ppt final 150212 mrl edit
TRANSCRIPT
Friday, 17 February 2012
Local Voices, Local Choices in Essex
Housekeeping and Introductions
Susannah Westwood
Welcome
Cllr. Naylor, Cabinet Member for Adults, Health and Community Wellbeing
Liz ChidgeyActing Executive Director Adult Social Care
17th February 2012Adult Community Learning Centre, Bishops Hill
Local Voices, Local Choices
5
Setting the scene
• Good outcomes in everybody’s interest• Financial climate• Think Local, Act Personal • White Paper for Adult Social Care Reform Spring 2012• Welfare Reform
6
The priorities for commissioners
• Personalisation of services • Sustainable outcomes• Value for money • Innovative models of both accommodation and services• Partnerships and integration• Market development activity to ensure availability of a range of
accommodation offers
7
How does the market need to respond?
• Embrace the personalisation agenda – • Understand that we are moving from a wholesale model of
provision to a retail model• Changing the relationship between commissioners and providers
to encourage a range of accommodation and service offers
8
What can today offer you? • Sharing expertise, information and best practice to support your
future business planning including:
– How My Home Life has helped providers develop their offer– Innovative practice in End of Life Care– A provider’s perspective on Value and Outcomes in
accommodation services– Introducing the Market Position Statement– Is Supported Living an option?
9
Let us know what you think
• This event is part of our commitment to supporting the market to innovate and help individual providers to develop their business
• Participate fully in these opportunities – evaluation forms are provided and let us know what you think, or what you might benefit from in future
• Commissioners and service users are committed to personalisation – and we want providers to join us in working toward this
Promoting Quality of Life in Care Homes
Tom Owen (National Director)
Promoting Quality of Life in Care Homes
My Home Life Programme UK
Promoting quality of life for those living, dying, visiting and working in care homes for older people.
Promoting Quality of Life in Care Homes
Support• Age UK, Joseph Rowntree & City University
Other key organisations:
Essex County Council
Relatives & Residents Association
National Care Forum
English Community Care Association
National Care Association
Registered Nursing Home Association
Care Forum Wales
Scottish Care
Independent Health & Care Providers
National Care Home R&D Forum
Promoting Quality of Life in Care Homes
Ethos and values• True collaboration with the care
home sector
• Working to their agenda for quality
• Focusing on “what works?”
• Acknowledging challenges
• Whole-systems approach
• Community support
Promoting Quality of Life in Care Homes
MHL UK Activities
•Synthesising evidence
•Providing leadership
•Developing resources
•Creating networks
•Supporting change
•Maintain momentum
Promoting Quality of Life in Care Homes
Creating Resources and sharing practice:Website - Newsletters – Newspaper. Awards - Charter - Event/s
Leadership Support Programme & Master Classes for 80 Care Home managers
Synthesising evidence: Exploring how to improve resident voice, choice & control
Inclusion & Outreach: Schools, Arts, Music, Libraries etc
Supporting Changee.g. Better Transitions Network; Community Volunteers Initiative; Quality Improvement Team
MHL Essex Activities
Promoting Quality of Life in Care Homes
The emergence of the leadership support programme
•Sector acknowledged huge pressures on managers...•But managers pivotal to improvement•Often managing from a position of fear and anxiety•Often isolated and undervalued
Promoting Quality of Life in Care Homes
What support is offered?•Leadership support for managers in over 250 care homes for older people (80 in Essex)•12 month half day programme •Supporting managers’ own journey of change•Offering reflective space•Supporting skills training/ coaching•Supporting evidence-based relational practice
Promoting Quality of Life in Care Homes
Emerging outcomes•More resilient, assertive, skilled managers
•More support to staff/ reflective spaces
•Calm – more relational environment
•Staff taking initiative/ advocacy
•Greater staff connection with residents
•Residents less withdrawn/ more involvement
•2 way engagement between staff, residents, relatives
Promoting Quality of Life in Care Homes
Factors underpinning success•Working in true partnership and collaboration
•Celebrating and building on the positive: ‘What works well?’
•Acknowledging challenges/ barriers
•Building on energy and enthusiasm
•Breaking down divisions, brokering dialogue across agencies
•Engaging broader community support
•Ownership by the sector rather than by the council
Promoting Quality of Life in Care Homes
Contact Details•My Home Life Programme•http://www.myhomelife.org.uk
•Prof Julienne Meyer, Exec Director•Tom Owen, Director
•City University•Philpot Street•London E1 2EA, England, UK
•Tel: +44 (0)20 7040 5791/•Fax: +44 (0)20 7040 5529•Email: [email protected]
Clare Silvester & Linda Curran
An Introduction to Quality Improvement team
22
Who we are
• Essex County Council’s Adults Health & Community wellbeing Quality Improvement Team, is committed to making the experience of people who use care services in Essex one of excellence
• The QI team are skilled and talented, experts by experience. The knowledge of the team encompasses all specialism's operating in the Essex care market.
• We pride ourselves on being approachable and are advocates of partnership working.
23
Our vision
• We will work in partnership with you and support you to positively reflect on the service you provide.
• Celebrating what you do well and identifying development opportunities in your service.
• We want the Essex care market to be recognised for delivering innovative, exciting and creative person centred services.
24
The role of QI Officer & Consultant
• By working in partnership with you, we will raise standards in your service.
• We have proved to be a positive asset to the Older People's Residential Care Market and are currently launching the QI service into the Mental Health Sector.
• We work in close collaboration with Health colleagues and Social care professionals, local communities and the voluntary sector.
• We develop networks, share knowledge, resources and good practice that assists continuous improvement of care services in Essex.
25
The role of the Quality Improvement Assistant
• Creating opportunities for service users to feedback on the service they receive
• Compliments the work of the Quality Improvement Officer.• Gathers feedback from the service users to form part of QI
development work with the home• Method of engagement: Effective face
to face discussions between service users and QIA’s
• The QIA role ensures that service users remain at the heart of all improvement work.
26
Service user feedback
• Essential to keep service users central to the process• Design of service user feedback forms • Provides information regarding outcomes &
performance from a service user perspective• Person centred approach• Feedback gathered in conjunction with
provider assessment work • Qualitative constructive feedback to share with
the providers
27
Future Developments
• Room for on-going improvement and support • Market development- raising the bar• Promoting service user engagement • Identifying barriers and solutions identified by providers across
the Essex care market.• Scope for a best practice website or central resource hub
(similar to My Home Life Essex – utilised in the OP Residential Market.)
• Identifying resources including specific provider training programmes
28
The Team
• First column bullet here
Clare SilvesterSenior Quality Improvement Consultant
Business Quality Improvement OfficerLesley Cruickshank
Head of External Standards & ImprovementAngela Gibson
Business Quality Improvement AdministratorRachel Hutchon
Linda CurranPaul HutchinsonTeri MarlowChris MellorJane TreadwellCarol WeymanSylvia Woods
Quality Improvement Officers
Quality Improvement AssistantsKaren ButlerImelda MinnsBen Fenner
Jan LockyerProject Manager
Lesley Ferguson Commercial Team Source & Supply
Commercial Team
31
Responsibilities
• Account Managers & Commercial Support• Over 2,000 contracts • Residential, Nursing, Day Care & Home Care• Older People & Working Age Adults
32
Commercial
• Strong focus on commercial awareness• Understanding of how the care market
operates and setting up commercial arrangements with the market.
• Encourage competition through contracting. • Take calculated risks to drive value and
encourage innovation.
33
Account Management
• Management by Company • Innovative care service opportunities • Saving opportunities to benefit both parties
34
Procurement
• Change in approach• BVRL & PSRL• New approach creating competition on price
and quality • Encouraging good quality care • Regular review of price & quality• Self assessments
35
Working Age Adult Residential Framework
• LD, P&SI and potentially Mental Health • Detail clear criteria for standards • Cover specific target areas • Autism & Aspergers, Challenging Behaviour
and Move on services.
36
The Contract will also…..• Specifications focus on the potential for
individuals
• Providers to realise individual aspirations • Lead as independent and inclusive lifestyle as
possible. • Providers will have clarity around the
expectations of ECC
Local Voices, Local Choices in EssexEnd of life Care Strategy and beyond
…..
Tes Smith Operational Service Development Manager
End of Life Care. &
Social Care Lead - National End of Life Care Programme
Who am I?
• Operational Service Manager in Essex with EOLC lead
• Developed the Essex EOL strategy to ensure we have an action plan to embed EOLC in all we do
• My role is around raising awareness, promoting integration and joint working
• Developing resources and training to support the EOLC agenda in Essex
Is this a risky topic to discuss?In our society death seems to be considered as sex was to the Victorians- necessary
but the less said about
it the better!(UKCP issue 45)
Facts:
Someone is diagnosed in this country with cancer every 2 minutes …
How about adding to that
Those with:heart failure, Stroke,Neuro conditions,Accidents,dementia ...?
The outcome of some of these will be:
Someone dies in this country every minute …(dying matters - NCPC)
56 -70% of people would prefer to die at home, yet of the 500,000 people who die each year in England, 58% die in hospitals.
In Essex good work is being done – mare needs to happen
Dying matters…www.dyingmatters.org/site/why-talk-about-it
• 81% of people have not written down any preferences around their own death,
• only a quarter of men (25%) and just over one in three women (35%) across England have told anyone about the funeral arrangements they would like to have after they die.
•Nearly two-thirds of people (60%) have not written a will – including a quarter (25%) of over-65s.
National End of Life Strategy
2008
National End of Life Care Strategy set out core principles:-
People approaching end of life are on an EOLC register
Each person is offered a care plan and their wishes and preferences are identified
Staff receive training and supportThere is appropriate access to GP, district
nursing and specialist palliative care
All the BIG society reports and policies are well and
good but the challenge is to achieve this in Essex ...
So how? - your role?
All professionals and care providers have a vital role to play in supporting people to live and die well, in the place of their choosing.
Greater integration is needed across all care and support services, particularly social and health care, to improve the experience of dying for the individual and those around them.
Raising awareness - This includes tapping potential in the wider community (and other public services) to enhance quality of life at this stage.
How do you ensure the
individual gets heard?
The individual is absolutely at the heart of all
conversations about them and for them.
People are ‘worked with’- patients are ‘done to’ …
Ensure all assessments start with a ‘rest of your life’ plan – early conversations
Support plans clearly state aspirations of the individual and where appropriate family & carers
How do you ensure this as an
individual?
• Be curious and look for the clues or cues …
• People, staff and service users often don’t know how to start the conversations either and will often hint at what may be on their mind.
• This may be in words or actions …
• There are currently approximately 1.5 million people in the UK with a learning disability. People with learning disabilities account for about 2.5% of the English population with an average GP surgery likely to have 50 learning disabled people on its register.
Where the dying person with learning disabilities has challenging behaviour, mental health problems or profound learning disabilities then careful consideration needs
to be given to the best place in which to provide their care and to the support needs of those around them.
Many hospitals and hospices and care services may not have experience of caring for people with learning disabilities who are dying.
It is therefore important to seek educational opportunities to ensure they are fit for purpose to care for this client group at the end of their lives.
Previous bad experience of mainstream health and social care may make service users reticent
to engage with those organisations which do take care of the dying.
Tools to use?
‘Route to success in end of life care – achieving quality for people with
learning disabilities’
www.endoflifecareforadults.com
It is intended that the guide will support
practitioners and staff (working in all the settings in which people with learning
disabilities live) to develop their awareness and understanding of the end of life care pathway and how it relates to people who have learning disabilities
Preferred Priorities for Care document - easy
read version• This easy read version of
the Preferred Priorities for Care (PPC) document is designed to help people with learning disabilities prepare for the future.
• It gives them an opportunity to think about, talk about and write down their preferences and priorities for care at the end of life www.endoflifecareforadults.com
Question for you …
Which key do you hold for someone in your little bit
of Which conversation can
you start ?
Contact me:
Tes Smith
or
Social Care Lead, NEoLCP
National End of Life Care Programme:
www.endoflifecareforadults.com
Personalising the
Offer for
Residential Care
Our Vision
“RCHL exists to support vulnerable
people to lead their lives as they wish
and to challenge barriers that prevent
individual choice and fulfilment”
Regulation?
Is Regulation the barrier or is it our practices?
Commissioning
Its not just about the money, Personal Budgets are only a
mechanism?
Challenges
• Investment & Resources
• Challenging established working practices – even for TUPE staff!
•Staff Behaviours being aligned with RCHL Core Values.
The Way Forward?• Community Connecting. “Real Lives”
• Organisational Learning
•Partnership Working
•Measuring REAL Outcomes
•Values Led Behaviours
HI MY NAME ISEMILY
IN 2009 I WAS LIVING AT HOME WITH MY FAMILY
I DECIDED I WANTED TO BE MORE INDEPENDANT AND MOVE OUT
I SPOKE TO MY LINK WORKER AT THE CENTRE I GO TOTHEN SHE CONTACTED A SOCIAL WORKER TO HELP ME.....
THE SOCIAL WORKER EXPLAINED EVERYTHING TO ME AND TOOK ME TO LOOK AROUND A HOUSE
I LIKED MASON WAY SO WE ARRANGED FOR ME TO VISIT FOR LUNCH I HAD MY ADVOCATE WITH ME.
THE NEXT TIME I VISITED I STAYED FOR THE DAY & GOT INVOLVED WITH DAILY HOUSEWORK & COOKING
THEN I DID AN OVER NIGHT STAY
THE DIFFICULT PART WAS TELLING MY FAMILY – I AM PROUD THAT I WAS BRAVE ENOUGH.
MY FAMILY HELPED ME TO MAKE THE MOVE.
I HAVE A ROOM AND I SHARE THE REST OF MY HOUSE
NOW I GO TO COLLEGE TOO
I HAVE JOINED LOTS OF GROUPS
THE NEW SKILLS I AM LEARNING:
I GO OUT SOCIALLY
MY FUTURE PLANSI AM GOING TO ATHENS TO TALK ABOUT MY STORY.
I WOULD LIKE TO GET A JOB, MAYBE WORKING IN A SHOP.
Local Voices Local ChoicesFriday 17 February 2012
Our vision is a world where disabled people have the same opportunities to fulfil their life ambitions as non-disabled people.
Our purpose is to drive the changes that will make our society the first in which disabled people are able to realise their full civil liberties and human rights.
Our vision and purpose
David's Story
He is 25 years old He has cerebral palsy He has significant learning difficulties He uses a wheelchair He communicates verbally but needs assistance to understand whatis going on around him
Who is David?
When David came to Scope as an adult he found things difficult to manage
•Noise•The people he lived with•His behaviour
David lacked the capacity to decide where he lived
David’s Story
David gained a place at our transition service where he developed strategies to help him cope with the things he finds difficult.
David consistently demonstrated his desire to live on his own
David’s team worked with David, his family and key professionals to understand how this could be possible
David’s Story
David’s family were afraid he would be,
•Lonely•Isolated•Vulnerable
David’s Story
Scope provided David with a flat within the transition service where he was safe and had the support he needed to develop within his new environment
•David was happy•David’s family could see he was happy and not lonely or isolated•David demonstrated his capacity to choose where he lives
David’s Story
David continued to thrive and has now moved to his own flat where he is the tenant
Scope continue to support David in his new home
David takes part in the wider community and activities such as Tai Chi, doing voluntary work and spending time out with his friends
David’s Story
Everything we do at Scope is about inspiring belief in the possible. And the thing we absolutely believe is possible is that by working together our society can change for the better. So that disabled people have the same opportunities as everyone else.
That’s why we share stories of inspiring real life experiences, aspirations and ambitions of disabled people and their families or friends. The things they tell us they’d like to do in the future – the things we support them to achieve. Every day.
It’s the reason were here.
Why stories are important to us
David’s story and others like his have set Scope on a mission to transform our services in Essex and across the country
Our beliefs
We see the person and we set no limit on potential.
We believe in independence, inclusion and freedom to choose.
Everyday life equality. No more. No less.
Together we can create a better society.
Our beliefs
What is value?
Mick DaviesRegional Manager
Learning Disabilities and Mental Health
Value to commissioners
• “VfM is about obtaining the maximum benefit from the resources available”
• “VfM not only measures the cost of goods and services, but also takes account of the mix of cost with quality, resource use, fitness for purpose and timeliness to judge whether or not, together, they constitute good value” (The Improvement Network)
• Price is what you pay. Value is what you get (Warren Buffett)
Valued by service users
• To be protected from harm
• Dignity and Respect
• To have the right to choose where, and with whom, they live
• Equal access to health care
• To be free to make choices
• Access to work and other meaningful activities
• To be heard
Value. A providers eye view
Value. A providers eye view
Key issues:• Agreeing concepts of quality – involving service users
• Establishing framework to negotiate fees (CFC etc)
• Large home efficiencies v small home life quality benefits
• Investment in the future – commissioning commitment
• Partnership for strategic planning. Sharing information about future capacity requirements, specialist needs etc
• Sympathetic consideration of provider cost changes (NMW increases, new regulations etc)
Value. A providers eye view
Financial stability/viability
• Threats: Reducing fee levels & fewer referrals.
• Increasing costs due to changing regulations, commissioner/service user expectations
• “Tipping point” closer for small, independent providers
• Financial failure usually results in unmanaged home closures (little warning or opportunity to arrange alternative placements)
Value. A providers eye view
Conflicts and contradictions• Funding of LA operated homes
• Matching approved/preferred provider arrangements to independent audits of services (CQC/HSE/EHO etc): Higher quality = more referrals = higher fees
• Consistency in values across commissioner organisations:
• ECC staff expenses provision for 24 hr subsistence (Bed + meals only)= £130 per day/£920 per week
• Current ECC placement in THG in Essex range from £380 per week (Bed, meals, 24 hour personal care, transport etc).
Whilst independent sector providers are often seen as the poachers of the care field, it must be said that the gamekeepers wear some suspiciously furry coats.
(Anon)
Mick [email protected]
01255870237
Service Models and Progression
Context – learning disabilitiesIn 2010 /11 the council spent £54.4 million on residential and nursing care for adults with learning disabilities, and supported 1,072 adults (18+) in registered care.
£0
£100
£200
£300
£400
£500
£600
Expenditure on registered care for adults with learning disabilities per 10,000 population (2010-11)
We spend more on registered care for adults with learning disabilities than other similar authorities.
The amount we spend on registered care for adults with learning disabilities is beginning to fall.
£0
£10,000
£20,000
£30,000
£40,000
£50,000
£60,000
£70,000
2005/06 2006/07 2007/08 2008/09 2009/10 2010/11
Essex Net Expenditure (£000) on Registered Care for Adults with Learning Disabilities
Context – physical impairmentsIn 2010 /11 the council spent £9.4 million on residential and nursing care for adults with physical impairments, and supported 240 adults (18+) in registered care.
The amount we spend on registered care adults with physical impairments is increasing, and we are concerned about this. £0
£1,000£2,000£3,000£4,000£5,000£6,000£7,000£8,000£9,000
£10,000
2005/06 2006/07 2007/08 2008/09 2009/10 2010/11
Essex Net Expenditure (£000) on Registered Care for Adults with Physical Impairments
ProgressionPeople should wherever possible be supported to achieve greater independence.Providers working with people on a daily basis are best placed to support this progression.As commissioners we need to find a way that incentivises providers to achieve this.
Intensive Support Planning using
Behavioural AdvisorsEnablement & Employment
Assistive Technology
Progression
Too many young people and emergency placements enter
registered care and do not move on
Move on services Registered Care
Move on services Supported Living
Too many people reliant on night time support
Large reliance on traditional day care
Cos
t of S
uppo
rt
Issue
Current Service Model
Proposed Intervention
Own Home / Family Home
Universal Services
Own Home / Family Home
Low Level Community
Services
Own Home Floating Support
Supported Living 24 hr
Care
Registered Care
Registered Care /
Supported Living Very Complex Needs
Hospital / Assessment &
Treatment Unit
Supported Living Floating
Support
IssuesWe still spend too much money on registered care for adults with learning disabilities (45% of our budget compared to an average of 38% for similar councils).
Too many adults with physical impairments are being admitted into registered care, and the number is increasing. A major cause is homelessness and a lack of suitable accommodation.
Too many young people are admitted into residential colleges outside Essex.
Young people admitted to registered care, and people admitted due to an emergency too often get “stuck”. They become dependent on the support provided, and their families become accustomed to the safety and stability that these placements provide.
The Role of Registered CareThere is a need for good quality registered care provision for working age adults in Essex.
There is an increasing demand for placements that can support people who display behaviours that place themselves or others at risk, and people with profound and multiple disabilities.
There is a need for placements that can support young people to mature and develop the skills required for more independent living.
There is a need for placements that can respond quickly to emergency situations, however these should help people prepare for the next phase of their life.
There is also demand for placements that can support people towards the end of their lives. Dementia and other age related conditions are increasingly prevalent.
The Role of Registered CarePersonalisation is about how people experience the support they receive on a day to day basis, and the relationships they have with the people providing this support. Registered care can and should be delivered in a personalised way.
We want to find a better way to reward providers who enable people to progress to more independent living.
We believe there is sufficient demand from young people entering adult services to ensure a healthy throughput of people for providers with the skills to support progression.
We want to work with providers to help this market to grow.
More information about our commissioning intentions for working age adults can be found in our Market Position Statement.
Cllr. Brown, Deputy Councillor as Member for Adult, Health & Community Wellbeing
people lives communitiespeople lives communities
Key Issues to Consider - Housing and Support for People with Learning Disabilities
Steve Strong, Housing and Social Inclusion Project Manager, NDTi
people lives communities
About the NDTi
The NDTi is a not for profit organisation concerned with promoting inclusion and equality for people who risk exclusion and who need support to lead a full life.
Our aims are to:Shape and influence policy and public debateEnable a stronger voice of people to be heardSupport services to work differently so that they
promote inclusive livesSupport communities to be welcoming and inclusive.
people lives communities
Housing and Social Inclusion Project
Work with an identified number of people and support them to move from residential care to ‘settled accommodation’Learn from experiences across the 8 sites about what does and does not help this process the impact of the move on people’s community connectionsDevelop learning and good practice materials that support this changeShare the learning across the country
people lives communities
Policy shift towards independence, choice and control
Valuing People & Valuing People Now
Improving the life chances of Disabled People
Personalisation and personal budgets (including
a move away from residential care)
And NB people’s expectations are changing
people lives communities
Facts and figures
33,000 adults with learning disabilities live in 6255 residential care homes (30% of people)
55% of adults with learning disabilities live with their families
15% of adults with learning disabilities have a secure tenancy or own their own home
people lives communities
Supported Living Residential Care
Own home or tenancy. Security of tenure. Licence agreement with no security of tenure.
As a tenant or homeowner the person has a right to choose who provides their support and can change support arrangements without moving home or move home without changing support arrangements.
Support is provided as part of a package with housing and either element cannot be changed.
As a tenant or homeowner the person has a right to choose who they live with if anyone.
Good practice in residential care dictates that housemates should be well matched as much as possible but in practice many people live with people they do not choose to live with.
Tenants and homeowners have rights to full welfare benefits including housing benefit, income support and disability living allowance.
People in residential care have rights to limited amounts of welfare benefits and most people access a residential care allowance of approximately £20 per week to purchase personal belongings, clothes and holidays.
Can access Direct Payments, Personal Budget, Supporting People Grant, Independent Living Fund for support.
Cannot access additional funding for support.
people lives communities
Valuing People Now says...
People with learning disabilities:
Can live successfully in different types of housing
Can cope with the full range of tenures, including home ownership
Should get help with person centred approaches to making choices
people lives communities
Valuing People Now says..
People with learning disabilities must have the same housing rights as everyone else
People should be able to get ordinary housing more easily
No-one with a learning disability should live permanently in NHS services
people lives communities
Valuing People Now says..
People still have little choice of where or how they live – most live with family carers
Mainstream housing needs to be more inclusive
Increase focus on access to home ownership and assured tenancies rather than residential services
people lives communities
Potential Impact
More people:
Want choice
Want ordinary and individual housing solutions (not shared registered care)
Need advice and support to get individual housing
Expect rights and security
Choose how their support is provided
people lives communities
The Issues
Lack of information
Limited choice of housing and support
Reliance on residential care in many areas
Lack of involvement of people and families
Safety and support needs
Managing funding pressures, resources
people lives communities
The Issues
Need better use of existing housing
Choice based lettings systems not always working well
Better communication between services
Need better planning systems
Market driven by providers
Historical patterns of provision in parts of the country
people lives communities
The Issues
People living out of county in residential care – issues with ordinary residence
Providers not really giving tenants control over their home
Lack of understanding of what supported living is
A need to clarify the different responsibilities of being a landlord from being a Registered Care Home provider
Providers feeling nervous about regulation and legality of new housing and support services
people lives communities
The Issues
Cultural - a belief that people with learning disabilities need something different to everyone else
Housing & social services not working together
Weak commissioning
Focussing on a service response to housing
Lack of knowledge of what can work for people
A major issue is the current and likely future impact on housing benefit
people lives communities
The REACH Standards
I choose who I live withI choose where I liveI have my own homeI choose how I am supportedI choose who supports meI get good quality supportI choose my friends and relationshipsI choose how to be healthy and safeI choose how to take part in my communityI have the same rights and responsibilities as other citizensI get hep to make changes in my life
people lives communities
Examples of useful practice
Look Ahead
Feeling Settled
Up2us
Housing Brokerage in Essex
people lives communities
Examples of useful practice – Look AheadChoice and Control Offer to Customers
people lives communities
Examples of useful practice – Feeling Settled
NDTi have developed a tool to help change residential care into supported living where people continue to live in the same placeFocus on people who want more rights, choice and control over how they liveSupporting services to change from residential care to supported living where people decide to stay in the same placeA complex process which needs careful planning and co-ordinatingCan help make sure that resources are used more effectively
people lives communities
Examples of useful practice – up2us
HACT (Housing Association Charitable Trust) are looking at how providers can help people pool their personal budgets
What is up2us? 6 pilots exploring group
buying by people who use social care services.
Why up2us? Increasing buying power
Increasing choice
people lives communities
Examples of useful practice – Housing Brokerage in Essex
ECC are working with Dimensions to offer a brokerage service to a number of people with learning disabilities
Focus on people with learning disabilities whose current accommodation doesn't meet their needs
A pilot initially delivered by Dimensions
Aim is to provide support to access a range of housing options promoting independent living and support people to choose who they live with
Will be evaluated by NDTi
people lives communities
Thank you!
www.ndti.org.uk
@ndtirob
ndti.org.uk
Cllr. Brown, Deputy Cabinet Member for Adults, Health & Community Wellbeing