Reablement Workforce Remodelling - Kim Hughes (ppt

WORKFORCE REMODELLING Lincolnshire Assessment and Reablement Service

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Information, First Contact Advice & Guidance Customer Good life Guide Service Centre First Contact Housing Related Volunteers Support Telecare

OT/Physio Smartcare Nurse

In your own home

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In a care home

Telecare Assessment

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Smartcare

Reablement

Help & Support

Assessment – how much money

Maintenance

Support Plan – Your Plan

Support Plan Sign off – Brokerage – Getting your plan agreed Organising Your Support Living Your Life

Review – Seeing how it worked

Putting Our People First – Workforce Development Priorities • • • •

Total Workforce – Integrated Local Area Workforce Strategy & Plan Re-Modelling - joint working and new integrated roles Accessible & flexible learning solutions National standards, competencies & frameworks

• • • •

Stakeholder consultation, feedback and support Financially viable and sustainable programmes Outcome focussed learning and development Regulation, Risk Management and Safeguarding

• Market development and management– commissioning and contracting for quality

WORKFORCE PLANNING • Assessment of Current Position – • Profile of Home Care Workforce * Source National Minimum Data Set.

• Majority of workforce is external • Greater diversity profile in Independent Sector (Gender, Disability, Age, Ethnicity) • Higher NVQ qualification rates in LCC • Turnover higher in Independent Sector

Challenges and Solutions CO – PRODUCTION (Joint learning and development LCC and PVI sector, consultation with managers & staff, PWUS HEALTHCARE TASKS (Joint Workforce Planning with Health) ANXIETY (Leadership, change management, communication)) NATIONAL STANDARDS & ACCREDITATION (QCF, CQC NVQ Competencies, HSA Person – Centred Tools)

CHAN G E

G

ATHERING EVIDENCE OF OUTCOMES (Evaluation beyond E learning experience, ‘Learning Logs’) COMONIC CLIMATE (Potential for efficiency savings, sustainable learning solutions)

TRAINING NEEDS ANALYSIS • KNOWLEDGE: Person - Centred Reablement Tools, Long Term Conditions. • SKILLS: Task Analysis Sequencing, Maximising independence and confidence, personal care, social care and health care, Self Directed Support, working with carers. • APPROACHES: Person – Centred. Workforce Development and planning informed through National Occupational Standards and reflecting ‘Common Core Principles for Self Care’.

Learning and Development Strategy & Plan PHASE 1 (Person - Centred Approaches for Reablement) Accredited Train the Trainer ‘Programme. • 1 day ~ Trainer Mentoring / Preparation / Case Studies • 1 day Training led by HSA (Trainers to observe) • 1 days co –training, • 1 day solo delivery assessed & accredited.

PHASE 2 (Person - Centred Approaches) Managers • 1 day ‘Person - Centred Thinking’ Training For Managers. • Evaluation of learning outcomes including, impact on practice outcomes, consultation on design of further frontline workers training / tools, identification of further learning needs. PHASE 3 (Reablement Competencies Strand) • HSC344: Support individuals to retain, regain and develop the skills to manage their lives and environment and…….. • Units to reflect skills mix required to meet Health & Well-being outcomes for People Who Use Services / Carers as per CQC Regulations and Outcomes

LEARNING IN ACTION The journey so far….. • Establish shared objectives & outcomes for learning • Flexibility within a consistent approach to achievement • Motivation and morale increased by positive learning experiences and achieving outcomes • Dialogue and communication reduces anxiety and/or resistance to learning / change • Practical Tools and information are essential • Systems / processes changes needed • Skills development requires competency framework to enable performance monitoring / appraisal and CPD • Leadership is essential to embedding culture change • Reablement as part of the pathway - links with Universal Services, Prevention Strategy, Intermediate and Health Care pathways

Shopping Universal service

GP

Transport

Leisure

Hospital

Library Community

Prevention

Information, First Contact Advice & Guidance Customer Good life Guide Service Centre First Contact Housing Related Volunteers Support Telecare

OT/Physio Smartcare Nurse

In your own home

Health Advice

In a care home

Telecare Assessment

Sign posting

Smartcare

Reablement

Help & Support

Assessment – how much money

Maintenance

Support Plan – Your Plan

Support Plan Sign off – Brokerage – Getting your plan agreed Organising Your Support Living Your Life

Review – Seeing how it worked

PERSONALISATION

Improved Outcomes for people who use services achieved through a workforce with the Capacity, Commitment and Competence to: Ensure people have choice and control over their lives by providing: •accessible information and advice •support tailored to individual requirements •support closer to home at the right time Therefore enabling them and their supporters to maintain or improve their wellbeing and independence rather than relying on intervention at the point of crisis.