The citizen's voice in social care commissioning

The Citizen’s Voice in Social Care

Commissioning

HealthLearning

&Education

IdentityEmotional & BehaviouralDevelopment

Family &Social

Relationships

Social Presentation

Self-Care Skills

Looked After Children Placement FrameworkLooked After Children Placement Framework

Launched 1st May 2012All Wales Foster - 21 Providers - 3 years & 1yr option

South & Mid Wales Residential - 13 Providers- 2 years & 2yr option

First of its kind in Wales

• Collaboration of Commissioners, Procurement, Legal, WPC,CCSR & Value Wales

• First Use of SQUID for Social Care Contracting• Common Documentation & Process• Develop closer relationships & common aims• Re shaping/ Remodelling services• Better Outcomes for Looked after Children• Efficiency- Process and Value for Money

Young People having a Voice

• What were the Challenges?• How we did it?• What are the Benefits?• Where are we now?

What were the Challenges?• Needed to comply with Procurement & Legal

requirements for transparency and non-discrimination

• Professional Panel & Young People’s Panel as part of the procurement process

• Tender timetable versus availability of Young People• Working together with Professionals and Young

People across different Authorities• Planning & preparation time for developing

materials/training for Young People

How we did it?• Procurement & Legal part of the delivery team and

supporting service requirements• Initial Brief to Framework Authorities to participate

collaboratively • 3 L.A.’s Participating Officers worked with us & the Young

People to explore & share ideas • How many Young People & Providers would be involved?• Speed dating approach• Training and Reward for Young People• Workshop with Young People to understand process &

prepare questions

What are the benefits?• Process more dynamic with Young People being fully

engaged and valuing the part they played• Positive high profile- Children’s Commissioner guest

speaker at the launch and commended the process• Empowering Young People -Young People presented

their feedback at the launch in May 2012• Positive response by Providers • Continuing involvement of Young People – 360

degree monitoring• 4C’s exploring opportunities for a Young Person to

join the team

Young People Providing Experience

The Bike Exercise

What standards and outcomes would you expect from a bike?

Question – What makes a placement good?

- “To make the process better we need more of it – more time to get to know each other first and more time to evaluate it after.”

The 7 Outcomes

Health Learning & Education

Family &social Relationships

Emotion & Behavioural Development

Identity Social Presentation

Self-Care Skills

Outcomes For All Children

Physical Well-beingHealthy Choices

Educational AchievementSkills/Interests/HobbiesSupport; AccessPlay and InteractionSpecial Educational Needs met

StabilitySafe, Stable, affective and supportive relationships

Quality AttachmentsResilienceEmotional Health

Self ImageSelf esteemBelongingAcceptanceCultural Identity

Good Physical PresentationPositive Interactions

Stay SafeDevelop Life SkillsEmployment

Individual Outcomes

Dental HealthOptical HealthImmunityDietExercise

School AttendanceHomeworkExam AchievementMeasurable ResultsProactive Key AdultCarer relationships with schoolBooks; ITExtra-curricular Coaching

Placement StabilityContact with a significant adultPermanencyParents; Siblings; PeersExtended FamilySignificant Adults

FamilyCarersAdaptable to ChangeStress ManagementSelf Control; EmpathySubstance UseSexual Health

Sense of individualityRespectInterests and talentsSuccess; Sexual identityReligion; Language; EthnicityCommunity Heritage

DressGood hygiene and cleanlinessCommunity RolesSocial ConfidenceMeaningful participation in decisions that affect their lifeFreedom to express opinionsRisk taking

Free from abuse, exploitation and victimisationCrime FreeManaging FinancesSocial Problem SolvingSafe ChoicesPractical SkillsSelf Care SkillsIndependent Living Skills

An example of the templates used to construct the interview questions.

- “As care leavers we could see who the really great and the really not so great providers were and could have our voice taken into account”

Question – What makes a placement good?

Voting on the final 8 questions.

Speed Dating Format

Imagine…– 4 tables, – 9 young people, – 8 questions, – 1 bell– and having 3 minutes per table…

Did they answer the question? How good was their answer? Did they mention many things from the word bank?

Total:

Word bank Things that should be covered, discussed or mentioned

ANY COMMENTS:

5

O

1

2

3

4

5

O

1

2

3

4

Provider: Q. Q.1 If a LAC became pregnant while at one of your placements, how would you support the LAC during this period?

PRIORITY, SUPPORT, SAFETY, SECURITY, NOT ISOLATED, INFORMATION, FINANCE, PLACEMENT BREAKDOWN

A

Detailed answer. Gave great examples. Felt that they would offer excellent support.

Very friendly people.

x x

10

An example of the score cards used during the interviews.

Question – What do you think of today’s session?

- “It was great being involved in something that actually makes a difference.”

A final thought…

Where are we now?• 4C’s managing the Framework & monitoring performance• 4C’s using e-contract tools to conduct Outcomes survey• Process continues to be dynamic with Young People fully

engaged in monitoring Outcomes• Young People designed the Children & Young People’s part of

the 360 degree monitoring survey• Continue empowering Young People – One Young Person has

joined the 4C’s team• Young People will deliver a workshop at the January Provider

Forum to outline how they intend to monitor outcomes

Who we are

Sam

Shaun

Lulu pic – FUNKY CAT PUSS IN BOOTS

What we did????• We got involved – our first chance to make a

difference

• Made an online Survey – Young People who are looked after will be asked to share how they feel about where they live, the support they get and if its where they want to be

• The Survey is confidential, and Children and Young People’s feedback is important in shaping the future for Children in Care.

Sharing ideas

First steps

Team work

Young People devising the categories/questions

Our new logo

We marked our territory!!!!

We changed this…..

HEALTH4C’s

What 4C’s consider are the outcomes Physical Well-being• Healthy Choices•4C’s basic expectation for children & young People? Dental Health• Optical Health• Immunity• Diet• Exercise

YOUR TURN

What do you think are the important Outcomes around

HEALTH for children and young people who are Looked After?

Using ‘post-its’ jot down your ideas that you think are important

Agree on an Issue as a group

Q

Which was…………………

• Not suitable for an online survey• Language we didn't understand• Poor layout• Boring• Dull• Pink and green do not go!!!

And now is…….Healthy Eating Being Active Regular Check-ups

Are you encouraged to be Healthy?

New and improved

GoodYoung person friendlyRelevant“Ours”TeamworkBrought everyone together“We had our say”“Voices have been heard”Had fun

Being alive and Feeling Good - Health

Healthy Eating Being Active Regular Check-ups

Are you encouraged to be Healthy?

Happyhood – Emotional & Behavioural

Positive/Supportive EnvironmentHealthy Relationships Open about Feelings

How happy do you feel?Do you get the support you need when you are upset?

Know it all? – Learning and Education

School Friends Relationship with Teachers Respect Encouragement/Support Career Apprenticeship

Volunteering

Are you encouraged/supported to learn?

Stay safe, be aware - Safeguarding

Staying Safe Security Wellbeing

Do you feel safe?

Being Myself - Identity

Sexuality Religion Appearance Language

Are you free to be yourself?

Taking Part & Looking Good – Social Presentation

Appearance Clean Clothes HairHygiene Confidence Community Involvement

Are you encouraged to get involved?Are you supported to look the way you want?

Funky Living - Self Care Skills

Independent Living ResponsibilitiesSelf Hygiene Enjoying Life Respect

Are you encouraged to do things for yourself?

Belonging – Family & Social Relationships

Finding your place Non-Judgemental Making Friends

Do you feel at home where you live?

What we got out of it???

• Confidence and experience of shared working• Improved self esteem• How to break down barriers• Knowing other peoples opinions• Difference between res care and fostering• How far some professionals would go for YP in their care• Interview experience • The chance to make a difference• Surprise vouchers• Experience• That some SW’s are ok…..

What next???

• Training for providers – if they engage!!!!• Our Online survey goes live• More chances to get involved in the future• We want your jobs!!!!