Transcript Slide 1

East Sussex
Personalisation Workshop
Personalisation: Myth and Reality
July 5, 2011
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Why personalise? What’s the
problem?
Expectations
• An ageing population
• Higher expectations
• More media exposure
• Changes to registration &
inspection regime
...and different expectations of ‘care and
support.’
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What the Government Says
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Putting People First
10th 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!
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Think Local, Act
Personal
November, 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)
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‘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.’
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But remember: Government
says Personalisation is NOT
just about Personal Budgets....
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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.
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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.
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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. ‘
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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.
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Words
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Self directed support
Personalisation
Outcomes
In Control
Individual Budget
Personal Budget
Direct Payment
Resource Allocation System
Support plan
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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?
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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/odiprojects/independent-livingstrategy/independent-living-strategyprojects.php#ils
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‘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.’
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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.’
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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
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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)
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Learning from the exercise
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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?
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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?
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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
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Resources
• Joseph Rowntree Foundation study (ongoing)
includes work on 'improving residential and
nursing care‘
http://www.jrf.org.uk/work/workarea/betterlife
• SCIE guide on age equality and age
discrimination
http://www.scie.org.uk/publications/guides/g
uide35/index.asp
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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.
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In Control
• Carillon House
Chapel Lane, Wythall, West Midlands , B47 6JX
• Phone 01564 821650
• www.in-control.org.uk
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