Making Sense of SDS: a workshop session for providers. Dr Donald Macaskill . 10-10.40 Introduction and aims Presentation on main issues in Guidance 10.40 Workshop session one: The Four options - Assessment and Support planning 11.15-11.30 Break
Dr Donald Macaskill
Presentation on main issues in Guidance
10.40 Workshop session one:
The Four options -
Assessment and Support planning
11.30-12.30 Workshop session two
Review and reassessment
Risk and safeguarding
Organisational issues - Finance, training, marketing, engagement of those who use services
12.30-13.00 General Q and A
“Alice came to a fork in the road. \'Which road do I take?\' she asked.\'Where do you want to go?\' responded the Cheshire Cat.\'I don\'t know,\' Alice answered.\'Then,\' said the Cat, \'it doesn\'t matter.” ― Lewis Carroll, Alice in Wonderland
“She was obviously working from her own list and didn’t listen”
“They were late, kept looking at their watch from the minute they walked through my door and didn’t seem to care”
It was awful! One of the worst experiences of my life! They focused on all the things I couldn’t do and made me feel even more useless”
“It was just a tick box exercise most of the questions didn’t even mean anything to me”
He spent more time talking to the carers’ than me. I felt left out of the conversation all the time”
People don’t seem to realise how difficult it is to open up to a complete stranger about very personal things” How would you feel?”
“it was a bit scary, it felt like a test that I had to pass or fail to get the help I needed”
“ I didn’t really understand what an assessment was and why I was being assessed”
“I had time to talk things through and was encouraged to make my own decisions in my own time “
“She didn’t try to fix everything and helped me see that there was lots of things I could achieve myself”
“The social worker was honest with me and kept me informed on what happens next”
“He asked the right questions”
“They really listened to me”
“They seemed genuinely interested in getting to know me as a person and what had been important in the past and what was important to me now!”
“I was treated as a person and not just a number or case”
“I had time to build up my confidence and trust as it was the same person that helped me with my assessment and monitors my support plan!
What matters most?
The Talking Points Approach (Miller and Cook) suggests it is helpful for an individual to consider the following areas during assessment.
SDS relies on CO-PRODUCTION in identifying and agreeing outcomes and support plans
(SDS National Strategy, Scottish Government 2010).
Co-productionre-defines the relationship
between the public service professional and the
service user; it involves breaking down
barriers and creating a more collaborative and
Deficit Led Model
Focuses on problems
Can leave people feeling dis-empowered
Often the only way to access services
Strengths Based Model
Focuses on solutions
Values the capacity, skills and potential people possess
Person supported to be empowered
Opportunity to use alternative, creative approaches
The branding of Self-Directed Support is powerful a commitment and statement of intent
At each review, the four options must be offered formally again, even if there are no changes required. How this is evidenced ,it must be considered by the practitioner and included in local review recording process. It may be helpful for the practitioner to see reviews as a natural extension of support planning.
At any time, the supported person can ask to change their option (which should be dealt with by the same process as they made their previous choice) or they may ask for their assessment, support plan, or budget to be reviewed.
The supported person should be assisted to feel safe and secure in all aspects of life, to enjoy safety but not to be over-protected and, in so far as possible, to be free from exploitation and abuse.
14.1 The Adult Support and Protection (Scotland) Act 2007 (“the 2007 Act”)
provides the legal framework for the protection of adults who are unable to safeguard their own interests. It is based on the fundamental principles that the intervention must provide benefit to the adult and is the least restrictive option to the adult\'s freedom. These principles should be at the heart of all risk planning and enablement.
A series of guides for providers
Guide 1: An introduction to self-directed support
Guide 2: The values and principles of self-directed support
Guide 3: Outcome assessments and support planning – the provider’s role
Guide 4: The Four SDS Choices
Guide 5: Risk enablement and adult protection
Guide 6: Care homes (residential care) and self-directed support