Self DirectedSupportConference Feedback Report                 Friday 30th March 2012                     Rothes Halls, Gl...
Self Directed Support      Contents    Introduction									                        page 3    Brief Summary of findings			...
Self Directed Support  IntroductionThis report summarises feedback from the 63           Most delegates (50 people) repres...
Self Directed Support       Delegate feedback    At registration, delegates were asked to    complete a short (3 questions...
Self Directed SupportThis question showed the biggest shift inunderstanding from delegates; the majority                  ...
Self Directed Support    Q6. What action has your organisation                 Involved in practical application in other ...
Self Directed Support•	 ‘The logistical management required to            •	 ‘Concerns around high level of health needs  ...
Self Directed Support    •	 ‘Enabling them to live a more fulfilling life full   •	 ‘Clear and open discussion with Carers...
Self Directed SupportDiscuss / disseminate learning from today’s         •	 ‘As a provider that currently works inevent: 2...
Self Directed Support       Recommended actions     The recommended action points will be the            Outcome: Improve ...
Self Directed Support  Appendix 1: workshop notesTaking forward Self-Directed Support in                 •	 Advice line fo...
Fife Conference Report - SDS Consortium Project Work
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Fife Conference Report - SDS Consortium Project Work

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On 30th March 2012 67 delegates from a wide range of provider organisations
attended an event at Rothes Halls about Self Directed Support in Fife.

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Fife Conference Report - SDS Consortium Project Work

  1. 1. Self DirectedSupportConference Feedback Report Friday 30th March 2012 Rothes Halls, Glenrothes
  2. 2. Self Directed Support Contents Introduction page 3 Brief Summary of findings page 3 Delegate feedback page 4 Recommended actions page 10 Appendix: workshop notes page 112 Fife Conference Feedback Report: June 2012
  3. 3. Self Directed Support IntroductionThis report summarises feedback from the 63 Most delegates (50 people) representeddelegates who attended the Self Directed voluntary and third sector organisations thatSupport (SDS) Conference held for provider provide support or advocacy for a wide rangeand advocacy organisations in Fife on 30 of people with additional support needs in Fife.March 2012. The event was organised by There was also representation from Fife Councilmembers of the Fife Adult Provider Forum (7 people) and Scotland-wide statutory andand ARC Scotland using funds provided by voluntary bodies (6 people). Most of thosethe Scottish Government 2012 – 2015. attending were in leadership and management positions.For more information please contactJames Fletcher, Director ARC Scotland: We cannot be sure that delegates who attendedjames.fletcher@arcuk.org.uk are representative of the views of all provider organisations in Fife. However we believe their feedback gives an interesting and informative picture that will help inform future strategy to support local providers in relation to SDS. Brief summary of findingsMost delegates already had some awareness Some organisations that work in Fife are makingof the principles and values of SDS prior to the changes in response to SDS, however most areevent, but far fewer had a clear understanding at the planning, rather than implementationof what impact it would have on their organisation. stage. Some providers have practical experience of SDS from their work in other Local AuthorityDelegates were strongly supportive of SDS as areas, however this also tends to be at an earlyan opportunity to improve both the quality stage.of service and quality of life for people whoget support. In contrast to this, many had Most delegates were seeking improvedsignificant concerns that SDS will both increase networking, information sharing (particularlyvulnerability of people who get support and with Fife Council) and training opportunities tocreate leadership and management challenges further develop their capacity to implementfor the organisations that support them. SDS.Fife Conference Feedback Report: June 2012 3
  4. 4. Self Directed Support Delegate feedback At registration, delegates were asked to complete a short (3 questions) questionnaire Q2. How would you rate your understanding of the practical issues arising from SDS? that asked delegates to score on a 1 to 5 (1 is none, 5 is a lot) scale their current level of engagement and understanding of SDS. At the end of the event, delegates were given a more detailed feedback form (11 questions). This included repeating the morning questions, giving the ‘before’ and ‘after’ figures shown below. Q1. How would you rate your understanding of the values, principles and methodology surrounding SDS? (1 is none, 5 is a lot) Here the shift in understanding is significantly less positive than in question 1. The majority of delegates left the event with only a low to moderate understanding of this. More detail concerning delegate’s practical experience of implementing SDS can be seen in question 6. Q3. How would you rate your awareness of local authority plans to implement SDS? (1 is none, 5 is a lot) Responses show a good increase in understanding of the values principles and methodologies surrounding SDS for many of those who attended. It also shows that most delegates had at least some understanding of SDS prior to the event.4 Fife Conference Feedback Report: June 2012
  5. 5. Self Directed SupportThis question showed the biggest shift inunderstanding from delegates; the majority Q5. How successful do you think local providers are at working together toof whom (57%) had little or no awareness of implement SDS? (1 is none, 5 is a lot)local authority plans to implement SDS at thestart of the event. 25 Number of Respondents 20Questions 4 and 5 were asked in the finalevaluation form only so we do not havebefore and after figures to compare. 15 10Q4. How much change (if any)do you think your organisation has 5already made in response to SDS?(1 is none, 5 is a lot) 1 2 3 4 5 25 Score (1 is none 5 is a lot)Number of Respondents 20 The wide range of responses may reflect a varying degree of engagement with local 15 networks and forum for providers. 10 Towards the end of the event we sought more detailed written responses from delegates on 5 approaches to improve collaborative working (see question 9). 1 2 3 4 5 Score (1 is none 5 is a lot)A broad range of responses to this question, with79% scoring their answer low to moderate. Seequestion 6 for more information about actionproviders have taken.Fife Conference Feedback Report: June 2012 5
  6. 6. Self Directed Support Q6. What action has your organisation Involved in practical application in other Local Authority areas: 13 delegates already taken to engage with SDS? responded their organisation is engaged in implementing SDS out with Fife. But responses This question elicited a wide range of responses, generally indicate that this work is at an early but no delegates responded that they were stage: engaged in the practical application of SDS in Fife. Only one delegate responded that their • ‘(We have) started to look at implementing experience of supporting direct payments would SDS in certain areas and are keen to be transferable to SDS: implement throughout the organisation’ • ‘Our Dundee Manager is far more aware of No action: 7 delegates SDS introduction to her services’ • ‘We are just beginning, hopefully start in April • ‘Not at the moment in the East. West have this year’ had some involvement’ At planning stage: 13 delegates responded that their organisation was planning to implement an SDS strategy: Q7. What key concerns (if any) do you have about SDS? • ‘Strategy implementation group covering Broadly speaking, responses to this question contracts, financial and support planning’ can be categorised as concerns about • ‘Background reading, practice development changes to how their organisation will operate group discussion within Care Inspectorate’ (22 responses) and concerns about the impact • ‘Discussions taking place to plan – involving of SDS on those they support (24 responses). A departments (Finance, HR)’ further 7 delegates were concerned about how SDS would be applied at a local level. Implementing strategy: 6 delegates responded that their organisation was actively Don’t know: 5 delegates implementing a SDS strategy. It is not clear from responses to what extent this implementation is HR issues: 13 delegates responded that staff happening in Fife. Three respondents said their recruitment; retention and changes to terms of organisation had recruited a SDS Worker or team employment were a key concern: and two delegates said that they were providing information and support for users and carers: • ‘Workforce implications are a major factor. Balancing service user rights with the rights • ‘Yes, we have delivered training and secured of employee/employee legislation’ funding for part-time SDS worker’ • ‘Practicalities of provision – staff contracts, • ‘We spent the past year developing a strategy budgets, costs, experience training’ for the organisation re. SDS. This is now in the implementation stage’ Organisational change: 9 delegates • ‘Service in place with team leader and responded that the change process in relation advisor to take forward and promote to SDS was a key concern. There is some overlap and support people with gaining advice in these responses with the HR concerns shown knowledge and SDS if desired’ above:6 Fife Conference Feedback Report: June 2012
  7. 7. Self Directed Support• ‘The logistical management required to • ‘Concerns around high level of health needs deliver more flexible services’ of those with PMLD and complex medical• ‘Shift in culture within service provision’ needs’• ‘Being a small organisation not being able to compete with the larger orgs’• ‘Are larger organisations / providers able to Q8. What key opportunities (if any) do change?’ you think that SDS offers?Local implementation: 7 delegates raised In marked contrast to the concerns shownconcerns about how SDS would roll out at a local above, delegates also identified some verylevel. 3 respondents particularly mention the significant opportunities offered by SDS. Thererole of the Local Authority as a concern: was strong agreement (45 responses) that it provides an opportunity for individuals to• ‘Resistance/obstruction within local authority; improve choice, flexibility, control over the local authority reluctance to embrace our services they receive and that it will help to role’ progress the personalisation agenda. Some• ‘How effectively it’s implemented and how delegates (10 responses) also see SDS as an easily it’s made accessible to “customers”’ opportunity to re-shape the social care sector.Lack of resources and managing Don’t know: 4 delegatesexpectations: 8 delegates indicated that lackof resources was a key concern. Again there is Improved choice, control and flexibilitysome overlap with comments shown above: of support: 23 delegates responded that these were key opportunities offered by SDS.• ‘Management of service – expectations. 15 respondents used the word ‘choice’. Other Monitoring and control. Setting unrealistic key words were ‘Flexibility’, (5 people) and expectations due to current financial ‘Control’ (6 people): restrictions’• ‘Enough funds to meet needs’ • ‘Potential for person to purchase the support they really need’Increased vulnerability: 16 delegates • ‘Make decisions, have control and choice, raised concerns that SDS would lead to self determination, Increased flexibility’increased vulnerability for service users.3 delegates had concerns relating to the needs Promotes personalisation, individualof carers: outcomes and potential: Clearly this overlaps with the above, however 22 responses focused• ‘Still have concerns on how this will be on individuals quality of life, as opposed to monitored and the service users will be quality of care. Key words here were ‘Better protected with regard to issues severe Outcomes’ (4 people), ‘empowerment / shift in financial abuse’ power’ (4 people), ‘personalisation/ person• ‘What safe guarding systems will be in place centred’ (5 people): to protect vulnerable adults?’• ‘How will the personalisation of services for • ‘The ability to identify own self worth and the service user still meet the needs of the personal expression’ carers when their priorities are different?’Fife Conference Feedback Report: June 2012 7
  8. 8. Self Directed Support • ‘Enabling them to live a more fulfilling life full • ‘Clear and open discussion with Carers to of more opportunities’ allow some of the fear and concern that • ‘Better lifestyle, creativity, new opportunities, they currently have’ shift in power’ • ‘SDS information in alternative formats for service users/carers’ Help to re-shape the Care sector: 10 delegates thought that SDS provided an opportunity to More training: 8 people identified this as a change or challenge practice within the sector: key issue. 3 people identified specific training needs: outcomes, managing change, risk • ‘Keep providers on their toes! (long overdue)’ assessment, finance, HR: • ‘Opportunity to enhance service provision and examine current practice’ • ‘Support/training re. managing change both • ‘Cost effective use of resource. Potential to internal and external’ strip out ineffectual services over time’ Other support: 3 people mentioned ‘more support ‘in relation to developing SDS, however Q9. What (if anything) would you like to it is not clear what form this support should take. see happening in this local authority area to address key concerns and promote Specific action: 4 people identified a specific opportunities? action they would like to see: This question drew diverse comments concerning • ‘Red flag need for a certain number of high networking / sharing information (13 people), level health input (financially)’ more involvement from people who use services • ‘Clear recognition of need for safe guarding and carers (9 people), provision of training in balance with choice and self (8 people) and other forms of support for determination’ providers (3 people): • ‘Flexibility and shared assessment from Social Work’ Don’t know: 12 delegates • ‘PVG registers, trained, skilled workforce’ Networking / sharing information: 13 people responded that they would like to see this Q10. What action (if any) do you plan to happening. 3 people specifically mentioned take as a result of today’s event? improved networking with Fife Council: Don’t know: 8 delegates • ‘SDS network created for providers’ • ‘More coming together of providers to share Gather more information about SDS 12 people concerns, processes and learning’ said they would find out more about SDS: • ‘More engagement/info sharing with providers about development of SDS within • ‘Need to gather more information re – SDS Fife Council’ look in more depth at possibilities / practicalities’ Involve users and carers: 9 people mentioned • ‘Reading info at policy level’ improved involvement and communication with these groups:8 Fife Conference Feedback Report: June 2012
  9. 9. Self Directed SupportDiscuss / disseminate learning from today’s • ‘As a provider that currently works inevent: 23 people said they would do this. partnership with Fife Council it wasDissemination will occur with CEO / Board of informative to hear how they intend toDirectors, Management Teams, HR Departments take things forward’and Staff Teams. 2 people said that they would • ‘Explanation of SDS and all presentations indisseminate information to people who use morning were very informative’services and carers: Workshop discussions: 7 delegates found the• ‘Discuss and share wealth of information workshops were particularly helpful: generated with MD and management team’• ‘Look into and use the information provided • ‘Workshop was useful and practically met to feedback to staff teams and also seek some questions I had. Useful to hear other further information about where the peoples views and experiences’ organisation are with their plans’ • ‘I found the discussions in the workshop very• ‘Now I have a bit clearer picture I can informative and thought provoking’ answer some of the Carers questions a bit more confidently’ Areas for improvement: 2 delegates said that the event was not long enough. AnotherBegin planning process: 4 people said that 2 delegates said that timekeeping affectedthey would use today’s event to actively start discussion and debate:planning: • ‘Felt very rushed through, information was• ‘Start re-evaluating our services, look at how helpful but interrupted by time pressures’ we can be creative and expand to meet potential, needs services’• ‘Look at additions to the service we provide’Q11. Please tell us about anything thatyou found particularly helpful or unhelpfulabout today’s event.General positive comments: 12 delegates• ‘All aspects of the day has helped enhance my understanding of SDS’Presentations: 15 delegates indicated that themorning presentations were particularly helpful.Of these, 11 delegates found the Fife Councilpresentation particularly helpful:Fife Conference Feedback Report: June 2012 9
  10. 10. Self Directed Support Recommended actions The recommended action points will be the Outcome: Improve awareness of how the subject of further discussion with Fife Adult local authority intends to implement Self Directed Provider forum members and other stakeholders. Support in Fife and contribute to local authority This will inform future action in Fife to increase community planning and implementation of the capacity to implement SDS local strategy for self directed support. Outcome: Improve understanding of processes Action: Continue to develop partnership with and terms surrounding personalisation and Fife Council SDS team. Consult with and include self directed support. them in future consortium activities. Action: Organise training / workshop events to increase understanding of the values principles For more information please contact and methodologies surrounding SDS are to be James Fletcher, Director ARC Scotland: arranged. james.fletcher@arcuk.org.uk Outcome: Improve understanding of the changes providers will be required to make and the impact this will have on them and the people they support. Action: In partnership with providers and advocacy organisations, deliver one full-day workshop / event to disseminate knowledge of good practice and innovative service models. To invite local organisations, external experts and people who use services to input to these events. Action: Seek practical examples of SDS in action in Fife and other areas and disseminate these to provider and advocacy organisations. Action: Further explore opportunities to work collaboratively to share learning and experience between providers. Improve links with other groups and forums for providers and advocates.10 Fife Conference Feedback Report: June 2012
  11. 11. Self Directed Support Appendix 1: workshop notesTaking forward Self-Directed Support in • Advice line for staff/service users.Fife – the providers perspective: • Examples of good practice/problems. • Participation in provider forum.1. What are the practical issues arising • We should work in partnership with the from SDS Council. • Who represents providers on the reference• How do small organisations complete? group? Become part of a network• Will small providers be disadvantaged?• Will it be easier for them to be flexible? 3. What are the priorities arising from SDS• Will we still be able to build relationships if for you? focus is tasks/outcomes and make change?• How will we keep skilled staff when we cannot • Considering new models of delivering compete with other salaries e.g. local services authorities. • Achieving culture change• Will there be fair competition between LA • Achieving personalisation for people with and providers? very complex needs.• Do we become service brokers rather than • How do we contract staff to be that flexible? employers? – when people want support at different• Will staff have to pay for their own training times each day. and development? Use of E-learning • It maybe more difficult to be flexible enough• Will customers want to pay for quality? in new services as relationship will not be• Will we pay staff differently for different roles. established. Becomes complicated. Working through a competency framework• Flexibility V quality for staff will be more difficult.• Can people buy from providers who are not • Achieving change with same money. on the framework. • Being clear about limitations against expectations. • Complying with HR legislation2. What information and support do you • Achieving effective workforce development need? and regulation – how will we contract with people – will we have to pay stand-by what• Social work to be flexible in how they respond is the extent of our liability if something goes to organisations and individuals. wrong?• We need information from the Council about what is happening and what has been learned.• Where are housing, etc, in this process?• On-line information/opportunities to learn together.Fife Conference Feedback Report: June 2012 11

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