About Cheshire Ireland

Services for 320 adults physical, sensory and neurological disabilities

• 187 people in 9 older ‘residential’ centres

• 70 people in 6 newer small ‘housing’ centres

• 63 people supported in a range of housing options integrated into the community

... plus 23 respite places, social and day supports

777 employeesJoe Connolly Cronin Symes

Bobbi, Sara & Ciaran

Cheshire Ireland

Founder - Leonard Cheshire

Services provided across Ireland – starting in 1961

First services ... people living in large ‘residential care’ centres

1990s developments ... people living in small purpose built centres

2000s developments ... people supported in their own homes Leonard Cheshire

Genesis of Cork Supported Accommodation Service

• HSE Southern Area Regional Co-Ordinating Committee

• 2001

• Formation of Accommodation & Respite Project Sub-Group

of RCC To identify the number of people requiring supported accommodation

services To develop suitable models to meet this identified need To develop linkages with Local Authorities, Housing Associations and private

developers as possible sources of new residential accommodation

Genesis of Cork Supported Accommodation Service

• 2005 ! ... multi-annual funding for ‘residential’ services @

€80,000 per person

• Development of ‘residential’ services in Cork City in 2006,

agreed by RCC

• ‘Expressions of Interests’ requested by HSE

• Cheshire submission and interview in December 2005

• Challenges in preparing the proposal

Genesis of Cork Supported Accommodation Service

• HSE response – “ ... Your proposal showed both initiative

and vision”

• Further details required by HSE – meetings with potential

service users to develop more meaningful plans

• Cheshire appointed as service provider April 2006

• Project start-up managed by Cheshire Project Team

• Current Manager took up the running in September 2006

Genesis of Cork Supported Accommodation Service

• Key factors ...

Willingness on behalf of HSE to back the right idea ...

Open, transparent process undertaken by HSE Southern Area ...

Availability of Development Funding to establish good, sound core

funding base ...

Commitment by Cheshire to put the required resources to the

process and the start-up of the project ...

Clear individualised planning process with each person based on

needs across a range of life domains

Genesis of Cork Supported Accommodation Service

The reality of making it happen…..

Tony Deasy’s Service

• What needed to be considered

• The assessment

• Collaboration

• Transition

• What If...

• Where are we now

The Assessment

•An assessment which is deep in detail is the most valuable tool for considering and capturing:

•The needs of a person

•The full supports required

•Feasibility of service

•Accommodation: where is Home?

The person’s own aspirations and desire as to how they wish to live a full andmeaningful life of their own choosingwhich could include education, training,employment and a social life

Domains of Need

Model Coherency

The

‘What’ProgramContent

The

‘What’ProgramContent

The

‘How’ProgramProcess

The

‘How’ProgramProcess

‘By Whom’Human

Resource

‘By Whom’Human

Resource

‘Model’Overall model

AndTheory

‘Model’Overall model

AndTheory

‘WHO’Person and Their needs

‘WHO’Person and Their needs

Collaboration

Who was involved ?• Tony

• Tony’s Family

• HSE(Disability Coordinator, Public Health Nurses, Community Nurses, Physiotherapists, Occupational Therapists, GP’s, and others as required)

• Cheshire Ireland

• Muscular Dystrophy Ireland

• Others

Collaboration

What did we do?

• A lot of meetings...

• A lot of talking...

• A lot of planning...

One of the biggest mistakes which

organisations frequently make is to

embark on a change programme without a

carefully planned strategy for managing

the overall process

(Kotter & Schlesinger, 1979 in Tiernan et al 2001 :441).

Transition

• Taking the plan and putting it in motion!

• Challenging process

• Consideration for well being of the person physical and psychological

• Assisted by competent staff, patients, support, communication and back-ups

What if?

• Location (back up equipment)• Staff (competencies/availability/get on

at home)

• Emergency (ambulance)

• Troubleshooting..... Not to ignore risks consider them and plan....

Where are we now?

1.Education and Communication

2.Participation

3.Facilitation & Support

4.Negotiation

5.Teams

What does this mean for Tony?

Good relationships

Trust to do what we say we will do

Increased confidence to try a little more

Is part of his family

Tony lives at home

Your Questions