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About Cheshire Ireland

About Cheshire Ireland. Services for 320 adults physical, sensory and neurological disabilities 187 people in 9 older ‘residential’ centres 70 people in 6 newer small ‘housing’ centres 63 people supported in a range of housing options integrated into the community

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About Cheshire Ireland

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  1. About Cheshire Ireland • Services for 320 adults physical, sensory and neurological disabilities • 187 people in 9 older ‘residential’ centres • 70 people in 6 newer small ‘housing’ centres • 63 people supported in a range of housing options integrated into the community • ... plus 23 respite places, social and day supports • 777 employees Bobbi, Sara & Ciaran Joe Connolly Cronin Symes

  2. Cheshire Ireland Founder - Leonard Cheshire Services provided across Ireland – starting in 1961 First services ... people living in large ‘residential care’ centres 1990s developments ... people living in small purpose built centres 2000s developments ... people supported in their own homes Leonard Cheshire

  3. Genesis of Cork Supported Accommodation Service • HSE Southern Area Regional Co-Ordinating Committee • 2001 • Formation of Accommodation & Respite Project Sub-Group of RCC • To identify the number of people requiring supported accommodation services • To develop suitable models to meet this identified need • To develop linkages with Local Authorities, Housing Associations and private developers as possible sources of new residential accommodation

  4. Genesis of Cork Supported Accommodation Service • 2005 ! ... multi-annual funding for ‘residential’ services @ €80,000 per person • Development of ‘residential’ services in Cork City in 2006, agreed by RCC • ‘Expressions of Interests’ requested by HSE • Cheshire submission and interview in December 2005 • Challenges in preparing the proposal

  5. Genesis of Cork Supported Accommodation Service • HSE response – “ ... Your proposal showed both initiative and vision” • Further details required by HSE – meetings with potential service users to develop more meaningful plans • Cheshire appointed as service provider April 2006 • Project start-up managed by Cheshire Project Team • Current Manager took up the running in September 2006

  6. Genesis of Cork Supported Accommodation Service • Key factors ... • Willingness on behalf of HSE to back the right idea ... • Open, transparent process undertaken by HSE Southern Area ... • Availability of Development Funding to establish good, sound core funding base ... • Commitment by Cheshire to put the required resources to the process and the start-up of the project ... • Clear individualised planning process with each person based on needs across a range of life domains

  7. Genesis of Cork Supported Accommodation Service The reality of making it happen…..

  8. Tony Deasy’s Service What needed to be considered The assessment Collaboration Transition What If... Where are we now

  9. The Assessment • An assessment which is deep in detail is the most valuable tool for considering and capturing: • The needs of a person • The full supports required • Feasibility of service • Accommodation: where is Home?

  10. The person’s own aspirations and desire as to how they wish to live a full and meaningful life of their own choosing which could include education, training, employment and a social life

  11. Domains of Need

  12. Model Coherency

  13. Collaboration Who was involved ? Tony Tony’s Family HSE(Disability Coordinator, Public Health Nurses, Community Nurses, Physiotherapists, Occupational Therapists, GP’s, and others as required) Cheshire Ireland Muscular Dystrophy Ireland Others

  14. Collaboration What did we do? A lot of meetings... A lot of talking... A lot of planning...

  15. One of the biggest mistakes which organisations frequently make is to embark on a change programme without a carefully planned strategy for managing the overall process (Kotter & Schlesinger, 1979 in Tiernan et al 2001 :441).

  16. Transition Taking the plan and putting it in motion! Challenging process Consideration for well being of the person physical and psychological Assisted by competent staff, patients, support, communication and back-ups

  17. What if? Location (back up equipment) Staff (competencies/availability/get on at home) Emergency (ambulance) Troubleshooting..... Not to ignore risks consider them and plan....

  18. Where are we now? • Education and Communication • Participation • Facilitation & Support • Negotiation • Teams

  19. What does this mean for Tony? Good relationships Trust to do what we say we will do Increased confidence to try a little more Is part of his family Tony lives at home

  20. Your Questions

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