Adult Social Care in Sheffieldindependent, safe and well

Phil HolmesDirector of Adult Services

Sheffield City Council

What is adult social care?

“Care and support for adults who need extra help to manage their lives and be independent – including older people, people with a disability or long-term illness, people with mental health problems and carers”

Social Care Jargon Buster, TLAP

What should adult social care be trying to achieve?

Well, according to the Care Act 2014:• Clearer, fairer care and support• Wellbeing – physical, mental and emotional –

of the person needing care and their carer• Prevention and delay of the need for care and

support• People in control of their care

What good looks like

I have quality of life, which means:• Control over my life• The social contact I need• Easy access to information• Good quality care and support

(Adult Social Care Outcomes Framework)

How are we doing in Sheffield?

Let’s be honest: not well compared to others• Low satisfaction from recipients of social care• Very low satisfaction from carers• Low satisfaction from staff themselves• Key areas where outcomes need to improve

Employment for adults of working age Outcomes once people leave hospital

My quality of life

My carer’s quality of life

What are our prospects?

• Significant financial challenges but not the poorest on the block

• Big opportunities from partnership– Within the Council– With local NHS and community organisations– With Sheffield’s brilliant people

• So lots of potential to do better

Where do we start?

• By listening to you and working alongside you• By keeping things simple:

A clear vision that includes everyone Strong values and professional standards Thinking local, acting personal

• By making progress on areas of importance: Sheffield Directory

Sheffield Directory

• Voluntary and community organisations, and health, care and support providers

• Events and activities• Improved functionality• Self service• Equipment store

Sheffield Directory

• Voluntary and community organisations, and care and support providers

• Events and activities• Adults and Children and Families services• Improved functionality• Equipment store

Sheffield Directory

Sheffield Directory

• Supporting information/advice• CQC ratings• Ratings and Reviews• Take a look: Heather Baxendale

Voice recordings

Sheffield people talking about their experience of adult social care

These recordings are transcribed here

“My mum has Alzheimer’s, and her care was recently reassessed. I thought the process was very long and my mum was confused by the whole thing. She couldn’t answer any of the questions and after two hours was exhausted....”

“... she was also sent a leaflet about Community Access and Re-enablement. This is for people over 60 to re-learn to look after themselves. This is dreadful and doesn’t take into account her situation.”

“My carers come to put me to bed far too early but it can be any time between 7.45 pm and 11.00 pm. Sometimes I am not helped out of bed till 1.30 pm. I can be in bed for more than 15 hours at least once a week, and on weekends and bank holidays it’s worse...”

“...I don’t know who’s coming, and I frequently have to explain what I need and how I like it provided. This is exhausting and slows my recovery. I want a consistent and professional service, at a regular time to suit my life.”

“My partner and I are carers for my mother in law, who’s in her 90’s. She’s lived with us for a few years now. At the moment she’s in hospital as she’s had a fall, but we can’t carry on looking after her...”

“...We don’t want to put her in a home but we need extra help. We’ve never had any help, and the hospital hasn’t told us we can have any. We know there must be something out there to help us but we don’t know what it is and we don’t know where to go.”

“My mum has carers who come and take her out once a week. She is really happy with them and they feel just like a part of the family. She really enjoys her time with them...”

“...Before we used this company we never had any family holidays because we didn’t want to leave mum for long times without a familiar face. But now we do go away, because we know that she will be well looked after and gets good care.”

Extracts from A Day in the Life of a person receiving home care...21.45 pm. Here they come now, I feel like “Hello, I’m here” in the next second they both say “sorry, not ignoring you, just doing handover”...

...I must say I don’t like that part of pausing my film to check my pad, I was really into it. She comes and goes with buckets, products and clothes. It distracts me from my film, specially the noisy shower.

1.50 am. Sleeping, I can hear support staff saying things very quietly. It’s nice to hear a voice, to have that reassurance that I am not alone.

7.00 am. I do love this comfy position, could sleep for hours. But not today, early appointment, oh no! Why so early? Can we please cancel? I really do need to sleep a bit more...

...Meds already, I am not even fully awake, no, I do not want to be put in a better position for the meds, I want this foetal, comfy and warm position!

7.45 am. And again the time comes, I am trying to doze a bit, and I hear “sorry, this is just the handover......”