Support webinar: Getting the most out of RiPfA resources
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An informative overview of all the resources available in our delivery programme, and crucially how you can get the most out of them. Aimed at Link Officers, workforce development, advanced practitioners and other champions.
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Support webinar: Getting the most out of RiPfA resources
- 1. Support webinar: Getting the most out of RiPfA resources This webinar is not due to start until 12pm on Thursday 12 February 2015 Please make sure you have tested your sound before the webinar starts. You can do this by following the steps in your joining instructions. If you need support please email: events@ripfa.org.uk or call 01803 847264
- 2. 12 Feb 2015 Page to Practice Webinar 2 2
- 3. Aim of the webinar • To receive an update on new resources being published by RiPfA • To learn about how these resources can be used effectively within your partner agency • To receive an update on forthcoming Ripfa events • To share some ideas around disseminating Ripfa resources 3
- 4. RiPfA resources Our aim is to be: • Accessible • Relevant • Useful • Evidence-informed • Diverse • Effective 4
- 5. Outline • Practice Tool – Working with people who self neglect • Practice Tool: Involving and engaging people with dementia • Councillors’ Briefing: Maximising independence for people with dementia • Key Issue: Enablement in dementia • Councillors’ Briefing: Supporting people with multiple needs and exclusions • Strategic Briefing: Supporting people with multiple needs and exclusions 5
- 6. Practice tools • Respond to specific practice issues • Based on research and practice experience • Support good practice in a particular area • Support individuals to implement research messages into their day-to-day practice 6
- 7. Councillors’/Strategic Briefings • Concise publications that outline the key points around a particular issue. • Inform Councillors/Senior Leaders, of the policy context and available evidence while clearly linking to the concerns and lives of local people/practice. • Clearly inform them of the issue to enable them to make evidence-informed arguments about the provision of adult social care in their local area. 7
- 8. Practice Tool – Working with people who self-neglect Self-neglect is recognised in the Care Act as a form of abuse and therefore a safeguarding issue. However, it is little understood and difficult to address. This tool indicates ‘what works’. 8
- 9. Key Messages • Self-neglect can have a range of causes • Take time to build a relationship in order to ‘find the person’ • Work with the person’s consent wherever possible • Address the many challenges of multi-agency working • Be aware of the relevant legal framework 9
- 10. Practice Tool: Involving and engaging people with dementia • Practical methods, links to policy and research, perspectives from people with dementia • To inspire services or other workplaces to consider ways to increase the involvement of people with dementia • Useful for people working in health and social care practice, including care home settings 10
- 11. Key Messages • Involvement is more than consultation • Involvement can take place at different levels - service, operational,strategic • People with dementia are themselves directing what good involvement and engagement looks like 11
- 12. Over to you... • The toolkit contains ideas, methods, links and resources to help practitioners to better involve people with dementia - who would benefit from access to these? 12
- 13. Councillors’ Briefing: Maximising independence for people with dementia • Aimed at local councillors who may not know too much about dementia • Shares the policy drivers for maximising independence for people with dementia, the role that councillors can play, models and services that can help to maximise independence (e.g. the role of housing, assistive technology, carers support, good psycho-social interventions) and the economic case for maximising independence 13
- 14. Key Messages • People with dementia are often overlooked or even excluded from approaches that aim to maximise independence • Voice, choice and control are at the heart of services that support people to live well with dementia • Dementia is everyone’s business - not just health and social care services 14
- 15. Key Issues • Provide ready access to relevant policy, available evidence and emerging practice on topics of current importance. • Jargon free • Address issues which feature heavily in current practice debates, often as a result of specific policy directives or developments. • May address topics for which there is not yet a strong evidence base • Aimed at a range of audiences depending on topic 15
- 16. Key Issue: Enablement in dementia • Supports the growing idea that it is possible to live well with dementia. Presents evidence and practice examples to demonstrate different aspects of enablement and considers how services need to be commissioned, organised and managed to make this happen. • Practitioners, managers and commissioners. 16
- 17. Key Messages • Supported by the Care Act • Defines what we mean by enablement when working with people with dementia • Outlines the importance of dementia enablement • Outlines a range of approaches to promoting independence (with local examples) • Gives advice on how we commission and manage services so they can deliver enablement 17
- 18. Strategic Briefing: Supporting people with multiple needs and exclusions • A ‘whole-area approach’ has been shown to work for people facing multiple needs and exclusions • Strategic leaders in adult social care can help to coordinate effective, personalised support 18
- 19. Key Messages A ‘whole area approach’ requires • strategic leadership and collaboration • services working together Effective support for people with multiple needs and exclusions is • personalised • assertive and persistent • non-punitive and positive 19
- 20. Councillors’ Briefing: Supporting people with multiple needs and exclusions • Addresses the problem of people who ‘fall through the gaps’ • Indicates councillors’ key role in raising awareness and promoting partnership 20
- 21. Key Messages • While mainstream services focus on one problem at a time, people facing ‘multiple needs and exclusions’ need partnership between services • Tackling this problem effectively will have positive outcomes for people and communities as well as reducing hospital stays, offending and emergency services calls 21
- 22. Tailored support Full day workshops to be the default New menu workshops for 2015-16 • Supporting people who self-neglect • Assessment and eligibility • Recording practice and decision making 22
- 23. Other menu workshops • Training transfer: getting learning into practice • Getting an outcomes approach into practice • Promoting emotional resilience in social work teams • Working preventatively in adult social care • Engaging and involving users • Finding, using and appraising evidence • Implementing successful change in practice • Analysis and critical thinking in assessment 23
- 24. Other tailored support options • Bespoke workshop • Strategy development • Evidence scopes • Evaluation services • Knowledge exchange 24
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- 27. Getting the most out of resources • Dissemination – get to the right people • Advice and support for use – explain how to use • Embedding – getting people to think RIPFA resource • Highlight the benefits as evidencing CPD e.g. PCF, HCPC, supervision, appraisal 27
- 28. Getting the most out of resources • Target resources to staff/ teams • Distribute at events/ meetings • Stock a copy in your library • Hold a reading week/ discussion groups/ practice forums • Visit front-line team meetings • Hold a RiPfA drop-in session 28
- 29. Quick round up of learning events 29 The Care Act Expert Webinar: Providing Good Information, Advice and Advocacy 26th Feb 2015 Safeguarding and domestic abuse Expert webinar 3rd Mar 2015 Lifespan safeguarding for people with learning disabilities Team Managers' Workshop 11th Mar Birmingham, 12th Mar Manchester, 24th Mar London, 25th Mar Bristol Getting an outcomes approach into practice Research Messages Workshop 19th Mar, Manchester Putting people at the heart of services; making outcomes meaningful Partnership Conference 26th Mar 2015, Birmingham Supporting people who self-neglect Research Messages Workshop 29th Apr, Bristol
- 31. Thank you! • help@ripfa.org.uk • 01803 869753 31
Notas del editor
- Intros Rachael Litherland – Director Innovations in Dementia and author of two of our latest publications Councilors Briefing – Maximising Independence for PwD Practice Tool – Engaging and Involving People with Dementia
- This is the 7th time we have done a webinar on our resources – we will continue to do these every quarter You should all have received your Ripfa mailing by now The aims are: - To receive an update on new resources being published by RiPfA - To learn and share ideas about how these resources can be used effectively within your partner agency
- Our resources incorporate research evidence, practice experience and service user and carer views. As you know – all of our resources aim to be Accessible (hard copy, online and written for a variety of audiences) Relevant (done in topic consultation with you all) Evidence informed
- You’ll have received 6 resources in the most recent mailing. We’re going to talk through each resource, outlining its purpose, who it’s aimed at and how to use it. For each area, we will talk about the resources that we have produced – what they are, what they aim to help with, and who they are for. We will then talk about how they can be used and give you a chance to ask questions about how to get the most out of them. To finish, we’d like to share some ideas from around the network of ways in which Partners have got the most out of their resources. We’d love to hear your ideas and comments too.
- Practice tools relate to particular issues with practice They use learning from research and practice experience They are hands-on and support good practice
- Contain actions for councillors and strategic leads to inform their work in their local area.
- Addressing self-neglect presents numerous challenges for practice; it is rarely mentioned in the policies or procedures of Safeguarding Adults Boards, requires close attention to the issue of mental capacity and needs a coordinated multi-agency response. This publication compliments the Research Messages Workshops being held in February and April 2015 – and now available as a menu workshop -- and is aimed at workforce development professionals, frontline practitioners and managers. Written by Professor Suzy Braye, Dr David Orr and Professor Michael Preston-Shoot, this Practice Tool draws on their latest research, which was commissioned by the Department of Health and involved interviewing staff and people who self-neglect in order to find out ‘what works’. The tool provides guidance on understanding and engaging with the experience of self-neglect, as well as practice approaches that can support positive outcomes.
- Causes e.g range from personal, mental, physical and environmental factors Building an effective relationship – takes time and patience to build rapport and trust and to understand the person. Keep constantly in mind mental capacity to make self care decisions, communicate openly and honestly esp where coercive action may be taken and to understand legal powers and duties at all times. Also need to engage families, community support and a multiagency response. Tool contains: Messages about effective practice Tool to support Understanding and engaging with people who self neglect Tool on Planning and implementing interventions Tool Understanding legal frameworks Tool Mapping self-neglect practice (when working on a specific case)
- Why did we write it? Who is it for?
- Why did we write it? Who is it for?
- Point 4 Key Issues may address topics for which there is not yet a strong evidence base but which require attention because of the frequency with which Partner agencies seek additional information and guidance. Our approach in these instances will be to make clear the strengths and weaknesses of the evidence base and to stress, where appropriate, the provisional nature of any conclusions or recommendations. Reference may be made to international evidence but with a considered judgement as to the extent to which this is transferable to the UK. Practice examples where there is evaluative evidence can provide useful illustrative material. Point 5 All designed to be accessible to a wide range of individuals, including service users and local authority members.
- Why – this publication supports the growing idea that it is possible to live well with dementia. Presents evidence and practice examples to demonstrate different aspects of enablement and considers how services need to be commissioned, organised and managed to make this happen. Who - Practitioners, managers and commissioners. Authored by Imogen Blood, a ripfa associate who has also worked extensively with JRF on issues around dementia.
- The principles of this approach are enshrined in the Care Act 2014 - the importance of beginning with the assumption that the individual is best placed to make judgements about their own well-being, which flies in the face of traditionally paternalistic approach to people with disabilities, especially cognitive and mental health conditions. However, despite the rhetoric of these policies there is still a long way to go to realise this vision for many people with dementia. Workers need to be able to stand back and support people to do tasks for themselves and work with them to identify and achieve their own goals, rather than risk ‘disabling’ them by doing too much for them. This takes us at least part-way to the meaning of ‘enablement’, which is about promoting independence, self-help and the improvement of well-being. Approaches to promoting independence Supporting relationships and social interaction e.g Circles of Support four authorities in the south of England. This model involves bringing together a group of people living with dementia (this can be as small as just two people and might include family, friends and paid staff) to help a person identify what they would like to do or change in their life and then support them to make this happen. Linking into communities Housing design and technology – making environments as accessible as possible Having a say – links to and expanded in Rachael’s practice tool Exercising mind, body and creativity Contact with nature and the outdoors Outlines some of the organisational barriers to delivering enabling dementia services – e.g. Needs vs Service led assessments Crisis led social work Risk aversion – can stifle enablement Great tips for commissioners and senior managers to overcome these barriers.
- Evidence and policy suggests that people with multiple needs and exclusions often struggle to engage with services because of the way those services are set up. People may be well known to agencies and professionals but may not have been able to make and sustain changes in their lives. Our two new resources on this topic are aimed at senior managers, policy leads, commissioners and public health workers, as well as councillors and lead members. People with multiple needs and exclusions face a combination of problems at once -including mental ill health, substance misuse, repeat offending, homelessness and poverty. Furthermore, evidence shows that services do not provide consistent, effective support. As a result, people are often not able to achieve outcomes relating to improving their lives.
- This briefing is a reflection tool for those designing and commissioning support for people with MNE
- Councillors have a key role to play in raising awareness of this agenda and promoting partnership between key services to develop a more effective response across the whole system. Co-produced with Revolving Doors - www.revolving-doors.org.uk - this briefing outlines the main issues, providing key questions for relfection and suggested actions.
- While mainstream services focus on one problem at a time, people facing ‘multiple needs and exclusions’ need partnership between services Tackling this problem effectively will have positive outcomes for people and communities as well as reducing hospital stays, offending and emergency services calls. A consistent, positive, non-punitive approach works best Take a whole system view to supporting people with multiple needs. Care Act focus on prevention, relevant to this group of people (who until now have often only presented at crisis point)
- From 2015, the default length for workshops will be a full day, in order to allow a proper exploration of the topic, allow more interactivity and ensure there is time to action plan. Introduced this year are: Supporting people who self-neglect (full day) This interactive workshop comes out of research done with staff and people who self-neglect and was very well received on our national programme. The workshop has been developed by the authors of our Practice Tool, discussed earlier. Assessment and Eligibility (half day or full day) This workshop explores the revitalised role of assessments under the Care Act, drawing on our Assessment Change Project. It looks at what makes a good assessment and a good assessor, and explores how to implement a preventative, outcomes-focused, asset-based approach to assessment, enabling people to remain independent for longer. Recording practice and decision making (half day) What is it necessary to record, and how should you record it? This workshop explores how good recording underpins good decision-making and aims to improve recording practice across teams
- Talk a bit about the website – all resources can be downloaded from the website. Can also access webinar recordings
- We also have a new section on Care Act News – help you keep up to date with new developments, training and resources
- Link Officers role to disseminate our resources – can be difficult to ensure that these get to the right people and that they actually use them. Targeting relevant resources to teams seems to work well (of resources / events etc) and cc in Professional Leads, L&D, Practice Development Leads. Copy and paste relevant bits from the ripfa ebulletin, which helps to give advice and support for use and to explain why its relevant/important for that team – pick a trigger that’s relevant to them. Embed where ever you get an opportunity – e.g linking resources to L&D programmes as pre-reading or course reading Get people thinking about posting questions on the Ripfa forum You can set up a library of resources in each service area – your regional lead can provide an index. More difficult of you have dispersed teams / spread over geographical area so it might be useful to use the RIPFA resource which groups the resources in their topic area and suggests an audience. We have dropped these into newsletters, could link from intranet pages, or from within internal procedures / policies / guidance etc. Try and avoid just doing a blanket mail out of hardcopy resources as I suspect these just end up gathering dust. Try and introduce them during ASYE sessions (evidence in their portfolios), earning events or other meetings / practice development sessions. The have the potential to increase the competence and confidence of staff and can improve services – finding a way to make them accessible that works in your area. Any ideas - share these in the chat pod – would be really helpful. If you get resources and you aren’t sure how to use them just ask your Account Manager
- Other ideas include: Targeting relevant resources to team leads, heads of service, specialist teams (e.g. carers support workers or the DOLS team) Distribute to managers, staff teams or individuals with a particular interest in a topic Distribute at divisional events and all staff meetings Ensure that copies are stocked in your internal library, if you have one, and that staff know how to request copies if they need them (more difficult if your in a large county with dispersed staff). When circulating and publicising resources, include suggestions of how each resource can be used and by whom; this could also be done per team upon receipt of resources to highlight relevance and application Hold a reading week around a particular topic (e.g. send practitioners a number of research articles or links to resources, so they may choose one to read and ask the team manager to allocate a slot within a team meeting to discuss the article/ resources’ relevance to their work Visit frontline teams to introduce hard copy resources/website and help individuals utilise them
- New delivery programme – events, resources coming up 2015/16 – about to launch end Feb.
- If anyone has any other examples of how the resources we’ve discussed today, or previous resources have been successfully utilised we’d love to hear your thoughts.
- You can email us with any questions.