4. Liz Chidgey Acting Executive Director Adult Social Care 17th February 2012 Adult Community Learning Centre, Bishops Hill Local Voices, Local Choices
11. My Home Life Programme UK Promoting quality of life for those living, dying, visiting and working in care homes for older people.
12.
13.
14.
15. Creating Resources and sharing practice: Website - Newsletters – Newspaper. Awards - Charter - Event/s Leadership Support Programme & Master Classes for 80 Care Home managers Synthesising evidence: Exploring how to improve resident v oice, choice & control Inclusion & Outreach : Schools, Arts, Music, Libraries etc Supporting Change e.g. Better Transitions Network; Community Volunteers Initiative; Quality Improvement Team MHL Essex Activities
16.
17.
18.
19.
20.
21. Clare Silvester & Linda Curran An Introduction to Quality Improvement team
37. Local Voices, Local Choices in Essex End of life Care Strategy and beyond ….. Tes Smith Operational Service Development Manager End of Life Care. & Social Care Lead - National End of Life Care Programme
38.
39.
40.
41.
42.
43.
44. All the BIG society reports and policies are well and good but the challenge is to achieve this in Essex ...
45.
46.
47.
48.
49.
50.
51. Tools to use? ‘ Route to success in end of life care – achieving quality for people with learning disabilities’ www.endoflifecareforadults.com
52.
53.
54. Question for you … Which key do you hold for someone in your little bit of Which conversation can you start ?
79. Our vision is a world where disabled people have the same opportunities to fulfil their life ambitions as non-disabled people. Our purpose is to drive the changes that will make our society the first in which disabled people are able to realise their full civil liberties and human rights. Our vision and purpose
81. He is 25 years old He has cerebral palsy He has significant learning difficulties He uses a wheelchair He communicates verbally but needs assistance to understand what is going on around him Who is David?
82.
83. David gained a place at our transition service where he developed strategies to help him cope with the things he finds difficult. David consistently demonstrated his desire to live on his own David’s team worked with David, his family and key professionals to understand how this could be possible David’s Story
84.
85.
86. David continued to thrive and has now moved to his own flat where he is the tenant Scope continue to support David in his new home David takes part in the wider community and activities such as Tai Chi, doing voluntary work and spending time out with his friends David’s Story
87. Everything we do at Scope is about inspiring belief in the possible. And the thing we absolutely believe is possible is that by working together our society can change for the better. So that disabled people have the same opportunities as everyone else. That’ s why we share stories of inspiring real life experiences, aspirations and ambitions of disabled people and their families or friends. The things they tell us they ’ d like to do in the future – the things we support them to achieve. Every day. It’s the reason were here. Why stories are important to us
88. David’s story and others like his have set Scope on a mission to transform our services in Essex and across the country Our beliefs
89. We see the person and we set no limit on potential . We believe in independence , inclusion and freedom to choose . Everyday life equality . No more. No less. Together we can create a better society . Our beliefs
90. What is value? Mick Davies Regional Manager Learning Disabilities and Mental Health
106. Cllr. Brown, Deputy Councillor as Member for Adult, Health & Community Wellbeing
107.
108.
109.
110.
111.
112. Supported Living Residential Care Own home or tenancy. Security of tenure. Licence agreement with no security of tenure. As a tenant or homeowner the person has a right to choose who provides their support and can change support arrangements without moving home or move home without changing support arrangements. Support is provided as part of a package with housing and either element cannot be changed. As a tenant or homeowner the person has a right to choose who they live with if anyone. Good practice in residential care dictates that housemates should be well matched as much as possible but in practice many people live with people they do not choose to live with. Tenants and homeowners have rights to full welfare benefits including housing benefit, income support and disability living allowance. People in residential care have rights to limited amounts of welfare benefits and most people access a residential care allowance of approximately £20 per week to purchase personal belongings, clothes and holidays. Can access Direct Payments, Personal Budget, Supporting People Grant, Independent Living Fund for support. Cannot access additional funding for support.
113.
114.
115.
116.
117.
118.
119.
120.
121.
122.
123. Examples of useful practice – Look Ahead Choice and Control Offer to Customers
128. Cllr. Brown, Deputy Cabinet Member for Adults, Health & Community Wellbeing
Notas do Editor
0.9% for ages 65-74, 4.3% for 75-84 year olds and 20.7% if 85 and over. Women residents tend to be older, at an average age of 85.6 years, compared to 83.2 for men (Office o ). Two thirds of older people living in care homes experience some level of cognitive impairment and 75% of them are classified as being severely disabled . It is also estimated that up to 40% of residents experience depression. Depression is estimated to affect up to 40% of older people who live in care homes and it often goes unrecognised (Audit Commission 2000. Audit Commission (2000) Forget Me Not: Mental Health Services for Older People . Audit Commission, London. Two Thirds of older people living in care homes experience some level of cognitive impairment. Bebbington A, Darton R and Netten A (2001) Care homes for older people. Volume 2. Admissions, needs and outcomes . PSSRU. Canterbury f Fair Trading 2005). 75% classified as being severely disabled (OFT 2005)
In terms of next steps, there are probably 3 main areas on which to focus Maintain momentum Need for cultural change Workforce fit for purpose
Cancer and intellectual disability: a review of some key contextual issues , J Hogg/I Tuffrey- Wijne, Journal of Applied Research in Intellectual Disabilities, Nov 2008 2 Equal treatment: closing the gap: a formal investigation into physical health inequalities experienced by people with learning disabilities and/or mental health problems (Part 1 of the DRC’s formal investigation report), Disability Rights Commission, 2006 3 Social Trends No 35, C Summerfield/B Gill, Office for National Statistics, 2005
But don’t label – challenging to who?
In this area, Redbridge acute trust made significant changes following the 6 lives report and St Francis leads nationally on their models and input into LD and EOLC
