Using Person Centred Ways of Working to Identify

Outcomes

Quick Overview of our Experience

How Did We Get here

• Supported by IPC with Outcomes Workshop• Outcomes Report to assist shaping approach• Pulling together the different areas

– Environment (culture)– Processes (care planning)– Arrangements (service delivery)

• Senior Management support to form Outcomes Project Group• Investment in Person Centred training programme

Using the Toolkit

• Need to create an understanding of the issues involved around the personalisation agenda and the links into outcome focused ways of working

• Important to debate what outcomes are – we still have a long way to go

• Need to start looking at the person differently from the start of the assessment process

• Monitoring of outcomes is essential – otherwise why are we doing this

person who is knowledgeable, uses plain words, listens and can respond when and how I need it”

Contact & Assessment Process Map: “Know who to contact when I need help with different things and to have contact with a

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Off

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Nurse OTSocial Worker

Vulnerable Adults

Investigator

1.1 Listen, actively & ask appropriate

questions

Right Service/Person?

1.2 Recording Information

Complexity?

2.1 Evaluate Information

2.2 Identify Options

2.3 Prepare information for discussion with

customer

Who/When/How?

3.1 Contact Customer

3.2 Discuss Options

3.3 Confirm Outcome/

Understanding

Close?Back to

‘Evaluate Information’ 2.1 – Begin

Agreed Option

Accurate Database!!!

Agreed Outcome

High

Contact Made

Financial Specialist

Other Specialists

Right Service/Person? Note: - Business rules

required

1.2 Recording Information. Note:-

business rules needed about what/when to

record, level of detail, how much etc.

2.1 Evaluate Information

2.2 Identify Options

2.3 Prepare information for discussion with

customer

Low

New OverviewAssessment FormNew Contact

Assessment Form

Decision Making Tool

Working / Not WorkingImportant to / For

Support Plans

Outcome Focused Reviews

New Form

One Page Profiles

Putting it into Practice - a real life example of how we are working with people differently

This is Jamie

That I continue to do my dog walking every Thursday afternoon. That I see my mum and dad on

alternate weekends. That I am told in advance of any

changes that may be happening. That I always wear my watch. That I always look nice and smart. That I go go-carting regularly, I

really enjoy it and I am pretty good at it. I like cars and really en-joy talking about them.

My routine is very important to

me, I like to do things at certain times , it helps me cope with my day.

What is important To me

What those who know me , say they like

and admire about me…..

HE HAS A GREAT SENSE OF

HUMOUR.

SUCH A NICE YOUNG MAN

KIND & THOUGHT FUL

HELPFUL & CONSIDERATE.

HE ALWAYS LOOKS SMART

AND TRENDY.

I have a fear of hot water, I can cope with it being a little warm, I don't like hot food either.

Dogs that are not on a lead frighten me.

I like to keep clean, I don't like being dirty, I need to wash my hands if they get dirty and I don't like the hot air that comes out of the hand driers.

I do not cope well with “ screaming kids” and prefer not to be in crowds, I need my own space.

Times are very important to me ( breaks etc.) I like to stick to them and I don't like to be late otherwise I get really stressed and may say rude things to people, if Iam like that just ignore and give me time to calm down.

I do like to give people hugs, I know I shouldn’t but sometimes I forget , I need reminding to greet people with a handshake and to give people there own space.

Sometimes I get really agitated and I might get a little bit stroppy and say some rude things, I may need a little space somewhere quiet.

I like keys , its best not to leave any lying around it may be too tempting for me.

I sometimes work better if you give me some responsibilities.

JAN 2009

How best to support me

JAMIE MARCHMENT

Day Opportunities Activity Plan 1

Input (information

received)

Service Base

(Centre /Communi

ty)

Out put (support, equipment or facilities)

Outcome PPF Outcomes

OHOCOS Start Date

Finish Date

Review by

(name)

I enjoy cooking; I do it at the centre and at home.

CentreHome

SupportKitchen environmentCooking modules

To be able to cook a meal independently in my own home.

Choices & Changes.Everyday Tasks.

Improved Health & Emotional Wellbeing.

01/09/08 MMJJ

I enjoy exercising at Tidworth and at the centre.

Centre Community

SupportTransportTidworth Fitness modulesGentle exercise modulesVenue

To go to the gym and meet my friends. To keep me fit and healthy so that I continue living independently.

Health & Wellbeing.

Health & Wellbeing.

01/09/08 MMJJ

I enjoy doing music at the centre. When I do karaoke I always like to go first.

CentreCommunityHome

SupportVenuesEquipmentTransportMusic Modules

I want to gain the confidence to sing and dance with my friends.

Community Like: Leisure , Learning & Work

Improved Quality of Life. Making a positive Contribution.

MMJJ

I enjoy horse riding at R.D.A. but need to improve balance

CentreCommunity

SupportTransportR.D.A. modules

To ride a horse confidently and make friends with other horse.

Community Like: Leisure, Learning & Work.

Improved Quality of Life.Health & Wellbeing.

01/09/08 MMJJ

Day Opportunities Activity Plan 2

Input (information received)

Service Base

(Centre /Community

)

Out put ( support, equipment or facilities)

Outcome PPFOutcomes

OHOCOS Outcomes

Start Date

Finish Date

Review by(name)

I enjoy swimming at Durrington and at Five Rivers

CentreCommunity

SupportTransportVenuesSwimming modules

I want to go swimming with my friends & keep myself fit and healthy.

Community: Leisure, Learning & Work

Improved quality of Life.

01/09/08 MMJJ

I find it difficult working & interacting within a group and taking turns. I am not always confident at speaking out.

Centre SupportDiscussions Group modulesClient Union Modules

To be confidence when I express my views with my friends.

Health & wellbeing

Improved Quality of Life

01/09/08 MMJJ

I have a good understanding of money, times and numbers and need to continue developing my skills.

CentreHome Community

SupportWorking with numbers modules

I want to have enough money left on a Friday to t for a drink with my friends each.

Managing Money.

Economic wellbeing.

01/09/08I MMJJ

I find it difficult to work within a team and to talk politely to people all the time. I need to learn about healthy eating options.

CentreCommunity

SupportTuck shop modules

I want to eat healthily and & have my contribution discussions valued.

Health & Well-being

Improved Health & Emotional Wellbeing

01/09/08 MMJJ

Day Opportunities Activity Plan 3

Input (information received)

Service Base(Centre

/Community)

Out put ( support, equipment or facilities)

Outcome PPF Outcome

s

OHOCOSO

Outcomes

Start Date

Finish Date

Review by

(name)

I enjoy going to clubs and meeting friends, going out for a drink and a meal, riding my bike and going to the snooker club with staff and house mates.

Community Supportvenues

I want to meet my friends when I choose and peruse all my interest.

Community Life:, Leisure Learning & work.

Improved Quality of Life.Making a Positive contribution.

MMJJ

Name:Jamie Marchment

Service Users view:

Nice to talk about things. Happy to talk to you.

Assessors View:

Jamie spent a lot of time with us talking about himself, he was very comfortable and relaxed. Jamie expressed how happy he is at his home and with the staff and how they support him with his interests. We feel Jamie should be encouraged to keep his independence, by continuing with skills development modules and working on his social skills, turn taking, team work and building his confidence and self esteem.Carers View:

Date of assessment: Date of review:Client’s signature Assessor’s signature:

Outcome Review Plan:Name:

Outcome/module achieved Y/N Date Module Assessment Recommendations Action by

Date of assessment: Date of review:Client’s signature Assessor’s signature::

What is important to me now - these are the important steps that your support person needs to take when supporting you. Outcome Domains (tick all that apply) Outcome - WHAT IS IMPORTANT TO ….

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Man

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What is working well in a person's life

now?

What do you want to keep the same?

What is not working? How do you want this to

change?

Is this one of the

top 3 outcomes

Summary of Support Plan