Transcript Scottish Government Self Directed Support Test Sites

Personalised Approaches
&
Self Directed Support
in
Dumfries and Galloway
Personalisation aims to put everyone on an equal footing:
“...citizens with rights to a range of opportunities,
in particular the right to exercise choice and
control over their lives, including what support
and care they access and how it is organised.”
(John Alexander, Director of Social Work, Dumfries and Galloway Council)
‘enabling the individual alone, or in groups, to find the
right solutions for them and to participate in the delivery
of a service. From being a recipient of services, citizens
can become actively involved in selecting and shaping
the services they receive’.
(Changing Lives Service Development Group)
Jargon!?
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Not just about individual budgets
Asset based
Maximising ‘natural’ supports
Personal - Person’s Dreams, Fears,
Wishes…
Power – shifting the power to the person
Equality
Choice
Control
Enabling and facilitating creativity
.........Making a real difference
Personalised Approaches
• Value and celebrate peoples gifts
• Enable people to use their strengths
• Work with the person, their family and friends,
and their community
• Maximise opportunities to meet outcomes
• Shift the balance of power
• Enable choice and control
Whatever we call it, it’s about
moving: To:
From:
• Care
Management
• Assessment
(forms)
• Doing for
• Deficits
• Dependence
• Reliance
• Service
Land
• Personalised
Approaches &
SDS
• Assessment
(process)
• Doing with
• Assets
• Independence
•Resilience
•Self-service land
Social Work = Personalised
Approaches
its true value is: we
• respect each
other as fellow
citizens
• enable people
to make better
decisions
• enter into a
more equal
partnership
• learn - we get
better at our job
Where Are We Now?
• Test Site ended
March 2011
• Wider
implementation
and process
development
• Cultural shift
• 5 months to go
Arghhh!!!!!
Priorities
• From first contact a personalised approach
• Accessible eligibility and assessment
framework
• Re-ablement model
• Resource allocation for all
• 4 options available
• Review cycles
• Consistency - decision-making etc..
More Priorities!!!
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Information and data
Training
Quality assurance (e.g. plans)
Understanding and managing financial
implications
Systems + Culture
Comfort Zones
Rocky Roads
A Pathway?
• Needing support
• First contact
• Eligibility and
assessment
• Support planning
• Decision time
• Support
• Monitoring and review
Choice
Control
Roles
Responsibilities
So what’s happening where?
• How are people choosing to manage their
Individual Budgets?
• Where are they located?
• How are they spread across different care
groups?
• What are people using their budgets for?
Implication for Care Home Providers
• Person and relationship centred care and support at the
heart of service offered
• Setting is a community – residents can actively seek
opportunities for engagement to personalise the services
• Do existing services respond to local needs? And look at
opportunities to diversify?
• Staff need to ‘live and breath’ a culture that promotes
personalised services – maximum choice and control
• Residents have access to all information that enables
informed choices
(scie: At a glance 17)
Implications for home care providers
• people say they want more than just personal care
• staff need training to develop creative, person centred
skills
• providers should consider contributing to the expanding
PA workforce and diversifying
• support needs to be focussed on identifying and
achieving outcomes
• providers need freedom to be innovative and use
budgets flexibly as agreed with the person
(scie: At a glance 7)
‘A journey of a thousand
miles must begin with a
single step’
Lao Tzu