Scottish Borders Council

Agenda item

Tweedbank Care Village

Consider report by Chief Officer Health & Social Care Integration.  (Copy attached.)

Minutes:

7.1       There had been circulated copies of a report by the Chief Officer Health and Social Care Integration presenting the Outline Business Case for change and seeking approval to progress the innovative Care Village development at Tweedbank, Central Borders, as the first Borders Care Village.  The report explained that in 2020, Senior Managers and Elected Members visited and assessed new visions for care facilities, including the Hogeweyk development in the Netherlands.  The Council then commenced design works for Care Villages in Tweedbank and Hawick and the Revenue and Capital Investment Plan approved in March 2020 included a £22.679m allocation for “new residential care provision” for Tweedbank and Hawick.  Consultations and work undertaken by the Council and the Health and Social Care Partnership (HSCP) concluded that a different model of care was required.  The concept of the Care Village model supported unique needs, lifestyles and personal preferences for living, care and well-being for people living mainly with severe dementia and frailty.  In addition, a model that could also adapt and meet specific local demand for a range of residential care that included: respite, intermediate, nursing and specialist care.  The Care Inspectorate strongly encouraged innovation and diversity in future care provision and wished to encourage care providers and commissioners to provide care on a smaller unit scale.  Following the lessons learned with regards infrastructure during the Covid 19 Pandemic it was expected that further more stringent demands on the fabric of residential care provision, to meet infection control measures would be expected.  The Care Village concept would ensure a building which met the highest standards of infection control in line with new guidance.  Additionally there was a pressing need to address and improve the current estate to meet these expected demands.  Work had been ongoing to identify suitable sites for the two new Care Villages.  A site had recently been agreed within the Hawick area which was the focus of a separate paper and Outline Business Case.  A possible site had also been identified and to progress an Outline business case for the inclusion of a Care Village within the Tweedbank site.

 

7.2       This Tweedbank site was central within the Borders and offered the correct range of opportunities, partnerships resources and delivery of outcomes required for such a provision.  The Care Village would form part of the overall expansion of Tweedbank in line with the approved Supplementary Planning Guidance including private, social and assisted living housing, neighbourhood centre and business zones.  The Care Village itself would complement the wider developments and also contain an element of community based spaces and functions at the centre of the Village to ensure that the ethos of the village being at the heart of thriving residential area was delivered.  The key factors included: location, strategic fit with the capital master plan, with very close proximity to the Borders General Hospital, (BGH).  This proposal also provided further opportunities to support additional developments with two third sector partners.  Aberlour were a well-respected provider for children’s services and wished to expand their input to support vulnerable children through a new centre which could be accommodated within the Tweedbank initiative.  Cornerstone had been working for a number of years with the Learning Disability service for adults to find a site for a residential provision for adults with extreme complex needs and again Tweedbank could provide an excellent location for this resource, this would enable people previously placed outside of the Borders, to return to their home setting.  These two developments would enhance the Care Village model.

 

7.3       Mr Myers answered Members’ questions and agreed to replace any reference to “elderly” with “older people”.  With regard to the Hawick development, a full option appraisal would be required covering 4 sites and a report would come to Council in Spring 2022 with the preferred site and business case.  Members discussed the proposals in detail and looked forward to receiving the full Business Case.  Some concerns were expressed regarding the Care Village becoming an institution and the need for smaller units than were being proposed.  Officers assured Members that the aim was to make the development as homely as possible, with the aim always to care for people in their own homes as long as possible until their needs changed to require a different setting.  The decommissioning of Waverley Care Home and Garden View was planned to be carried out in tandem with the opening of the care village.  

 

DECISION

AGREED to:-

 

(a)     approve the timeline to proceed with the development of a full business case and design brief of a Care Village at the Tweedbank site, within the central locality of Eildon with a full business case submitted to Council by Summer 2022;

 

(b)     approve that both Waverley Care Home (24 beds) and Garden View Intermediate Care Home (25 beds) operated by SBC were decommissioned and closed to secure revenue funding to provide for the Tweedbank Care Village;

 

(c)     to note that an outline business case will be brought forward in spring 2022 for a Care Village provision within Hawick.

 

Supporting documents:

 

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