One-page profiles and home care – the impact on people and staff

The last time we were in Dumfries and Galloway we finished off our training and focussed on Person Centred reviews. Gill is back in Scotland over the next few weeks meeting with the team leaders, supporting them to carryout some person-centred reviews and checking how things are going.

On the last day we were together as a group everyone shared some examples of how using a person-centred approach and one-page profiles was already making an impact for their staff teams and for the people who they support. We are going to share some of those stories with you in the participants’ own words which we think speak for themselves.

Impact on people

“We work with a gentleman called George, George is 93 and any form of formal interview to create a one-page profile probably wouldn’t have worked well for George because of his hearing, it’s difficult for him. What we felt would be best was build on what we already knew with George and go in and continue to ask more questions of George, about his life, his aspirations still, about himself, which we did over the course of a few weeks. We collated all of this information and created a one-page profile for George. As a result of this we thought nothing more of it, we cleared it with the office, they were impressed, we put it in George’s folder at his home. His relatives visit George very regularly, twice a week, and they have access to his folder, occasionally they write in his daily log notes to us, and they saw George’s one-page profile and contacted Marianne directly (we’ve given them our phone numbers just because George is so old and they worry about him) so they actually phoned my colleague and told her they’d read his one-page profile and they couldn’t believe what was in there and they actually even said we couldn’t have done it better ourselves. They’re in their 80s and have known George all of their lives and we’ve managed to draw things out of George for that profile that blew them away.” Andy

“One of the service users just thanked us for letting them tell us what they like and what they dislike and enabling us then to change the care that is getting provided. The woman, she likes a towel just being put down anywhere regardless of whether it’s on her bed, or on the seat, or whatever – she likes to be sat on top of a towel at all times. And it’s wee things like that that carers maybe just don’t have the time to find out on their own. So now that it’s in there she says it’s brilliant, she’s getting to sit on top of this towel all the time or lie on top of a towel, it’s just a comfort thing with her and she really likes it so she thanked us for that and she said that it really helped” Kymm

“I have the one example of a doctor that we support, he’s on a new package so it was part of the meet and greet process and he said in all his years, he’s worked 60 plus years as a doctor in a hospital, he said something like this would have been absolutely wonderful. He was really, really enthusiastic, both him and his wife say ‘it’s marvellous, it’s just wonderful that you’ve got the time to sit here and hear about us and what we want’ they felt as if they were being a bit of a burden with me sitting there and once we’d got over that they just kept saying how great it was, so that was really, really positive.” Vicky

“We’re getting to know the service users better, getting to feel a wee bit of an understanding before the initial meeting and greeting so the staff are loaded with information and we’re not going in blind as such, we’ve got the information from the profiles to prompt conversations and discussions over what the service user’s going to like” Heather

Impact with Staff

“I would say since we’ve done it with the staff it’s built up better relationships because we could maybe phone somebody and say ‘is there any chance, we know you’re already working but could you pick up this visit on Sunday?’ ‘Oh but why can’t carer such and such do that?’ it showed that they actually have commitments outwith work, that they can’t always, like the carer that teaches rugby to the kids on a Sunday morning so now that people know that, they understand the reason as to why she can’t assist us on a Sunday morning and she will pick up other times when she is available” Kymm

“One of the things they got from one of the staff profiles was, none of us knew because she’s quite a quiet member of staff, is that she’s got extreme talents when it comes to drawing and art so we’ve started using her in the day centre when it comes to arts and crafts afternoons so we’re using a strength of hers and passing it over as like a learning tool for our service users” Heather

“They like the fact that they’re being listened to and valued as individuals. It gives the staff a chance to put across what they can offer to others and what they need in return to feel supported and with that they feel because they’re getting to know each other and know their strengths and weaknesses and how to support each other it’s good team building, it’s a good team building exercise because a lot of them are lone workers they pass you know or they don’t know each other so it gives them a bit of common ground there” Vicky

“The staff are a wee bit more willing to open up and share through the one page profiles and we’ve actually got to the stage where our staff are coming into the training room and looking to see whether there’s any new one page profiles up so they’re eager to see other people’s profiles, how they’ve developed them, what they’ve been like and whether there’s a common denominator. It’s more involvement and depth for team leaders for supervisions and staff development” Heather

These stories are just a start as it’s been only a few months since our first session at the end of March. As the months go on and providers are able to develop one-page profiles for more and more people, we expect more and more examples of the difference they are making to people’s lives.

Emily McArdle & Gill Bailey

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