Thursday 20 December 2012


Good Morning, Blogspot!

Just a quick post to give you all a quick update on our National Skills Academy (NSA) Graduates.
For the last year, we've been delivering the NSA Grads programme and it's been challenging, fast-paced and brilliant fun!
Last week, the Insight Team attended their final graduation ceremony in Covent Garden, London.
The group have set themselves high standards throughout the programme and have never failed to deliver. They've impressed at their placements, conducted original and valuable research projects, promoted best practice and engaged fully with the launch of the new LQF.

From all at the Insight Team, thank you Grads! We've enjoyed working with you this year, and we look forward to seeing the energy and innovation you bring to the workplace benefiting the sector.

The next cohort starts in January - the standards have been set, but Insight feel confident they'll make the cut! We can't wait to meet them and get the next programme underway.

Merry Christmas!
Laura

Monday 10 December 2012

Learning Disability Today Conference

Last week, John, Terry and myself attended the Learning Disability Today Conference, hosted by Pavilion Publishing.
We've attended the conference for a number of years, and it's always a fantastic opportunity to network, share good practice, learn and identify upcoming topics for the sector.
What makes it such a key date in my diary? The people who come. It's a venue packed full of experts in every sense - from Social Workers, support workers and managers, to politicians, health professionals and service users. Everyone has a valuable contribution to make and a platform to do it.

John particularly enjoyed Home Farm Trust's (Hft) seminar on Assistive Technology. Insight have worked with Hft for a number of years and have been in a privileged position to watch the types and the implementation of technology develop.
Last year, we were 'wow'd' by very personalised, needs-based technologies. In one example, a service user was in danger of losing his job as his refusal to shower was affecting his personal hygiene. HFT designed a 'Disco-Shower' which maximised on the man's love of music to make showering a positive experience - he showered more and kept his job.
This year, HFT have made another revelation:-

Some of the simplest technologies can make the biggest impact, to the largest group of people.

They presented gadgets such as a talking door which delivers a personal message to the individual - "Jennifer, have you got your keys?". Eventually, the service user no longer needs the technology...
Another example was a touchscreen TV which allowed service users to easily select their meal from the options available. HFT work with service users and staff to 'tweak' these technologies to work in a way that is accessible and relevant. Staff reported in this case, that once the service user had grown accustomed to selecting his meals, they realised that the technology could be adapted to support him to make other choices.

Technologies such as this can help to give greater independence. Hft also said that over time, the service user may no longer needs these technology as they learn new ways to cope and communicate!
Key to this is the effect it has on the service user; the sheer volume of benefits that lie beyond the obvious. Service users grow in confidence, they feel empowered, and they suddenly start to engage more with the world around them (And the world replies in a language that works for them!).

Hft say that the technologies they use are increasingly common place and inexpensive! Rather than inventing new technologies Hft are increasingly re-purposing existing ones. This set us thinking:  If these technologies can be used to the benefit of people with Learning Disabilities, why not other people such as those with Dementia or Alzheimers?
Also as the cost of technologies come down, can they play a role in finding new ways to care for vulnerable people at a time when resources are reducing?
Hft certainly believe that this is possible – but Social Care Commissioners will have to rise to the challenge!


Terry took away something very different from this year's conference. We attended the seminar 'Lessons From Winterbourne', and whilst it was a valuable and interesting session, the striking point for Terry came when the panel invited questions and comments from the floor. They were met with a sea of waving hands, and many of them belonged to a person with a learning disability. Sadly several comments were from service users that had suffered abuse - some were reflecting on support they had (or had not) received, whilst some had clearly never gained recognition for what had happened to them.
However, Terry identified a positivity in this difficult session - it struck her that people with a learning disability have finally found their voice!
Terry has a background in social care, particularly in work with people with learning disabilities, and she reflected that even when given space and opportunity, service users would rarely acknowledge or report abuse they were suffering.
Suddenly, now, people are speaking out. They've found the voice to say "This happened to me, and it wasn't ok". This shows a shift in culture; people with a learning disability are beginning to have a sense of real, tangible and usable rights, and are beginning to feel empowered to exercise them.
We need to ensure this change maintains momentum, and that we continue to support service users to feel empowered and capable, to raise their voices, and demand their rights.

I, however, felt something else resonated with me.
In a number of sessions, service users created an opportunity to raise a personal problem - one that wasn't related to the session topic. This felt very different to the strength of the Winterbourne comments - this felt to me like desperation.
Service users were saying that they'd taken the difficulties they were encountering to their GPs, to the hospital, to the police, but didn't feel they were receiving help. Perhaps because these aren't the appropriate bodies to be supporting the types of issues being raised - it falls below their eligibility criteria.
Funding cuts across social care have seen a reduction in smaller, independent, localised services. It's these services that dealt with much of the low need difficulties and provided support. In the absence of these services, individuals are struggling to find an appropriate forum for their concerns, and therefore appropriate support.
The problems escalate.
In desperation, people with learning disabilities are reaching out at times and places, such as the conference, when support is not inbuilt, and people are not properly equipped to help.
"Before I leave here today, in this room full of highly educated professionals, someone, can you please give me an answer?!"
What are we doing to prevent people reaching crisis? Can we afford to only deal in reactive care?

The Learning Disability Today Conference is inspiring, informative and provocative, but the onus is on us, as attendees, to take our thoughts and observations away and act on them. Whilst the conference itself is a culmination of months of work for some, and an ending until the next year, it's really a beginning. Insight will now go back to the drawing board with this new learning and write it into our Social Care Training.

Thank you to the #LDTconf for keeping Insight passionate and informed about Social Care!

Friday 16 November 2012

"More children should be in care", say MPs


I'm John Dennis. I'm the Managing Director of Insight and I spend a lot of my time working with providers of Social Care. I was struck by a news headline recently, from the BBC website. The story is based upon a report from the House of Commons Education Select Committee. In some ways, the report and the story are encouraging! We need to have  a public debate in this country about Children in Care.

The professional view of taking children into care has moved back and forth in recent years. As it became more and more clear that the life prospects of children in care were very poor, professionals increasingly took the view that 'at home with parents' may be the best of two poor choices. However, after the death of Baby P, the pendulum swung the other way and admissions to care are now up by something like 30% across England and Wales.

So this does seem like a time when a public debate could help professionals to understand what those who pay for public services expect from them. However there is an elephant in the room!  I recently witnessed some discussions among child care professionals. One of the main topic under discussion was cost and how cash strapped Councils can reduce the cost of children in care. Several people said that Care for Children is by it’s nature very expensive. The key would be to “reduce the size of the front door”. In other words to find ways to take less children into care!

The members of the House of Commons Education Select Committee may have written a good report, however until Parliament “joins up’ it’s thinking about resources and services, the public debate may have to wait.

Meanwhile we can all look forward to a prolonged game of Parliamentary fantasy football with children’s lives providing the footballs...