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©Copyright Penumbra 2010 Housing Support and Personalisation How personalisation led to the reshaping of Penumbra. Graeme Henderson Director of Services and Development

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Page 1: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Housing Support and Personalisation

How personalisation led

to the reshaping of

Penumbra.

Graeme Henderson

Director of Services and

Development

Page 2: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Penumbra

• Established in 1985

• Significant provider of person-centred social care services for people with mental health problems

• Employs over 400 people across Scotland

• Supports over 1000 adults and young people each week

• Turnover of £10 million

• Works in over half of local authority areas

• Significant history of innovation

Page 3: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Vision Penumbra envisages a society

where people with mental

health problems expect

recovery and are accepted,

supported and have the

resources to fulfil their potential.

Page 4: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Values

• People can and do recover from mental ill health

• People have equal human value regardless of their situation or ability and have the right to dignity, respect, privacy and choice

• People should be enabled to exercise control over their own lives by means of real choice

• Penumbra’s services should provide person centred support on an ordinary scale wherever possible

Page 5: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Housing Support

• Aberdeen City

• Aberdeenshire

• Edinburgh City

• Falkirk

• Fife

• Glasgow

• North Lanarkshire

• Scottish Borders

• South Lanarkshire

• West Lothian

• Western Isles

• £5.5 million

Page 6: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Recovery

Recovery isn’t waiting for the storm to pass….. It’s learning to dance in the rain…..

Page 7: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Personalisation Highlights

• 2006 HOPE and I.ROC

• April 2010 Self Assessment

• 2010 Self Directed Support Advisor

LTCAS

• 2012 SG funded SDS Project

Manager

• 2012 Validated I.ROC

• 2013 Nova Short Breaks

• 2015 SG SDS Application

Page 8: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

HOPE and I-ROC

• Asked the ‘so what?’ question

• Created a web based database and recovery

tool

• Developed outcome indicators and

questionnaire

• Tested with over 40 service users

• Launched I-ROC in 2010

• Developed HOPE toolkit

• 4000 people now on database

Page 9: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Validation

• Knowledge Transfer Partnership (KTP) with University of

Abertay, Dundee

• Tested reliability and validity of I-ROC compared with 2

established recovery measures

• 175 services users took part in research and focus

groups

• Results peer reviewed and published in Academic

Journals

• Research Conferences

• Launched revised I.ROC in 2012

Page 10: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Model for Improving Wellbeing

Page 11: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

I.ROC - Measuring Wellbeing

4 Areas of HOPE 6 Point Scale

12 Wellbeing Indicators

Recovery

Page 12: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Questionnaire

Page 13: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Guidance

Page 14: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Toolkit

Personal Planning Tools

Well-Being Tips

Resource Links

Page 15: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

i-ROC

Page 16: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Service Change

Page 17: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Four Key Changes/Shifts

1.Passive recipient

2.Care

3.Services

4.Measuring outputs

Student of wellbeing

Coaching and learning

Service

Measuring outcomes

Page 18: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Change 1 - students of wellbeing

• Held regional events

• Established a Self Directed Support ‘champions’

group who developed a DVD, held events and

developed information leaflets.

• Developed the revised HOPE toolkit with ‘tools,

tips and techniques’ to ensure person centred

plans and actions.

• Opportunities for people with lived experience to

become facilitators or peer support workers.

Page 19: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Change 2 - coaching and learning

• Developed a new competency framework for all

staff.

• Created new roles - Recovery Worker, Recovery

Practitioner, which gives staff a career structure.

• Restructuring of frontline staff into accountable,

autonomous small teams (3-4 people), led by a

Recovery practitioner.

• Training in coaching techniques.

• Created and developed Peer Support Worker

roles.

Page 20: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Change 3 - service

• Cultural shift from ‘wholesale to retail’

• Developed a menu of services and

activities e.g NOVA service and

POWWOWS (workshops on

wellbeing)

• Template developed for outcome

focused personalised support plans

• Provided 24 hour leadership retreats

for all managers.

(Reflect/Refocus/Recharge)

• Developing training in ‘customer

service’

Page 21: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Change 4- measuring outcomes

• Developed and validated I.ROC with

supported people and staff.

• Delivered I.ROC and HOPE training to all

staff.

• Further pilots being developed to test

I.ROC in other settings e.g. older peoples

services and a CMHT.

• Partnerships with other organisations who

are now using I.ROC helps build the

evidence base.

Page 22: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Individual/Service/Organisation Results

0.00

0.20

0.40

0.60

0.80

1.00

1.20

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for

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futu

re

Page 23: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Outcomes Based Approach

Page 24: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Conclusions

• We are on a journey.

• Its not straightforward.

• We know where we are

going.

• We have methods to

measure progress.

• We have a dynamic,

outcomes oriented

framework.

• We have created energy and

excitement.

Page 25: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Penumbra and SDS 2015 - 2018

• SG Application for £300K

• Employ 3 Regional SDS

Practitioners

• To promote SDS to supported

people, carers and families, social

care providers, statutory agencies,

care managers and purchasers.

• To support the local implementation

and delivery of SDS.

• To continue to develop tools and

resources to facilitate SDS in mental

health.

• To promote sustainable futures for

people with mental health problems.

Page 26: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

We provide Hopeful support

‘One of the most important things was

that the staff were able to hold the

hope for me when I was unable to hold it for myself’

Page 27: Housing Support and Personalisation€¦ · Personalisation Highlights • 2006 HOPE and I.ROC • April 2010 Self Assessment • 2010 Self Directed Support Advisor LTCAS • 2012

©Copyright Penumbra 2010

Thanks for listening

Contact details: Graeme Henderson

t. 0141 229 2580/0131 475 2380

e. [email protected]

Web: www.penumbra.org.uk