East SussexPersonalisation Workshop Personalisation: Myth and Reality July 5, 2011
Why personalise? What’s the problem? • An ageing population • Higher expectations • More media exposure • Changes to registration & inspection regime ...and different expectations of ‘care and support.’
Putting People First10th Dec 2007 • A serious message from Government that this is going to happen • Giving Local Authorities a transformational grant to help make the change • NI 130 followed (30% target by Mar 2011)…achieved!
Think Local, Act PersonalNovember, 2010 ‘We need continuing radical action across the sector to ensure everyone, whether using their own money or using a council personal budget, can have better choice in securing their care and support and more control over what they choose. Councils, providers and other partners in the community will work more closely to find solutions for people outside the traditionally narrow definition of social care’. (Jeff Jerome. National Transformation Director)
‘Personalisation’ – The Vision ‘The overall vision is that the state should empower citizens to shape their own lives and the services they receive’ ‘What it means is that everyone who receives care and support, regardless of their level of need, in any setting, whether from statutory services, the third and community or private sector or by funding it themselves, will have choice and control over how that care and support is delivered.’
But remember: Government says Personalisation is NOT just about Personal Budgets....
What ESCC says (1) • We are changing the way people receive assessments and social care funding, so they have more independence, choice and control over their own lives – known as self-directed support. • Providers of care and support services have a huge contribution to make to personalisation and delivering flexible and responsive services needed to achieve this. We want to work with service providers from all sectors as our partners.
What ESCC says (2) Draft Specification for service user outcomes: • The council will work with service users to agree their personal outcomes that meet their social care needs • The council will share the service user’s desired outcomes with the service provider. • The service provider works with the service user to decide how support needs to be delivered to achieve the outcomes.
CQC: the Excellence scheme (1) ‘Emphasising people’s rights and entitlements, as opposed to their needs and requirements, the scheme will guide our work as a regulator. We have a real opportunity to focus on outcomes for people rather than processes and inputs. We believe quality care will maintain and protect people's rights and promote equality. ‘
CQC: the excellence scheme (2) • A new scheme to recognise excellence in adult social care, from April 2012. • Will work alongside registration and compliance monitoring, and will be a voluntary scheme. It will allow providers of adult social care to apply to be assessed against the definition of excellence and, if successful, to receive an excellence award. • The views of people using services and those of their carers will play an important part in the new information system. • Aim is that providers demonstrate flexibility and responsiveness to users’ informed choices.
Words • Self directed support • Personalisation • Outcomes • In Control • Individual Budget • Personal Budget • Direct Payment • Resource Allocation System • Support plan
Exercise 1 on tables: Questions • Is personalisation really more than personal budgets? • Does it really apply to older people in nursing and residential care? • How? • What about those people who don’t have families to help? • Is it just good practice? • What is your question?
Personalisation and your work Increasing the Voice, Choice and Control of Older People with High Support Needs in the South East of England Outcomes, Findings and Lessons May 2011 National Development Team for Inclusion and the Centre for Policy on Ageing http://odi.dwp.gov.uk/odi-projects/independent-living-strategy/independent-living-strategy-projects.php#ils
‘Older people with high support needs want to and can be contributors and place shapers themselves. They do not want to be and should not be regarded as passive recipients who drain the public purse. Older people with high support needs...have stressed how much they want to be treated as equals, and to carry on participating in family, community and civic life and in many instances doing the things they have done all their lives - including routine household chores, gardening, going out to the shops and being in charge of their own destinies with support to that if they need it.’
Real Lives: three people in care homes • ‘...staff spent a lot of time talking to Fred.’ • ‘...the broker researched the nearest possible venue.’ • ‘...key-worker (now the home’s Person Centred Support lead) met regularly.’
Some questions • What is important for the person? • To have personal care needs met • To have enough to eat and drink • To stay safe • What is important to the person? • Family and friends • Community • Work or contribution • Gifts • Having some fun • Culture, religion, ethnicity, sexuality • Dreams and nightmares
Exercise 2 on your tables • Think about two or three people you work with. Introduce them to your colleagues. For each person, use a piece of flip chart paper with a line down the middle and list ‘important to’ and important for.’ • Then think of ways in which you can help people achieve what is important to them. Be realistic but avoid ‘we can’t do any of this because...’ (for a hint see Frank in handout)
Learning from the exercise • What have you learnt from this? • Do we know what is important to people? • If not, how can we find out? • Do you already ask these questions? • What stops you helping people do what is important to them?
Issues • What can you do at low/no cost? • Can you involve residents in the life of the home more? • Can you involve the community more? • Are your staff equipped to do this? • What can you do as leaders to help them?
De-bunking the myths • It’s not just about more Direct Payments • It’s not about putting people at more risk • It’s not about people spending money on whatever they want • It’s not about diluting the role of the professional • It’s not about people having to exercise control when they’re in crisis
Resources • Joseph Rowntree Foundation study (ongoing) includes work on 'improving residential and nursing care‘ http://www.jrf.org.uk/work/workarea/better-life • SCIE guide on age equality and age discrimination http://www.scie.org.uk/publications/guides/guide35/index.asp
Thinking about next time • What would help you? Question in evaluation form: support plans; outcomes; working with the wider community; anything else. • Homework. Person-centred thinking tools – see Frank’s story and work through this with a resident. With their permission, send or bring next time.
In Control • Carillon HouseChapel Lane, Wythall, West Midlands , B47 6JX • Phone 01564 821650 • www.in-control.org.uk