Safeguarding Adults Board
th
6 Annual Conference
Safeguarding Adults and Personalisation:
Opportunity and Challenge
Jim Leyland – Service Manager,
Personalisation
The Challenge
•
•
•
•
Personalisation – Maximising Choice and
Control
Rising Demand – Care Bill
Reductions in Local Authority finances
Ensuring that we are meeting our responsibility
to safeguard vulnerable people in our
communities.
How do you balance these demands and
goals?
Catch 22 – What are the Barriers
to moving forward?
•
•
•
•
•
•
•
Risk enabling versus Risk Aversion
Choice versus Restriction
Limited Opportunities versus Real Outcomes
Apathy versus Aspiration
Control versus Controlled
Empower versus Disempower
Wise versus Unwise Decisions
The Care and Support Bill
•
•
•
•
Context – Simplicity of the law, focus on
Prevention, Information and Market Shaping
Core Principles – Citizen Focus, Choice, Control,
Fairness and Consistency
Culture Shift – Person Centred Care, SelfDetermination and Entitlement to Care and Support
Timescales – April 2015
The Care and Support Bill
•
•
•
•
•
•
•
•
•
Prevention – Wellbeing, Public Health Committee
Safeguarding – Boards, Enquiries
Advice and Information - Advocacy and Duty to Provide
Paying for Care – Deferred Payments Scheme
Charging for Care - Care Cap and Powers of LA
Personalisation – Legality, Care & Support Plan
Assessment & Eligibility – self funders, carers,
assessment
Market Shaping – community, asset based
Integration – Better Care Fund, health
The Care and Support Bill
•
•
•
•
•
•
Self Funders – Identifying the Care and Support
Needs, currently not being met
Carers – Duties to Assess and Provide
Safeguarding – Winterbourne, Out of Area
Placements
Transition – avoiding the ‘cliff edge’
Mental Health Aftercare – Duty to Provide
Portability and Ordinary Residence – Improved
Customer Offer
Making it Real
Co-produced approach to agree the three priorities and
action plan:
• ‘I have the information and support I need in order to
remain as independent as possible’
•
‘I have access to a range of support that helps me to
live the life I want and remain a contributing member
of the community’
•
‘I can decide the kind of support I need and when,
where and how to receive it’
Choice and Control
•
•
•
•
•
•
•
•
Diversity and Values
Real life
Lifestyle Choices
Human Rights
Mental Capacity Act
Risk v Need
What is vulnerability?
Accountability and Blame
Case Scenarios
•
Article 5 Human Rights Act, 1998 – Right to liberty and
security of a person. Example involving a mother who had
a learning disability and her son who had a mental health
problem
•
Mental Capacity Act and Deprivation of Liberty
Safeguards. Example involving woman self neglecting
and disengaging with services.
Fundamental Principles
•
•
•
•
•
•
Empowerment
Prevention
Protection
Proportionality
Partnerships
Accountability
Personalisation and Safeguarding
•
•
Alert – Respect, Explain, Listen
Referral and Decision – Safety needs, share risks,
Outcomes, what do I want to achieve?
• Strategy discussions – Involvement, Explore options and
choices
• Assessment and Investigation – Focus on rights and
choices
• Outcomes – What are my choices?
• Monitor and Review – Work collaboratively
Making Connections (Isle of Wight), 2011
Shared Responsibility
•
•
•
•
What does this look like? – Collaboration,
creativity, person centred and outcome focused.
Informal and formal support – Importance of
community based support, informal and formal
solutions to meeting need.
Engagement – Doing things differently.
Confidence and Clarity.
Sharing risks – Identify and Manage risks
together, do with not to.
Good Practice
•
•
•
•
•
•
Advice and Information
Shared intelligence
Prevention and Early Intervention
Connect to Support – Balancing choice and risk
Personal Assistant Framework – Safeguards and
checks
Focusing on strengths, expertise and aspiration
Maintaining Quality and keeping
people safe
•
•
•
•
•
•
•
Quality Assurance – learning lessons
Serious Case Reviews
Performance
Experience
Outcomes
Standards of Care
Good quality cannot be compromised, despite
fiscal and political challenges
What needs to happen next?
•
•
•
•
•
•
Learning and Development
Different way of thinking
Working Together and Shared Responsibility
Individual Ownership and Responsibility
Proportionality
Strengths Based
The Vision
“A ‘good life’ is one that requires a balance
between freedom and control.”
(Gardner, 2011 – p94)
Making informed decisions about needs and risks
and promoting independence while protecting
people as far as possible from harm and danger.
Any Questions
?