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Scottish Community Care Statistics 2000

Table 2.7: Admissions and Discharges in Residential Care Homes for People with Learning Disabilities, 1985-2000

Sector

1985

1990

1995

1996

1997

1998

1999

2000

Local Authority

Admissions

Long Stay

693

121

62

55

97

70

67

57

Short Stay

391

2,215

5,404

5,199

5,865

6,166

5,731

6,444

Total1

1,084

2,336

5,466

5,254

5,962

6,236

5,798

6,501

Discharges

Long Stay

653

147

86

77

109

73

74

72

Short Stay

386

2,206

5,389

5,175

5,876

6,171

5,730

6,432

Total1

1,039

2,353

5,475

5,252

5,985

6,244

5,804

6,504

Private

Admissions

Long Stay

5

49

57

55

65

35

38

72

Short Stay

-

66

93

81

77

74

82

142

Total1

5

115

150

136

142

109

120

214

Discharges

Long Stay

-

27

35

22

42

32

22

37

Short Stay

-

67

91

80

79

74

80

143

Total1

0

94

126

102

121

106

102

180

Voluntary

Admissions

Long Stay

65

148

211

223

261

274

216

172

Short Stay

52

147

6,885

4,795

1,487

2,229

6,977

7,180

Total1

117

295

7,096

5,018

1,748

2,504

7,186

7,352

Discharges

Long Stay

57

96

164

158

167

208

201

194

Short Stay

50

144

6,881

4,788

1,503

2,236

7,030

7,175

Total1

107

240

7,045

4,946

1,670

2,444

7,231

7,369

Total

Admissions

Long Stay

763

318

330

333

423

379

321

301

Short Stay

443

2,428

12,382

10,075

7,429

8,469

12,790

13,766

Total1

1,206

2,746

12,712

10,408

7,852

8,849

13,104

14,067

Discharges

Long Stay

710

270

285

257

318

313

297

303

Short Stay

436

2,417

12,361

10,043

7,458

8,481

12,840

13,750

Total1

1,146

2,687

12,646

10,300

7,776

8,796

13,137

14,053

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

Source: SEHD Community Care Statistics - R1 Return

Total admissions and discharges in residential care homes in Scotland have fluctuated over the time period shown.

Short stay admissions and discharges fell sharply in 1997 and 1998 but increased in 1999 and again in 2000. 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. Long stay admissions and discharges stayed fairly stable after a sharp dip in 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 46 per cent. Over the same period, the percentage of admissions/discharges in voluntary sector homes has risen from around 10 per cent to 52 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 - 2000

Age Group

1985

1990

1995

1996

1997

1998

1999

2000

0-15 years

0%

0%

0%

0%

0%

0%

0%

0%

16-30 years

39%

31%

23%

22%

21%

20%

18%

17%

31-45 years

35%

35%

36%

35%

35%

36%

35%

35%

46-65 years

24%

28%

36%

37%

37%

37%

39%

40%

Over 65 years

3%

6%

5%

6%

7%

7%

9%

9%

Unknown (Number)

-

80

117

42

4

-

-

-

Total Residents

1,328

2,236

3,578

3,716

3,797

4,192

4,062

4,185

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 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 17 per cent in 2000. At the same time the proportion of residents aged 46 and over has risen to reach 49 per cent in 2000.

Table 2.9: Incomplete Length of Stay of Residents1,2 in Homes for People with Learning Disablilities as at 31 March, 1985 - 2000

Length of Stay

1985

1990

1995

1996

1997

1998

1999

2000

Under 3 Months

8%

3%

2%

2%

2%

2%

2%

1%

3 - 5 Months

4%

3%

2%

2%

2%

2%

2%

1%

6 - 11 Months

6%

6%

4%

3%

5%

4%

3%

4%

1 - under 3 Years

21%

28%

25%

14%

14%

17%

19%

18%

3 - under 5 Years

15%

21%

21%

28%

21%

12%

12%

14%

5 Years and Over

46%

39%

46%

51%

55%

63%

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

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

The majority of long stay residents with learning disabilities stay in homes for 3 years or more. In 2000, 76 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 represented 62 per cent of all residents in 2000.

Table 2.10: Destination on Discharge1,2 from Homes for People with Learning Disabilities, 1990 - 2000

Destination

1990

1995

1996

1997

1998

1999

2000

Died

4%

11%

12%

14%

12%

12%

13%

Entered Hospital

9%

15%

8%

8%

10%

6%

10%

Transferred to Other Home

26%

36%

37%

39%

42%

42%

34%

To Sheltered Housing

4%

3%

4%

5%

3%

2%

4%

To Own Home

31%

24%

31%

22%

22%

27%

32%

Other Discharge

27%

11%

8%

12%

11%

10%

7%

Unknown (Number)

1

58

32

19

21

15

3

Total Residents

280

294

245

319

313

297

303

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 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 10 per cent in 2000. Meanwhile the proportion of residents discharged to other homes has generally followed an upward trend, until 2000 where it has fallen to 34 per cent. Since 1995 the number of residents being discharged to their own homes has increased.

Table 2.11: Financial Support of Residents 1,2 in Private and Voluntary Residential Care Homes for People with Learning Disabilities, 2000

Support

Voluntary

Private

Total

Wholly or mainly by private means

2%

1%

2%

Wholly or mainly by DSS

50%

53%

51%

Wholly or mainly by LA

47%

45%

47%

Unknown

-

2

2

Total

2,904

629

3,533

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

In 2000, very few residents (2 per cent) supported themselves by private means, whilst 47 per cent received support wholly or mainly by local authority. Fifty one per cent of residents are supported wholly or mainly by DSS. This is similar across both the Private and Voluntary sector.

Table 2.12: Average Weekly Charge per Resident in Residential Care Homes for People with Learning Disabilities, 31 March 2000

Sector

Average Weekly Charge

1999

2000

Local Authority

535

545

Private

305

341

Voluntary

428

490

Total

432

479

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 1999 and 2000. The figures have been weighted to reflect the capacity of the residential homes (and differ from those published in the Scottish Community Care Statistics 1999 which were not weighted).

The average weekly charge in Scotland rose from £432 in 1999 to £479 in 2000. The average weekly cost of residential care in local authority homes was £545 in 2000, compared with £341 in private homes and £490 in voluntary homes.

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