1: What is personalisation?
Personalisation is placing the service user at the centre of the service, increasing service user’s ability to exercise choice, control of their care as it is their right, and focus on their Personalisation is a social care approach described by the Department of Health as meaning that “every person who receives support, whether provided by statutory services or funded by themselves, will have choice and control over the shape of that support in all care settings”. strengths.
2: What does personalisation include?
* tailoring support to people’s individual needs whatever the care and support setting * ensuring that people have access to information, advocacy and advice, including peer support and mentoring, to make informed decisions about their care and support, or personal budget management * finding new collaborative ways of working (sometimes known as ‘co-production’) that support people to actively engage in the design, delivery and evaluation of services * developing local partnerships to co-produce a range of services for people to choose from and opportunities for social inclusion and community development
* developing the right leadership and management, supportive learning environments and organisational systems to enable staff to work in emotionally intelligent, creative, person-centred ways * embedding early intervention, reablement and prevention so that people are supported early on and in a way that’s right for them * recognising and supporting carers in their role, while enabling them to maintain a life beyond their caring responsibilities ensuring all citizens have access to universal community services and resources – a ‘total system response’
Personalisation include: Acknowledging service users as individuals with preferences, strengths and aspirations, making their needs the centre point and allowing then to control their choices, as they live life to the fullest. Simultaneously, improving the quality of support with promotion of independence, treat with respect and dignity.
3: Why is personalisation the main focus today in social care settings?
Personalisation is the main focus today in social care settings because, traditionally, service let approaches were met, hence decisions were made on their behalf without necessarily their fullest consultation. However, the government has implemented a new strategic direction to reshape the future of social care through Government reform, Public service reforms, Putting People First, protocol, Carers Strategy and Community care reforms in the early 1990 and thereafter:– NHS & Community Care Act 1990.
Community Care (Direct Payments) Acts 1996.
Valuing People: A new strategy for learning Disability for the 21st Century, 2001. High Quality Care for All, 2008
New .Horizons – the emerging national policy framework for mental health, 2009. Valuing People Now and valuing employment now, 2009
Well-being and Choice ’2011 – our vision for the future of social care for adults in England.
Whether support is funded or personally afforded the government’s aim is to promote independence, individual choice and empowerment of the lives and support to service users thus transforming adult social care.
4: What does citizenship mean to you?
Citizenship means being accepted and treated with respect and dignity to access services without any form of obstruction, prejudice or discrimination. .
5: What is needed for citizenship to be purposeful?
Citizenship means: the status or position of a citizen, the rights and duties of a citizen’. (Chambers large print dictionary 2005, edition page 139).
In other for citizenship to be purposeful, the status and position should be comfortable, able to assess services, allowed choice or preferences for daily cares, food, clothing & shelter, and respected in the society as an individual with equal human rights
6: How can you support someone to be a part of the community they live in?
To listen to what the service users are saying, reading their care plans and speak to other colleagues or members of the multi-disciplinary team who have supported. For example, “I just want to control my own life … I like to socialise with other people and meet new friends. I just want to enjoy my freedom. I don’t want people to control my life for me I want to control myself. That’s what my Mum brought me up for to control my own life.”
Therefore, by finding out what services and educational or / and recreational activities are available, the time, cost, dress code / mode and other. Plan when it will be appropriate or convenient for them to visit or attend these activities and arrangements could be made to participate. For example accompanying and supporting in accordance by moving and handling needs and risk assessments legislative and internal employers’ policy specifications.
7: What opportunities are available to the individuals you support in their local area?
The individuals I support have many opportunities to attend various facilities within the local area this includes: A local Baptist Church, A Valentine NHS Medical Centre, a pub, there is a local hairdresser, a co-operative supermarket, a newsagent, which aids the purchase of news papers, bus passes and other miscellaneous services – i.e. Post Office, with ease and proximity to their residence.
UNIT 2 – FINANCE
1: Find out what you can about the meaning of the term personal budget and explain this in your own words below.
A personal budget includes income and expenditure.
Income is all the funds that are receive: salary, governments financial periodic benefits, vouchers and gifts from family, friends or business that are regular or irregular. Expenditure is all the expenses, outgoings, including: utilities, council tax, licences, bus and train fares, permits, insurance, rent and rates.
2: What do you think a personal budget means to the individual?
The term personal budget is a budget that belongs to an individual – monthly income that the person receives and the monthly expenditures that there is a commitment to pay. This facilitates the attention to his / her personal living circumstances and ability to survive on a day to day basis in this world. In essence, a personal budget would help an individual to attend to income received to pay for food, clothing shelter and other.
3: There are two ways an individual can receive their money for their personal budget, can you explain these?
Upon assessment, an individual is means tested and a final provision is made and the option is available for a direct payment to be paid into an individual’s account to arrange their own support of social care services. However, MCCH Society Ltd. receive block contract annual payments of over a million pounds for all service users which covers their rent, staff support, food, maintenance, holiday allowance and miscellaneous expenses
4: How can a service provider support the individual to ensure they receive their preferred support package?
Commissioners, who are service providers, have first to radically change systems, processes and attitudes to work with partners (individuals, family, communities, commissioners & providers) to indentify people’s needs, engaging individuals from the start before any plans are written throughout the implementation, monitoring and evaluation process. Service users, who are recipients of services, are citizens who should become an individual is taking responsibility for the payment for their own services, i.e. (support package), such as through self-directed support for example, or are accessing services provided by the local authority directly, or on their behalf.
5: Why is it important to review an individual’s support plan regularly and how could this affect their personal budget?
To ensure that there is transparency, that the service user is satisfied and that any queries could be resolved. If an audit is due all disbursements are supported with receipts and there is evidence of validation from authorised sources. A review also can make provision for change if services are not necessary anymore or the service user has other preferences. Reviews are for improvement, feedback and a way forward.
6: Name three types of funding that can make up an individual’s personal budget?
1: Individual service fund (ISF) – under which the budget is held by a care provider but the service user can choose how some or all of it is spent. 2: Direct Payments – In the form of a direct (cash) payment, held directly by the person or where they lack capacity, by a “suitable person”, i.e. family member or ‘independent advocate. Cash payments given to service users in lieu of community care services they have been assessed as needing, and are intended to give users greater choice in their care. The payment must be sufficient to enable the service user to purchase services to meet their eligible needs, and must be spent on services that meet eligible needs.
3: Self-directed support – accessed services provided by the local authority directly, or on their behalf.
7: Explain how monies from the Independent Living Fund (ILF) can enhance an individual’s life?
They will be able to access their benefits, local services and leisure opportunities. Their independence living fund will help to support and maintaining their relationships with families, friends and neighbours provide social and emotional support. If they wish to pursue or learn life skills such as cooking, cleaning or any other the IL Fund is available.
8: How would you support an individual to budget for their daily living?
I would support an individual for their daily living by letting them know by evidence the income that they are eligible to and what expenses it covers. Indicate to them their fixed expenses e.g. rent and rates or annual holiday and what balance they have left for daily living. I would then find out from them what are the important miscellaneous expenditure that they wish to attend to monthly i.e., hairdresser or barber, monthly outing i.e. movie night, day care costs and how many times for the week. I would then help them to prepare an individual budget so that they are aware of what limited they can spend monthly so that all important cares are taken into account. 9: How would you deal with a situation where an individual has spent their weekly personal allowance on items you feel are not a necessity, and cannot pay their bills?
I would let them know that what has occurred cannot be repeated because they will be in a financial mess that could affect their health. Therefore, I would help them to see the importance to sticking to a budget and weekly or fortnightly they can have a running balance of funds available after fixed expenses are deducted. Therefore, at any point a request is made, it will be documented the balance available for any support worker to follow so that it can be decided between themselves whether such a purchase will ensure that they have sufficient left for the rest of the period.
10: Why might someone need the support of financial appointee? And what role can they play in supporting the individual to make decisions?
Some vulnerable individuals need help with claiming benefit because they can’t manage their own affairs. This could be because they’re mentally incapable or are severely disabled. If so, another person – called an appointee – can be given the legal right to act on their behalf. As an appointee they take on the full responsibility for making and maintaining any claim and managing the spending of the benefit. The appointee is responsible for the following:
Affix signature on the claim form on behalf of the claimant. Be responsible for telling the benefit office of any entitlement of the individual Make disbursements on behalf of the individual, in their best interest, and not in personal interest. Responsible for any overpayments if knowingly gave the benefit office incorrect information.
11: Why is it important to find out an individual’s preferences, wishes and needs to be able to support them effectively with their finances?
It is important to find out an individual’s preferences, wishes and needs to be able to support them efficiently in a personalised manner. Therefore as a support worker having listened to their preferences they would be taken to the shops, venues, activities that they have interest in and a desire for. This would be in keeping with the value of personalisation in health and social care hence demonstrating respect, individuality and dignity.
In relation to an individual you support, write a plan on how you can support them with their personal finances, taking into consideration:
a: Maintaining their tenancy – I will ensure that direct debits are setup for fixed costs monthly or in accordance with the contracted period i e rents.
b: Paying their bills – If capable and with capacity I would allow them to accompany me or another support worker, and let them exercise the art of meeting these payments on a timely basis, ensuring that receipts are accepted, after money (which they will be handed) is exchanged..
c: Daily living expenditure – encourage them to be self-sufficient, do part-time or volunteer . work related experience that is fulfilling. Always consult of the balance available before making any financial commitments and ensure through discussion whether costs could be checked over various suppliers. Do not walk or leave the residence unsupervised with a significant amount of money, if any change is received and left over it should be recorded in finance files for auditing purposes.
d. Their wishes and aspirations – I would make every effort to ensure support in their desired wishes and aspirations. If insufficient funds are available – an attempt would be made with the individual’s approval to budget in the next month or period’s budget. However I may point out that this means that daily living allowance balance would be much less in the next period if this item is purchase.
UNIT 3 – LIVING LIFE
1: What is your understanding of Supported living?
Supported living is housing with support. The individual has their own home and support is put in place to help them live independently. This could be for a few hours a week, everyday, overnight or twenty-four hours a day. In supported living people are supported to take control over their lives, therefore they can choose how they live, where, and who they live with and who supports them. According to an individual’s need support can move with an individual, even if they move house. It focuses on one person at a time, concentrates on relationship, making use of informal support and community resources.
2: Who can this apply to?
Supported living is not only for those who are able. Anyone regardless of their ability can be supported to live in their own home with the right support. Housing and support are built around an individual’s needs and rather than the individual fitting into an existing service. Individuals have security of tenure and cannot be moved against their will.
3: Imagine you were receiving support to live your life; think about the following things:-
1: Where would you want to live?
I would want to live in a supported housing and living environment.
2: Who would you want to live with?
I would like to live with people of similar age groups and comparable circumstances.
3: Who would you want to be supported by?
I would prefer to by given a selection of contractors and information of their services, have an opportunity to visit their various premises and then choose after these visits.
4: What would you want to during the day/night?
During the day I would like to be supported to go to swim twice a week and once a month I would like to go to the cinema at about 7 pm at night, however on evenings would like to remain in my room to spend time as I wish.
Everyone has the right to choose these things.
My own service that is singular to my expressed desires and needs. It is a service that is there to support me, not a service that is organised for the benefit of others.
Expressed wishes of an individual if they were to receive support.
4: An individual tells you that they would like to do an activity which could be risky or dangerous. How do you deal with this situation?
An individual tells me that they would like to do an activity which could be risky or dangerous. I would tell them that this is risky, dangerous and unadvisable as it may affect their health or life. If they insist, I would let them know that this matter would have to be reported to my manager and I will get back to them. Upon reporting and consultation with my manager I will allow her to provide directives, but if asked my opinion I would advise that it may be necessary to get a risk assessment from a qualified assessor and await the report.
If the report confirms our findings these should be brought to the attention of the individual and allow him to make him final decision. If his decision is to go ahead despite then it would be necessary for him to sign a disclaimer, so that if anything goes wrong the employer would not be liable, because he knowingly, in sound mind made the decision to take the risk.
5: How do you enable the individual to control their own lives and make informed choices?
I would enable an individual to control their own lives and make informed choices by providing information that individual could read and do research upon, provide specialist in the field if necessary to speak or allow them to attend lectures that gives in-depth information. For more simple mundane aspects I would promote choice by respectfully asking questions i.e., what would you like to have for lunch?, what activity would you like to participate in?, and what clothes would you like to wear?
6: (No Question allocated).
7: Who should be involved in making a support plan?
The individuals that I would involve in making a support plan include: primarily – the service user, his closely respected family, general practitioner, social worker and other specialist.
8: Why is it important to review this support plan regularly?
It is essential to review the support plan regularly to ensure that care is given in accordance with the support advised. However, having consulted the care /support plan and noted that currently his needs has changed to any significant level it would be advisable to report this matter to the manager so that a revised support plan could be put in place.
Unit 4 – Communication
1. Verbal communication means?
2. Give two aspects for verbal communication you can adapt to help communication in your work
3. Non-verbal communication means?
4. Give two types of non-verbal communication you can use to help communication at your work.
5. Name different types of persons you may need to support an individual to communicate with? And for each, what different types of communication may be appropriate.
6. When supporting someone, you may need to act as an advocate for them. How will you know you are acting on their wishes?
7. How would you support an individual to become involved in the services provided to them by the organisation? Can you name 4 service user groups and their purpose.