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Swansea Social Services

February 2013

Citizen Directed Support Changing lives together

In this issue:

Welcome Address from the Head of Adult Services

 Welcome address from the Guest Editor, Paul Littlewood

2

 Social Services and Well-being (Wales) Bill

3

 Residential Care - What does the future hold?

4

 Community Connectors

6

 Person-Centred Care Recognised

8

 Swansea Carers Update

10

 Transformation of Adult Services – engaging the public

12

 Joint working between Health and Social Care Services

14

 SCVS secures funding community voice programme

16

 Website Focus

17

 New in Brief

18

Deborah Driffield

 Digital Inclusion Initiative

18

Head of Adult Services

 Photo-tales

19

 Poem - Look Closer

21

 New guide to working with hearing loss

22

Welcome to the February issue of the Citizen Directed Support newsletter. The guest editor in this issue is Paul Littlewood, Principal Officer for Older People’s Services. If you’d be interested in being a guest editor in 2013, please get in touch with the editorial team – details at the bottom of this page.

If you have anything to contribute to a future newsletter – an article, a question, a tip, a link or even an idea for an article you’d like someone else to write – please contact the editorial team. Helen Barney 636902 Angela Morgan

helen.barney@swansea.gov.uk

636414

angela.morgan@swansea.gov.uk


Welcome I’m Paul Littlewood and I am guest editor for this edition of the newsletter. Some of you might remember me from my many years as a Team Leader in Adult Services, or as Principal Officer for Disability Services. More recently I have been Principal Officer for Older People’s Services and currently I have responsibilities for a wide range of services including Care Management, Occupational Therapy services, Telecare, Community Equipment etc. But that’s enough about me. This edition has a number of articles which demonstrate not just how much things are changing, but also how fast they are changing as well. I often hear staff commenting on the pace of change, sometimes questioning why things need to change, other times expressing frustration that things haven’t moved on as quickly as they would like. This is also the case for the people we support. Whilst some service users are keen to try out new ways of doing things, some would prefer to remain with tried and tested support mechanisms which they trust. It’s evident, therefore, that as we move through the different phases of our transformation agenda there will be different groups of staff and service users (not forgetting their families and other informal carers) who will have different views about the changes we are making. Other professionals and agencies may also have a different perspective about the impact of our changes. It’s important that we use the evidence we have therefore to justify our reasons for change. The article on residential care in this issue makes the evidence-based case very strongly. On its own, however, the evidence is not enough. We also need to ensure that everyone is convinced that our strategic direction is the right one. Nationally and locally we state that we want to shift the ‘balance of care’ towards supporting more people to live in their own homes and not be compelled to move into residential care. Yet, when we are faced with individual situations of concern, the solution sought by families, other professionals and other agencies is often one which seeks to abandon this aspiration in favour of a perceived ‘risk-free’ solution of admission to care. It seems that there is still much to do to win the hearts and minds of those we work with to deliver this agenda. Paul Littlewood Principal Officer

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Swansea Social Services

February 2013


Social Services and Well-being (Wales) Bill The Welsh Government intends to revise the law on social services in Wales by creating a new legal framework, consolidating existing law and creating new duties for local authorities in a number of areas. Following extensive consultation last year, it introduced a Draft Social Services and Well-being Bill into the National Assembly on 29th January 2013.

 New duties for local authorities, in partnership with Health Boards, to provide information and advice for people who are in the care and support system

The Bill follows on from the Welsh Government paper, Sustainable Social Services in Wales: A Framework for Action, which was issued in 2011, which described the way services will need to change to become more sustainable in future.

 Assessments will move to having an outcomes focused approach

Sustainable Social Services was produced to help local authorities and their partners address the challenges of providing social care in a time of changing social expectations, demographic change and a constrained resource environment. The Social Services and Well-being Bill aims to reform and simplify social services law, to make it more understandable, and to improve the well-being outcomes for people who need care and support. It will create new duties for local authorities in a number of areas and will aim to create more consistency in the delivery of care across Wales. The Bill describes:  Who should get help and support  What services should be available to people  How the most vulnerable people in society will be protected from harm  Where people can expect to have choice and control about the help they get Some of the key changes outlined in the Bill are:  An emphasis on improving the well-being of the population and supporting people more through universal services to delay the need for ongoing care and support

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 A single right to assessment for people in need, children, adults and carers  Assessments will be portable if people move to a different area within Wales

 A national eligibility framework will be established  Safeguarding arrangements will be improved, with a move to provide Regional Safeguarding Boards covering both children and adults  The framework for the provision of Direct Payments will be widened  New powers in the Bill will enable the creation of a national adoption service  The law around Carers will be reformed and simplified, and it will make all Carers eligible for an assessment regardless of the amount of care they provide  New duties for local authorities to promote the development of new models of delivery through social enterprises, cooperatives and third sector services There is now a short period of consultation on the Draft Bill until mid March, and then it will be subject to a period of scrutiny which is likely to end in the autumn. Once the Scrutiny process has ended, the finalised Bill will then be considered and passed in the Assembly and will become ‘an Act of the Assembly’ sometime in 2015 or 2016.

Richard Leggett Senior Principal Officer Commissioning & Partnership

Swansea Social Services

February 2013


Residential Care - What does the future hold? With the rise in both the overall

people the intention is to explore

number of older people and the

other options before assessing

proportion of those who are living

someone as needing long-term

longer, we’ve seen a corresponding

residential or nursing care. In the

increase in the number living in

future no-one should make a decision

residential or nursing care. This

about long-term residential care

model will not, however, be

without a period of reablement, nor

sustainable in the light of future

make a life-changing decision at a

demographic changes, nor is it the

time of crisis. While this will be an

best way of providing care for many

automatic process for those seeking

of our older people.

financial support from the local

The National Assembly’s Health and Social Care Committee recently recommended that as many older people as possible have the choice to remain in their own homes1. We

authority, it will also be promoted to self-funders as we feel it is in everyone’s interest to maximise independence and make informed choices.

support this recommendation. The

We are working closely with Health

familiarity of the home environment

and in particular the Community

and the support networks that

Resource Team, to ensure an

neighbours and communities provide

integrated approach to reablement

usually help people to feel more

services. Some of these services are

independent and in control of their

already up and running, while others

lives. Nevertheless helping people to

are in development.

remain at home does bring

A significant number of admissions to

challenges, as we need to ensure that they have the right level of support to ensure their health, wellbeing and safety is maintained.

residential care come about as the result of an emergency situation. Social workers often find themselves under pressure from GPs and families

To do this we’re looking at a number

to respond quickly to a crisis, and

of alternative models to sit alongside

residential care can seem the only

long-term residential care, and

viable option at that point. As a

complement the Domiciliary Care

result, older people can often enter

Assessment Service (DCAS) which is

residential care as an interim

used to work out what long-term

measure but, for a variety of reasons,

domiciliary support is right for a

never return home.

newly-referred individual. For most Page 4

Swansea Social Services

Continued/….. February 2013


One solution to this is to put a plan

long-term residential care for as long

for discharge into place at the point

as possible start to have an impact,

that someone goes into residential

those who do enter long-term care

care, so that individuals, staff and

are likely to have higher level of

families will be working towards a

needs than some current residents

return home from the outset. An

do. As a result there will be a need

active reablement programme is

for a higher proportion of nursing

developed for each individual, which

care beds across the sector. Our own

may involve short returns home to

homes, as well as offering a

help people refamiliarise themselves

specialist, independent assessment

and gain confidence prior to

and reablement service, may look to

discharge. We trialled this concept

develop the necessary expertise to

last year at St Johns House and found

provide specialist care services such

that nearly 60% of those admitted

as caring for people living with

were able to return home with

dementia and those with the sort of

support.

complex and challenging needs that

As a result these ‘assessment beds’

cannot easily be met in the

have been rolled out to Rose Cross

independent sector.

House and Bonymaen House.

The transformation agenda aims to

Currently this is a ‘Step Up’ service to

give individuals and their families a

support people who have been living

greater degree of independence,

at home prior to admission, but within

choice and control, so it is important

a few weeks it is planned to augment

that we are able to offer people a

this with a ‘Step Down’ service to

range of options and appropriate

provide a reablement service for

support to make this a reality.

those leaving hospital, so that they also have time to understand and consider the options available to them before making any long-term

http://www.assemblywales.org/bushome/bus-business-fourth-assemblylaid-docs/cr-ld9138e.pdf?langoption=3&ttl=CR-

decisions.

LD9138%20-

Another initiative to prevent people

%20Health%20and%20Social%20Car

being admitted to residential care is

e%20Committee%20Report%3A%20

the Rapid Response Service, a short

Residential%20care%20for%20older

term emergency service operated by

%20people%20in%20Wales

our Home Care service to provide support until alternative, longer-term arrangements can be reviewed. As initiatives to keep people out of Page 5

Gareth Powell Principal Officer - Health Services & Care Home Team

Swansea Social Services

February 2013


Community Connectors The Community Connectors – Lynda Roach, Sheila Thomas, Corliss Horton and Leigh Woolford – have been in post since last October, and have been getting to know their Community Network areas and the range of activities that are available for people to join in with. The essence of the role is to help people with social care needs to stay independent without using formal services, or to help people receiving social care services to be less reliant on these. Referrals are coming from a wide range of agencies including the 3rd sector, Chronic Conditions Nurses and social workers. The majority of the people referred are isolated frail older people, although a number of referrals have been people with a physical disability/chronic condition, or learning disability. Here are two stories of people referred to Corliss Horton, who currently covers the Penderi and Cwmtawe areas. Mr B was almost 80 and had been discharged from hospital two weeks before my visit. He was breathless and weary and appeared to be down in the dumps because he was bored and fed up with his lot – he felt he wanted to do something, but didn’t have the energy. As we talked about his likes, dislikes and interests he told me he used to play long mat bowls years before. His recent illness meant that this would no longer be an option for him, so I asked him if he would be interested in short mat bowls, which is more tailored for older people. I knew of a short mat bowls team who were low on numbers and crying out for new members to join, and he agreed to give it a try the following week. I rang him a few weeks later and what a difference. He was so bright and cheerful on the phone I thought I had the wrong number. He told me he was in the team and enjoying it. When I met him we’d also talked about the possibility of him learning more about computers, and he now told me he would definitely like to do this. He has since enrolled on a computer course at Swansea Vale and is a happy man. Mr G was referred to me by a social worker. He is a 96 year old gentleman who is not eligible for services, but quite isolated as he lives alone with no family living close by. Before Christmas I tried several times to contact him both by telephone and by calling at his house but without getting an answer. I wrote a letter explaining my role, and in the New Year gave it one last try to call on him. This time he was at home. He called me in and we had a good chat which confirmed how lonely and isolated he was. His one neighbour was in hospital, the other had moved and if he hadn’t gone to his nephew’s on Christmas Day he would have spent the whole holiday period on his own. Continued/…..

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Swansea Social Services

February 2013


He is an intelligent man who has all his wits about him and still drives his car, but his only real reason for going out has been his regular hospital check-ups, though he told me he sometimes went to the shops just to get out of the house. I introduced him to the Daffodil Club in Manselton and although he has only been once, he intends going on a regular basis to pass the time and meet new people.

Meanwhile, down in the west of the city a group of older ladies who met at the Linden Tree day opportunities group in West Cross, co-ordinated by Sheila Thomas, have been busy organising trips away. Over 40 members of this thriving group have recently returned from a day trip to Cwmbran. On 25th February 22 of them are off on a five day break to Liverpool, with a similar number signed up for a spa break they have organised for August. A Turkey and Tinsel break is being planned for November. Another group of ladies who met at a similar day opportunities group held at the Red Café in Mumbles have started meeting up for lunch on another day as well, and some attend a tai chi class together. Before coming to the Red Café group some of these ladies had very little social contact, but now they have new friends and busier lives. The Information Centre at Norton Lodge has a number of talks and film shows for older members of the local community in February and March. These sessions provide a mixture of practical advice and social contact which helps to keep people living in their own homes safer and independent for as long as possible. Three other social groups at Willow Court, Hazel Court and the Red Café have been having digital inclusion sessions which aim to remove the fear of computers that many older people feel, and show people some of the benefits they can get with just a little IT knowledge.

An evaluation of the Community Connectors Project is ongoing, and we will present interim findings in the autumn.

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Swansea Social Services

February 2013


Person-Centred Care Recognised Person-centred care is something we all aim to build in to our day-to-day practice, but sometimes it takes an outsider to tell us when we’re getting it right. Jane Thomas, the manager at Ty Waunarlwydd Residential Care Home, recently received a letter from Greg Smith, the son of a former resident of one of the dementia units who has now passed away. The letter reflects on his mother’s journey through dementia, his own process of coming to terms with the diagnosis and its implications, and his experiences of the care system and Ty Waunarlwydd. The letter is too long to include in full, but the extracts below show just how much difference a person-centred approach can make to those responsible for making decisions on behalf of family members. For a while Mrs Smith had care at home, but her son came to recognise that this was not going to be a long-term solution and started to investigate options for residential care. He began by looking at places near his home outside London. I spent the three most dreadful days of my life undertaking this task and quickly narrowed my acceptable choices down to two of the twelve I had inspected. I am ashamed to admit the thought of returning to one of those simply awful places filled me with dread. Was I being selfish thinking “I can’t go back there”? I couldn’t cope with the briefest of stays, and if I felt like that how on earth could I expect my mother to live there. I knew then that my shortlist of two was simply not good enough. What an eye opener. On Mr Smith’s next visit to his mother, he met “a very enthusiastic and caring young lady” from Social Services, who came to be a key point of support and trust for the family. When I voiced my heartfelt concerns, convinced that my Mum’s wonderful life as she and I knew it was over and that I couldn’t imagine an acceptable future, she suggested that I should visit one of Swansea’s Local Authority care homes for some sort of comparison. At the time I was not enthusiastic but with little to lose took up her offer and went with her, unannounced, to Ty Waunarlwydd. He says he quickly realised that this was a very different home from any he had visited before. I knew in an instant this home was unique and grasped the chance to let Mum spend a week there to coincide with a week of my holiday. I could relax for the first time in ages confident in the knowledge that Mum was safe and secure and would hopefully enjoy her time there. I rang the home on the Tuesday to enquire about Mum and have a quick chat but was advised that she wasn’t there. I think they must have detected the fear in my voice and immediately reassured me, explaining she was at the local pub, The Masons Arms, enjoying lunch with her friends. I phoned again on the Thursday but again Mum wasn’t in. This time she was out having tea at the local garden centre and there might be a quick trip to Bracelet Bay. I clearly recall thinking if this is the norm I have found the home for my Mum. Continued/….. Page 8

Swansea Social Services

February 2013


After the respite stay Mrs Smith returned home, but a fire and then a fall led to her being admitted to Hill House Hospital. While she was safe and well cared for there, Mr Smith was concerned that she was becoming isolated. He set his heart on getting her a permanent place in Ty Waunarlwydd When I returned to London and explained to my family I had decided to try and obtain a place for Mum in a council-run care home in Swansea I faced some incredulous looks and distinct hostility to my proposals. It was questioned as to who was going to keep an eye on her and the staff in the home, who would make sure she was being well cared for. Perhaps it is the norm for family members to undertake spot checks when necessary but I had no intention of placing my mother in a home where I needed to police the place. I was 100% certain that I had found the right place. Unfortunately there was a waiting list for Ty Waunarlwydd and Mr Smith found himself caught between pressure to move his mother on from Hill House, and a conviction that Ty Waunarlwydd was right and only place for her. He admits that he tried all ways to get her a place. When I was eventually advised that my Mother had been granted a place in Ty Waunarlwydd, I remember I couldn’t wait to get out of that meeting and break the fantastic news to my family and friends. I was at Ty Waunarlwydd within half an hour but they already knew and I was greeted by a mass of smiling faces. He went on to reflect on how the way his mother was looked after had such a positive impact on him. Looking back, I have very fond Mrs Smith (right) and a friend relaxing with an ice memories of that wonderful home. cream at Ty Waunarlwydd Initially I found it rather strange as to just how an institution of the type of Ty Waunarlwydd could be such a happy place, when, for most residents, it was ‘the end of life’s journey’. On every visit it was almost as if I was getting a shot of the wonder drug happiness; one could not fail to smile as one entered the home, everybody was so naturally stress-less and happy: the delivery drivers, the receptionist, the cleaners and cooks, everybody seemed to be taking the happy pills. Truly inspirational and eye opening. I must say the wonderful aura and fantastic work ethic at Ty Waunarlwydd in my opinion comes from the top down. Two special ladies, Jane and Linda, appear to have found their vocation in life and both seem to have spread their warm and friendly hospitable nature like some contagious virus throughout the home. The staff are all so caring and kind, I had no doubt my Mother was one very lucky lady to have such a lovely home. I take comfort in the knowledge that Mum was happy and content, dare I say even loved, during her stay. Priceless!

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Swansea Social Services

February 2013


Swansea Carers Update Background/ Context The recent 2011 census data confirms that we currently have 30,349 selfreported unpaid Carers in Swansea. This equates to approximately 13% of the population and means that there has been an increase of over 2,000 unpaid Carers in Swansea in the last 10 years. 28% of Swansea Carers provide over 50 hours of care per week. It is likely that the actual number of unpaid Carers in Swansea is much higher than this as census data relies very much on Carers self-reporting and therefore a level of self-perception. Many unpaid Carers do not see themselves as such and as a consequence they rarely acknowledge or disclose the extent of their caring responsibilities. In addition to the well-documented challenges often faced by unpaid Carers, the recent Welfare Reform will bring additional financial hardship for many Carers. Just two examples: some grandparent Carers providing weekend respite for a disabled grandchild might be hit by the new “bedroom tax” while the new Universal Credit will undoubtedly affect Carers who are sick and unable to work. Statutory Responsibilities As a local authority we have a statutory duty to inform Carers of their right to an assessment if the level of care they provide is regular and substantial. The assessment is a meaningful conversation with the Carer which focuses on their needs as an individual and includes a discussion on how the Carer feels about their caring role, their capacity to care, Page 10

support needs, aspirations in relation to education, training and employment as well as realistic access to leisure opportunities and free time. The number and quality of Carers assessments offered and carried out are measured and monitored locally and are reported as key National Performance Indicators. It is evident that Swansea performs well in relation to the numbers of Assessments offered to Carers (96.8% of the Carers identified in 2012/13) but not as well in relation to the number of Assessments carried out (only 33.1%). The reasons for this need to be explored and new approach agreed. This could include using the skill and expertise of dedicated Carers Centre staff, thus removing the potential stigma of Social Services involvement which is a recognised barrier to the uptake of assessments. Carer services In recognition of the significant levels of support that unpaid Carers provide locally, the City and County of Swansea invests over £800,000 in Carer Support Services each year, in addition to the direct work of Social Services staff who identify, assess, and support Carers. This funding enables a number of voluntary sector organisations to provide a variety of services, including respite/ short breaks, advocacy, Carer training and minor home repairs. There is also a small grants fund to which Carers can apply to purchase essential items or services to support their caring role.

Swansea Social Services

Continued/…..

February 2013


In addition funding provided to the Swansea Carers Centre has enabled them to obtain match funding for a number of specific schemes and initiatives. These have included a dedicated Carers Outreach Worker, a Carers Advocacy project and a specific initiative which assists Carers to gain accredited skills and confidence to return to work. The Refreshed Carers Strategy for Wales Refreshing the Carers Strategy for Wales was issued for consultation in November 2012 to replace the previous Carers Strategy for Wales, last reviewed in 2007 with an updated action plan. The Refreshed Strategy is very much aligned to Sustainable Social Services, which sets out the Welsh Government’s vision for transforming social care in Wales, and the Social Services and Well Being (Wales) Bill. These both acknowledge the importance of Carers to the health and social care economy, the importance of supporting Carers to the same extent as the people they care for, and recognising their needs as individuals. As a result, the Refreshed Carers Strategy focuses on achieving specific outcomes for Carers and has identified five areas of priority. These are; 

Health and Social Care



Information, Identification and consultation



Young Carers and Young Adult Carers



Support and a life beyond caring



Carers and employment

Our response includes examples of good practice such as the developmental work of the Swansea Young Carers Action Group and the Mentro Allan scheme which supported Carers to access activity and leisure opportunities. It also includes suggestions for improvement drawn from a range of initiatives, including culturally appropriate support for Minority Ethnic Carers. It was extremely disappointing that no reference to these Carers had been made in either the Social Services Bill or the Refreshed Carers Strategy. The proposed response to the Refreshed Carers Strategy for Wales was recently presented to the Corporate Management Team who recognises the importance of supporting Carers in Swansea and endorsed the draft for submission to Welsh Government.

The Strategy emphasises the role of the Local Authority as a whole in supporting Carers with its different responsibilities

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for Social Services, Education, Transport, Leisure, Housing and as an Employer. Swansea’s response to the consultation has thus drawn on feedback from across the Local Authority and reflects the knowledge and experience that has been built up since the publication of the first Carers Strategy for Wales.

Cathy Richards Planning Officer for Carers

Swansea Social Services

February 2013


Transformation of Adult Services – engaging the public Explaining to the general public how we need and intend to change the way we provide and deliver services can be a challenge. How do we give out a positive message without over-complicating things for people whose experience and understanding of social care may be limited? Below is a press release recently sent to local media, which also forms the basis of an article in the March issue of the Swansea Leader. Inspirational ideas which are making a world of difference to elderly people and vulnerable adults in Swansea communities are helping show the way ahead for the rest of Wales. Projects like social opportunities clubs, the specialised dementia care service at Ty Waunarlwydd and short-term respite services are all helping older people and vulnerable adults live more independent lives in their own homes. They’re all part of Swansea Council’s Transformation of Adult Social Services (TASS) programme that aims to give people more control than ever before on the kind of care that’s appropriate for them as they grow older. The programme reflects the policy objectives stated in the Welsh Government white paper for social care reform. “Sustainable Social Services in Wales”, produced in 2011, and which is supported by the Social Services and Well Being (Wales) Bill which was introduced to the National Assembly for Wales in January, and is currently being scrutinised According to the latest statistics the number of people over the age of 85 in Swansea is set to rise by almost 80% by 2030 alongside a 34% jump in the number of people over 65. Phil Hodgson, Swansea’s Director of Social Services, said: “The social care system is facing fundamental challenges over the coming years. Our TASS programme is about addressing these challenges and also about helping people remain independent. “TASS puts people and communities at the heart of social care and ensuring that people with disabilities, older people and carers have more choice and control over how they are supported.” This change in working is already having a positive impact on older people and adults who use Social Services across the city.

Continued/…..

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Swansea Social Services

February 2013


The new focus on community has seen a number of groups for older people springing up with the support of Social Services, and specialised “Community Connectors” are helping older people who may be feeling isolated find the social opportunities which improve their sense of wellbeing. There have also been ground-breaking changes in the way dementia care is delivered. Day Service Manager with Swansea Council, Debbie Killa, said specialised sessions in Norton Lodge which focussed on empowerment were making a huge impact on the participants’ lives. She said: “Since we have been running the Remember Me sessions we have found that although someone has dementia, there are ways to help them maintain skills and improve their quality of life. “For example, by doing different activities such as preparing a cup of tea under supervision or growing bulbs in pots, we are rehearsing existing skills which our users find very beneficial.” Phil Hodgson added: “The TASS programme is not just about older people. From the point of view of people with learning disabilities or mental health issues, exciting ways of working have focused on what service users can achieve by and for themselves. This has seen some people who use one of our Mental Health Day Services transforming themselves into tutors and passing on a variety of skills to their peers. “Our Flexible Support Services teams have helped young adults with Learning Disabilities gain the confidence to carry out adult tasks such as getting the bus to a social event and buying their lunch. That sense of empowerment and independence is critical to the wellbeing of adults of all ages, and that is what Swansea Council’s Transformation agenda is all about.”

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Swansea Social Services

No one can go back and make a brand new start, however anyone can start from now and make a brand new ending. Carl Bard The greatest danger in times of turbulence is not the turbulence; it is to act with yesterday's logic. Peter Drucker

Motivation is what gets you started. Habit is what keeps you going Jim Rohn

Your most unhappy customers are your greatest source of learning.Bill Gates

Those who have a 'why' to live, can bear with almost any 'how.' Victor Frankl

February 2013


Joint Working between Health and Social Care Services When Karen Gronert, Integrated Community Services Manager for ABMU Health Board’s Swansea Locality, edited the September issue of this Newsletter, she promised to provide an update on the work that is underway in Swansea to deliver Health and Social Care services in a more joined-up way which will meet increasing public expectations and the changing demographic profile, as well as addressing financial pressures. Fundamentally people require support promptly and flexibly and want continuity and efficiency from their services. Reducing duplication, reconfiguring services and working smarter together will benefit individuals at the receiving end as well as giving some assurance to provider agencies that their services are sustainable for the future. A range of Health and Social Care services are testing and challenging the Integration agenda. Below is a brief synopsis of some of the areas that have begun that service redesign:Integrated Medications Management service Older, frail, vulnerable individuals often struggle with taking medications, and problems caused as a result can be a significant factor in unplanned admissions into hospital and care homes. ABMU Health Board and the Local Authority are jointly funding an initiative to trial training domiciliary Page 14

care assistants – often the only support network that many older people have - to support such people with their medications. Joint Community Resource Team (CRT) Manager post Social Services’ Occupational Therapy Manager has been seconded into the above post in a part-operational, part-developmental role to explore the potential merger of communitybased health and social care provision. As part of this, the appropriateness of joining the Council’s occupational therapy service with the CRT service will be considered in an attempt to develop a comprehensive community OT service. Joint Emergency Duty daytime service Sometimes, when older, frail people are admitted as an emergency placement into a care home this can, by default, become a long term solution to supporting that individual as a result of decisions made at a time of crisis when people may be vulnerable, unwell and afraid. Joint duty arrangements between community-based assessment and care management staff and the ABMU CRT nursing element focus on providing support to individuals at

Swansea Social Services

Continued/…..

February 2013


times of crisis by initiating or supplementing existing care arrangements at home. If, in the short term, support over and above the availability of community services is advisable, then a care home stay may be necessary. However, the emerging ethos of the services is to facilitate early discharge back home for the individual following a comprehensive multi disciplinary assessment and care planning approach.

to homelessness as their tenancies are often revoked because of their associated behaviours. Supporting People have identified resources to fund a temporary post to support these individuals in a more coordinated way and to contribute to the strategic development of appropriate care and accommodation The Co-ordinator will be based and managed by the CRT Specialist Practitioner Lead.

The Local Authority’s Assessment Beds (now provided in several care homes) have been developed to support the emergency duty initiative and provide a reablement service.

Joint CRT/DCAS Reablement provision

Homelessness Pathway Some people who cannot return to their own home after a hospital admission end up becoming delayed in a hospital bed, often waiting for alternative accommodation to meet their changed needs. A joint protocol between Health, Housing and the Local Authority has been agreed which focuses on early identification of potentially homeless individuals and prompt associated responses from all agencies. As an adjunct to the Homelessness Pathway, a Complex Care needs Coordinator position is to be piloted for two years A growing number of individuals who have had chaotic lifestyles related to alcohol and drug dependency are increasingly becoming difficult to support on a sustainable basis given their mix of complex health and social care needs. These individuals are particularly vulnerable

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There is currently a lack of clarity regarding role boundaries between the Social Care DCAS service and the range of short term support services provided within the Community Resource Team. This often gives rise to confusion, especially for service users but also for professionals who may be unclear about the reasons for being referred to different services providing similar outcomes, but with different financial consequences (e.g. free versus charged for). We are in the initial stages of scoping out the opportunities to redesign these services to reduce duplication, increase capacity and improve experiences for the people who use and refer into them. Ultimately it is hoped that this and other similar approaches will realise significant improvements in the experiences that older people have when they require the services of either of these organisations. Karen Gronert - Integrated Community Services Manager for Swansea Locality

Swansea Social Services

February 2013


SCVS Secures Funding for Community Voice Programme In December Swansea Council for Voluntary Service received £783,542 from Big Lottery Fund's Community Voice programme which is intended to help people in Welsh communities influence services, policies and decisions that affect them so their needs are better met. In Swansea there are seven projects benefitting over 7,000 people, all of which will be linked to the World Health Organisation's European Healthy City Network. These are: 

Planning Together (SAIL)



Patient and Carer Participation Groups (SCVS)



Community Green Spaces (Swansea Environmental Forum, led by the Environment Centre)



Your Opinion Matters (Women's Aid)



Community Champions Project (People First)



BME Voice (SBREC led partnership)



Dyma Ni (Carers Centre)

Community Voice was developed after a commissioned study found that over the last 10 to 15 years Government policy has increasingly recognised the benefits and importance of community engagement and that there was “considerable” value in citizens being able to influence the design and delivery of public services. Findings also revealed that it could be equally valuable to focus not only on the public sector agenda, but also on ways in which communities can be encouraged to develop their own approaches and solutions to community needs. On the back of these findings, Community Voice will ensure: 

more people will be able to influence policy and decisions about services in their community



communities and services providers will be able to work together to design and deliver improved services



communities will have increased capacity to conceive and deliver better services and projects.

Longer term outcomes will include improved engagement and participation in the community and people more effectively reporting improved delivery of services which meet their needs. For further information about the Community Voice Project, contact Amanda Carr at SCVS on 01792 543633 or at amanda_carr@scvs.org.uk

Page 16

Swansea Social Services

February 2013


Website Focus The redesigned Adult Social Care web pages provide a range of information to allow people to find out about services and activities that may provide the sort of support or advice they are looking for. In each newsletter during 2013 we’ll be focusing on one aspect of the website, and giving a flavour of the sort of information staff and service users can find there, starting with support for adults who have a physical disability. There is information both for younger disabled adults and for older people who have become disabled as a result of health problems or simply as part of the aging process. As well as an overview of the support provided by Social Services – such as occupational therapy, rehabilitation and sensory impairment support – there is information about: 

Getting out and about in Swansea – transport, toilets, Blue Badges www.swansea.gov.uk/index.cfm?articleid=48395



Leisure time – accessibility statements for a range of leisure venues and further information about sport, cinema and theatre, libraries and holidays www.swansea.gov.uk/index.cfm?articleid=50628



Aids and equipment www.swansea.gov.uk/index.cfm?articleid=49191



Home adaptations and disabled facilities grants www.swansea.gov.uk/ index.cfm?articleid=49203



Contact details for support organisations and on-line resources for disabled people www.swansea.gov.uk/index.cfm?articleid=50631



Contact details for organisations supporting people with sensory impairments www.swansea.gov.uk/index.cfm?articleid=48404



Organisations which can provide advice about benefits www.swansea.gov.uk/index.cfm?articleid=49209

Page 17

Swansea Social Services

February 2013


‘Step Up’ beds in St Johns House,

Digital Inclusion Initiative - Latest News

Bonymaen House and Rose Cross

Working with the Community Connectors

News in Brief Assessment Beds - As well as the

(which provide short-term support and

throughout Swansea the Digital Inclusion

reablement to help people to continue

initiative gathers momentum. Events

living at home) and the dementia

recently held at Norton Lodge in

assessment bed at Ty Waunarlwydd,

Mumbles, Willow Court and a

we are now operating a ‘Step Down’

forthcoming event at Hazel Court (5

service at Bonymaen House to provide short-term reablement for people who have been discharged from hospital.

March 2013) have introduced participants to the availability of support from the Swansea Bay Digital Inclusion project and Leonard Cheshire's Discover

Safeguarding Review - Adult

IT Centre. With progress apace for

Safeguarding arrangements are

services and information to be

currently being reviewed in line with

exclusively accessible on line it has been

pending legislation and local and regional developments, and a number of structural changes will be implemented during 2013. The ethos of the review is that safeguarding should be ‘everyone’s responsibility’. Community Connectors - The Community Connector posts have been

reassuring to beneficiaries of the Digital Inclusion initiative to discover that there is continuing assistance, 5 days a week from the Discover IT Centre and its volunteers. Volunteers needed! A drive for volunteers to assist in ensuring this project is sustainable is essential to guarantee continued FREE

extended until September 2014.

support. Volunteers need to be able to

Expressions of interest have been

offer a minimum of 2 hours a week and

sought for a secondment to fill the

will be given appropriate training. We

vacant post.

want to instigate placements of

Head of Service Meetings - During

the area to secure support and training

2013 Deborah Driffield will be having

volunteers at Day Centres throughout for participants, thus offering an

three meetings with Team Leaders and

invaluable service to assist those that

Service Managers specifically to

need it most at this time of technological

discuss the Transformation agenda and

advancement. Truly making a

ensure that information and ideas are

difference!

communicated between senior

For more information about the initiative,

management and operational teams.

or to find out more about becoming a

The dates are 17 April, 17 July and 5

volunteer, contact Nigel Hayton or Tania

November. Page 18

Davies on 01792 321006.

Swansea Social Services

February 2013


UK-leading Swansea project gets key role at enterprise expo Prosiect Abertawe sy'n arwain y DU i gael rôl allweddol mewn arddangosfa fenter A ground-breaking Swansea photography project will be playing a crucial role at the world’s largest Social Enterprise event in the March.

Bydd prosiect ffotograffiaeth arloesol o Abertawe'n chwarae rôl allweddol yn nigwyddiad menter gymdeithasol mwyaf y byd ym mis Mawrth.

Photo Tales, which is the UK’s only photography project that helps people to develop life skills, will face its most ambitious assignment to date as the participants capture the Social Enterprise Exchange 2013 in Glasgow.

Bydd Photo Tales, sef unig brosiect ffotograffiaeth y DU sy'n helpu pobl i ddatblygu sgiliau bywyd, yn wynebu ei aseiniad mwyaf uchelgeisiol hyd yn hyn gyda Chyfnewidfa Menter Gymdeithasol 2013 yn Glasgow.

Photo Tales is supported by Swansea Adult Social Services and grant funded by the COASTAL Project (ESF) and the Big Lottery. Project participants and workers travelling to the Social Enterprise Exchange will be capturing the hustle and bustle of a trade fair with 150 social enterprise and support agency exhibitors from throughout the UK, and 1000 participants from over 20 countries worldwide.

Mae Photo Tales wedi'i gefnogi gan Wasanaethau Cymdeithasol i Oedolion Abertawe a'i ariannu gan grant Prosiect COASTAL (CGE) a'r Loteri Fawr. Bydd cyfranogwyr y prosiect a gweithwyr sy'n teithio i'r Gyfnewidfa Menter Gymdeithasol yn gweld prysurdeb ffair fasnach gyda 150 o arddangoswyr mentrau cymdeithasol ac asiantaethau cefnogi o bob rhan o'r DU, a 1,000 o gyfranogwyr o dros 20 o wledydd ledled y byd.

Lee Aspland, who has developed Photo Tales, is an Education Development Officer with the Swansea COASTAL Project. He said: “Three of our volunteers will work with two support staff over two days to capture the activities, visitors, suppliers, guest speakers and services at the event.

Continued/…..

Page 19

Mae Lee Aspland, sydd wedi datblygu Photo Tales, yn Swyddog Datblygu Addysg gyda Phrosiect COASTAL Abertawe. Meddai, "Bydd tri o'n gwirfoddolwyr yn gweithio gyda dau staff cefnogi dros ddau ddiwrnod i weld y gweithgareddau, yr ymwelwyr, y cyflenwyr, y siaradwyr gwadd a'r gwasanaethau yn y digwyddiad.

Swansea Social Services

February 2013


“This is not the Photography Service’s first assignment. During 2012 participants in the Camera Club have worked voluntarily with support staff to photograph local events, including the Indian Society’s fashion show, Disability Awareness training, the Swansea COASTAL Annual Awards 2012 and a local charity’s open day. But the Social Enterprise Exchange 2013 will be a step up. We are talking about the world’s largest Social Enterprise event.” More information on Photo Tales can be found at www.photo-tales.co.uk

"Nid hwn yw aseiniad cyntaf y Gwasanaeth Ffotograffiaeth. Yn ystod 2012, mae cyfranogwyr yn y Clwb Camera wedi gweithio'n wirfoddol gyda staff cefnogi i dynnu lluniau mewn digwyddiadau lleol, gan gynnwys sioe ffasiwn y Gymdeithas Indiaidd, hyfforddiant Ymwybyddiaeth Anabledd, Gwobrau Blynyddol COASTAL Abertawe 2012 a diwrnod agored elusennau lleol. Ond bydd Cyfnewidfa Menter Gymdeithasol 2013 yn gam ymhellach. Dyma ddigwyddiad Menter Gymdeithasol mwyaf y byd." Ceir mwy o wybodaeth am Photo Tales yn www.phototalescymraeg.wordpress.c om

Photograph taken by Adelle Rees on an assignment for Photo Tales Photography Service at the Indian Society celebration last year. Adelle has since progressed onto employment with WGCADA.

Page 20

Swansea Social Services

February 2013


Look Closer This poem was written in the 1960s by Phyllis McCormack while working as a nurse in a Scottish hospital. Subsequently it became the subject of a number of ‘urban myths’ as to its origins so you may well have seen it before. It’s worth revisiting, though, as a reminder to look past what we first see and recognise the person.

What do you see, nurses, what do you see? What are you thinking when you're looking at me? A crabby old woman, not very wise, Uncertain of habit, with faraway eyes? Who dribbles her food and makes no reply When you say in a loud voice, "I do wish you'd try!" Who seems not to notice the things that you do, and Forever is losing a stocking or shoe..... Who, resisting or not, lets you do as you will, With bathing and feeding, the long day to fill.... Is that what you're thinking? Is that what you see? Then open your eyes, nurse; you're not looking at me. I'll tell you who I am as I sit here so still, As I do at your bidding, as I eat at your will. I'm a small child of ten ....with a father and mother, Brothers and sisters, who love one another. A young girl of sixteen, with wings on her feet, Dreaming that soon now a lover she'll meet. A bride soon at twenty -- my heart gives a leap, Remembering the vows that I promised to keep. At twenty-five now, I have young of my own, Who need me to guide and a secure happy home. A woman of thirty, my young now grown fast,

Page 21

Bound to each other with ties that should last. At forty, my young sons have grown and are gone, But my man's beside me to see I don't mourn. At fifty once more, babies play round my knee, Again we know children, my loved one and me. Dark days are upon me, my husband is dead; I look at the future, I shudder with dread. For my young are all rearing young of their own, And I think of the years and the love that I've known. I'm now an old woman ...and nature is cruel; 'Tis jest to make old age look like a fool. The body, it crumbles, grace and vigour depart, There is now a stone where I once had a heart. But inside this old carcass a young girl still dwells, And now and again, my battered heart swells. I remember the joys, I remember the pain, And I'm loving and living life over again. I think of the years ....all too few, gone too fast, And accept the stark fact that nothing can last. So open your eyes, people, open and see, Not a crabby old woman; look closer ...see ME!!

Swansea Social Services

February 2013


New Guide to working with Hearing Loss In January My Home Life Cymru launched another of its Good Practice Guides for those working in care homes: Quality of life for residents with hearing loss. The guide covers subjects including different types of hearing loss; the effects of hearing loss; how to identify hearing loss; and diagnosis and treatment of hearing loss. It also provides practical advice for staff to support residents who wear hearing aids. My Home Life Cymru’s Programme Manager John Moore says: “Hearing loss affects communication - from social situations, to ones where we have to convey critical information, and this can lead to feelings of isolation and uncertainty. “Depression is not uncommon among people with hearing loss and some may become resentful or angry as a symptom of a profound shift in their emotional wellbeing. “Understanding this – and the other factors that impact on care home residents with hearing loss - is key to ensuring that staff are able to provide the care that each individual needs.” This joins the suite of guides that focus on a range of good practice themes relevant to residential care. The guides listed below are available in both English and Welsh from the My Home Life website http://www.ageuk.org.uk/cymru/ home-and-care/my-home-life-cymru-home/resources/ 

Maintaining identity in a care home environment



Sharing decision making in care homes



Creating community



Managing the transition into a care home



Improving health and healthcare



Supporting a good end of life



Promoting a positive culture



Keeping the workforce fit for purpose



Getting to know you (reminiscence and life story work)



Open your heart to see me (dementia care)

Page 22

Swansea Social Services

February 2013


Citizen Directed Support Newsletter - February 2013