‘Moving to teal was much harder than I expected,’ observed Michelle last week. I agree. I had assumed that as we already worked together as a person-centred team, and were self-managing in several ways, that it would be easy. However, stepping up to fully embrace self-management was still a big step, and a step worth taking. This blog describes our progress so far.
One of the biggest challenges in social care is getting and keeping great staff. I am learning about different ways to recruit personal assistants (P.A.s). Two weeks ago I was part of an assessment day, supporting Jess to recruit personal assistants with her personal budget. This is what I have learned from Jess.
It is time to re-think the role and purpose of the activities co-ordinator in care homes. Are they the Butlins Redcoats of care, or is their role about co-production and meaningful days?
There are some conversations that change everything. The 3 minute conversation I had with David Behan when he was the Department of Health’s director general of social care, was one of those.
How we are developing a proactive mobile team, with colleagues from health, social care and the third sector, to enable older people to live well at home. The team will link to a new kind of home care service, built around the Buurtzorg model, and hopes to increase the update of personal budgets and Individual Service Funds.
At a time when we see more shocking reports about how poor some home care services are, and the impact of the cuts, it can be hard to keep believing that we can do more, and do better. Better communication with families may just seem like the icing on the cake. Yet the longest research into happiness published recently confirmed what we knew; that relationships are central to happiness. Here are some ideas of how we can do this, and how organisations are taking this forward.
What would you want to see in a welcome pack if you or a family member was going into a care home? Here are 8 ideas – please share yours.
One of my favourite gifts is a book. Last year Nic told me about a powerful book that she was reading, and generously sent me a copy. I know to say that ‘the book changed by life’ is a tired cliché, but it had the impact of focusing my work in a way no other book has.
The book was Atul Gawande’s ‘Being Mortal’. By the end of the year I had bought and given away a further seven copies. This blog describes how it led to our partnership with Community Integrated Care to change care homes.
Last Tuesday I was drinking coffee with Rod, in Jonkoping, talking about the presentation we were due to give the next day. My phone rang and I got the call that I knew was coming soon but still not expecting. The message was that my friend and colleague Max had died.
Max was prepared for the end of his life, more than prepared, he faced it head on. He had cancer for the last two years. We had had many conversations (electronic – our favourite kind) about life and death, about contributions and appreciations, and about what needed to be said and done for a good death. We said what we wanted to say to each other – and I asked for and got my ‘legacy instructions’.
Two weeks ago I was surprised to get a call from a provider asking for help to recruit a new Person-Centred Planning Co-ordinator. This role is an echo from the past for me. I have friends who used to be ‘PCP Co-ordinators’, but I don’t think this role still exist in local authorities, and there are a handful of people with a similar role in some providers. The Person-Centred Planning Co-ordinator was a new role emerging in 2000 to help implement Valuing People. Essentially, their role was to train and support person-centred planning facilitators, to ensure that person-centred planning happened and it made a difference. Our aspirations were high for person-centred planning to lead to great lives for people and rock services. There was lots of effort and energy, and great co-ordinators, yet history tells us that success was mixed. I was part of that change, and if I had my time over again, there is a lot that I would do differently. This is how I would change the role.