Personalisation and Self Directed Support DVD

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Julie Moore

Personalisation and self directed support is changing the way all practitioners and managers are working within Adult Services.
People that are in receipt of council money for care and support and their families and their carers must be treated as the experts within their own lives.

Justin Bailey

Personalisation latches on and makes the most of Direct Payments. It’s a way of giving customers or Service Users choice and control in how they like to receive the care or the support that they need and achieve the outcomes they want to go for in life.
And people are doing interesting things like art therapy, around art, around different types of social inclusion that are maybe a little more flexible than they were in the past when Direct Payments began.

Joe

The art therapy started at a place called West Villa. It was more of a clinical, almost hospital setting, sort of thing. But going out to a completely different environment has helped me to move on.

Jacqui Byron

Getting to know Joe, and getting to know everybody as an individual, it was clear that Joe had different focuses and different goals around his social inclusion and his social activities.
It isn’t really the choice of the Social Worker to make the decision about Personalisation or a Direct Payment. It’s government directive that everybody who has assessed needs and who is looking at a service requirement should be offered, at either an Assessment or a Re-review of service, the opportunity to take on board personalisation to access a direct payment.

Andy Snowden

As we came over to Beaumont, the model of care changed. It became “Supported Living” Now we’ve got to a stage where the Direct Payments workers are coming in. A number of residents here are using the Direct Payment workers.

The feedback I’m getting off the residents here is that they are excited about the Direct Payment workers because it gives them more opportunity to access things that they crave for, that they have asked for in their support plans and person centred plans. Direct Payments workers have been a great help to be able to deliver these wants and needs of people. Such as accessing more community based activities and college and things like that.

They can afford more time to go and explore what’s out there for a person. We’ve set up work plans. For example, Andrew lives here. He sat down with our staff team. We talked through about Direct Payments workers initially with his family and their Care Review and what he would like from it, so Andrew decided he would like a Direct Payment worker to be able to support him to access his budgeting, to go to the bank.

Andrew

He takes me swimming, which we are going to start up doing again and we go out with him.
He comes to help me clean my flat and do little jobs
And then Karen, she comes and takes me shopping, and does my budgeting and helps me to sort things out.
We have had a few hiccups… but they got sorted out.
I’ve stopped one of my tablets, which is a PRN I don’t need it anymore since I’ve moved in here, I’ve not had one.
I go to Slimming World. I lost 6 pounds yesterday.
Staff used to come in and help, but now they take me shopping, shopping is much more easier now because before, when it was just staff from here, it was just anytime.
I’ve always wanted to live on my own since I left home.
I prefer my own company but I prefer being around people, so if I want staff, I can go and see staff, or if I want to sit in the lounge, I go and sit in the lounge, or if I want to stay and watch my telly, I can do. I can please myself to do what I want to do, when, I want to do it.

Andy Snowden

Staff feel they have always worked in a person centred way. It’s now been taken a step forward with the government directive regarding personalisation. Right, we’ve got this far with it, let’s move that step forward. It’s still in early days, but now its about the tools on offer, how best to use them and how far can we go with them.

Paul Locke, tenant, Beaumont Place and father Barry

Since Paul has arrived here it has transformed our existence both his existence, my existence and I would say my wife is also very happy and contented.
He’s actually associating with people of his own age group, he’s socialising. These things didn’t happen at home. He was sort of secluded, basically a recluse apart from the day centres which was his routine. There was nothing else apart from the day centres.
Now he goes out and buys DVDs. He goes to Manchester and goes and has a meal. He actually goes for a couple of pints in a public house. He has a great social existence, his personality is much clearer. He’s a much happier person. His health is very good and he seems to have a basic reason for living now.
He has got his own environment, his own flat, his own space as such.
As a matter of fact, the other day when I came, he asked me to give him a bit more space. “You come too often” he said, I thought that was great! That’s a bit amusing, great, really you know.

Susan Hardman

It’s up to us now, as a Service, as Social Workers, to ensure that what people are asking for, we can get for them to the best of our ability.
People want more housing, they want a choice over where they live, who they live with, they want a choice on how much money they get and how they spend that money and they want to make them choices themselves and not, you know, and not other people making choices for them.

Person Centred Planning in Homecare
Paul Cullen

Person Centred Planning it’s an initiative that we have been involved with for approximately 2 years.
We attended a series of intense of seminars run by Helen Sanderson Associates, and Gillian Bailey and that gave us an insight into how care was going to move forward.
It’s an excellent service that we provide at the moment, but the Person Centred approach has made it much more individual. We spent quite a considerable amount of time interviewing the Service Users. With all that information, what we then do, is it all comes back to me, that information is then condensed and put onto a one page profile and then that appears in the Service user’s file.

Annie – Service User and Joyce

You know on your one page profile Annie, it just says on here what you like and what you don’t like, so I’m just going to run through them with you so we know we have got it right.

Okay, okay

At first when we used to come in, before you had your one page profile, it was to encourage you to have a wash and assist you to get dressed, but after we did the one page profile we found out you like to get dressed in your own time.

Yes I do, if I’m going out I get dressed early, if I don’t I just take my time.

That’s it! You like to get dressed in your own time.

Yes

You’re a diabetic aren’t you? so you can’t have sugar!

No I know!

You’ve got a sweet tooth!
Don’t remind me, don’t remind me (laughs)

Yes I know, Oh…we try

Paul Cullen

One example that comes to mind where we have used the PCP process was on a chap that we visit in Ryefields who is blind.

One of the things he loved to do was go for a walk, that was never identified on the programme of work or on the care plan it was something we totally missed. When we were doing the PCP interviews one of the things he said was, he would love to go for walk

Leaves are starting to fall Ken, it’s getting to Autumn

Are they?

Yes – the leaves are falling

It was very simple for us to arrange a member of staff who’d undergone Guider Communicator training and to match the staff to the service user.
When I revisited the service user a couple of weeks later, one of the things he said to me that I found very touching, was that he said “when I’m holding somebody’s arm, I can really stride out, I pretend I can see again “and I think that really sums everything up about PCP.

Joyce Cooper – Homecare Worker

It’s very difficult when people have care, when they come into care, it’s an invasion of their privacy, and when you’ve got a stranger coming into your home, it’s very very hard for them. It must be from me doing the job a long time I know how people feel. I feel that having a person centred planning page on that book makes it more personal. It gives the carer an opportunity to talk to the Service User as soon as they go into the property and it makes them feel part of the care and it’s very very uplifting for the users as well.

Susan Davies

So it’s looking more into depth, what’s working and what’s not working for them. What people admired about them, things like that.
Paul decided, so we did six and took it to the patch meetings. We asked the staff and realised that sometimes we are missing out on what they like to have done. Like Mr Joshi, he loved Indian tea in the evenings when I went in. As it happens, Joyce came to the patch meetings and I mentioned it to her – did you realise Mr Joshi liked the Indian tea? And she said…

No I’ve never heard of it

I don’t know how to make it

I’m sure he will assist you by telling you how to do it, he taught me how to do it

I’d never, ever made it before. I had no idea how to do it what so ever
And now, like I say, every morning… if he needs a drink later on in the day what I normally do sometimes for him is I make two cups and leave one for him so he can warm it in the afternoon so he does not have to go without it.

Mr Joshi

Before I used to have instant coffee but Joyce came and I said can you make it? She said tell me how you do it and I’ll make you one, she started and now it is perfect.

Paul Cullen

One of the issues that have been raised to us through the staff was that the Service Users were having to constantly explain to new staff what they needed them to do throughout the call.
The one page profile does away with that, because as soon as the staff go in they can read the one page profile. The information is readily available. That’s the basis for the rest of the call and the building of the relationship is already there.

Susan / Frank

And I read here that you enjoy gardening?
Yes
You have green fingers
yes
Do you still do a little bit of gardening?
Unfortunately not – plus I’ve got arthritis, he’s a nuisance him
Who?
Arthur
Oh right, Is he the gardener?
No – Arthritis! both laugh
You like to tell a joke don’t you Frank!

Susan / Joyce

I found the personal profile a real big help because we can record what’s working for them, and what’s not. What their likes are.
And...You go into people’s home and it’s nice to pick up on things, that mean something to them
Yes it’s easier as well, because if I’m handing over as well, if I went off on holiday and you’re taking over, where before it was like you had to go to the patch meetings you had to get it all down.

Get the information that you needed

Make sure. So now it makes it so much easier. All they have to do is read this, it makes it so much easier for a different carer to come in to do the role even if it’s just for one day.

Paul

We see the Service User now, as not just a recipient of care, but as someone with their own individuality and with their own needs, their own wants, and their own aspirations.
And we try and respond to that and move care forward, in the way that they would like it to move forward.

Julie Moore

They must be fully involved in the planning and the decision making process around the best care and support options for them.