Module 2 The future of homecare self care training

On completion of this module learners will:  Have an understanding of how the current system of social care can limit individuals’ choice and control  Describe how the new operating system of ‘self-directed support’ can benefit individuals  Explore the key benefits of ‘individual support planning’ to promote individuals’ choice and control Module 2 outcomes

The Office for National Statistics estimates that the population in the United Kingdom will increase from approx 61 million in 2007 to:  65 million people by 2016 and could increase to 71 million people by 2021  Those aged 85+ are estimated to have doubled in numbers by 2020  And... It is estimated that there are now more older people than teenagers in the UK (Source: National Statistics website Population trends

The government message

Individuals are changing their attitudes towards how they want to live their lives and towards the type of support services they want They are saying they want:  Choice and Control – over their lives and their services  Planning – their own support  Opportunities - to make their own decisions – about how to take risks  Opportunities - to contribute to their communities  Opportunities - to continue to experience life! Individual expectations

How things work now 1.Individual requires homecare services 2.Care Manager visits the individual and makes an assessment on their needs and ‘can’t do’s’ 3.Individual is told which provider will support them 4.Care Plan is written with a list of tasks that the care worker must follow 5.Limited opportunity to change what is on the Care Plan – unless there is a review

DayTime Monday 8.30am-9.00am Assist to get up, washed, dressed and make breakfast Monday 12.00pm-12.30pm Assist to make lunch and prompt medication Monday 16.00pm – 16.30pm Assist to make tea Monday 20.00pm-20.30pm Assist into bed, prompt medication Are these flexible? Do they promote choice? Who has the control? The traditional care plan

If you could change the way you support individuals what would you do? Group discussion

In Control is an organisation that was set up in partnership With the Department of Health in  In Control have created a new system for how social care will work called Self Directed Support  Self Directed Support enables individuals to make their own decisions about how they want to be supported  It supports individuals to plan for the future so they can live healthy and happy lives In Control have some ideas!

In Control believes that as individuals we all have a right to: Independent Living - ‘I can get the support I need to be as independent as possible’ Self- Assessment - ‘I know how much money I have to use for my support’ Self-Determination - ‘I have the authority, support or representation to make my own decisions’ Accessibility - ‘I can understand the rules and systems and am able to get help easily’ Flexible Funding - ‘I can use my money flexibly and creatively’ Accountability Principle - ‘I should tell people how I used my money and anything else I’ve learnt’ Capacity Principle - ‘Give me enough help, but not too much, I’ve got something to contribute too’ (Source: in Control Principles In Control’s principles

In Control’s Model of Self-Directed Support (Source: How the new system will work

Individual budgets mean:  An amount of money is given to each person (‘the individual’)  Individuals become the ‘customers’ and purchase the supports they need  Individuals have the power to focus on what they want and how they want to achieve it Having the £s puts the individual in control! Key – individual budgets

star - represents one month of support choices Circle - a different month of support choices The individual has an Individual Budget of £400 a month Individual budgets mean more choices FREE volunteer sitting service FREE daughter escort to doctors £375 personal care £25 escort out to shop £335 personal care £25 diabetic tester £40 Stroke Club Education individual

 What is important to the individual The focus is on what individuals want, and not on what others think they should have!  The changes they want to make, to live healthy, happy and positive lives The focus is on ‘can do’ and how to overcome the “can’t do’s”  How they have chosen to receive their support This may be combinations of supports, so homecare, voluntary organisations, paid family or friends  How they plan to stay in control of their support This focuses on how individuals can become more independent and gain more control over their lives. Key – individual support planning

Individuals can write their own ‘Individual Support Plan’ in number of ways:  On their own  With their family, friends or advocates  With their home care provider agency  With the local authority’s Care Management team  With an independent broker  With the support of health care professionals An Individual Support Plan will be in place when you begin to support individuals in their own homes Who does planning?

 Planning builds up a picture of the individual you are supporting  It organises their choices and outlines what they need support with  It is a place for individuals to set personal goals – and keep a record of their progress  It focuses on the ‘positive’ – what individuals can and would like to do! Planning puts the individual in the driving seat by concentrating on them! Why plan?

Individual Individuals History Likes and Dislikes Cultural and Spiritual Beliefs Individual Budget Physical Needs Health Needs Emotional Needs Social Needs RiskGoals Inside an individual support plan

 Individual support plans are ‘living documents’ that should be seen as important as ‘daily care notes’  Within your role as new type of worker you will add to individuals’ support plans  This means working in partnership with individuals to update their plans and set new GOALS Plans don’t live in folders

Make yourself aware of the ‘whole’ Individual Support Plan 1. Read and regularly look at the individual’s support plan 2. Make sure you are aware of the ‘goals’ individuals are working towards 3. Discuss the individual’s support plan with your team leader and at team meetings and supervisions Discuss the plan with the individual 1. Build an understanding of why the choices individuals have made are so important to them 2. Talk to individuals about the positives – ‘what they can do’ – and how you can contribute to what they have difficulty doing. 3. Discuss the Individual Support Plan with them – regularly! New type of worker responsibilities

ChallengePossible Solution Individuals don’t want to change As a New Type of Worker – remind the individuals you support that having an individual budget will give them more choice control and flexibility Care workers don't want to change Remember – the old system of homecare does not give individuals control or the opportunity to make flexible choices Individuals may not want to manage the money The don’t have to! There are five different ways they can manage their budgets I think this is about cutting their hours The individual does a self assessment to tell the local authority what they want. Most will end up with the same number of hours but now the service is measured in £’s! Individuals won’t need care workers anymore Having an individual budget does give individuals more choices, but many will still need to purchase the support of new types of workers Challenges to the new system of home care

Self Care Training Manual: Implementing the Common Core principles for Self Care © Skills for Care, Albion Court, 5 Albion Place, Leeds LS1 6JL. All rights reserved. This material may be reproduced for non-commercial distribution in aid of social care workforce development, provided the copyright notices and acknowledgements are included in each reproduction. Requests for commercial publishing rights should be directed to Skills for Care. Referencing: Short reference: Skills for Care, 2009 Long reference: Skills for Care, Self Care Training Manual: Implementing the Common Core Principles for Self Care (Skills for Care, Leeds, 2009) Acknowledgements: This material was commissioned from jdee Training and Lancashire County Council by Skills for Care’s New Types of Worker programme in the north west. It was researched and compiled by Shaun Douglas Galley and Sarah Johnson.