1. Outcome measures in supported living
Presented by Dr Cathy Harding, Consultant Clinical Psychologist
and Angharad John, Assistant Psychologist at Liberty Care

2. Aims of the presentation
To share with you how and why we use particular outcome measures within Liberty Care
Including individual and service-level outcome measures as well as the wider organisational-level outcome measures
To discuss the rationale for using outcome measures within supported living settings
To discuss our reflections on this process so far
There are lots of ways to measure quality of service and today we are talking about the ways we use standard outcome measures to measure progress

3. Liberty Care Ltd.
Liberty Care Ltd, established since December 2005, provides support to over 70 individuals in 13 supported living services across South East Wales, run by Mr Gary Lewis, Operational Director
Liberty Care supports adults with autism, LD, mental health conditions and those with dual diagnosis to live the lives they want, in their own homes in the community. Work within a PBS framework
Liberty Care has a small clinical team (since 2016)

4. Liberty Care Outcomes Activity Audit Royal College of SALT:
Levels of measure
Activity Audit
Royal College of SALT:
5 Communication Standards
Self Evaluation Matrix of Challenging Behaviour
Organisational
Periodic Service Reviews
Service
Quality of life (WHO QOL) and emotional wellbeing
Behaviour Problems Inventory
The New Guernsey Community Participation and Leisure Assessment
Outcome Stars
Service & individual
Personalised Goals
Participation Records
Individual

5. Process of individual outcome measures
Completed with every service user on a 6 monthly basis – May and November
Completed by team lead/senior with service user
Input outcomes data onto outcome measures excel database – providing statistical and percentage outcome data for each individual service user as well as per service and across LC. Each service user and service has their own excel spreadsheet
Team leads and seniors receive support from clinical team to input and analyse the data
Outcome reports written by clinical team members
Outcome measures are valid, reliable and evidence based

6. Personalised Goals

7. Participation records

8. Quality of life (WHO QOL) and Emotional Wellbeing Scale

9. Behaviour Problems Inventory

10. The Guernsey Community Participation and Leisure Assessment

11. Outcome Stars

12. Liberty Care Outcomes Activity Audit Royal College SALT
Levels of measure
Activity Audit
Royal College SALT
5 Communication Standards
Self Evaluation Matrix of Challenging Behaviour
Organisational
Periodic Service Reviews
Service
Quality of life (WHO QOL) and emotional wellbeing
Behaviour Problems Inventory
The New Guernsey Community Participation and Leisure Assessment
Outcome Stars
Service & individualised
Personalised Goals
Participation Records
Individualised

13. Periodic Service Reviews (PSR)
Contents of Periodic Service Reviews (PSR) presentation
Overview of service
Staffing – vacancies and sickness
Team meetings and supervisions
Staff training
Regulatory compliance
Paperwork and plans
Appointments and needs
Service paperwork and audit
Impact of service/personalised goals
Outcome measures
KPI’s
What are you proud of within your service
Areas to discuss

16. Self evaluation matrix with challenging behaviour services

17. Process of organisational outcomes
Annually reviewed
Action plans developed and prioritised
Senior management review
Also in annual reports

18. Our own reflections
Small numbers meaning that change is hard to monitor
Other factors influence outcomes e.g. moving/feeling unwell/bereavement
Flexible – e.g. changing outcome stars for individual services
Some changes were made to the database and we continue providing support to team leaders re collecting, inputting and analysing outcomes and with preparing for PSR’s.
Something is better than nothing
First annual report is this summer
Useful for highlighting strengths/weaknesses in each of the homes

19. References
Behaviour Problem Inventory. Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The Behavior Problems Inventory: An instrument for the assessment of self-injury, stereotyped behavior, and aggression/destruction in individuals with developmental disabilities. Journal of autism and developmental disorders, 31(6),
Outcome Stars (Recovery or Spectrum star)
Participation Records. Adapted from Positive Behavioural Support materials.
Personalised goals. Developed by Polly Dawe (Occupational Therapist, Liberty Care).
Quality of life and Emotional Wellbeing Scale. Adapted from WHOQOL-8 and Personal wellbeing as report in WAG bulletin Developed by Dr Cathy Harding, Consultant Clinical Psychologist and Angharad John, Assistant Psychologist. February Version 1.
The New Guernsey Community Participation and Leisure assessment. Baker, Taylor-Roberts and Jones (2016).  The Guernsey Community Participation and Leisure Assessment – Revised.
Royal College of Speech and Language Therapists. Five good communication standards. London: RCSLT, 2013
Liberty Care Meaningful Activity Checklist Tool. Adapted and information used from the checklist for evaluating the activity provision within a health and social care setting (produced by the Gloucestershire Activity Champions Network) and from Living well through activity in care homes: the tool kit (College of Occupational Therapists) and expert consensus.
Evaluation Matrix for Challenging Behaviour Services. Lowe K, el al. (2010).