Transcript Title

Dignity in Care
through Partnership Working
A Joint Presentation
JOHN POWELL
CHIEF COMMUNITY CARE OFFICER
and
VINESH KUMAR
DE VERE CARE
25TH November 2008
a better place to live
Dignity in Care
through Partnership Working
INTRODUCTION
 Overview of Dignity Challenge themes
 Redbridge example of challenge 4
 George’s story
 De Vere Care example of challenge 2
 Meenu’s story
 Partnership working and Safeguarding
 Questions and Answers
a better place to live
The Government’s
10 ‘Dignity Challenges’:
 Have a zero tolerance of all forms of abuse
 Support people with the same respect anyone would want
for themselves or a member of their family
 Treat each person as an individual by offering a personalised
service
 Enable people to maintain the maximum level of
independence, choice and control
 Listen and support people to express their needs and wants
 Respect people’s right to privacy
 Ensure people feel able to complain without fear or
retribution
 Engage with family members and carers as care partners
 Assist people to maintain confidence and self-esteem
 Act to alleviate people’s loneliness and isolation.
a better place to live
My life, my way,
with your support
 BACKGROUND TO OAKFIELD LODGE
 Council purpose built Sheltered Scheme in the 70’s
 During the late 90’s it began to show signs of wear
and tear with significant voids
 In 2003 Community Care reshaped the service
using money from a Local Public Service Agreement
 This investment was followed up by the Housing
Service using quality of life money to further
enhance the environment
 Tenants committee established to assist start up
Extra Care Service
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My life, my way,
with your support
 BACKGROUND TO OAKFIELD LODGE
 Key Leadership from Principal Officer and her
Managers
 Staff enthusiasm that could see the potential of the
proposed way of working that created a “can do, will
do” approach
 Personal skills – dance, art, gardening etc.
 Decorating
 Activities
a better place to live
My life, my way,
with your support
 The Dignity Challenge – theme 4
 Enable people to maintain the maximum possible level of
independence choice and control
 Flats and bed sits well decorated and attractive to ensure
good occupancy (Tenant choice before moving in)
 Emphasise housing with care – own flat, own front door,
own key and choice to get involved or not with the
community
 High quality activities, good food, stimulating environment,
good company and lots and lots of parties!
 Option for care support via resident team, independent
provider, direct payments or private arrangement
 Committee that decides how the building and services are
improved and maintained
a better place to live
My life, my way,
with your support
 The Dignity Challenge – theme 4
 Enable people to maintain the maximum possible level of
independence choice and control
 Mixed age profile and needs
 Community spirit has accepted and enhanced individual
opportunity – Dementia and Learning Disability
 Encouragement to be involved but with respect for those
who don’t want to
 Key success through ‘Champion’ tenants and staff but
without being nominated or asked
 Flexibility in staff roles – no jobs worth here!
a better place to live
My life, my way,
with your support
 George’s
story
a better place to live
My life, my way,
with your support
a better place to live
De Vere Care
 BACKGROUND TO DE VERE CARE
 Established during 2000 with an aim to provide high
quality care service to local population
 During 2004, underwent massive restructuring to
include Quality Assurance and Contracts
Management departments
 Partnership working with Local Authority by
participating in local forums; Involved in local
safeguarding committee and various other
initiatives.
 In 2008, achieved UKAS certified ISO 9001:2000
quality accreditation; First domiciliary care
organisation in the UK to be accredited with C2E
(Committed to Equality).
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De Vere Care
 Early 2007, ‘Dignity in Care’ initiative commenced.
Dignity policy, training, audit tools developed and
tested since.
 Incorporated ‘Dignity in Care’ in person-centred care
planning, monitoring procedures etc.
 Developed ‘junior’ dignity champions initiative.
 Staff training (covers Cultural relativism) and feedback
through supervision and on-the-job assessments using
‘systems’ approach covering: the tasks they perform,
the available tools designed to support them, the
environment in which they operate.
 Innovative Safeguarding training approach combined
with Dignity in Care.
a better
Trainee
social workers enhancing our ‘dignity’ initiative
place to live
My life, my way,
with your support
 The Dignity Challenge – theme 2
Support people with the same respect you would want for yourself
or a member of your family.
 The importance of seeing service users as partners in
decision-making (about their care and support)
 Encouraging and supporting service users to take
responsibility, as far as possible, regarding their care and
support.
 Dignity in care training for all staff (service user and staff
involvement in drawing up dignity training)
 Person-centred care plan emphasising dignity related
outcome(s) in all aspects of care
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My life, my way,
with your support
 The Dignity Challenge – theme 2
Support people with the same respect you would want for yourself
or a member of your family.
 Dignity Audit (based on Dorset & Somerset SHA)
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Service user environment;
Privacy, dignity and modesty;
Communication with service users;
Promoting individual needs;
Staff training
 Monitoring visits to service users
 Learning from service user survey feedbacks
 Safeguarding Adults awareness as a result of dignity
initiative among staff and service users
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Listen to Understand!
 Meenu’s
story
Listen to Meenu
“As a dignity champion
I will promote dignity
in care initiative to all
MS sufferers”
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Listen to Understand!
Meenu’s story
 Meenu was born during the early 1960’s in
London Borough of Redbridge
 Attended Wanstead High Grammar School
 Worked in Liverpool street as a Chartered
Surveyor earning around £60k during the mid
1980’s.
 And then one day…
a better place to live
Dignity in Care
through Partnership Working
PARTNERSHIP WORKING AND SAFEGUARDING
 As commissioners and providers we have been
committed to the Dignity in Care programme
 Provider Forum established that works and influences
practice
 Recognises the need to bring Safeguarding and Dignity
together and now have a training programme in
Redbridge for in-house Champions
 Learning across the Independent Sector and the Council
has improved service delivery and enhanced quality of
life. Development of safeguarding through dignity
a better place to live
A Radically Condensed History of
Post-Industrial Life
When they were introduced, he made a witticism, hoping to be
liked. She laughed extremely hard, hoping to be liked. Then
each drove home alone, staring straight ahead, with the very
same twist to their faces.
The man who’d introduced them didn’t much like either of them,
though he acted as if he did, anxious as he was to preserve
good relations at all times. One never knew, after all, now did
one now did one now did one.
- David Foster Wallace, postmodern novelist (1962-2008)
a better place to live
Dignity in Care
through Partnership Working
THROUGH PARTNERSHIP WORKING
WE HAVE ACHIEVED
THANK YOU
QUESTION AND ANSWERS
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BACKGROUND INFORMATION
a better place to live
My life, my way,
with your support
What makes the difference for George?
 Confidence in staff to advocate
 Desire to maintain independence - including
taking risks to enable this to happen
 Prepared to challenge stereotype of
residential/nursing care
 Confidence in managing situations that may
not be the norm
 Creative solutions – assistive technology
 But most of all TRUST
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My life, my way,
with your support
 Why success?
 Senior Officer buy in
 Enthusiastic staff
 The service, tenants and
scheme has evolved together
 Willingness to tackle difficult changes – role of
Warden
 ‘Always look on the bright side of life’ mentality
 Beyond consultation into engagement
 ‘Dignity and Respect’ is a golden thread through the
service which goes both ways between staff and
tenants
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Safeguarding
through Dignity in Care
 Next Steps
 Design and commission a Train The Trainer course
to create Provider Safeguarding through Dignity in
Care Champions (6 Days)
 Design and commission an in-depth Safeguarding
through Dignity in Care Course for Adult Social
Services and partners staff (2 Days)
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Safeguarding
through Dignity in Care
In-house Champions
Aim
To develop competent and innovative
trainers/facilitators in the safeguarding of adults
through dignity in care (where/as appropriate)
who will be able to work within their own
organisations to heighten knowledge and
understanding of this important area of working
a better place to live
Safeguarding
through Dignity in Care
In-house Champions
Six days training plus assignments:
 4-days Train the Trainer OCN Level 3
 Nationally recognised teaching qualification
 2-days in-depth Safeguarding through Dignity in Care
course.
Key Objectives:
 Dignity in Care Government initiative
 Linking Safeguarding and Dignity in Care Challenges
 Understanding and identifying vulnerability and risk factors
 Mental Capacity & Deprivation of Liberty issues
 Roles and responsibilities of all staff
a better place to live
Safeguarding
through Dignity in Care
Candidates
Champions:
 Senior staff experienced in Safeguarding Adults and the Dignity
in Care services.
Champions and In-depth Safeguarding and Dignity courses:
Candidates should be familiar with:
 The legislation & Government directives relating to
Safeguarding Adults
 The legislation & Government directives relating to the national
campaign on Dignity in Care (Nov 2006)
 Definitions relating to the Safeguarding of Adults and of Dignity
 Knowledge in the recognition of abuse and the initial responses
a better place to live
Safeguarding
through Dignity in Care
Delivery Programme 2008-2009
 One 6-day Champions course to 10 Provider
candidates
 Two 2-day In-depth courses to 32 LBR Adult
Social Services and partner organisations staff
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