19	20	15	13
	Discharges
	Long Stay	-	1	8	13	25	10	27
	Short Stay	-	-	-	1	4	1	-
	Total ¹	-	1	8	14	29	11	27
Voluntary	Admissions
	Long Stay	29	173	282	276	288	270	249
	Short Stay	-	-	211	300	273	518	429
	Total ¹	29	173	493	576	561	788	678
	Discharges
	Long Stay	40	72	282	262	271	264	221
	Short Stay	-	-	212	291	282	512	429
	Total ¹	40	72	494	553	553	778	650
Total	Admissions
	Long Stay	128	224	308	329	328	301	283
	Short Stay	2	6	211	303	276	519	429
	Total ¹	130	230	519	632	604	820	712
	Discharges
	Long Stay	157	128	310	317	308	291	266
	Short Stay	2	6	212	293	286	513	429
	Total ¹	159	134	522	610	594	806	695

¹ Totals may not equal the sum of their component parts due to the effects of rounding.

Source: SEHD Community Care Statistics - R1 Return

Table 3.7 presents information on the number of admissions to and discharges from residential care homes for people with mental health problems.

Long stay admissions accounted for the majority of admissions until recent years. The number of short stay admissions has increased over time and now represents the majority. In 1999, 60 per cent of all admissions and 62 per cent of all discharges were short stay. Please refer to annex A for a definition of short stay.

Within the local authority and private sectors the majority of admissions and discharges were long stay whereas in the voluntary sector the number of short stay admissions and discharges have been higher than those of long stay since 1996.

Tables 3.8 to 3.11 provide information on long-stay residents only, as this level of detail is not collected for short stay residents.

Table 3.8: Age of Residents ^1,2 in Homes for People with Mental Health Problems, 1985 - 1999

Age Group	1985	1990	1995	1996	1997	1998	1999
0-15 years	-	-	-	-	-	-	-
16-30 years	20%	22%	16%	15%	16%	17%	14%
31-45 years	23%	30%	28%	29%	29%	29%	29%
46-64 years	40%	37%	39%	40%	40%	40%	43%
65 and over	17%	11%	17%	16%	15%	14%	14%
Unknown (Number)	-	-	25	15	1	-	-
Total Residents	168	374	970	1,050	1,035	1,125	1,250

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 3.8 provides an age breakdown of residents in homes for people with mental health problems from 1985 to 1999.

The age breakdown of residents has remained fairly steady between 1985 and 1999 with only a slight drop in the under 30s age group, which dropped to 14 per cent in 1999. The majority of residents (72 per cent of residents in 1999) are aged between 31 and 65.

Table 3.9: Incomplete Length of Stay of Residents ^1,2 in Homes for People with Mental Health Problems, as at 31 March, 1985 - 1999

Length of Stay	1985	1990	1995	1996	1997	1998	1999
Under 3 Months	14%	9%	6%	6%	8%	7%	4%
3 - 5 Months	10%	9%	6%	5%	5%	4%	6%
6 - 11 Months	10%	20%	11%	12%	12%	10%	7%
1 - under 3 Years	23%	31%	47%	31%	32%	33%	29%
3 - under 5 Years	15%	16%	15%	29%	26%	18%	19%
5 Years and Over	28%	16%	15%	17%	17%	28%	34%
Unknown (Number)	-	-	14	10	1	-	-
Total Residents	168	373	970	1,050	1,035	1,125	1,250

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 3.9 illustrates the length of stay of residents in residential care homes for people with mental health problems from 1980 to 1999.

Between 1990 and 1998 the largest group of residents stayed for between 1 and 3 years (around one third). In 1999, a slightly higher proportion of residents had stayed for 5 years or more.

Table 3.10: Destination of Residents ^1,2 on Discharge from Homes for People with Mental Health Problems, 1990 - 1999

Destination	1990	1995	1996	1997	1998	1999
Died	4%	8%	10%	8%	7%	13%
Entered Hospital	23%	15%	21%	17%	13%	16%
Transferred to Other Home	16%	26%	26%	23%	20%	26%
To Sheltered Housing	4%	3%	2%	1%	2%	3%
To Own Home	29%	32%	28%	37%	42%	25%
Other Discharge	23%	16%	13%	14%	14%	16%
Unknown (Number)	29	30	33	12	8	15
Total Residents¹	128	310	317	308	291	266

¹ 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 3.10 presents an overview of the destination of residents on discharge from homes for people with mental health problems.

In recent years the number of residents discharged to their own home and transferred to another home have dominated, whilst the proportion discharged to sheltered housing has remained very low. In 1999 the number of residents discharged to their own homes fell quite markedly whilst the number transferred to other homes increased. The proportion of deaths has been steadily rising from 4 per cent in 1990 to 13 per cent in 1999.

Table 3.11: Financial Support of Residents ^1,2 in Private and Voluntary Residential Care Homes for People with Mental Health Problems, 1999

Support	Total
Private Means	2%
Health Board	-
DSS	18%
Pre 1/4/93 LA Support	21%
Post 1/4/93 LA Support	59%
Unknown (Number)	42
Total Residents¹	1,232

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

Table 3.11 details the funding arrangements for residents in residential care homes for people with mental health problems. For definitions of categories of funding see annex A.

The majority of people (59%) are funded by local authorities under post April 1993 arrangements. Only 2 per cent of residents were supported privately or by health board means whereas 18 per cent were supported mainly by the DSS.

Table 3.12: Average Weekly Charge per Resident in Residential Care Homes for People with Mental Health Problems, 1999

Sector	Average Weekly Charge (£s)
Local Authority	690
Private	348
Voluntary	264
Total	345

Source: SEHD Community Care Statistics - R1 Return

Table 3.12 presents the average weekly cost of residential care for each sector as at 31 March 1999.

The average cost of all sectors is £345 per week. However in local authority homes the cost is £690 per week, almost double the cost of the private sector (£348) and over two and half times the price of residential care in the voluntary sector (£264).

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