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Residential Care Homes
Tables 4.7 to 4.14 contain information on residential care homes primarily intended for physically disabled people. Homes for other client groups are included in chapters 1, 2, 3 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 4.7: Residential Care Homes for Physically Disabled People, 1980-1999
|
1980 1 |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
||
|
No of Homes |
Local Authority |
- |
- |
- |
3 |
3 |
3 |
3 |
3 |
|
Private |
- |
- |
- |
2 |
1 |
2 |
3 |
2 |
|
|
Voluntary |
16 |
16 |
20 |
29 |
33 |
36 |
36 |
46 |
|
|
Total |
16 |
16 |
20 |
34 |
37 |
41 |
42 |
51 |
|
|
No of Beds |
Local Authority |
- |
- |
- |
41 |
43 |
43 |
43 |
42 |
|
Private |
- |
- |
- |
28 |
12 |
21 |
33 |
23 |
|
|
Voluntary |
593 |
656 |
652 |
693 |
714 |
775 |
836 |
764 |
|
|
Total |
593 |
656 |
652 |
762 |
769 |
839 |
912 |
829 |
|
|
No of Residents |
Local Authority |
- |
- |
- |
16 |
29 |
27 |
35 |
28 |
|
Private |
- |
- |
- |
27 |
10 |
18 |
27 |
19 |
|
|
Voluntary |
496 |
569 |
595 |
608 |
619 |
681 |
701 |
651 |
|
|
Total |
496 |
569 |
595 |
651 |
658 |
726 |
763 |
698 |
|
1 In 1980 the figures for the private and voluntary sectors are grouped together.
Source: SEHD Commuity Care Statistics - R1 Return
Table 4.7 shows the number of homes, beds and residents for physically disabled people from 1980 to 1999.
The majority (over 90 per cent) of places and residents are in the voluntary sector. Overall there has been an increase in the number of beds and number of residents over time although these fell to 829 and 698 respectively, in 1999.
In 1999, homes were running at an 84 per cent occupancy level, with local authority homes having the lowest proportion of beds occupied (67 per cent) and voluntary homes having the highest (85 per cent).
Table 4.8: Residential Care Homes for Physically Disabled People, 1999
|
Local Authority |
Homes |
Beds |
Residents |
Residents per 10,000Pop'n aged 16-64 |
|
Aberdeen City |
1 |
15 |
15 |
1.1 |
|
Aberdeenshire |
2 |
8 |
7 |
0.5 |
|
Angus |
- |
- |
- |
- |
|
Argyll & Bute |
- |
- |
- |
- |
|
Clackmannanshire |
- |
- |
- |
- |
|
Dumfries & Galloway |
2 |
23 |
22 |
2.4 |
|
Dundee City |
1 |
13 |
7 |
0.8 |
|
East Ayrshire |
- |
- |
- |
- |
|
East Dunbartonshire |
- |
- |
- |
- |
|
East Lothian |
- |
- |
- |
- |
|
East Renfrewshire |
- |
- |
- |
- |
|
Edinburgh, City of |
6 |
110 |
98 |
3.2 |
|
Eileanan Siar |
- |
- |
- |
- |
|
Falkirk |
- |
- |
- |
- |
|
Fife |
2 |
24 |
23 |
1.0 |
|
Glasgow City |
10 |
109 |
99 |
2.5 |
|
Highland |
3 |
63 |
32 |
2.4 |
|
Inverclyde |
12 |
162 |
151 |
27.9 |
|
Midlothian |
- |
- |
- |
- |
|
Moray |
1 |
4 |
4 |
0.7 |
|
North Ayrshire |
2 |
46 |
33 |
3.7 |
|
North Lanarkshire |
- |
- |
- |
- |
|
Orkney Islands |
- |
- |
- |
- |
|
Perth & Kinross |
2 |
103 |
70 |
8.3 |
|
Renfrewshire |
4 |
89 |
85 |
7.4 |
|
Scottish Borders |
- |
- |
- |
- |
|
Shetland Islands |
- |
- |
- |
- |
|
South Ayrshire |
- |
- |
- |
- |
|
South Lanarkshire |
2 |
40 |
35 |
1.7 |
|
Stirling |
1 |
20 |
17 |
3.1 |
|
West Dunbartonshire |
- |
- |
- |
- |
|
West Lothian |
- |
- |
- |
- |
|
Scotland |
51 |
829 |
698 |
2.1 |
Source: SEHD Community Care Statistics - R1 Return
Table 4.8 shows the local authority split for the number of homes, places and residents for physically disabled people, at 31 March 1999. More than half of local authorities did not report any homes for physically disabled adults.
Inverclyde has the highest number of residents (28) for every 10,000 of the population aged 16-64. At Scotland level there were 51 homes with an average of 16 beds per home and 14 residents per home. This varied between local authority with Aberdeenshire and Moray only having 4 beds and 4 residents per home. Perth & Kinross had 52 beds and 35 residents per home.
In Scotland the average capacity level is 84 per cent. Aberdeen City is at full capacity while Highland runs at just over half the capacity level.
Table 4.9: Admissions and Discharges in Homes for Physically Disabled People, 1985-1999
|
Sector |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
|
|
Local Authority |
Admissions |
|||||||
|
Long Stay |
- |
- |
3 |
7 |
62 |
8 |
4 |
|
|
Short Stay |
- |
- |
666 |
673 |
671 |
898 |
853 |
|
|
Total 1 |
- |
- |
669 |
680 |
733 |
906 |
857 |
|
|
Discharges |
||||||||
|
Long Stay |
- |
- |
4 |
10 |
56 |
6 |
5 |
|
|
Short Stay |
- |
- |
663 |
657 |
678 |
893 |
857 |
|
|
Total 1 |
- |
- |
667 |
667 |
734 |
899 |
862 |
|
|
Private |
Admissions |
|||||||
|
Long Stay |
- |
- |
5 |
2 |
2 |
5 |
6 |
|
|
Short Stay |
- |
- |
- |
- |
- |
77 |
35 |
|
|
Total 1 |
- |
- |
5 |
2 |
2 |
82 |
41 |
|
|
Discharges |
||||||||
|
Long Stay |
- |
- |
1 |
4 |
5 |
4 |
7 |
|
|
Short Stay |
- |
- |
- |
- |
- |
77 |
35 |
|
|
Total 1 |
- |
- |
1 |
4 |
5 |
81 |
42 |
|
|
Voluntary |
Admissions |
|||||||
|
Long Stay |
105 |
82 |
64 |
96 |
77 |
88 |
61 |
|
|
Short Stay |
456 |
551 |
1,996 |
2,339 |
2,185 |
2,951 |
2,346 |
|
|
Total 1 |
561 |
633 |
2,060 |
2,435 |
2,262 |
3,039 |
2,407 |
|
|
Discharges |
||||||||
|
Long Stay |
76 |
73 |
89 |
109 |
83 |
72 |
78 |
|
|
Short Stay |
454 |
544 |
1,981 |
2,316 |
2,172 |
2,962 |
2,343 |
|
|
Total 1 |
530 |
617 |
2,070 |
2,425 |
2,255 |
3,034 |
2,421 |
|
|
Total |
Admissions |
|||||||
|
Long Stay |
105 |
82 |
72 |
105 |
141 |
101 |
71 |
|
|
Short Stay |
456 |
551 |
2,662 |
3,012 |
2,856 |
3,926 |
3,234 |
|
|
Total 1 |
561 |
633 |
2,734 |
3,117 |
2,997 |
4,027 |
3,305 |
|
|
Discharges |
||||||||
|
Long Stay |
76 |
73 |
94 |
123 |
144 |
82 |
90 |
|
|
Short Stay |
454 |
544 |
2,644 |
2,973 |
2,850 |
3,932 |
3,235 |
|
|
Total 1 |
530 |
617 |
2,738 |
3,096 |
2,994 |
4,014 |
3,325 |
|
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 4.9 presents information on the number of admissions to and discharges from residential care homes for physically disabled adults.
In 1999, 98 per cent of admissions and discharges were short stay. The number of total admissions and discharges increased until 1999 when the total number of admissions fell to 3,305 and the total number of discharges fell to 3,325.
Tables 4.10 to 4.13 provide information on long-stay residents only as this level of detail is not collected for short stay residents.
Table 4.10: Age of Residents1 in Homes for Physically Disabled People, 1985 - 1999
|
Age Group |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
|
0 - 15 years |
0% |
0% |
0% |
0% |
0% |
0% |
0% |
|
16 - 30 years |
24% |
26% |
18% |
17% |
20% |
19% |
13% |
|
31 - 45 years |
29% |
34% |
28% |
28% |
26% |
31% |
29% |
|
46 - 64 years |
26% |
27% |
36% |
38% |
38% |
37% |
42% |
|
65 and over |
21% |
13% |
19% |
18% |
16% |
13% |
17% |
|
Total Residents1 |
566 |
564 |
596 |
567 |
650 |
684 |
617 |
1 Total residents relates to long stay residents only.
Source: SEHD Community Care Statistics - R1 Return
Table 4.10 provides an age breakdown of residents in homes for physically disabled people from 1985 to 1999. The age distribution of residents has fluctuated over time. In general there has been an increase in the proportion of residents aged between 45 and 65 (accounting for 42 per cent in 1999), and a decrease in the proportion of residents aged under 30 (13 per cent in 1999). In 1999, 71 per cent of residents were aged between 31 and 65.
Table 4.11: Incomplete Length of Stay of Residents 1,2 in Homes for Physically Disabled People as at 31 March, 1985-1999
|
Length of Stay |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
|
Under 3 Months |
4% |
3% |
2% |
3% |
2% |
2% |
2% |
|
3 - 5 Months |
4% |
4% |
2% |
4% |
3% |
3% |
4% |
|
6 - 11 Months |
7% |
5% |
5% |
6% |
5% |
8% |
4% |
|
1 - under 3 Years |
20% |
20% |
20% |
14% |
16% |
18% |
19% |
|
3 - under 5 Years |
14% |
11% |
15% |
17% |
14% |
13% |
14% |
|
5 Years and Over |
51% |
56% |
56% |
56% |
60% |
55% |
57% |
|
Total Residents |
566 |
563 |
596 |
567 |
650 |
684 |
617 |
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 4.11 illustrates the incomplete length of stay of residents in homes for physically disabled people. In 1999, 57 per cent of residents had stayed for 5 years or over while a third of residents had stayed for between 1 and 5 years. Over the years there has been little variation in the length of stay.
Table 4.12: Destination of Residents 1,2 on Discharge from Homes for Physically Disabled People, 1990 - 1999
|
Destination |
1990 |
1995 |
1996 |
1997 |
1998 |
1999 |
|
Died |
18% |
22% |
20% |
20% |
22% |
26% |
|
Entered Hospital |
10% |
10% |
13% |
13% |
4% |
11% |
|
Transferred to Other Home |
16% |
21% |
26% |
16% |
22% |
29% |
|
To Sheltered Housing |
15% |
7% |
10% |
5% |
4% |
3% |
|
To Own Home |
32% |
23% |
27% |
39% |
35% |
24% |
|
Other Discharge |
10% |
17% |
4% |
8% |
14% |
7% |
|
Unknown (Number) |
1 |
11 |
7 |
4 |
1 |
- |
|
Total Residents1 |
74 |
98 |
117 |
84 |
82 |
90 |
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 4.12 presents an overview of the destination of residents on discharge from homes for physically disabled people. From year to year, there is wide variation in the destination on discharge and no clear pattern emerges. This is due largely to the small numbers of residents involved. In 1999, 29 per cent of discharges were transfers to other homes, while 26 per cent were deaths and 24 returned to their own homes. Very few (3 per cent) were discharged to sheltered housing.
Table 4.13: Financial Support of Residents 1,2 in Private and Voluntary Residential Care Homes for Physically Disabled People, 1999
|
Support |
Total |
|
Private Means |
4% |
|
Health Board |
1% |
|
DSS |
9% |
|
Pre 1/4/93 LA Support |
54% |
|
Post 1/4/93 LA Support |
32% |
|
Unknown (Number) |
19 |
|
Total Residents |
606 |
1 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 4.13 details the funding arrangements for residents in residential care homes for physically disabled people. For definitions of categories of funding see annex A.
In 1999, local authorities funded 86 per cent of residents, 54 per cent under the pre April 1993 arrangements and 32 per cent are under the post April 1993 arrangements. More than twice the proportion of residents are funded by DSS rather than by private means.
Table 4.14: Average Weekly Charge per Resident in Residential Care Homes for Physically Disabled People, 1999
|
Sector |
Average Weekly Charge (£s) |
|
Local Authority |
743 |
|
Private & Voluntary |
533 |
|
Total |
516 |
Source: SEHD Community Care Statistics - R1 Return
Table 4.14 presents the average weekly cost of residential care for each sector as at 31 March 1999.
The average weekly cost of residential care in local authority homes was £743, compared to £533 in the independent sector. The overall average for all sectors was £546 per week.
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