- Advice
- The right support
The Right Support
Finding the right support is an important step in pulling the project together.
Typically, the projects have either had adult social care commission services through a local provider or used direct payments. Some have considered using an Individual Service Fund or have set up their own care provider.
When looking for a service family have looked at:
- A service’s values
- If they are for-profit or not for profit
- If they have other services established locally and are on local authorities commissioning frameworks.
- If personal care if needed, if they are CQC registered and who the registered managers are
Projects have often brought existing staff who their young people have good relationships with into new arrangements, supporting a positive transition and maintaining good relationships.
On a direct payments model, families said:
Establishing the whole thing on the basis or direct payments helps to maximise your continuing control as parents, and to ensure that it develops as intended. It gives you a measure of control over the performance of any housing association or care provider too – all of whom could change or be changed as time goes by.
Staff are excited to work with the girls, they’ve said how fun it is to work with them and how different the support looks here in comparison to other areas of the support provider service
There is also the opportunity to pool direct payments to help people make the most out of their hours.
We and our daughter are fortunate that carers are at the house whenever it is occupied. As an individual she would not qualify for fulltime support.
On using an established care provider through local authority commissioning, families said:
Working closely with the provider means getting to know the core staff team, which helps develop trust which is particularly important with young people who have really complex needs. Our project doesn’t just focus on quality of care, but also quality of life. The focus is on lifelong learning and ongoing development for each of our children, which isn’t the norm within adult social care but has led to excellent outcomes. It is also rare to find a care provider who works so closely with families and we believe that this collaboration is what has secured a positive long-term future for our children.
We looked at a mix of providers, some very local and a larger national one. We felt they were giving us a sales pitch not a care pitch. You see the stories in the news about abuse and you need to be able to trust the care provider
Several of the projects have used multiple care providers. Families shouldn’t be afraid to seek alternative support if it isn’t working out with their original provider.
The original care provider didn’t work out, I think they jumped before they were pushed really. They said all the right things at the start but couldn’t deliver what they preached
One project set up their own care provider.
We’ve had poor experiences using care organisations in the past, but direct payments have been really positive. We wanted to use a parent led model, using direct payments and looked at setting up a trust to pool everyone’s direct payments. But because we need personal care we had to be registered with CQC and that wouldn’t work as a Trust. We decided to set up our own not-for-profit care company, its small and bespoke allows us to keep it really focused on living an ordinary life. Part of it is about valuing our staff too, we can pick the right people, who share our values, and make sure they are paid a fair wage for the work they do. Setting up the company – the governance, policies, CQC registration, insurance, staffing, funding – has been really time consuming and felt like we were constantly jumping through hoops.
Resources
Self Directed Futures
Information and resources about Individual Service Funds – another option if you are unsure about direct payments.
In-Control
had information and worksheets about self-directed support
Pooling Budgets
A Guide about pooling personal budgets, including direct payments
Disability Rights UK
have a personal budget helpline if you need to speak to someone for advice
Right Support Right Care Right Culture
explains how CQC regulates providers supporting autistic people and people with a learning disability