Dignity in Care through Partnership Working

1. Dignity in Carethrough Partnership Working A Joint Presentation JOHN POWELL CHIEF COMMUNITY CARE OFFICER and VINESH KUMAR DE VERE CARE 25TH November 2008

2. Dignity in Carethrough Partnership Working INTRODUCTION Overview of Dignity Challenge themes Redbridge example of challenge 4 George’s story De Vere Care example of challenge 2 Meenu’s story Partnership working and Safeguarding Questions and Answers

3. The Government’s10 ‘Dignity Challenges’: • Have a zero tolerance of all forms of abuse • Support people with the same respect anyone would want for themselves or a member of their family • Treat each person as an individual by offering a personalised service • Enable people to maintain the maximum level of independence, choice and control • Listen and support people to express their needs and wants • Respect people’s right to privacy • Ensure people feel able to complain without fear or retribution • Engage with family members and carers as care partners • Assist people to maintain confidence and self-esteem • Act to alleviate people’s loneliness and isolation.

4. My life, my way,with your support • BACKGROUND TO OAKFIELD LODGE • Council purpose built Sheltered Scheme in the 70’s • During the late 90’s it began to show signs of wear and tear with significant voids • In 2003 Community Care reshaped the service using money from a Local Public Service Agreement • This investment was followed up by the Housing Service using quality of life money to further enhance the environment • Tenants committee established to assist start up Extra Care Service

5. My life, my way,with your support • BACKGROUND TO OAKFIELD LODGE • Key Leadership from Principal Officer and her Managers • Staff enthusiasm that could see the potential of the proposed way of working that created a “can do, will do” approach • Personal skills – dance, art, gardening etc. • Decorating • Activities

6. My life, my way,with your support • The Dignity Challenge – theme 4 • Enable people to maintain the maximum possible level of independence choice and control • Flats and bed sits well decorated and attractive to ensure good occupancy (Tenant choice before moving in) • Emphasise housing with care – own flat, own front door, own key and choice to get involved or not with the community • High quality activities, good food, stimulating environment, good company and lots and lots of parties! • Option for care support via resident team, independent provider, direct payments or private arrangement • Committee that decides how the building and services are improved and maintained

7. My life, my way,with your support • The Dignity Challenge – theme 4 • Enable people to maintain the maximum possible level of independence choice and control • Mixed age profile and needs • Community spirit has accepted and enhanced individual opportunity – Dementia and Learning Disability • Encouragement to be involved but with respect for those who don’t want to • Key success through ‘Champion’ tenants and staff but without being nominated or asked • Flexibility in staff roles – no jobs worth here!

8. My life, my way,with your support • George’s story

9. My life, my way,with your support

10. De Vere Care • BACKGROUND TO DE VERE CARE • Established during 2000 with an aim to provide high quality care service to local population • During 2004, underwent massive restructuring to include Quality Assurance and Contracts Management departments • Partnership working with Local Authority by participating in local forums; Involved in local safeguarding committee and various other initiatives. • In 2008, achieved UKAS certified ISO 9001:2000 quality accreditation; First domiciliary care organisation in the UK to be accredited with C2E (Committed to Equality).

11. De Vere Care • Early 2007, ‘Dignity in Care’ initiative commenced. Dignity policy, training, audit tools developed and tested since. • Incorporated ‘Dignity in Care’ in person-centred care planning, monitoring procedures etc. • Developed ‘junior’ dignity champions initiative. • Staff training (covers Cultural relativism) and feedback through supervision and on-the-job assessments using ‘systems’ approach covering: the tasks they perform, the available tools designed to support them, the environment in which they operate. • Innovative Safeguarding training approach combined with Dignity in Care. • Trainee social workers enhancing our ‘dignity’ initiative

12. My life, my way,with your support • The Dignity Challenge – theme 2 Support people with the same respect you would want for yourself or a member of your family. • The importance of seeing service users as partners in decision-making (about their care and support) • Encouraging and supporting service users to take responsibility, as far as possible, regarding their care and support. • Dignity in care training for all staff (service user and staff involvement in drawing up dignity training) • Person-centred care plan emphasising dignity related outcome(s) in all aspects of care

13. My life, my way,with your support • The Dignity Challenge – theme 2 Support people with the same respect you would want for yourself or a member of your family. • Dignity Audit (based on Dorset & Somerset SHA) • Service user environment; • Privacy, dignity and modesty; • Communication with service users; • Promoting individual needs; • Staff training • Monitoring visits to service users • Learning from service user survey feedbacks • Safeguarding Adults awareness as a result of dignity initiative among staff and service users

14. Listen to Understand! • Meenu’s story Listen to Meenu “As a dignity champion I will promote dignity in care initiative to all MS sufferers”

15. Listen to Understand! Meenu’s story • Meenu was born during the early 1960’s in London Borough of Redbridge • Attended Wanstead High Grammar School • Worked in Liverpool street as a Chartered Surveyor earning around £60k during the mid 1980’s. • And then one day…

16. Dignity in Carethrough Partnership Working PARTNERSHIP WORKING AND SAFEGUARDING As commissioners and providers we have been committed to the Dignity in Care programme Provider Forum established that works and influences practice Recognises the need to bring Safeguarding and Dignity together and now have a training programme in Redbridge for in-house Champions Learning across the Independent Sector and the Council has improved service delivery and enhanced quality of life. Development of safeguarding through dignity

17. When they were introduced, he made a witticism, hoping to be liked. She laughed extremely hard, hoping to be liked. Then each drove home alone, staring straight ahead, with the very same twist to their faces. The man who’d introduced them didn’t much like either of them, though he acted as if he did, anxious as he was to preserve good relations at all times. One never knew, after all, now did one now did one now did one. - David Foster Wallace, postmodern novelist (1962-2008) A Radically Condensed History of Post-Industrial Life

18. Dignity in Carethrough Partnership Working THROUGH PARTNERSHIP WORKING WE HAVE ACHIEVED THANK YOU QUESTION AND ANSWERS

19. BACKGROUND INFORMATION

20. My life, my way,with your support What makes the difference for George? • Confidence in staff to advocate • Desire to maintain independence - including taking risks to enable this to happen • Prepared to challenge stereotype of residential/nursing care • Confidence in managing situations that may not be the norm • Creative solutions – assistive technology • But most of all TRUST

21. My life, my way,with your support • Why success? • Senior Officer buy in • Enthusiastic staff • The service, tenants and scheme has evolved together • Willingness to tackle difficult changes – role of Warden • ‘Always look on the bright side of life’ mentality • Beyond consultation into engagement • ‘Dignity and Respect’ is a golden thread through the service which goes both ways between staff and tenants

22. Safeguardingthrough Dignity in Care • Next Steps • Design and commission a Train The Trainer course to create Provider Safeguarding through Dignity in Care Champions (6 Days) • Design and commission an in-depth Safeguarding through Dignity in Care Course for Adult Social Services and partners staff (2 Days)

23. Safeguardingthrough Dignity in Care In-house Champions Aim To develop competent and innovative trainers/facilitators in the safeguarding of adults through dignity in care (where/as appropriate) who will be able to work within their own organisations to heighten knowledge and understanding of this important area of working

24. Safeguardingthrough Dignity in Care In-house Champions Six days training plus assignments: • 4-days Train the Trainer OCN Level 3 • Nationally recognised teaching qualification • 2-days in-depth Safeguarding through Dignity in Care course. Key Objectives: • Dignity in Care Government initiative • Linking Safeguarding and Dignity in Care Challenges • Understanding and identifying vulnerability and risk factors • Mental Capacity & Deprivation of Liberty issues • Roles and responsibilities of all staff

25. Safeguardingthrough Dignity in Care Candidates Champions: • Senior staff experienced in Safeguarding Adults and the Dignity in Care services. Champions and In-depth Safeguarding and Dignity courses: Candidates should be familiar with: • The legislation & Government directives relating to Safeguarding Adults • The legislation & Government directives relating to the national campaign on Dignity in Care (Nov 2006) • Definitions relating to the Safeguarding of Adults and of Dignity • Knowledge in the recognition of abuse and the initial responses

26. Safeguardingthrough Dignity in Care Delivery Programme 2008-2009 • One 6-day Champions course to 10 Provider candidates • Two 2-day In-depth courses to 32 LBR Adult Social Services and partner organisations staff