§ Mr. GrocottTo ask the Secretary of State for Health how many registrations have been cancelled under the provisions of section 30 of the Residential Homes Act 1984 in each year since its implementation.
§ Mr. AllenTo ask the Secretary of State for Health how many registrations by region have been(a) made and (b) cancelled under the provision of section 30 of the Residential Homes Act 1984 in each year since its implementation.
§ Mr. MellorThe number of cancelled registrations notified to the Department in respect of each region under the provisions of section 30 of the Registered Homes Act 1984 since it came into operation on 1 January 1985 is as follows.
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Type of home Number of residents as at 31 March 1987 (provisional) Costs to LAs for year Under 65 Years 65 years and over 1986–87 supported by local authority Total supported by local authority Total Gross1 £ million Net2 £ million Local authority 4,234 4,234 100,594 100,594 697.9 415.7 Private 93 33,214 558 484,852 529.1 521.3 Voluntary 2,373 34,848 3,277 425,068 1 Excludes expenditure on administration, training and field work. 2 Of charges paid by residents. 3 Includes residents whose age is not known in homes for younger physically handicapped people.
Region Year Number Trent regional health authority 1985 1 South East Thames regional health authority 1986 1 Wessex regional health authority South East Thames regional health authority 1987 2 Northern regional health authority Yorkshire regional health authority South West Thames regional health authority 1988 3 Registration is a function of district health authorities and local authorities. The number of new reigstrations is not collected centrally.
§ Mr. GrocottTo ask the Secretary of State for Health (1) how many persons have had applications for registration rejected under the Residential Homes Act 1984 in each year since its implementation;
(2) how many unregistered residential homes have been discovered by registering authorities under the Residential Homes Act 1984 in each year since its implementation;
(3) how many persons, on a full-time equivalent basis, are employed in inspection of residential homes under the Residential Homes Act 1984 in each of the registration authorities.
§ Mr. MellorWe do not hold this information centrally.
§ Mr. GrocottTo ask the Secretary of State for Health (1) how many persons aged 65 yearsand over were in(a) local authority, (b) voluntary and (c) private residential homes in the latest year for which statistics are available;
(2) what was the total cost of maintaining persons aged 65 years and over in residential homes run by local authorities in the lates year for which statistics are available; and what was the average cost per person;
(3) what was the total cost to local authorities of maintaining persons aged 65 years and over in private residential homes in the latest year for which statistics are available; and what was the average cost per person.
§ Mr. MellorInformation on the number of persons aged 65 years and over in homes for the elderly and younger physically handicapped is published in "Residential Accommodation for Elderly and Younger Physically Handicapped People: All Residents in Local Authority, Voluntary and Private Homes Year Ending 31 March 1986" a copy of which is available in the Library. Provisional information as at 31 March 1987 is given in the table, which also shows the available information about local authorities' gross and net expenditure on residential care homes for elderly and younger physically handicapped people for the financial year 1986–87.
73W4 Includes residents whose age is not known in homes for elderly people.
5 Includes costs for both residents fully supported by the local authority and those receiving partial support.
The average annual costs per resident for local authority homes were £6,658 gross and £3,966 net. It is not possible to give average costs for private and voluntary homes as the cost of residents fully supported by local authorities and the cost of partial support cannot be disaggregated.
§ Mr. GrocottTo ask the Secretary of State for Health how many persons have had registrations cancelled under the Residential Homes Act 1984 in each year since its implementation.
§ Mr. MellorThe number of persons notified to the Department whose registrations have been cancelled, under the Registered Homes Act 1984, since it came into operation on 1 January 1985 is as follows:
Residential Care Homes Nursing Homes Dually Registered 1985 2 3 1986 16 5 1987 28 4 1988 54 15 2
§ Mr. GrocottTo ask the Secretary of State for Health how much financial provision has been made by each of the registering authorities for the inspection of residential homes under the terms of the Residential Homes Act 1984.
§ Mr. MellorThe latest available figures are shown in the table.
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Expenditure on the registration and inspection of residental homes under Regislered Homes Act 1984 in 1987–88 (£ thousand cash) Administration Costs Avon 92 Bedfordshire n/a Berkshire n/a Buckinghamshire n/a Cambridgeshire 174 Cheshire n/a Cleveland 28 Cornwall 164 Cumbria 3 Derbyshire 72 Devon 260 Dorset 97 Durham 13 East Sussex 176 Essex 182 Gloucestershire 33 Hampshire 157 Hereford and Worcester 84 Hertfordshire 77 Humberside n/a Isle of Wight 60 Kent 61 Lancashire 280 Leicestershire 52 Lincolnshire 64 Norfolk 75 Northamptonshire 58 Northumberland n/a North Yorkshire 94 Nottinghamshire 58 Oxfordshire 20 Shropshire 34 Somerset n/a Staffordshire 57 Suffolk 42 Surrey 83 Warwickshire 62 West Sussex 95 Wiltshire 25 Isles of Scilly n/a 75W
Administration Costs Bolton 27 Bury 9 Manchester n/a Oldham 21 Rochdale n/a Salford n/a Stockport 20 Tameside n/a Trafford 39 Wigan 23 Knowsley n/a Liverpool 31 St. Helens n/a Sefton 79 Wirral 59 Barnsley 8 Doncaster 29 Rotherham n/a Sheffield n/a Gateshead 17 Newcastle-upon-Tyne 21 North Tyneside n/a South Tyneside 14 Sunderland 9 Birmingham 78 Coventry 1 Dudley n/a Sandwell 12 Solihull n/a Walsall 27 Wolverhampton n/a Bradford 62 Calderdale 20 Kirklees 16 Leeds n/a Wakefield 21 City of London n/a Camden 9 Greenwich n/a Hackney n/a Hammersmith and Fulham n/a Islington 8 Kensington and Chelsea 20 Lambeth n/a Lewisham 33 Southwark n/a Tower Hamlets n/a Wandsworth 8 Westminster n/a Barking and Dagenham n/a Barnet 48 Bexley 2 Brent 6 Bromley 40 Croydon 38 Ealing n/a Enfield 38 Haringey n/a Harrow n/a Havering 20 Hillingdon 33 Hounslow n/a Kingston-upon-Thames n/a Merton 13 Newham n/a Redbridge 15 Richmond-upon-Thames 9
Administration Costs Sutton 21 Waltham Forest 17 n/a = not available. 76W
Number of residential care homes registered with local authorities as at 31 March 1987 (provisional) Registering local authority Homes for elderly and younger physically handicapped people Homes for other client groups Total homes Cleveland 31 2 33 Cumbria 75 5 80 Durham 37 1 38 Northumberland 40 3 43 Gateshead 9 3 12 Newcastle upon Tyne 27 3 30 North Tyneside 37 9 46 South Tyneside 11 2 13 Sunderland 23 0 23 Humberside 166 21 187 North Yorkshire 234 30 264 Barnsley 11 1 12 Doncaster 22 1 23 Rotherham 6 7 13 Sheffield 22 9 31 Bradford 91 3 94 Calderdale 28 1 29 Kirklees 36 3 39 Leeds 55 9 64 Wakefield 21 7 28 Cheshire 76 13 89 Lancashire 483 26 509 Bolton 28 0 28 Bury 14 1 15 Manchester 56 8 64 Oldham 28 2 30 Rochdale 15 0 15 Salford 15 3 18 Stockport 42 1 43 Tameside 21 1 22 Trafford 48 8 56 Wigan 13 2 15 Knowsley 4 0 4 Liverpool 45 12 57 Sefton 133 9 142 St. Helens 6 0 6 Wirral 65 20 85 Hereford and Worcester 149 34 183 Shropshire 82 7 89 Staffordshire 118 5 123 Warwickshire 74 30 104 Birmingham 130 34 164 Coventry 49 15 64 Dudley 40 12 52 Sandwell 10 3 13 Solihull 11 5 16 Walsall 19 3 22 Wolverhampton 29 3 32 Derbyshire 130 5 135 Leicestershire 96 26 122 Lincolnshire 114 12 126 Northamptonshire 88 15 103 Nottinghamshire 89 61 150 Bedfordshire 54 7 61 Berkshire 90 23 113 Buckinghamshire 47 17 64 Cambridgeshire 63 11 74 Essex 228 24 252 Hertfordshire 96 6 102 Norfolk 184 56 240 Oxfordshire 36 5 41 Suffolk 103 19 122 Camden 11 3 14 Greenwich 4 2 6 Hackney 3 5 8
§ Mr. GrocottTo ask the Secretary of State for Health how many residential homes are currently registered under the Residential Homes Act 1984 in each of the registering authorities.
§ Mr. MellorThe latest available figures for the number of residential care homes registered with each local authority are given in the table.
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Registering local authority Homes for elderly and younger physically handicapped people Homes for other client groups Total homes Hammersmith 2 0 2 Islington 2 4 6 Kensington 10 8 18 Lambeth 18 11 29 Lewisham 19 3 22 Southwark 9 2 11 Tower Hamlets 3 1 4 Wandsworth 15 10 25 Westminster 2 9 11 Barking 2 0 2 Barnet 57 4 61 Bexley 5 0 5 Brent 13 3 16 Bromley 43 11 54 Croydon 60 10 70 Ealing 33 5 38 Enfield 31 5 36 Haringey 18 14 32 Harrow 30 2 32 Havering 18 1 19 Hillingdon 8 0 8 Hounslow 3 3 6 Kingston upon Thames 26 3 29 Merton 21 2 23 Newham 6 0 6 Redbridge 21 1 22 Richmond upon Thames 13 7 20 Sutton 25 1 26 Waltham Forest 16 2 18 Dorset 352 13 365 Hampshire 429 26 455 Isle of Wight 85 8 93 Kent 185 50 235 Surrey 180 25 205 East Sussex 378 44 422 West Sussex 320 32 352 Wiltshire 97 26 123 Avon 198 59 257 Cornwall 183 23 206 Devon 618 68 686 Gloucestershire 97 11 108 Somerset 96 9 105 England 7,968 1,190 9,158 Note: Figures include certain homes which are exempt from registration under Section 1(5)(i) of the Registered Homes Act, including homes managed by bodies incorporated by royal charter.
§ Mr. GrocottTo ask the Secretary of State for Health what steps he has taken to ensure that the level of inspection of residential homes provided by registering authorities under the provisions of the Residential Homes Act 1984 is sufficient.
§ Mr. MellorFrom 1 August 1988 the fees payable in respect of registration and inspection of residential care homes were substantially increased to enable local authorities to carry out their duties effectively. The minimum number of inspections was increased from one to two a year. In addition, the Department, in conjunction with the Welsh Office has commissioned training material for registration and inspection staff of authorities from the centre for environmental and social studies in aging at the polytechnic of north London. This material should be available later this year.
The Department's social services inspectorate has carried out a study of the implementation of the Registered Homes Act 1984 by local authorities. Its report "Certain Standards" was published last year. The Wagner report, "Residential Care: A Positive Choice" which was also published last year, contained recommendations on 78W the regulation of these homes. Both reports are in the Library. We are giving careful consideration to the findings of these reports before deciding whether any change is desirable in the current arrangements.