Outcomes

Introduction


The goal of outcome based care is to minimise dependency and risks and maximise self reliance and independence. It should promote quality of life and enable services to move away from a prescriptive, ‘time and task’ based model to one where the Service User exercises more control over the service they receive and decides for themselves the outcomes they would like achieved.

It is founded on the seven outcomes specified in the Government paper ‘Our Health, Our Care, Our Say’:


Improved Health


'I am as healthy as I can be.'


What is meant by this?

The Service User maintains good physical and mental health for as long as possible and feels satisfied arrangements are in place to access treatment and support in managing long term conditions.

This means the Service User:

  • Receives services reflective of their daily changing circumstances and whenever possible is encouraged to undertake physical activities appropriate to their circumstances
  • Is made to feel comfortable and confident in receiving services from several different sources
  • Is satisfied with the arrangements for assistance with medication
  • Feels confident Care Support Assistants are aware of their special dietary needs
  • Feels the service has assisted in them regaining confidence
  • Feels that their Care Support Assistant will notice if they are feeling well and will suggest calling help
  • Feels that their family will be kept informed if their circumstances change
  • Gets the services they need to keep them mobile
  • Has sunlight and the exercise they need
  • Has the assistance they need with medicines
  • Feels confident that their family can communicate with the Care Support Assistant if they need to

In order to achieve these outcomes, Plan Care will:


  • Provide support and encouragement for Service Users when working with other professionals in maintaining Service User independence
  • Provide training to Care Support Assistants to engage Service Users in meaningful physical activities and managing long term conditions
  • Enable Service Users to administer their own medication unless there are reasons why they should not do so
  • Liaise with and work with health services

Improved Quality of Life


‘I am able to live a fulfilled life.’


What is meant by this?

The Service User is enabled to be central in the decision making process concerning the level of support they receive and encouraged to access leisure and social activities to maximise independence.

This means the Service User:

  • Is satisfied with the support they receive to access training and employment – where appropriate
  • Maintains maximum independence in their own home and local community and is involved in day to day decisions about the care or level of support offered
  • Performs useful and meaningful activities with whatever assistance is required
  • Is encouraged to have regular security checks conducted of their home to create a feeling of being safe and secure
  • Knows that they are able to trust the integrity of their Care Support Assistants in permitting access to their financial or personal information
  • Is given the opportunity to follow their cultural and spiritual beliefs
  • Has the same worker who gets to know them and the way they like to be supported
  • Feels safe with their Care Support Assistant
  • Has peace of mind and so does their family about the services they receive
  • Feels confident that the equipment provided for their care can be used effectively by the Care Support Assistant
  • Can maintain their social and verbal skills
  • Can maintain the relationships they need with family and friends

In order to achieve these outcomes, Plan Care will:


  • Enable the Service User to be as independent as possible and develop and maintain skills, interests and hobbies to perform functional and meaningful activities
  • Train staff so that they carry out tasks ‘with’ the Service User and not ‘for’ them
  • Provide ongoing information to Service Users relating to events and accessing leisure opportunities in the local community
  • Acquire and provide the Service User with details of preventative services locally available

Making a Positive Contribution


‘I can participate as a full and equal member of the community.’


What is meant by this?

The Service User feels part of the community from information they receive and participates in local initiatives on a voluntary or employed basis.

This means the Service User:

  • Receives ongoing information relating to the local community and is encouraged to participate in activities of interest to them
  • Is satisfied with the arrangements for assisting them in making or retaining contact with the wider community
  • Has Care Support Assistants who arrive on time so that they can get on with their life
  • Can maintain the relationships they need with family and friends
  • Can maintain the relationships they need with family and friends

In order to achieve these outcomes, Plan Care will:


  • Demonstrate provision of information regarding local issues and accompany Service Users to local events of interest
  • Provide information and assist the Service User to articulate their views on local community issues

Exercise of Choice and Control


‘I have the same life chances as other adults.’


What is meant by this?

The Service User is kept informed and is enabled to influence the way in which care is provided in a flexible and appropriate way.

This means the Service User:

  • Takes greater control of their life and contributes positively to the support planning process having had issues of risk explained from information confirming the alternatives and their implications
  • Is listened to if complaining or complimenting the service, or suggesting improvements, including minor changes to accommodate day to day changing needs
  • Feels confident the Care Support Assistant will arrive and leave within timescales required to complete the level of care or support required
  • Can choose what they want to eat and what they want to wear
  • Can choose the order they want tasks done, e.g. have breakfast before washing and dressing
  • Can change routines if they want to
  • Has their views on how tidy and clean they want their house respected
  • Is not kept waiting

In order to achieve these outcomes, Plan Care will:


  • Prior to, and during the provision of care, provide ongoing explanations and information and ensure the Service User is involved, contributes to and is encouraged to influence the contents of the Support Plan
  • Record all comments by the Service User (ie resulting in a change to the service they receive) and review systems, including the complaints procedure which must be shared with staff, Service Users, their advocates or relatives
  • Encourage interaction between the Care Support Assistant and Service User during the delivery of service

Freedom from Discrimination and Harassment


‘I have an equal chance to live free from avoidable harm, fear, discrimination and prejudice.’


What is meant by this?

Care Support Assistants receive the level of training required to ensure that Service Users feel confident of their own safety. A Service User is given equal access to services without hindrance from discrimination or prejudice.

This means the Service User:

  • Feels confident that care is provided by known and trusted care staff on the basis of their level of skills and training
  • Is satisfied that their cultural, dietary and hygiene preferences are reflected in the service they receive
  • Is protected from potential abuse and exploitation and is not subject to any form of discrimination

In order to achieve these outcomes, Plan Care will:


  • Minimise the number of Care Support Assistants involved in care to the Service User and assign staff who can meet the Service User’s specific needs
  • Have a procedure in place to ensure confidentiality
  • Operate adult protection training, policies and procedures

Economic Well-Being


‘I am financially stable and have as much control as possible over my money.’


What is meant by this?

The Service User feels valued and is provided with access to information to enable them to maximise their income opportunities.

This means the Service User:

  • Receives information and support to reach their maximum income potential
  • Is able to access employment and training opportunities, where appropriate
  • Has Care Support Assistants who come on time so they are not late for work
  • Feels confident that their care is being monitored effectively
  • Feels that they get good value for money

In order to achieve these outcomes, Plan Care will:


  • Encourage care staff to build up a relationship of mutual trust and respect with the Service User
  • Encourage and make Service Users aware of their income potential and involve the Council at the point a review of need is identified
  • Assign staff who have the skills and knowledge to meet the Service User’s requirements
  • Provide training to care staff on safeguarding adults and specifically financial abuse

Maintaining Personal Dignity and Respect


‘I feel valued by others.’


What is meant by this?

The Service User is encouraged to maintain an acceptable standard of personal cleanliness in the home environment and is provided with confidential and secure services offered with courtesy, sensitivity and understanding.

This means the Service User:

  • Feels confident and optimistic that the service will assist in the improvement of identified aspects of their day to day life
  • Feels confident that Care Support Assistants support them to follow healthy eating options
  • Is satisfied the changes they had hoped to achieve had been realised and the balance between support and assistance is appropriate to their circumstances
  • Knows that information relating to them is only shared on a need to know basis
  • Is called by the name they choose
  • Is respected in their own home – items are not moved around without their agreement
  • Is entitled to have their privacy respected
  • Is confident that the Care Support Assistant has had the training they need
  • Feels safe with their Care Support Assistant
  • Feels happy and content
  • Is treated as an individual
  • Is treated with patience
  • Is kept informed if there is going to be a delay in providing the service
  • Has their views and opinions respected and acted upon

In order to achieve these outcomes, Plan Care will:


  • Operate policies and procedures to assist Care Support Assistants to understand the flexible nature of the service required, including a clear understanding of Service User expectations
  • Consult with Service Users about the choice of food and take account of spiritual and cultural preferences and Care Support Assistants are trained in healthy eating options and special dietary needs
  • Staff encourage Service Users to have pride in their living environment
  • Adopt a range of core values that inform the manner in which care staff approach the provision of the service

How will Plan Care support Service Users to achieve their outcomes?


During our initial visit to you we will discuss with you the outcomes you seek to achieve and agree with you how they are going to be measured. This will be recorded in your Support Plan.

On a regular basis we will talk to you about how your service is progressing and whether you feel your outcomes are being achieved. If there are changes that need to be made to your service we will discuss with you how you would like these to be implemented and over what timescale.