Personalised Approaches & Self Directed Support in Dumfries and Galloway

1. Personalised Approaches &Self Directed Supportin Dumfries and Galloway

2. Personalisation aims to put everyone on an equal footing: “...citizens with rights to a range of opportunities, in particular the right to exercise choice and control over their lives, including what support and care they access and how it is organised.” (John Alexander, Director of Social Work, Dumfries and Galloway Council) ‘enabling the individual alone, or in groups, to find the right solutions for them and to participate in the delivery of a service. From being a recipient of services, citizens can become actively involved in selecting and shaping the services they receive’. (Changing Lives Service Development Group)

3. Jargon!? • Not just about individual budgets • Asset based • Maximising ‘natural’ supports • Personal - Person’s Dreams, Fears, Wishes… • Power – shifting the power to the person • Equality • Choice • Control • Enabling and facilitating creativity .........Making a real difference

4. Personalised Approaches • Value and celebrate peoples gifts • Enable people to use their strengths • Work with the person, their family and friends, and their community • Maximise opportunities to meet outcomes • Shift the balance of power • Enable choice and control

5. Whatever we call it, it’s about moving: • To: • Personalised Approaches & SDS • Assessment (process) • Doing with • Assets • Independence • Resilience • Self-service land • From: • Care Management • Assessment (forms) • Doing for • Deficits • Dependence • Reliance • Service Land Social Work = Personalised Approaches

6. its true value is: we • respect each other as fellowcitizens • enable people to make better decisions • enter into a more equal partnership • learn - we get better at our job

7. Where Are We Now? • Test Site ended March 2011 • Wider implementation and process development • Cultural shift • 5 months to go Arghhh!!!!!

8. Priorities • From first contact a personalised approach • Accessible eligibility and assessment framework • Re-ablement model • Resource allocation for all • 4 options available • Review cycles • Consistency - decision-making etc..

9. More Priorities!!! • Information and data • Training • Quality assurance (e.g. plans) • Understanding and managing financial implications Systems + Culture

10. Comfort Zones

11. Rocky Roads

12. A Pathway? • Needing support • First contact • Eligibility and assessment • Support planning • Decision time • Support • Monitoring and review Choice Control Roles Responsibilities

13. So what’s happening where? • How are people choosing to manage their Individual Budgets? • Where are they located? • How are they spread across different care groups? • What are people using their budgets for?

14. Implication for Care Home Providers • Person and relationship centred care and support at the heart of service offered • Setting is a community – residents can actively seek opportunities for engagement to personalise the services • Do existing services respond to local needs? And look at opportunities to diversify? • Staff need to ‘live and breath’ a culture that promotes personalised services – maximum choice and control • Residents have access to all information that enables informed choices (scie: At a glance 17)

15. Implications for home care providers • people say they want more than just personal care • staff need training to develop creative, person centred skills • providers should consider contributing to the expanding PA workforce and diversifying • support needs to be focussed on identifying and achieving outcomes • providers need freedom to be innovative and use budgets flexibly as agreed with the person (scie: At a glance 7)

16. ‘A journey of a thousand miles must begin with a single step’Lao Tzu