1. United Response Shonagh Methven Senior Business Partner H&S Risk Management

2. United Response A Person Centred Approach to everything we do RISK MANAGEMENT Policy Training Culture of accountability Support for staff

3. United Response A real life means taking risks to achieve, to get the things that we want and to develop skills. Our training film, “What’s risk got to do with it”, illustrates this and I’d like to short you a short excerpt.

5. United Response So what does this mean in reality Christine Andrew Philip and David and others

6. Christine’s Story Christine began to work with Laura a year ago when she started her job at a local pub Laura is Christine’s Job Coach and attended work with Christine full time in the early stages Initially Laura would pick Christine up in her car and they would drive to work together Christine fit in immediately at the pub and became a great asset

7. Christine and Laura Christine needed a little instruction from Laura from time to time, but her relationships with colleagues grew quickly from strength to strength, which meant Laura was able to begin fading out at the work place Once Christine was settled into work it was time to start travel training which was the final step to her becoming an independent worker

8. Christine’s Story Laura would meet Christine at her house and they would travel to work together on the bus, they would do the same with the return journey Christine had some concerns at first and was not very confident with the idea that eventually Laura wouldn’t be travelling with her; her mum also had some concerns Christine decided she would give it a go and see how she felt

9. Christine’s Story Laura travelled to work with Christine for five weeks and every week you could see her confidence grow Laura was there as a companion for Christine; Christine led Laura at all times After five weeks Christine told Laura that she didn’t need her to come with her anymore she would like to try it by herself So she did and Laura met her at work

10. Christine’s Story Christine had no problems travelling independently and wondered to herself why she was afraid in the first place She overcame her fear by giving it a go Christine says, “I am happy going to work and wearing my uniform. I am very happy and confident about going to work on the bus by myself”. Christine’s Mum says, “Christine is so happy, she loves being included in all the social activities like the Christmas party, she is one of the gang. She has got to know the bus driver Tony and chats with him on the way to work”.

11. Roebuck Pub Treating her mum and herself to a meal in the Roebuck. Going to The Roebuck to look around and meet staff Starting work in uniform Doing all aspects of the job, chatting with staff and customers Getting the bus to work. Building friendships with colleagues Christine

12. Andrews story Andrew began to plan what he wanted to do in life about 10 years ago. One of his goals was to find a job His first supported employment was as a volunteer in a Liverpool hospital Then he found a job working in the laundry department 4 hours a week at the Moat House Hotel in Liverpool Andrew received travel training and became an independent traveller to work. Sadly that job came to an end with Liverpool re-development when the hotel was demolished and it took a while for Andrew to find another job ……..

13. Andrews story which he has now working at the Liverpool Football Club shop. But Andrews life isn’t all work…...

14. Andrews story It has its ups

15. Andrews story and its downs

16. Andrews story Andrew has abseiled down buildings for charity, sailed in a training ship a job he loves, and is now travels completely independently.

17. Andrews story He attends college where he is working towards an NVQ in Horticulture and enjoys studying science and learning spanish as well as playing football. Veronica, one of the people who supports Andrew says, “Andrew is a man who I admire greatly”

18. United Response Last summer Philip, David, some of their friends and supporters decided to climb Snowdon.

19. United Response They arrived in sunny Wales on a lovely summers day

20. United Response They had fun the night before the climb

21. United Response They ate a hearty meal

22. United Response Some folk decided to go to the summit by train.

23. United Response It started to rain as the other group began the climb

24. United Response However, everyone was in good spirits

25. United Response As they got higher, the wind got stronger

26. United Response And people got a bit fed up

27. United Response We had a phone to call for help if needed

28. United Response And luckily we met some climbers coming down the mountain who helped us.

29. United Response Did we learn from the experience YES Would we plan another trip YES

30. United Response Is there a tension in balancing person centred working with a commissioners expectations. We all want to live a full and healthy life on our own terms. Balance duty of care with support for the life that people want to live Balancing things Important TO and Important FOR people

31. United Response Our approach Competent and confident staff Talking to people, finding out what matters TO them Working with others to make that happen Blame culture v culture of Accountability

32. United Response Commissioners, Inspectors and Providers must recognise that people in receipt of services have the right, and importantly, must be supported, to take risks in their lives, in full recognition and expectation that they will suffer the same setbacks and heartaches that we all do.

33. United Response Care Quality Commission “The approach that United Response is taking in relation to risk management is in line with the current Commission approach to person centered outcomes and a proportional approach to life skills and independence.”

34. United Response What happens when something goes wrong? Report Investigate Learn Change Try

35. United Response Social care providers must make explicit their encouragement of staff to explore what’s important to the people they are paid to support, and to take managed risks to make progress. Make it clear in risk management policies that staff engaged in reasonable risk taking are acting under their employer’s instructions Provide sincere, swift and whole hearted support for staff when managed risk taking results in injury or harm. ….because staff working in an atmosphere of fear or a blame culture will never be emboldened to act in such a way

36. United Response This isn’t carte blanche.

37. United Response Our Commitment to Staff “As part of our commitment to enabling people we support to take planned risks United Response, as an employer will always support staff who have used sound judgement and taken sensible precautions, even if these have not been sufficient to avert an accident or incident.”

38. United Response Questions?