community integrated care - a changing organisation in a changing world
TRANSCRIPT
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Community Integrated CareA Changing organisation in a Changing
World
Graham BirkettRegional Director
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Today…
• Who we are – a little about our history
• Where we were
• What we have done – and achieved
• The next stage – the Care Act
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We’re a changing organisation…
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Community Integrated Care
One of UK’s largest charities.
Support 5,000 people
Employ 5,000 staff
£104m
Learning disabilities, autism, mental health concerns and
age-related needs.
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But it wasn’t always like this…
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Just 3 ½ years, our charity was a very different place…
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CIC… that’s
Community Integrated Care
• Tired services in need of modernisation
• A culture that lacked commerciality – just as the recession
and austerity were biting
• No growth for three years
• A culture that lacked customer focus – the people we
supported simply didn’t have the voice I believe in
• Estates and environment in need of improvement
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So we introduced…The Big Change
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Which includes what?
Growth – we’ve grown from £93m to £104m in 3 years
Culture – we restructured and creating a culture which is
‘commercial and caring’ – wholesale of change of personnel at
each level
Workforce – introducing systems that support the new
challenging agenda
And…
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A massive focus on changing the balance of power to the people we support…
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What we did and how we’re now supporting people so much better than before…
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So we started by committing fully to Personalisation…
or as we call it…
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Personalisation ….
Matching staff
Knowing person
Recruitment
Hours
Active and full,normal lives
Valued member ofsociety
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4 Key Parts to the plan
10,000
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4 Key Parts to the plan
Support Plans
10,000
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4 Key Parts to the plan
Support Plans
10,000
More time for Managers
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4 Key Parts to the plan
Support Plans
10,000
More time for Managers
Training
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Person Centred Tools…
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One Page-Profiles…
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Matching support…
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Communications Charts…
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Also….we’re changing the balance of power…
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The Voice...of the people we support
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Driving up Quality (or ‘good’ to ‘great’)...
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Ways we’re using the standards
• PUBLIC PLEDGES which are based on the standards
• New support planning documentation.
• PAID EMPLOYMENT to people who use our services
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Oh and the thing we’re so proud of…
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Meet our Peer Reviewers!
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Do we meet the Quality of Life standards?
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They are our REAL change makers!
• Training on values and attitudes
• Challenge our management teams
• Status & respect – paid employees
• They’ve opened eyes – rotas enhanced, support plans improved, inspired many people!
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What’s the impact?
Shortlisted for the Putting People First Awardat upcoming Great British Care Awards!
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Don’t take our word for it…
People we support speak for themselves…
(extracts from the reports…)
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“They all shout too much and I get annoyed, I would like to have my own home.”…
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“Although this is my own home I don’t know about a tenancy agreement and don’t have my own front door keys.”…
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“It took me a while to settle in my new home, as the residential college that I came from didn’t give my new staff good information about how best to support me. ”
…
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“I take a real pride in my appearance and love music, which I have an excellent ear for! Understanding the importance of my routine is vital to best support me”
…
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“The staff that support me have a useful tool that charts when my behaviours are good and not so good. ”
…
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The Care Act flies the flag for the Customer!
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The Act puts the person with support needs at the centre
• Safeguarding is at the heart of social care = GOOD
• Personal budgets and greater choice = GOOD
• Greater awareness of consumer rights = GOOD
• Puts the spotlight on the sector = GOOD
• Duty to provide variety of provision and high quality services = GOOD (for good providers)
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What does all this mean for Community Integrated Care?
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Based on these themes…
• Traditional approaches more preventative support.
• Messaging for commissioners need to be able to demonstrate with real life examples how integration.
• Innovation is key assistive technology, new models of support and delivering more support at the preventative end of the pathway.
• Focussing on outcome-based commissioning must be able to demonstrate improvements in health and cost savings.
• Co-operation more than ever a duty on LA’s to work with providers
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Based on these Themes…
• Key Account Management more important than ever working in close collaboration with LA’s, NHS and housing providers – honest and constructive discussions.
• Recognise the constraints and pressures LA’s are under and working with them to address these issues. Including proactive re-design of services – retain/ramp up quality but remove costs.
• Workforce planning the quality of our staff is critical to our success.
• Marketing storytelling /collection of positive stories critical.
• Brand promotion increasing commercialisation of the sector; brand more important than ever.
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Our Response…
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Our response so far…
• Developing an approach to provide careers not just jobs.
• Professionalising the role of our front-line leaders and increasing supernumerary time wherever we can.
• Developing services as community hubs wherever we can – so that the impact of the spend is much wider than the individual.
• Supporting commissioners to develop really forward-thinking support models and contracts that include payment by results.
• Enhancing our Key Account Management function.
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Our response so far…
• Personalisation is embedded in the heart of our re-designed recruitment processes and training in these.
• Our OD strategy has the “Golden Thread” of Personalisation woven through every aspect of it.
• We are partnering with many other orgs. – innovating together and sharing leadership best practise and expertise.
• We are developing systems to be able to report on outcomes – for the individual - but also how our services impact positively in the wider community.
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But it goes further…
We are making CSR a major focus too. We’re committed to:
• Recruiting from local communities;
• Giving staff space to get involved in community initiatives;
• Purchasing wisely, environmental commitment, volunteering;
• Local focus - meeting issues like youth unemployment;
• Creating community resources;
• Supporting economic regeneration and sustainability.
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And its working…
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Some final thoughts…
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Our final thoughts…
• People they support are citizens, not tourists
• STARTS…being valued!
• Great support is built upon great relationships
• Support is about things that are important to people, not just important for them.
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And now?
We have some way to go on our journey but we’re getting there…