put the people who use social care first dame denise platt dbe chair, commission for social care...
TRANSCRIPT
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Put the people who use social care first
Dame Denise Platt DBEChair, Commission for Social
Care Inspection
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Social care is about PEOPLE – not systems or structures
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‘Our health, our care, our say’
Outcomes for people– Improved health and emotional well-being– Improved quality of life– Making a positive contribution– Choice and control– Freedom from discrimination– Economic well-being– Personal dignity
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What people want
What people say they want
Choice
Flexibility Safety Competence & courtesy
IndependenceConsistency
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How can social care transform people’s lives?– Making a positive difference– Recognising people’s individual needs– Helping people find a voice– Enabling choice and control
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Listening to what people say
‘Real voices, real choices’– Choice– Flexibility– Information– Being like other people and taking risks– Respect and being heard– Fairness and non-discrimination– Cost and value– Safety
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Choice
‘[Choice] is never a simple thing. It is not just about having the right to choose what kind of care you want. It is also about having the support so that you can make a proper informed decision without pressure from family and society’
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Choice should be:– Real– Comprehensive– Informed
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Factors that have an impact on choice:– Family and friends– Financial pressures– Lack of information– Lack of experience of making decisions– Lack of confidence– Lack of suitable alternatives
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Flexibility
• Choice is meaningless unless services can respond
• People complain about inflexible bureaucracy and preconceptions
• Keeping up with people’s changing needs• Role of direct payments and individual
budgets• Seeing people as INDIVIDUALS
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Information
Information should be:– Readily available– Accessible– Consistent and clear– Accurate and up-to-date– Coordinated– Supported with training for staff– Flexible enough to meet individual needs– Two-way– Comprehensive and complete– Proactive
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Being like other people and taking risks
• Taking risks is part of daily life• Risks are not always ‘big’
– Experiencing choice, personal control of a situation, social interaction
• People need support to achieve their goals– Reaching their potential, not being put in
boxes
• Being like other people means being recognised as unique
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Respect and being heard
• Difference between being listened to and being HEARD
• ‘The best assessment form is a blank piece of paper. Tick-box assessments deny individuality.’
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Fairness and non-discrimination
• Complaints about routine discrimination and unfairness
• Being treated fairly is a fundamental right
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Cost and value
• Key issue for self-funders– Value is important for individuals as well as for
councils– Power of contestability should be exercised by
individuals
• Can affect the way people experience care– Worries about funding or eligibility criteria can
make people feel insecure and not in control
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Safety
• Media interest in abuse in care homes• People have the right to live free from
physical, emotional and financial abuse• Recruitment checks on potential staff are
too often overlooked
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Listening to what children say
Children want to be:– Treated as individuals– Asked and listened to– Free from bullying and abuse– Taken as seriously as adults
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Children want:– Stability– Same social worker– A say in decisions about their lives
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How CSCI involves people– Emphasis on experience of people who
use services– Case-tracking– ‘Experts by experience’– Asking for people’s views on inspections
• Inspectors should be independent• Inspections should be unannounced• Inspection reports should be easy to
understand
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Challenge for commissioners
• People expect a change in the quality and range of services available
• Personalised care means ways of commissioning services must change
• Councils need to:– Take a strategic, long-term view– Listen to what people want– Engage with local economic development
strategies to encourage local care markets– Develop more sophisticated IT systems
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• Above all, councils should recognise that they are responsible for the WHOLE community they serve
• Councils need to ensure sufficiency of provision for everyone who needs social care
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Looking to the future
• Implementing the White Paper• Achieving choice and control• Development of ‘support brokerage’
– Helping people navigate the system– Helping people shape care packages– Helping ensure people’s voices are heard
• Potential to change the relationship between citizen and state
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Putting the people who use social care first
All CSCI speeches can be found by visiting
www.csci.org.uk