Check out edition 4 to meet our dedicated Change Champions and hear about the new reviewing project!

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Edition 4: Your Life, Your Way Newsletter – October 2020

Think Tech

Lifeline technicians have been providing advice to adult social care teams within peer reflection huddles as part of the Maximising Independence interventions. Teams are using this advice to prevent, delay and reduce service users need for formal care and obtaining positive outcomes of increased independence. The case study below reflects the excellent work achieved by a colleague within the Holderness Community Wellbeing Team as result of thinking of tech first.

Spotlight on…Holderness CWT and Lifeline

A 90 year old Gentleman who lives alone was admitted to hospital after reports of increasing confusion, wandering during the night and acting aggressively towards his neighbours. He was then discharged to a residential home for respite (contact stated with the view to permanency) and the gentleman's family believed permanency would be in their loved ones best interests. The gentleman had no overnight care needs and expressed a goal of wanting to return home.

Strength based conversations within family using reference to legislation and best practice options were reviewed that would help the gentlemen return home and maximise his independence in accordance with his goal. Discussions with the care provider were used to understand the gentlemen’s strengths around independence.

The outcome of the assessment was for the gentleman to return home with:

Care calls five times per day @ 30 minutes for shopping and cleaning support
Just checking, lifeline gold, door sensors, rapid temperature detector and smoke alarm technology via Lifeline

Upon review when the client had returned home the initial support had led to:

Improved cognitive ability in regards to the service users skills and understanding
Development of skills in independently completing personal care and food preparation tasks
The family gaining reassurance via Just checking technology
A reduction in the care package to 2 x 30 minute care calls, one 30 minute cleaning call per week and one 15 minute medication call, alongside the previously acquired TEC.
This saved the council a total of £419.54 per week, whilst at the same time achieving the gentleman's goal of remaining living independently at home.

Proportionate Reviewing Pilot

We are in the process of starting a project designed to pilot a new approach to how we undertake reviews across the service.

The aim of the proportionate reviewing approach is to ensure that people are receiving appropriate and proportionate care and support, as well as being enabled to meet their outcomes and maximise their independence. Through trialing this new approach we want to:

Ensure reviews are targeted to deliver as many reviews as possible, but these will be targeted towards those individuals that will benefit most from the review
Ensure the appropriate care and support has been identified to support people to meet their objectives with proportionality and appropriateness
Develop a proportionate approach to reviews based on the need of the person and their families – a range of approaches will be on offer to the reviewer e.g. virtual, phone, face to face, provider led or partner led

We will be delivering a Maximising Independence intervention (training and huddles) to the Reviewing Team to support them during the pilot. There may be a need to bring additional resource into the reviewing project and we will keep you updated as this progresses.

The pilot project will run between October 20 and March 21. We will then evaluate the pilot and this will inform the approach going forward.

If you have any questions about the pilot, please contact Maree Draper or Becky Daniels.

Change Champions

The YLYW change programme recruited change champions to support with the maximising independence workstream back in August. Change Champions have been shadowing various interventions delivered on the workstream and will now be co-delivering alongside the project team. If you have any questions around the maximising independence workstream feel free to contact the champions on teams.

Hayley Brown

Hi I am a Social Worker in the Holderness Team and I am one of the change champions working on the maximising independence work stream of the YLYW programme. I wanted to be a change champion after participating in the initial pilot for the strengths based huddles and experiencing the positive outcomes that reflective practice can foster. I also found the behavioural science behind 'mindspace' to be an interesting approach when working towards change and improving strengths based practice.

Nicole Fowler

Hello, I am a social worker within the Enhanced Hospital Team for Goole Community Wellbeing Team. For me, being a Change Champion enables me to be continually reflexive in my own practice while supporting others with engaging and understanding strengths based practice through the maximising independence workstream for the 'Your Life, Your Way' programme. I am looking forward to working with different teams across ERYC as part of the 'huddles' due to having a varied previous employment background externally both within mental health services and supporting children and families with complex additional needs.

Michelle Richardson

Hi, I am a social worker for the Bridlington Community Well-being Team and I am one of the change champions in the Your Life Your Way (YLYW) programme. I choose to be a change champion as I have a passion for developing my skills and helping others. I love learning from different colleagues and have always been supportive especially when people are face with difficulties. Please feel free to contact me if you would like to know more or having any questions.

Florence Johnson

Hello, I am a care coordinator within the Haltemprice Community Wellbeing Team. I wanted to be a change champion as I really enjoy working with other teams and colleagues. I enjoy supporting colleagues in reflective huddles because I always learn so much from others. As a change champion I can share this learning with colleagues across all adult services.

Annette Macdonald

Hi I am a Care Coordinator in the Beverley Community Wellbeing Team. As I was assigned to be the care coordinator at Rita Hunt Court I was able to take part in the initial pilots for the maximising independence workstream prior to COVID. I wanted to be a change champion to share the learning from the pilot and to support colleagues adapt to changes post COVID while still maintaining the strength based practice we are all so good at.

ADKAR Training for managers

The programme team, in collaboration with IMPOWER, have been rolling out ADKAR Change management Training to senior leaders and managers across adult services and business management and commissioning. The ADKAR change management framework, which stands for Awareness, Desire, Knowledge, Ability and Reinforcement, looks to support staff leading on change in East Riding to understand the process that they, and their teams, are going on, and give them the skills to embed change effectively.

Connect to Support – We need you!

Over the last year Connect to Support has been transformed to a more modern offer for staff and the public. It now boasts an up to date and accessible Community Directory, a PDF booklet of your favourites that can be emailed to the people you are supporting and their carers, a professional’s zone that will support staff and, not to mention a whole host of advice, information and guidance on how to support people to do more for themselves and maintain and maximise their independence. Connect to Support will also help promote a clearer relationship between the public and what adult social care actually is. The contribution from champions in the development of Connect to Support has been invaluable. In order for Connect to Support to become the first point of contact for the workforce and public around all things adult social care, we want you to be involved in the next stage of its development. From mid-October through to January 2021 we will be asking the workforce to use Connect to Support and feedback what works well, what is missing, what do you need it to do, what would you like it to do, does it look and feel right? Connect to Support is part of your tool kit and it is important that it does what you need it to. Your team managers and champions will soon receive an invitation to a presentation of the new Connect to Support, where we will share details on how feedback can be given, and how your suggestions and ideas will be developed on Connect to Support going forwards.

To access Connect to Support follow the link:

https://eastriding.connecttosupport.org/

Briefings to teams on the YLYW programme

Over the last month we have been attending team meetings to provide you with further information on the change programme and to give you an opportunity to ask questions. Thank you all for the positive response that has been shown so far. Teams have put forward some good ideas that we will consider or incorporate into our planning for the programme. We are aware that we haven't managed to get out to all teams yet, but we are in the process of setting up meetings in October and November. In the meantime, if you have any questions or comments please remember you can email us at yourlifeyourway@eastriding.gov.uk

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