Making It Real In Milton Keynes
Milton Keynes Joint Learning Disability TeamMacIntyre On Track Forensic Support
Forensic Support
Amanda GriffithsHead of Joint Learning Disability Services
Milton Keynes Council
Commissioning
• Integration
• Pooled budget/Section 75
• Collaboration
• Infrastructure
• Providers
Tracy Lavis Forensic Psychologist
MacIntyre
MacIntyre Background
MacIntyre Background• National charity set up in 1966, providing services for over
1,200 children, young people and adults. 2,100 staff, turnover £47.8m
MacIntyres Mission• To be recommended and respected• Offering best choice, best value• Employing the best people in support of people with learning
disabilities (http://bit.ly/Welcome-to-MacIntyre)What we do• Offer wide range of services that encourage increasing
independence
Investors in People Champion, 2014
Appointed Investors in People Champion, and will now act as an ambassador for the Standard
Winner, CareKnowledge
Workforce Innovation Award, 2013
For MacIntyre’s ‘My Key’ self-assessment tool, aimed at reaching staff for whom traditional approaches to supervision, role modelling and teamwork are not easily arranged.
Awarded Investors in People Gold, 2012
Recognising MacIntyre’s commitment to excellence and innovation in how we recruit, train and develop our staff
Winner, 2012 Charity
Awards - Disability
For MacIntyre No Limits, an innovative project that provides education and support for young people with learning disabilities or autism
Skills for Care 2010 prestigious ‘Winner of
Winners’
Awarded the ‘Most Innovative Workforce Development’ accolade and prestigious ‘Winner of Winners’ Award from Skills for Care for our Great Interactions work
MacIntyre’s approach has been recognised in recent years:
MacIntyre On Track Forensic Support (OTFS)
Our model/methodology
A specialist service for people with learning disabilities or autism who have offended or are at risk of coming into
contact with the criminal justice system
The On Track Forensic Support model is uncomplicated and was originally established in 2005
OTFS Key Features:
• To support people with complex behaviour move back to community
• Supported to live in own homes to live healthy, fulfilled lives
• Support in person centred ways to learn new skills and live as independently as possible whilst monitoring risk to selves and others
• Staff model and encourage respectful and positive relationships
• People re connected to their community, families/friends• Achieve new skills and contribute to community life
The OTFS Model
Why does our On Track Model matter?
Without shared responsibility and MDT working:
On Track Forensic Support in practice:
• Invested in specialist staff • Close partnerships • Risks scoped and managed through partnerships• Person & project specific MDTs established• Routine and specialist supported living support: MacIntyre staff• Clinical support and leadership: community health & social care
teams• Sharing of assessment and support plans/processes• Change supported and measured : Life Star• Bespoke training of staff
How we apply our methodology to our work :
• MacIntyre prepare the internal ground• Close working• Joint assessments/ transition work • Support plans• MDT approach, sharing challenges• Explore ways forward/available, together. • We work together to provide on going, flexible support
Kevin WilliamsSupported Living Manager
Milton Keynes Joint Learning Disability Services
Multi - Disciplinary Working
• Regular and inclusive communication
• Regular update meetings
• All professionals included– Joint Commissioning– Social Care Representatives– Winterbourne Lead (NHS)– Proposed Support Provider(s)– Proposed Housing Association(s)– Other Key Stakeholders
Housing Solutions
• Team approach to design issues based on individual need
• Work with Housing Provider as a key partner (ongoing)
• Work through issues together (MDT)
• Consider all options, share decision making
Supported Living
• Preferred option for ALL new schemes in Milton Keynes
• Unique challenges / solutions
• Assistive Technology / Who can help with what?
• Family members as key part of ongoing team
First Line Contingency
• Community Support Intervention Team (CSiT)
• Shared and evolving support plans
• Person at centre of each decision
• Use of each person’s name (not case number etc.)
Chris WardTeam Manager, CTALDMilton Keynes Council
Care Coordination
• CPA – Fidelity to process
• Early identification of suitable provider service
• Face-to-face contact – Regular & with all stakeholders
• Active involvement – From referral to transition and beyond
• Collaborative planning – Selecting and utilising the most appropriate tools (MHA/PCP/Living Locally toolkit)
Recruitment & InductionMacIntyre On Track Specialist: Barrie Ellis
Specialist Area Manager, MacIntyre
Recruitment and Induction
• Recruitment
– Open Day– New job roles, specific requirements in addition to usual
characteristics– Recruitment specifically informed by MDT discussions of needs
of people– Positive response rate– Different cohort of applicants – excellent but posed new
challenges
Recruitment continued ..
• Interviews involved On Track specialists and Adult Services managers, a combined approach
• Tailored interviews accordingly; existing profiling approach with additional forensic elements
• Challenges around keeping support roles distinct from more mainstream services, staff need firm understanding of this
Induction
• Tailored, intensive and collaborative approach
• Generalised support aspect, supplemented by specialist forensic elements delivered by On Track Forensic Support
• Bespoke sessions based specifically around each person to be supported, in conjunction with our OT specialists and the forensic support teams for each person (including the Registered Clinician)
• Utilisation of local MacIntyre expertise
Collaboration:
• Wide range of multi-agency partners:
– The commissioning team of course, which brings in the LDT, CSIT and the full range of health and social care support services
– Clinical teams in current settings– Criminal Justice agencies (where/when appropriate)– Housing providers
Transition & collaborative workingMacIntyre specialist: Joyce Hennis
Lead Forensic Practitioner MacIntyre
Transition,
• Living Locally and Getting to Know You, collaborating from the outset
• Preparing someone to be ready for a supported living service, collaborating with them, their families/significant people, current providers
• Enabling the person to gain trust in a new staff team, collaborating with the person, working with others to achieve this
Collaborative working with families
• Working with families
• Families are anxious about people returning to local area
• Being introduced to peoples families by someone they know and trust
• Clear communications
• Families can see transition work as a way of spending more time with their relative and this needs to be managed sensitively
Our keys to a success outcome
• Multi disciplinary approach
• Relationships
• Flexibility
• Respecting others points of view and experience