Community, Health and Social Care Directorate

1. Community, Health and Social Care Directorate Personalisation and Providers

2. “Personalisation” is about making services fit around the individual; enabling people to make decisions, maximising their life opportunities and giving them choice and control, in the way care and support is delivered Personalisation in Salford

3. There are 9 sections. These are: Leadership and Strategy Creating a Person Centred Culture Community Focus Support Planning and Review Finance Human Resources Back Office Systems Marketing Reviewing and improving our service Self-Assessment Tool for Providers (In Control)

4. Recognising that the types of support that people who use services say they need may not be confined to personal care – they can include a much wider range of tasks Developing systems and training to enable staff to expand their skills and to work in creative, person-centred way Thinking about how to contribute to the expansion of the personal assistant (PA) workforce and to the increasing need for specialist services by diversifying into these markets Recognising that home care services, whether provided directly by the Council, paid for privately or by personal budget holders, must be focussed on identifying and achieving outcomes Some thoughts:

5. Some thoughts: • Local authorities and providers working together so that home care providers have the freedom to innovate and use budgets flexibly as agreed with the person using services. In addition: • Capacity, recruitment and retention are increasingly important issues • Personalisation has the potential to give home care providers a good opportunity to make work more interesting and rewarding

6. Key Messages • Housing and the local environment can make a critical difference to someone’s ability to live independently • Housing providers need to be able to offer people a choice in how and where they could live and to ensure that homes are well designed, flexible and accessible – the Lifetime Homes design standards can help with this • Developing ways to respond to Personalisation through specialist housing – it is possible to develop a core service offer and a menu of options available for purchase either as individuals or jointly

7. Key Messages • Local authorities can include Supporting People money in the personal budget of people using services, if applicable • Ensuring that people have access to information and advice to make good decisions about their care and support • Finding new collaborative ways of working that support people to actively engage in the design, delivery and evaluation of services

8. Some consideration for the future • Numbers of contracts likely to be commissioned in the future • Drive for efficiency – large scale/smaller contracts – conflicting challenges? • Make all our efforts outcome based • Keep an eye on the market developing, eg: numbers of individual PA’s being employed independently • Capacity, recruitment and retention • Opportunities to make the work more interesting and satisfying

9. Conclusions Change of approach Find out what people need, want and what they hope to achieve/aspire to Agencies need to be responsive and supportive to people who are making choices and decisions for themselves, requires imagination and empathy

10. Case Studies – Direct Payment Examples Example 1 A young woman with a learning difficulty who has a provision for respite. To give her carers a break she goes and stays with family in Israel. The family do not want any payment for caring for her, but she is unable to fly alone and needs support. The direct payment is used to pay for the carer’s air fares to Israel. Example 2 A young man with a learning difficulty has secured a job at a local supermarket but needed support to maintain his role. The supermarket initially provided support for him but were unable to continue due to staffing issues. He then through a direct payment employed an agency to support him to become more independent and help him manage his role successfully.

11. Case Studies – Direct Payment Examples Example 3 An older gentleman needed daily support to help him with all his essential daily needs (getting up , bathing, meal preparation, etc) but was reluctant to have an agency support him. His daughter cared for him every day whilst holding down a job and a family. She was visiting her father 3 times a day and having to get taxis to get to her fathers because of the difficulty of public transport from where she lived. Because she was receiving some benefits and needed her job for her own independence and wellbeing, she did not want to be paid as a personal assistant and jeopardise both. After some negotiation, a direct payment was used to pay for the daughters taxis to support her in her caring role.

12. Case Studies – Direct Payment Examples Example 4 A woman in her thirty’s living in Salford. Original direct payment goal was to support this lady in therapeutic activities of her choice in order to maintain her well being. The direct payment being used in this situation, is not to employ someone but to purchase a place on courses like art and photography. The direct payment also funds the materials needed to participate and complete courses. For example, binding her portfolio’s, framing certain pieces of work to portray in exhibitions etc. She then received a one off direct  payment to purchase a computer which she uses to communicate with her peers in order to maintain contemporary social contact and to navigate the internet to source ideas and information for her courses.

13. Case Studies – Direct Payment Examples Example 5 A man in his thirty’s living in Salford. His original direct payment was to enable this man to successfully move into his own home and manage his affairs with his Personal Assistants support. This man has a history of struggling to independently manage his financial and domestic support. He decided to ask his mum to be his PA. His mum has been the person in his life, throughout the difficult times in his life, who he has turned to for support. He is an avid chess player and has participated in National Tournaments both in Britain and abroad over the years. The direct payment has stabilized his life in such a way that he can begin to look to his next goal of training people to play chess.

14. Case Studies – Direct Payment Examples Example 6 A lady in her forty’s living in Salford. She accessed direct payments to help her to gain control over her chaotic life and help her to restore her appreciation of life generally. Her support package is for both personal care and for maintaining her wellbeing. She uses her direct payment to employ people of her choice, one of which is her daughter. The direct payment covering her wellbeing, she uses Creative Support activities and support workers to access activities of a therapeutic nature.

15. Case Studies – Direct Payment Examples The direct payment has stabilized her  mental and physical health and has given her self-direction and the confidence to speak up. She has come to learn more about her strengths and weaknesses now and acknowledges she is worthy of being listened to and respected. So much so, that she has participated in presentations explaining how direct payments had directly benefitted her and encourages people to find out more about direct payments to both workers and the general public. Example 7 A man early 50’s with advanced MS. Has own adapted bungalow no agencies prepared to work with him so forced to live in old persons hostel. With direct payment and family support he employed a team of pa’s and moved back into own home. He lived there supported by his pa’s for four more years.

16. Case Studies – Direct Payment Examples Example 8 A mum and daughter living together, mum elderly lady with M.S. Daughter early 40’s and has Downs Syndrome, Agency formerly went into their home in the mornings to support daughter and make toast and tea but won’t do so for mum. Mum has to do her own that uses all her energy for morning. Starts direct payment for daughter pa laughs and says “don’t be silly” it doesn’t take any longer to make 2 slices of toast and 2 cups of tea. Mum now also has direct payments and says best thing to happen to them.