Making the Change

In Control Cymru June 2009

I. A. S.I. A. S.• Supported Tenancies, Community Support

& Supported Employment

• Work with:•4 SSD’s in Greater Manchester

•Increasing number of families / Trust Circles

Generally a better arrangement

Individually

designedCommissioned whilst delivering the goods

Block Contract

£500,000 for 12 people

£140,000

IAS’s Continuing Journey to Real Choice and Control

£130,000

£95,000

£135,000

Block Contract

£500,000 for 12 people

£130,000

£140,000

£135,000

£95,000

£80,000

£30,000

£20,000

Block Contract for 12 people with 3 people receiving Individually designed Service

(Supported Living)

Supported Living = shift in power, in that

•Chooses who supported by

•Chooses when supported

•Chooses whether to live by self or not

Yet still a passive player within Commissioning Process and seen as ‘up for sale’

Provider led Individual Service Fund (ISF)

within Block Contract•Current cost is identified within Block Contract and ring fenced for the individual

•Clear allocation of resource enables support planning to happen

£ Support Plan Life

•Each ISF is self contained i.e. all costs included and the rest of the block contract is also financially sustainable

•Service co-ordination and development costs, along with company costs, can be taken out, and direct support costs can be converted into hours as this is easy to implement and monitor

77%

Direct Support

9.5%

13.5%

Company costs

Service co-ordination & Development

Provider led Individual Service Fund (ISF) within Block Contract

•Implementation of Support Plan and use of hours are regularly reviewed, involving the person, family member(s), friend(s), social worker and team leader

•Hours can be creatively used in differing ways:

•Week-end away

•Late night clubbing

•purchases

Moved into own 2 bed house Moved into own 2 bed house Group Home = 4 people + 210 contact hoursGroup Home = 4 people + 210 contact hours Now 180 hours for 3 people + 30 for ‘Paul’ Now 180 hours for 3 people + 30 for ‘Paul’

‘‘Paul’ / Team Leader monitor 30 hours Paul’ / Team Leader monitor 30 hours ‘‘Paul’ can decide:Paul’ can decide:

– When he’s supportedWhen he’s supported– Who he’s supported byWho he’s supported by– Whether he needs all 30 hours in a particular weekWhether he needs all 30 hours in a particular week

‘‘Saved up’ hours Saved up’ hours City Breaks City Breaks

‘Paul’

Moved into own flat from family home 7 years agoMoved into own flat from family home 7 years ago

Sally can decide:Sally can decide:–When she’s supportedWhen she’s supported–Who she’s supported byWho she’s supported by–Whether she needs all 22 hours in a particular weekWhether she needs all 22 hours in a particular week

Really enjoys late night – clubs / dancingReally enjoys late night – clubs / dancing Needs support for this, and needs to employ staff who are Needs support for this, and needs to employ staff who are

happy to do thishappy to do this Staff are paid 1½ times Standard Rate after 11:00 p.m., Staff are paid 1½ times Standard Rate after 11:00 p.m.,

therefore 11:00 p.m. – 3:00 a.m. = 6hours (4x1½)therefore 11:00 p.m. – 3:00 a.m. = 6hours (4x1½)

‘Sally’

Receives 35 hours of contact time.Receives 35 hours of contact time. Brian has:Brian has:

–Control over who supports himControl over who supports him–When he is supportedWhen he is supported–Whether he wants to use all 35 hours in a particular weekWhether he wants to use all 35 hours in a particular week

Can go through periods of low motivation and apathy.Can go through periods of low motivation and apathy. Can convert his contact hours into £ and purchase short Can convert his contact hours into £ and purchase short

term membership at his local gym / personal trainer time, term membership at his local gym / personal trainer time, a massage or computer gamesa massage or computer games

‘Brian’

Saving up hours for highly desired activitySaving up hours for highly desired activity Converting standard hours into unsocial hoursConverting standard hours into unsocial hours Converting standard hours into £Converting standard hours into £

All this possible when provider takes the initiative, All this possible when provider takes the initiative, and the Commissioner has similar values and and the Commissioner has similar values and philosophy, and;philosophy, and;–Belief in working in partnership / spirit of collaborationBelief in working in partnership / spirit of collaboration–Mutual respectMutual respect–TrustTrust–communicationcommunication

Individual Budget established by SSD and held by person / family / agent

•The Individual Budget brings together all the money a person is entitled to from a variety of income sources

•What’s working / not working. Individual Review Process allows person / representative to evaluate whether person is happy with current provider

•If happy with current provider, person / representative commissions service and clear allocation of resources allows support planning to happen

•Support Plan is implemented, but accountability is to the person commissioning……….no longer the safety of a Block Contract

Individual Budget established by SSD and held by person / family / agent

•If unhappy with current provider, person / representative has options:

ISF current provider

ISF different provider

Employ own staff

Individual Budget established by SSD and held by person / family / agent

•If unhappy with current provider, person / representative has options:

ISF current provider

ISF different provider

Employ own staff

Development of Trust Circles as a vehicle for further developing choice and control

MOVING ON IN WIGAN

+

+ +

3 + 1 People280 Hrs + 70 Hrs w/night

2 + 1 People224 Hrs + 70 Hrs w/night

1 Person56 Hrs

2 People158 Hrs + s/night

1 Person

115 Hrs s/night

1 Person

42 Hrs

(6 hrs per day)

MOVING ON FROM THE GROUP HOME

Not gaining enough allies

Resistance to change and wanting quiet life

Not really being serious

Being skilled at excuses

Insufficient creativity/imagination

Disorganised

Over-protection

Low expectations

Over-coming the obstacles/barriers

SOMEBODY HAS SOMEBODY HAS

TO DO SOMETHING TO DO SOMETHING

AND IT’S JUST AND IT’S JUST

INCREDIBLYINCREDIBLY

PATHETIC IT HASPATHETIC IT HAS

TO BE TO BE USUS

GERRY GARCIA