Unit 6 Flashcards
(136 cards)
1
Q
What is Personalization?
A
According to the government, personalization means that every person who receives support, whether provided by statutory services or funded by themselves, should have more choice and control over the shape of that support.
2
Q
Name the five key features of Personalization.
A
- Personal Budgets
- Co-production
- Choice & Control
- Self-Assessment Of Needs
- Changing Role Of Professionals
3
Q
What is Personal Budget?
A
It is an agreed amount of money used to carry out or deliver certain aspects of provisions on a care plan. If the individual is eligible for social care then it can be used to enhance choice and control.
The personal budget is a means-tested cash payment that is based on the individual’s financial situation.
4
Q
What is Co-Production?
A
It is the collaboration or working together of practitioners and service users to achieve better outcomes for service users. Citizens in the community can help to shape new services which help to empower them and bring back a sense of control over the care they receive. ( The Citizenship Model )
5
Q
What is Choice & Control?
A
Providing individuals with a heightened level of choice and control can enable them to live an independent life, therefore enhancing their autonomy. This can be done through; personal budgets, home care, personal assistants and additional equipment.
6
Q
What is a Self-Assessment Of Needs?
A
The process is led by the service user. Professional will discuss support in different areas and the local authority will decide if you are eligible for long term social care and the cost ( Indicative Budget )
7
Q
What is the Changing Role Of Professionals?
A
The control has moved AWAY from the professional and shifted towards the service user. A non-judgemental, sensitive and empathetic attitude will empower the individual to make their own decisions. The practitioners will provide as much support and guidance.
8
Q
Define the term ‘Statutory Services’
A
A service provided by the local authority as laid down by the law.
9
Q
Define the term ‘Aspiration’
A
A hope or ambition of achieving something.
10
Q
Define the term ‘Personal Budget’
A
The amount of money an individual is awarded by the local authority to spend on the help they need.
11
Q
Define the term ‘Support Plan’
A
A document where day-to-day requirements and preferences for care and support are detailed,
12
Q
Define the term ‘Social Care Outcomes’
A
The result of receiving social care that is desired by the individual.
13
Q
Define the term ‘Means-Tested Payments’
A
They are payments that are based on an individuals financial situation to determine whether they are eligible.
14
Q
Define the term ‘Local Authority’
A
A governing body of a county or district officially responsible for all public services and facilities in the area.
15
Q
Define the term ‘Eligible’
A
Fits the criteria, suitable or be entitled to something.
16
Q
Define the term ‘Mental Capacity
A
Being able to make a reasoned decisions by understanding the information, remembering it for a long enough time and then communicating this to others.
17
Q
Define the term ‘Autonomy’
A
Self-rule, independence or freedom.
18
Q
What is the Care Act?
A
The Care Act is a single, con||sistent route which allows the establishment to public care and support for all adults with needs for care and support. It also ensures that this happens fairly and consistently. It provides an entitlement for the support of carers.
19
Q
Name the six key features.
A
- Duty On The Local Authorities To Promote An Individual’s Well-being.
- Continuity Of Care.
- Carry Out A Child’s Needs Assessment.
- Availability Of An Independent Advocate.
- Adult Safeguarding.
- Guarantee Preventative Services.
20
Q
How Does The Care Act Relate To Personalization?
A
- Carer’s have a legal right to an assessment and to receive support ( link to preventative measures in delaying care )
- Local authorities should provide clear guidance to help individuals make informed choices and enable them to stay in control. An independent advocate should also be available to help people make decisions.
- Increased choice and control- Individual’s best interests are at the centre of the process.
21
Q
Identify The Positive & Negative Impacts Of Personalisation
A
\+Information & Guidance \+Direct Payments For Care \+Inclusion In The Community \+Remain In Own Homes \+New Opportunities -Care Is Limited To The Prescribed Budget -Worry About Spending The Budget -Services May Be Restricted To The Area
22
Q
Explain ‘Information & Guidance’
A
Enables individuals to make better choices regarding their care and improve their confidence because they have the knowledge of the situation.
23
Q
Explain ‘Direct Payments’
A
Allows for quick access to services as there is no need to wait for the local authority to organise or approve anything.
24
Q
Explain ‘Inclusion Within Community’
A
Involved within the community and its activities. Individuals interact and improve social skills, they feel welcomed and have a better and improved quality of life.
25
Explain 'Remaining In Own Home'
Sense of belonging as you feel safe and comfortable. They know their surroundings and know people in the area.
26
Explain 'Care Is Limited To The Prescribed Budget'
When the personal budget is spent it is likely that no more is available until the next installment. This means that the individual needs to know what they are doing in advance so they don't miss out on funding.
27
Explain 'Worry About Spending The Budget'
This can cause unnecessary stress for the individual, so some might prefer to have a managed account.
28
Explain 'Services May Be Restricted To An Area'
Depending on where the individual lives they might not have support within reach so could end up missing out on care. Or that not a large number of professionals are trained or specialized in that area.
29
What Is The Person-Centered Approach?
It is used to see the person as the individual, focusing on their personal needs, wants, goals and aspirations. The individual become centered to the health and social care process. The support the individual needs must be designed in partnership with the individual, their family/friends and/or carers.
30
What Are The Key Concepts Of The Person-Centred Approach?
```
Knowing the person as an individual
Empowerment & Power
Respecting the individual’s values and preferences
Choice & Autonomy
Respect & Dignity
Empathy & Compassion
```
31
Identify The Three Strategies To Ensure The Person-Centered Approach
- The balance between what is important to / for a person;
- Clarification Of Roles & Responsibilities
- Enhancing Voice, Choice & Control
32
Explain 'Balance Between What Is Important To / For A Person'
This is when individuals who are receiving support are entitled to take risks if they want to. As part of the person-centered care, carers need to see risk-taking as a positive rather than a negative. It is now recognized that risk-taking can have positive benefits for an individual, allowing them to do things just like other people. Risks are a part of everyday life. However, it is seen as the main priority to keep the individual safe, while also taking into account what is important to that individual.
33
Explain ' Clarification Of Roles & Responsibilities'
The role of the carer/professional assistant to provide support for the individual to enable them to live the life they want. Professionals are no longer in charge of making decisions about an individual’s life. It is the duty of the individual to make their wishes clear to the carer.
34
Explain 'Enhancing Voice, Choice & Control'
- Providing an advocate
- Listen to them effectively and efficiently, applying the information
- Effective communication (BSL, Braille, Writing it down, Makaton)
- PEC cards
- Haptic communication
35
What Are The Three Main Principles Of The Person-Centered Approach?
- Independence & Rights; This can include; living the way that they want, to be employed and to form meaningful relationships.
- Co-Production, Choice & Control; This can include; Being treated as an equal partner in decision making about their care.
- Inclusive & Competent Communities; Individuals should have the opportunity to participate in community activities to volunteer in their community and, ultimately, to feel they belong.
36
What Are The Two Main Principles Of The Health & Social Care Act?
- Enable patients to have more control over the care they receive.
- Enable those responsible over care to have the freedom and power to commission care that meets local needs.
37
What Are The Key Features Of The Health & Social Care Act?
- Collective Voice
- Partnership
- Commissioning Boards
- Healthwatch England
38
What Is Healthwatch England?
Healthwatch England is a national body representing the views of users of health and social care services, other members of the public and local Healthwatch organization. It advises and provides information of the Secretary Of State, the NHS Commissioning Boards, Monitor, England local authorities and the CQC on the views and experiences of users of health and social care.
39
What Are Commissioning Boards?
The NHS commissioning board, clinical commissioning groups, monitor and health, and the wellbeing boards all have duties to involve patients, carers and the public. Commissioning groups help to consult the public on their annual commissioning plans and involve them in any changes that affect patient services.
40
What Is The Local Authority Circular 2008?
Local Authority Circular (LAC) alerts convey important information for local authorities. They are issued by the Department Of Health & Social Care to communicate guidance or a requirement of urgent action to local authorities.
41
What Does The LAC Do?
They provide every individual who is receiving support through the social care sector, despite their level of needs, with choice and control to become the decision maker in catering their own care to meet their needs, values and personal requirements.
42
What Is The Childrens & Families Act?
Focuses on putting children and young people at the heart of planning and decision making through co-production and person-centred practice. It emphasises the importance of engaging young people and their families in all processes.
43
What Are The Key Features Of The Chidrens & Families Act?
- The importance of Involving young people and their parents/carers in all decisions.
- Choice and control for the children, young people and families involved in the decision making.
- The duty of the local authority to integrate services across health, cae and education.
- A single, coordinated assessment.
- A single Education, Health and Care Plan (EHCP)
- Empowering young people so they are engaged and supported to plan for their future.
- The duty of the local authority to carry out a child’s needs assessment (CNA) for young people who may need support to make informed choices for their future/
- The duty of the local authority to provide information, advice and support (IAS) on health, social care and education.
44
What Are The Three Main Features Of The Childrens & Families Act?
- Child’s Commissioner & Co-Production
- Integration & Information
- Health, Education & Child Care
45
What Are Education, Health And Care Plans (EHCP)?
-An EHCP is a legal document which sets out a description of a child or young person’s personal needs. It documents what has to be done to meet those by educational, health and social care. It is usually for children with complex and severe needs which require high levels of support.
-This system would work from birth to 25 years of age, rather than ending when a young person left school.
Whatever is stated on the plan is legally binding.
46
How Can An Individual Be Supported?
| In An EHCP
- In-Class LSA
- Small Group Sessions
- Weekly 1-1
- Emotional Support
- Note-Taking
- Assistive Technology
- Practical Assistance
47
What Can Be Done To Aid Transition?
- School Visits
- Annual Reviews In Year 11
- Learning Support Interview & Enrol
- Pre-Taster Day ( To Meet The Support Team )
- Taster Day
- 1-1 Visit Before College Starts ( Check The Plan )
- Support Plan Agreed & Reviews By Oct ½ Term.
48
What Is The Role Of The Learning Support?
“To help remove barriers faced by individuals to promote independence”
49
What Does The Local Authority Have To Do In Terms Of Assessments?
- EHCP- The local authority has the role of carrying out an assessment for an Education, Health and Care Plan.
- Fair Access To Care- FACS guidelines introduced by the government in 2003 to support understanding of eligibility for social care services ( who is entitled to care and support )
- Individual Budgets- Money to meet outcomes which is determined by the Self Assessment Process ( SAP )
50
Explain 'Fair Access To Care'
FAC guidelines were introduced by the government in 2003. They provide local authorities with a common framework in order to:
Determine an individual’s eligibility for social care services.
Address inconsistencies in outcomes across the country and ensure a consistent approach to providing high quality care for those in need.
Based on individual needs and associated risk for independence. It includes four eligibility bands ( Critical, Substantial- Moderate-Low) and also considers needs that may worsen with a lack of timely help.
51
Explain 'Education, Health & Care Plans'
They are for children with SEN (Special Educational Needs), and they replaced SSEN (Statements Of Special Educational Needs). The local authorities work together with the individual, their family and practitioners to make sure the individual is put at the centre of the care, overall ensuring that their views, opinions, needs and aspirations are met. This is seen as Co-Production.
52
Explain 'Individual Budgets'
The end goal is that the individuals can live independently promoting empowerment and control over goals and aspirations. The Self Assessment (Of Needs) process aims to assess people’s care needs thoroughly and accurately, without procedures being needlessly duplicated by other agencies. This both saves time and money.
53
Summarise The Role Of Social Services When Supporting Individuals With Mental Health Difficulties:
Social services have to assess your care and support plan/ needs. They need to ensure that your wellbeing and your independence is at the focus. They have to make sure that your condition does not get worse. All the local authorities should have the same eligibility criteria. -
54
Explain 'Housing Adaptations'
These could be to the individual’s own home or in an already adapted house. They’re assessed by the local authorities social services to enable an individual to live independently. For example; A kitchen for a wheelchair user- units, cookers, sinks etc is lowered so that everything is within reach.
55
Give Examples Of Housing Adaptations
- Bath Seats
- Bath Steps
- Bath Lifts
- Raised Toilet Seat Beds
- Toilet Frames
- Stair Rails That Move With You
- Lightweight Kettles
- Turning Beds
- Combination Beds
- Manual Leg Lifters
- Adjustable Height Seat Beds
56
Explain 'Meeting Housing Needs'
If the individual wants to stay in their own home, social services will do their best to help them stay there using special equipment and adaptations.
However, if this is not possible they have the following options;
-Purpose-Built/ Adapted Accommodation
-Sheltered Accommodation
-Residential Homes
57
Analyse 'Purpose-Built/ Adapted Accommodation'
+Gives independence.
+Completely adapted to the individual’s needs.
-Not staying in their own home.
-Might feel isolated.
-Feel like the individual is leaving their memories behind.
58
Analyse 'Sheltered Accommodation'
```
+Inclusive in the community.
+Privacy.
+Feel protected.
-The security team do not offer any care assistance.
-No support provided.
```
59
Analyse 'Residential Homes'
```
+24/7 care assistance.
+More socialising.
-Might feel a lack of independence.
-Expensive.
-Higher risk of abuse.
```
60
What Is The Importance Of Continuity Of Care?
To ensure that a high level of care is maintained from one area to another with no gaps or drop of standards, while still meeting the needs of the individual.
61
Define 'Decentralisation'
Local authorities do not centrally deliver all services.
62
Define 'Commissioning'
Planning, agreeing and monitoring of services.
63
What Does Outsourcing Mean?
Outsourcing means that the services will not necessarily come from the local authority, but may be bought from other organisations to meet the needs of service users, which gives greater choice and to give better value for money. For example; service users can choose which hospital they would prefer to carry out their operation at or the care home that they want to be in.
64
Name The 8 Challenged To Adopting A Person-Centred Approach.
- Resistance To Change
- Institutional History Of Public Services
- Institutions Promoting A Medical Model Of Health
- Lack Of Staff Training
- Communication Barriers
- Respecting Choice When Alternatives May Promote Better Health Or Wellbeing
- Focusing On Deficits Rather Than Capacities
- Lack Of Clarity Over Roles & Responsibilities
65
Explain The Challenge; Resistance To Change
It is an emotional reaction based on fear of loss. Some individuals may not want to lose the safety net of someone else making decisions for them. Professionals may feel loss of power as they are no longer in control.
66
Explain The Challenge; Institutional History Of Public Services
It was common practice for individuals to accept professional’s decisions as they ‘knew best’. Not going to change over night (the stigma)
67
Explain The Challenge; Institutions Promoting A Medical Model Of Health
The medical model of health sees disability as a problem belonging to the individual - limiting them to their condition & can’t participate in society. Institutions focus on the curing or fixing the individual as they can deal with disabilities using medical advances such as surgery or medication.
68
Explain The Challenge; Lack Of Staff Training
A person-centred approach is quite a relatively new concept, if it is to be successful then staff ( at all levels ) should be restrained as they all will need a new set of skills.
69
Explain The Challenge; Communication Barriers
Good communication is seen as the basis of a person-centred approach as it helps to establish trusting relationships & ensure that the information is passed on and is understood. Barriers can lead to resentment, frustration, misunderstanding & demoralization for both the individual and the professional.
70
Explain The Challenge; Respecting Choice When Alternatives May Promote Better Health Or Wellbeing
Sometimes it can be difficult for professionals to accept an individual’s choice, particularly if their choice could affect their health. For Example; When an individual decides they will not go to a screening.
71
Explain The Challenge; Focusing On Deficits Rather Than Capacities
In the past professionals assessed individuals in terms of what they couldn’t do; that is deficits. They then set the individuals goals to overcome the deficits instead of focusing on the individual's strengths, as the person-centered approach does.
72
Explain The Challenge; Lack Of Clarity Over Roles & Responsibilities
In a person-centered approach, everyone is an equal partner so the roles and responsibilities are shared between the individual, their family, carers and professionals.
73
Name The Methods To Overcoming Challenges;
- Valued-Based Recruitment
- Recognizing When Provision Is Not Person-Centred & Taking Action To Rectify This
- Modeling Behaviour
- Staff Training
- Regular Review Of Support Provided
74
Explain The Method; Valued-Based Recruitment
Staff values have a major impact on the quality of care. This model is designed to help and support employers in recruiting staff with social care values. It involves asking questions at job interviews that enable candidates to give examples of behaviours in their previous roles that demonstrate their values in action. Focuses on how & why candidates made certain decisions in their work. It explores the attitudes and reasons underpinning their behaviours, giving employers an insight.
75
Explain The Method; Recognising When Provision Is Not Person-Centred & Taking Action To Rectify This
Could happen if the professional working with the individual fails to constantly check that the individual is aware of what it is happening and that they are in control of the process. If the individual does not feel in control then it can be easily rectrifies by the professional.
76
Explain The Method; Modelling Behaviour
This is observing good practice, of how other professionals carry out person-centred care and then imitating or copying it. Good starting point for professionals who need to gain confidence as they are able to watch and then follow the example they have observed.
77
Explain The Method; Staff Training
Can reduce job stress and reduce staff turnover as well as adding job satisfaction. Staff must have the confidence for delivering person-centred care through skills and knowledge gained in education and training.
78
Explain The Method; Regular Review Of Support Provided
Essential as they are important as the support / care plan. Reviews should be conducted in a person-centred way when the individual, their family and the professionals feel it is necessary. Should be included in the support plan.
79
When Applying The Person-Centred Approach, What Do You Believe Are The Most Important Things To Find Out About An Individual?
- Values
- Their Needs
- Behaviors/ reactions
- Background
- Goals & Aspirations
80
Name The 5 Tools Used To Find Out What Is Important For A Person
- Good & Bad Days
- Routines
- Top Tips
- Relationship Circles
- One Page Profiles
81
Explain The Tool;
| Good & Bad Days
- Describe a typical good day so the practitioner can learn what makes a good day and what support is needed to achieve the desired outcome.
- Factors influencing a bad day can be identified and avoided.
- Info provided from this can be used to inform an assessment of needs, care plans, and support plans. It is also useful during review meetings and better understand how to support an individual in the future.
82
Explain The Tool;
| Routines
Encourages an individual to talk through their daily routines, providing the practitioner with a greater understanding of what is and isn’t working for them.
83
Explain The Tool;
| Top Tips
- ‘Two-minute drill’.
- Its purpose is to quickly learn what is important to and for an individual along with outlining the critical support they need.
- Only have a short space of time to find out what they need to do to create a meaningful, safe and enjoyable day for the individual.
84
Explain The Tool;
| Relationship Circles
It helps to identify who an individual know, how they know them, who else can help to support an individual in living the life they want to live. It is a visual way of the practitioner understanding who is closest to them and who is the furthest way. Allows the professional to understand who is already or could be involved in the service users care and how important people are relative.
85
Explain The Tool;
| One Page Profiles
It helps social care professionals provide better person-centred care & support. It is a simple summary of what is important to someone and how they want to be supported. On your profile you can record how you’d like people to help you, if and when you need care and support.
86
What Are The Benefits For Relationships Circles?
- Identifying people who are important so they can be involved.
- Ensuring service users stay connected with their community and people who are important to them.
- Locating people who may be able to care for and support an individual
- Supporting young people’s parents to feel part of the community and that they are not alone.
87
What Must A One-Page Profile Include?
- What people like & admire about the individual- Talents & Strengths
- What is important to the individual- ex. People, Hobbies & Routines
- How to support the individual in the best possible wa
88
What Are Communication Charts?
They describe the ways an individual chooses to communicate so that other people can understand them. It helps us to focus on what someone is trying to communicate, whether they use words or not. It is easy to assume that someone doesn’t have much to say if they rarely speak, but that isn’t the case. They can reduce the frustration of not being understood, protect dignity and can create a more inclusive environment.
89
What Are The Benefits Of Communication Charts?
- Reduced frustration of not being understood.
- Protect dignity.
- More inclusive community.
- Knows which actions means what to help improve their ability.
- Clear explanation
- Shows how they communicate
- Empowerment
- Provide choices & aid independence
- Adds perception to aid quality communication
- Person Centred
90
What Are Decision Making Charts?
They are formed of pre-planned decisions of frequent questions the individual is asked. They are created in partnership with the individual. It breaks down the decision making process to enable an effective outcome in which the individual feels in control. Overall reducing the anxiety and stress of instant decision making.
91
What Are The Three Main Stages Of Decision Making Charts?
1. Important Decisions In My Life
2. How I Must Be Involved
3. Who Makes The Final Decision
92
Why Is Building Effective Relationships With Individuals Who Require Care Or Support Important?
Learning how to talk to and listen to the individual is the only way to get to know an individual and build trust. Service users should be treated with dignity, compassion & respect at all times. Once an individual feels confident that their carer is honest, trustworthy can keep confidences and is committed to their best interests then an effective relationship is more likely to be built.
93
How Can You Build Effective Relationships With Individuals Who Require Care Or Support?
- Privacy & Dignity
- Trustworthy
- Compassion
- Committed To Best Interests
- Keeping Confidence
94
How Can You Show Privacy & Dignity?
- Use the individual’s preferred names
- Privacy when changing
- Allowing privacy when they use the toilet
- Asking the individual before they do something
- Respecting their decisions
95
How Can You Show Compassion?
- Acting like you care, ask them how they are and make an effort
- Care comes first
96
How Can You Be Trustworthy?
- Not gossiping about other patients
- Don’t with-hold information
- Transfer information on a need-to-know basis
- Be there when they expect you to be
97
How Can You Be Committed To Best Interests?
- Refer to care plan
| - Choice and info & guidance
98
How Can You Keep Confidence?
- Not gossiping about other patients
| - Don’t with-hold data
99
What Is The Purpose Of A Doughnut Chart?
- Used to clarify the roles & responsibilities of carers.
- The tool is useful if a carer is unsure about their responsibilities.
- quick and easy way of collecting/ collating & representing information about a person and the support they receive, doughnut charts are also a useful tool when evaluating their network of support and reviewing the support available to the individual.
100
What Are The Three Levels Of A Doughnut Chart?
- What They MUST Do (Core Responsibilities);
- Where They Can Use Their Own Creativity & Judgement;
- What Is NOT Their Responsibility;
101
Explain The Sections Of A Doughnut Chart
-These are the things that carers are expected to do correctly, they are essential to keeping the individual safe & healthy.
For Example; Encouraging individuals to eat healthy, exercise, take their meds etc.
- Learning what works and what doesn’t for an individual using your initiative to try & improve the service users’ quality of life.
For Example; Support an individual to make friends and go out to socialise.
- Part of an individuals’ life where a carer would not get involved in things that go beyond what should be asked of a paid carer.
For Example; If a service user and their family have a falling out, it is not your responsibility to fix it.
102
What Are The 4 Things That Help To Develop A Person-Centred Approach & Records
- Understand How The Individual Communicates Their Wishes & Needs
- Focus On The Individual’s Capabilities & How They Can Best Be Supported To Make Decisions
- Find Out What Is Important To Them To Have A Good Quality Of Life
- Find Out Who Is Important In A Person’s Life
103
Explain The Strategy; Understand How The Individual Communicates Their Wishes & Needs
For an individual who does not communicate verbally, we need to prepare support for their preferred method before the planning session. This could be: Photographs, DVD Clips, Objects Of Reference, Advocate. The preferred method of communication for the individual can be determined by the COMMUNICATION CHARTS.
104
Explain The Strategy; Focus On The Individual’s Capabilities & How They Can Best Be Supported To Make Decisions
- What an individual is good at and what other people think are their strengths.
- Personal strengths could form the basis of the types of employment, career paths, educational courses and social activities they may wish to pursue. An individual will need to identify the key areas in which they need support and decide how they can get that support. This can be aided using DECISION-MAKING CHARTS.
105
Explain The Strategy; Find Out What Is Important To Them To Have A Good Quality Of Life
Services used to focus on what was important FOR an individual ( Eg; Keeping them safe ). Now the emphasis is on what is important TO an individual. Person-centered care puts the individual first, not just what is the matter with them. A balance must be found that is satisfactory to the individual. This can be aided by; good/bad days, routines, top tips, etc.
106
Explain The Strategy; Find Out Who Is Important In A Person’s Life
This involves getting to know the individual as a person and their RELATIONSHIP CIRCLES. Either make their relationship circle with them or talk through their existing one with them.
107
What Is A Review Meeting?
They check that the individual’s support plan is still right for them and change it, if necessary. For example; they may be used in a school when reviewing the usefulness of an EHCP.
108
How Often Should Review Meetings Take Place?
12 Months from when it was first set up and every 12 Months after that.
109
Why Would A Review Meeting Take Place Sooner Than Expected?
- The individual has few friends or family members supporting them.
- Their circumstances change. For example; if their condition worsens.
- There are problems with the delivery of care and support plan. If their request is reasonable, the local authority should carry out the review within a reasonable time.
110
Should A Review Meeting Take Place If A Care/Support Plan Is Going To Be Closed?
Yes
111
What Are The Three Main Importances Of A Review Meeting?
- Putting The Individual At The Centre Of The Meeting;
- Builds & Shares Information Collaboratively;
- Generates Action;
112
Explain The Importance;
| -Putting The Individual At The Centre Of The Meeting;
Review meetings provide individuals receiving care and support the opportunity to discuss whether the goals of the care plan have been achieved or if the goals have changed so the plan may need to be changed.
As well as the individual being at the centre of the planning and assessment process, it is essential for them to play a major role in the review process as only they know what does and doesn’t work for them.
113
Explain The Importance;
| -Builds & Shares Information Collaboratively;
Everyone involved in the individual’s care; the individual, carers, family & professionals… should share information regarding what is working and what is not. This will provide a more holistic picture as possible.
The collaborative approach means there is an open forum for opinions, experiences, information and suggestions to meet the outcomes set.
114
Explain The Importance;
| -Generates Action;
If some areas are found not to be working then something must be done to rectify the issues. This should be in the form of an updates support plan documenting the next steps forward achieving the revised or new goals.
115
What Are The Four Purposes Of A Review Meeting?
- Meet Changing Needs;
- Review The Budget;
- Ensure Care Relationships Are Effective;
- Review The Person-Centred Description;
116
Explain The Purpose;
| Meet Changing Needs;
An individual’s disorder could be progressively getting worse and they may have developed further support needs.
117
Explain The Purpose;
| Review The Budget;
If their care needs have changed due to the above, they may require more funds to pay for additional support.
118
Explain The Purpose;
| Ensure Care Relationships Are Effective;
If the individual doesn’t feel as though they are receiving adequate care & support from a practitioner, they can speak up about this & the issue can be addressed.
119
Explain The Purpose;
| Review The Person-Centred Description;
Make sure the care & support the individual is person-centred.
120
What Are The Two Things To Be Aware Of When Planning & Preparing For Review Meetings?
- The role of the facilitator
| - How the individual can be made to feel as comfortable as possible during the meeting
121
What Is The Role Of The Facilitator?
The trained facilitator supports the person whose review it is and considers them to be at the centre of the meeting. They make sure those at the meeting focus on the individual and their strengths
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What Are The 5 Questions Asked By The Facilitator To The Individual?
- What are the person’s strengths & capabilities?
- What can we do to help this individual achieve their objectives?
- What is important for this individual now?
- What is important to this individual in the future?
- What is and is not working from the person’s perspective?
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What Are The Three Main Roles Of A Facilitator?
- Invites contributions from the people at the meeting; which helps the group compare and explore their different perspectives, enabling them to see the individual and their relationship with them, in a different way.
- Assists the group in agreeing a common-direction, based on what they learn from their focus on the individual.
- Checks with the individual that they are happy with the way the review is going.
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Identify Some Ways To Make An Individual Feel Comfortable
- Giving them a choice over the people present at the meeting.
- Let them invite whoever they wish so that the meeting brings together the people who give most care to the individual. If the individual has low mental capacity or an inability to communicate effectively, refer to their relationship circle.
- This can include; family, friends, carers, professionals etc
- Giving them a choice over both the timing and location of the review.
- It should be at a convenient, accessible place for those invites, especially the individual.
- The timing should also suit everyone, especially the individual.
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What Does MAPS Stand For?
Making Action Plans
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What Is The Purpose Of MAPS?
It is a creative planning tool that uses both process and graphic facilitation to create a shared vision of a positive future for individuals and families. MAPS draws on people’s ability to visualise different futures and to plan for these using the focus person’s unique gifts, strengths, interests and capacities.
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List The Stages Of MAPS
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What is their history?
What are their dreams?
What are their nightmares?
What are their strengths, talents and capabilities?
What are their needs?
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What Is The Outcome Of MAPS
An action plan to decide what will be done and when, in order to meet the individuals needs and wishes.
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What Does PATH Stand For?
Planning Alternative Tomorrows With Hope
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What Is The Purpose Of PATH?
Seeks to understand an individual’s hopes and dreams, along with their goals and what it would entail to move even closer to that goal.
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List The Stages Of PATH
- Create a picture of where you would like to be
- Identify goals
- First steps to meeting goals
- Who will help with meeting goals?
- Recognise ways of building strength- Personal Development
- Action plan for interim (temporary) (first goals)
- Long term plan.
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Give Some Examples Of Appropriate Questions
What is important to you now?
What will be important to you in the future?
What do you need to stay healthy, safe and well supported?
What is working and not working from different perspectives?
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Why Is It Important To Ask The Individual Appropriate Questions?
- Issues and concerns will be addressed earlier in the process so there is less chance of escalation.
- An action plan can be created for how issues can be overcome
- The individual becomes the centre of the process and questions focus on their individual needs, wishes and goals.
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Why Is It Necessary To Review The Budget?
A review of the budget is necessary to reflect upon an individual’s support needs in order to ensure that these needs are successfully met by the agreed budget.
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What Is The Outcome Of Reviewing The Budget?
Generates action/ solutions to the problem
| Update records with changes to support plans.
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Why May The Budget Change?
The budget may change due to new support needs/ less support needs due to successful medication/ treatment
