2014/2015 Case Study Template

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CASE STUDY
WSCC SHORT
BREAKS FOR
DISABLED CHILDREN
Cover sheet
(pages 1 & 2 for WSCC and Provider Use only)
Organisation
Contact Person
Short Breaks Reference
SB
Date Case Study covers
From:
Short Break Provider
Parent/Carer Consent
Consent for the personal information and photos contained in this Case Study to be shared with West
Sussex County Council to support the monitoring of the impact and effectiveness of Short Breaks Services
across West Sussex.
I understand and give consent (tick as many as apply)
 That this case study may be used by WSCC and J B Eventus Ltd for use in the 2014/2015
Evaluation of Short Breaks report
 That the report will be a public document and published on the WSCC, other Short Break
website, Short Break Provider Websites, and J B Eventus websites
 That Short Break providers may use the case study in their own Annual Reports and other
information produced to promote Short Breaks for a period of 1 year after which time
further consent to use will be sought
 Other local media to promote Short Breaks
I understand that:
 I can request at any time that this information should not be used for external
publications/publicity
 I can withdraw consent at any time by contacting Michael.Rhodes-Kubiak@westsussex.gov.uk
 I understand that our names will be changed unless I request our real identities to be used
 That this front page identifying our family will be removed before publication
I confirm this Case Study can be used as outlined above:
Any queries regarding this Case Study should be forwarded to the Short Break Provider in the first
instance. Queries to WSCC should be sent to Micheal.Rhodes-Kubiak@westsussex.gov.uk
Parent/Carer Name:
CYP Name:
Signed
Date
CASE STUDY
Parent/Carer Consent
WSCC, ALL PROVIDERS AND J B EVENTUS LTD MUST:
It is good practice to contact parent/carers before using any of the content of this case study
including any photos or quotes. Circumstances can change therefore at any time from 3-6
months from the date of this case study you should re-confirm/clarify permission if the case
study is to be used for any purpose other than those identified on the front page..
This relates to:





websites
annual reports
press releases
any promotional materials including leaflets, banners etc
any other materials that are in the public domain.
If you have any queries at any time please do not hesitate to contact:
WSCC Short Break Team: Tel: 01243 642469
Email Short.Breaks.Team@westsussex.gov.uk
Or Micheal Rhodes-Kubiak, Short Break Manager
Michael.rhodes-kubiak@westsussex.gov.uk
Short Break Provider details:
Organisation completing the case study:
Contact person:
Tel:
Email:
CASE STUDY
Context
Background
Challenges
Insert here some background information regarding the family, disabled CYP, their disability, age. The
reasons for the Short Break and what the family and the disabled CYP wish to get out of the Short Break.
Any challenges faced. Any other professionals or providers involved and where liaison takes place. Ensure
you use the words of the family/disabled CYP to answer this question together with a brief description of
the organisation’s response. Use quotes as much as possible and keep provider narrative to a minimum
and by way of explanation.
CASE STUDY
What were the primary goals to be achieved from the Short Break?
How was the disabled CYP and family engaged in choice of how to
spend the Short Break time? How did you plan the Short Break. What
was the starting point and what was achieved over the period the
case study covers? Use the voice of the family and the disabled CYP to
describe the impact and change that has been achieved. Describe Any
unexpected results and benefits. Use the voice of the family/CYP as
much as possible to respond to the questions and provider narrative
to a minimum.
Gaols
Detail the goals to be
achieved through the Short
Break for the family and
disabled CYP and/or sibling
as appropriate.
CASE STUDY
Insert photo or quote
Change
and
Impact
In this section summarise under the headings below the impact of Short Breaks and gaps and challenges
experienced, describe how these will be overcome going forward.
Has the Short Break provided parent/carers with a break to do normal things?
Has the Short Break engaged the disabled CYP and family in making choices about how to spend the
Short Break time and what has been the impact of this?
Have the learning and development goals been met what has been the impact of this?
In what ways has the Short Break contributed to improving Health and Well-being and quality of life
(include health, being connected, building relationships, being more active etc)?
What practical support has the family received as a result of engagement with your Short Break team?
Have you provided any professional support to the family, please describe?
What has been the main impact of Short Breaks on the family and what would be the impact if Short
Breaks were not available on their health and well-being, quality of life, etc (responses here will inform
your preventative value analysis)?
Have the family identified any particular gaps and challenges that you will be seeking to support during
the next phase of Short Break delivery?
CASE STUDY
CASE STUDY
Added Benefits:
Summarise the added benefits provided:
For example:
o
o
o
o
o
Improving behaviour
Reducing stress on the
rest of the family and
likelihood of depression
and isolation
Providing opportunities
for relaxation and
spending time with
other family members
or doing ordinary things
other families do
Maintaining parents’
relationship
Reducing the likelihood
of family breakdown
o Enabling his sister
to spend time with
Quantifyparents
the added benefits
Summarise and work out the financial value of the added benefits
provided
Summarise the preventative
value for example:
Xx hours spent providing
emotional support
Xx hours spent producing
reports and attending
professional meetings
Designed and Produced by JB Eventus Ltd for WSCC Short Breaks Programme www.JBEventus.org.uk
Email: judith@jbeventus.org.uk Tel: 01273 452225
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