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Jess Wade SDS Scotland
- 1. Minimising risk in Personal Assistant (PA) Employment and Direct Payments We Chose To Climb Jess Wade Self Directed Support Scotland
- 2. Self Directed Support Scotland About SDSS video
- 3. What is Self Directed Support? Freedom Choice Dignity Control
- 4. What are the concerns? Financial management Vulnerable people Personal Safety Abuse Capacity Duty of Care
- 5. PA Employment • In PA employment, the supported individual, or a close carer, is the Employer • Most PA Employers choose this option because it gives maximum choice and control • It also gives the opportunity to assert the need for support rather than protection • Direct relationship between Employer and PA
- 6. Approaches to minimise risk • Informed decision making • Safe recruitment practice • Training and support for PAs and PA Employers • Regular, appropriate, review • Good, ongoing, support
- 7. What is unique about a Disabled People’s SDS support organisation? • Run by, and for, disabled people • Peer model of support • Local, collective voice of disabled people
- 8. What is the role of a SDS support organisation? • Initial information on SDS • Support with assessment • Support planning • Personal Assistant employment support • Support with contracting with agencies • Payroll service • Signposting
- 9. What’s it all about? ‘People are supported to take responsibility for the choices they make and the control they take over the activities to meet their agreed outcomes’ SDS Statement of values and principles – May 2014 DICE video.
- 10. Self Directed Support Scotland (SDSS) 6, PURE Offices Bonnington Bond 2 Anderson Place Edinburgh, EH6 5NP info@sdsscotland.org.uk www.sdsscotland.org.uk
Editor's Notes
- Introduce self
- https://www.youtube.com/watch?v=r_ng8YtjTI8
- Same principles of the Independent Living Movement. Definition of Independent Living from ILiS: “Independent living means all disabled people having the same freedom, choice, dignity and control as other citizens at home, a work and in the community. It does not necessarily mean living by yourself or fending for yourself. It means rights to practical assistance and support to participate in society and live an ordinary life.”
- People worry that SDS will mean an uptake in options that don’t involve the LA, and therefore that there is much greater risk involved. However, with the right information and the right support at the right time, SDS, including option 1, can work well.
- Direct payments are fairly self explanatory Under PA employment, unlike the triangular relationship between regulator, regulated support agency/worker and the supported person, the direct relationship between an employer and his/her PA(s) means that standards of care are defined by the supported person (or close carer) employing PA(s). Subsequently, care compliance, maintenance, evidence, benchmarking, scrutiny, accountability and safety should also be defined by the PA employer. When a social care professional agrees for a person to become PA employer they accept that, with information and support if necessary, the PA employer is able to take the responsibilities attached to managing his/her own support/care. By becoming a PA employer, a supported person (or close carer) accepts that they will follow certain practices and take certain responsibilities. He or she should ensure that: the PA(s) are suitable for the job and understand their role and responsibilities written policies and procedures are in place to enable the PA(s) to develop best practice the PA(s) have access to training and development opportunities to strengthen and develop their skills and knowledge he/she is not on the receiving end of the dangerous, discriminatory or exploitative behaviour and practice the PA(s) are aware of, and work within, an agreed code of practice
- Refer to FG’s paper on this to talk around these issues. Plus, refer to research from King’s College, London: We have looked into the possibility of safeguarding problems in relation to the use of personal budgets (PBs) in social care. There have been fears that people using personal budgets to pay for their care were at greater risk of abuse and neglect than people using conventionally commissioned services, particularly if they hired unregulated workers or relied on relatives or others to manage their money. The study found that: there was no strong evidence to suggest higher levels of safeguarding referrals among people with personal budgets compared with all social care users in the three councils studied in depth, although safeguarding referrals overall were equal to those for conventional services, there was a statistically significant higher proportion of referrals for financial abuse and abuse by home care workers in people using PBs there is a need for social workers to help people to balance risk and choice when they use PBs there were concerns about the amount of information people using PBs had to support their role as an employer. The study provides evidence of a reworking of traditional relationships between social workers and people using services. It supports the continued need for well-trained professional involvement in safeguarding, given the complexity of some of the judgements that need to be made, especially in interpreting the relative importance of family dynamics and other relationships as pointers to potential abuse.
- What is crucial, though, is to ensure that the employer has the information, support and resources to meet these responsibilities, and by doing so can ensure that PA(s) are providing the right service to him/her. Varies from organisation to organisation and from place to place. However, here are some examples of functions which SDS support organisations provide Initial information on SDS Support with assessment Support planning Personal Assistant employment support Support with contracting with agencies Payroll service
- That means people need to be given adequate support to have the level of choice and control they want, and this includes in terms of minimising risk. https://www.youtube.com/watch?v=Oy828j1ZVo8
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