Co-production

Co-operatives have been around since the 19th Century, and still feel relevant today. I am interested in them because of my work with Wellbeing Teams: both share a common thread of self-management.

There are some exciting co-ops emerging in health and care, and there are three examples that colleagues of mine have established. Neatly, we also think there are three reasons to take a closer look at both co-operatives and Wellbeing Teams.

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Yesterday I met with colleagues from Macmillann, to share how Wellbeing Teams are working, and what could be possible in relation to people experiencing cancer. I am excited that the next two Wellbeing Teams are getting started within GP practices. We think there are five ways that Community Circles and Wellbeing Teams can support people to come home from hospital or to avoid hospital admission. Here is a summary of the approaches, and what we have tried so far.

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This morning I read ‘How we can start a social care revolution in seven easy steps’ by Katie Johnson, KPMG, in the Guardian Social Care Network. I agree with her ideas, but not that it is easy. If it was easy, it would have been done by now. I am one of the many, many people who want to see this change, and be part of this change. Here I want to share what I am see my colleagues doing to actually move towards the steps she describes. I want to call out the people who are making it happen, and what else we need – some of the detail to deliver the big ideas.

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Last week I saw a post on Facebook about how a Google coach @Jenny_Blake created a mindmap of what we she wanted to achieve in 2017.

It seemed like a great way to get my thoughts organised, and inspired me to do my own. I love planning for a new year, and I liked how she balanced work with other areas in her life. Because I love my work so much I need to have an equally strong focus and intention on other areas of my life, so creating a mind map that covers all areas of my life felt right for me. I also wanted to make sure that I was paying attention to my overall wellbeing, so I used the Five Ways to Wellbeing to structure this.

Watch the video below or read the rest of the post to see what came out of this exercise as my areas of focus for 2017.

 

 

At work

I chose to explore three work areas as my focus for 2017.

Wellbeing Teams

My biggest priority is moving forward with Wellbeing Teams, my new model for living well at home.

We have four getting started at the beginning of the year, across Devon, Doncaster and Dumfries (two teams). By the end of 2017, I want to have learned from these and extended the number to at least 10 teams. Our fabulous partners in Devon, Love2Care, want to get to 12 teams by the end of the year as well, and if they achieve that (and I am confident they will!), this alone would take the total to 16. We have teams starting in Scotland and England, and it would be brilliant to have teams in Wales too.

The numbers matter because my aspiration is to demonstrate that Wellbeing Teams can happen at scale across the UK. Demonstrating a different way of supporting people at home is key, but making an impact nationally is really important to me too, so we can show that it is possible to improve more people’s lives, more of the time. I am looking at social franchising as a possible way to do this.

 

Hospitals

We are just waiting for the final sign-off on an opportunity to work with patients and staff across several hospitals in one area, as the lead organisation for improving the patient and staff experience.

We will be working to make sure that both patients and staff feel known as individuals and that their voices are listened to, through embedding one-page profiles and Working Together for Change. This is a great opportunity to build on the work we have been doing in two hospitals in 2016.

 

Care homes

I was delighted that our work with Landermeads Care Home was cited by CQC in their report that rated them as Outstanding. It said “the provider had worked with an internationally-renowned external service to produce one-page profiles for both people who use the service and staff. People who use the service, relatives and staff we spoke with told us they found the profiles helpful.”

In 2017 I want to build on this with Ros and her team, and see if we can take some of the concepts from self-managed Wellbeing Teams into a care home environment. I am also working with a leading thinker in dementia care to develop a new way of supporting other registered managers in care homes to keep developing and improving how they support people and staff.

 

My wellbeing

Using the Five Ways to Wellbeing in my mind map helped me to move into 2017 thinking about how to do more of what matters to me, and what I need to do to stay healthy and well. Here are some examples of what I want to do:

Connect

My Dad died when I was 21 and I always wanted to know more about his life, and have a record of this to share with my children.

 

I spent Christmas with my ‘big family’, my mum and sisters and our families. We are going to work on capturing Mum and Dad’s life histories this year, and some of our own as well, as a family project.

Keep learning

I love learning, and last year I started two courses that I did not finish and want to go back and complete them this year – podcasting and Theory U. I am also halfway through e-learning on Compassionate Communication too, which I find really useful both for my personal and professional lives.

Take notice

I have been reading Thich Nhat Hanh’s book ‘Savor – Mindful Eating, Mindful Life’. This year instead of my usual resolution to eat and drink less, I am going to try to eat and drink mindfully.

Be active

I started Parkruns this year – 5k runs that take place at local parks every Saturday morning. I want to go from doing them on an ad-hoc basis to including them as part of my typical week. I did well with my yoga practice in 2016, but this dropped off in November, so getting back to weekly yoga is important to me this year too.

Contribute

I volunteer through Community Circles, both as a Community Circle facilitator, and chair of the trustees. I want to help the organisation to scale up – for us to build internationally and to find funding for over 20 Connectors in the UK in 2017. If you’re looking for a way to contribute in 2017, get in touch – we are always looking to hear from people who would like to join us!

 


 

It’s exciting to have ideas about what I want to experience, achieve, and new habits to build, but staying focused right through to December 2017 is much more of a challenge for me. Over the last year I have updated a ‘Now page‘ on my blog site, that describes what I am currently doing or working on. I will post a monthly update on my Now page sharing how I am getting on. Going public with the areas I want to focus on makes me feel more committed and determined, and a bit vulnerable too. I hope that your plans for 2017 are exciting, and that we can stick at them together!

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Carol works in the care sector visiting clients in their own homes for which she receives the National Minimum Wage and 7p a mile mileage. She has been doing it for three years, but says she is increasingly thinking of leaving because in her view the industry is getting worse. She says that the central frustration in her working life is not the pay, but that her employer schedules three half-hour visits every hour, meaning she is constantly late for each appointment and feels that she is short-changing the clients. This blog describes how Wellbeing Teams are trying to change Carol’s experience.

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Skills for Care tell us that values based recruitment and retention is about finding and keeping people who have the right values, attitudes and behaviours to work in social care. As we started to design our workshop day to recruit the first self-managing team in homecare in Lancashire, I started to understand that this was more complex than I had imagined.
We needed to move from an implicit understanding about the principles and values we wanted to recruit to, to make them explicit and ‘live them’ throughout the whole recruitment process. We needed to consider two areas, how the team organises itself, and the work that it does. We are modeling the new team on ‘teal’ principles, and in summary these are self-management, bringing the whole person to work, and evolutionary purpose. These reflect how the team is organised, and the work that we want the team to do, is to work with older people in their own homes, to co-design their support with them, and deliver this in a person-centred way. What does all this mean for values based recruitment?

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In traditional homecare the first conversation is usually called the assessment. The purpose is to find out what the person’s needs are, and to do a risk assessment before the service starts. The conversation will be dictated by the paperwork.

How can we change this conversation from needs and risk, to what matters to the person, and learning about their priorities? Can we have paperwork that is person-centred, and yet still fulfills the expectations of regulators? This is what we are exploring with the new team of Wellbeing Workers. We want the first meeting to be a conversation, and the paperwork seen as the record of a conversation, not a form to fill in.

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Does this sound familiar? Jean was recruiting for carers for a homecare team. She shortlisted five people and invited them to come for interview. Out of the five, only one person turned up. The person who did turn up said,

“I don’t really want the job, but the job centre expects me to come for interviews.’

Like Jean, I was worried whether people would turn up. Yesterday was our  recruitment day for the new self-managed Wellbeing Worker team we are establishing in Lytham St Annes, for Caring Hands. This is a new way or working in home care, and we have been trying a very different way to recuit people. Yesterday was the day to find out whether this had worked.

We have 60 people expressing interest, 30 people had a 15 minute telephone call with Geraldine the registered manager, to talk about the role and received recruitment packs and given the date for the recruitment day. Knowing that people not turning up is such a big issue we asked people to phone to confirm their attendance by 16th August. Ten people confirmed that they would come – but would they really turn up?

The day due to start at 10am, at St Anne’s Community Centre. With fifteen minutes to go there were only 3 applicants in the room. Then everyone else arrived – nine in total – carrying foil covered trays, and plastic bags – bringing their lunch to share. Bringing a lunch to share was not the only thing different about how we wanted to recruit people for this new team. This is what we were trying:

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1) Recruiting for values

We intentionally did not ask for CV’s for people, or asked people to fill out application forms. We wanted to meet people as they are, and learn about them, and their values through the process of the day. One of the ways that we did this was to use the resources from Skills for Care, and created sets of ‘Values Cards’. We used these in small groups for people to share their answers and values with their potential team-mates – as well as us, listening in.

2) Focusing on Head, Heart and Hands

Ali Gardner explained in her blog how we are looking for people to use their head, heart and hands in this role, and therefore we wanted to reflect that in the recruitment process.

Head – We wanted people to tell us how they would ‘use their head’ to respond in different situations. One of the ways we explored this was through scenarios, explaining in turn what they would do if confronted with a particular situation.

Heart – Working in a self-managed team involves brining your whole self to work, sharing who you are and what matters to you. It is also about working ‘from the heart’ in a compassionate way with people we support – and each other. We wanted people to both feel comfortable sharing about themselves, and learning about each other too. We started gently with a warm-up exercise and built on this to ‘human bingo’,  and then answering the values questions took the personal sharing to a deeper level.

One-page profiles are a key way to communicate what matters to you. At the telephone conversation part of the process, Geraldine explained how we use one-page profiles and we asked everyone to bring their draft one-page profile with them to the day (and provided information about how to do this in their recruitment pack). The recruitment pack included the one-page profiles of the recruitment team, so that people could ‘meet’ us through our one-page profiles before they came. All nine people bought their one-page profile, and during the day there was an opportunity for personal reflection, to add to their one-page profile and share this with the whole group.

We also wanted to see how people could, through conversation, learn what matters to the older people they would be supporting if successful. We used the ‘What Matters to Me’ booklet, and people working in pairs finding out what mattered to an older person (part of the recruitment team) through conversation.

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Hands – As home care is a role that requires people to use their hands, two sessions directly explored this. When we were designing the day, we thought about people helping each other to eat as part of the recruitment process. Whilst we can see benefits to that, we were also conscious that you would know what the recruitment team were looking for, so could we approach this another way? In the end we decided on hand massage. We thought that expecting people to do something they have not done before (only one person had experience of hand massage), following instructions, and connecting personally through physical contact would help use learn more about people. People also used their hands to build structures from spaghetti!

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3) Looking at team working

Being part of a self-managed team requires learning about team working in a deeper way. We covered this three different ways – in the scenario section there were scenarios related to being a self-managed team; we used the marshmallow and spagetti exercise, where people have to build a structure together in 18 minutes, and we had an exercise where people had to give feedback to another person. The concept of bringing lunch to share was also part of this – working together and sharing skills and lunch.

4) Thinking about this as ‘finding a match’

I explained at the beginning of the day, that we were looking for a good match between the role and people. To show that we were serious about this, we include a section where people interviewed me and Geraldine (the registered manager) about the role and what it entailed.

5) Co-producing the process and decision-making

We have a team of us organising and delivering the day, and making the final decisions. This included two older people, the registered manager, and the Community Circle Connector. We are setting up the Doncaster team in October, so Becky, the registered manager for the Doncaster team came along to see what the process was like. I asked my colleague Michelle to join us, as she leads on teams and organisations within H S A and used to be a home care manager herself. Caring Hands are working in partnership with Community Circles, to ensure that we can focus addressing lonliness and isolation as important elements of well-being.

The two older people – who introduced themselves to the group as Amy and Freda, were equal decision-makers in who was invited to join the team at the end of the day. Their role was particularly important in the session where people demonstrated how they would learn about what matters to an older person.

 

Today, five people from the group of nine are being offered jobs as part of our first Wellbeing Workers team in Lytham, the first self-managed home care team. People gave wonderful feedback about the process at the end of the day. This is not a surprise if you are being considered for a job of course, and  our evaluation partner, Joe McArdle from Chester University, will be following this up so we can learn more.

What would have been different, if these same nine people had come for a half hour interview?

One woman, lets call her Maria, presented really well in all of the scenarios and values questions, but it was only in the hand massage, and the ‘what matters’ conversations that we noticed how she spoke over people, always had a ‘bigger story’ and struggled to listen. If I had been only interviewing her I would have given her the job, and then struggled to let her go through the probation period.

Two other people, lets call them Jo and Karen, expressed how they loved the concept of the self-managed team but were not sure how much hands on care they really wanted to do. We talked about this a lot during the ‘interview us’ section, and this helped them both realise that this role was not for them. If we had just done a half hour interview I think they would have decided to give it a go, and learned within the first two weeks that this was not really the role for them and left.

 

I am encouraged by what we are learning, but will everyone accept the jobs, and still be here in 3 months time? I will let you know.

 

PS 5pm Just heard that everyone has accepted the jobs. Phew.

 

 

 

 

 

 

 

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Last week was Dementia Care Matters 20th anniversary conference. Gill and I were invited to give a keynote and I know it sounds cheesey, but it really was an honour. Not just that, it resulted in a significant change to my personal mission in relation to care homes. Before I say more about this, a confession. Gill is one of David’s biggest fans, and whilst I absolutely saw David as a kindred spirit in his values, and admired him, I felt in a bit of competition too. Now, I am most definitely moving from any sense of competition to collaboration. This is what has changed my views – four areas that matter and what this means to me.

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