How personalisation led to the reshaping of Penumbra.

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

2 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

3 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.

4 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

5 Housing Support Aberdeen City Aberdeenshire Edinburgh City Falkirk Fife Glasgow North Lanarkshire Scottish Borders South Lanarkshire West Lothian Western Isles 5.5 million

6 Recovery Recovery isn t waiting for the storm to pass.. It s learning to dance in the rain..

7 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

8 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

9 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

10 Model for Improving Wellbeing

11 I.ROC - Measuring Wellbeing 4 Areas of HOPE 6 Point Scale 12 Wellbeing Indicators Recovery

12 Questionnaire

13 Guidance

14 Toolkit Personal Planning Tools Well-Being Tips Resource Links

15 i-roc

16 Service Change

17 Four Key Changes/Shifts 1.Passive recipient 2.Care 3.Services 4.Measuring outputs Student of wellbeing Coaching and learning Service Measuring outcomes

18 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.

19 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.

20 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

21 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.

22 Mental health Life Skills Safety and Comfort Physical Health Exercise and Activity Employment and Skills Personal Network Social Network Valuing Myself Participation and Control Self Mmgt Hope for the future Individual/Service/Organisation Results

23 Outcomes Based Approach

24 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.

25 Penumbra and SDS 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.

26 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

27 Thanks for listening Contact details: Graeme Henderson t / e. Web:

I.ROC & HOPE. Copyright Penumbra 2010

I.ROC & HOPE. Copyright Penumbra 2010 I.ROC & HOPE Welcome & Introductions Nigel Henderson, Chief Executive (e: nigel.henderson@penumbra.org.uk) (@sogalo) Jane Cumming, Development Manager (e: jane.cumming@penumbra.org.uk) @penumbra_jane)

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