Centredness
Centredness
Centredness - putting the person and their family at the centre - personalized services that are dignified and respectful of individual needs

Key Principles:
 

1
Person centred approaches underpin practice and service delivery  
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Examples of evidence:

  • Service objectives are based around person centred principles and promote increased choice and control

  • Person centred approaches and tools are utilized and evident throughout the care planning process e.g. 'Listen to me' and particularly capture what is 'important to and what is important for' the individual

  • Personal preferences are accounted for when making choices about treatment, day time activities etc

  • 'Circles of support' are involved and their knowledge valued - especially when making 'best interest decisions'

  • Staff working patterns are conducive to promoting person centred support and personal skills and attributes are 'matched' e.g. when choosing key workers

  • Staff supervision utilizes person centred approaches.

  • Opportunities are available for service users and families to be involved decisions about the delivery and development of services

  • In patient services support the needs of family carers by maintaining contact, providing visitors facilities etc


2
Partnerships are built that promote and support the needs of the individual and their family  
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Examples of evidence

  • Integrated care pathways and shared protocols to ensure that people are able to swiftly access and exit services as appropriate

  • Integrated community teams that work in ways that promote continuity and prevent repetition e.g. efficient assessment processes and shared information systems

  • Specialist health professionals support people to receive treatment within the appropriate services e.g. by working in partnership to increase access to mainstream dentistry, opticians etc

  • Family carers are actively involved and opportunities provided to support them in their role e.g. expert carer programmes as well as in service issues e.g. family carer forums etc

3
A range of communication tools and approaches are available and employed to meet individual need  
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Examples of evidence

  • Accessible information that is available in a range of formats (including different languages) e.g. referral letters, service information leaflets etc

  • Information held by the individual is in a format chosen by them e.g. health action plan, communication passports etc

  • Skills, knowledge and tools are available within the service to facilitate augmentative and alternative communication

4
People who use services and their families are involved in service planning and evaluation at both a strategic and individual level.  
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Examples of evidence

  • The service can demonstrate regular consultation with people who use services and their families, including strong links with Local Learning Disability Partnership Boards (specifically health subgroups)

  • People who use services and family carers are members of strategic working groups and governance structures

  • Service user led meetings or forums take place regularly

  • People and families are involved in activities to assess service quality and measure outcomes

  • Accessible information is available about complaints procedures (links to advocacy and PALS)

5
The service can demonstrate that service developments are based on the needs and wishes of the local population.  
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Examples of evidence

  • Data is available about population need and progress on relevant local priorities e.g. numbers of people with learning disability who an offending history and how many are served in out of area placements

  • Information is 'aggregated' from person centred plans, health action plans, consultation with key stakeholders and other relevant sources and informs service development and delivery