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Changing Social Work Assessments for Self-Directed Support

Learn about the new approach to social work assessments and the draft assessment tool for self-directed support in Scotland. Understand the principles, purpose, and process of assessments, as well as the Funding Allocation System.

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Changing Social Work Assessments for Self-Directed Support

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  1. One door, One key Nikki Conway Senior Manager Assessment and Care Management (South) nikki.conway@edinburgh.gov.uk Wendy Dale Strategic Commissioning Manager wendy.dale@edinburgh.gov.uk Changing Social Work Assessments Ready for Self-directed Support

  2. Social Care (Self-Directed Support)(Scotland) Act 2013 From April 2014 the Act requires us to: • Offer choices on how support is arranged and managed • Inform the person of the “relevant amount” for each option offered • Facilitate the development of a diverse market

  3. Values & Principles There are 5 Statutory principles underpinning the legislation; • Collaboration • Dignity • Informed Choice • Involvement • Participation

  4. Purpose of Assessment “A good quality assessment helps to ensure better outcomes for individuals and it helps to ensure greater consistency and transparency in how decisions are reached.” Draft Statutory Guidance on care and support • Determine eligibility for support • Explore needs and outcomes • Basis for future support

  5. Edinburgh approach to assessment • Assessment should be: • person-centred – abilities and needs • outcome focused –what is important to the individual • conversational in nature • collaborative (person, carer, professional, others) • Underpinned by an assessment tool that links allocation of resources to level of need

  6. How we have gone about it

  7. The Assessment Tool • Gathers general details • Identifies needs & abilities • Identifies current supports • Records views of others • Records risks • Considers the person’s level of capacity • Generates a score based upon the professional judgement of the assessor

  8. Information collected General • Contact details • Current support • Where you live • Sensory impairments • Communication needs • Mental health problems • Health issues • Quality of life • My carer Needs and abilities • Medication • Personal support needs • Nutrition • Work and learning • Important decisions • Leisure and community • Caring for my family • Risks to my wellbeing

  9. Needs and abilities 1 • Tool should be used to record conversation not lead it • Free text with prompts

  10. Needs and abilities 2

  11. Needs and abilities 3

  12. Needs and abilities 4

  13. Spectrum of Need Level of support needs I need total Support I do not need support 1 4 2 3 I need full support to meet my intimate personal support need. I need this from someone else I am able to meet my personal support needs with occasional physical/gestural/verbal support I need significant physical/gestural/verbal support from another person to meet my personal support needs I am able to meet my personal support needs

  14. Each statement has a further 4 bands A B C D 2 I am able to meet my personal support needs with occasional physical/gestural/verbal support

  15. Assessment levels & bandings I do not need support I need total Support A B A B C D A D C D B C 1 2 4 3 I am able to meet my personal support needs with occasional physical/gestural/verbal support I need significant physical/gestural/verbal support from another person to meet my personal support needs I need full support to meet my intimate personal support need. I need this from someone else

  16. Converting bands to resources – the Funding Allocation System (FAS) • Each level and band will generate a score • The total score will be converted into a financial amount • The financial amount will be the person’s indicative budget – the amount they have to plan their support with

  17. Calibrating the FAS • The intention is that the indicative budgets generated by the FAS will be roughly equivalent to the cost of current care packages • Sampling exercise being undertaken based upon 800 assessments or reviews

  18. Aim of the sampling exercise • Establish eligibility, identified need and cost of resulting support package • Allow comparison of need expressed as a score and cost of support X Score X X Cost of Package

  19. Issues • Can one tool work for all service user groups? • When will the FAS be used? • What about high cost packages? • The indicative budget is an estimate not an entitlement

  20. Timescales • Sampling exercise to be completed end September 2013 • Analysis of results – October 2013 • New assessment approach, tool and Funding Allocation System to be in place by 1/4/2013

  21. Group discussion • What are your initial thoughts about the new approach to assessment and the draft assessment tool? • What issues does it raise for you?

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