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Unit 6 > Lo1 > Flashcards

Lo1 Flashcards

1
Q

What is personalisation?

A

Everyone who receives support will have choice and control over the shape of the support in all care settings.
Recognising the person has individual strengths, preferences, wishes and aspirations
Person at the centre of the process of the care
Individuals have to decide which outcomes they wish to achieve in the house that needs to be met
Have a proactive approach
Involved in decision-making not make it for them

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2
Q

What does personalisation mean to an individual?

A

Empowerment
Control
Addressing needs
Participation
Choice
Preference
Meeting aspiration
Independence

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3
Q

Key features - personal budgets

A

Agreed amount of money used to carry out or deliver certain aspects of profession set out in individuals support plan
Means tested cash payment - look up pensions and savings, et cetera
Given by the local authority
Given after needs assessment by social services
Given to both people with care and support needs, and also Carers
Two ways - direct payments and managed account (authority controls. How much is given for what)

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4
Q

Direct payment

A

Paid to the individual
If they lack mental capacity, it’s paid to authorised or nominated person like a family or friend or an advocate
Used to pay for community care services - homecare, respite care, services and equipment
Individuals are rangers own care
Keeps records in accounts for Hall. The money is spent to social services
Not allowed to employ partner or close, relatives,
Cannot be used for long-term payments, residential care, 

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5
Q

managed accounts

A

-personal budget allocated to meet care needs
-not payed directly to individual
-local authority manages the account
-local authority organises appropriate care and support in line with their wishes
-can be spent on things to achieve their goals and aspirations
-can be spent on a personal assistant
-gives the individuals choice about their care

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6
Q

key features- co-production

A

-collaboration/working together. partnership between citizens and public services to achieve valuable outcomes
-it means that individuals receiving care are involved in designing and planning services, deciding about the allocation of resources delivering services e.g. through volunteering and evaluating services
-a working partnership between citizens and public services
-empower citizens to contribute time, expertise and effort to their local communities
-sharing skills and expertise for benefit of individual
-less expensive

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7
Q

key features- choice and control

A

supporting and enabling individuals to make their own decisions
-housing options - care home, live independently
-support plans - who they want to help them
-personal budgets
-support in the form of a personal assistant - increase autonomy, enabling and sustaining the rights of individuals to make choices

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8
Q

key features - self-assessment needs

A

-overall process for identifying and recording the health and social care risks and needs of an individual and evaluating their impact on daily living and equality of life so that appropriate action can be planned
-carried out by social services in individuals own home
-local authority decides how much money should be spent on the individuals care needs - indicative budget
-care needs can include equipment or home adaptations
-carer will also have a carers assessment

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9
Q

key features - changing role of professionals

A
  • the individual knows what is best for themselves, not the professional without compromising safeguarding issues
    -empowerment
    -valued
    -raising self-esteem
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10
Q

benefits of personalisation

A

-more opportunities to socialise
-gain and maintain control
-can remain in own home - leaving may feel like leaving possessions and memories behind or that they feel they are dependent. if remain, can choose what they want to do
-inclusion in community - feel valued and respected
-improves information and guidance - must have all choices laid out
-improved quality of life - if have more control=more confidence to socialise
-improved self-esteem - socialising=better self-esteem

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11
Q

positive impact of personalisation

A

-direct payment for care allows rapid access to services - individual can have support as and when they need
-access to information and guidance for better choices
-remaining in own home
-inclusion within communities
-new opportunities - socialise, hobbies

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12
Q

negative impacts of personalisation

A

-care is limited in the personalised budget, cant over spend
-availability and access to some services may be restricted
-worry about spending the budget

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13
Q

health and social care act

A

-act reinforces personalisation in social care and empowers patients to make choices
-enables patients to choose services that best meets their needs, including from charity or independent sector providers, as long as they meet NHS costs
-patients can choose to have their treatment in a hospital of their choice
-the act also establish new health watch patient organisations to give patients a voice. monitor was established as a specialist regulator to protect patients interests
-act strengthened collective voice of patients, service providers and commissioners should welcome feedback to assess quality of their services
-act provided basis of better collaboration, partnership working and integrating across local government and NHS

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14
Q

Health and social care act - challenges

A

-over next 20 yrs, population over 85 is mean to more than double
-£30bn shortfall is predicted for NHS by 2021
-£16.5bn funding gap projected by local government association 2020

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15
Q

health and social care act - response

A

-join up health and care around the person
-do more about behaviours that lead to health problems
-tackle avoidable or inappropriate use of health and social care services
-a more comprehensive approach to social care provision and funding

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16
Q

local authority circular (DH) 2008 - personalisation guidance

A

-everyone who receives social care support will have a choice and control over how support is delivered. people able to live their own lives as they wish, confident that services are high quality, are safe and promote own individual requirements for independence, wellbeing and dignity
-statement reinforces personalisation
-seek to reassure individuals that whatever circumstances, they’ll have voice and choice, enabling to maintain independence rather than relying on intervention at the point of emergency or crisis
-use money for:
—flexible and straightforward health care
—ensuring organisations are involved in meeting needs
—identifying cost effective personalised solutions through community networks and innovation

17
Q

the care act 2014

A

-puts people and carers first in control of their care and support.
-act combined existing pieces of legislation but aimed to give better control to those who need support.
-sets out what local authorities have to do to provide support

18
Q

the care act 2014 - developments

A

-people who need support encouraged to think about outcomes they want for better wellbeing
-if carer has needs and eligible for support, have legal right to assessment and support
-local authorities encourage and help people lead healthy lives, reducing chances of needing more support in future
-local authorities should provide clear guidance to help individuals make informed choices and enable them to stay in control of their lives
-greater emphasis on use of advocates
-greater regulation for those who provide professional care and support and tougher penalties for those who dont provide care and support of high enough standard
-greater emphasis on safeguarding vulnerable individuals from neglect and abuse
-greater emphasis on personalised budgets and payments
-people may appeal against council decisions on eligibility and funding for care and support

19
Q

the care act 2014- guidelines

A

care act reinforces personalisation in guidelines for health and social care professionals working with individuals.
Guidelines:
-individual knows themselves and their best needs
-individuals views, wishes, feelings and beliefs should always be considered
-professionals focus should be on individuals wellbeing, reducing their need for care and support in future
-any decisions should be made with individuals involvement
-individuals wellbeing should be balanced with that of involved family and friends
-professionals should ensure that any actions taken to support the individual affect their rights and freedom as little as possible

20
Q

children and families act 2014 - effects of personalisation

A

-involvement of young people and their parents/carers in all decisions
-choice and control
-duty of local authority to integrate services - health, care, education
-single coordinated assessment
-single EHCP -educational health care plan - disability support
-empowers young people so engaged and supported in the future
-duty of local authority to provide information, advice, and support on health, social care and education

21
Q

role of local authority in personalisation

A

assessment
-EHCP
-fair access to care
-budgets

housing
-meeting housing needs
-adaptations
-choice of residence

the care act
-removed geographical barriers

decentralising and commissioning
-outsourcing services
-greater range of choice

22
Q

local authority - assessment - education health care plan

A

-a legal document which sets out a description of a childs or young persons needs
-it will assess and consider the childs education, health and care needs
-before the EHCP is written, professional will involve the parent in assessing the childs needs
-more emphasis on the views of children, young people and their parents in decision making

should contain:
-views, wishes and feelings of child or young person or parent
-importance of full participation in decisions
-importance their being provided with necessary information and support to participate
-the need to support the child or young person to achieve the best possible educational and other outcomes preparing them effectively for adulthood

entitled to:
-have a severe or complex long-term need that affects everyday life
-require help and resources that are not normally available
-need intensive help and support from more than one agency
-show evidence that they are making limited or no progress, despite high levels of support
-show evidence of a graduated response to interventions, support and resources already in place

23
Q

local authority - assessment - fair access to care (FACs)

A

-guidelines produced by government to provide local authorities with a common framework for determining an individuals eligibility for social care services
-addresses inconsistences in outcomes across the country
-based on individual needs
-4 eligibility bands - critical, substantial, moderate, low
-immediate needs and those that could worsen over time taken into account
-needed to make sure that council resources are used fairly and the same criteria are applied to all adults

24
Q

local authority - assessment- individual budgets

A

-assesses by local authority - self assessment process (SAP)
-money allocated to an individual to buy support and services for independent living
-aim to assess an individuals care needs without procedures being duplicated by other agencies
-direct payment

25
Q

local authority - housing - choice of residence

A

-choice of where and how they live
-homes are accessible, flexible and adapted
-specialised service for housing

26
Q

local authority - housing - housing adaptions

A

-own home or a house that is already adapted
-assessment

27
Q

local authority - housing - meeting housing needs

A

-purpose built or adapted accommodation
-sheltered accommodation
-residential housing

28
Q

local authority - the care act removal of geographical barriers

A

-continuity of care
-no gap in care and support
-local authority must ensure that needs are met in new area

Unit 6 (6 decks)

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