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Minutes of the

Enfield Learning Disability Partnership Board

18th

May 2015

This Meeting’s Big Issue Was

Workforce Development

(The Care Certificate)

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Present -

People Who Were There

Niel Niehorster Co-Chair - London Borough of Enfield Head of Integrated Learning Disability Services, London Borough of Enfield

Sheila Barry Co-Chair – Self Advocate and User Forum

Bill Barry Peer Advocate, User forum

Kellie Scott Admin Support, London Borough of Enfield

Sue Wilkinson Advocacy Support, Enfield Disability Action Advocacy Project

Stephen Moslin Advocate, User Forum

Elizabeth Taoushanis Advocate, Community Link and One-to-One

Fiona Jones Carers Centre

Lesley Walls Specialist Participant – Voluntary Sector

Jason Student Nurse (observing)

Jon Robson Health Champion - Team Leader Community Nursing

Jane Richards Carer2Carer network

Bernadette Reigar Parent Carer/ (CAPE)

Stephen Young Peer Advocate, Formont User Forum

Surojit Walawalker Family Carers Champion - Parent Carer and CAPE Chair

Wendy Berry Family Carers Champion - Parent Carer/ CAPE

Tamara McNamara (pm)

Acute Liaison Nurse, Barnet and Chase farm Hospital

Cllr Sarah Doyle Councillor

Shirley-Anne Wheeler Employment Champion – London Borough of Enfield Service Manager Equals Employment

Ashanti Apprentice (Equals Employment)

Peppa Aubyn Integrated Learning Disability and Mental Health Services Commissioning Manager

Chris O’Donnell Facilitator - Person Centred Planning Coordinator

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Apologies –

People who could not be there

Dr Ujjal Sarkhar Enfield Clinical Commissioning Group

Lucy Whitman Volunteer and engagement officer, Healthwatch Enfield

Paulette Blackwood Acute Liaison Nurse, Royal Free and North Middlesex Hospital.

Lorraine Davis Assistant Director Health and Adult Social Care

Josephine Carroll Central and North West London NHS Foundation Trust

Geoff Lambrick Personalisation Champion, London Borough of Enfield, Service Manager Assessment and Care Management,

Monika Rivers Specialist Participant - Development Manager (Volunteer Coordinator), Enfield Mencap

Liane Burn Hate Crime and Leadership & Advocacy Champion - Specialist Participant, Voluntary Sector.

Margaret Stewart Project Manager, Partnership Board Work Plan.

Pamela Burke Chief Executive, Enfield Carers Centre

Cllr Alessandro Georgiou

Councillor

Caroline Mayger Community Services Manager, London Borough of Enfield.

Guests

Isabell Clancy Internal Quality Assurance, LBE Leaning and Development

Helen Ugwu Learning and Development Consultant LBE (Presenting)

Voyta Camek Skills for Care (Presenting)

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Voyta from Skills for Care gave this presentation -

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The Board had these comments on the presentation

The Board noted that when Skills for Care refer to ‘Carers’ they mean paid carers.

Some support staff already have things like National Vocational Qualifications or Qualifications and Credit Framework Certificates and Diplomas.

These count as evidence towards the Care Certificate so they should be quick and easy.

People who don’t work in regulated services, like day centres or people employed as Personal Assistants, don’t have to do the Care Certificate.

The Board asked if Personal Assistants, advertising on My Support Assistant for example, could get a Care Certificate.

Voyta said there is an on line self-checklist they could do.

There is an easy read version of the workbooks being produced. This will help people with Learning Disabilities working in Care get their certificate.

The Care Quality Commission understand it will take time for services to implement the Care Certificate.

The will allow about 6 months, but services who don’t have the certificate in place cannot get an excellent rating.

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The Care Certificate is for everyone working in care. Section 9 does include understanding of people with Learning Disabilities, but this is a minimum standard.

Although there is no charge to do the Care Certificate, their may be a cost to employers, for example, management time and printing off the workbooks.

Because the Care Certificate is about people’s competencies, they will need to be observed in practice.

This can be difficult for some people for example; Domiciliary Care staff may only spend short times with people.

Other training courses people do can be used as knowledge Evidence. For example, the Department of Health e-learning module on Positive Behaviour Support,

Chris will send out one page ‘About the Care Certificate’ leaflet with these minutes.

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Helen Ugwu then gave this presentation-

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The Board had these comments on Helen’s Presentation

Services that are not registered can be flexible about how they apply the standards of the Care Certificate.

They may choose to focus on important areas for their service and miss out others.

Services can use the expertise of the people they support to help assess the competency of their supporters.

Direct Payment employers would be interested in paying some providers to assess their Personal Assistants for the care certificate.

Helen said that the Learning and Development department are working on a ‘Day Service Framework’. This might include a recommendation that Day Services staff achieve their Care Certificates.

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The Board then went into groups and Identified these

issues -

The Board felt it was important that people employed through Direct Payments have access to the Care Certificate.

The Board were interested to know how providers can work together to make the Care Certificate happen.

Although there is basic awareness of issues for people with Learning disabilities in Standard 9, the Board thought there should be more details, especially about Autism, Supporting People whose Behaviour can be Challenging and End of Life Care.

The Board thought Quality Checkers should have a role in assessing the competence of staff.

People buying services could also help assess many of the standards.

Some Board members thought their front line staff were very good, but office staff were sometimes not helpful. There is no equivalent of the care certificate for them.

The Board also noted there was no equivalent Certificate for managers.

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How the Partnership Board will Take the Lead

The Board thought there needed to be a Workforce Development sub group.

Niel and Sheila will write to organisations who might be interested and invite them to attend.

The Board thought the sub group should think about these things –

Should there be some similar standards for managers?

Who should be members of the group? (EDA, One-to-One trainers, providers….)

What would the outcomes for the sub group be?

How could we set ‘hard targets’ like percentage of staff with a care certificate, when we don’t know how many staff are working?

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How can we set up a mechanism for Personal Assistants to get the Care Certificate?

For Example - could Personal Assistants pay a ‘subscription’ to organisations for training and assessment? (this should be added to the Direct Payment guidelines)

Is there an on-going competency framework for staff once they have their Care Certificate?

Is there a way for staff to ‘specialise’, for example, in supporting people with Autism?

What are the expectations of the Integrated Learning Disabilities Service for staff competency?

How can Quality Checkers get involved in assessing staff?

Can we produce information on the Care Certificate for carers and the people we support?

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Any Other Business

The Board had received the final Care Charging Policy for this year. The Board were pleased that the fixed fee for transport was not included. The Board did note that other elements of their feedback were not included, and there was no reason given for this.

Chris will now be looking after the Learning Disability web page.

He will include a quick survey with these minutes. This will include asking the board about what information they would like to see on the page.

Chris will also ask if there are any other ways the board would like to access this information, like a Partnership Board blog or Facebook page.

Jane is still chasing the Metropolitan Police to restart the disability steering group. A new chair has been appointed, and hopefully this will start soon.

The Carer2Carer network now has a contact number. 07947 124 147

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The Integrated learning Disability Service are due to move soon. No new venue has been found, so it may stay at St Andrew’s a bit longer.

Leslie suggests people check Out One-to-Ones website on the 28th May.

The cycle scheme is having its first anniversary celebration next week.

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Work Plan

The Autism Steering Group will be having its first meeting on

the 16th of July.

Family Carers said they had not been asked to submit a

report. Chris will chase this up.

It is national carers week from the 8th June. There will be lots of events – see carers centre website for more info.

There was a very successful Hate Crime conference this

week. A new film has been produces which was very popular. This will be hosted on One-to-One’s website.

Health - Dr Sarkar has now stepped down as Learning

Disability lead for the Clinical Commissioning Group. This is currently being restructured. Peppa will keep us informed.

Housing - Parsonage Lane now has two flats available for

shared ownership. Contact Peppa Aubyn if interested.

Leadership and Advocacy - Lesley had put in a bid in to

the Lottery Fund for a Learning Disability Parliament.

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Ineta (Transition Champion) is now on a 2 year secondment

with Enfield 2017. Niel is looking at possible cover for while she is away.

The travel survey is now done.

The Enfield Transport User Group is no longer being

facilitated by the council. They are not sure if they will continue. The transport sub group is not clear who they will report to if this happens.

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Effects of financial climate

£1.2M

Last year the Integrated Learning Disability Service was £1.2 million overspent. Housing Health and Adult Social Care as a whole were on budget.

There were different reasons for this, including people moving into Enfield, and some people no longer being eligible for continuing health care funding.

£3.5M

This year, the Integrated Learning Disability Service have a projected overspend of £3.5 million if the service is to new services for people as it would wish.

The service has plans in place that could save between £1.5 million and £2.8 million.

The Integrated Learning Disability Service are working closely with a consultant firm called Ernst and Young (EY).They will be looking at different things, including the costs of residential services, and ‘Double Provision’, where some people’s budgets might include 24 hour support in residential care and day services.

The Integrated Learning Disability Service is also working with a company called ‘My Support Broker’. MSB are a company which recruits and trains people to become support brokers.

Some people and their families are being given the opportunity to work with MSB to update their support plans, and look at different ways their needs can be met. If successful, we could offer this to more people.

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Other savings might come from –

‘Mortality’, every year some people we support die. This is sad and we support people to live long and happy lives. But we do need to account for this, as we no longer have to pay for their services.

Reviews – we reduced people’s indicative budgets last year, and about half have been reviewed. The rest will be reviewed this year, and we hope to agree different ways of helping people achieve their outcomes that will cost less.

The Integrated Learning Disability Service is responsible for peoples care when they turn 18. But sometimes peoples have other things to do. For example, some young people have holidays in the summer and don’t need services to start until autumn, and there can be a slight saving here.

The council as a whole are also saving money. ‘Enfield 2017’ is a big project to reorganise the council, and make better use of technology to save money. There will also be big reductions in the number of people working for the council.

The board appreciated the honest discussion about the financial situation.

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Outcomes from November 2014

Who Will do What By

When Outcome

Chris Send out safeguarding case study with these minutes

16th March This was done.

Chris Send out safeguarding flowchart with these minutes

16th March This was done.

Chris Send out information about how much money is raised through care charging for people with learning disabilities with these minutes.

16th March This was done.

Niel/Chris Pull together the boards feedback on the Care Charging Policy and submit as part of the consultation

16th March This was done.

Chris Talk to Helen Tapfumaneyi about the person centred approaches used in safeguarding, such as accessible information, person centred protection plans, video information and social stories.

18th May Safeguarding policies are being updated at the moment. Chris and Helen will work on accessible versions over the summer.

Niel Arrange a meeting with the representatives of cares groups.

18th May This was done

Chris/

Lesley

Discuss the possibility of the partnership board hosting an easy read website or facebook page.

18th May Chris will be looking after the website – see ‘any other business’

Niel Offer to do a workshop with the income team on the needs of people with learning disabilities.

18th May Chris will take this on.

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Actions

Who Will do What By When

Niel and Sheila

Write to organisations who may be interested in joining a Workforce Development sub group

8th June

Chris Send out a consultation about how people like getting information form the internet.

8th June.

All workplan ‘Champions’

Submit a summary review of their workplan to date, and proposals of their plan for the next 2 years

20th July

Chris Contact Income Team about a workshop on the needs of people with learning disabilities

Feedback at next board.

What is the Care Certificate?

The Care Certificate is a set of standards that health

and social care workers adhere to in their daily

working life.

The Care Certificate gives everyone the confidence

that supporters have the same introductory skills,

knowledge and behaviours to provide compassionate,

safe and high quality care and support.

The Care Certificate -

applies across health and social care;

links to other standards, like National

Occupational Standards

covers what is required to be caring;

will equip workers with the fundamental skill

they need to provide quality care; and

gives supporters a basis from which they can

further develop your knowledge and skills as

their career progresses.

What are the standards?

Understand your role

Your personal development

Duty of care

Equality and diversity

Work in a person centred way

Communication

Privacy and dignity

Fluids and nutrition

Awareness of mental health,

dementia and learning disability

Safeguarding adults

Safeguarding Children

Basic Life Support

Health and Safety

Handling information

Infection prevention and control

The is a lot of information on the Care Certificate

on the internet at

www.skillsforhealth.org.uk/standards

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The ‘Big Issue’ for our meeting on

August 17th will be….

Meetings for the rest of the year 16

th November

Review the Work Plan

& Parliament

Enfield Learning Disability

Partnership Board

Work Plan Report

May 2015

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Contents

AUTISM 2

EMPLOYMENT 4

EQUALITIES AND INCLUSION 7

FAMILY CARERS 9

HATE CRIME 10

HEALTH 11

HOUSING 14

LEADERSHIP AND ADVOCACY 18

MOVING ON 19

PERSONALISATION 21

SERVICES FOR PEOPLE WHOSE BEHAVIOUR CAN BE CHALLENGING 22

TRANSPORT 25

WORKFORCE DEVELOPMENT 27

Key to ratings –

= Not Started

= Making Progress but behind schedule

= Making Progress and on target

= Making Progress and ahead of target

= Done

Note – each work stream will have a more detailed action plan.

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Autism

The Group in Charge

The ‘Champion’

Lesley Walls

A virtual market engagement was undertaken at the end of November 2014 to identify the level of expertise, experience and interest from the independent sector including the local voluntary and community sector. Six organisations responded to this engagement and confirmed their interest in submitting a future proposal.

This funding opportunity to deliver the outcomes of the autism strategy and provide an Autism co-ordination service was advertised at the end of January 2015. This small procurement exercise produced a lot of interest. The funding was awarded to One-to-One to deliver the outcomes of the joint autism strategy. £35,000 was transferred to the organisation in March 2015. It envisaged that the remainder will be invoiced in March 2016 subject to satisfactory performance.

A project plan has been agreed together with the principles of use of the National Autism Innovation fund and commenced setting up of the new service.

The Champion for the Autism Sub Group is now Lesley Walls.

Provide a link between the Autism Steering Group and the Learning Disability Partnership Board

Produce Easy Read information on Autism

Support People with Autism and Learning Disabilities, and Family Carers, to take part in tendering for the Autism Co-ordinator.

Make sure people with Autism have equal access to quality health care.

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Influence the development of services for people with Autism and Learning Disabilities including

Support people and their carers to lead training and awareness raising about the needs of people with Autism and Learning Disabilities.

Encourage cross borough commissioning

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Employment

The Group in Charge

Employment Steering Group

The ‘Champion’

Shirley-Anne Wheeler

1. Increase the number of people in paid employment

Update

153 people supported in and into employment on 31st March 2015. Others attained, some lost jobs during the year and some no longer met the criteria as no longer got paid or where outside to age categories (18-64 years)

Further Action

New targets to be set for 15/16 year

2. Establish an Employment sub group

Update

Employment Sub Group has been established.

Discussion on Remit of Sub Group required – just adult LD or including transition pan disability?

Further Action

Future actions for the Employment Sub Group to be discussed at Partnership Board 2015/16

3. Develop Social Enterprises in Enfield

Update

Continuing to work on the development of other enterprises.

Further Action

To source future funding to allow good work to continue

To visit enterprises run by mcch

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Travel Buddy scheme discussed and to

explore variety of models to adopt and roll

out across Enfield to support those service

users that need assistance getting from A

to B.

Park Avenue have redesigned their Café

and back on the cards to use the café as

an employment opportunity for those

people with increased support needs

SA & New Opportunity Centre to meet various current providers to decide on best practice and liaise with Transport for London

To hold an open day event inviting

interests parties to attend – voluntary to

start with.

4. Increase Employment for people within the Council

Update

Shirley-Anne presented at Council Equality

Group, 1 job offered in Finance

Department

Further Action

Placements to commence before the end of the year

Shirley-Anne to liaise with Joycelline Hogan to develop a pilot work experience programme (paid & unpaid) for up to 5 People with Learning Disabilities

5. Support more people to become self-employed and start businesses

Update

No candidates have been identified to progress into self-employment.

Further Action

To continue to identify people with LD able to follow in the national trend for setting up their own businesses.

6. Support people into different types of volunteering

Update

Clients are continuing to be referred to

Enfield Voluntary Action and One-to-One

for volunteering training & unpaid work

opportunities.

Rabia Lemahieu (Enfield Disability Action) continues to offer training and support

Further Action

All services to inform EQUALS of known

volunteers.

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7. Develop supported internships (work based training)

Update

Internships to be discussed at the

Transition Employment Group along with

Project Search

Internship model to be looked at along with council Work experience Pilot

Further Action

Identify businesses willing to explore

Project Search concept and Host

organiser.

Explore further with Skills for Work Service and London Borough of Enfield Human Resources Team

8. Support people in employment to keep their jobs and get more hours

Update

Currently there is no-one with a job under

threat

Further Action

9. Provide benefits advice to people who are working

Update

Meeting held with Shirley-Anne and Hasan to discuss future pathways for People with Learning Disabilities using the Job Centre

Further Action

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Equalities and Inclusion

The Group in Charge

Equalities Stakeholder Group

The ‘Champion’

Lesley Walls

To help identify members of the Equalities and Inclusion Sub Group an email will be sent to Adult Social Care Managers and Providers explaining that the group is being set up and welcome members across different communities in Enfield to take part. The first meeting will take place on Monday 27th July from 1 – 3pm in St Andrews Court Meeting Room 2

1. Develop a learning disability parliament

Not Rated Yet

Update

Further Action

2. The parliament to be a transparent way of selecting members of the Partnership Board and Sub groups.

Not Rated Yet

Update Further Action

3. Make sure the Partnership Board is representative of the community it serves, including people from black and minority ethnic communities and the lesbian, gay, bisexual and transgender communities.

Not Rated Yet

Update Further Action

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4. Represent the Partnership Board on the Equalities Stakeholder Group

Not Rated Yet

Update Further Action

5. Support Partnership Board members to meet with community groups to talk about the work of the Partnership Board and the priorities for the coming years.

Not Rated Yet

Update Further Action

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Family Carers

The Group in Charge

Focus Group

The ‘Champions’

Wendy Berry / Surojit Walawalker

1. To support family carers in their caring role

Update

Further Action

2. To ask about the views and opinions of family carers and represent them at meetings and forums

Update

Further Action

3. Help Family Carers be aware of their entitlements and rights

Update

Further Action

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Hate Crime

The Group in Charge

The Hate Crime Forum,

Disability Sub Group

The ‘Champion’

Deanna Rogers

Deanna Rogers has only very recently taken over from Liane Burn as Champion for this group. An update will be provided for the next Partnership Board meeting.

1. Work to help make sure safe guarding issues that are also hate crimes are reported

Update Further Action

2. Increase the awareness of Hate Crime amongst people with Learning Disabilities and the wider community.

Update Further Action

3. Represent the partnership board on the Hate Crime forum.

Update Further Action

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Health

The Group in Charge

Health Sub Group

The ‘Champion’

Jon Robson

1. To work on the Health Self-Assessment Framework Action Plan for Enfield 2013

Update

The target for people attending annual health checks this year is 70%

Further Action

We don’t have information yet on this. The ‘Making the most of your health check’ leaflet is ready and this should be on the Enfield Learning Disability website soon

Priscilla Surfraz (Community Nurse) has drafted an ‘Outcomes Monitoring Sheet’ to help assess how effective annual health checks are. It includes looking at how many people have follow up referrals or health actions

This has been shared with the CCG for comments

The Community Nurses and One-to-One are running a diabetes group. This has been very well attended so far. The Community Nurses are also looking at a specialist team to do diabetes screening

The Community Nurse who specialises in diabetes will be coming to the next health sub group to give more detailed feedback

Healthy Living drop in’s continue to be well attended and are now happening at Radiomarathon, Community House, Formont and St Mark’s. People are now being given advice on self-checking for testicular and breast cancer at the drop ins

The community nurses are considering expanding the sessions to other day services. They are also seeking advice on how to support people who may not be able to self-examine for breast and testicular cancer

The group identified that the ‘Disabled Go’ website has a number of local health providers like pharmacists, opticians and dentists already on there but they have not yet been reviewed

Group members will add reviews of good services and publicise through their networks

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The group have confirmed that the two forensic units accessed by people with learning disabilities do support them to have annual health checks

The Community Nursing Team will continue to offer training to Mental Health staff to help make sure health support is of good quality

2. To support the implementation of the Winterbourne Review in Enfield

Update

There are only four people identified as part of the Winterbourne Concordat that are still waiting to move. All of them have said they wish to stay near the areas where they are now as they have friends and contacts there.

Further Action

The group will continue to be updated on progress.

3. To improve access to Health for all People with Learning Disabilities going to Hospital.

Update

Jon Robson (Service Manager, Community Nursing) will be meeting with the North Middlesex Hospital soon to discuss their Acute Liaison Nurse post. There is currently only one day a week, with people being supported by the Community Nursing team at other times. This is causing capacity problems for them.

Further Action

Jon will feedback to the next meeting.

Tamara McNamara is the new Acute Liaison Nurse for Barnet and Chase Farm Hospital. She is very welcome and settling in very well!

The Royal Free Hospital now has a ‘flagging system’. This means that if anyone is known to have a learning disability goes to hospital staff are reminded to ask for a hospital passport. This system will be coming to Barnet and Chase Farm later this year.

Tamara will keep the group informed of progress

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4. To Improve the quality of people’s Primary Health Care

Update

Please see above

Further Action

5. To monitor the work of the Health Steering Groups

Update

The End of Life Care Steering Group reported that they are now acting as an ‘Operational Group’. This means they will discuss individuals at the beginning of each meeting and plan how to best support them

Further Action

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Housing

The Group in Charge

Housing Strategy Group

The ‘Champion’

Lia Markwick

1. To increase housing choice and quality for people with learning disabilities living in Enfield

Update

Work continues to increase housing choice for people with learning disabilities, through the development of new housing services and the improvement and remodelling of existing services including:

o Home Ownership for People with

disabilities on Parsonage Lane

o Fully wheelchair accessible family

homes for people with disabilities in

Jasper Close

o Remodelling of the Carterhatch Service

to improve accommodation, including

the development of purpose built extra

care accommodation for older people

with learning disabilities who may also

have dementia

o Re-modelling of accommodation in

Linwood Crescent to improve quality of

accommodation, providing self-

contained homes with communal

lounge/kitchenette facilities

Other opportunities being explored include:

o The development of supported living for

people with severe autism

o Opportunities for the Council to

Further Action

Following completion of Home

Ownership pilot scheme on Parsonage

Lane, develop and embed pathway to

enable some people with long term

disabilities to purchase their own home –

including from the open market.

Other priorities include the development

of move on options for people moving on

from supported housing.

Refresh the Council’s Market Statement

to engage and guide the market in

relation to local needs and improving

housing options.

Bid for monies from the Mayor’s Care & Support Fund for the development of Autism Services.

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purchase homes on the open market

for people with disabilities via the

‘Housing Gateway’

o The development of supported living for

people with PMLD and respite facilities.

2. To provide good accessible information to people and their families

Update

We have developed a range of good

quality information about what housing

options there are in the borough. This

information has been mostly available at

Transition Moving On Events. We have

invited guest speakers to attend the

Learning Disabilities Partnership Board to

talk about housing options for people with

Learning Disabilities. We have also

developed a DVD that talks about Moving

On and what type of housing is available.

We have a range of housing options for

people with Learning disabilities on the

Council’s E-Market Place but this does

need improving and expanding on.

We are working hard to engage service

users and their families over times of

change though easy read pictorial

communications and newsletters.

Further Action

We will continue to update, improve and

expand the information on the Council’s

E-Market Place.

We will develop accessible information

about what housing options there are

specifically for people over 25 who want

to move out of their family home and for

older people with learning disabilities.

To work with housing providers to

organise a housing market place event

to provide information on a range of

housing options available locally.

To consider how IT solutions may be

used (or further developed) to keep a

database of supported tenancy

vacancies to ensure that there is access

to up to date information in order to plan

effectively for individuals.

3. To help people live independently by improving the quality of design and accessibility of specialist accommodation.

Update

We continue to distribute best practice

design guidance to our development

partners to steer the good design of new

service.

Further Action

Continue to engage with service users

and their carers in the development of

new services.

Refresh the Council’s Market Statement

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We are involving service users, carers and

occupational services in design decisions

of new housing services.

We are commissioning wheelchair

accessible homes for people with

disabilities who have care and support

needs, including accessible family homes.

to engage and guide the market in

relation to design and accessibility.

4. To better understand what people with learning disabilities and their carers want from specialist accommodation services

Update

We are engaging the service users and

their carers to steer the development of

new services, through consultation on

development decisions and representation

on project steering groups.

We will use information in PCP’s and

Transition Plans to help us plan services.

We hold Transition Move On events regularly to ask what people think about where they live and what they would like for the future.

Further Action

To continue engaging service users and carers in service development.

5. To support access to the development of modern, innovative accommodation to empower people to take control of the services they receive in line with the personalisation agenda

Update

See section1.

We shall also be piloting the delivery of more flexible models of support and care in some of our supported housing services, to increase choice and flexibility of service provision.

We have set up an Accommodation Board,

to oversee new developments and help

ensure that the needs of people requiring a

Further Action

Continue to pilot use of more flexible care and support models within supported housing.

Improve use of Assistive Technology within our

supported housing schemes to increase

independence and control of services.

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change in accommodation are appropriately

‘matched’ with new services, to improve

transition planning and make best use of

resources.

6. To ensure the availability of culturally accessible and socially inclusive specialist accommodation services to meet the needs of Enfield’s Black and Minority Ethnic communities

Update

We are commissioning inclusive models of

specialist accommodation, to meet the

needs of people with learning disabilities

including Enfield’s Black and Minority

Ethnic communities.

Further Action

Ensure completion of Equality Impact Assessments upon service change.

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Leadership and Advocacy

The Group in Charge

Focus Group

The ‘Champion’

Sue Wilkinson

Sue Wilkinson has only very recently taken over from Liane Burn as Champion for this group. An update will be provided for the next Partnership Board meeting.

1. To support individuals to have access to appropriate advocacy support as required

Update

Further Action

2. To monitor that local advocacy support is provided within legal guidelines and good practice guidelines

Update

Further Action

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Moving On

The Group in Charge

Transition Implementation Group

The ‘Champion’

Ineta Miskinyte

1. To complete a 5 year strategy

agreed by all partners

Update

The transition strategy is ongoing transition work that is overseen and steered by the Transition Implementation Group

Further Action

No further action required

2. Develop a Transition Pathway to Careers, Supported Employment and Meaningful Work Activities.

Update

Consideration is being given to including transition to

employment within the work undertaken in the

Employment Sub Group

Further Action

Discussions to take place at

the next Partnership Board

in May 2015

3. To continue providing a range of ‘Moving On’ information events

Update

The new Transition Information Events Calendar has been finalised and published.

Further Action

No further action required

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4. To ensure that planning (including Person Centred Planning) for young people starts at 16

Update

Person Centred Transition Reviews are fundamental to the new SEND reforms and will form the basis of the Education, Health and Care Plan. An ongoing training programme for parents/carers and professionals has been planned and is currently being delivered by the SEND steering group

Further Action

No further action required

5. Support the Carer2Carer network and other parent-led networks

Update Further Action

6. Promote health action planning in schools.

Update

At the Health Sub-group it was agreed that Transition Coordinators should take a lead role for ensuring that all people coming through transition have a completed Health Action Folder.

Further Action

No further action required

7. Develop post 16 education provision for People with Learning Disabilities.

Update

Further Action

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Personalisation

The Group in Charge

Delivering Personalised Outcomes Workstream

The ‘Champion’

Geoff Lambrick

1. Embed creative Support Planning and develop effective Outcome Focused Reviews

Update

Staff are continuing to be trained on the

new Care Act which came into effect on 1st

April. Support plan, review and needs

assessment formats have been amended

to include Care Act changes

The Learning Disabilities Service have exceeded their review target which stands at 83%

Further Action

2. Improve people’s Life Choices and Self-Directed Support through rolling out Direct Payments

Update

The number of LD clients receiving Direct Payments is 174 (34%)

Further Action

22

Services for People whose Behaviour can

be Challenging The Group in Charge

Services for People who can be challenging Sub Group

The ‘Champion’

Geoff Lambrick

1. Make sure people who can challenge have equal access to quality services.

Update

We now have a good data set of people who use community services who would benefit from planned strategies around their behaviour.

Further Action

Chris will be putting this information onto care first over the next few weeks.

We are waiting for advice on the implications of the care act before looking at people who use residential services. We may be calculating personal budgets for them, which would give us information on who would benefit from planned interventions.

We will discuss this at the next meeting.

2. Make sure People whose Behaviour can be Challenging have written strategies in place, based on best practice.

Update

The Challenging Behaviour Action Group has agreed a leaflet about behaviours that can be challenging. It encourages everyone who supports people whose behaviour can be challenging to join the Challenging Behaviour Foundation. We have printed 300 copies.

Further Action

This will be put on the website and distributed at reviews.

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We have received some useful feedback from PCDO on the Self-Assessment tool for Services for people whose behaviour can be challenging.

The Challenging Behaviour Action Group will look at this and present a final draft to the next sub group.

3. Make sure everyone who can be challenging has a detailed risk assessment

Update

The Challenging Behaviour Action Group has brought together information of different ways to do Risk Assessments about behaviour.

Further Action

The Challenging Behaviour Action Group will look at how we signpost people to best practice at their next meeting.

4. Make sure people who can be challenging have access to trained and knowledgeable support.

Update

The Challenging Behaviour Action Group have produced a training plan. This includes a range of opportunities centred on Positive Behaviour Support. It includes foundation courses and Intermediate, with a focus on quality services. Individual trainers are currently checking materials to make sure they are consistent and signpost to each other. We are also waiting for guidance on a consistent charging policy.

Further Action

The next step will be for the Challenging Behaviour Action Group to set dates and begin inviting people to the training.

5. Make sure People who can be Challenging are Receiving Person Centred Services

Update

Proportionally, the people identified in the data are more likely to have plans than average.

Further Action

Chris will hand out leaflets/training information as part of the PCP quality checks as they become available.

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6. Audit services for people who can be challenging

Update

This will begin once the Self-Assessment tool is signed off.

Further Action

25

Transport

The Group in Charge

The Transport Sub Group

The ‘Champion’

Stephen Moslin

1. To do an accessibility survey of local transport services

Update

Potential “mystery shoppers” identified for survey. Meeting to discuss survey to be held on 11th May

Further Action

Survey to be held at the end of May or in June 2015

2. Provide training to People with Learning Disabilities and transport staff

Update

Travel training is ongoing. Transport providers Transport for London and Abellio Greater Anglia are providing ongoing training for staff around disability

Further Action

Training issue will be addressed as an on-going issue when the Transport Sub Group meet with providers. The next meeting is to be scheduled

3. Address the transport implications of the closure of services at Chase Farm Hospital and transfer to Barnet

Update

This has been addressed via the ETUG. Any new or ongoing issues may also be highlighted through the survey once finalised

Further Action

Ongoing

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4. Represent the Partnership Board on the transport users group

Update

Meeting of Enfield Transport Users Group attended 22nd January 2015. Stephen and I were unable to attend ETUG meeting 5th March 2015.

Further Action

Ongoing. There is some doubt re future of group as no longer facilitated by LBE in the same way. The March meeting was discussing future of group – we are awaiting minutes.

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Workforce Development

The Group in Charge

Workforce Development Group

The ‘Champion’

1. Develop a learning disability workforce strategy across the council, NHS, voluntary and private sector.

Update Further Action

2. Develop a set of competencies for personal assistants that is linked to training requirements (i.e. skills for care)

Update Further Action

3. Support providers around challenging behaviours.

Update Further Action