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Scottish Community Care Statistics 1999

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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