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Let us have a 1
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What is YOUR story ?
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They came up with five ways.
The Five ways to well being New Economics foundation commissioned by the foresight team to review evidence of how individuals can improve well being. They came up with five ways. Connect with the people around you Be active:keep moving Take notice:environmental and emotional awareness Keep learning: try something new at any age Give:help others and build reciprocity and trust
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Moving from a deficit approach to an asset approach
Where we are now - the deficit approach Start with deficiencies and needs in the community Respond to problems Provide services to users Emphasise the role of civil society See people as clients and consumers receiving services Treat people as passive and done-to ‘Fix people’ Implement programmes as the answer Where an asset way of thinking takes us Start with the assets in the communities Identify opportunities and strengths Invest in people as citizens Emphasise the role of agencies Emphasise the role of civil society Focus on individuals Focus on communities/ neighbourhoods and the common good See people as citizens and co-producers with something to offer
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An asset approach starts by asking questions and reflecting on what is already present:
• What makes us strong? • What makes us healthy? • What factors make us more able to cope in times of stress? • What makes this a good place to be? • What does the community do to improve health? In practice, this means doing the following: • find out what is already working and generate more of it • promote the project based on what it is trying to achieve, not what the problems are e.g. ‘Salford: a smoke free city’ rather than ‘reduce the high number of smokers in the city’. • cherish the assets – as soon as people are talking to each other they are working on the solutions • actively build capacity and confidence among communities and staff • involve the ‘whole system’ from the beginning – those left out will be left behind • design in what is needed to achieve the desired future • design out the structures, processes and systems that are stopping this future being achieved • ensure the long-term sustainability of the solutions and the project.
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The Appreciative Inquiry Learning Log
If the person is able and interested, learning logs should always be filled out with the person. Learning logs are used to record information and focus on what parts of an activity works well and what did not work well. Regular notes often provide too much detail about events and not enough about what worked and what didn’t work for the person or they are far too general. Learning logs provide space to record the same vital information such as dates, times, what was happening and who was there, but encourage people to record only what they learned or particularly noticed. Using the learning log can stop you from getting stuck. Use the learning log can help you to create or add to the persons support plan Think what do people have? A learning log can help us to understand what part of an activity a person enjoys. It can give a chance to try something out a few times and reflect on the what works and what doesn’t. Giving the opportunity for people to try things a few time. Think community and natural support like friends and family
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Relationship Circle Tool – who is in your life?
Exchange Think about all of the people paid to be in peoples lives. Doctors, dentists, support staff etc.. Friendship Think about the people who do stuff with people. Who do people know at the day service and beyond. Intimacy Think about who people love and care about. Close people and even pets! Think about the people who are friends, real friends. Friendship is reciprocal and often continues away from the place where people have met. Participation
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What is your glass?
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Communication Chart Where and when X does this What we think it means
And we should do this - ACTION This can help us to support people better when communication isn’t easy such as people with dementia or learning disabilities. If you get stuck get a few people to help you in a solution circle. There could be several reasons for the same thing If your action doesn’t work try something else.
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If your day was as good as it got what would it look like?
Good Day I enjoy going out for a bit of lunch with a friend. Bad Day I don’t like it when I get home care staff who rush through everything. What upsets your day? This can sometimes be an easier question for people. This can help to work out what works and what doesn’t work and help you to think about what do you want to change, achieve or stay the same. Is there a different way we could find a solution to the issue?
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Routines and Rituals - How knowledgeable are we about people’s routines and rituals?
Do we use as many cues as possible for people, including visual cues? How do we support people when things change? How do we introduce new things? Think about those things that are non negotiable and those things that are desirable. Change may trigger things that people do in terms of their behavior. The communication chart may help to work out possible solutions How do we tell others what we have learned to ensure continuity I the support people receive? What are we learning?
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Learn about what is important for a persons future?
I want something to do, someone to love and something to hope for! What do you want to do? what are you looking forward to? in my dreams I ... Name 5 things you want to do in 5 months Who do you want to do stuff with?
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Keeping people healthy, safe and well.
Important for Important to What are the important things to the person What will keep them healthy safe and well? What do other people say keep people safe? What do other people need to know? What do people need to know and do to support this person well? Specific attention needs to be placed to rituals and routines. Things to figure out. We might not know the answer but we need to create a list of things we need to work out.
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Support wanted and needed
Skills needed Personality characteristics needed Shared Common Interests a great tool to look at what people characteristics make for good matches.Think about both unpaid and paid support.
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From presence to contribution
Activity being present having presence actively participating opportunity to connect opportunity to contribute What do people do all day? Use this tool to help you think about activities and how we can see them as opportunities for participation and contribution. We all meet new people by doing stuff. Connections and contributions are essential
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Decision Making Agreements
Ref: Section 9 Decision Making Agreements Important decisions in my life How I must be involved Who makes the final decision When supporting someone in their decision-making, here are some important questions to ask: Do I fully understand what is important to the person and their communication? Am I the best person to support this decision-making? Is the information that I have and am giving the person relevant to the decision? Am I presenting it in a way that the person can understand? I am giving the information in the right place and time? Have I given the person the best chance to make the decision themselves? This tool helps: To think about how much power and control people have in their lives. To clarify how decisions are made. To increase choice and control people have in their lives. It works by helping us to think about decision making and increasing the number and significance of the decisions people make. To help us to find capacity where ever possible.
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Use our creativity and judgment
The Donut - is a tool which helps to get clear about paid staff and their roles and responsibilities. Not your paid responsibility. Things that fall out of the paid workers role. These things fit better within someone else's role like family or friends. Not your paid responsibility Use our creativity and judgment Things you are expected to do. These fit with laws, policies and procedures. Core responsibility Where we expect new things are tried and creativity is applied. This is a great opportunity to learn what works and what doesn’t.
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TIPS TOPS TIPS What are we learning? What do we need to change? Date
What is happening? Think support, opportunity or activity etc... Who was there: (family, friends, community, support staff, others, etc..) What worked well about what they did? What should continue? What did you learn? What didn’t work? What must be different? What did you learn? TOPS TIPS Don’t write everything down that has happened, just what worked well for the person, and what you learned for next time. Look for the little details that give you more information about what the person did or didn’t like about the the support, opportunity or activity. Capture new things you’ve learned that will help others support the person better. Make sure that what you write could be understood by someone who was not there. Figure out whether we could look at alternative ways to support people maybe through friends, family, community? Ask them what would help - we need to generate new ideas. TIPS
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Many heads are better than one!
Solution Circle Many heads are better than one! A small group of people are great to think through new ideas as wild and wacky as you like. Involve people you wouldn’t ordinarily ask. Just keep the persons name anonymous! Get a small group of people together to work out a solution when you get stuck. Person presents problem whilst others listen Clarify the rest understand issue. Think of as many ideas as possible for solutions. Talk through some possible ones that may work. Decide on the next steps to take. Reflect and Learn.
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Keep learning. what are the head lines? are we making progress?
what is the purpose of what we are doing? who can help me or is helping me? What is happening daily, weekly, monthly? are we making progress? what are the head lines?
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Outcomes - you will get out what you put in!
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Personal Outcome By Whom and When Action
5 broad social care outcomes which are how individuals:- Keep Healthy Safe and Well. Maintain Good Nutrition Keep their Independence Socially Interact. 5. Maintain Personal Care Personal Outcome What do they want to achieve? Action How this will happen? By Whom and When will this be completed?
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Any Questions Don’t be afraid to ask, there is no such thing as a stupid question. FB Caroline Cuerden Tomlinson LinkedIn: Caroline Tomlinson
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