The Care Home Industry in Yorkshire: What Are the Figures Involved?

We’ve recently launched our Saffron Care Catering product, and we’ve been looking into the research and statistics of the reduced funding for residential care homes, and the nutrition connected to it, throughout the UK. However, since we’re a Yorkshire company, we wanted to get a picture of the statistics involved in local authorities covering Yorkshire and the Humber. So we asked the councils!

In this article, you’ll find out:
  • Some of the questions we asked all councils in Yorkshire and the Humber
  • A table of the data from their responses
  • What we found surprising
Some of the questions we asked all councils in Yorkshire and the Humber

In our Freedom of Information requests, we asked a number of questions relating to the last 3 financial years, including some specific to providing nutrition in the care home setting:

  • The number of older people living in residential care homes for the last three years, with and without nursing.
  • The number of care homes the local authority contracts with
  • The care homes budgets, with a breakdown of nursing and non-nursing budgets
  • Whether any amount within the budget is ringfenced for nutrition and catering
  • How many care home residents have been admitted to hospital for the primary reason of malnutrition
  • How many, and which, care homes in their area, use or abide by the ‘Healthier and more sustainable catering: a toolkit for serving food to older people in residential care’

A table of the data from their responses

Council Number of older adults living permanently in council-funded residential care homes Number of care homes offering council-funded residential care Total budget for 2017/18 Total actual budget 2016/17 Total actual budget 2015/16 Total actual budget 2014/15
Calderdale 435 as of September 2017, of which:

  • 7 in council-owned care home
  • 428 in non-council-owned homes
  • 107 with nursing
  • 321 without nursing.
39 in 2017/18, of which:

  • 1 owned by the council
  • 383 non-council owned, of which 14 provide nursing care.
£8.960 million comprised of funding for residential places in:

  • £310,000 across other local authorities
  • £30,000 in voluntary associations
  • £7.900 million in private homes
  • £720,000 in independent sector.
£9.848 million comprised of funding for residential places in:

  • £243,810 across other local authorities
  • £19,406 in voluntary associations
  • £8.635 million in private homes
  • £950,237 in independent sector.
£9.976 million comprised of funding for residential places in:

  • £35,712 across other local authorities
  • £0 in voluntary associations
  • £8.398 million in private homes
  • £1.543 million in independent sector.
£10.202 million comprised of funding for residential places in:

  • £42,516 across other local authorities
  • £0 in voluntary associations
  • £7.393 million in private homes
  • £2.766 million in independent sector.
Barnsley 868 as of 31 August 2017, of which:

  • 110 receiving nursing
  • 758 not receiving nursing.
43, of which:

  • 1 provides nursing only
  • 36 provide residential only
  • 6 provide both nursing and residential.
£21.711 million total. £19.883 million total. £18.145 million total. £18.143 million total.
Bradford 1,330 in 2017/18. 148 in 2017/18. £13.869 million total. £13.080 million total. £13.945 million total. £15.222 million total.
Doncaster 1,122 aged 65 and over in 2017/18, of which:

  • 209 with nursing
  • 913 without nursing.
50 in 2017 within the Doncaster Authority area, of which:

  • 24 with nursing
  • 26 without nursing.
£20,661 million total, of which:

  • £3.529 million for homes with nursing
  • £17.132 million for homes without nursing.
Social care budget not previously split by age, so no figures available for older people’s care homes. As in 2016/17. As in 2016/17.
East Riding of Yorkshire 1,726 as at July 2017, of which:

  • 124 with nursing
  • 1,602 without nursing.

For July 2016, 1,758 total.
For July 2015, 1,821 total.

Care home brochure provided, seeking clarification. Provided breakdown of estimated cost only:

  • £3.24 million for homes with nursing
  • £38.758 million for residential care.
Breakdown of estimated cost only:

  • £3.224 million for homes with nursing
  • £38.277 million for residential care.
Breakdown of estimated cost only:

  • £3.566 million for homes with nursing
  • £37.375 million for residential care.
Breakdown of estimated cost only:

  • £3.834 million for homes with nursing
  • £38.238 million for residential care.
Hull Provided breakdown as of 13 September 2017:

  • 117 in homes with nursing
  • 1,470 in homes without nursing.
Provided breakdown as of 13 September 2017:

  • 24 with nursing
  • 183 without nursing.
£26.114 million total.
Also provided breakdown for around 1,044 external placements:

  • £838,940 with nursing £14.894 million without nursing
£28.705 million total. £27.363 million total. £29.254 million total.
Kirklees Not yet provided. Not yet provided. Not yet provided. Not yet provided. Not yet provided. Not yet provided.
Leeds Provided breakdown in 2017/18:

  • 909 with nursing
  • 2,373 in homes without nursing.
85 on the Council’s framework contract, although contracts with all 88 independent sector care homes in the city. Provided breakdown:

  • £21.717 million for homes with nursing (909 residents).
  • £37.790 million for residential care (2,373 residents).
Provided breakdown:

  • £21.717 million for homes with nursing (912 residents)
  • £38.499 million for residential care (2,444 residents).
Provided breakdown:

  • £20.650 million for homes with nursing (968 residents
  • £38.294 million for residential care (2,437 residents).
Provided breakdown:

  • £19.439 million for homes with nursing (789 residents)
  • £38.693 million for residential care (2,258 residents).
North East Lincolnshire Clinical Commissioning Group (which administers social care on behalf of North East Lincolnshire Council) 501 as of 31 August 2017, of which:

  • 22 in homes with nursing
  • 479 in homes without nursing.

For 2016/17, 502 total.
For 2015/16, 543 total.
For 2014/15, 571 total.

47, of which:

  • 6 with nursing
  • 41 without nursing.
Not provided for current year: analysis only from statutory year end returns. £12.979 total, comprising:

  • £955,000 for homes with nursing (21 residents
  • £12.024 million for residential care (481 residents).
£12.885 million total, comprising:

  • £653,000 for homes with nursing (27 residents)
  • £12.232 million for residential care (516 residents).
£12.951 million total, comprising:

  • £582,000 for homes with nursing (26 residents)
  • £12.951 million for residential care (545 residents).
North Lincolnshire Not yet provided. Not yet provided. Not yet provided. Not yet provided. Not yet provided. Not yet provided.
North Yorkshire County Council (administers social care on behalf of Craven, Hambleton, Harrogate, Richmondshire, Ryedale, Scarborough and Selby Councils) 2,307 as of 31 March 2017, of which:

  • 677 in homes with nursing
  • 1,630 in homes without nursing

For 31 March 2016, 2,421 total.
For 31 March 2015, 2,355 total.

214, of which:

  • 61 with nursing
  • 153 without nursing.
£38.322 million total. Not provided. Not provided. Not provided.
Sheffield 1,721 as of 31 31 March 2017, of which:

  • 683 in homes with nursing
  • 1,038 in homes without nursing

For 31 March 2016, 1,773 total.
For 31 March 2015, 1,415 total.

Not held, although answered ‘Potentially all care homes in the area and also outside of the area if their needs cannot be met within the area. Customers have a choice of which care home, based on their needs and bed availability.? Not held. Answered ‘We do not have a specific budget for care homes. There is a budget for all customers, but budget is allocated based on customer needs as part of self-directed support rather than subdivided by setting or service type.? Not held. Not held. Not held.
Wakefield 900 as of 15 September 2017, of which:

  • 118 in homes with nursing
  • 782 in homes without nursing.

For 31 March 2016, 963 total.
For 31 March 2015, 1,084 total.

47, of which:

  • 18 with nursing
  • 18 without nursing.
£29.306 million total, of which:

  • £3.964 million (refers to residential element of nursing only) for homes with nursing (118 residents)
  • £25.342 million for homes without nursing (782 residents).
£29.545 million total, of which:

  • £2.104 million (refers to residential element of nursing only) for homes with nursing (118 residents)
  • £27.441 million for homes without nursing (793 residents).
£27.194 million total, of which:

  • £4.075 million (refers to residential element of nursing only) for homes with nursing (185 residents)
  • £23.119 million for homes without nursing (778 residents).
£29.460 million total, of which:

  • £3.978 million (refers to residential element of nursing only) for homes with nursing (189 residents)
  • £22.482 million for homes without nursing (895 residents).
York 492 as at 31 March 2017.524 as at 31 March 2016.
586 as at 31 March 2016.
4 care homes.
Breakdown of nursing/non-nursing not provided.
Provided breakdown:

  • £5.876 million for residential care
  • £3.922 million for homes with nursing.
Provided breakdown:

  • £5.876 million for residential care
  • £3.392 million for homes with nursing.
Provided breakdown:

  • £5.949 million for residential care
  • £3.729 million for homes with nursing.
Provided breakdown:

  • £5.386 million for residential care
  • £3.393 million for homes with nursing.

What we found surprising

Of course, it’s no surprise to see the real reduction in social care funding, as we explored in our round up of recent research figures for care homes and nutrition.

However, what we did find surprising was that most of the information requested (apart from the numbers of residents, care homes, and budgets), was not held by councils, or at least not held in a ‘retrieveable format’. In most cases, councils did not hold centrally the number of residents who paid top-up fees – with the exception of Calderdale, North Yorkshire County Council, Wakefield, and York Councils. We were also interested to find out that Sheffield City Council is the only one in Yorkshire that has no specific budget for care homes, instead choosing to fund this area of social care on the basis of personal need. Fascinating!

We also found that throughout Yorkshire (and, we suspect, the country at large), there is uniformly no ringfenced budget for nutrition within the general care home budget. It’s down to individual care home managers to decide from their pot of allocated funds received from the local authority. In addition, most councils do not collect any information on whether the ‘Healthier and more sustainable catering’ toolkit is being used within care homes at which they fund placements, or the number of residents admitted to hospital from their care home with malnutrition.

We did have these reassuring answers on these questions, though:

Question 8. How many, and which, care homes in your area, use or abide by the ‘Healthier and more sustainable catering: a toolkit for serving food to older people in residential care’?

Hull City Council said: ‘We could only answer regarding the establishments that we own/operate and as such the response would be nil.’

The catering to Hull City Council establishments is now provided via an SLA with Hull Catering who adhere to the following guidance provided by the National Association of Care Catering;

  • Nutritional Standards for Adults
  • How to provide good nutritional care and comply with CQCs fundamental standards
  • Menu Planning and Special Diets in Care Homes
  • Quality Standard Indicators – Prime cooked meals for home delivery

Public Health and Adult Social Care are in the process of developing joint working in order to deliver a Healthier and more sustainable catering in care homes across Hull but as the current moment we have service specifications which suggests that all providers should ensure people are getting a healthier and nutritious meal in care homes and ensure wherever possible to have choice of options for their meals.’

North East Lincolnshire Clinical Commissioning Group said: ‘The CCG does not hold this information, however, all care homes have to meet the Eatwell principles. Each care home is required to use the CCG nutritional screening tool which is a requirement of the local Quality Framework.’

Question 10. Where possible, can you send any additional local statistic reports or research you have published, or use, relating to the provision of nutrition in residential care homes for older people.

Doncaster Metropolitan District Council said: ‘Our Workforce Development Team offer a Healthy Foods and Special Diets course which has the aim ‘to raise awareness and understanding of healthy eating and catering generally, but also for people with specific nutritional and dietary needs’. We have only run 2 courses this year (28th June 2017 & 25th October 2017) but neither of these has been fully booked. 28th June had 9 delegates and 25th October has 6. The maximum number of bookings is 16.’

East Riding of Yorkshire Council said: ‘The Local Authority promote the Nutrition Mission programme in Care Homes.’

Leeds City Council: ‘Leeds City Council has not published any such information however, we do use national documentation such as the NHS England’s Commissioning Excellent Nutrition and Hydration 2015-2018 to support our work.’

What do you think of their responses?

Find out more

To find out more about how Saffron Care Catering can help the care home industry provide nutrition via a truly person-centred approach, call us on 0114 281 6060, email us at info@fdhospitality.com, or fill out our contact form.

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