1 / 23

All Together Now putting people, relationships and and outcomes first in assessment and care management

gari
Download Presentation

All Together Now putting people, relationships and and outcomes first in assessment and care management

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. ‘All Together Now’ – putting people, relationships and and outcomes first in assessment and care management

    2. ‘Assessment and Care Management’ - time for a rethink? ‘That loveless construct of the 1980s and 1990s called ‘caring’’ Alan Bennett, Untold Stories, 2005

    3. What went wrong with Preston?… ‘Daddy created him for good, but he’s turned out evil’ (Wendolene Ramsbottom, A Close Shave, 2005)

    4. Issue 1: Too much focus on process and forms, and not on people ‘Like the police service, adult social care is designed as a bureaucracy to feed the regime, not a service to meet older people’s needs. The regime constrains method. It is a bureaucracy of call centres, functional specialisation, activity targets, budget management, form filling and counting, designed according to the requirements of the regime. And the bureaucracy is cemented with information technology, all of which has been designed from the point of view of electronic data management and reporting, not solving people’s problems’ (John Seddon, 2007)

    5. Issue 2: The purchaser-provider divide Assessment and care management staff - NHS & Community Care Act 1990 and Unified Assessment Provider agency staff - Care Standards Act 2000 and National Minimum Standards A lack of mutual understanding and trust

    6. Issue 3: A failure to build on people’s strengths ‘I peg you as a ‘glass is half empty’ kind of guy’ Drunk guy speaking to Phil Connors, the lead character in Groundhog Day

    7. Issue 4: Risk aversion The ‘what if?’ mentality Human rights are as important, if not more important than health & safety Risk needs to be shared

    8. Issue 5: A lack of attention to outcomes (end results!) We are so preoccupied with Unified Assessment, that we forget Unified Reviews … and when we do review, we often ask ‘do you like our services?’, rather than ‘what difference have they made to your life?’ We tend to focus on ‘eligible’ needs, whilst good outcomes = addressing ‘eligible’ and ‘ineligible’ needs Sometimes good outcomes be achieved by simple and innovative means, not traditional services and/or flexible service provision

    9. Issue 6: A focus on services, not lives

    10. Issue 7: An over emphasis on functionality and not on personhood ‘We spend our lives as human beings, not human doings’ David Sheard Life history is important Little things mean a lot ‘It ain’t what you do, it’s the way that you do it’

    11. Project value base - the Senses Framework An ‘enriched environment of support is achieved when, older people, carers and staff achieve a sense of : security continuity belonging purpose achievement significance

    12. Relationship centred care - the well being of everyone is essential

    13. Project methodology – LEAP (action learning, evaluation and planning)

    14. The traditional ACM cycle

    15. Where we wanted to go with assessment and care management Focus on individual outcomes, taking a person centred and human rights based approach Placing a greater emphasis on the relational aspects of ACM, rather than just form filling A dynamic shared approach to ACM across the purchaser-provider divide Simplify and dovetail UA documentation with provider agency recording

    16. A more holistic and personalised cycle

    17. Simple Project Structure

    18. Project evaluation Baseline exercise – what gets in the way of outcomes focussed working and what might help? Project outcomes and indicators using LEAP methodology (Barr and Dailly 2008) ‘This is me!’ A validated model for evaluating participatory research (Hanson et. al 2006) linked to Senses Framework

    19. Work on Unified Assessment process and forms Getting the views of older people Getting the views of frontline ACM staff Getting the views of providers Getting the dog to wag the tail!

    20. Work with care homes My Home Life pilot Care Council for Wales – tools to support person centred dementia care

    21. Work with domiciliary care Flexible outcome focussed homecare

    22. Work with day services Expanding day opportunities

    23. Networking with other agencies in the locality – locality meetings Chronic condition nurses and other health professionals Voluntary sector organisations Swansea Carers’ Centre Churches

    24. Some quotes from the project ‘I just couldn’t sleep last night – I’m so excited about what I can do back at work. I haven’t felt this for a long time’ (Care home manager) ‘Got see the lady in a different view. She is very family orientated which we probably wouldn’t have got from the other key worker assessments’ (Care assistant) ‘Yes, it’s injected new life into providers. It was important that we met face to face with homecare to create positive change and see them trying to be creative and tapping into local resources’ (Social worker). ‘I feel this is the start of a huge cultural shift in the way we work with service users and also with our partners’ (Team manager) ‘I feel positively included in the project. Views are valued and acted upon. A culture of mutual understanding and appreciation seems to be developing’ (Carer support worker)

More Related