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Partnership in Practice Agreement - Dundee City Council

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The Development<br />

of Services for<br />

People with Learn<strong>in</strong>g<br />

Disabilities and their<br />

Families <strong>in</strong> the<br />

<strong>City</strong> of <strong>Dundee</strong><br />

<strong>Partnership</strong> <strong>in</strong> <strong>Practice</strong><br />

2007-2010


THE DEVELOPMENT OF<br />

SERVICES FOR PEOPLE WITH<br />

LEARNING DISABILITIES AND<br />

THEIR FAMILIES IN THE CITY OF<br />

DUNDEE<br />

PARTNERSHIP IN PRACTICE (PIP)<br />

AGREEMENT 2007-2010<br />

PARTNERSHIP IN PRACTICE 2007-2010 1


The partners to this agreement are:<br />

• <strong>Dundee</strong> <strong>City</strong> <strong>Council</strong><br />

• NHS Tayside<br />

2 PARTNERSHIP IN PRACTICE 2007-2010<br />

PARTNERS<br />

• <strong>Dundee</strong> Community Health <strong>Partnership</strong><br />

• Advocat<strong>in</strong>g Together SAY Project<br />

• <strong>Dundee</strong> College<br />

• Voluntary organisations and private sector agencies who play an<br />

essential part <strong>in</strong> support<strong>in</strong>g people with a learn<strong>in</strong>g disability <strong>in</strong><br />

<strong>Dundee</strong>.


CONTENTS<br />

Introduction ..................................................................................... 4<br />

The Seven Pr<strong>in</strong>ciples ....................................................................... 5<br />

1. Involvement <strong>in</strong> plann<strong>in</strong>g the PIP and other services 6<br />

2. Tak<strong>in</strong>g Control and Stand<strong>in</strong>g Up for Yourself 8<br />

3. Leav<strong>in</strong>g School 11<br />

4. Mov<strong>in</strong>g On 13<br />

5 Liv<strong>in</strong>g Your Life 15<br />

• Employment and Learn<strong>in</strong>g<br />

• Leisure and Relationships<br />

6. Support<strong>in</strong>g Families 18<br />

7. Keep<strong>in</strong>g Healthy 20<br />

• Community Health Services<br />

• Hospital Services<br />

8. Be<strong>in</strong>g Safe 23<br />

9. Gett<strong>in</strong>g About 25<br />

10. Complex Needs: Profound & Multiple Learn<strong>in</strong>g<br />

Disabilities ............................................. 27<br />

11. Complex Needs: Autistic Spectrum Disorder .................. 29<br />

12. Complex Needs: People with Behaviour that<br />

Challenges Services ............................... 31<br />

APPENDIX 1................................................................................ 33<br />

PARTNERSHIP IN PRACTICE 2007-2010 3


Introduction<br />

This is the third <strong>Partnership</strong> In <strong>Practice</strong> agreement (or PIP) for<br />

<strong>Dundee</strong>. It is the plan for develop<strong>in</strong>g services to support people<br />

with learn<strong>in</strong>g disabilities and their families <strong>in</strong> <strong>Dundee</strong> from 2007<br />

to 2010.<br />

The <strong>Partnership</strong> <strong>in</strong> <strong>Practice</strong> agreement (PIP) is an agreement<br />

between <strong>Dundee</strong> <strong>City</strong> <strong>Council</strong>, NHS Tayside, <strong>Dundee</strong><br />

Community Health <strong>Partnership</strong> and other partners. It sets<br />

out plans for care and health services, but it also has plans<br />

for improv<strong>in</strong>g the support available to people with learn<strong>in</strong>g<br />

disabilities and their families and carers <strong>in</strong> other areas, which<br />

are important to them. These other areas <strong>in</strong>clude hous<strong>in</strong>g,<br />

education, employment, leisure and transport.<br />

The need for <strong>Partnership</strong> <strong>in</strong> <strong>Practice</strong> agreements was the first<br />

recommendation of the national review of services for learn<strong>in</strong>g<br />

disabilities <strong>in</strong> Scotland, which was called “The Same As You?”<br />

“The Same As You?” said that there were seven pr<strong>in</strong>ciples that<br />

should be used to support people with learn<strong>in</strong>g disabilities to<br />

lead full and active lives. They are the guide for learn<strong>in</strong>g disability<br />

services <strong>in</strong> <strong>Dundee</strong>, and the pr<strong>in</strong>ciples on which this <strong>Partnership</strong><br />

<strong>in</strong> <strong>Practice</strong> agreement is based.<br />

4 PARTNERSHIP IN PRACTICE 2007-2010


The Seven Pr<strong>in</strong>ciples<br />

People with learn<strong>in</strong>g disabilities should:<br />

• be valued <strong>in</strong> the same way and have the same rights as everyone else<br />

• be seen as <strong>in</strong>dividual people with <strong>in</strong>dividual needs like anyone else, and have<br />

help with writ<strong>in</strong>g, talk<strong>in</strong>g and mak<strong>in</strong>g their ideas heard<br />

• be asked about the services they need and be <strong>in</strong>volved <strong>in</strong> mak<strong>in</strong>g choices<br />

about what they want<br />

• be helped and supported to do everyth<strong>in</strong>g they can and have services which<br />

allow as much freedom as possible<br />

• be able to use the same local services as everyone else, wherever possible<br />

• have special services if they need them as well as and not <strong>in</strong>stead of general<br />

services<br />

• have services, which take account of their age.<br />

The council, NHS board and their partners recognise that people with a learn<strong>in</strong>g<br />

disability and their carers are a diverse group of people and that services need to<br />

take account of peoples age, gender, religion, disability, ethnic background and<br />

sexual preferences.<br />

The <strong>Council</strong>, NHS Board and their partners also recognise the crucial part that<br />

carers play <strong>in</strong> the lives of people with learn<strong>in</strong>g disabilities <strong>in</strong> <strong>Dundee</strong>. This agreement<br />

is <strong>in</strong>tended to reflect the core pr<strong>in</strong>ciple <strong>in</strong> the Scottish Executive report, “The<br />

future of unpaid care <strong>in</strong> Scotland”, that there should be:<br />

• recognition and respect for unpaid carers as key partners and providers <strong>in</strong><br />

the plann<strong>in</strong>g, design and delivery of care.<br />

PARTNERSHIP IN PRACTICE 2007-2010 5


1<br />

1.<br />

Involvement <strong>in</strong> plann<strong>in</strong>g the PIP and other<br />

services<br />

The last PIP said:<br />

• we would ma<strong>in</strong>ta<strong>in</strong> good l<strong>in</strong>ks with parents, carers and families through<br />

mean<strong>in</strong>gful consultation and <strong>in</strong>volvement <strong>in</strong> the strategic plann<strong>in</strong>g of<br />

services<br />

• we would <strong>in</strong>troduce an Involvement Strategy to <strong>in</strong>volve service users and<br />

carers <strong>in</strong> the PIP implementation<br />

• we would <strong>in</strong>volve service users and families <strong>in</strong> tra<strong>in</strong><strong>in</strong>g.<br />

What have we done?<br />

• we have published a User Involvement Policy<br />

• we have gathered the views of a large number of groups and <strong>in</strong>dividuals to<br />

help us write the <strong>Partnership</strong> <strong>in</strong> <strong>Practice</strong> agreement<br />

• we have organised a forum for people who provide services to give their<br />

op<strong>in</strong>ion.<br />

What do you th<strong>in</strong>k?<br />

• people th<strong>in</strong>k these events are a good start and would like to see this<br />

cont<strong>in</strong>ue<br />

• people that use services, their carers and other stakeholders would like to<br />

see better <strong>in</strong>formation about what is available.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will establish a Communication and Involvement Group to take the work<br />

forward<br />

6 PARTNERSHIP IN PRACTICE 2007-2010


• we will implement the User Involvement Policy <strong>in</strong> the Learn<strong>in</strong>g Disability<br />

Service and plann<strong>in</strong>g process<br />

• we will look at how to improve communication with stakeholders<br />

• we will facilitate the Providers’ Forum<br />

• we will hold annual events to review the PIP agreement<br />

• we will improve <strong>in</strong>formation about all areas of the service for service users,<br />

carers, families, staff and other agencies. We will provide this <strong>in</strong>formation <strong>in</strong><br />

pla<strong>in</strong> language, <strong>in</strong> an accessible format and ensure that it conta<strong>in</strong>s <strong>in</strong>formation<br />

about the translation service<br />

• we will cont<strong>in</strong>ue to ensure that we actively seek the views of people from<br />

all sections of the community and <strong>in</strong> particular that we seek the views of<br />

people of different ages, genders, religions, disabilities, ethnic backgrounds<br />

and sexual preferences.<br />

PARTNERSHIP IN PRACTICE 2007-2010 7<br />

1


2<br />

2. Tak<strong>in</strong>g Control and Stand<strong>in</strong>g Up for Yourself<br />

The last PIP said:<br />

• people should have access to the <strong>in</strong>formation and support they need to know<br />

the options they have and make their views known<br />

• people need to have more control over their own lives and should be able<br />

to access direct payments if they want.<br />

What have we done?<br />

• <strong>in</strong> <strong>Dundee</strong> 283 people with learn<strong>in</strong>g disabilities now have personal plans<br />

and 3 are receiv<strong>in</strong>g direct payments. Some people get money from the<br />

Independent Liv<strong>in</strong>g Fund (ILF)<br />

• we have reviewed advocacy services<br />

• the SAY Group at Advocat<strong>in</strong>g Together has been talk<strong>in</strong>g with people who<br />

are ready to leave school about a number of issues, and there is a ‘Your Say’<br />

newsletter that provides <strong>in</strong>formation to people.<br />

What do you th<strong>in</strong>k?<br />

• people with learn<strong>in</strong>g disabilities <strong>in</strong> <strong>Dundee</strong> th<strong>in</strong>k that hav<strong>in</strong>g <strong>in</strong>dependent<br />

advocates is a good idea because it helps them speak up for themselves.<br />

They also th<strong>in</strong>k that self advocacy is a good idea. They would like to see<br />

more of both<br />

• some people have experience of a high turnover of workers and want a<br />

longer term commitment from <strong>in</strong>dependent advocates<br />

• there are different views about the role of advocacy. Some people see<br />

Advocates as help<strong>in</strong>g people make their views known and others thought<br />

they had a role to safeguard people’s rights<br />

• it is seen as positive that Independent Advocacy services have been reviewed<br />

so that there will be a better idea of the services that are still needed, and<br />

how to organise them<br />

8 PARTNERSHIP IN PRACTICE 2007-2010


• some people with learn<strong>in</strong>g disabilities and family carers have not heard of<br />

Independent Advocacy or self advocacy, and do not know what it can do or<br />

where to get a service. They would like better <strong>in</strong>formation to be available<br />

• there is a lot of support for person centered plann<strong>in</strong>g<br />

• lots of people with learn<strong>in</strong>g disabilities and carers have experience of be<strong>in</strong>g<br />

<strong>in</strong>volved <strong>in</strong> plann<strong>in</strong>g their support <strong>in</strong> various ways<br />

• there needs to be one name adopted for personal plans and people should<br />

have one plan that moves with them<br />

• people would like more <strong>in</strong>formation about direct payments and the<br />

Independent Liv<strong>in</strong>g Fund (ILF)<br />

• concern is expressed that that the amount of money available for direct<br />

payments is too low and does not take <strong>in</strong>to account th<strong>in</strong>gs such as tra<strong>in</strong><strong>in</strong>g,<br />

or a salary structure which enables staff to progress year on year<br />

• it is also felt that there is too much bureaucracy around direct payments.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will set up a sub group of the PIP implementation group around Be<strong>in</strong>g<br />

Heard and Be<strong>in</strong>g In Control. This group will feed <strong>in</strong>to the Review of Advocacy<br />

Services and take forward the work on advocacy, person centred plann<strong>in</strong>g<br />

and direct payments.<br />

• we will complete the review of advocacy services and clarify the role and<br />

functions of all types of advocacy for people will with learn<strong>in</strong>g disabilities and<br />

their carers <strong>in</strong> <strong>Dundee</strong>. This will <strong>in</strong>clude self advocacy. We will restructure<br />

advocacy services to make the best use of resources, and seek to look at the<br />

issues of recruitment and the tra<strong>in</strong><strong>in</strong>g of advocates. The Communication<br />

and Involvement sub group will develop <strong>in</strong>formation for service users, carers<br />

and staff about advocacy services and provide details about where and how<br />

to get advocacy<br />

PARTNERSHIP IN PRACTICE 2007-2010 9<br />

2


2<br />

• we will appo<strong>in</strong>t a direct payment/ILF worker to make this available to more<br />

people. Along with other services, we will review the procedures and<br />

systems for direct payments and simplify these wherever possible. We will<br />

look to improve the <strong>in</strong>formation we provide about both direct payments<br />

and ILF<br />

• we will review the provision of Person Centered Plans (PCP) <strong>in</strong> the Learn<strong>in</strong>g<br />

Disability Service <strong>in</strong> <strong>Dundee</strong> and develop a system <strong>in</strong> which there is one<br />

Person Centered Plan. We will develop a tra<strong>in</strong><strong>in</strong>g programme to ensure a<br />

more coord<strong>in</strong>ated approach to Person Centered Plann<strong>in</strong>g<br />

• we will cont<strong>in</strong>ue to support the development of self advocacy as it is particularly<br />

important that people with learn<strong>in</strong>g disabilities have the confidence and are<br />

supported to communicate and speak up for themselves<br />

• we will cont<strong>in</strong>ue to look at ways to actively promote equality of opportunity<br />

for people to be heard and be <strong>in</strong> control of their lives.<br />

10 PARTNERSHIP IN PRACTICE 2007-2010


3.<br />

Leav<strong>in</strong>g School<br />

The last PIP said:<br />

• leav<strong>in</strong>g school is a big change <strong>in</strong> someone’s life and people should be supported<br />

through leav<strong>in</strong>g school and becom<strong>in</strong>g an adult.<br />

What have we done?<br />

• the college have appo<strong>in</strong>ted a transition worker<br />

• we have brought a group together to look at the issues for people leav<strong>in</strong>g<br />

school<br />

• the SAY reps from Advocat<strong>in</strong>g Together have been talk<strong>in</strong>g to people who<br />

have just left or are about to leave school to f<strong>in</strong>d out what they th<strong>in</strong>k<br />

• An event was organised for people to get more <strong>in</strong>formation<br />

• we have established a Transition Group.<br />

What do you th<strong>in</strong>k?<br />

• people th<strong>in</strong>k it is important that school leavers are well supported as it is a<br />

highly stressful time for them<br />

• people need support to prepare for the future <strong>in</strong>clud<strong>in</strong>g further education,<br />

tra<strong>in</strong><strong>in</strong>g, day and leisure activities, supports for daily liv<strong>in</strong>g and short break<br />

services. A range of opportunities and choices is needed. After fulltime<br />

education, which is wholly funded for young people, there are high<br />

expectations of future support which can be disappo<strong>in</strong>t<strong>in</strong>g<br />

• it is good that school leavers are receiv<strong>in</strong>g services but there is a need for<br />

significant service development<br />

• more <strong>in</strong>formation is needed regard<strong>in</strong>g the transition to adulthood.<br />

PARTNERSHIP IN PRACTICE 2007-2010 11<br />

3


3<br />

What improvements do we plan to make over the next three<br />

years?<br />

• a transition sub group of the PIP implementation group will take the work<br />

forward<br />

• we will implement the recommendations of the SAY group report on<br />

transition<br />

• we will improve <strong>in</strong>formation and <strong>in</strong>clude <strong>in</strong>formation about specialist health<br />

services and about the benefit system and how benefits are affected by<br />

further education and employment<br />

• we will develop procedures<br />

and pathways to improve<br />

the experience of transition<br />

and promote equality of<br />

opportunity and diversity<br />

• we will organise<br />

opportunities for young<br />

people to try out adult<br />

resources<br />

• we will look at the<br />

possibility of identify<strong>in</strong>g<br />

a transition budget by<br />

reconfigur<strong>in</strong>g budgets<br />

• we will develop<br />

resources that will<br />

support people <strong>in</strong> their<br />

life choices.<br />

12 PARTNERSHIP IN PRACTICE 2007-2010


4.<br />

Mov<strong>in</strong>g On<br />

The last PIP said:<br />

• we would develop more accommodation with support for people leav<strong>in</strong>g<br />

home<br />

• there will be support for people to leave hospital<br />

• make sure people leav<strong>in</strong>g hospital are able to access advocacy.<br />

What have we done?<br />

• there are now 126 people liv<strong>in</strong>g <strong>in</strong> their own houses with support<br />

• plans are underway for 15 people to leave hospital <strong>in</strong>clud<strong>in</strong>g peer<br />

mentor<strong>in</strong>g<br />

• 30 more houses with support will be developed by 2008<br />

• some people with learn<strong>in</strong>g disabilities have moved to Hous<strong>in</strong>g with Care and<br />

Very Sheltered Hous<strong>in</strong>g and we are evaluat<strong>in</strong>g the success of this.<br />

What do you th<strong>in</strong>k?<br />

• people with learn<strong>in</strong>g disabilities should be supported for as long as they want<br />

to live at home. It is excellent that people are not <strong>in</strong>stitutionalised as they<br />

were years ago, and that more people are liv<strong>in</strong>g <strong>in</strong> the community. Some<br />

carers want to cont<strong>in</strong>ue to support their family members at home, while<br />

others want their family members settled before the carers become unable<br />

to support them<br />

• more houses need to be available for those with vary<strong>in</strong>g degrees of need<br />

<strong>in</strong>clud<strong>in</strong>g houses with support for people with a profound and multiple<br />

learn<strong>in</strong>g disabilities. It is felt to be important that as much priority is given to<br />

people liv<strong>in</strong>g at home with older parents as to people <strong>in</strong> hospital<br />

• one model does not suit all and there needs to be a range of hous<strong>in</strong>g and<br />

support to meet people’s needs, wishes and ambitions. Some people want<br />

their own place - others would f<strong>in</strong>d this lonely and want a shared place<br />

PARTNERSHIP IN PRACTICE 2007-2010 13<br />

4


4<br />

• people who are mov<strong>in</strong>g to their own homes should be well prepared for this<br />

and given support to access accommodation, good <strong>in</strong>formation and realistic<br />

dates to move. Care staff <strong>in</strong> supported liv<strong>in</strong>g sett<strong>in</strong>gs should be tra<strong>in</strong>ed to<br />

support <strong>in</strong>dividuals to develop <strong>in</strong>dependent liv<strong>in</strong>g skills and not just do th<strong>in</strong>gs<br />

for people.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will establish a sub group of the PIP implementation group to look at<br />

Mov<strong>in</strong>g On<br />

• the SAY reps will undertake some focused work on this area to identify what<br />

people want<br />

• we will develop 15 accommodation with support places as part of the f<strong>in</strong>al<br />

phase of resettlement from long stay hospital by 2008<br />

• we will develop 30 additional accommodation with support places by 2008<br />

• we will extend the very sheltered hous<strong>in</strong>g and hous<strong>in</strong>g with care pilots to<br />

make this another option for people with a learn<strong>in</strong>g disability<br />

• we will develop a commission<strong>in</strong>g strategy<br />

• we will develop eligibility criteria and a fair system of allocation of<br />

accommodation with support<br />

• we will improve the<br />

<strong>in</strong>formation that is available to<br />

staff, service users and families<br />

about accommodation with<br />

support<br />

• we will cont<strong>in</strong>ue to monitor<br />

the quality of accommodation<br />

with support and ensure that<br />

services promote equality of<br />

opportunity and diversity.<br />

14 PARTNERSHIP IN PRACTICE 2007-2010


5.<br />

Liv<strong>in</strong>g Your Life<br />

The last PIP said:<br />

• work<strong>in</strong>g, go<strong>in</strong>g to college, hav<strong>in</strong>g fun, go<strong>in</strong>g on holiday and hav<strong>in</strong>g a life...<br />

services need to be provided <strong>in</strong> response to Person Centred Plann<strong>in</strong>g and<br />

support people to be part of the community <strong>in</strong> a mean<strong>in</strong>gful way<br />

• if people want to carry on with their education or get a job when they<br />

leave school or when they are older there should be opportunities to do<br />

that.<br />

What have we done?<br />

• we are work<strong>in</strong>g with <strong>Dundee</strong> College to agree how to support people to<br />

go to college <strong>in</strong> the <strong>Partnership</strong> Matters <strong>Agreement</strong>. More people with<br />

learn<strong>in</strong>g disabilities and Autistic Spectrum Disorders are now supported to<br />

attend college <strong>in</strong> <strong>Dundee</strong>. The college have appo<strong>in</strong>ted a transition worker<br />

to help people move from school to college<br />

• a third “Out & About Service” has started<br />

• we have a new cafe at Kemback Street that service users work <strong>in</strong><br />

• there is now a Transition Group that looks at how to support people leav<strong>in</strong>g<br />

school. We are review<strong>in</strong>g all the services that we buy <strong>in</strong> to support people<br />

• Advocat<strong>in</strong>g Together are help<strong>in</strong>g us to review services. Services be<strong>in</strong>g<br />

provided at Hawkhill Day Hospital are currently be<strong>in</strong>g reviewed<br />

• we have <strong>in</strong>creased the number of people receiv<strong>in</strong>g an enabler service.<br />

What do you th<strong>in</strong>k?<br />

• it is appreciated that a lot to work has gone <strong>in</strong>to help<strong>in</strong>g people live their<br />

lives, and many people have benefited from this, but there is still a lot to do<br />

to provide a higher quality of life. The life choices presented and available to<br />

school leavers with learn<strong>in</strong>g disabilities still appear to be much more limited<br />

than for other young people of the same age<br />

PARTNERSHIP IN PRACTICE 2007-2010 15<br />

5


5<br />

• we are aware that many people have attended college and had positive<br />

experiences. A number of people with Autistic Spectrum Disorders now<br />

attend college study<strong>in</strong>g a wide range of ma<strong>in</strong>stream courses and special<br />

programmes. People would like to see this cont<strong>in</strong>ue to develop<br />

• people would like to see more opportunities for adult learn<strong>in</strong>g <strong>in</strong> the<br />

community <strong>in</strong> a variety of places<br />

• it has been suggested that stronger l<strong>in</strong>ks between further education and<br />

employment would also be a beneficial development<br />

• it is good to have day supports which open up opportunities and staff who<br />

th<strong>in</strong>k and plan services around <strong>in</strong>dividuals<br />

• people with learn<strong>in</strong>g disabilities want much more choice about where they<br />

can take holidays<br />

• more needs to be done about support<strong>in</strong>g people to access with full and parttime<br />

employment and volunteer<strong>in</strong>g.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will set up two sub groups of the PIP implementation group to take the<br />

work forward.<br />

Employment and Learn<strong>in</strong>g<br />

• we will establish an Employment and Learn<strong>in</strong>g sub group to take the work<br />

forward<br />

• we will commission an “In College Support Service” to support people at<br />

college<br />

• we will engage with wider community plann<strong>in</strong>g to promote more opportunities<br />

<strong>in</strong> work and volunteer<strong>in</strong>g<br />

• we will promote the need for greater variety <strong>in</strong> adult learn<strong>in</strong>g opportunities<br />

<strong>in</strong> the community<br />

16 PARTNERSHIP IN PRACTICE 2007-2010


• <strong>Dundee</strong> College will cont<strong>in</strong>ue to develop their provision <strong>in</strong> employability and<br />

life long learn<strong>in</strong>g<br />

• we will cont<strong>in</strong>ue to monitor the quality of support services and promote<br />

equality of opportunity and diversity <strong>in</strong> our services.<br />

Leisure and Relationships<br />

• we will establish a Leisure and Relationship sub group to take the work<br />

forward<br />

• we will <strong>in</strong>vestigate ways to promote a range of mean<strong>in</strong>gful relationships<br />

• we will review the provision of day opportunities<br />

• we will develop Kemback Street to make it accessible for people with<br />

Profound and Multiple Learn<strong>in</strong>g Disabilities (PMLD)<br />

• we will develop a commission<strong>in</strong>g strategy for support services<br />

• we will develop eligibility criteria and a fair system of allocation for support<br />

services<br />

• we will promote <strong>in</strong>novative short breaks such as holidays<br />

• we will cont<strong>in</strong>ue to monitor the quality of support services and promote<br />

equality of opportunity and diversity.<br />

PARTNERSHIP IN PRACTICE 2007-2010 17<br />

5


6<br />

6.<br />

Support<strong>in</strong>g Families<br />

The last PIP said:<br />

• we will aim to make sure that carers of a people with a learn<strong>in</strong>g disability are<br />

treated as partners <strong>in</strong> provid<strong>in</strong>g care and that they are <strong>in</strong>volved <strong>in</strong> service<br />

plann<strong>in</strong>g.<br />

What have we done?<br />

• we have been ask<strong>in</strong>g carers more often what they th<strong>in</strong>k of services<br />

• a Carer’s Strategy has been completed<br />

• there is a Profound and Multiple Learn<strong>in</strong>g Disability Carers’ Group with<br />

representation on our plann<strong>in</strong>g groups<br />

• we can pay someone to look after the person cared for and some other<br />

expenses to allow carers to attend plann<strong>in</strong>g events<br />

• we have two full time local area co-ord<strong>in</strong>ators who work <strong>in</strong> Stobswell and<br />

Hilltown Areas to support families<br />

• 41 carers have been offered an assessment of their needs<br />

• Fleuchar Street Respite is now open 7 days a week.<br />

What do you th<strong>in</strong>k?<br />

• people speak very positively about the progress that has been made with<br />

short break services <strong>in</strong> <strong>Dundee</strong> and they are very pleased with the Respite<br />

Service at Fleuchar Street, but they would like to see someth<strong>in</strong>g more<br />

appropriate for people who need less support<br />

• the developments have made a good start but there is a long way to go.<br />

More short break services are required to meet carers’ needs, <strong>in</strong>clud<strong>in</strong>g<br />

special circumstances such as emergencies<br />

18 PARTNERSHIP IN PRACTICE 2007-2010


• the strategy for carers <strong>in</strong>clud<strong>in</strong>g those support<strong>in</strong>g people with profound and<br />

multiple learn<strong>in</strong>g disabilities (PMLD) has helped carers understand what<br />

services are available, but there are still carers who are unaware how to<br />

access support<br />

• particular thought needs to be given to how older carers are supported.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will set up a Support<strong>in</strong>g Families sub group of the PIP implementation<br />

group to take the work forward<br />

• we will provide additional short breaks at the White Top Centre<br />

• we will develop an alternative resource for people with mild/moderate<br />

learn<strong>in</strong>g disabilities to provide breaks 52 weeks a year<br />

• we will develop an emergency service<br />

• we will develop eligibility criteria and an allocation system for short breaks<br />

• we will develop a commission<strong>in</strong>g strategy<br />

• we will improve <strong>in</strong>formation about short breaks<br />

• cont<strong>in</strong>ue to ensure a high quality of service and promote equality of opportunity<br />

and diversity<br />

• we will look at ways to support people who are car<strong>in</strong>g for someone who are<br />

hard to engage<br />

• we will review and develop the Local Area Coord<strong>in</strong>ation Service<br />

• we will implement car<strong>in</strong>g at home and your plans for the future.<br />

PARTNERSHIP IN PRACTICE 2007-2010 19<br />

6


7<br />

7 Keep<strong>in</strong>g Healthy<br />

The last PIP said:<br />

• people with a learn<strong>in</strong>g disability should be supported to be as healthy as<br />

possible and should be able to get services they need <strong>in</strong>clud<strong>in</strong>g specialist<br />

services, health promotion, primary care and dentistry.<br />

What have we done?<br />

• there is a specialist nurse <strong>in</strong> place to support you if you have to go to<br />

hospital<br />

• we are develop<strong>in</strong>g a jo<strong>in</strong>t team for community learn<strong>in</strong>g disability nurses,<br />

allied health professionals and social work staff<br />

• community learn<strong>in</strong>g disability nurses organise cl<strong>in</strong>ics, health groups, and<br />

support you if you have to go to your GP or other health appo<strong>in</strong>tments<br />

• people with learn<strong>in</strong>g disabilities are able to access health promotion resources<br />

and materials.<br />

What do you th<strong>in</strong>k about community health services?<br />

• with<strong>in</strong> the community there appears to be effective co-work<strong>in</strong>g between<br />

community health staff and other agencies<br />

• various specialist resources, such as well woman cl<strong>in</strong>ics, dietetics and health<br />

checks, provide a good service to people with learn<strong>in</strong>g disabilities<br />

• positive comments were made about contact with some GPs and dentists,<br />

but there is scope for improvement <strong>in</strong> responses from others<br />

• there is a shortage of allied health professionals <strong>in</strong> the community, and some<br />

people are still fall<strong>in</strong>g through the net and don’t know about the specialist<br />

services available.<br />

20 PARTNERSHIP IN PRACTICE 2007-2010


What improvements do we plan to make over the next three<br />

years?<br />

• we will establish a Be<strong>in</strong>g Healthy sub group to take the work forward<br />

• we will develop the <strong>in</strong>tegrated team<br />

• we will promote good health among people with learn<strong>in</strong>g disabilities and<br />

their carers through the provision of health promotion materials <strong>in</strong> various<br />

formats, tra<strong>in</strong><strong>in</strong>g, healthy eat<strong>in</strong>g and exercise<br />

• we will provide for annual health checks for people with learn<strong>in</strong>g disabilities<br />

• we will improve <strong>in</strong>formation about services <strong>in</strong> pla<strong>in</strong> language and accessible<br />

format<br />

• we will promote equality of opportunity and diversity <strong>in</strong> health provision.<br />

What do you th<strong>in</strong>k about hospital services?<br />

• the way <strong>in</strong> which hospital and community health services work for people<br />

with learn<strong>in</strong>g disabilities has improved <strong>in</strong> recent years. The ‘All About Me’<br />

document has proved to be excellent for use <strong>in</strong> hospitals<br />

• while people value the way many doctors, nurses and health professionals<br />

listen to and communicate with people who have learn<strong>in</strong>g disabilities and<br />

their carers, there is still scope for much improvement by some professionals<br />

and health services<br />

• carers sometimes f<strong>in</strong>d that much more support is needed than is available to<br />

attend cl<strong>in</strong>ics, <strong>in</strong>-patient services and with emergencies<br />

• there are particular issues with PMLD service users and also with<br />

communication or behaviour problems. There needs to be more tra<strong>in</strong><strong>in</strong>g<br />

for hospital nurses regard<strong>in</strong>g people with complex needs. The support now<br />

provided by the specialist liaison nurse at local hospitals is good but this<br />

needs to be developed and more widely advertised.<br />

PARTNERSHIP IN PRACTICE 2007-2010 21<br />

7


7<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will cont<strong>in</strong>ue to work with hospital staff to improve the service provided<br />

for people with learn<strong>in</strong>g disabilities<br />

• we will promote the need for more tra<strong>in</strong><strong>in</strong>g for health service workers to<br />

assist with people with PLMD when they have to attend hospital<br />

• we will re-evaluate the potential for develop<strong>in</strong>g ‘hand held records’ and<br />

‘health passports’ with<strong>in</strong> the context of a development <strong>in</strong> <strong>in</strong>formation and<br />

communication technology which have taken place s<strong>in</strong>ce the proposals were<br />

first considered.<br />

22 PARTNERSHIP IN PRACTICE 2007-2010


8. Be<strong>in</strong>g Safe<br />

The last PIP said:<br />

• people with a learn<strong>in</strong>g disability should be protected from abuse, exploitation<br />

and harm.<br />

What have we done?<br />

• wehavecarriedoutamulti-agencycasefileauditresult<strong>in</strong>g<strong>in</strong>recommendations<br />

for change<br />

• risk management arrangements are <strong>in</strong> place for people with a learn<strong>in</strong>g<br />

disability who pose a risk to others<br />

• risk assessment tra<strong>in</strong><strong>in</strong>g has been arranged for staff<br />

• there is an appropriate adult scheme to support people who are <strong>in</strong>volved<br />

with the police<br />

• arrangements have been put <strong>in</strong> place to protect vulnerable adults.<br />

What do you th<strong>in</strong>k?<br />

• there are two ma<strong>in</strong> issues - protection from abuse and exploitation, and<br />

protection from harassment and bully<strong>in</strong>g<br />

• risk assessment and risk management need to be <strong>in</strong>cluded <strong>in</strong> personal plans<br />

to more effectively protect <strong>in</strong>dividuals from abuse<br />

• there requires to be greater consistency <strong>in</strong> the way services respond to<br />

allegations of abuse, exploitation and harm<br />

• staff at all levels and <strong>in</strong> all services require tra<strong>in</strong><strong>in</strong>g about practice and<br />

procedures, and staff need good support<br />

• service users, carers and service providers need to know more about<br />

arrangements to protect vulnerable adults <strong>in</strong>clud<strong>in</strong>g those unable to speak<br />

for themselves<br />

PARTNERSHIP IN PRACTICE 2007-2010 23<br />

8


8<br />

• work is needed on what needs to be done <strong>in</strong> <strong>Dundee</strong> to elim<strong>in</strong>ate namecall<strong>in</strong>g<br />

and harassment which people with learn<strong>in</strong>g disabilities receive <strong>in</strong><br />

public places.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will establish an adult protection committee and implement the Adult<br />

Support and Protection Act and new National Code of <strong>Practice</strong>. We will<br />

implement the recommendations of the local audits and which have been<br />

carried out, and use the risk assessment and protection plan formats, which<br />

have been developed locally as part of a national project<br />

• we will develop a multi-discipl<strong>in</strong>ary and multi agency tra<strong>in</strong><strong>in</strong>g on the new<br />

laws and on best practice<br />

• we will develop ways to support people with learn<strong>in</strong>g disabilities to protect<br />

themselves and be safe<br />

• we will work with agencies we commission services from to ensure that<br />

they operate fully with<strong>in</strong> the arrangements for adult protection<br />

• we will work with<strong>in</strong> <strong>Dundee</strong> <strong>City</strong> <strong>Council</strong>, NHS Tayside and with other<br />

agencies <strong>in</strong>clud<strong>in</strong>g the police and transport providers to raise awareness of<br />

the problem and reduce the level of casual harassment <strong>in</strong> public places. We<br />

will ensure that we feed <strong>in</strong>formation <strong>in</strong>to the community plann<strong>in</strong>g groups that<br />

meet <strong>in</strong> local areas about issues affect<strong>in</strong>g people with a learn<strong>in</strong>g disability<br />

• we will work with our partners to ensure we meet the needs of people<br />

from socially excluded groups.<br />

24 PARTNERSHIP IN PRACTICE 2007-2010


9 Gett<strong>in</strong>g About<br />

The last PIP said:<br />

• people with a learn<strong>in</strong>g disability need to be able to get about to participate<br />

<strong>in</strong> the community.<br />

What have we done?<br />

• we have developed a monitor<strong>in</strong>g system for taxi use to make sure we get<br />

value for money<br />

• a local authority best value review of transport has been undertaken by the<br />

plann<strong>in</strong>g and transportation department<br />

• support staff and Tayside Police help people travel safely on their own.<br />

What do you th<strong>in</strong>k?<br />

• it is important that people with disabilities are given the opportunity to<br />

get out and about. It makes them part of the community. Positive steps<br />

forward have been made with transport. Positive comments are made<br />

about police <strong>in</strong>volvement, although some people question the value of road<br />

safety assessments. Some people could be encouraged and supported to<br />

travel <strong>in</strong>dependently and this could <strong>in</strong>crease resources for others<br />

• the attitudes of bus and taxi drivers vary greatly. Many of them are very<br />

helpful, especially those who have regular contact with people who have<br />

learn<strong>in</strong>g disabilities. Awareness rais<strong>in</strong>g is required more rout<strong>in</strong>ely <strong>in</strong> these<br />

services. The taxi card voucher system is thought to be a very good scheme,<br />

but some drivers need to learn more about it. It would be helpful if the taxi<br />

card and bus pass systems could be l<strong>in</strong>ked, and <strong>in</strong>formation was more widely<br />

available about both schemes<br />

• concerns are expressed about the availability of wheelchair accessible taxis<br />

especially at peak times. The experience of lack of accessibility is also found<br />

with bus services, which seriously limits some people’s <strong>in</strong>dependence of<br />

travel<br />

PARTNERSHIP IN PRACTICE 2007-2010 25<br />

9


9<br />

• there is concern about the social stigma of some transport<br />

• transport arrangements to and from day care need to be improved. People<br />

are sitt<strong>in</strong>g on buses for too long while other passengers are collected.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will establish a Transport sub group to take forward the work<br />

• we will look at ways <strong>in</strong> which we can promote <strong>in</strong>dependent travel<br />

• we will review how people use their mobility allowance<br />

• we will look <strong>in</strong>to the best way to provide transport <strong>in</strong> day services<br />

• we will l<strong>in</strong>k with other local plann<strong>in</strong>g about transport<br />

• we will contribute to work to l<strong>in</strong>k bus and taxi operator licens<strong>in</strong>g with<br />

disability awareness tra<strong>in</strong><strong>in</strong>g and support that tra<strong>in</strong><strong>in</strong>g when it takes place<br />

• we will promote the use of operators’ compla<strong>in</strong>ts systems when particular<br />

problems occur.<br />

26 PARTNERSHIP IN PRACTICE 2007-2010


10 COMPLEX NEEDS<br />

Profound and Multiple Learn<strong>in</strong>g Disabilities<br />

The last PIP said:<br />

• everyone needs to be able to access the support they need and some people<br />

will need specialist support<br />

• people with complex needs should have access to the specialist staff<strong>in</strong>g and<br />

resources they need to be a part of the community<br />

• we will have more short breaks for people with profound and multiple<br />

learn<strong>in</strong>g disabilities (PMLD) and develop accommodation with support for<br />

people with PMLD.<br />

What have we done?<br />

• we have <strong>in</strong>creased the amount of respite the White Top Centre provides<br />

because more people now need support<br />

• we are develop<strong>in</strong>g accommodation and support for four people<br />

• the Social Work Service Manager has regular meet<strong>in</strong>gs with families at the<br />

White Top Centre<br />

• a carer is <strong>in</strong>volved <strong>in</strong> partnership and practice and strategic plann<strong>in</strong>g groups<br />

• we are develop<strong>in</strong>g Kemback Street Centre to make it accessible to People<br />

with Profound and Multiple Learn<strong>in</strong>g Disabilities (PMLD).<br />

What do you th<strong>in</strong>k?<br />

• the development of Kemback Street for people with PMLD is seen as<br />

positive and will enable a mix of service users access<strong>in</strong>g resources and have<br />

places available <strong>in</strong> the future for school leavers. It is beneficial for <strong>in</strong>dividuals<br />

who have PMLD to <strong>in</strong>tegrate with other service users who have differ<strong>in</strong>g<br />

disabilities<br />

• there is some concern about the very limited time be<strong>in</strong>g spent outside the<br />

Adult Resource Centre, and more generally about the level of resources<br />

both <strong>in</strong> day and respite services and the lack of choices available<br />

PARTNERSHIP IN PRACTICE 2007-2010 27<br />

10


10<br />

• people would like to see more support available to people with PMLD<br />

specialist services, such as the wheelchair service<br />

• there are not enough places <strong>in</strong> the community where people with PMLD<br />

can access their needs for personal care <strong>in</strong> a safe and dignified manner, for<br />

example public toilets have no pl<strong>in</strong>ths or hoists.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will develop new ways for service users and carers of people with PMLD<br />

to take more control over their services and lives, tak<strong>in</strong>g account of ILF<br />

and direct payments and other benefits and service charges, and other ways<br />

which do not require them to manage monies directly<br />

• we will develop tra<strong>in</strong><strong>in</strong>g for carers and staff, <strong>in</strong>clud<strong>in</strong>g communication<br />

tra<strong>in</strong><strong>in</strong>g, to support people with PLMD. Staff at Kemback Street Centre will<br />

be <strong>in</strong>cluded <strong>in</strong> this tra<strong>in</strong><strong>in</strong>g<br />

• as the jo<strong>in</strong>t equipment store develops, we will consider how best to provide<br />

access to more specialists and to equipment and a means by which carers<br />

can borrow and share equipment<br />

• we will promote the need for better communication skills among specialist<br />

health and care staff so that people with learn<strong>in</strong>g disabilities can be seen<br />

on their own more often without hav<strong>in</strong>g to be accompanied by a carer or<br />

key worker, but equally, when necessary that carers are <strong>in</strong>cluded and their<br />

knowledge properly respected<br />

• we will support the PAMIS campaign, Chang<strong>in</strong>g Places - Accessible Loos<br />

for All, to <strong>in</strong>crease facilities for people with learn<strong>in</strong>g disabilities <strong>in</strong> public and<br />

commercial places <strong>in</strong> <strong>Dundee</strong><br />

• we will re-commission services to rationalise, improve standards and make<br />

them more cost effective, <strong>in</strong> order to create better quality and choice<br />

• we will ensure that service provision promotes equality of opportunity and<br />

diversity.<br />

28 PARTNERSHIP IN PRACTICE 2007-2010


11 COMPLEX NEEDS<br />

Autistic Spectrum Disorder<br />

The last PIP said:<br />

• we said we would improve the way services work together; provide tra<strong>in</strong><strong>in</strong>g<br />

for staff; provide <strong>in</strong>formation about services; develop a strategy; and create<br />

more day opportunities.<br />

What have we done?<br />

• we have commissioned accommodation and support for eight people with<br />

autistic spectrum disorders and a specialist day service<br />

• some people are be<strong>in</strong>g supported to attend college.<br />

What do you th<strong>in</strong>k?<br />

• some people have commented about the positive development of services<br />

for people on the autistic spectrum<br />

• there are still concerns about shortfalls <strong>in</strong> resources reduc<strong>in</strong>g opportunities<br />

and choice for younger people and older people who are not diagnosed<br />

slipp<strong>in</strong>g through the net<br />

• improvement <strong>in</strong> <strong>in</strong>formation and tra<strong>in</strong><strong>in</strong>g were recognised, but progress is<br />

still required <strong>in</strong> these areas, for example <strong>in</strong> day services.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• further discussion is needed to establish who will take a lead <strong>in</strong> plann<strong>in</strong>g for<br />

people with autistic spectrum disorders (ASO)<br />

• we will cont<strong>in</strong>ue to pursue implementation of the recommendations from<br />

the report on ASD services <strong>in</strong> <strong>Dundee</strong><br />

PARTNERSHIP IN PRACTICE 2007-2010 29<br />

11


11<br />

• we will develop tra<strong>in</strong><strong>in</strong>g for carers and staff, <strong>in</strong>clud<strong>in</strong>g communication tra<strong>in</strong><strong>in</strong>g,<br />

to support people with ASD. We will exam<strong>in</strong>e the potential to use National<br />

Autistic Society accreditation of tra<strong>in</strong><strong>in</strong>g for staff who work with people with<br />

ASD <strong>in</strong> their own homes<br />

• we will cont<strong>in</strong>ue to develop services especially designed to meet the needs<br />

of people with autistic spectrum disorder<br />

• we will undertake a needs analysis for post school education for people with<br />

ASD <strong>in</strong> partnership with <strong>Dundee</strong> College<br />

• we will ensure services promote equality of opportunity and diversity.<br />

30 PARTNERSHIP IN PRACTICE 2007-2010


12 COMPLEX NEEDS<br />

People with Behaviour that Challenges Services<br />

The last PIP said:<br />

• we said we would review the services that are provided for people with<br />

Behaviour that Challenges Services.<br />

What have we done?<br />

• we are support<strong>in</strong>g more people <strong>in</strong> the community<br />

• the whole service is be<strong>in</strong>g reviewed and there will be more services to help<br />

people to stay <strong>in</strong> their own house<br />

• we have proposals for the development of specialist community support<br />

services.<br />

What do you th<strong>in</strong>k?<br />

• people with behaviour that challenges services should not be excluded from<br />

the community. This can be achieved if they have the support and resources<br />

they need<br />

• services must promote the safety and well be<strong>in</strong>g of a person with behaviour<br />

that challenges services. Service providers need to give their staff more<br />

understand<strong>in</strong>g and tra<strong>in</strong><strong>in</strong>g about people with behaviour that challenges<br />

services<br />

• the need to protect people with behaviour that challenges services must<br />

be balanced with the needs of the community. Members of the public must<br />

also be protected from the actions of people with behaviour that challenges<br />

services<br />

• there is a need to improve back-up services and support as behaviour that<br />

challenges services can be quite stressful<br />

• tra<strong>in</strong><strong>in</strong>g is needed <strong>in</strong> formal risk assessment and risk management and <strong>in</strong> how<br />

to respond to violence and aggression is needed both <strong>in</strong> the statutory and<br />

voluntary sectors<br />

PARTNERSHIP IN PRACTICE 2007-2010 31<br />

12


12<br />

• there is support for the establishment of a specialist support service, which<br />

could also offer behavioural <strong>in</strong>tervention programmes.<br />

What improvements do we plan to make over the next three<br />

years?<br />

• we will develop a behaviour, support and <strong>in</strong>tervention service<br />

• we will enhance the community forensic learn<strong>in</strong>g disability nurse service<br />

• we will develop a risk assessment and management system us<strong>in</strong>g the Multi-<br />

Agency Public Protection Arrangement (MAPPA) for those who present the<br />

greatest risk.<br />

32 PARTNERSHIP IN PRACTICE 2007-2010


THEME OBJECTIVE ACTIONS<br />

Involvement <strong>in</strong> the PIP<br />

and other services<br />

Ensure that adults with<br />

a learn<strong>in</strong>g disability,<br />

their families and other<br />

stakeholders are <strong>in</strong>volved<br />

<strong>in</strong> plann<strong>in</strong>g at all levels<br />

• establish a Communication<br />

and Involvement Sub<br />

Group<br />

• implement the User<br />

Involvement Policy with<strong>in</strong><br />

the Learn<strong>in</strong>g Disabilities<br />

Service and plann<strong>in</strong>g<br />

process<br />

• develop ways to improve<br />

communication with<br />

stakeholders<br />

• facilitate a Providers<br />

Forum<br />

APPENDIX 1<br />

• hold annual consultation<br />

events to review the PIP<br />

agreement<br />

• improve <strong>in</strong>formation about<br />

all aspects of the service<br />

• actively seek news of<br />

socially excluded group<br />

and <strong>in</strong>dividuals<br />

• agree outcome measures<br />

and monitor progress<br />

PARTNERSHIP IN PRACTICE 2007-2010 33


THEME OBJECTIVE ACTIONS<br />

Tak<strong>in</strong>g Control and<br />

Stand<strong>in</strong>g Up for Yourself<br />

34 PARTNERSHIP IN PRACTICE 2007-2010<br />

Enable adults with a<br />

learn<strong>in</strong>g disability to have<br />

more say <strong>in</strong> their lives and<br />

greater control<br />

• establish a “Be<strong>in</strong>g Heard<br />

and Be<strong>in</strong>g <strong>in</strong> Control” sub<br />

group to take forward the<br />

work<br />

• complete an Advocacy<br />

Review to:-<br />

(i) clarify the role and<br />

function of advocacy<br />

(ii) restructure advocacy<br />

services<br />

(iii) look at recruitment<br />

and retention of<br />

<strong>in</strong>dependent advocacy<br />

(iv) look at eligibility to<br />

ensure those who<br />

need <strong>in</strong>dependent<br />

advocacy most are<br />

prioritised<br />

• promote a greater uptake<br />

of Independent Liv<strong>in</strong>g<br />

Fund (ILF) and Direct<br />

Payments by:-<br />

(i) appo<strong>in</strong>t<strong>in</strong>g a direct<br />

payment/ILF worker<br />

(ii) identify<strong>in</strong>g the barriers<br />

to access<strong>in</strong>g direct<br />

payments/ILF and<br />

improve <strong>in</strong>formation<br />

to service users<br />

families and staff<br />

• review the provision of<br />

Person Centred Plann<strong>in</strong>g<br />

(PCP) <strong>in</strong> <strong>Dundee</strong> by:-<br />

(i) develop<strong>in</strong>g quality<br />

assurance mechanisms


THEME OBJECTIVE ACTIONS<br />

Tak<strong>in</strong>g Control and<br />

Stand<strong>in</strong>g Up for Yourself<br />

Leav<strong>in</strong>g School<br />

Enable adults with a<br />

learn<strong>in</strong>g disability to have<br />

more say <strong>in</strong> their lives and<br />

greater control<br />

Support young people to<br />

move <strong>in</strong>to adulthood<br />

(ii) develop<strong>in</strong>g a s<strong>in</strong>gle<br />

shared PCP<br />

(iii) develop<strong>in</strong>g PCP<br />

tra<strong>in</strong><strong>in</strong>g.<br />

• develop new ways to<br />

promote self advocacy<br />

and <strong>in</strong>creased control for<br />

service users and families<br />

• actively promote equality<br />

of opportunity and<br />

diversity<br />

• agree outcome measures<br />

and monitor progress<br />

• develop a Transition sub<br />

group<br />

• implement the<br />

recommendations of the<br />

SAY group report on<br />

transition<br />

• develop <strong>in</strong>formation for<br />

people leav<strong>in</strong>g school/ their<br />

families and staff <strong>in</strong> both<br />

adult and children services<br />

• develop procedures and<br />

pathways to improve the<br />

process of transition tak<strong>in</strong>g<br />

• arrange “taster sessions”<br />

for young people to<br />

experience adult services<br />

• we will seek to develop<br />

services that will support<br />

people <strong>in</strong> their life choices<br />

• agree outcome measures<br />

and monitor progress<br />

PARTNERSHIP IN PRACTICE 2007-2010 35


THEME OBJECTIVE ACTIONS<br />

Mov<strong>in</strong>g On Increased opportunities<br />

and choices for adults<br />

with a learn<strong>in</strong>g disability to<br />

move <strong>in</strong>to their own home<br />

36 PARTNERSHIP IN PRACTICE 2007-2010<br />

• establish a Mov<strong>in</strong>g On sub<br />

group to take the work<br />

forward<br />

• the SAY reps will<br />

undertake some research<br />

<strong>in</strong> this area<br />

• develop 15 places of<br />

accommodation with<br />

support to complete the<br />

f<strong>in</strong>al phase of resettlement<br />

• develop 30 more places<br />

<strong>in</strong> accommodation with<br />

support<br />

• extend the pilot use of<br />

very sheltered hous<strong>in</strong>g<br />

and hous<strong>in</strong>g with care<br />

• develop commission<strong>in</strong>g<br />

strategy<br />

• develop eligibility<br />

criteria and a fair<br />

system of allocation for<br />

accommodation with<br />

support<br />

• develop <strong>in</strong>formation about<br />

accommodation and<br />

support<br />

• cont<strong>in</strong>ue to monitor the<br />

quality of accommodation<br />

with support<br />

• look always to actively<br />

promote equality of<br />

opportunity <strong>in</strong> our<br />

services.<br />

• agree outcome measures<br />

and monitor progress


THEME OBJECTIVE ACTIONS<br />

Liv<strong>in</strong>g your life<br />

Liv<strong>in</strong>g your life<br />

Provide <strong>in</strong>creased<br />

opportunities for people<br />

to access learn<strong>in</strong>g and<br />

employment<br />

Promote Leisure and<br />

Relationships<br />

• establish an Employment<br />

and Learn<strong>in</strong>g sub group to<br />

take the work forward<br />

• commission an “In College<br />

Support Service”<br />

• engage with wider<br />

community plann<strong>in</strong>g to<br />

provide opportunities<br />

for employment and<br />

volunteer<strong>in</strong>g<br />

• work with partners to<br />

promote greater choice <strong>in</strong><br />

adult learn<strong>in</strong>g<br />

• <strong>Dundee</strong> College will<br />

cont<strong>in</strong>ue to develop<br />

their provision of careers<br />

advice, progression<br />

opportunities,<br />

employment driver and<br />

mentor<strong>in</strong>g and support<br />

• cont<strong>in</strong>ue to monitor<br />

the quality of services<br />

and we will ensure that<br />

we promote equality of<br />

opportunity and diversity<br />

<strong>in</strong> our services<br />

• agree outcome measures<br />

and monitor progress<br />

• establish a Leisure and<br />

Relationship sub group to<br />

take the work forward<br />

• <strong>in</strong>vestigate ways to<br />

promote a range of<br />

mean<strong>in</strong>gful relationships<br />

• review provision of day<br />

opportunities<br />

PARTNERSHIP IN PRACTICE 2007-2010 37


THEME<br />

Liv<strong>in</strong>g your life<br />

OBJECTIVE ACTIONS<br />

Support<strong>in</strong>g Families<br />

38 PARTNERSHIP IN PRACTICE 2007-2010<br />

Promote relationships and<br />

leisure<br />

Ensure families have the<br />

support they need to<br />

enable them cont<strong>in</strong>ue to<br />

care<br />

• develop Kemback Street<br />

Adult Resource Centre<br />

to make it suitable for<br />

people with Profound<br />

and Multiple Learn<strong>in</strong>g<br />

Disabilities (PMLD)<br />

• develop a commission<strong>in</strong>g<br />

strategy for support<br />

services<br />

• develop eligibility criteria<br />

and a fair system of<br />

allocation of support<br />

services<br />

• promote <strong>in</strong>novative short<br />

breaks <strong>in</strong>clud<strong>in</strong>g holidays<br />

• cont<strong>in</strong>ue to monitor<br />

the quality of services<br />

and we will ensure that<br />

we promote equality of<br />

opportunity and diversity<br />

<strong>in</strong> our services.<br />

• agree outcome measures<br />

and monitor progress<br />

• develop a Support<strong>in</strong>g<br />

Families sub group to<br />

take the work forward<br />

• <strong>in</strong>crease respite at the<br />

White Top Centre<br />

• develop an alternative<br />

short break provision for<br />

people with mild/mod<br />

learn<strong>in</strong>g disability open 52<br />

weeks<br />

• develop an emergency<br />

resource


THEME<br />

Support<strong>in</strong>g Families<br />

OBJECTIVE ACTIONS<br />

Keep<strong>in</strong>g Healthy<br />

Ensure families have the<br />

support they need to<br />

enable them cont<strong>in</strong>ue to<br />

care<br />

Promote good health for<br />

people who have a learn<strong>in</strong>g<br />

disability<br />

• develop eligibility criteria<br />

and a fair system of<br />

allocation<br />

• develop a commission<strong>in</strong>g<br />

strategy for short breaks<br />

• improve <strong>in</strong>formation<br />

about short breaks and<br />

carer support<br />

• cont<strong>in</strong>ue to monitor the<br />

quality of services and<br />

ensure that we promote<br />

equality of opportunity<br />

and diversity<br />

• look at ways to support<br />

people who are car<strong>in</strong>g for<br />

someone who is hard to<br />

engage<br />

• review and develop Local<br />

Area Coord<strong>in</strong>ation<br />

• implement car<strong>in</strong>g at home<br />

and your plans for the<br />

future<br />

• look at the best way to<br />

support people with a<br />

learn<strong>in</strong>g disability who<br />

are parents or carers<br />

• establish a Be<strong>in</strong>g Healthy<br />

Sub Group to take the<br />

work forward<br />

• develop an <strong>in</strong>tegrated<br />

team<br />

PARTNERSHIP IN PRACTICE 2007-2010 39


THEME<br />

Keep<strong>in</strong>g Healthy<br />

OBJECTIVE ACTIONS<br />

Keep<strong>in</strong>g Healthy<br />

Be<strong>in</strong>g Safe<br />

40 PARTNERSHIP IN PRACTICE 2007-2010<br />

Promote good health for<br />

people who have a learn<strong>in</strong>g<br />

disability<br />

Improve access to Health<br />

Care for people with a<br />

learn<strong>in</strong>g disability<br />

Adults with a learn<strong>in</strong>g<br />

disability offered<br />

<strong>in</strong>creased protection from<br />

exploitation and harm<br />

• develop the provision<br />

of health promotion<br />

materials and staff<br />

tra<strong>in</strong><strong>in</strong>g on health issues<br />

<strong>in</strong> accessible formats and<br />

languages<br />

• provide annual health<br />

checks<br />

• look at ways to promote<br />

healthy liv<strong>in</strong>g for people<br />

<strong>in</strong> socially excluded<br />

groups<br />

• cont<strong>in</strong>ue to work with<br />

hospital staff to improve<br />

provision and <strong>in</strong>formation<br />

• <strong>in</strong>vestigate options for<br />

develop<strong>in</strong>g hand held<br />

records<br />

• look at how to better<br />

engage with GP’s as<br />

partners <strong>in</strong> deliver<strong>in</strong>g<br />

health care to people<br />

with a learn<strong>in</strong>g disability<br />

• implement the Adult<br />

Support and Protection<br />

Act and establish Adult<br />

Protection Committee<br />

• cont<strong>in</strong>ue to develop<br />

tra<strong>in</strong><strong>in</strong>g for staff and<br />

other stakeholders<br />

• work with adults with a<br />

learn<strong>in</strong>g disability on ways<br />

they can keep themselves<br />

safe


THEME<br />

Be<strong>in</strong>g Safe<br />

OBJECTIVE ACTIONS<br />

Be<strong>in</strong>g Safe<br />

Gett<strong>in</strong>g About<br />

Adults with a learn<strong>in</strong>g<br />

disability offered<br />

<strong>in</strong>creased protection from<br />

exploitation and harm<br />

Adults with a learn<strong>in</strong>g<br />

disability should not be<br />

subjected to bully<strong>in</strong>g and<br />

harassment<br />

People with learn<strong>in</strong>g<br />

disability should be able to<br />

get about easily<br />

• review arrangements with<br />

commissioned services to<br />

ensure they operate fully<br />

with<strong>in</strong> adult protection<br />

systems<br />

• we will liaise with local<br />

community plann<strong>in</strong>g groups<br />

to raise issues affect<strong>in</strong>g<br />

people with a learn<strong>in</strong>g<br />

disability<br />

• work with our partners to<br />

ensure we meet the needs<br />

of people from socially<br />

excluded groups<br />

• establish a sub group of the<br />

PIP Implementation Group<br />

to look at gett<strong>in</strong>g about<br />

• promote <strong>in</strong>dependent<br />

travel<br />

• look at the use of motability<br />

cars and mobility compnent<br />

of DLA to improve fairness<br />

• look at the best way to<br />

provide transport to day<br />

service <strong>in</strong>clud<strong>in</strong>g eligibility<br />

criteria<br />

• ensure that the views<br />

of adults with a learn<strong>in</strong>g<br />

disability are fed <strong>in</strong>to<br />

the <strong>Dundee</strong> Accessible<br />

Transport Action Group<br />

• work with Travel <strong>Dundee</strong><br />

to promote tra<strong>in</strong><strong>in</strong>g for bus<br />

drivers<br />

PARTNERSHIP IN PRACTICE 2007-2010 41


THEME OBJECTIVE ACTIONS<br />

People with Profound<br />

and Multiple Learn<strong>in</strong>g<br />

Disability (PMLD)<br />

People with Autistic<br />

Spectrum Disorders<br />

(ASD)<br />

42 PARTNERSHIP IN PRACTICE 2007-2010<br />

• we will look at tra<strong>in</strong><strong>in</strong>g<br />

to support people with<br />

PMLD for carers and staff<br />

<strong>in</strong>clud<strong>in</strong>g communication<br />

tra<strong>in</strong><strong>in</strong>g<br />

• we will look at the best<br />

way to provide specialist<br />

equipment<br />

• we will support the<br />

PAMIS campaign for<br />

accessible chang<strong>in</strong>g<br />

facilities<br />

• discuss who will take<br />

a lead <strong>in</strong> plann<strong>in</strong>g for<br />

people with ASD<br />

• implement the<br />

recommendations of the<br />

report on ASD services <strong>in</strong><br />

<strong>Dundee</strong><br />

• develop Tayside wide<br />

tra<strong>in</strong><strong>in</strong>g for staff work<strong>in</strong>g<br />

with people with ASD<br />

• cont<strong>in</strong>ue to develop ASD<br />

specific services<br />

• undertake a needs<br />

assessment for young<br />

people with ASD <strong>in</strong><br />

schools<br />

• we will look at ways to<br />

actively promote equality<br />

of opportunity and<br />

diversity


THEME OBJECTIVE ACTIONS<br />

People with behaviour<br />

that presents a risk to<br />

themselves or others<br />

People with Forensic<br />

Needs<br />

• develop a behaviour<br />

support and <strong>in</strong>tervention<br />

service<br />

• enhance the Community<br />

Forensic Learn<strong>in</strong>g<br />

Disability Nurs<strong>in</strong>g Service<br />

• develop risk assessment<br />

and management systems<br />

PARTNERSHIP IN PRACTICE 2007-2010 43


For further <strong>in</strong>formation please contact:<br />

Social Work Department<br />

Floor 7<br />

Tayside House<br />

<strong>Dundee</strong> DD1 3BY<br />

telephone: 01382 433947<br />

email: carers.strategy@dundeecity.gov.uk<br />

For further copies of this document please contact:<br />

helpl<strong>in</strong>e@dundeecity.gov.uk<br />

or download a copy from www.dundeecity.gov.uk/socialwork<br />

Designed by PR Dept. DCC PB/05/08

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