The challenges of working with people within an individualised framework of support Yogi Ragoo 1
Contents: • History. • Plan the way forward. • Environment. • The right support. • Positive strategy. • Review and celebrate. • Workshop moving forward. 2
HISTORY HISTORY • Can a modern support structure work for everybody regardless of their history ? • Model of service. – Individual budget – Support works around the person. – What fits the person and not the staff or the organisation. – Level of support allocated to individual needs where group living environment exist. • Long stay institutions supported living services. 3
PLAN THE WAY FORWARD. PLAN THE WAY FORWARD. • Stakeholders involvement. – Very important in decision making. – Can be time consuming when it comes to getting everyone together. – Can delay decision making. • Community presence. – Enables the person to have an identity in their community. – Leads to positive risk taking. – More relaxed approach from supporters. – Could be a good way for the person to build on their skills. • Person Centred Plan. – Sometimes people can plan according to what they feel is the right thing to do. • Advocacy. – Good impartial review of whether the service delivered is Individualised. – Questions the service provided which enables us to assess whether it works for the person. – Good relationship with advocates enables informed decision e.g. reducing support. 4
ENVIRONMENT ENVIRONMENT • Types of accommodation. • Non- negotiable. • Think before compromising. • Fix the environment not the person. 5
THE RIGHT SUPPORT THE RIGHT SUPPORT • Respect the person’s choice. • Person specification. • What works for the person. • Good balance between safety and positive risks taking. 6
POSITIVE APPROACH POSITIVE APPROACH • Being open. – Acknowledge that the person determine the support. – Make room for changes. – Good balance between needs and wants. • Flexibility. – Routines does not have to be rigid. – Quick thinking to adapt to changes the person make. – If there are challenges, do you continue with activities, change the activity or deny the person this activity?. – does this mean giving in to challenging behaviours? • Make the most of resources. – We live in tough financial times and resources are becoming more valuable. – Using resources to teach new skills. – Enabling independence. • Person centered/ best interest decisions 7
REVIEW AND CELEBRATE. REVIEW AND CELEBRATE. • Regular team meetings – Focusing on positives regardless of how small they are. – Supportive of one another. – Looking at where the service was and where it is now. – Individualised support services can cause burn out. – The success is what keeps staff motivated and passionate. – Important for staff to bond. • Service review. – Continuously assessing the service being provided. – Budget. – Cost reduction. – Reducing support. • Involve the person…let them decide! • Celebrate the good things before moving on to the next challenge. 8
Workshop • Break into small groups to discuss • How will government cuts to services impact on individualized support • What can we do to maintain the quality of individualised services • Feedback to main group 9
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