example of a support plan, leeds adult social care

Upload: rob589

Post on 07-Apr-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    1/10

    Support Plan

    EXAMPLE

    This is what the new Support Plan form will look like. During your training

    you will look in detail at how to fill in each section this is just a basic

    example.

    Add the personsdetails in thissection.

    Add the customersreference number here.

    This could be theirESCR number.

    Add the indicativebudget amount here(which you will haveused the RAS tool tocalculate, after fillingin the information

    from the SDAQ).

    How does the personwant to receive theirsocial care money?

    Ask for the persons bank details.

    This must be an account in thepersons name, specially set up fordirect payments not the personsnormal current account, or anaccount in the name of anotherfamily member.

    1

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    2/10

    The information on this page should closely matchwhat was said in the self-directed assessment form.

    SupportPlan/continued

    Supporttomaintainpersonalhygieneandappearance

    Supportwithroutinesofdailyliving

    Supporttomaintainsafetyduringthedayandnight

    Supporttomaintaininvolvementinthecommunity

    Supporttopreparemealsandmaintainnutrition

    Dont forget to includethe customersreference number on

    every page.

    CareAgency

    worker

    MondaytoFriday

    Helpwash,dressand breakfast.Supportwithlunch.Undress

    and

    puttobed.

    Yes

    FredSmith

    (son)

    Weekend Support withpersonalcare and

    meals. Helparoundthe house.

    Takemeoutinthecommunity.

    No

    TomNg

    (neighbour)Weekly Canhelpwith

    gardenandgoes

    toshops. Willprovideadditional

    helpifFredcannotvisit.

    No

    PA 2daysperweek

    Takemeouttopursueactivities

    andhelpmecontinuetobe

    involvedinthecommunity.

    Yes

    This bit is aboutwho is able tosupport the serviceuser this could befriends, family orpaid supportworkers.

    The informationhere should matchup with what theperson has said

    during theirassessment andwhat has beenrecorded in theirSDAQ.

    2

    Lookbelowthesurfacetoclearlyidentifyapersons

    genuine,eligibleneeds.Dontbeafraidto(politelyandsensitively)challengewhereyoubelievesomeoneschoices

    areunrealistic.

    These will reflectthe needs identifiedin the completedSDAQ.

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    3/10

    The information on this page should closely match what wassaid in the self-directed assessment form.

    SupportPlan/continued

    Gettingout, seeingmyfriendsandbeingpartofthecommunityar

    eall

    important.Familyisveryimportanttomeeventhoughthey have

    hadto

    moveaway.Myhealthisimportanttomeandthestrokemademe

    think

    againaboutwhatIeatandhowIlivemylife.IknowIneedtodo

    more

    exerciseandeathealthyfood.IthinkifIfelthappieraboutthin

    gs

    generallythenIwouldfeelmoremotivatedto dothat. Iwantto

    feel

    safe,independent,andbecomemoreactive.

    MostofallIdont wantpeopletofeelsorry forme,ortofeelas

    though

    Ihavenothinglefttooffer.

    Encourage the personto talk about what isimportant to them.What do they like?What kinds of thingshave they done in thepast? Who are theimportant people intheir life?

    Ineedsupporttomaintainmydailyroutine,tokeepmehealthy,sa

    fe

    andwell. Ihavedevelopedagoodrelationshipwiththecarersfr

    omthe

    agencysoIwouldliketokeepthem. Ineedsupport togetoutan

    dabout

    andmaintaininvolvement.However,Idontwant togotoatradit

    ional day

    centrewhichIfindboring. IdratheruseaPAtotakemeoutan

    ddothe

    thingsIused todo,likegoingtothepaintingclass,bow

    lsortosupport

    metovisitfriendsandfamily. Mydaughter-in-lawFatimaispregnantand

    Iwouldliketobe anactivepartofmy grandchildslife.

    This question is more

    about how the personwants their life to belike. What would theylike to change? Whatwould they do if theycould?

    3

    Customers reference number

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    4/10

    The final question of this section looks at outcomes andhow the person plans to achieve them ...

    SupportPlan/continued

    4

    Now,telluswhatoutcomesyouhave

    fromtheabove,andhowyou

    willachievethem.

    Getoutmore,

    maintaininglinkswith

    mycommunity

    SupportfromanPAtwicea

    weekandsomeextrahelp

    fromFredatweekends

    PA@8anhour,

    8hoursperweek

    =64aweek,

    3328peryear

    Supporttomaintain

    personalhygieneand

    appearance

    Supporttoassistwith

    mealpreparationand

    maintainnutrition

    Supportfromagencywith

    wash,dressandbreakfast.

    Mealssupportandundress

    andputtobed

    7.5hours

    aweek@14=

    105aweek,

    5460peryear

    Supporttomaintain

    safetyduringdayandnight

    CareRingandtelecare

    personalpendantalarmand

    fallsmonitor

    Free

    Supportfromsonand

    neighbour

    Free

    Supportwithroutinesof

    dailyliving

    1. Looking back atquestions 4 and 5,work with theperson to identifyoutcomes that is,the things theywould like toachieve. These willnormally be things

    to help themimprove their qualityof life, live moreindependently orkeep healthy, safeand well.

    2.For each outcome, ask theperson how they plan to achieveit this might be through support

    from another person, or use ofequipment, or some other way.

    Customers reference number

    Lookbelowthesurfacetoclearlyidentifyapersons

    genuine,eligibleneeds.Dontbeafraidto(politelyandsensitively)challengewhereyoubelievesomeoneschoicesare

    unrealistic.

    3. In this column, show whowill provide support and how

    much it will cost.

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    5/10

    Questions 6 and 7 are about risks, decisions and choices.

    SupportPlan/continued

    Customers reference number

    Apersonalalarmwillhelpmefeelsaferinthehousealone,knowing

    thatifIfell,Icouldcallsomeone. Afallsalarm

    willraisehelpifIfall

    inthehouseduringdayornight.

    Supportof1careworkerwillensureIamsafew

    henwashingand

    dressing.SupportwithmealswillensureIhavea

    goodbalanceddiet.

    Smokedetectorswillraisealarmifthereisafire

    inmyhome.

    AtthemomentIamconfidentinmyabilitytoma

    kechoicesand

    decisions. MysonFred,andsometimesmydaugh

    ter-in-law,Fatima,

    helpmetakeanybigfinancialdecisions,butIam

    confidentthatIcan

    stillmakechoicesaboutmyownlife.AsIgetold

    erIknowIwillrely

    moreonFredandFatima,butIvaluetheirjudgment.

    Ask the person whatrisks there might be inthe outcomes they haveidentified in their plan.How will they managethese risks? What arethe benefits in taking

    these risks?

    Does the person needany help makingdecisions? What kindof decisions do theyneed help with? Isthere anyone whohelps make decisionsnow? Will someonehelp in the future? Ifso, how does theperson feel about this?Will their views betaken into account?

    5

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    6/10

    Ask the person how they will manage if something goes

    wrong ...

    SupportPlan/continued

    Customers reference number

    If my PAisunabletovisit,mysonFredisusuallyable tocomeat

    short

    notice.Howeverhewill beworkingfull-timesoon. Luckilyhisjobi

    s

    flexible,butIwillrelymoreonTom,my neighbourandlong-time

    family

    friend. TomandhiswifeoftenhelpmeifFredisnotavailable. Ift

    hings

    wentseriouslywrongIknowIcouldcallonmydaughter-in-law.

    If support is unavailable, itis important that theservice user has otherways to get support , evenat short notice. Check ifthere are other people whocan help, and people theycan contact in anemergency.

    6

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    7/10

    This is where the person shows how they will spend their budget,

    breaking down individual support costs. If there isnt enough

    money for everything the person wants to do, help them identify

    what is really important to achieve the outcomes that will keep

    them healthy, safe and well.

    SupportPlan/continued

    Customers reference number

    PersonalAssistant

    CareAgency

    PA@8anhour,

    8hoursperweek

    7.5hoursper

    week @14

    33285460

    8788peryear Add the overall costof the support planhere.

    7

    Again,

    rememberto

    lookbelowthe

    surfacetoclearly

    identifyapersons

    genuine,eligible

    needs...

    Remindtheserviceuserthat

    theymightbeabletoaddtotheirbu

    dgetthroughothersourcesoffundingandsupport,e.g.AccesstoWorkor

    SupportingPeople.

    List types of support here,along with the hoursrequired and the cost per

    hour. Add the total at theend.

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    8/10

    Question 10 is for Adult Social Care use only. Indicate whether

    the persons needs in areas such as physical and mental health,

    personal care, family responsibilities etc. are low, moderate,

    substantial or critical.

    SupportPlan/continued

    Customers reference number

    Tick/check the boxes asappropriate ...

    If you answer YES toany of these questions

    you must attach thesupporting paperworkas appropriate.

    X

    X

    X

    X

    X

    X

    X

    8

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    9/10

    Question 11 is for Adult Social Care use only. This is where you show

    the full breakdown of the personal budget, and how the person

    would like to receive it.

    SupportPlan/continued

    Include the personsdetails here ...

    Does the serviceuser receive direct

    payments or use apersonal budgetalready?

    Add the dates asappropriate, andthe name of thesupport planauthoriser ...

    Indicate thepersons preferredbudget optionhere...

    Show the budgetbreakdown here ...

    Here is theweekly amountthe customer willreceive.

    Any additionalinformation youfeel is relevant?

    Customers reference number

    9

  • 8/4/2019 Example of a Support Plan, Leeds Adult Social Care

    10/10

    Question 12 is a summary of the approval process, showing the dates

    the support plan was completed, agreed by the team manager,

    considered by the gatekeeping panel and the outcome.

    There is also space to include the date and outcome if the plan has

    been sent to a specialist panel.

    SupportPlan/continued

    Fill in the dates asappropriate ...

    Customers reference number

    10