Client and family feedback on disability services 2015 Results, Recommendations and Actions Research conducted by Monash University and Summer Foundation We work together so everyone has a fair go Our Results The results of our first independent client and family feedback research have provided valuable insights into the satisfaction levels of the clients and families we work alongside. It has also resulted in nine recommendations to ensure improvement, consistency of service and importantly that we meet our clients’ goals and expectations. This report provides an overview of the key findings, the nine recommendations and also what we have in place to address the recommendations. Whilst there are actions against all the recommendations, and in fact some had commenced prior to the research, we believe it is important we communicate regularly to all our stakeholders to demonstrate we have both listened to our clients and families and taken action. We would like to thank everyone who participated in the research. Research methodology Monash University and Summer Foundation were commissioned to conduct over a six month period, independent research on client and family satisfaction with our services. There were 43 individual interviews conducted with our clients plus five focus groups with clients and families. This was then followed with a questionnaire to all clients based on the National Standards for Disability Services (NSDS) developed by the Australian Government’s Department of Social Services. A total of 94 questionnaires were completed and returned for analysis. 2 2015 Results, Recommendations and Actions “I want to set goals with EW Tipping” Summary of findings As noted in the Monash/Summer Foundation report “…the client questionnaire responses were on the whole positive”. The majority of clients participating in this study endorsed E.W. Tipping as meeting the six NSDS standards. The responses from the focus groups and face-to-face interviews were where Monash University and Summer Foundation were able to provide deeper insights and the basis for the nine recommendations. “It’s about supervision from the office to make sure the carers know the right thing to do and do the right thing” The table below reflects the results of the six National Standards. The relationship between client and support worker is 90% or higher against all measures. And on the critical measures of ‘safety’ and ‘choice’ there are very good results for both support workers and office based staff. However, there are some significant differences in level of client satisfaction on a number of levels with the office based staff. This was further reinforced during the face-toface and focus group discussions. Questionnaire responses 94% 93% Treated well and kept safe Let’s me make choices Support worker N=94 Office based N=94 Gets to know what I like to do 84% 98% 63% Helpful and supportive Willing to work with clients and others 98% 76% 74% Can talk freely with staff 77% Respects privacy Helps to follow interests and hobbies 94% 92% 92% 93% 71% 97% 93% We have been fortunate that clients and families have been very open and honest in their feedback. We agree with all of the recommendations and some of the initiatives have already commenced. These are highlighted within the relevant recommendations. Client and Family Feedback 3 The nine key recommendations and action being undertaken 1. Service co-ordinators to make regular and planned contact with clients to explore how their program is running and elicit feedback We are currently reviewing roles and responsibilities. Processes are being simplified. We will be reducing paperwork to enable co-ordinators to spend more time on client goals and supporting staff. We have introduced practice leader roles to assist with quality service provision and staff practice. 2. Compile and regularly update client profiles for all clients and reciprocate this process by compiling and regularly updating direct support worker profiles for clients Support plans will be regularly reviewed so we understand our client needs and preferences. These will be done annually, but can also be updated at client or family request. 3. 4. Active support training is already rolling out to all our supported accommodation houses This is a partnership with La Trobe University. Training has also commenced with staff working alongside clients with acquired brain injury via faceto-face and e-learning modules. Performance management is being re-designed along with position descriptions and evaluation criteria. Commit to ongoing training and support of staff – both disability support workers and service co-ordinators Explore new ways of supervising direct support workers, including performance review management Each year a training program is developed for staff which covers mandatory training as well as extension activities. 5. Account statements should be easily understood and transparent We have recently consulted with clients in regard to correspondence regarding changes to fees and packages. This client consultation will be used to continuously improve invoices and statements. 4 2015 Results, Recommendations and Actions 6. Consider introducing some form of identification for direct support staff We have already implemented ID cards with photographs at our Carnegie office. This is the start of rolling out ID badges for everyone. It is anticipated it will be complete before the end of the year. 7. Build direct support worker efficiency and accountability A number of automated systems are being explored to improve efficiency and reliability of our service delivery. We have also introduced the new service model – The Tipping Way (please see below) – with consistent practice expectations and documentation. 1 2 We will listen to you, give you good information and connect you with people and services. Explore opportunities to build longevity and reduce staff turnover in the disability support workforce including developing career pathways Weekend penalty rates commenced in January this year and we are currently negotiating our new enterprise bargaining agreement to make it fairer for all staff. We are increasing the professional development opportunities for staff including training in partnership with LaTrobe University. 9. The Tipping Way service model How we will work with you. 8. Make clients aware of the investments being made by EW Tipping in quality improvement and service development activities (not just via email) How can we work together? We will talk to you and get to know what you want and need. This has been noted and followed up with information sessions at our road shows, the client newsletters, letters from our CEO, emails and website. 3 Planning to meet your goals. We will work on a plan that is just for you. Your family, carers and others can take part in the planning. 4 “I’ve given feedback on how my workers are, and how they treat me. There’s no beating around the bush with me. Straight down to the point or else they’re off my program” Are we on track? We will make sure everything is going well. 5 You’ve achieved your goals. What next? One you have achieved your goals you may like to set new ones. “I think they should give them proper training” Client and Family Feedback 5 Update on progress Ongoing update on progress The research was conducted over a six month period and has proven immensely valuable. It reinforced a lot of what we already knew. These nine recommendations all have action points. We intend to continue to build on them and report back to all our clients and families on what is occurring at the road shows in September and October this year. Also in our quarterly client and family newsletter and with a six monthly report in December. “Yes (I can give feedback) but I’d love to ensure that it’s actually acted upon” 6 2015 Results, Recommendations and Actions Acknowledgements Keeping the lines of communication open We are very keen to continue dialogue about results and recommendations from this research and to receive your ideas suggestions and any questions you might have. You can always pass on recommendations to your service co-ordinator or email GM Services, Jayne Gallo Jayne.gallo@tipping.org.au or CEO Graeme Kelly Graeme.kelly@tipping.org.au. “It’s difficult for people to navigate the mountains of paper… I think they should overhaul it” Thank you to Monash University and Summer Foundation EW Tipping Foundation appreciated the six months of research by Dr Christine Migliorini, Ms Rebecca Wood and Ms Libby Callaway Easy Read Version “They have to step up… I think if they supervise every level down they will get it right. They will get it right because they’ve got all good people. They’re a good organisation. They offer people the chance to live in the community…” Final note on confidentiality The individual identity of clients and families was protected through the survey by having Monash University and Summer Foundation conduct the research. Monash University Human Research Ethics Committee approval was secured by the research group prior to research commencing. Available at: www.tipping.org.au/publications Client and Family Feedback 7 Our offices Metropolitan offices Regional offices Central and South-East 1036 Dandenong Road, Carnegie, Victoria 3163 Telephone 03 9564 1000 Barwon Focus Five Building, Suite 17, 23–31 Gheringhap Street, Geelong, Victoria 3220 Telephone 03 5228 0100 North-West 263 High Street, Preston, Victoria 3072 Telephone 03 9487 8100 Gippsland 58–60 Commercial Road, Morwell, Victoria 3840 Telephone 03 5135 4300 146 Macleod Street, Bairnsdale, Victoria 3875 Telephone 03 5152 7680 Grampians 42 Eastwood Street, Ballarat, Victoria 3350 Telephone 03 5320 0300 32a Darlot Street, Horsham, Victoria 3400 Telephone 03 5381 2825 E.W. Tipping Foundation acknowledgesand appreciates use of images of our clients and staff in this report. Cover: Kieran and his support worker James Page 6: Susan Email info@tipping.org.au Tax-deductible Gift Recipient. ABN 59 032 986 751 #000E.W.TF The E.W. Tipping Foundation acknowledges the support of the Victorian Government. Hume 42 Cusack Street, Wangaratta, Victoria 3676 Telephone 03 5721 3344 Loddon Mallee 168 High Street, Bendigo, Victoria 3550 Telephone 03 5442 8441 50 McCallum Street, Swan Hill, Victoria 3585 Telephone 03 5033 0204