personalistion Flashcards
1
Q
What is personalisation?
A
According to the government, personalisation means that everyone who receives care and support, weather provided by statutory services or funded by themselves, should have more choice and control over the shape of that suport.
2
Q
What 6 things does it mean to the individual?
A
Control Independence Choice Empowerment Meeting aspirations Addressing individuals needs
3
Q
what are the 5 key features?
A
Personal budgets Co-production Choice and control Self assessment of needs Changing roles of professionals
4
Q
what is a personal budget?
A
Is an agreed amount of money used to carry out cerita aspects of provision set out in an individuals support plan
If suitable for social care they can use this to make decisions and choices about their care
This is based on individuals financial circumstances
5
Q
what are the two types of personal budgets?
A
direct payment, managed account
6
Q
what is a direct payment?
A
Direct payment- cash payment where the individual looks after this, they spend the money as they please but must keep accurate record
7
Q
what is a managed account?
A
Managed account- managed by the local authorities in line with individuals wishes, local authorities will commission non-government providers such as charities and companies
8
Q
what is co-production?
A
Collaboration and working together and achieve better outcomes for individuals, citizens in the community can help to shape new services which help empower them and bring back control
9
Q
aspiration
A
a strong desire to achieve something
10
Q
personal budget
A
amount of money awarded by local authorities to achieve what’s important to them
11
Q
social care outcomes
A
result of receiving care that is desired by individuals
12
Q
support plan
A
documents with day by day requirements for support so individuals live with dignity
13
Q
means-tested payment
A
payment based on individuals financial circumstances to detimed whether individual is eligible
14
Q
local authority
A
government body responsible for public services
15
Q
the authorised or nominated person
A
someone who acts on behalf of and individual to allocate direct payments
16
Q
eligible
A
fit the criteria for
17
Q
mental capacity
A
being able to make reasonable decisions by understanding information
18
Q
autonomy
A
self-rule, independence to do what an individual’s wishes
19
Q
statutory service
A
services provided by local authorities
20
Q
what is the key feature choice and control?
A
Personalislation means giving individuals the choice and control to live an independent life
Choices include: personal budgets, home care, personal assistants and additional equipment
21
Q
give 3 points about a self assessment of needs?
A
Led by the person who uses the service not the provider
Professional will discuss support needed in different areas of life involve them making their own decisions
Local authorities will decide if the person is eligible for long term social care and how much money they need to pay
Local authorities must
22
Q
what is the changing roles of professionals
A
Control has moved away from the practitioner and towards the individuals
Non-judgmental, sensitive and empathetic attitude will empower individuals to make their own decisions
Practitioners must make sure they give individuals all of the information they need to make a decision
23
Q
give 4 things about the care act
A
Local authority- an organization that is officially responsible for all the public services and facilities in the public area
The care act legal entitlements make it clear what local authorities must do and explains when people provide care and support insure it happens fairly, their are different types of care provided
Constant route to establish entitlement to public care and support for all adults, this all begins with an assessment of their needs
24
Q
what are the 6 key features of the care act
A
Duty of local authorities to promote an individual’s ‘well being’ when making a decision about and individual
Continuity of care must be provided if someone moves from one area to another so there is no gaps in the care or support
Duty of local authorities to carry out child a needs assessments for young people when their are likely to need care and support after they reach the age of 18
An independent advocate is to be available to facilitate the involvement of and adult or carer who is the subject of an assessment
Adult safeguarding. Responsibility to ensure information sharing and inter-professional working
safeguarding adults boards and responsibilities
Local authorities have to be guaranteed preventative services which could help reduce or delay the development of care and support needs
25
how do the care act and personsalisation link to the care act? together?
Carers have a legal right to an assessment and to receive support
Local authorities must provide clear guidance to help individuals make informed choices and enable them to stay in control, an independent advocate should be available
Increased choice and control, individuals best interests at the centre of the process
26
what is personalisation?
Everyone person who receives care weather by statutory services or funded by themselves, will have choice and control over the shape of the support in al care settings
27
what are the 7 benefits of personalisation
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More opportunities to socialise
Gain and maintain control
Can remain in own home
Inclusion in community
Improved information and guidance
Improved quality of life
Improved self- esteem
```
28
explain individuals gain and maintain control
Individuals can gain and maintain a budget if opt for a direct payment
If they employed a personal budget they also control everyday aspects of their lives that other people take for granted
They don’t have to fit in other peoples timetables
29
Individuals can remain in their own home when receiving care
Remaining in their own home is important for most individuals as they may feel they will leave their memories and possessions behind if they go into residential care
May think they will become dependant on others if they move into care
Remaining in own home with support will mean individuals can choose what they want
30
inclusion in community
Involved in the same activities as the rest of the community
Feel values are treated with respect and feel part of the community
Individuals can use previous experiences from jo roles or skills
31
improved information and guidance
Make good decisions about the support they need everyone must have the right to advice, guidance and information and advocacy
Have as much information as possible to give them the best choice in how their needs can be met by universal services
Widens the opportunities of employment, local authorities should ensure that information available
Government policies to have service let organisations
32
Improved quality of life, self-esteem and socialisation
If individuals have more control over their daily life they have a better quality of life improves as they have choices
Improves self-esteem and if people feel good about themselves they are more willing to meet new people and socialize
Someone's social life improves so will their self-esteem and confidence and they will be more likely to try new things
33
give 5 positive impacts of personalisation
```
Information and guidance
Direct payment of care
Inclusion within communities
Remaining in own home
New opportunities
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34
explain Information and guidance
Enables individuals to make better choices surrounding the care they receive; this causes service users to feel more confident about making decisions as they would feel more informed. Local authorities have a duty to ensure that individuals have all the information they require regarding decisions about their care.
35
explain Direct payment of care
Direct payment of care allows quick access to services and means that the individual can have support as and when they need it. There’s no need for the person to wait for the local authority to organised or approve payment of care. This is a pro since the individual has the opportunity to pay for what they need immediately.
36
explain Inclusion within communities
Inclusion means that individuals are involved in the same activities as the rest of the community. This is beneficial because it provides access to social networks so the individual can widen their social group which would allow them to feel part of the community and respected. This feeling of being valued would raise their self esteem and create them to feel welcomed.
37
explain Remaining in own home
Remaining in your own home gives you a sense of belonging because they will feel comfortable and safe. They know the surrounding area and will know people local to them.
38
explain New opportunities
New opportunities are open to individuals who need services as they can pay for the necessary support they need to access these opportunities.
They can alter their personal budgets to allow these costs to pay for further and higher education,To allow new jobs they need qualifications.
39
give 3 examples of negative impacts of personalisation
Care is limited to the prescribed budget-
Worried about spending the budget
Availability and access to some services may be restricted in some areas
40
explain Care is limited to the prescribed budget
When the money is spent, it is likely that no more will be available until the next payment. Individuals need to know their plans for the coming year so that when they are assessed, they can apply for relevant support, otherwise they could miss out on funding. If individuals don't stay within the budget, they may be short of funds towards the end of the month which can be an added worry to their life
41
explain Worried about spending the budget
Service users may worry about over spending the budget, and this could cause unnecessary stress for them.
42
explain Availability and access to some services may be restricted in some areas
Particularly if the individual lives in a rural area and travel is difficult because of poor transport. High demand services may be provided for individuals with the greatest needs, resulting in a vast majority of people missing out. Another reason could be, is that there is a lack in the number of trained carers in that area, therefore unable to provide the care.
43
give the 6 key features to the person centered
| approach
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Knowing person as an individual
Empowerment and power
Respecting individuals values and preferences
Choice and autonomy
Respect and dignity
Empathy and compassion
```
44
what are the 3 main strategies of person centered approach
Balance between what is important/ for a person
Enhancing voice, choice and control
Clarification of roles and responsibilities
45
explain Balance between what is important/ for a person
are entitled to take risks if they want to, carers need to see taking risks as a positive rather than a negative. We need to take into account what is important to them, complete a risk assessment
46
explain Enhancing voice, choice and control
balance has to be achieved between levels of protection and levels of choice, must be some level of compromise allowing the individual to make their own decisions
47
explain Clarification of roles and responsibilities
role for carer to provide support for the individual enable them to live the life they want, professionals no longer in charge of making decisions about their lives
48
what are the 3 Principles of the person centered approach
Independence and rights- to live the way they want,to be employed,to form meaningful relationships
Co-production,choice and control- be treated as an equal partner in making decisions about their care, be able to make decisions about their lives and have more of what is important to them
Inclusive and competent communities- have the opportunity to participate in community activity to volunteer and feel like they belong
49
History of person centred approach
1800’s- institutionalisation- medical conditions, mental health problems kept in a large institutional where they are rarely treated as an individual
1940’s- introduction of the welfare state, established residential homes
1960’s- closure of long stay psychiatric hospitals letting individuals have greater say in decisions about their lives
1980’s- independent living funds increasing choice and control
1990’s-legislation for direct payments (community care and direct payments act 1996)
1995- disability discrimination act was replaced by the equality act in 2010
2000’s- closure of last remaining institutions and the end of segregated institutional living
50
what is the medical model
Issue is with the person
| Focus on the disability
51
what is the social model
Issues is not with the individual but changing the environment
Focuses on the individual
52
what are the two main principle to the health and social care act
Enable patients to have more control over the care they receive
Enable those response over care to have the freedom and power to commission care that meets local needs
53
what are the 4 key features to the health ad social care act
The act strengthened the collective voice of patients. Service providers and commissioners should welcome feedback as a means of assessing the quality of service.
The act provided the basis for better collaboration partnership working and integration across local governments and nhs
The nhs commissioning board, clinical commission groups,monitor and health and wellbeing boards all have duties to involve patients,carers and the public. Commission groups have to consult the public on their annual commissioning plans involve them in any changes that affect patient services.
The act provided for the establishment of healthwatch england as a statutory committee of the CQC. healthwatch england is a national body representing the views of the users of health and social care services, other members of the public and local healthwatch organisations. It advises and provides information on the secretary of state, the nhs commissioners board,monitor,nglish local authorities and the cqc on the views and experiences of use of health and social care
54
explain the care act
The care act puts people and their careers in control of their care and support
It sets out what local authorities have to do to provide support to individuals .
This includes supporting and individuals wellbeing when making decisions about their health
55
what are the 6 key features of the care act
```
Local authorities to promote individual wellbeing
Continuity of care
child's needs assessment
Independent advocates
Adult safeguarding boards
Preventative services
```
56
what is the Local authority circular (DA) 2008
Local authority circular alerts convey important information for local authorities.
Lac’s are issued by the department of health and social services to communicate guidance or requirement of legal action
57
what does the government say about Local authority circular (DA) 2008
Everyone who receives social care support, regardless of their level of needs, will have choice and control over how that support is delivered. It will mean that people are able to live their own lives as they wish,confident that services are of high quality, are safe and promote their own individual requirements for independence,wellbeing and dignity
58
explain the children and families act?
For adopted children and children with special needs
Focus on putting young people at the planning and decision making through co-production
Emphasises the importance of engaging young people and their families in all processes
59
state the 3 key features of the children and families act
education, health and care plan
ingratiation and information
children commissioner and co-production
60
Explain education, health and care plan
Aimed to transform the system for children and young people with special educational needs by placing families at the centre of decision making
EHCP is a legal document which sets out a description of a child's personal needs.
For children with complex and severe needs which require a high level of support
System works from birth to 25 years old
61
what our the 3 assessments?
EHCP
access to care
individuals budgets
62
explain access to care
Guidelines were introduced by the government in 2003
Determine an individual's eligibility for social care services
Address inconsistencies in outcomes across the country and ensures a consistent approach to providing high quality of care for those in need
Based on the individuals needs and associated risk for independence, based on four bands
63
explain individuals budgets
End goal is so individuals can live independently, promoting empowerment and control
The self assessment process aims to assess people's care needs thoroughly and accurately without procedures being needlessly duplicated by other agencies
64
explain the care act removing geological barriers
Continuity of care. This is important as if an individual is moving from one local authority, Another they will continue to receive support in the new area
There should be gaps in support when people choose choose to move. The local authority must therefore be aware of the process to follow when an individual moves from one area to another
65
definition of decentralisation
local authorities do not control centrally deliver all services
66
definition of commissioning
planning ,agreeing and monitoring services
67
what does outsourcing mean?
Outsourcing means that the servivies will not necessarily come from the local authorities but may be bought from other organizations to meet the needs of service users give greater choice and give better value for money.
68
before personalisation what where service users lacking
options, now services meet needs of indviduals needs and wishes
69
give methods for overcoming challenges
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values based recruitment
staff training
Recognising when provision is not person-centered and taking action to rectify this
Modelling behaviour
Regular review of support provided
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70
explain values based recruitment
Staff values have a major impact on quality of care
Values based recruitment morals is designed to help and support employees in recruiting staff
Focuses on how and why candidates make choices in their work and attitudes
Gives employers a good start into values
71
explain staff training
Can reduce job stress and staff turnover as well as adding job satisfaction
Staff must have confidence for delivering the person centered approach throughout skills and knowledge gained in training
72
explain Recognising when provision is not person-centered and taking action to rectify this
Roles happen if the professional working with the individual feels to consistency check that the individual is aware of that is happening
If they don't feel in control when this is easily rectified by the professional
73
explain Modelling behaviour
This is observing good practice and how other professionals carry out the person centered approach so they can copy it
Good starting paint for professionals who need to gain confidence as they are able to watch and follow example
74
explain Regular review of support provided
Are essential as they are important as they support plan
Overview should be contacted in person-centered approach necessary
This should be included in the support plan
75
give 8 Challenges to adopting a person centred approach
Resistant to change
Institutional history of public services
Institutions promoting a medical model of health
Communication barriers
Lack of staff training
Respecting choice when alternatives may promote better health or wellbeing
Focusing on defects rather than capabilities
Lack of clarity over roles and responsibilities
76
explain Lack of clarity over roles and responsibilities
Equal partner so roles responsibilities are shared between individuals
77
explain Focusing on defects rather than capabilities
Professionals assess individuals in terms of the could not do
Set individual goals to overcome rather than focusing on individuals strengths
78
explain Respecting choice when alternatives may promote better health or wellbeing
Difficult for professionals to accept individuals choice particularly if this could affect their wellbeing
79
explain Lack of staff training
Person centred care in a new concept
| Need to be rearranged with new skills
80
explain Communication barriers
Good communication it establishes trust relationships and ensures information is understood
81
explain Institutions promoting a medical model of health
Medical model of health sees disability as a problem blogging to the individual limited by their condition
82
explain Institutional history of public services
Common practice for individuals to accept decisions as they knew best
83
explain Resistant to change
Emotion reaction based on fear or loss
| May not want to lose the safety net or someone making decisions for them
84
how can resistance to change be overcome?
Modelling behaviour
Recognising when provisions is not person centred and taking action
Values based recruitment
85
how can Institutional history of public services be overcome?
Regular review of support provided
86
how can Institutions promoting a medical model of health be overcome?
Modelling behaviour
Regular review of support provided
Staff training
87
how can Lack of staff training and funding be overcome?
Regular review of support provided
Staff training
Values based recruitment
88
how can communication barriers be overcome?
Recognising when provisions is not person centred and taking action
Staff training
89
how can Respecting choice be overcome?
Recognising when provisions is not person centred and taking action
90
how can focusing on defects be overcome?
Staff training
| Values based recruitment
91
how can lack of clarity over job roles be overcome?
Modelling behaviour
Recognising when provisions is not person centred and taking action
Staff training
92
tools to find out what's important to an individual
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good/bad days
Routines
Top tips
Relationship circles
One pay profile
```
93
explain good/bad days
Describes a typical good day so practitioners can learn things that make a good day and what support they need to achieve, also understand what makes a bad day and helps this be identified
94
explain routines
Encourages an individual to talk through daily routines providing a better understanding of what isn't working well
95
explain top tips
Can be used by practitioner as ‘two minute drill’ purpose is to quickly learn what's important and outline the critical support needed
96
explain relationship circles and their benfits
Used by a relationship map identifying who individuals knows and how these networks can be used to support and individual
Variety of benefits:
Identify people who are important
Ensuring service users stay connected with communities
Local people who may be able to care/support
97
explain one page profile and what it must include
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A4 summary to provide better person centred approach and support
Must include:
What people admire about that individual
What's important to the individual
How to support the individual
```
98
explain communication charts
essential tools when individual don’t use words to communicate, describe ways an individual chooses to communicate so others can understand them
99
give benefits of communication charts
can reduce frustration of not being understood
Protecting dignity
Good support at staff understand what's important
Identify how they communicate and what it means
100
explain decision making charts
looks at specific situations that are important to the individual,
101
what's decision making charts broken down into
Important decisions in my life
How i must be involved
Who make the final decisions
102
explain building effective relationship with individuals
learning how to talk and listen to an individual and build up trust, treated with dignity, compassion and respect so individual feels confident
103
what does a effective relationship include
```
Dignity and respect
Compassion
Trustworthy
Committed to best interests
Keeping confidences
```
104
explain a doughnut chart
Represent relationship circles and clarify roles and responsibilities
Quick and easy way of collecting and representing information about a person and the support they receive
Useful tool when evaluating their network of support and reviewing the support available
105
explain the part of the doughnut chart you must do
things careers expected to do correctly essential to keep individuals safe and healthy
106
explain the part of the doughnut chart where they can use their own judgement and creativity
what works and what doesn't for an individual using initiative to try and improve the quality of life
107
explain the part of the doughnut chart what is not their responsibility
parts of individual life things that go beyond what's your job role
108
explain a review meeting
Check that the individual support plan and care plan still right for them and change it if necessary
109
when should a care plan be reviewed?
12 months from when it was first set up and every 12 months after that
110
when can care plans be reviewed earlier?
12 months from when it was first set up and every 12 months after that
111
explain the importance of review meetings
Putting the individual at the centre of the meeting
Builds and shares information collaboratively
Generates actions
112
explain putting the individual at the center of the meeting
provide individuals the opportunity to discuss whether the goal of the care place have been achieved or the goal has changed, so may need to be altered, needs to be at the centre of planning and assessment process
113
explain builds and shares information collaboratively
everyone involved the individuals care (family,friends,professionals,carers) should share information regarding what is working and what is not. Open to experiences, information and suggestions
114
explain generates actions
if something may not be working then something must be done to rectify the issue. This should be in the form of an updated support plan
115
give 4 purposes or review meetings
Meeting changing needs
Review the budget
Ensure care relationships are effective
Review the person-centred description
116
explain what MAPS is?
creative planning tool uses both process and graphic facilitation to create a shared vision of a positive future for individuals and families, draws on people's ability to visualise different futures and to plan
117
give some stragies of MAPS?
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What is their history?
What are their dreams?
What are their nightmares?
What are their strengths, talents and capabilities?
What are their needs?
```
118
what is the outcome of MAPS?
action plan to decide what will be done when in order to meet their needs and wishes
119
explain whats is PATH?
a tool to understand an individual's hopes and dreams and goals and what it would entail to move even closer to that goal
120
what is asking appropriate questions?
to find out what support plan is working making the individual at the centre of all these questions and they must focus on choice,voice and control
121
give some examples of appropriate questions?
What is important to you now?
What will be important in the future?
What do you need to stay healthy, safe and well supported?
What is working and not working?
122
why is asking appropriate questions important?
issues and concerns will be addressed early in the process
An action plan can be created for how the issues can be overcome
The individual becomes the centre of the process and questions focus on their individual needs,wishes and goals
123
explain what is meant by reviewing the budget?
during the meeting a review is necessary to reflect upon an individuals support needs in order to ensure these needs are successfully met
124
explain what the final outcome of review meetings is?
generates action and solutions to problems, updates records with changes to support plan
