unit 6 Flashcards
personalisation
• every person who receives support, whether by statutory services or funded by themselves, will have choice and control over the shape of that support in all care settings
• recognising that the person has individual strengths, preferences, wishes and aspirations. It means putting them at the centre of the process by identifying their needs and supporting them to make choices about the services they want so they can live the way they want to
personalisation means to an individual
• empowerment
• addressing needs
• control
• independence
• participation
• choice
• preferences
• meeting aspirations
personal budget
• an agreed amount of money that is used to carry out or deliver certain aspects of provision set out in an individual’s support plan
direct payments
• direct (cash payment, held by the person or, where they lack the mental capacity to look alter (nemselves, by an authorised or nominated person
• usually a carer, family member or friend, or an independent advocate identified by the local authority
managed accounts
• account managed by the local authority in line with the persons wishes
• may include paying for community care services provided or commissioned by the local authority
co-production
• about collaboration or working together
• is a partnership between citizens and public services
• individual & professional work in partnership to create care plan
choice and control
• supporting and enabling them to make their own decisions about where and how care is provided and the support they need to live a full and independent life.
• housing options
• person-centred support plans
• personal budgets
• support in the form of a personal assistant
self-assessment of needs
• individual talks to person about support they need in different areas in their life
• home adaptions
• preventative measures
changing roles of professionals
• control moves from professional to person
• listening to individual professional can empower to take control of life
benefits of personalisation
• individuals gain & maintain control
• individuals can remain in own home when recieving care
• inclusion in community
• improved info & guidance
• improved quality of life, self esteem & socilisation
positive impacts of personalisation
• direct payment for care - allows rapid access to services & means the individual can have support as and when they need it
• inclusion within communities - individuals do not have to go into a residential home where they are separate from everyday life
• remaining in own home - familiarity & a sense of belonging adds to quality of life. The individual feels comfortable and safe
• access to information and guidance - allows for better choices
• new opportunities - can pay for the necessary support they need to access these opportunities support is available and given at the time when they want it
negative impacts of personalisation
• care is limited to the prescribed budget
• availablility & access to some services may be restricted
• worry about spending the budget as all the money has been accounted for
legislation underpinning personalisation
• health & social care act 2012
• local authority circular (DH) 2008 - personalisation guidance
• care act 2014
• children & families act 2014
health & social care act 2012
• enables patients to choose services that best meet their needs. including from charity or independent sector providers, as long as they meet NHS costs
• established Healthwatch England & Care Quality Commision
• NHS Commissioning board, clinical commissioning groups
local authority circular (DH) 2008 - personalisation guidance
• reinforces commitment to personalisation
• seeks to reassure individuals that whatever their circumstances, they will have a voice and a choice in their care, enabling them and their supporters to maintain or improve their wellbeing and independence rather than relying on intervention at the point of an emergency or crisis
care act 2014
• puts people and their carers in control of their care and support
• sets out what local authorities have to do to provide support
• reinforces personalisation in the guidelines for health & social care professionals working w individuals
children & families act 2014
• focuses on putting children & young ppl at the heart of planning & decision making through co production & decision making practice
role of local authority
• assessment
• housing
• the care act
• decentralising & commissioning
role of local authority - assessment
• education, health and care plan (EHCP)
• fair access to care
• individuals budgets
role of local authority - housing
• choice of residence
• housing adaptions
• meeting house needs
role of local authority - the care act
• removing geographical barriers
role of local authority - decentralising & commissioning
• outsourcing services
• promoting greater choice of range
person centred approach
• see the person as an individual, focusing on their personal needs, wants, goals and aspirations
• the individual becomes centre to the health and social care process
• the support the individual needs must be designed in partnership wit the individual, their family and/or carers
key concepts of person centred approach
• knowing the person as an individual
• empowerment and power
• respecting the individual’s values and preferences
• choice & autonomy
• respect & dignity
• empathy and compassion
pca
• balance between what is important to & what is important for an individual
• enhancing voice, choice & control
• clarification of roles & responsibilities
principles of a person centred approach & how they support person centred care
• independence & rights
• co production, choice & control
• inclusive & competent communities
independence & rights
• live the way they want to
• to be employed
• to form meaningful relationships
co production, choice & control
• be treated as an equal partner in decision making about their care
• be able to make decisions about their life/care
• have more of what is important to them
inclusive & competent communities
• Individuals should have the opportunity to participate in community activities, to volunteer in their community and, ultimately, to feel they belong
• feel valued as a neighbour, friend, tenant, employee, or volunteer
• have friends, social contacts, ways of contributing, reasons to go out each day, a real home, meaningful
work, hobbies, freedom to make decisions
• can use community resources such as sports clubs, libraries, interest aroups & leisure centres
current context of the person centred approach
• the policy landscape
• role of a person centred approach in achieving good practice in the delivery of care services
historic overview
• institutional history of public services
• disability rights movement & links to person centred approach
challenges to adopting a person centred approach
• resistant to change
• institutional history of public services
• lack of training
• institutions promoting a medical model of health
• communication barriers
• respecting choice when alternatives may promote better health/wellbeing
• focusing on deficits rather than capacities
• lack of clarity over roles & responsibilities
methods of overcoming challenges
• values based recruitment
• staff training
• regular review of support provided
• recognising when provision isn’t person centred & taking action to rectify this
• modelling behaviour
tools to find out what is important for a person
• good days/bad days
• routines
• top tips
• relationship circle
• one page profiles
good days/bad days
• encourages individuals to describe good day so professionals can learn & provide support
• what makes good day & what makes bad day
• bad day factors can be identified & avoided
routines
• what is & what isn’t working
• daily routines
top tips
• learn what is most important to & for the individual
• understand critical aspects
relationship circle
• help to identify who individual knows & who they’re closest to
• know who to go to
one page profile
• summary of what matters to an individual
tools that enhance voice, choice & control
• communication charts
• decision making charts
• building effective relationships w individuals who require care/support
communication charts
• essential tool when individuals don’t use words to communicate
• describe they ways an individual chooses to communicate
• reduces frustration, protects dignity & creates a more inclusive environment
decision making charts
• helps carer/professional to support an individual to make decisions by breaking down into 3 sections
• important decisions in life
• how must i be involved
• who makes final decision
• process helps carer/professional to think about how much choice & control an individual has in their life
building effective relationships w individuals who require care/support
• taking & listening builds trust
• treat individuals with dignity, compassion & respect
tools to help clarify roles & responsibilities in the care relationship
• doughnut chat - helps carers to see what they must do (core responsibility), where they can use their own creativity & judgement (middle ring donut), and what’s their responsibility & what’s not (outside the doughnut)
how to develop person centred plans & records
• understand how the individual communicated their wishes & needs
• focus on the individual’s capabilities and how they can best be supported to make decisions
• finding out what is important to a person to have a good quality of life
• Finding out who is important in a
person’s life
review meetings
• check that the individual support & care plan is still right for them & change it if necessary
importance of reviews in health and social care
• putting the individual at the centre of the meeting
• builds & shares info collaboratively
• generates actions
purpose of review meetings
• meet changing needs
• review the budget
• ensure care relationships are effective
• review the person centred description
planning & preparing for review meetings
• understanding the role of the facilitator
• how the individual can be made to feel as comfortable as possible during the meeting - choice of who is there, timing, & location
facilitator
• supports the person whose review it is & considers them to be at the centre of the meeting
facilitator responsibilities
• invites contribution from the people at the meeting
• helps the group compare and explore their different perspectives, enabling them to see the individual, and their relationship with them, in a different way
• assists the group in agreeing a common direction, based on what they learn from their focus on the individual
• checks with the individual that they are happy with the way the review is going.
facilitator questions
• what is working & what isn’t
• how do we achieve needs & wants
• what is important now for this person
conducting review meetings - person centred tools during the meeting
• MAPS (making action plans)
• PATH (planning alternative tommorows w hope)
• essential lifestyle planning
• personal futures planning
MAPS (making action plans)
• planning tool that builds on a shared commitment to support the individual to move towards a more positive future
PATH (planning alternative tommorows w hope)
• aims to identify the individuals hopes/dreams/goals & what it would entail to move nearer to these
• stages -
• create pic of where they would like to be
• identify goals
• first steps to meeting these goals
• identity the people who will enrol to help reach dreams/goals
dreams/goals
• recognise ways of building strength
• action plan for interim goals
• longer term plan
essential lifestyle planning
• uses detailed planning to focus on an individuals life & how it could be changed to provide a more enhanced lifestyle
• recognises what’s important to the individual & what support needed
• 7 tools -
• doughnut chart
• relationship circle
• communication chart
• sorting importance to/for an individual
• matching staff
• what’s working & whats not
personal futures planning
• detailed plan developed for an individuali complex support needs
• starts with their current situation and focuses on changes for the future
review budget
• necessary to keep an individual’s support needs under scrutiny in order to ensure that these needs are successfully being met by the agreed budget
generate actions
• any issues picked up at the review meeting will have an action plan with specific deadlines.
disability rights movement
• originated when ppl wanted independent living, participation, choice, control, & empowerment
• protests from disabled ppl lead to disability rights movement
• act made it illegal to discriminate against disabled ppl in connection to employment, the provision of goods, facilities & services, or the disposal of management of premises
key features of personalisation
• co production
• self assessment of needs
• choice & control
