Recognising ineffective services and support workers You should be alert to: The recent progress made in specific areas o who is responsible for positive change in the person’s life? The relationship between the disabled person and health workers/carers Working methods used Superfluous areas of care.
When service level drops below expectations If a support worker is no longer able to provide the level of service required, you may: Reduce the number of hours they work with the disabled person Ask them to adapt their style or working methods Change their tasks Terminate their contract or inform them that they are no longer needed in a specific case.
Coordinate the delivery of the individualised plan 3.3 Support all stakeholder involved in the service provision to understand the individualised plan and their roles and responsibilities within that plan
Supporting stakeholders You can support their understanding by: Communicating with all parties regularly Arranging training courses or providing education Ensure that care plans are written clearly and are legible Encouraging more meetings/contact time between the disabled person and health professionals/care providers.
Communication with stakeholders You must make sure: The care plan document is written clearly and logically You consider the literacy and level of understanding of all those that will access the plan You communicate with carers, family members and any others that need to use the plan. Key points and priorities are highlighted in the plan.
Coordinate the monitoring, evaluation and review of the individualised plan 4.1 Seek feedback from all stakeholder when evaluating effectiveness of the individualised plan and re- prioritising support needs 4.2 Seek feedback from the person and/or carer and/or relevant other when evaluating effectiveness of the individualised plan
Seeking feedback Feedback can be delivered: Verbally o telephone o face-to-face o case conferences Non-verbally (written) o progress reports o case notes o incident reports.
Feedback from the person with the disability You should ask the disabled person: Which parts of their plan work best Which parts of their plan could be improved If there any parts of their plan that should be removed completely If they receive the necessary support from all parties If they feel that their quality of life has improved, or is improving, as a result of having their care plan in place.
Coordinate the monitoring, evaluation and review of the individualised plan 4.3 Seek advice and assistance when the person’s goals and needs are not being achieved
When goals and needs are not being met Care plan goals may not be being met because: Goals are unrealistic Timeframes are unachievable Of a lack of motivation from the disabled person Aids and supports are not in place There are not enough funds to support the person Certain specialists and care providers are not provided.