Organizational Change, Growth & Sustainability Western Care Association.

Organizational Organizational Change, Growth & Change, Growth &

SustainabilitySustainability

Western Care AssociationWestern Care Association

Deepening Person Deepening Person Centered Practice Centered Practice

through Empowermentthrough Empowerment

•Western Care Association Western Care Association Organizational Context Organizational Context

•Historical JourneyHistorical Journey

Deepening Person Deepening Person Centered Practice through Centered Practice through

EmpowermentEmpowerment

•The Position in Western Care:The Position in Western Care:

•West Area Project Outline:West Area Project Outline:

•ProcessProcess

Deepening Person Centered Deepening Person Centered Practice through Practice through

EmpowermentEmpowermentCritical Stages:Critical Stages:

•Scoring reliabilityScoring reliability

•Identifying all InformationIdentifying all Information


EmpowermentEmpowermentCritical Stages:Critical Stages:

•Identifying PrioritiesIdentifying Priorities

•Priorities into StrategiesPriorities into Strategies


EmpowermentEmpowermentResults:Results:

Over an initial period of 30 months, Over an initial period of 30 months, the West Area Planning Project the West Area Planning Project resulted in:resulted in:

Results:Results:

• Significant and positive changes in Significant and positive changes in many peoples’ lives, such as the many peoples’ lives, such as the resolution of an inheritance issue resolution of an inheritance issue and access and rights issue to a and access and rights issue to a family homefamily home

• A significant reduction in serious A significant reduction in serious incidents in 1 serviceincidents in 1 service



Results:Results:

• Three people who lived together in a Three people who lived together in a Group Home have now relocated to Group Home have now relocated to homes of their own.homes of their own.

• The reorganisation of supports for a The reorganisation of supports for a further 4 individuals who moved out further 4 individuals who moved out of Group Homes of Group Homes



Results:Results:

• For the 7 people who moved into different For the 7 people who moved into different arrangements Traditional Day/Residential arrangements Traditional Day/Residential role has significantly changed and the lives role has significantly changed and the lives of people are no longer of people are no longer “compartmentalised” into staff rosters.“compartmentalised” into staff rosters.

• A project was undertaken in 1 service to A project was undertaken in 1 service to support community connections for 4 support community connections for 4 service users. service users.



Results:Results:

• Overall, 25% of people living in Overall, 25% of people living in traditional group homes in this area traditional group homes in this area moved into more meaningful moved into more meaningful individualised living situations at individualised living situations at significantly less cost i.e. approximately significantly less cost i.e. approximately 70% less than the cost of a traditional 70% less than the cost of a traditional group home placement cost. group home placement cost.




EmpowermentEmpowerment•John’s StoryJohn’s Story


EmpowermentEmpowerment•Anne’s Story Anne’s Story


EmpowermentEmpowerment• Deepening the process from Deepening the process from

Area level to local service – Area level to local service – focusing on Respite focusing on Respite


EmpowermentEmpowerment• Local Service Planning - supporting Local Service Planning - supporting

one team in the Areaone team in the Area• Requirement from Managers for Requirement from Managers for

support to develop this process in support to develop this process in their servicestheir services

• Concern about how to support staff Concern about how to support staff and create greater capacity in the and create greater capacity in the serviceservice


EmpowermentEmpowerment

• Priorities emerged in 1 local Priorities emerged in 1 local service from Area Processservice from Area Process

-- Involvement of Staff in a Involvement of Staff in a team Building team Building processprocess

-- Assess future needs of Assess future needs of population that population that may be coming may be coming into the Respite service. into the Respite service.


EmpowermentEmpowerment• Area template was adapted to local Area template was adapted to local

level to include the following:level to include the following:• Profile of Service UsersProfile of Service Users• AgeAge• GeographicalGeographical• Current living situationCurrent living situation


EmpowermentEmpowerment• Type of engagement with familiesType of engagement with families• Levels of support requiredLevels of support required• How service users, families and staff How service users, families and staff

are included in decision makingare included in decision making


EmpowermentEmpowermentInformation gathering regarding:Information gathering regarding:

• BudgetBudget• IncidentsIncidents• RightsRights• MedicalMedical


EmpowermentEmpowermentStaff Profile to includeStaff Profile to include

• Attributes of StaffAttributes of Staff• Challenges that staff experience and Challenges that staff experience and

how they copehow they cope• How the staff are included in How the staff are included in

decision making decision making


EmpowermentEmpowerment• A vision for the service along with a A vision for the service along with a

plan for how to implement the vision plan for how to implement the vision is developed from exploring all of is developed from exploring all of the above information.the above information.


EmpowermentEmpowermentStakeholders and Engagement:Stakeholders and Engagement:

• Service Users – Individual & GroupService Users – Individual & Group

• FamiliesFamilies

• StaffStaff


EmpowermentEmpowermentFindings:Findings:

Service Users:Service Users:• Relationships between service Relationships between service

users and staff were strongusers and staff were strong• Priorities were in the area of Priorities were in the area of

Choose Goals, Choose Live, Choose Goals, Choose Live, Health, RightsHealth, Rights

• Planning focused on what was Planning focused on what was within the control of staff rather within the control of staff rather than exploring how to progress than exploring how to progress big life priorities.big life priorities.

Findings:Findings:Service Users:Service Users:• Lack of Coordination and engagement Lack of Coordination and engagement

between services was a central themebetween services was a central theme• No clear rationale around how respite No clear rationale around how respite

was individualized – one size fits allwas individualized – one size fits all• VolumeVolume





Service Users – Advocacy GroupService Users – Advocacy Group• People mostly enjoyed coming in for People mostly enjoyed coming in for

RespiteRespite• Lack of information about rent allowance Lack of information about rent allowance

and other living optionsand other living options• Support to make more decisions about Support to make more decisions about

how and why they received respite – how and why they received respite – needed to be more individualizedneeded to be more individualized



FamiliesFamilies• Overall families expressed mostly Overall families expressed mostly

satisfaction with the servicesatisfaction with the service• Communication, engagement and Communication, engagement and

coordination was a central themecoordination was a central theme• Families identified the need for Families identified the need for

support in planning for the future for support in planning for the future for their family membertheir family member



StaffStaff• Staff noted good working conditionsStaff noted good working conditions• Team work & relationships within Team work & relationships within

the team were problematicthe team were problematic• Relationships with Day servicesRelationships with Day services• Relationships with FamiliesRelationships with Families• Managing workloadManaging workload


EmpowermentEmpowermentActions:Actions:

Staff Teams:Staff Teams:- Process undertaken with the staff Process undertaken with the staff

teams which focused on: teams which focused on: - Coordination and engagement Coordination and engagement

between day/residential/respitebetween day/residential/respite- Working with people and FamiliesWorking with people and Families- Team working Team working


EmpowermentEmpowermentActions:Actions:

Service Users:Service Users:Identification of 3 different people who Identification of 3 different people who represent 3 profiles of the populationrepresent 3 profiles of the population

• A person who spends regular time in respite A person who spends regular time in respite and not a clear plan for the future “Shared and not a clear plan for the future “Shared Care”Care”

• A person who is in residential but would prefer A person who is in residential but would prefer a family environmenta family environment

• A person who comes into respite for social A person who comes into respite for social opportunity and wants to live in their own placeopportunity and wants to live in their own place


EmpowermentEmpowermentSystemic Challenges to Person Systemic Challenges to Person

Centered PracticeCentered Practice• Challenging prevailing beliefs about Challenging prevailing beliefs about

practicepractice• Redefining the issues to be Redefining the issues to be

addressedaddressed• Creating a vision of a credible Creating a vision of a credible

alternativealternative• Resources and resourcefulnessResources and resourcefulness



Centered PracticeCentered Practice• Understanding the implications of Understanding the implications of

power sharingpower sharing• People, Families and Natural People, Families and Natural

SupportsSupports• Frontline StaffFrontline Staff



Centered PracticeCentered Practice• Organization SupportsOrganization Supports• Formal LeadershipFormal Leadership• Developing Organizational Developing Organizational

CoherenceCoherence• Strategic Planning in OrganizationsStrategic Planning in Organizations

Organizational Change, Growth & Sustainability Western Care Association.

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