https://lynromeo.blog.gov.uk/2017/12/04/the-future-of-adult-social-care-in-cornwall/

The future of adult social care in Cornwall

The benefits of the ‘3 conversations model’ – a new person centred approach for social work practice – have been discussed more than once on this blog. It’s an approach which focuses more on empathy and engagement than box ticking and form filling.

On a recent visit to meet social work colleagues in Cornwall, I discovered that not only is the model reconnecting and strengthening community networks, in the case of one social worker, it proved to be the difference between leaving the profession and finding renewed energy and purpose in her practice. I can’t think of a stronger endorsement!

That’s why I’ve invited Claire Leandro, Service Director, Adult Care & Support at Cornwall Council to share with you how this new way of working is transforming lives and enhancing job satisfaction for those delivering great care and support.

Claire Leandro: "The model has demonstrated the ways in which we can give a better deal to people and families who need support."

Adult social care in Cornwall, as in many other areas of England, has been dealing with increasing service demand as our populations grow and lifespans extend.

The 3 Conversation Model, part of our Transforming Adult Social Care (TASC) programme, is a critical element in our bid to improve lives in our community and empower social work colleagues – and service providers – to deliver effective person centred care.

To do this, we’re working with Partners 4 Change (P4C) to trial and, based on evidence, roll-out the 3 Conversation approach across adult care and support. P4C helps local authorities and other organisations deliver more personalised services on tight budgets.

Developed in partnership with a number of councils, the model has demonstrated the ways in which we can give a better deal to people and families who need support, create liberating and exciting jobs for staff, and dramatically reducing social care costs.

We are now learning how to have effective person-centred conversations with people, following initial contact with the council.

Henry Muller: "If you come in... and ask lots of questions... I clam up."

Indeed, those we are tasked to help had explained how previous interactions felt like box ticking assessments, which were sometimes counterproductive and uncomfortable to experience:

“If you come in with a questionnaire and ask lots of questions it’s not a true picture of what’s going on,” says Henry Muller who needs support caring for his wife who has dementia.  “I clam up.”

Henry now feels he and his wife are benefitting from the more relaxed person-centred approach where the questions are more about what they need rather than what someone wants to know.

With a committed focus on both their circumstances and hopes for the future, he is optimistic social workers and others will find a way to get them out into the community again, including a return to their local church.

In this way, it’s hoped that people like Henry and his wife can become more resilient and independent, and reduce their reliance on ongoing support.

The focus now is on individual and community assets and strengths rather than the assessment for - and delivery of - formal care services. This is evidenced by the experience of Community Link Officers like Anne Druce:

“Having a dedicated team working with the more vulnerable members of our community [means] we’ve been able to provide opportunities that perhaps we weren’t [previously] aware of.”

Social worker Beth Collis also feels more positive about her role: “My job satisfaction is very high because I feel I’m supporting people to make decisions.”

More broadly, using the model has encouraged closer staff engagement and we’ve also held several workshops and a staff conference to share its virtues and promote its trial.  Over 150 people showed an interest in getting involved. The first innovation site was established in June 2017 and it’s now been joined by two more.

All three sites have been set up to use the 3 Conversation approach for an initial 12 weeks. Early indications have been positive so we’re now extending the trial to gather even more robust evidence. The project covers three areas, across East, Mid and West Cornwall and each site covers an adult population of approximately 40 to 50,000 people. Each team has a team leader and six staff.

To date we have had conversations with over 1000 people and early indications suggest we could achieve a 10 percent reduction in new packages of care.

And if you have any doubts as to whether this approach is having a positive effect, not just on recipients of support but also those helping to coordinate it, I’ll leave the last word to another dedicated and re-energised social worker, Kerry Keeble:

“The 3 conversations model has saved my career. I didn’t feel I was practicing the social work I learned at university. [The model] is person centred and I can use my own initiative. I can ask people what’s really important to them and help them make that happen.”

Find out more

If you’d like to hear more from Henry, Anne and Kerry please watch this short film in which they and others talk about the benefits of more personalised care and support in Cornwall.

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