Safeguarding Adults Board 6 th Annual Conference

1. Safeguarding Adults Board6th Annual Conference Safeguarding Adults and Personalisation: Opportunity and Challenge Jim Leyland – Service Manager, Personalisation

2. The Challenge • Personalisation – Maximising Choice and Control • Rising Demand – Care Bill • Reductions in Local Authority finances • Ensuring that we are meeting our responsibility to safeguard vulnerable people in our communities. • How do you balance these demands and goals?

3. Catch 22 – What are the Barriers to moving forward? • Risk enabling versus Risk Aversion • Choice versus Restriction • Limited Opportunities versus Real Outcomes • Apathy versus Aspiration • Control versus Controlled • Empower versus Disempower • Wise versus Unwise Decisions

4. The Care and Support Bill • Context – Simplicity of the law, focus on Prevention, Information and Market Shaping • Core Principles – Citizen Focus, Choice, Control, Fairness and Consistency • Culture Shift – Person Centred Care, Self-Determination and Entitlement to Care and Support • Timescales – April 2015

5. The Care and Support Bill • Prevention – Wellbeing, Public Health Committee • Safeguarding – Boards, Enquiries • Advice and Information - Advocacy and Duty to Provide • Paying for Care – Deferred Payments Scheme • Charging for Care - Care Cap and Powers of LA • Personalisation – Legality, Care & Support Plan • Assessment & Eligibility – self funders, carers, assessment • Market Shaping – community, asset based • Integration – Better Care Fund, health

6. The Care and Support Bill • Self Funders – Identifying the Care and Support Needs, currently not being met • Carers – Duties to Assess and Provide • Safeguarding – Winterbourne, Out of Area Placements • Transition – avoiding the ‘cliff edge’ • Mental Health Aftercare – Duty to Provide • Portability and Ordinary Residence – Improved Customer Offer

7. Making it Real Co-produced approach to agree the three priorities and action plan: • ‘I have the information and support I need in order to remain as independent as possible’ • ‘I have access to a range of support that helps me to live the life I want and remain a contributing member of the community’ • ‘I can decide the kind of support I need and when, where and how to receive it’

8. Choice and Control • Diversity and Values • Real life • Lifestyle Choices • Human Rights • Mental Capacity Act • Risk v Need • What is vulnerability? • Accountability and Blame

9. Case Scenarios • Article 5 Human Rights Act, 1998 – Right to liberty and security of a person. Example involving a mother who had a learning disability and her son who had a mental health problem • Mental Capacity Act and Deprivation of Liberty Safeguards. Example involving woman self neglecting and disengaging with services.

10. Fundamental Principles • Empowerment • Prevention • Protection • Proportionality • Partnerships • Accountability

11. Personalisation and Safeguarding • Alert – Respect, Explain, Listen • Referral and Decision – Safety needs, share risks, Outcomes, what do I want to achieve? • Strategy discussions – Involvement, Explore options and choices • Assessment and Investigation – Focus on rights and choices • Outcomes – What are my choices? • Monitor and Review – Work collaboratively Making Connections (Isle of Wight), 2011

12. Shared Responsibility • What does this look like? – Collaboration, creativity, person centred and outcome focused. • Informal and formal support – Importance of community based support, informal and formal solutions to meeting need. • Engagement – Doing things differently. Confidence and Clarity. • Sharing risks – Identify and Manage risks together, do with not to.

13. Good Practice • Advice and Information • Shared intelligence • Prevention and Early Intervention • Connect to Support – Balancing choice and risk • Personal Assistant Framework – Safeguards and checks • Focusing on strengths, expertise and aspiration

14. Maintaining Quality and keeping people safe • Quality Assurance – learning lessons • Serious Case Reviews • Performance • Experience • Outcomes • Standards of Care • Good quality cannot be compromised, despite fiscal and political challenges

15. What needs to happen next? • Learning and Development • Different way of thinking • Working Together and Shared Responsibility • Individual Ownership and Responsibility • Proportionality • Strengths Based

16. The Vision “A ‘good life’ is one that requires a balance between freedom and control.” (Gardner, 2011 – p94) Making informed decisions about needs and risks and promoting independence while protecting people as far as possible from harm and danger.

17. Any Questions ?