Improving outcomes for service users in adult placement - Commissioning and care management
Introduction - Methodology
The project survey was carried out by Barrie Fiedler, independent social care consultant.
Half-day discussion groups, held in nine locations throughout England in November/December 2005, explored the views of commissioners, care managers/coordinators, service managers, scheme staff and others. Localities were selected to include local authority-run and independent schemes, a mix of size and type of council, and services covering all client groups (people with learning disabilities, physical and sensory disabilities, mental health problems and older people). The survey sought examples of good practice as well as strategies for tackling problems, and these messages are reflected in the practice points suggested in each section of the report.
Discussion group participants explored a number of questions arising from the findings of the first-stage SCIE study, including:
- what are the roles and responsibilities of care managers and of scheme staff in assessment, making care/service plans, ongoing support and review?
- what makes a good match between a prospective service user and adult placement carer, and what care management policies and practices help or hinder this?
- how important is formal person-centred planning in adult placement, whose job is it, and what are the barriers to achieving it?
- how important is the advocate/independent person in placement: what does it mean, and whose job is it to provide such advocacy?
- what does 'moving on’ mean for the service user, birth family, care manager/social worker, adult placement carer and scheme staff?
Following these discussion groups, a one-day meeting was convened to discuss these issues with the National Association of Adult Placement Services (NAAPS): North West adult placement carers group. Discussions also took place with methodology officers from CSCI’s Quality Performance Directorate, which is currently developing new adult placement inspection methodology (see Policy context) to consider issues arising from the two projects, which share the common aim of improving outcomes for people using adult placement services.
The brief for this project was based on the views of service users and adult placement carers interviewed for the first stage SCIE project. The 'personal outcome’ and 'essential inputs’ statements that CSCI developed with service users for their adult social care outcome framework were also taken into account. (CSCI’s new outcomes framework for performance assessment of adult social care, in line with White Paper requirements, is now available for consultation). (9). Service users were not directly interviewed for this second-stage SCIE project, which focused on the role of commissioning and care management in adult placement, although discussion group participants provided many stories about and opinions expressed by service users.
The names of individuals referred to in this report have been changed.