Transcript www.thinklocalactpersonal.org.uk

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 servicesChoice 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.
What is working
What is not
working
Seeing Jane my
girlfriend at my
flat and spending
the weekend with
her and her family
I would like to go
on holiday abroad
with Jane but staff
are not sure if
they can support
her while we are
away.
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
I do not get
the right
people to
support me
Individual
who uses the
service
Providers
Commissioners
I choose who I
want to support
me
We have a
person centred
recruitment
process
We look for
evidence of a
person centred
recruitment
process and the
staff matching tool
being used.
Action Planning
• We thought about what we do already and other
solutions.
I do not get the right people to support me
What do we do
now
Radical
Traditional
Community
based
Person centred
reviews
E-care - Ebay for
social care
Anonymous
matching tool on
back of job
application form,
with or without
photo
Using existing
support networks
– friends/family
with personal
budgets
Focus for Ongoing work
Provider
Work focus
Choice
Individual Service funds and
better staff skills matching
Eden Housing
Person Centred Recruitment
Process
Mencap
Matching housing vacancies
to people looking for these.
Providers Perspective
• Dave Jackson
• Choice Support
Providers View on Working Together for Change
•
It was really good to have the workshops as a focus point to actually sit and
listen to what people we support were saying about their lives and then to
commit to doing something with peoples comments.
•
Working together on the project feels really important sometimes it is easy
to feel that we do our thing and social services are just there to monitor us –
but this feels like a real partnership, with sign up from all parties – I think it is
helping to move the personalisation agenda forward.
•
As a result of Working Together for Change we are focussing on developing
Individual Service funds. This compliments work Notts have started which
helps but it is not all easy – changing our internal systems and thinking
differently – getting others on board like the finance department – takes time
– but having clear time frames is helping us to move it forward.
•
My top tip for other providers getting involved in the future would be that it
really helped us to have the Chief Executive involved as he signed up to it
and this is helping stop unnecessary barriers getting in the way.
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 services reflect 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.