Service Providers with registered offices in Adur have the lowest levels of good and outstanding ratings with CQC in comparison to services in the other district and boroughs.

The proportion of WSCC funded customers in Adur receiving care and support at home in comparison to other service offers is high. However, the actual numbers of WSCC funded customers receiving care and support at home in Adur is the lowest in comparison to other areas and it also has the lowest increase in the number of people projected to need care and support at home by 2035 – reflective of the relatively small population numbers in this area. Adur does have the second highest number of funded customers who are over 65 with mental health needs.

By 2035 the projected growth in Adur for all care and support at home customers is around 23% (approximately 85 additional customers.)

WSCC commitment for care and support at home in Adur:

• Support service providers in Adur to ensure that the needs of older people with mental health needs can be met.
• Work with service providers in Adur to increase the number of services rated ‘good’ and ‘outstanding’ by CQC.

Arun has the highest number of WSCC funded customers receiving care and support at home. Information also identifies Arun as being likely to have the highest increase in low and medium dependency by 2035 which could suggest a greater level of increase in demand. In addition, this area has the highest proportion of customers of working age and older age with mental health needs.

Arun has the highest number of commissioned providers in comparison to other areas. Whilst this doesn’t necessarily reflect higher volumes of workforce it does indicate the market is well served with choice and provision in this area to meet what is likely to be an increase in demand for care and support at home services. By 2035 projections indicate a growth of 15% of total care and support at home customer numbers. (approximately 165 additional customers)

WSCC Commitment for Care and Support At Home in Arun

• Support Arun providers to meet the needs of working age adults as well as older people, particularly those with mental health needs, given the high percentage of younger adults in this district supported with care and support at home.

It is estimated that approximately 45% of people accessing care and support at home services in Chichester self-fund their care. Chichester is one of the top 3 areas where there is a higher projected increase by 2035 in the number of customers requiring care and support at home, with a 29% increase projected for total customers received care and support at home. This increase is projected as a result of the growth in older people population and also in expected growth in low and medium dependency.

One of the challenges in Chichester is the large area of rurality in the northern part of the district. This can make it difficult for residents in rural Chichester areas to source a care and support at home service. WSCC has been working with a local provider to pilot the recruitment and matching of Personal Assistants in this area to expand the option for provision of alternative care in this area.

WSCC Commitment for Care and Support At Home in Chichester

• Develop the market to provide solutions for delivering care and support at home in the rural northern part of the district.
• Review the learning from the PA pilot, the initial focus of which was in the Chichester area.

Service providers in Crawley have relatively low levels of good and outstanding ratings with CQC in comparison to services in other district and boroughs. There are proportionately less providers of care and support at home in this area compared to other areas, although the area is densely populated and hence this may be expected.

This area has a proportionately high level of working age customers, and particularly those with a physical or sensory impairment but lower levels of older people with mental health needs than some other areas. However, there is expected to be growth in the older people populations in Crawley which may impact on demand in future. Crawley has a much lower proportion of self-funders than other areas at an estimated 20.9%.

Projections indicate an increase of 185 care and support at home customers in Crawley by 2035 – a 47% increase on the current customer base including estimates for both WSCC and self-funders. This is the largest percentage increase projected across the county.

WSCC Commitment for Care and Support At Home in Crawley

• Work with Crawley providers to ensure provision meets the needs for working age adults.
• Encourage growth in the market for care and support at home in Crawley to enable services to have sufficient capacity to meet future demand.
• Work with service providers in Crawley to increase the number of services rated good and outstanding by CQC.

There are relatively high levels of self-funders purchasing care and support at home in Horsham in comparison to neighbouring Crawley for example. There is a good number of care providers registered in the Horsham area – similar to most other areas, and high levels of provision that are rated good or outstanding by CQC. However demand is expected to grow with high levels of growth in low and medium levels of dependency and older people population growth.

Projections indicate a potential growth of the customer base as a whole of around 34% (an additional 155 people) by 2035.

WSCC Commitment for Care and Support At Home in Horsham

• Support providers in Horsham to grow capacity to accommodate increases in demand projected over the next 10 years.

There is a proportionately slightly higher percentage of West Sussex working age customers receiving care and support at home in Mid Sussex than some other areas and the percentage of self-funders in Mid-Sussex is the highest of all areas at 58.7%.

There is a good number of providers operating in Mid-Sussex (albeit this is not necessarily an indication of available workforce) and a relatively high level of good and outstanding rated services in comparison to other areas. However, like Chichester, some of the areas in Mid Sussex are rural and therefore challenging to source care and support at home within. It can be challenging for providers to establish themselves and maintain a sustainable service in these areas.

Projections indicate a potential growth in total demand by 2035 of around 12% (95 customers.)

WSCC Commitment for Care and Support At Home in Mid-Sussex

• Seek to better understand the needs and purchasing of the self -funder market in Mid-Sussex.
• Develop the market to provide solutions for delivering care and support at home in the rural parts part of the district.

Worthing has a higher proportion compared to other areas of working age customers (in particular working age customers with mental health needs) receiving care and support at home. There is an estimated 32.8% of people self-funders care and support at home in Worthing which is the second lowest of all areas.

Worthing has a good number of service providers (albeit not necessarily an indication of sufficient workforce) although a relatively low level of CQC rated good and outstanding providers than some of the other district and boroughs.

Projections indicate an estimated potential growth of 32% (175 people) on current total customers in Worthing.

WSCC Commitment for Care and Support At Home in Worthing

• Work with Worthing providers to support the needs of working age people with mental health needs.
• Work with service providers in Worthing to increase the number of CQC rated good and outstanding services.