self care training
Module 2
The future of homecare
Module 2 outcomes
On completion of this module learners will:
 Have an understanding of how the current system of
social care can limit individuals’ choice and control
 Describe how the new operating system of ‘self-directed
support’ can benefit individuals
 Explore the key benefits of ‘individual support planning’
to promote individuals’ choice and control
Population trends
The Office for National Statistics estimates that the
population in the United Kingdom will increase from approx
61 million in 2007 to:
 65 million people by 2016 and could increase to 71
million people by 2021
 Those aged 85+ are estimated to have doubled in
numbers by 2020
 And... It is estimated that there are now more older
people than teenagers in the UK
(Source: National Statistics website www.statisics.gov.uk)
The government message
Individual expectations
Individuals are changing their attitudes towards how they
want to live their lives and towards the type of support
services they want
They are saying they want:
 Choice and Control – over their lives and their services
 Planning – their own support
 Opportunities - to make their own decisions – about how to take risks
 Opportunities - to contribute to their communities
 Opportunities - to continue to experience life!
How things work now
1. Individual requires homecare services
2. Care Manager visits the individual and makes an
assessment on their needs and ‘can’t do’s’
3. Individual is told which provider will support them
4. Care Plan is written with a list of tasks that the care
worker must follow
5. Limited opportunity to change what is on the Care Plan
– unless there is a review
The traditional care plan
Day
Time
Monday
Assist to get up, washed, dressed and make breakfast
8.30am-9.00am
Monday
Assist to make lunch and prompt medication
12.00pm-12.30pm
Monday
Assist to make tea
16.00pm – 16.30pm
Monday
Assist into bed, prompt medication
20.00pm-20.30pm
Are these flexible? Do they promote choice?
Who has the control?
Group discussion
If you could change the way
you support individuals what
would you do?
In Control have some ideas!
In Control is an organisation that was set up in partnership
With the Department of Health in 2003.
 In Control have created a new system for how social
care will work called Self Directed Support
 Self Directed Support enables individuals to make their
own decisions about how they want to be supported
 It supports individuals to plan for the future so they can
live healthy and happy lives
In Control’s principles
In Control believes that as individuals we all have a right to:
Independent Living - ‘I can get the support I need to be as independent as possible’
Self- Assessment - ‘I know how much money I have to use for my support’
Self-Determination - ‘I have the authority, support or representation to make my own
decisions’
Accessibility - ‘I can understand the rules and systems and am able to get help easily’
Flexible Funding - ‘I can use my money flexibly and creatively’
Accountability Principle - ‘I should tell people how I used my money and anything else
I’ve learnt’
Capacity Principle - ‘Give me enough help, but not too much, I’ve got something to
contribute too’
(Source: in Control Principles www.in-control.org.uk)
How the new system will work
In Control’s Model of Self-Directed Support
(Source: www.in-control.org.uk)
Key – individual budgets
Individual budgets mean:
 An amount of money is given to each person (‘the
individual’)
 Individuals become the ‘customers’ and purchase the
supports they need
 Individuals have the power to focus on what they want
and how they want to achieve it
Having the £s puts the individual in control!
Individual budgets mean more
choices
The individual
has an
Individual
Budget of
£400 a month
£25 diabetic
tester
£25 escort out
to shop
FREE volunteer
sitting service
£40 Stroke
Club
Education
individual
FREE daughter
escort to doctors
star - represents one month of support choices
Circle - a different month of support choices
£335
personal
care
£375 personal
care
Key – individual support
planning
 What is important to the individual
The focus is on what individuals want, and not on what others think
they should have!
 The changes they want to make, to live healthy, happy
and positive lives
The focus is on ‘can do’ and how to overcome the “can’t do’s”
 How they have chosen to receive their support
This may be combinations of supports, so homecare, voluntary
organisations, paid family or friends
 How they plan to stay in control of their support
This focuses on how individuals can become more independent
and gain more control over their lives.
Who does planning?
Individuals can write their own ‘Individual Support
Plan’ in number of ways:






On their own
With their family, friends or advocates
With their home care provider agency
With the local authority’s Care Management team
With an independent broker
With the support of health care professionals
An Individual Support Plan will be in place when you
begin to support individuals in their own homes
Why plan?
 Planning builds up a picture of the individual you are
supporting
 It organises their choices and outlines what they need
support with
 It is a place for individuals to set personal goals – and
keep a record of their progress
 It focuses on the ‘positive’ – what individuals can and
would like to do!
Planning puts the individual in the driving seat by
concentrating on them!
Inside an individual support
plan
Physical
Needs
Health
Needs
Individual
Budget
Emotional
Needs
Cultural and
Spiritual
Beliefs
Social
Needs
Likes and
Dislikes
Individuals
History
Risk
Individual
Goals
Plans don’t live in folders
 Individual support plans are ‘living documents’ that
should be seen as important as ‘daily care notes’
 Within your role as new type of worker you will add to
individuals’ support plans
 This means working in partnership with individuals to
update their plans and set new GOALS
New type of worker
responsibilities
Make yourself aware of the ‘whole’ Individual Support
Plan
1. Read and regularly look at the individual’s support plan
2. Make sure you are aware of the ‘goals’ individuals are working
towards
3. Discuss the individual’s support plan with your team leader and at
team meetings and supervisions
Discuss the plan with the individual
1. Build an understanding of why the choices individuals have made
are so important to them
2. Talk to individuals about the positives – ‘what they can do’ – and
how you can contribute to what they have difficulty doing.
3. Discuss the Individual Support Plan with them – regularly!
Challenges to the new
system of home care
Challenge
Possible Solution
Individuals don’t want to
change
As a New Type of Worker – remind the individuals you support
that having an individual budget will give them more choice
control and flexibility
Care workers don't want to
change
Remember – the old system of homecare does not give
individuals control or the opportunity to make flexible choices
Individuals may not want to
manage the money
The don’t have to! There are five different ways they can
manage their budgets
I think this is about cutting
their hours
The individual does a self assessment to tell the local authority
what they want. Most will end up with the same number of
hours but now the service is measured in £’s!
Individuals won’t need care
workers anymore
Having an individual budget does give individuals more choices,
but many will still need to purchase the support of new types of
workers
Self Care Training Manual: Implementing the Common Core principles for Self Care
© Skills for Care, 2009.
www.skillsforcare.org.uk Albion Court, 5 Albion Place, Leeds LS1 6JL.
All rights reserved.
This material may be reproduced for non-commercial distribution in aid of social care workforce
development, provided the copyright notices and acknowledgements are included in each
reproduction.
Requests for commercial publishing rights should be directed to Skills for Care.
Referencing:
Short reference: Skills for Care, 2009
Long reference: Skills for Care, Self Care Training Manual: Implementing the Common Core Principles
for Self Care (Skills for Care, Leeds, 2009)
Acknowledgements:
This material was commissioned from jdee Training and Lancashire County Council by Skills for
Care’s New Types of Worker programme in the north west. It was researched and compiled by Shaun
Douglas Galley and Sarah Johnson.