Support Plan for Jane Williams
My support plan was written with help from:-
Sally Williams
Wendy Williams
Christine Jones
Trudy Smith
Amy Brown
my daughter
my daughter
my daughter
my social worker
my OT
My name is Jane and I’m 74yrs old. I live alone in Ipswich since the
death of my husband Frank. I have three daughters, Wendy who lives
nearby, Christine who lives in London and Sally who lives in North
Wales. I have 7 grandchildren and 4 great grandchildren.
I have insulin dependent diabetes, renal impairment and diabetic
retinopathy and at the start of the year I developed an unknown auto
immune illness, which caused my lungs to bleed and I ended up
drowning in my own blood, causing two cardiac arrests. I am one of
only two people in the area to have this condition. This condition has
caused tracheomalacia (massive scar tissue down my throat).
When my breathing becomes bad, for some unknown reason, it affects
my ability to use my legs making it impossible to climb steps etc. I use
a nebuliser and my oxygen levels need to be checked several times
during the day and I do this myself. If my oxygen falls below a
certain level we have to phone 999. I already have a Helpline installed
if I need some help.
Due to the damage to my oesophagus I have difficulties with
swallowing so my food has to be liquidised. I’m on a special diet of low
1
cholesterol, low potassium, low phosphate and low salt. I can walk but
only for short periods and I have fallen and hurt myself in the past. I
am nervous about moving around but manage holding onto furniture
where I can. When I was a child I had rheumatic fever which left me
with a drop foot so when my health fails I stumble lot. I always wear
my helpline alarm. I don’t go outside unless I am in my wheelchair and
I always need to have someone with me to push me as my breathing
gets bad if I try and push myself.
At the moment my daughter Wendy provides all the help I need but
she is a teacher and works hard. I don’t want to feel a burden to my
children or feel I rely on them. The mornings are particularly bad as
my breathing every night tends to get worse. I try and prop myself up
on pillows when I go to bed but find that I slip down the bed when I’m
asleep. I can’t then pull myself up to sit up. Amy has visited me and
suggested I have a mattress lifter which means I can just press a
button and it sits me up. I think this will be a huge help for me and
will mean I can do this on my own.
The equipment we have at home: Wheelchair, commode next to the
beds, walking frame, toilet raiser, breathing equipment and a bed
stick. Amy has also suggested a ramp at the front door. The ramp will
help me get in and out of my home which at the moment it feels a bit
like a prison.
A personal budget means I will be in control. I am an adult, I don’t
want to be put to bed like a three year old and have to stay in just to
please the time table of a private company. If I have control then I
am the boss. As I will have a personal budget I will be able to change
to another agency if the one I chose is unsuitable. Until support
planning we didn’t know that we could employ a PA direct. It would be
ideal if we could find someone locally who could be trained. For the
moment we will try using an agency and think about employing a PA in
the future.
2
I’m a respected member of the community I live in. I love my
neighbours most of whom I’ve known since childhood.
Friends and Family would describe me as:
 Very positive person
 Very sociable
 Wendy says I’m a very happy person who likes to verbally
interact and jolly her along.
The things I used to enjoy doing once my children were independent:
 Visiting local restaurants and pubs for meals with my friends
 Visiting friends at their home
 Barn dancing (but could only go one way because of my dropped
foot)
 Visiting and staying with friends in Yarmouth
(I have started knitting recently but it’s taken me 3 years just to knit
a rib of a cuff)
My past:
I raised 3 children and am very proud of them
 Jobs I have done are
o Assistant in a cake shop
o Care worker in a children’s home
o Cleaner
Idea PA
 Someone young and strong. Although in some ways I would like a
Fireman I think it would be better for me to have a female PA.
 Non smoker who doesn’t wear perfume
 Kind and understanding
 Punctual
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What is Important to me?
 To stay living in my own home
 To be able to see my friends and have a change of scenery. (My
daughter Christine is concerned that I’m losing my social skills
and confidence)
 Being a respected member of the community I live in.
 To eat tasty meals
 For those around me to be non smokers and not wear perfume so
as not to aggravate my chest condition as I have many allergies
 For me to take my medicine regularly and on time in order to
manage my diabetes/health
 For me to be on a strict diet of low cholesterol, low potassium,
low phosphate and low salt in order to manage my
diabetes/health
 To keep my home looking nice
What do I want to change/achieve?
 I don’t want to feel I am a burden on my family
 I want my friends to come around to visit me because they want
to and I would like to be able to visit them.
 I want to be able to visit the Bingo club fortnightly to see my
friends there. Otherwise I will be isolated and I need to regain
my confidence and social skills.
 I would like to be able to go around Sainsbury’s and make
choices – be a part of society
 I would like to be able to visit the seafront in the summer. I
think the sea air helps my breathing and makes me feel good.
4
Day of Week
Mon to Fri
Time
AM
30 min
Activity
I would like to get up at 8am but would need one paid person to help get me out
of bed in the mornings and help with washing and dressing. (Before I needed
about an hour to get up, but now I have my mattress elevator I can get out of
bed myself).
Wendy or my granddaughter will help me get to bed if I need it. (I don’t always
need help at night as it is the mornings which are worse)
Visit to my
friends
Every day
Eve
30
min
AM
30 min
Weekly
2 hours
2 hours
Once a week
Saturday
Support hours:
Paid support hrs:
Weekends
I like to lay in at weekends. Would like to get up at about 9am. One paid person
to help get me in the mornings to assist me getting washed and dressed
Once I get my ramp installed I will be able to get out more in my wheelchair,
with the help of one paid person
Wendy will prepare my meals and freeze them for me so I always have a meal
handy
Wendy will do my housework for me
5.5 hrs per week
How will I be supported?
How will I use my PB?
Outgoings
SCC
ABC care agency
Daily rate £12.54ph x 5.5hrs pw = £68.97 x 52.14 weeks.
£3,596.09
I eventually wish to have my own PA and I expect that this will reduce the cost of providing this
support
Contingency. My family are my first port of call should I need help and they are happy to provide
this. If this should change they will contact Trudy.
Totals
£3,596.09
My Personal budget band is between £2,739.50 and £5,479 per year.
My family provide a great deal of support and are willing to continue
to do so. However should my needs or circumstances change then I
shall need a review.
5
The actual cost of my support plan is £3,596.09 for the coming year.
This will leave me £1,883 available as contingency, should my family
not be able to continue supporting me as much. This will be spent
Contingency Outgoings
SCC
Meal preparation/housework/help getting to bed by a carer £12.54 this gives me a contingency of
150 hours per year or 2-3 hours per week for any of these tasks should this be necessary.
Totals
£1,883
How will my support be managed?
My daughter Wendy will support me with making the payments to the
agency and Suffolk Independent Living will help me with finding a P.A.
Amy will bring the ramp round and Trudy will keep in touch with
Wendy so Wendy can let her know if the family need more help.
How will I stay in control?
I am able to make my own decisions.
What am I going to do to make this happen?
Action
Get my support
plan agreed
Get my mattress
raiser and ramps
fitted
Contact ABC care
agency
Referral to Suffolk
Independent living
Contact Age
Concern
Reason
So I can get a personal
budget
To help me be more
independent
To gather info to see
if they would be
suitable to use for my
support
To help me find a P.A.
and give me advice and
support
Additional support &
signposting to other
services
By whom
Trudy
By when
ASAP
Amy
June2010
Wendy
June 2010
Trudy
June 2010
Wendy
June 2010
6
Support Plan Summary for Jane Williams
Access to the Community
Risk
Barrier
Desired Outcome
Summary of support arrangements from support plan
7
Everyday Tasks
Risk
Barrier
Desired Outcome
Summary of support arrangements from support plan
8
Physical Health
Risk
Barrier
Desired outcome
Summary of support arrangements from support plan
9
Mental and emotional wellbeing
Risk
Barrier
Desired outcome
Summary of support arrangements from support plan
10
Moving around
Risk
Barrier
Desired outcome
Summary of arrangements from support plan
11
Relationships
Risk
Barrier
Desired outcome
Summary of support arrangements from support plan
12
Risks and Safety
Risk
Barriers
Desired Outcome
Summary of support arrangements from support plan
13
Support and advocacy
Risk
Barrier
Desired outcome
Summary of support arrangements from support plan
14
Jane Williams Personal Budget Summary
Points
Meeting Personal Care Needs
Eating and Drinking
Maintaining your home and other domestic tasks
Social and Community Activities
Making decisions about your life
Relationships
Staying Healthy and safe from harm and/or abuse
Managing my actions
Carer impact
Total Score 65 = £2,739.50 - £5,479
15
15
12
9
10
0
7
5
0
7