quality of life approach practised by care provider changing our lives
DESCRIPTION
A co-productive approach to social care which reshapes services to focus on quality of life, good health and social inclusion over 'services'.TRANSCRIPT
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Quality of Life approach
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Quality of Life approach is made up of:
Audits - checking people’s quality of life from rights based approach
Practice development - changing the way people think and work with people with disabilities
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Quality of Life standards
• Rights based set of standards covering a whole life.
• Young people through to adult.
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What is a Quality of Life audit?
• A Quality of Life audit is a person centred way of measuring how services and community supports enable people with disabilities to lead an ‘ordinary life’.
• It is person centred because it follows the person through their life.
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An ordinary life
We define an ‘ordinary life’ as:
• being part of the community• being employed• having access to education
which enables you to develop as an individual
• living in your own home• being in a relationship • having friends and family
around you.
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Rights based approach
• The approach we take in the standards, audit and practice development is not about services.
• Our approach is about having a LIFE!
• Based in belief that to lead a full LIFE, a person needs more than paid services.
• People need families, friends and other natural supports that you find in the community, as well as paid services and supports.
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Reshaping services
So in walking through people’s lives, we encourage services to change and reshape themselves so they are able to support individuals to lead full lives.
• Supported living• Residential and nursing care • Short breaks including residential
respite, support in the home and a range of community provision
• After school clubs, youth clubs and nurseries
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Reshaping services
• Leisure provision • Youth and community groups
and organizations• The impact of direct payments
and personal budgets• The impact of social work
teams both in adult and children’s services
• Or they are used as a person centred way of measuring the effectiveness of a whole service, for example, a local authority learning disability service.
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• Over the last 3 years our Quality of Life audit team worked with 1241 young people and adults covering 165 services and community supports.
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Audit tools
• spending time with individuals and ‘walking through’ their life
• meeting with the person’s family
• unannounced visits of services and supports
• interviewing staff teams, managers, Directors, CEO
• observation of practice • checking people’s plans • checking strategic documents
such as commissioning strategies, business plans for providers
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Practice development – getting people to think and work differently !
• Challenge events – pledges made for cultural change followed by audit.
• Idea’s festivals
• Dragon’s Den
• Self-authored lives – modelling planning for Quality of Life.
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Quality of Life impacts on 3 levels
impact on individuals
impact on commissioning
impact on practice development and cultural change
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Impact on individuals
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Impact on individuals
• More people being part of their local community
• People moving to a place they call home
• More people with profound and multiple learning disabilities using Communication Passports and increased numbers of staff trained in different forms of communication
• More people gaining paid employment
• Changes in support staff resulting in individuals getting better person centred support.
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Jayne Gallear
• Labelled as ‘challenging’, red stickered
• Demonised
• Isolated from peers and the community
• Skirted assessment and treatment
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Jayne Gallear
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Jayne
“My communication is respected.”
“I’m in my own home, with good staff.”
“I’m now treated like a human being.”
“I have individual support.”
“I have got to the top of the climbing wall.”
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No one is too disabled
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No one is too complex
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No one is too challenging
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To lead an ordinary life!
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Impact on commissioning and practice development
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Changing Our Lives & Sandwell MBC
Co-produced Activities• Interviewing • Audit of existing placements
and providers• Standards in provider
contracts • Challenging how we
measure quality - Is this good enough?
• Listening to people. Making sure they have a voice
• Working with providers to raise quality.
• Winterbourne• Commissioning alternatives.
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• The Time Machine: How things have changed!
• Looking back over the past 100 years of how life has changed for someone with a learning disability
Co-productionChanging Times in learning
disability services
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Co-productionChanging Times in learning
disability services• Ideas Festival: How we
want things to change even more!
• Taking time to listen and think
• Challenge to commissioners and providers
• What should services look like in 2024?
• Dragon’s Den: What’s the offer?
• Different needs: Different provider?