Practice Friday 21 st October 2016 Empowering People through - - PowerPoint PPT Presentation

Empowering People through Innovative Practice

Friday 21st October 2016

Empowering People through Innovative Practice The Story of Mr A’s Progression

Steve Garland – External Advisor Dr Edwin Jones - Service Improvement and Research Lead, ABMU Health Board

• 37 years old
• Lived in current residential setting since 2006 (out of area)
• Very supportive family network
• Likes to be independent - makes breakfast and help staff to do

things, cooking, gardening etc

• Gregarious, sociable and keen to engage in activities
• Requires support with personal care
• Has Challenging Behaviour

Mr A’s Story

• Following an assessment on July 2015 and
• n going multi disciplinary working including

the Specialist Behaviour Team, a range of

• utcomes have been identified to increase

Mr A’s independence and promote his progression  Mr A and his family are at the centre

Assessment

As a result, the following outcomes were identified by A, his family and professionals:

• Suitability of living - A move on plan to be developed
• Physical and mental health and emotional well-being -Health
• utcomes were identified in terms of his skin and his feet
• A Positive Behaviour plan to be developed
• Domestic, family and personal relationships - Moving closer to

home will trigger improved relationship outcomes

Outcomes

• Education, training and recreation- A robust set of outcomes need to

be developed to identify his skills in terms of independent living skills and recreational activities

• Contribution made to society- Returning to his locality will help to

provide better engagement with his social networks

• Control over day to day life - A model of support is to be developed

based on independent living skills

• Securing rights and entitlements-The new model of support will provide

access to benefits that will allow for more control over financial decisions A Tenancy agreement is in place and all the benefits have processed

• Protection from abuse and neglect -The new model will provide a more

robust system of protection

 A ‘Closer to Home’ ordinary house has been developed for him in Swansea (closer to family) with 3 others  ‘Supported’ living model’ Registered Social Landlord and experienced support provider with a long and positive history in the area Mr A and his family, involved and fully support the move

Have outcomes been achieved?

November 2016: Mr A will be a tenant in his new home New outcomes…

 Personal financial benefits  Closer to home, closer to family  Greater Participation in daily activities  Skill development  Better quality of life  Better health  Better safeguarding  Reduction in CB and… HAPPY!

What next?

Integrated working between health and social care in practice

How have outcomes been achieved?

Western Bay Region

Closer to Home Partnership(C2H)

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Local Authority & Local Health Joint proactive commissioners & Registered Social Landlords ( not for profit) & Support Providers (not for profit) WORKING TOGETHER TO PROVIDE BETTER SERVICES FOR PEOPLE WITH CHALLENGING BEHAVIOUR

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C2H Health and Social Services Commissioners Support Providers Registered social Landlords

The person advocacy Families

Local Health and Local Authority ‘Commissioners’ Assess needs Provide £ for care and support

Housing provider

• Small house
• Adaptations
• Maintenance
• Repair

Support provider

• Care & support
• Staff
• PBS
• Practice leadership

C2H Supported Living

‘Commissioners’ Assess needs Provide £££ for care and support

Housing provider

• Small house
• Adaptations
• Maintenance
• Repair

Support provider

• Care & support
• Staff
• PBS
• Practice leadership

£ welfare benefits to pay rent and daily living costs

Good

Practice Leadership Multi-disciplinary support Training work-related skills Positive Behavioural Support-(PBS)

• Person-centred
• Function of CB
• Proactive focus -Primary

Prevention

• Active Support
• Reactive strategies
• Clear Plans

Staff Supervision Frequent staff meetings Quality Assurance system Stress management Self Injury Physical Aggression Other inappropriate behaviour

 Bad

Administrative ‘management’ Limited external support Very little relevant training No clear approach Staff-orientated No clear plans Reactive focus rather than prevention Restraint- ‘fire fighting’ Service users spend most time doing nothing No staff supervision Infrequent staff meetings No Quality Assurance Stressed staff

How good a service is will affect how “challenging” a person is

Mewn Undeb Mae Nerth a Heddwch

Thanks / Diolch

Steve Garland & Edwin Jones

Together Stronger