The purpose of this Information Note is to present national figures for residential community care services for adults in Scotland in 1998. The information is derived from returns made to the Scottish Executive by individual residential care establishments directly or via Scottish local authorities. Refer to the background information outlined later in this information note for further details relating to the census of residential care establishments.
Information on residential community care in Scotland was published in respect of 1997 in the Statistical Bulletin ‘Community Care Scotland, 1997’. This was the last in a series of bulletins covering the broad field of community care services for adults.
In 1998, the average length of stay for long-stay residents discharged from homes intended for older people was 2 years and 9 months
Table 1 shows the number of residential care homes in Scotland, and the number of places and residents in these homes as at 31 March 1998. Chart 1 also illustrates the number of places in these homes.
| No. of Homes | No. of Places 1 | No. of Residents 1 | ||||||||||
| Intended Client Group | Local Authority | Priv' | Vol' | Total | Local Authority | Priv' | Vol' | Total | Local Authority | Priv' | Vol' | Total' |
| Older People | 239 | 273 | 169 | 681 | 7464 | 5025 | 4188 | 16677 | 6708 | 4385 | 3787 | 14880 |
| People with learning disabilities | 100 | 61 | 416 | 577 | 899 | 582 | 3141 | 4622 | 798 | 571 | 2980 | 4349 |
| Physically disabled people | 3 | 3 | 36 | 42 | 43 | 33 | 836 | 912 | 35 | 27 | 701 | 763 |
| People with mental health problems | 2 | 13 | 174 | 189 | 21 | 122 | 1157 | 1300 | 15 | 114 | 1008 | 1137 |
| Other client groups | 12 | 4 | 113 | 129 | 165 | 57 | 1115 | 1337 | 122 | 33 | 867 | 1022 |
| TOTAL | 356 | 354 | 908 | 1618 | 8592 | 5819 | 10437 | 24848 | 7678 | 5130 | 9343 | 22151 |
40 percent of homes for older people were privately run compared to 35 percent run by local authorities. However, the local authority run homes accounted for 45 percent of places compared to only 30 percent for private homes. (See Table 1)
For all other client groups (excluding older people), 79 percent of homes were run by the voluntary sector. These homes accounted for 76 percent of places and 76 percent of residents. (See Table 1)
Table 2 and Chart 2 illustrate the number of admissions into residential care homes during the year to 31 March 1998. These are shown split by intended client group of home and type of stay. The "other client groups" category includes homes for people with alcohol / drug problems and people with HIV and AIDS.
During the period, there were just over 38,300 admissions into residential care homes in Scotland, around 7,600 of these were long-stay residents. Admissions to local authority run homes accounted for 56 percent of all admissions whilst privately run homes accounted for only 10 percent. (See Table 2)
| SECTOR | ||||||||
| Local Authority | Private | Voluntary | TOTAL | |||||
| Intended Client Group | Short Stay | Long Stay | Short Stay | Long Stay | Short Stay | Long Stay | Short Stay | Long Stay |
| Older People | 10805 | 2389 | 1473 | 1632 | 1300 | 1104 | 13578 | 5125 |
| People with learning disabilities | 6166 | 70 | 74 | 35 | 2229 | 272 | 8469 | 377 |
| Physically disabled people | 898 | 8 | 77 | 5 | 2951 | 90 | 3926 | 103 |
| People with mental health problems | 0 | 16 | 1 | 14 | 518 | 271 | 519 | 301 |
| Other client groups | 1088 | 181 | 353 | 12 | 2834 | 1456 | 4275 | 1649 |
| TOTAL | 18957 | 2664 | 1978 | 1698 | 9832 | 3193 | 30767 | 7555 |
Almost 73 percent of admissions into homes for older people were short-stay residents. In addition, only 4 percent of admissions into homes for people with learning disabilities were long-stay residents. (See Table 2)
Tables 3 and 4 show the age profiles of long-stay clients in residential care homes for older people or in any other type of home by sector.
Around 10 percent of clients in homes for older people were aged between 65 and 74 years, with the majority of clients aged 85 or over. (See Table 3)
| Age Band (years) | |||||
| SECTOR | Under 55 | 55-64 | 65-74 | 75-84 | 85 and over |
| Local Authority | - | 1 | 11 | 37 | 51 |
| Private | - | 2 | 9 | 33 | 56 |
| Voluntary | 1 | 2 | 9 | 31 | 57 |
| TOTAL | - | 2 | 10 | 34 | 54 |
Source: Residential Establishment census Return
"-" denotes less than 0.5%
1 - The age was unknown for 0.2 percent of residents
The voluntary sector had the highest proportion of clients aged 85 or over in the older people client group with 57 percent. This compares with almost 51 percent for the local authority run homes. (See Table 3)
Around 67 percent of clients in homes for all other client groups (excluding older people) were aged between 31 and 64 years. Only 10 percent of clients in these types of homes were aged 65 years and over. (See Table 4)
| Age Band (years) | |||||
| SECTOR | Under 16 | 16-30 | 31-45 | 46-64 | 65 and over |
| Local Authority | 0 | 19 | 37 | 38 | 7 |
| Private | 0 | 11 | 22 | 43 | 25 |
| Voluntary | - | 24 | 33 | 34 | 8 |
| TOTAL | - | 22 | 32 | 35 | 10 |
Source: Residential Establishment census Return
"-" denotes less than 0.5%
1 - The age was unknown for 0.2 percent of residents
Around 25 percent of residents in privately run homes for all other client groups (excluding older people) were aged 65 years or over. This corresponds with 7 percent and 8 percent in the local authority and voluntary sectors, respectively. (See Table 4)
Tables 5 and 6 show the profile of long-stay residents that were discharged from residential care homes in Scotland during the year to 31 March 1998. These are presented in terms of destination on discharge and length of stay by intended client group of home.
During 1998, around 33 percent of all residents that were discharged from residential care homes were transferred to another home or entered hospital. (See Table 5)
| Destination on Discharge | |||||||
| Intended Client Group | Died | Entered Hospital | Transferred to another home | Discharged to Sheltered housing | To own home | Other discharge | Unknown |
| Older People | 49 | 20 | 20 | - | 5 | 5 | 1 |
| People with learning disabilities | 11 | 9 | 39 | 3 | 21 | 10 | 7 |
| Physically disabled people | 21 | 4 | 23 | 6 | 32 | 13 | 2 |
| People with mental health problems | 9 | 14 | 19 | 3 | 42 | 11 | 3 |
| Other client groups | 1 | 1 | 7 | 2 | 35 | 33 | 20 |
| TOTAL | 36 | 15 | 18 | 1 | 13 | 11 | 5 |
31 percent of all residents discharged during the year had a length of stay of less than 6 months. Around 33 percent of residents discharged from homes for older people stayed for 3 years or more. (See Table 6)
| Length of Stay | ||||||
| Intended Client Group | Less than 6 months | 6 - 11 months | 1 to under 3 years | 3 to under 5 years | 5 years and over | Average length of stay |
| Older People | 21 | 13 | 33 | 16 | 17 | 2 yrs 9 mths |
| People with learning disabilities | 8 | 8 | 17 | 23 | 44 | 6 yrs 3 mths |
| Physically disabled people | 19 | 9 | 26 | 13 | 32 | 5 yrs 1 mths |
| People with mental health problems | 18 | 15 | 41 | 12 | 13 | 2 yrs 2 mths |
| Other client groups | 75 | 14 | 7 | 1 | 3 | 5 mths |
| TOTAL | 31 | 13 | 28 | 13 | 15 | |
Residential care homes for people with learning disabilities and physically disabled people had 44 percent and 32 percent, respectively, of discharged residents staying for 5 years and over. (See Table 6)
Residents in homes intended for people with learning disabilities had the longest average stay of 6 years and 3 months, followed by those in homes for physically disabled people with average stay of 5 years and 1 month. (See Table 6)
Background Information on the Census of Residential Care Establishments
The census is intended to cover all adult residential care establishments in Scotland which are registered with the local authorities.
The number of establishments covered by the 1998 census is estimated to be around 1,620. These establishments were asked to provide detailed information on their residential care provision covering the period 1 April 1997 to 31 March 1998. Responses were obtained from around 1,440 establishments, giving an estimated response rate of approximately 89 percent. 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 establishments of similar type, sector and local authority area to estimate figures for those establishments which did not submit a return.
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.
The methodology for dealing with non response in 1998 is different to that previously adopted, therefore care should be taken when making comparisons with pre-1998 data.
Further details and analysis of the data presented in this Information Note are available on request from the address following. The Information Note 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 homes, places and residents by sector is shown in annex 1 to this Information Note.
Community Care Statistics
Room 52
James Craig Walk
Edinburgh
EH1 3BA
Contact: David Purdie
Tel: 0131 244 3777
e-mail: david.purdie@scotland.gov.uk
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