Sector Led Improvement #Tough love Helen Coombes

Leading, Acting, Learning & Supporting Taking sector led improvement seriously Second round of Peer challenge programme Led DASS 2 ADs Expert by experience and lead member Self Assessment using adapted TEASC tool Case File Audit undertaken by Principal Social Workers Presentation feedback on site followed by formal letter for publication DASS buddy system used for 6 month follow up Reminder of what the programme does

What have people said ? Social Care leadership and understanding at the most senior levels of the directorate is lacking Andy is a good egg Really good relationship between CCG, hospital and council senior leadership Matt and Tony are very accessible and committed to hearing and acting on feedback We want it all to work, I’m proud of working here Chaotic to the point it does not make sense Number of ways of triangulation and say about case audits, performance report, reading the evidence, testing out through KLOE

‘So what?’ Joint commissioning plans and pooling of any budgets with NHS partners The scale of the challenge facing adult social care Review assessment caseloads to ensure an appropriate level of skill and effectiveness Develop a clear vision and purpose for adult social care

Consistent themes Use of Resources, Performance and Outcomes Partnerships and Collaboration Practise especially safeguarding and legal literacy Leadership both Executive and Political Change Management System Working and Better Care

Some Coordinator reflections Shared Learning - always great things happening in every place Exhaustion of peer challenge members Incorporating the service user/carer voice effectively a challenge Feedback and next steps can be challenging and requires a lot of the DASS Timescales are tight to undertake the challenge Organisation is key ahead of the challenge We could be more intelligence and data driven Having the right skills in the rest of the team

A Dorset example – Learning from else where Detailed analysis of ASC Financial and Activity Data Scrutinise some key business processes Benchmark and compare with national messages Look at some specific areas I didn’t understand Look over the fence at health ! Scrutinise our savings and financial plans and do some knowledge transfer within the directorate

Where next for #Tough Love

Reflections from Tony Oakman Asset based approach - Very different from regulatory approach Welcomed and where necessary has had sufficient ‘grit Use of casework– is the strategy the reality? Critical friend - if done right is not a cosy We are all dealing with similar opportunities, challenges and issues – not alone. Opportunities to celebrate success and achievements recognised in a public report

“Be careful what you wish for” “I feel we need to consolidate and build on current methodology and approach and be careful we don’t wish for an approach which is not a learning/outcome based and potentially risk averse. If it’s broken it’s incumbent on DASS to blow the whistle – regardless of what methodology we or the government decide going forward.”