A better place to live Dignity in Care through Partnership Working A Joint Presentation JOHN POWELL...

a better place to live

Dignity in Carethrough Partnership Working

A Joint PresentationJOHN POWELL

CHIEF COMMUNITY CARE OFFICER

and

VINESH KUMAR

DE VERE CARE

25TH November 2008



INTRODUCTION Overview of Dignity Challenge themes Redbridge example of challenge 4 George’s story De Vere Care example of challenge 2 Meenu’s story Partnership working and Safeguarding Questions and Answers


The Government’s10 ‘Dignity Challenges’:

Have a zero tolerance of all forms of abuse Support people with the same respect anyone would want for

themselves or a member of their family Treat each person as an individual by offering a personalised

service Enable people to maintain the maximum level of

independence, choice and control Listen and support people to express their needs and wants Respect people’s right to privacy Ensure people feel able to complain without fear or retribution Engage with family members and carers as care partners Assist people to maintain confidence and self-esteem Act to alleviate people’s loneliness and isolation.


BACKGROUND TO OAKFIELD LODGE Council purpose built Sheltered Scheme in the 70’s During the late 90’s it began to show signs of wear

and tear with significant voids In 2003 Community Care reshaped the service

using money from a Local Public Service Agreement

This investment was followed up by the Housing Service using quality of life money to further enhance the environment

Tenants committee established to assist start up Extra Care Service

My life, my way,with your support


BACKGROUND TO OAKFIELD LODGE Key Leadership from Principal Officer and her

Managers Staff enthusiasm that could see the potential of the

proposed way of working that created a “can do, will do” approach Personal skills – dance, art, gardening etc. Decorating Activities



The Dignity Challenge – theme 4 Enable people to maintain the maximum possible level of

independence choice and control Flats and bed sits well decorated and attractive to ensure

good occupancy (Tenant choice before moving in) Emphasise housing with care – own flat, own front door,

own key and choice to get involved or not with the community

High quality activities, good food, stimulating environment, good company and lots and lots of parties!

Option for care support via resident team, independent provider, direct payments or private arrangement

Committee that decides how the building and services are improved and maintained



The Dignity Challenge – theme 4 Enable people to maintain the maximum possible level of

independence choice and control Mixed age profile and needs Community spirit has accepted and enhanced individual

opportunity – Dementia and Learning Disability Encouragement to be involved but with respect for those

who don’t want to Key success through ‘Champion’ tenants and staff but

without being nominated or asked Flexibility in staff roles – no jobs worth here!



George’s

story



BACKGROUND TO DE VERE CARE Established during 2000 with an aim to provide high

quality care service to local population During 2004, underwent massive restructuring to

include Quality Assurance and Contracts Management departments

Partnership working with Local Authority by participating in local forums; Involved in local safeguarding committee and various other initiatives.

In 2008, achieved UKAS certified ISO 9001:2000 quality accreditation; First domiciliary care organisation in the UK to be accredited with C2E (Committed to Equality).

De Vere Care


De Vere Care

Early 2007, ‘Dignity in Care’ initiative commenced. Dignity policy, training, audit tools developed and tested since.

Incorporated ‘Dignity in Care’ in person-centred care planning, monitoring procedures etc.

Developed ‘junior’ dignity champions initiative. Staff training (covers Cultural relativism) and feedback

through supervision and on-the-job assessments using ‘systems’ approach covering: the tasks they perform, the available tools designed to support them, the environment in which they operate.

Innovative Safeguarding training approach combined with Dignity in Care.

Trainee social workers enhancing our ‘dignity’ initiative


The Dignity Challenge – theme 2

Support people with the same respect you would want for yourself or a member of your family.

The importance of seeing service users as partners in decision-making (about their care and support)

Encouraging and supporting service users to take responsibility, as far as possible, regarding their care and support.

Dignity in care training for all staff (service user and staff involvement in drawing up dignity training)

Person-centred care plan emphasising dignity related outcome(s) in all aspects of care



The Dignity Challenge – theme 2

Support people with the same respect you would want for yourself or a member of your family.

Dignity Audit (based on Dorset & Somerset SHA) Service user environment; Privacy, dignity and modesty; Communication with service users; Promoting individual needs; Staff training

Monitoring visits to service users Learning from service user survey feedbacks Safeguarding Adults awareness as a result of dignity

initiative among staff and service users



Meenu’s

story

Listen to Meenu

Listen to Understand!

“As a dignity champion I will promote dignity in care initiative to allMS sufferers”


Meenu’s story Meenu was born during the early 1960’s in

London Borough of Redbridge Attended Wanstead High Grammar School Worked in Liverpool street as a Chartered

Surveyor earning around £60k during the mid 1980’s.

And then one day…

Listen to Understand!


Dignity in Carethrough Partnership Working PARTNERSHIP WORKING AND SAFEGUARDING As commissioners and providers we have been committed to the Dignity in Care programme Provider Forum established that works and influences practice Recognises the need to bring Safeguarding and Dignity together and now have a training programme in Redbridge for in-house Champions Learning across the Independent Sector and the Council has improved service delivery and enhanced quality of life. Development of safeguarding through dignity


When they were introduced, he made a witticism, hoping to be liked. She laughed extremely hard, hoping to be liked. Then each drove home alone, staring straight ahead, with the very same twist to their faces.

The man who’d introduced them didn’t much like either of them, though he acted as if he did, anxious as he was to preserve good relations at all times. One never knew, after all, now did one now did one now did one.

- David Foster Wallace, postmodern novelist (1962-2008)

A Radically Condensed History of Post-Industrial Life



THROUGH PARTNERSHIP WORKING

WE HAVE ACHIEVED

THANK YOU

QUESTION AND ANSWERS


BACKGROUND INFORMATION


What makes the difference for George? Confidence in staff to advocate Desire to maintain independence - including

taking risks to enable this to happen Prepared to challenge stereotype of

residential/nursing care Confidence in managing situations that may

not be the norm Creative solutions – assistive technology But most of all TRUST



Why success? Senior Officer buy in Enthusiastic staff The service, tenants and scheme has evolved together Willingness to tackle difficult changes – role of

Warden ‘Always look on the bright side of life’ mentality Beyond consultation into engagement ‘Dignity and Respect’ is a golden thread through the

service which goes both ways between staff and tenants



Next Steps

Design and commission a Train The Trainer course to create Provider Safeguarding through Dignity in Care Champions (6 Days)

Design and commission an in-depth Safeguarding through Dignity in Care Course for Adult Social Services and partners staff (2 Days)

Safeguardingthrough Dignity in Care



In-house Champions

AimTo develop competent and innovative

trainers/facilitators in the safeguarding of adults through dignity in care (where/as appropriate)

who will be able to work within their own organisations to heighten knowledge and

understanding of this important area of working



In-house ChampionsSix days training plus assignments:

4-days Train the Trainer OCN Level 3 Nationally recognised teaching qualification 2-days in-depth Safeguarding through Dignity in Care

course.

Key Objectives: Dignity in Care Government initiative Linking Safeguarding and Dignity in Care Challenges Understanding and identifying vulnerability and risk factors Mental Capacity & Deprivation of Liberty issues Roles and responsibilities of all staff



CandidatesChampions: Senior staff experienced in Safeguarding Adults and the Dignity

in Care services.

Champions and In-depth Safeguarding and Dignity courses:

Candidates should be familiar with: The legislation & Government directives relating to

Safeguarding Adults The legislation & Government directives relating to the national

campaign on Dignity in Care (Nov 2006) Definitions relating to the Safeguarding of Adults and of Dignity Knowledge in the recognition of abuse and the initial responses



Delivery Programme 2008-2009

One 6-day Champions course to 10 Provider candidates

Two 2-day In-depth courses to 32 LBR Adult Social Services and partner organisations staff

A better place to live Dignity in Care through Partnership Working A Joint Presentation JOHN POWELL...

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