Personalised Approaches & Self Directed Support in Dumfries and Galloway

Personalisation aims to put everyone on an equal footing: “...citizens with rights to a range of opportunities, in particular the right to exercise choice and control over their lives, including what support and care they access and how it is organised.” (John Alexander, Director of Social Work, Dumfries and Galloway Council) ‘enabling the individual alone, or in groups, to find the right solutions for them and to participate in the delivery of a service. From being a recipient of services, citizens can become actively involved in selecting and shaping the services they receive’. (Changing Lives Service Development Group)

Jargon!? Not just about individual budgets Asset based Maximising ‘natural’ supports Personal - Person’s Dreams, Fears, Wishes… Power – shifting the power to the person Equality Choice Control Enabling and facilitating creativity Making a real difference

Personalised Approaches Value and celebrate peoples gifts Enable people to use their strengths Work with the person, their family and friends, and their community Maximise opportunities to meet outcomes Shift the balance of power Enable choice and control

Whatever we call it, it’s about moving: From: Care Management Assessment (forms) Doing for Deficits Dependence Reliance Service Land To: Personalised Approaches & SDS Assessment (process) Doing with Assets Independence Resilience Self-service land Social Work = Personalised Approaches

its true value is: we respect each other as fellow citizens enable people to make better decisions enter into a more equal partnership learn - we get better at our job

Where Are We Now ? Test Site ended March 2011 Wider implementation and process development Cultural shift 5 months to go Arghhh!!!!!

Priorities From first contact a personalised approach Accessible eligibility and assessment framework Re-ablement model Resource allocation for all 4 options available Review cycles Consistency - decision-making etc..

More Priorities!!! Information and data Training Quality assurance (e.g. plans) Understanding and managing financial implications Systems + Culture

Comfort Zones

Rocky Roads

A Pathway? Needing support First contact Eligibility and assessment Support planning Decision time Support Monitoring and review Choice Control Roles Responsibilities

So what’s happening where? How are people choosing to manage their Individual Budgets? Where are they located? How are they spread across different care groups? What are people using their budgets for?

Implication for Care Home Providers Person and relationship centred care and support at the heart of service offered Setting is a community – residents can actively seek opportunities for engagement to personalise the services Do existing services respond to local needs? And look at opportunities to diversify? Staff need to ‘live and breath’ a culture that promotes personalised services – maximum choice and control Residents have access to all information that enables informed choices (scie: At a glance 17)

Implications for home care providers people say they want more than just personal care staff need training to develop creative, person centred skills providers should consider contributing to the expanding PA workforce and diversifying support needs to be focussed on identifying and achieving outcomes providers need freedom to be innovative and use budgets flexibly as agreed with the person (scie: At a glance 7)

‘A journey of a thousand miles must begin with a single step’ Lao Tzu