Nursing and residential care homes

WQ.498/2021

WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY M.R. HIGGINS OF ST. HELIER

QUESTION SUBMITTED ON MONDAY 6TH DECEMBER 2021

ANSWER TO BE TABLED ON MONDAY 13TH DECEMBER 2021

Question

Will the Minister advise –

1. the number of nursing and residential care homes registered in the Island;
2. the total number of beds available in both nursing and care homes in the Island; together with the current average occupancy within each;
3. the number of special beds (e.g. for dementia, physically handicapped and mental health patients) and the current average occupancy;
4. the total financial contribution made from public funds to nursing and care homes in the Island in each of the last five years; and
5. the estimated growth in need in nursing and care homes in the next five, seven and ten years;

and will the Minister also advise whether he has access to any information detailing the ultimate beneficial ownership of the nursing and care homes in the Island and, if he does, can he state whether such owners are based in or out of the Island, and the percentage of beds controlled by those based in and out of the Island?

Answer

Note: the following is based on information held by relevant government department(s) and the Jersey Care Commission (the Commission).

The Commission maintain a register of beds which is available online (https://carecommission.je/wp- content/uploads/2021/10/2021.10.19-Care-Home-List.pdf). The register may change to, for example, reflect new beds or those that are decommissioned. When there are two numbers for registered beds, the top number represents beds which are registered for nursing care and the bottom number lists the beds which are registered for residential care.

1. the number of nursing and residential care homes registered in the Island;

Please note that nursing and residential care homes are not registered separately but rather are collectively referred to as a care home' by the Commission. For the Commission's purposes, they differentiate between adult care homes, children's residential homes and supported accommodation, as each require a modified form of regulation.

1. 45 care homes are registered to provide only residential care (personal care and/or personal support).
2. 12 care homes are registered to provide both residential and nursing care.
3. 4 care homes are registered to provide only nursing care.
4. 8 care homes provide residential care to children and young people - one is in the process of de-registering and currently has no residents.

2. the total number of beds available in both nursing and care homes in the Island; together with the current average occupancy within each;

1. 975 beds are registered for residential care.
2. 357 beds are registered for nursing care.

3. 35 beds are registered for children and young people – as stated in (a) iv., one care home is in the process of deregistering and so this number in practice is 24. Of these 24, 4 are the secure unit for children.

Data is not held relating to current/average occupancy.

3. the number of special beds (e.g. for dementia, physically handicapped and mental health patients) and the current average occupancy;

1. 178  beds  are  registered  for  dementia  care.  Note  that  these  numbers  may  fluctuate depending upon current numbers of registered beds.
2. 78 beds are registered for physical disability. Please note that this number does not reflect actual bed capacity for those with physical disabilities. Depending on the extent of the physical disability, care homes not registered in this capacity specifically may provide services to those with physical disabilities.
3. 126 beds registered for mental health. As with (c) iii, this does not reflect actual capacity. Depending on the extent, care homes not registered in this capacity specifically may provide some services to those with mental health requirements.

As with (b), data is not held relating to current/average occupancy.

4. the total financial contribution made from public funds to nursing and care homes in the Island in each of the last five years;

The  Long-Term  Care  Fund  provides  financial  support  to  adults  needing  long-term  care  in residential and nursing care homes, as well as in their own home. Government accounts for the last 5 years show total benefit expenditure to be:

These totals include:

• Cost of care provided in a care home

• Cost of care provided at home

• Cost of personal allowances to care home residents.

Further specific analysis would be required to provide an exact split between these categories.

For individuals needing a level of care above that covered by the LTC Scheme, HCS provide additional support.

5. the estimated growth in need in nursing and care homes in the next five, seven and ten years;

Using estimates and forecasts included in the Actuarial review of the Long Term Care Fund[1], the anticipated growth in care home placements is

5 year growth  12% 7 year growth  21% 10 year growth  34%

Actual growth will depend on many factors including planned changes in care provision as set out in the Jersey Care Model.

and will the Minister also advise whether he has access to any information detailing the ultimate beneficial ownership of the nursing and care homes in the Island and, if he does, can he state whether such owners are based in or out of the Island, and the percentage of beds controlled by those based in and out of the Island?

The Commission advise that there are 494 beds registered in care homes which are owned by UK-based companies/individuals. Further information on UBO is available on the Jersey Financial Services Commission's website.