1. a better place to live Dignity in Care through Partnership Working A Joint Presentation JOHN POWELL CHIEF COMMUNITY CARE OFFICER and VINESH KUMAR DE VERE CARE 25 TH November 2008

2. a better place to live Dignity in Care through Partnership Working INTRODUCTION Overview of Dignity Challenge themes Redbridge example of challenge 4 Georges story De Vere Care example of challenge 2 Meenus story Partnership working and Safeguarding Questions and Answers

3. a better place to live The Governments 10 Dignity Challenges: Have a zero tolerance of all forms of abuse Support people with the same respect anyone would want for themselves or a member of their family Treat each person as an individual by offering a personalised service Enable people to maintain the maximum level of independence, choice and control Listen and support people to express their needs and wants Respect peoples right to privacy Ensure people feel able to complain without fear or retribution Engage with family members and carers as care partners Assist people to maintain confidence and self-esteem Act to alleviate peoples loneliness and isolation.

4. a better place to live BACKGROUND TO OAKFIELD LODGE Council purpose built Sheltered Scheme in the 70s During the late 90s it began to show signs of wear and tear with significant voids In 2003 Community Care reshaped the service using money from a Local Public Service Agreement This investment was followed up by the Housing Service using quality of life money to further enhance the environment Tenants committee established to assist start up Extra Care Service My life, my way, with your support

5. a better place to live BACKGROUND TO OAKFIELD LODGE Key Leadership from Principal Officer and her Managers Staff enthusiasm that could see the potential of the proposed way of working that created a can do, will do approach Personal skills – dance, art, gardening etc. Decorating Activities My life, my way, with your support

6. a better place to live The Dignity Challenge – theme 4 Enable people to maintain the maximum possible level of independence choice and control Flats and bed sits well decorated and attractive to ensure good occupancy (Tenant choice before moving in) Emphasise housing with care – own flat, own front door, own key and choice to get involved or not with the community High quality activities, good food, stimulating environment, good company and lots and lots of parties! Option for care support via resident team, independent provider, direct payments or private arrangement Committee that decides how the building and services are improved and maintained My life, my way, with your support

7. a better place to live The Dignity Challenge – theme 4 Enable people to maintain the maximum possible level of independence choice and control Mixed age profile and needs Community spirit has accepted and enhanced individual opportunity – Dementia and Learning Disability Encouragement to be involved but with respect for those who dont want to Key success through Champion tenants and staff but without being nominated or asked Flexibility in staff roles – no jobs worth here! My life, my way, with your support

8. a better place to live Georges story My life, my way, with your support

9. a better place to live My life, my way, with your support

10. a better place to live BACKGROUND TO DE VERE CARE Established during 2000 with an aim to provide high quality care service to local population During 2004, underwent massive restructuring to include Quality Assurance and Contracts Management departments Partnership working with Local Authority by participating in local forums; Involved in local safeguarding committee and various other initiatives. In 2008, achieved UKAS certified ISO 9001:2000 quality accreditation; First domiciliary care organisation in the UK to be accredited with C2E (Committed to Equality). De Vere Care

11. a better place to live De Vere Care Early 2007, Dignity in Care initiative commenced. Dignity policy, training, audit tools developed and tested since. Incorporated Dignity in Care in person-centred care planning, monitoring procedures etc. Developed junior dignity champions initiative. Staff training (covers Cultural relativism) and feedback through supervision and on-the-job assessments using systems approach covering: the tasks they perform, the available tools designed to support them, the environment in which they operate. Innovative Safeguarding training approach combined with Dignity in Care. Trainee social workers enhancing our dignity initiative

12. a better place to live The Dignity Challenge – theme 2 Support people with the same respect you would want for yourself or a member of your family. The importance of seeing service users as partners in decision-making (about their care and support) Encouraging and supporting service users to take responsibility, as far as possible, regarding their care and support. Dignity in care training for all staff (service user and staff involvement in drawing up dignity training) Person-centred care plan emphasising dignity related outcome(s) in all aspects of care My life, my way, with your support

13. a better place to live The Dignity Challenge – theme 2 Support people with the same respect you would want for yourself or a member of your family. Dignity Audit (based on Dorset & Somerset SHA) Service user environment; Privacy, dignity and modesty; Communication with service users; Promoting individual needs; Staff training Monitoring visits to service users Learning from service user survey feedbacks Safeguarding Adults awareness as a result of dignity initiative among staff and service users My life, my way, with your support

14. a better place to live Meenus story Listen to Meenu Listen to Understand! As a dignity champion I will promote dignity in care initiative to all MS sufferers

15. a better place to live Meenus story Meenu was born during the early 1960s in London Borough of Redbridge Attended Wanstead High Grammar School Worked in Liverpool street as a Chartered Surveyor earning around £60k during the mid 1980s. And then one day… Listen to Understand!

16. a better place to live Dignity in Care through Partnership Working PARTNERSHIP WORKING AND SAFEGUARDING As commissioners and providers we have been committed to the Dignity in Care programme Provider Forum established that works and influences practice Recognises the need to bring Safeguarding and Dignity together and now have a training programme in Redbridge for in-house Champions Learning across the Independent Sector and the Council has improved service delivery and enhanced quality of life. Development of safeguarding through dignity

17. a better place to live When they were introduced, he made a witticism, hoping to be liked. She laughed extremely hard, hoping to be liked. Then each drove home alone, staring straight ahead, with the very same twist to their faces. The man whod introduced them didnt much like either of them, though he acted as if he did, anxious as he was to preserve good relations at all times. One never knew, after all, now did one now did one now did one. - David Foster Wallace, postmodern novelist (1962-2008) A Radically Condensed History of Post-Industrial Life

18. a better place to live Dignity in Care through Partnership Working THROUGH PARTNERSHIP WORKING WE HAVE ACHIEVED THANK YOU QUESTION AND ANSWERS

19. a better place to live BACKGROUND INFORMATION

20. a better place to live What makes the difference for George? Confidence in staff to advocate Desire to maintain independence - including taking risks to enable this to happen Prepared to challenge stereotype of residential/nursing care Confidence in managing situations that may not be the norm Creative solutions – assistive technology But most of all TRUST My life, my way, with your support

21. a better place to live Why success? Senior Officer buy in Enthusiastic staff The service, tenants and scheme has evolved together Willingness to tackle difficult changes – role of Warden Always look on the bright side of life mentality Beyond consultation into engagement Dignity and Respect is a golden thread through the service which goes both ways between staff and tenants My life, my way, with your support

22. a better place to live Next Steps Design and commission a Train The Trainer course to create Provider Safeguarding through Dignity in Care Champions (6 Days) Design and commission an in-depth Safeguarding through Dignity in Care Course for Adult Social Services and partners staff (2 Days) Safeguarding through Dignity in Care

23. a better place to live Safeguarding through Dignity in Care In-house Champions Aim To develop competent and innovative trainers/facilitators in the safeguarding of adults through dignity in care (where/as appropriate) who will be able to work within their own organisations to heighten knowledge and understanding of this important area of working

24. a better place to live Safeguarding through Dignity in Care In-house Champions Six days training plus assignments: 4-days Train the Trainer OCN Level 3 Nationally recognised teaching qualification 2-days in-depth Safeguarding through Dignity in Care course. Key Objectives: Dignity in Care Government initiative Linking Safeguarding and Dignity in Care Challenges Understanding and identifying vulnerability and risk factors Mental Capacity & Deprivation of Liberty issues Roles and responsibilities of all staff

25. a better place to live Safeguarding through Dignity in Care Candidates Champions: Senior staff experienced in Safeguarding Adults and the Dignity in Care services. Champions and In-depth Safeguarding and Dignity courses: Candidates should be familiar with: The legislation & Government directives relating to Safeguarding Adults The legislation & Government directives relating to the national campaign on Dignity in Care (Nov 2006) Definitions relating to the Safeguarding of Adults and of Dignity Knowledge in the recognition of abuse and the initial responses

26. a better place to live Safeguarding through Dignity in Care Delivery Programme 2008-2009 One 6-day Champions course to 10 Provider candidates Two 2-day In-depth courses to 32 LBR Adult Social Services and partner organisations staff