1. What’s working and what’s not?
Personal
Outcomes
Evaluation
Tool.
Example - February 2017
John Waters
What’s working and what’s not?
Children’s POET

2. Eligibility Regulations (Physical and Emotional)
Care Act Wellbeing
POET
Eligibility Regulations
Personal dignity (including treatment of the individual with respect)
Health
(Physical and Emotional)
Physical and mental health and emotional wellbeing
Quality of life
Protection from abuse and neglect
Feeling Safe
Control by the individual over their day-to-day life (including over care and support provided and the way they are provided)
Choice & Control
over support
Everyday decisions
Participation in work, education, training or recreation social and economic wellbeing
Work training leisure
Accessing and engaging in work, training, education or volunteering
Domestic, family and personal domains
Relationships
Friends & Family
Carrying out any caring responsibilities the adult has for a child.
Developing and maintaining family or other personal relationships
Suitability of the individual’s living accommodation
Home
Being able to make use of the adult’s home safely
Maintaining a habitable home environment
The individual’s contribution to society.
Community
Making use of necessary facilities or services in the local community including public transport, and recreational facilities or services

3. Outcomes for people.. Example
People from Example reported
more positive outcomes than
respondents from other parts of the
country in 3 out of the 8 areas we ask about.
Well under a half of responses from Example reported positive outcomes
in taking part in community and
everyday activities, these were lower
responses than elsewhere.

4. Personal Budgets, were people given an indicative sum to plan with?
Everyone whose needs are met by the Local Authority, whether those needs are eligible, or if the authority has chosen to meet other needs, must receive a personal budget….. (11.7)
……. an indicative amount should be shared with the person, and anybody else involved, at the start of care and support planning, with the final amount of the personal budget confirmed through this process.
Statutory Guidance

5. Personal Budget Means:
Knowing the money upfront
knowing, before care and support planning begins, an estimate of how much money will be available to meet a person’s assessed needs and, with the final personal budget, having clear information about the total amount of the budget, including proportion the local authority will pay, and what amount (if any) the person will pay;
Choosing who helps you spend the money
being able to choose from a range of options for how the money is managed, including direct payments, the local authority managing the budget and a provider or third party managing the budget on the individual’s behalf an individual.
Choosing how the money is spent
having a choice over who is involved in developing the care and support plan for how the personal budget will be spent, including from family or friends;
Choosing how the money is held
having greater choice and control over the way the personal budget is used to purchase care and support, and from whom.
Statutory Guidance

6. When your support was planned did you know the amount of money allocated to your personal budget?
Just over a half of people from Example said they knew the amount of money allocated to their personal budget, slightly higher than responses from other parts of England.

7. What’s working and what’s not?
In addition to the general principle of promoting wellbeing, there are a number of other key principles
Key principle : Including peoples views
the individual’s views, wishes, feelings and beliefs. Considering the person’s views and wishes is critical to a person-centred system.
Local authorities should not ignore or downplay the importance of a person’s own opinions in relation to their life and their care. Where particular views, feelings or beliefs (including religious beliefs) impact on the choices that a person may wish to make about their care, these should be taken into account. This is especially important where a person has expressed views in the past, but no longer has capacity to make decisions themselves;
What’s working and what’s not?
Children’s POET

8. People’s experience of planning their support: Care act guidance highlights the significance of the support planning process and stresses that the views wishes and experiences of people who need support and their families should be at the centre of the support planning process, that it is for people themselves rather than the local authority to determine how their needs are best met and that there should be no undue constraint on the use of personal budgets. The guidance also emphasises the value of ensuring an upfront allocation of money to create an indicative budget before the planning process starts so that people can genuinely take a lead role in the design of their own support.
‘The person must be genuinely involved and influential throughout the planning process… …. Indeed, it should be made clear that the plan ‘belongs’ to the person it is intended for, with the local authority role being to ensure the production and sign-off of the plan to ensure that it is appropriate to meet the identified’ needs. (10.2)

9. Were your views included when your support was planned?
Nearly all of the respondents from Example (94%) said their views
were mostly or fully included when
their support was planned, a higher
proportion compared to just over
three quarters of people from other areas of the country (79%).

10. Choice and Control you have over your support:
Having choice and control over support should be enjoyed by everyone needing it.
‘However the person chooses to have their needs met, whether by direct payment, by the provision of local authority-arranged or directly provided care and support, or third-party provision, or a mix of these, there should be no constraint on how the needs are met as long as this is reasonable’

11. Could you decide how the money in your personal budget was spent?
More than a half of the people who
responded from Example said
they could decide how their
personal budget was spent.
Just under a quarter indicted this
was not applicable.
…people in care homes must also receive a care and support plan and personal budget.
(10.7. Stat Guidance)

12. Could you decide how the money in your personal budget was spent?
Looking just at those who said the
question was relevant, three quarters (75%) said they could decide how to spend their personal budget.
A bigger proportion than responses
from other parts of England.
…people in care homes must also receive a care and support plan and personal budget.
(10.7. Stat Guidance)

13. Peoples experience of their support
We ask people to rate a number of aspects of their support
Quality of support
Amount of support you get
Choice and Control you have over your support
Information you have to make decisions about your support
The dignity with which you are supported
Together these areas provide a good overview of people experience of support and the extent to which the ambitions of the care act are being delivered in relation to people’s day to day care and support experiences. The expectations of local authorities in relation to each of these aspects of care and support are set out clearly with the care act statutory guidance. There were only small differences across the difference groups of people we looked at with different groups reporting very similar experiences.

14. What do you think about these areas of your support? Quality
Local authorities have a broad responsibility to ensure the availability of good quality care and support that stretches beyond those who they provide support to or commission support for, and includes people who fund their own care. Care act guidance says ‘Local authorities must facilitate markets that offer a diverse range of high-quality and appropriate services’ 4.21

15. What do you think about these areas of your support? Quality
Nearly all (90%) of
people from Example rated the
quality of their support as good or very good, a higher proportion
than responses from other parts of England (79%).

16. Amount of support you get
What do you think about these areas of your support?
Amount of support you get
Care act guidance is clear that local authorities must make sufficient resources available to individuals who are eligible for support. ‘The personal budget must always be an amount sufficient to meet the person’s care and support needs, and must include the cost to the local authority of meeting the person’s needs….’ 11.10

17. Amount of support you get
What do you think about these areas of your support?
Amount of support you get
Well over three quarters
(87%) of people from
Example rated the amount of
support they get as good or
very good, a higher proportion than responses from other
parts of England (72%).

18. Choice and Control you have over your support
What do you think about these areas of your support?
Choice and Control you have over your support
Having choice and control over support should be enjoyed by everyone needing it. ‘However the person chooses to have their needs met, whether by direct payment, by the provision of local authority-arranged or directly provided care and support, or third-party provision, or a mix of these, there should be no constraint on how the needs are met as long as this is reasonable’

19. Choice and Control you have over your support
What do you think about these areas of your support?
Choice and Control you have over your support
Three quarters of people
from Example rated the
choice and control they enjoy over their support as good or very good, a similar
proportion to responses from other parts of England (72%).

20. Information you have to make decisions about your support
What do you think about these areas of your support?
Information you have to make decisions about your support
Good information is seen as an essential prerequisite for successful implementation of the care act. ‘The availability and provision of information and advice, whether more general information about the way the system operates in the local authority area or more personalised information on a person’s specific needs, are essential building blocks to all of the reforms and many of the specific duties the Act introduces’. 3.7

21. Information you have to make decisions about your support
What do you think about these areas of your support?
Information you have to make decisions about your support
Just over three quarters of
people from Example rated
the information they have to make decisions about their
support as good or very good, a much higher proportion than responses from other parts of
England (61%).

22. The dignity with which you are supported
What do you think about these areas of your support?
The dignity with which you are supported
The idea of ‘wellbeing’ rests at the heart of the care act, local authorities are required to promote well-being whenever they carry out duties under the act. Dignity in support is central to this idea of wellbeing. ‘Wellbeing’ is a broad concept, and it is described as relating to the following areas in particular: personal dignity (including treatment of the individual with respect)’ 1.5

23. What do you think about these areas of your support?
The dignity with which you are supported
Nearly all of people from
Example (91%) rated the
dignity with which they are
supported as good or very
good a higher proportion than
responses from other parts of England (85%).

24. This report presents data from use of the POET.
The report compares 245 responses from Example
with 4060 we have from other parts of England.

25. NB: Totals do not add up to 100% as people can be recorded as having more
Than one reason for support. There were few differences in experiences or
outcomes across social care group. Age was recorded separately.

29. For more information or to take part in embedding the POET into your local systems contact: or telephone Gaynor Cockayne