What Matters to Us - WordPress.com · Sense of personal development Cooperation around shared needs and personal interests. Significant rationing of personal support. Pulling together

What Matters to Us

Making the best use of our social and financial resources together

Rick Wilson

16th October 2014

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Summary

• Introducing Community Lives Consortium

• Long spoons and the jaws of doom– Discussion

• What matters to me• What matters to Us

– Discussion

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Introducing the Consortium

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Who are the Consortium?

• We support people who have learning disabilities who live in the communities of Swansea Neath and Port Talbot.

• We support about 270 people• We employ about 750 staff• We deliver about 17000 hours of

support every week.• Work with 8 Housing Associations.

Support people need

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Technology

Personal Care

Social Support

Housing Related Support

Help with money

Help with getting around

Personal skills and behaviours

Themes for coming years

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How can the most person

centred way of working for us

also be the most efficient?

How do we move from a culture of ‘Them and us’ to

one of ‘I and We’?

How do we continue to be successful in a way that

helps to build a fair, healthy and just world

around us?

Long spoons and the jaws of doom

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Illustration Stuart MacmillanAllegory Rabbi Hain

Source Guardian website Local government cuts: the 'Jaws of Doom' are ready to bite

A tale of 2 futures for people who need support.

Significant rationing of personal supportGrowing fear of isolation and competition with othersIncreasing sense of people as needsPressure for scale and safety, not individuality and interdependenceActual isolation and helplessness

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Sense of personal developmentCooperation around shared needs and personal interests.Significant rationing of personal support.Pulling together not falling apart.Relying on shared financial and social resources.Rewarding contribution and punishing freeloading.Comradery in troubled times.


Finding the common good – I’s becoming We’s

This would seem to be about introducing thecommon good into public service organisation.

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Cooperation and Motivation - Research Lessons

Self Determination Theory – I’s• Maximum performance - Intrinsic Motivation• Money and fear – short term at best

• Relatedness– Belonging and shared transcendent purpose

• Autonomy– Being able to act with choice

• Competence– Personal growth and developing mastery

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Cooperation and Motivation - Research Lessons

Lessons from social psychology and game theory• People will cooperate to create common goods! – We’s

• Boundaries and Membership– Purpose, joining, rights, and responsibilities

• Communication between members– Not up and down, but member to member

• Reputation & punishment– A public record of your behaviour and the ability to influence others

(ebay ratings)

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Finding the common good

• What is the common good that underpins your organisation?– Who relies on this ‘commons’?– What resources do they depend on together?– How do they recognise contribution & growth and

punish freeloaders?– Why should they pull together?

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Systems method within the Consortium

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2010

Purpose and principles.

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To support people to live the live they choose.

Design Principles– We only do what matters to the people we support.– We will focus our best resources on the people that we

serve.– We will help people to control their work.– We will work together to get rid of waste.– We will not break the law, but we may challenge it.

What matters to me ......

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‘The care needs, wishes, preferences and outcomes for

each individual service user are incorporated in their service

delivery plan’.

What Matters to Me?

What Matters to Me

Agreeing My Plan

Living my Life

1. Review of Service delivery plan2. Check Unified Assessment3. Contact care managers and others4. Arrange meeting5. Preparation for meeting6. Meeting takes place7. Update Info8. Store and circulate9. Update staff10. Delegation of responsibilities11. Work12. Daily records13. Archive 14. Admin and Shredding

Changing the way we work with people?

Agreeing my plan

Living my Life What Mattersto Me

Pro-forma based

information gathering

Excluding bureaucracy professional controlled

Process based recording and performance management

Negotiation61%Front-line

management time

Great practitioners working back with people not counting practice

Personal plans and records

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Video

Easy Read

Presentations

Agreed with the person

and their supporters

What Matters to Me – a demand led approach

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Michael

• Recently moved into his own home

• He spent many years in specialist health units.

• Shredding has always been a skill


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Michael



• But animals are a passion


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Michael



• Contributing to the local farm


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Michael



• Now working with the RSPCA

Changing Measures.

Process• Hours, Plans• Supervisions• Satisfaction• Accountability through the production of evidence ‘Tell Me’

Desires, outcomes and capability• Demand – What matters to me• Capability – Is this happening for me,

what is getting in the way?• Stories• Accountability through the triangulation of perspectives ‘Show Me’

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Commissioners in the workPart of the network of

relationships.

Yes more person centred, but more efficient?

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What Matters to Me – working on the key flows

Since 2010• How can I plan and record my life? • How can I manage my money successfully so that I can live

the life that I choose? • How can I sort out my problems when things go wrong? • How can I get the right support from somebody who I trust

and get on with? In 2010 233 people 13963 hours per week @ £13.83 per hourIn 2014 275 people 17531 hours per week @ £12.86 per hour

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‘Sense of personal development’Cooperation around shared needs and personal interests.Significant rationing of personal support.Pulling together not falling apart.Relying on shared financial and social resources.Rewarding contribution and punishing freeloading.Comradery in troubled times.


What matters to Us

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Organisation around common interest and skills

Time 2 Meet• Help members to build stronger social lives

with people around them by sharing, skills interests and time.

Members join• What would you like to do• What have you done in the past• Find Common Interests• Help people to make these things happen

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Time to Meet – Organising for cooperation

• Member based – Common purpose created to solve a common problem

• Self organising – Members work with each other to find their own ways

of putting in place the things they want.

• Evidence of contribution – Leadership and time credits enable members to demonstrate their

contribution and reputation in the group

• Accountability– Members are accountable to the group, people can tell each other off

(nicely).

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Building a ‘social’ Social Services

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428 MembersWho now organise 23 groups and events4322 hours of leadership in first year6200 hours of things that ‘Matter to Us’

John

Integrating the ‘I’ and the ‘We’

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What matters to Me•What do I want ?•What can I offer?

What matters to Us•What can we do

together?•What can we do for each

other?How can we experience

more of what matters to us?•What is getting in the way?•How can we use our shared

resources differently?

DemocraticSimpleSocial

The Consortium – how we are organised currently

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8 Networks of People, each with approx33 people receiving 2200 hours of support per week

90 staff and managers (1 Registered Manager)15 to 20 actively involved family members10 Local Authority care management staff

We support about 275 people with learning disabilities to live the lives that they choose in South West Wales.

What Matters to Us

Aims to:• Change each of our Networks into social

organisations that meet the support needs and personal interests of their members using as few resources as possible.

• This will take up to 2 years to work across all networks.

• It will not take extra money but it will take time and effort.

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What matters to us – a new way of organising together

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Networks of People, each with approx33 people receiving 2200 hours of support per week


What matters to me?

What do I like to do?What can I contribute?

What support do I get?

What matters to us?

What do we want? What is missing?

What can we organise together?

What can we share?

How do we use staffing &

things?Only doing the

things that matter? Simple ways of

working and measuring our

progress.

How we work together?

Membership rights and responsibilities

Communicating about what we are

all doing

What matters to me? – First 6 months

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What matters to me?



People create information about what matters to them and what they can do to help

others.Care managers review the support that people receive so that it is fair

and helps them to develop.The Consortium helps

managers to organise and present information

about what matters and what people’s

experiences are.


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What matters to me?






all doing

What matters to us?



What can we share?





progress.

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What matters to us?



What can we share?

What matters to Us? – 6 to 12 months

Sharing simple documents about What matters to Us

Getting people together with similar or complementary needs & interests

Helping people to share time and support

Using T2M and it’s ideasand ways of working


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What matters to me?






all doing

What matters to us?



What can we share?





progress.

How do we use staffing and things? – 12 to 18 months

What needs to change?

Can people organise with each other?

Can the network use it’s staff and things

differently?

Can the Consortium help by changing policy or

providing extra support?

Do we need help from Social Services or other

agencies?

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progress.


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What matters to me?






all doing

What matters to us?



What can we share?





progress.

How we work together? – 18 to 24 months

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all doing

Support needed from Consortium & Local Authority

Measures of progress

Ways of communicating between it’s members

Purpose, identity and the way it will run.

Each Network will agree its own

What Matters to Us – progress so far

The Networks are coming to the end of phase 1They are holding large events to share:• Things that matter to them• Things they can do for each otherMoving into phase 2 • Individuals are thinking about how

they can pool staff.• Organise events to build their confidence.• Dealing with cuts to services they receive.

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Future vision - revisited

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*Sense of personal development What matters to me – demand led design minimising waste, greater intrinsic motivation

*Cooperation around shared needs and personal interests.

Time 2 Meet – we are all assets in the system, building confidence, sharing power

*Significant rationing of personal support.*Pulling together not falling apart.*Relying on shared financial and social resources.*Rewarding contribution and punishing freeloading.*Comradery in troubled times.

What Matters to Us Helping people to be prepared to pool support and things like transport.Building a sense of identity and common purposeTime & skills become currencies alongside money

People are already holding each other to account for the contribution they make.People are more prepared to campaign together.

Questions and discussion

• Do you have any questions about this case study?

• Does this case study have wider relevance for your work or organisation?

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What Matters to Us - WordPress.com · Sense of personal development Cooperation around shared needs and personal interests. Significant rationing of personal support. Pulling together