WORKFORCE REMODELLING

Lincolnshire Assessment and Reablement Service

Universal service Prevention

Reablement

Maintenance

Community

GP

Library

Leisure

Shopping

Hospital

Transport

Telecare

Customer Service Centre

Information, Advice & Guidance

First Contact

Good life Guide

Health Advice

First Contact Volunteers

Housing Related Support

Smartcare

In your own home

In a care home

Smartcare Telecare

Sign posting Help & Support

Assessment

Living Your Life

Support Plan Sign off – Getting your plan agreed

Assessment – how much money

Brokerage – Organising Your Support

Support Plan – Your Plan

Review – Seeing how it worked

OT/Physio

Nurse

Putting Our People First – Workforce Development Priorities

• Total Workforce – Integrated Local Area Workforce Strategy & Plan

• Re-Modelling - joint working and new integrated roles

• Accessible & flexible learning solutions

• National standards, competencies & frameworks

• Stakeholder consultation, feedback and support

• Financially viable and sustainable programmes

• Outcome focussed learning and development

• Regulation, Risk Management and Safeguarding

• Market development and management– commissioning and contracting for quality

WORKFORCE PLANNING

• Assessment of Current Position –

• Profile of Home Care Workforce

* Source National Minimum Data Set.

• Majority of workforce is external

• Greater diversity profile in Independent Sector (Gender, Disability, Age, Ethnicity)

• Higher NVQ qualification rates in LCC

• Turnover higher in Independent Sector

Challenges and SolutionsO – PRODUCTION (Joint learning and development LCC

and PVI sector, consultation with managers & staff, PWUS

EALTHCARE TASKS (Joint Workforce Planning with Health)

NXIETY (Leadership, change management, communication))

ATIONAL STANDARDS & ACCREDITATION (QCF, CQC NVQ Competencies, HSA Person – Centred Tools)

ATHERING EVIDENCE OF OUTCOMES (Evaluation beyond learning experience, ‘Learning Logs’)

COMONIC CLIMATE (Potential for efficiency savings, sustainable learning solutions)

C

H

N A

G

E

C H A N G E

TRAINING NEEDS ANALYSIS

• KNOWLEDGE: Person - Centred Reablement Tools, Long Term Conditions.

• SKILLS: Task Analysis Sequencing, Maximising independence and confidence, personal care, social care and health care, Self Directed Support, working with carers.

• APPROACHES: Person – Centred.

Workforce Development and planning informed through National Occupational Standards and reflecting ‘Common Core Principles

for Self Care’.

Learning and Development Strategy & Plan

PHASE 1 (Person - Centred Approaches for Reablement) Accredited Train the Trainer ‘Programme.

• 1 day ~ Trainer Mentoring / Preparation / Case Studies • 1 day Training led by HSA (Trainers to observe) • 1 days co –training, • 1 day solo delivery assessed & accredited.

PHASE 2 (Person - Centred Approaches) Managers • 1 day ‘Person - Centred Thinking’ Training For Managers. • Evaluation of learning outcomes including, impact on practice outcomes,

consultation on design of further frontline workers training / tools, identification of further learning needs.

PHASE 3 (Reablement Competencies Strand) • HSC344: Support individuals to retain, regain and develop the skills to

manage their lives and environment and……..• Units to reflect skills mix required to meet Health & Well-being outcomes for

People Who Use Services / Carers as per CQC Regulations and Outcomes

LEARNING IN ACTION The journey so far…..

• Establish shared objectives & outcomes for learning• Flexibility within a consistent approach to achievement• Motivation and morale increased by positive learning experiences

and achieving outcomes• Dialogue and communication reduces anxiety and/or resistance to

learning / change• Practical Tools and information are essential• Systems / processes changes needed • Skills development requires competency framework to enable

performance monitoring / appraisal and CPD• Leadership is essential to embedding culture change• Reablement as part of the pathway - links with Universal Services,

Prevention Strategy, Intermediate and Health Care pathways

Universal service Prevention

Reablement

Maintenance

Community

GP

Library

Leisure

Shopping

Hospital

Transport

Telecare

Customer Service Centre

Information, Advice & Guidance

First Contact

Good life Guide

Health Advice

First Contact Volunteers

Housing Related Support

Smartcare

In your own home

In a care home

Smartcare Telecare

Sign posting Help & Support

Assessment

Living Your Life

Support Plan Sign off – Getting your plan agreed

Assessment – how much money

Brokerage – Organising Your Support

Support Plan – Your Plan

Review – Seeing how it worked

OT/Physio

Nurse

PERSONALISATION

Improved Outcomes for people who use services achieved through a workforce with the

Capacity, Commitment and Competence to:

Ensure people have choice and control over their lives by providing:•accessible information and advice

•support tailored to individual requirements•support closer to home at the right time

Therefore enabling them and their supporters to maintain or improve their wellbeing and independence rather than relying on intervention at the point of crisis.