Reach support to living workshops participant slides

Support for living an ordinary life

The national network Together We Are

Stronger

1

Self advocates.Families.

Supporters .Managers.

What did we hear?Support for living an ordinary life

The roller coaster of anordinary life Support for living

an ordinary life

Moving to Reach support for living


Working togetherSupport for living an ordinary life

We often hear….Support for living an ordinary life

‘Yep, we’ve done supported living’

‘Yep, we’ve done supported living’

‘We’ve de-registered’‘We’ve de-registered’

‘Supported living is only for the most

able’

‘Supported living is only for the most

able’

‘Supported living means living on your

own’

‘Supported living means living on your

own’

‘Supported living creates loneliness’‘Supported living

creates loneliness’

And it’s alright

we’ve got…..

‘PCPs’

‘DPs’

‘OPPs’

‘IBs’‘PBs’

‘SDSs’

But what we often see and hear is……Support for living an ordinary life

No I didn’t choose who I

live with.

No I didn’t choose who I

live with.

I can’t move can I?

I can’t move can I?

No I didn’t choose who supports me.

No I didn’t choose who supports me.

I’m lonely.I’m lonely.

We think.

Supported living has developed rapidly in the UK but not always in the way it should.

It has, in many organisations, become a service type rather than a way of supporting people to have real choice and control over their lives.

We think that this needs to change.


Some things that are in the way

• Confusion about what supported living really is ie. ‘it = tenancy based services’

• Quality assurance systems that do not relate inputs to outcomes in peoples lives (even if this is the intention)

• Interpreting regulations in a way that avoids any risk & ordinary experiences in peoples lives

• Believing that only more money can make services better, more person centred etc.


We reviewed Reach with with Quality Checkers from Choice Support


Some clear messages were givenSupport for living an ordinary life

Supported Living to Support for Living.

We want Reach: Support for living an ordinary life to achieve the following:•To clarify the standards of support for living to ensure that ‘supported living’ doesn’t become a model that people can simply tick as ‘achieved’.

•To ensure that in the current climate of dwindling financial resources and tightening budgets, we remain committed to quality support that values the range of resources available to people, for example the community, family, skills exchanges and friends.

•To show how Reach can be useful to people with direct payments or personal budgets.

•To ensure that as we work to drive up quality in relation to care and support, we focus on supporting ordinary lives based on Human Rights.


Who is Reach designed for?

People use Reach for a number of reasons. Reach can be used by:• anyone who receives support • families and friends • supporters •people living in a residential care home •organisations that support people• people who fund support • organisations that are responsible for monitoring the support people receive


The Standards.Support for living an ordinary life

It’s about Human Rights…….Support for living an ordinary life

WE MUST always consider all the resources available to a person.


A set of standards relating to 3 key questions:

1. Is each person receiving quality support for living?

2. How are the people or organisation offering support doing in relation to Supported for Living?

3. Are the right conditions in place to help develop good Supported for Living an ORDINARY LIFE?

The core of REACHSupport for living an ordinary life

• How you live (your lifestyle)

• Who you live with (if anyone)

• Where you live

• Who supports you

• How you are supported

Supported for living is essentially choosing Support for living

an ordinary life

• Learn to think outside of services and be creative in problem solving

• Make sure that you use Person Centred Planning and/or Individual Service Design to find out how people want to live

• Think about a wide range of housing options

• Use your own (and others’) connections, networks and resources in thinking through support – your own friends and acquaintances can be important

• Learn to understand the specific nature of relationships which individual people want – we are all different

TRUE Supported for Living

Reach is a resource and set of standards to encourage people to explore what support for living an ordinary life looks like for a person.

If changes are needed in a person’s life Reach helps you agree the desired changes, plan and take action together. for living an ordinary life

Reach: Support for living an ordinary life is NOT an assessment tool.


The Reach Pack (two main parts)



It’s My Life can be used on it’s own


CQC are moving away from a compliance based model of regulation. To get to the heart of people’s experience of care and support they are going to ask a new set of 5 questions. These questions are about the quality of services, based on the things that matter to people. They will ask the following five questions of every service:

• Is it safe?• Is it effective?• Is it caring?• Is it responsive to people’s needs?• Is it well-led?

The Social Care Commitment is a voluntary agreement about workforce quality between all parts of the adult social care sector in England that has been developed by Skills for Care as part of the response to Winterbourne View Joint Improvement Programme. Its primary purpose is to ensure that the general public are confident that they/their families will always be supported by skilled people who treat them with dignity and respect.

Employers and employees will be asked to sign-up to 7 statements that describe their commitments to ensuring workforce quality.

Both employers and employees make the commitment.

The employer commitment is a promise to:•Recruit staff who care.•Provide thorough induction training.•Help staff develop their skills.•Make sure staff understand safety and quality standards.•Take responsibility for how staff work.•Supervise staff properly.•Support staff to put their commitment into practice everyday.

The employee commitment is a promise to:•Work responsibly.•Uphold dignity.•Work co-operatively.•Communicate effectively.•Protect privacy.•Continue to learn.•Treat people fairly.

It’s My Life……..



Facilitating a Reach reviewSupport for living an ordinary life

The Reach review team



Family People supported

Support workers

Human Resources

and Finance

colleagues

Trustees

Managers

Evidence is important



When doing a Reach review, you continually need to ask yourselves ‘what is

the evidence for this?’.

Most of the evidence comes from what the people you support and their

families say about how they are living their lives. Some of the evidence will

come from how you run your organisation and the values and policies you

have in place.

The starting place is the people you

support!

The starting place is the people you

support!

Evidence is important



‘No two people have the same desires, expectations,

wants or needs. Each and every person is a unique

human being.

What we share is our humanity, our desire to be loved

and to belong.’

(Sally Warren, Reach)

Let’s have a look…..

It’s all about a conversation…..

Make sure people have

an idea of what could be.

People need to know…..

Have a conversation.

What does this standard mean? What kind of things would you see in a person’s life if the standard being met – i.e. how would you know?

What kinds of things would you definitely not see? What kinds of things might you see in a service if it wanted to present as though it was meeting the standard but it was not?

In your groups discuss the standard you have been given and think how it might be further defined.

Use the following questions to build your definition:

Time for action! …..

A plan is not an outcome!

Agree action and act.

Top Tips…..

Any questions?

Having a go

Group work• In pairs, one person think about

someone they support/know well. The other person work through one of the standards with them.

• What works well and what doesn't’t – what are the ‘top tips’ for making it work?

Over to you……..



How would you do against ‘this means’?

How might you best use ‘It’s My Life’?

What do you need to ensure is in place to ensure time for real conversations?

What support might facilitators need?

How will you gather the information?

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2

3

4

5



E



E

The Service Review sectionSupport for living an ordinary life

Talk to & look at ….



Ten top tips for focus groups:

There’s no doubt that great focus groups require meticulous planning.

Our Top Ten Tips below can’t guarantee great groups on their own, but they will go a long way to address common pitfalls….so:

1.Understand the questions we have provided to ensure a focus.2.Be specific about who you need to talk with and why. 3.Ensure you invite the right people, a mixed group representing a range of people, families and staff. 4.Agree the finish time and don’t save the most important topics until the end.5.Try it out with a friend or colleague.6.Create a relaxed, positive atmosphere.7.Be in charge of the ‘virtual’ microphone.8.Never ask leading questions.9.Ask open-ended questions.10.Never assume you understand what participants mean – check it out!

Table 1….What does support for livinglook like?



Focus groups – a min of 2

days over a month

Focus groups – a min of 2

days over a month

A group discussion to ensure what

good support for living looks like

A group discussion to ensure what

good support for living looks like

ExampleSupport for living an ordinary life

It’s essential to develop

people’s belief in and

knowledge of what’s possible.

Practice that needs to change



Getting it right meansSupport for living an ordinary life

Any technical housing questions?

Table 2….How are you doing?



Be honest. How are you doing now?

Be honest. How are you doing now?

How can you move from a service to an ordinary life?

How can you move from a service to an ordinary life? How do these

questions relate to different parts

of your organisation?

How do these questions relate to different parts

of your organisation?

ExampleSupport for living an ordinary life

Having a go

Group work• In pairs work through one of the

standards.

• Can you share some examples of where and how you are meeting some of the ‘from a service to an ordinary life’ ideas?

The Service Review sectionSupport for living an ordinary life

Bring people together to

plan

Bring people together to

plan

When ‘It’s My Life’ conversations have been facilitated with people supported and focus groups have been facilitated for the Service Review, the stories and information gathered will lead to the creation an action plan. A plna for improvement and provide evidence for internal and externals reporting.

When ‘It’s My Life’ conversations have been facilitated with people supported and focus groups have been facilitated for the Service Review, the stories and information gathered will lead to the creation an action plan. A plna for improvement and provide evidence for internal and externals reporting.



Top 10 Tips for success…

1. Know why you’re using it2. Plan realistic timescales accordingly3. Promote it as a positive tool rather

than ‘Big Brother’4. Involve a diverse range of people, it

helps with staying honest5. Think about how you’ll investigate –

conversations rather than questions6. Know how you will respond to issues

Top 10 Tips for success…

7. Remember to celebrate success8. Think about how you make it

meaningful to the people you support

9. Look at it as a way to influence change in the ‘helpful conditions’ that are not yet there

10. Believe that people have a right to quality supported living services…

not just your definition of it


Additional resources


Additional resources

Choice Support are part of an exciting current development for Quality Checkers in creating an Association of Quality Checkers .

The AQC will be a :

Membership organisation for individuals and organisations that provide quality checking services.

The Association of Quality Checkers will :

raise the profile of Quality Checking in health and social care services

showcase best practice, themes and trends in health and social care

campaign for employment, rights and citizenship for people with disabilities

For more Information about the AQC contact SARAH MAGUIRE [email protected]

Remember……Support for living an ordinary life

My MoneyMy Money

mailto:[email protected]

www.paradigm-uk.org


Health & Medicine

Reach support to living workshops participant slides