Housing Support and Personalisation 21st February 2018 Edinburgh

Self-directed support 2017 progress report 21 February 2018 Zoe McGuire

Background Self-directed support audit (June 2014) Self- directed support: 2017 progress report What progress have councils and integration authorities made in implementing SDS? What impact is SDS having on people with support needs, carers, families and communities? What factors are supporting or impeding effective implementation of SDS? How effectively is the Scottish Government supporting implementation of SDS and evaluating its impact?

Methodology 5 case study areas East Ayrshire Glasgow Highland Perth and Kinross Western Isles Interviews and Focus groups Online surveys Social work staff Supported people, carers and families Interviews Desk research Case Studies Focus groups Surveys

Key Findings Many good examples of where SDS is working well for people People achieving outcomes in new and effective ways Not everyone is getting choice and control of their support Various ways their choice is limited Information needs to be improved on the number of people using each option and the impact SDS is having on people’s lives Social work staff are positive about the principles of SDS but need to be well trained and supported Service users and their carers need better information to help make informed choices

Key Findings The public sector is experiencing significant pressure from increasing demand and limited budgets for social care services. Commissioning in this context can have an effect on how much choice and control people may have Option 2 is not yet fully developed The changes in the type of support available have been slow Workforce shortages SDS implementation stalled during health and social care integration

What needs to happen Ensuring staff are supported and trained to deliver self directed support Given permission Guidance and training Improvement in the way services are commissioned Allowing for flexibility and choice Developed in partnership The role and importance of SDS to be emphasised and promoted by the Scottish Government and partners

www.audit-scotland.gov.uk

A National Approach to Self-directed Support

Collaboration and involvement Legislation and guidance developed collaboratively Extensive engagement around 2016-18 plan National team meet every 2 months SG fund over 80 organisations, all of whom help us understand the context and issues

Implementation Plan 2016-18 - Outcomes Supported people have more choice and control Workers are confident and valued Commissioning is more flexible and responsive Systems are more widely understood, flexible and less complex

Strategic support Standards and scrutiny – Care Inspectorate/ HIS Commissioning – CCPS, HIS Workforce understanding – SSSC, Social Work Scotland, CIPFA guidance Unpicking systemic issues Advice and advocacy

Independent support Renewed funding to 2021 Research into the value of independent support

I experience high quality care and support that is right for me I am fully involved in all decisions about my care and support I have confidence in the people who support and care for me I have confidence in the organisation providing my care and support I experience a high quality environment if the organisation provides the premises

Reform of adult social care Workforce Building personal and community resilience Commissioning and procurement Digital and technology Measuring what we value

Minster for Public Health and Sport “We will not achieve the changes required in social care without full implementation of the self-directed support approach.” Minster for Public Health and Sport