Scottish Government

Statistics Release
Day Care Services, Scotland 2002

A SCOTTISH EXECUTIVE NATIONAL STATISTICS PUBLICATION

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1. Introduction

The purpose of this Statistics Release is to present national figures for Day Care services for adults in Scotland. All figures relate to the 31 ^st March 2002 and are provisional and, as such, are subject to change. The final figures will be published in Scottish Community Care Statistics 2002.

The information is derived from returns made to the Scottish Executive by individual Day Care services directly or via Scottish local authorities. Refer to the background information outlined later in this Statistics Release for further details relating to the census of Day Care services.

2. Main Points

• As at 31 March 2002, there were 652 Day Care centres registered in Scotland, offering a total of nearly 19,000 places at any one time and providing a service for almost 22,000 people.
• Just over 7,700 places are in centres intended for older people; these account for 41 per cent of all Day Care places in Scotland.
• A further 8,759 (46 per cent) are in centres catering primarily for people with learning disabilities.
• Over two-thirds of Day Care centres are run by local authorities and over three-quarters of all places are in local authority run services.
• People with learning disabilities use Day Care services most frequently, on average nearly 4 days a week.
• There were nearly 4,600 staff working in Day Care centres in Scotland at 31 March 2002. 60 per cent of these were care staff.

3. Profile of Registered Day Care Services

Table 1: Registered Day Care Services by Client Group and Sector

The Day Care services included in this section cover local authority, private and voluntary service providers registered with the Care Commission.

Table 1 shows the number of registered Day Care centres, the number of places and number of people attending centres during census week. There were 652 centres in Scotland; between them they provide 18,976 places and supply a service to 21,990 people in Scotland.

The majority of Day Care services (63 per cent) are intended for older people. These had 11,434 attendees during the census week, and provide 41 per cent of all day care places.

Centres intended for people with learning disabilities account for 46 per cent of total places but within fewer centres. Average number of places per centre for this client group is around 52, compared to 19 for centres for older people.

The independent sector provides 31 per cent of all centres and nearly a quarter of all places.

Table 2 shows the type of setting of centres throughout Scotland, where the setting is known. Over a third of centres are set in purpose built buildings and just under a third are set within a residential home. However this varies considerably depending on the intended client group. 46 per cent of all day care services for older people are set within a residential home, while 64 per cent of day centres for people with learning disabilities are set in purpose built buildings.

Table 2: Type of Setting of Day Care Centre

4. Profile of Adults Attending Registered Day Care Services

Table 3 shows the sex, age group and client group of all adults attending registered day care services. It shows that for adults aged under 65, over half (53 per cent) of those attending day centres were male, whereas for the over 65 age group the majority (71 per cent) were female.

Physically disabled people (this includes sensory impairment and frailty due to old age) are the largest individual client group; they account for 44 per cent of those attending, of these over half are females over the age of 65.

Table 3: Sex and Age Profile of Day Care Service Attendees

Source: Day Care Centre Census Return D1-B

Table 4 shows, in percentages, the number of days each client group used the service and the average number of days. People with learning disabilities used day care services more often than any other client group averaging nearly 4 days a week.

For all other client groups most people visited centres for one or two days a week, mainly during the period Monday to Friday. Less than one per cent used the service for 6 or more days.

Table 5 shows, for each client group, the percentage of people receiving a day care service at the weekend. Overall only 11 per cent of day care clients use the service at the weekend.

Table 4: Number of Days per Week the Service is used

'-' = Less than 0.5
Source: Day Care Centre Census Return D1-B

Table 5: Using Service at Weekend

Source: Day Care Centre Census Return D1-B

Table 6: Is Transport Provided to Centre, by Locality

1 A Rural area is defined to be a locality with less than 10,000 residents
Source: Day Care Centre Census Return D1-B

Table 6 shows the per cent of users receiving transport to centres, i.e. transport provided by the centre, an independent sector organisation or by the Local Authority. Nearly three-quarters (73 per cent) of all users are provided with transport to and from the centre.

The location of the centre has an effect on whether or not attendees receive transport, with users being 9 per cent more likely to receive transport in rural areas.

Four-fifths of attendees with drug/alcohol problems visit centres in urban locations.

People with dementia, people with physical disabilities and people with HIV/Aids were most likely to be receiving transport.

Table 7 shows the percentage of clients who received each type of service during the week and the definitions of what each service includes.

'Leisure / Recreation' and 'Social / Personal Development' were the most popular types of service to receive during the week, with around 91 per cent and 88 per cent of users respectively.

'Education/Employment' had the lowest overall per cent of users with only 32 per cent. People with Learning Disabilities however were most likely to use this type of service during the census week.

56 per cent of all users received some form of Personal Care from day care staff during the week.

Table 7: Percentage of clients receiving a service, by service type

1 Totals sum to more than 100 per cent due to more than one service being available to each user
Source: Day Care Centre Census Return D1-B

Definitions:-

Domestic/Practical - shopping; food preparation; cooking; using appliances; laundry; etc. Social/Personal Development
- personal relationships; confidence building; communication; advocacy; etc. Education/Employment
- literacy skills; basic education; skills training; further education; work experience; etc. Leisure/Recreation
- sports; arts and crafts; social events; outings; hobbies; etc. Personal Care
- personal hygiene; dressing skills; feeding skills; mobility; dietary advice; medication; mental well-being; etc.

5. Staffing of Registered Day Services

Table 8: Staffing of Registered Day Care Centres ¹

1 All staff figures relate to 'whole-time equivalents'
2 Totals may not sum up due to the effects of rounding
Source: Day Care Centre Census Return D1-B

Table 8 shows the breakdown of staffing levels and the ratio of places to staff by intended client group.

In 2002 there were 4,570 whole-time equivalent staff. Care staff accounted for 60 per cent, management staff for 18 per cent and other staff the remaining 22 per cent. There were 4.2 places per member of staff and the average centre had 7 members of staff.

Centres intended for 'other client groups' were the most sparsely staffed, with 6.7 places to every member of staff and less than 5 staff per centre.

In contrast centres for people with learning disabilities have only 3.6 places per staff member and 14.4 staff per centre. Over half of all staff are in centres for people with learning disabilities.

There were also just over 1,200 volunteers and a further 1,200 visiting workers helping out in centres throughout Scotland, during the census week.

Background Information on the Census of Day Care Services

The census is intended to cover all adult Day Care services in Scotland which are registered with the Scottish Commission for the Regulation of Care (The Care Commission). In 2002, we also received some information from unregistered day care services. A total of 37 "unregistered" day care services returned a census form and a short summary of this information is available on request.

Centres were asked to provide detailed information on their day care provision during the week ending 31 ^st March 2002. Responses were obtained from 586 centres, giving an estimated response rate of approximately 90 per cent. However, this response rate did vary from area to area.

The figures presented in this information note have been grossed up to take account of non-response. The methodology adopted was based on using returns of centres of similar type, sector and local authority area to estimate figures for those centres that did not submit a return.

The methodology for dealing with non response since 1998 is different to that previously adopted, therefore care should be taken when making comparisons with pre-1998 data. All figures include centres with 4 or less places, which are usually attached to residential homes.

Some of the column and row totals in these tables may not exactly equal the sum of their component parts due to the effects of rounding.

Further Information

Further details and analysis of the data presented in this Statistics Release are available on request from the address following. The Statistics Release is also available on the Internet by accessing the Scottish Executive web site ( www.scotland.gov.uk).

Information at disaggregate local authority level showing number of centres, places and users by sector is shown in Annex 1. Time series data showing numbers of centres, places and users for 1991-2002 is shown in Annex 2 to this Statistics Release (note that no census took place in 1999 and 2000). Community Care Statistics

Room 2N-08
St Andrew's House
Edinburgh
EH1 3DG
Contact: Steven Gillespie
Tel: 0131 244 3777
Fax: 0131 244 5427
E-mail: SWStat@scotland.gsi.gov.uk

ANNEX 1: Registered Day Care Services by Local Authority

ANNEX 2A: Number of Registered Day Care Centres, 1991-2002

ANNEX 2B: Number of Registered Day Care Places, 1991-2002

ANNEX 2C: Number of Adults Attending Registered Day Care Centres, 1991-2002