Back to Search
Start Over
Good practice in social care: the views of people with severe and complex needs and those who support them.
- Source :
- Health & Social Care in the Community; Nov2014, Vol. 22 Issue 6, p588-597, 10p, 4 Charts
- Publication Year :
- 2014
-
Abstract
- This paper reports findings drawn from a study of good practice in English social care for adults with disability and older people with severe and complex needs. People with severe and complex needs are a relatively small proportion of adult social care service users, but they are growing in numbers and have resource-intensive needs. The study involved qualitative research with adults with disability and older people with severe and complex needs, family carers and members of specialist organisations (n = 67), focusing on the features of social care services they considered to be good practice. Data were collected between August 2010 and June 2011. The approach to data collection was flexible, to accommodate participants' communication needs and preferences, including face-to-face and telephone interviews, Talking Mats© sessions and a focus group. Data were managed using Framework and analysed thematically. Features of good practice were considered at three levels: (i) everyday support; (ii) service organisation; and (iii) commissioning. Findings relating to the first two of these are presented here. Participants emphasised the importance of person-centred ways of working at all levels. Personalisation, as currently implemented in English social care, aims to shift power from professionals to service users through the allocation of personal budgets. This approach focuses very much on the role of the individual in directing his/her own support arrangements. However, participants in this study also stressed the importance of ongoing professional support, for example, from a specialist key worker or case manager to co-ordinate diverse services and ensure good practice at an organisational level. The paper argues that, despite the recent move to shift power from professionals to service users, people with the most complex needs still value support from professionals and appropriate organisational support. Without these, they risk being excluded from the benefits that personalisation, properly supported, could yield. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN injuries
BUDGET
CAREGIVERS
CONGREGATE housing
CONSUMER attitudes
DEMENTIA
FAMILIES
FOCUS groups
GROUNDED theory
HOME care services
HOME health aides
INTERVIEWING
MEDICAL needs assessment
PEOPLE with intellectual disabilities
PEOPLE with disabilities
RESEARCH funding
SOCIAL participation
SOCIAL services
SOCIAL workers
SPINAL injuries
HOUSEKEEPING
PROFESSIONAL practice
JUDGMENT sampling
ACTIVITIES of daily living
SOCIAL support
THEMATIC analysis
SOCIAL services case management
PATIENT-centered care
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 22
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 102210241
- Full Text :
- https://doi.org/10.1111/hsc.12105