Nottinghamshire Working Together for Change Project Supported Living Services for People with Learning Disabilities
Person Centred Planning Perspective Sarah Craggs
What we did • 54 Person Centred reviews across three supported living services- Choice Support, Mencap and Eden Housing. . • We asked each facilitator to identify with the person or their circle of support the top three things that were working, not working, important for the future.
Supported staff to capture what people were saying at reviews in their own words as much as possible.
The Workshops • We had representation from Commissioners, Providers, Service Users and Carers. • We sorted each review statement into themed groups and voted on our priorities for action.
What’s important for the future Top 5 themes • I want to do new things • I want to go on holiday • I want to have my say • I want a job • I want to see the people who are important to me
What’s working Top 5 themes • I’m supported well • I like my own home • I am supported to do what I want • Relationships are important to me • I have a good social life
What’s Not Working • I can’t make my own choices • I am not seeing people I care about • I don’t get the right people to support me • I am not happy with the people I live with • My support is not right
Root Causes • For each not working theme we thought about what caused the problem. • For example - I don’t get the right people to support me - because I do not choose the staff that support me.
Success Indicators • We thought about what success would look like from an individual, provider and commissioners point of view
Action Planning • We thought about what we do already and other solutions.
Providers Perspective • Choice Support • Eden Housing • Royal Mencap
Individual View’s • Eddie Morecroft/ Emma Shevlin We Can Do It C.I.C
What we liked Person Centred Reviews.
What we liked • The things people said at their reviews – felt real. • It was good everyone was working together and having an equal vote on what was most important
What could have been better • More people with Learning Disabilities there. • a workshop before the event just for us so we were more prepared. • More carers of people with complex needs to be invited. • Better communication after the workshops so that people who were not part of the ongoing action planning team know what has been achieved.
Commissioner’s perspective • Giles Blower • Suzanne Whitchurch
Some Background • Supported Living Services have been actively promoted within Nottinghamshire LD services - since 2002. • Over £10 million per annum committed to Supported Living for LD from ASCH and other funding partners – Supporting People – (5 million), ILF and Continuing Care. • Across the County over 450 people are living in Supported Living schemes receiving support from 22 accredited providers.
WTfC Pilot Partners - Choice, Mencap and Eden Supported Housing provide support to nearly half of the 450. • Commissioning process promotes Person Centred approaches as priority – Mini tenders – one page profiles – Service user led selection process. • Current funding arrangements under a joint SP/ASCH contract for commissioned servicesreflect a degree of personalisation – each service user has an Individual Service Contract with their chosen provider. • WTfC ideal opportunity to receive direct feedback around whether the delivery of services reflects person centred ethos.
Some feedback from the WTfC around “What was working well” - quite reassuring –
Themes from the WTfC reviews around “Future Plans and What was not working” help set a service user led agenda for change.
WTfC Pilot has is helping to re-focus the delivery of support via the promotion of Service user led outcomes. • Current work with Pilot providers to facilitate this process. • Develop Individual Service Contracts into Individual Service Funds – moving to ultimate goal of Personal Budgets. • Empower Service users with greater awareness of support hours through – accessible service descriptions – co-production of support plans – inclusive staff selection and skills matching. • Commissioners to actively encourage the flexible and creative use of funding streams to deliver agreed outcomes. • Commissioners to encourage the adaptation of flexible staffing arrangements to enable providers to better match support personnel with service users interests, skills, personalities.
WTfC Pilot has is helping to re-focus the delivery of support via the promotion of Service user led outcomes cont…. Future work – To use WTfC themes in future procurement exercises to inform basic provider service requirements. To shift to outcome based monitoring system. To use regular Person Centred / outcome focussed Reviews as an opportunity to check on and determine actual service delivery as experienced by the service users. To help any service user who was part of the pilot move to a Personal Budget as part of the move to greater personalisation.
Using the WTfC Project to influence other support service areas What do we need to do • Learn from the WTfC project • What worked & what didn’t • Changing the culture for some providers and commissioners • Market intelligence – find out what people want - to develop and stimulate the market • Market Information – know what services can be supplied, of what quality and at what cost • Changing the way we currently contract - offering more flexibility using outcome focussed models • Involve service users and carers in the process
What Next • We are currently working with a school to look at how information from Transition Reviews will feed into their school development plan. • Using working together for change to help us make decisions within Learning Disability around our day service integration. • Writing a proposal for senior managers on how working together for change can be used on an ongoing basis to help with strategic planning.
Finally our Top Tips • Invest time in supporting staff to do reviews well – good quality data brought to the process makes all the difference. • Get the right mix of people at the workshops think about your service users/carers/staff mix, Make sure there are senior managers who can drive change forward. • Before you start decide how you will feedback action following the workshops to everyone who attended so people know what has happened.