Signs of Safety Wellbeing RECORDING IN LIQUID LOGIC

Signs of Safety & Wellbeing RECORDING IN LIQUID LOGIC (LAS)

The key things to have in mind when working in a collaborative and solution building way with the people we work with are: All worry/concern/risk/danger statements should be developed with the person and their network and should make sense and be understandable to them. Your words will change depending on who you are working with and the context of your work. All worry/concern/risk/danger statements come with a matching safety/hope/goal statement that is developed with and makes sense to the person, their network and the context you are working in.

Some people find guidance like this helpful to start them off when they are using a new practice approach. Others will find it frustrating if the guidance does not quite fit the particular context they work in. At the very least, this guidance will help you prepare the questions you think will be useful to ask when you are in conversation with the people you are working with. We expect practitioners to use their knowledge and authority skilfully and use this guidance if it is helpful. You and the people you work with will know what will work best in your conversations, so we would expect you to flex the approach to suit. Any guidance around use of the signs of safety and solution building approaches must be used with reference to any statutory requirements.

Worry/concern/danger Statements in Re-ablement Plans Within the reablement plan you should record the Worry Statement at the end of ‘What are your worries and concerns? ’ question. How has the person managed so far? What support is available and what can be done to keep this support in place/increase it? How did the person manage successfully similar situations previously? Are there any people that the person knows in a similar situation? How do they manage? What has the person tried that worked well? What is already working well in relation to the concerns/worries? What does the person say is already working for them? What can they do for themselves? What do other people do already that is useful? Who helps? What difference does it make? When have they been able to cope with the concern in the past? What keeps the person awake during the night? Who is most concerned about the person’s situation? What are they most concerned about? What is the person worried about? What are the family/friends/professionals worried about? What are your key concerns about the situation?

Safety/wellbeing Goals & Scaling in Re-ablement Plans The ‘What will it look like when the situation is as good as it could be? ’ section should be used to record the Safety/wellbeing Goal & Scaling conversations. Updated scales from the person and their networks should be added as the plan progresses. Clarify the best hopes for the situation and explore what it will look like when the worries are sorted? • • • What would help the person What will people be doing instead? What will the person be experiencing? What will their everyday life be like? What is the person’s expectation from friends/family/ACS to address this situation? What difference will this make to the person, to their family and network and to ACS?

Points for Consideration Think about language A ‘danger statement’ is what the person, their network and ACS are worried about. This can be called a Danger Statement, a Worry or Concern Statement. Using people’s own words helps their understanding and collaboration The Goals are what the person and their network are looking for instead of the worry or concern, and can be called a ‘safety/wellbeing goal’ It may be the Person has different worries and concerns to that of ACS. In this instance you can record separate worries in the same statement. These should be personalised: ‘Mrs x is worried’…’ Julie the social worker is worried’… Ensure each worry statement has a matching goal/best hope which says what we hope to see happening instead of the worry

Worry/concern/danger Statements & Safety and wellbeing Goals in Care Act Eligibility Assessment The Care Act Eligibility Assessment & the Care & Support Plan should be seen as one document, belonging to the Person. The worry/concern statements & safety/wellbeing goals should be recorded at the end of the assessment, under the ‘impact to wellbeing’ in Criteria 3 section of the form. This ensures the Person meets the eligibility criteria & clearly defines the reason ACS are involved. The Support plan is how we aim to reach the safety goal, the ‘What needs to happen’ to achieve the goals. Worry statements and goals, capture details of any ‘impact to the person’s wellbeing’ as stated by them Worry/concern/danger statement? 1. Who are the most important people in your life and what would happen if you are no longer able to stay in touch with them? 2. Who is worried? 3. An example of what has happened to make the worry? 4. The impact on the persons/families everyday lived experience? 5. What will happen if nothing changes Safety/wellbeing Goals? • What will it look like if the worry/concern is not there? • What will the person/family/network be doing instead? • What will tell us things have changed? • If things were good enough for you and for the Local Authority was happy with that, what would that look like for the person?

Points to Consider Worry/concern/danger statements & safety/wellbeing goals (DS & SG) The Care Act Eligibility Assessment requires practitioners to look at ‘What’s working well’ in relation to the worries and concerns. To identify with the person ‘What the Person would like to achieve’ against each outcome. These can be used as the Person’s worry/concern/danger statement & safety/wellbeing goals for each eligible outcome. This would evidence their critical worries and goals for each outcome, and provide confirmation of their eligibility. o The Safety/wellbeing Goals provide a broad umbrella statement of what change will be demonstrated. Safety goals say what life will look like instead of the concern/worry. o The worries/concerns and safety goals are developed collaboratively with the person and their networks and recorded in LAS

Scaling in Care Act Eligibility Assessment The first Scaling question and answers should be recorded after the Danger Statement & Safety Goal under the ‘impact to wellbeing’ in Criteria 3 section of the form. Scaling questions are useful for finding out what people think about something, noticing their progress and creating next steps; On a scale of 0 to 10 – where 10 is your best hopes/goals and 0 is the opposite • • • How close are we to 10, to reaching the person’s goals? What are the first three steps which can get us closer to the person’s goals? If you visited the person again, how would you know that the person/situation has progressed? Where on the scale would the person put the current situation? Where would the carer/family/network put the current situation? What is already working that gets you/them to the chosen position on the scale? What small step would need to happen next to move one point up the scale – for the person/family/network/LA What difference will it make to the everyday lived experience of the person? What will the person be doing that will tell you and others that they have moved up the scale? Where on the scale will be good enough for the person/family/network/LA, and how will they know they have got there?

Points for Considerations Scaling Using scaling with groups, with families or in meetings can promote useful discussion about differences in perspective and increase the range of views on ‘What’s working well? ’ and ‘What are we worried about? ’ Scales can be used in various ways and are not restricted to numbers. Use scales that the person you’re working with will understand. This may be; Stepping stones across a river Physically standing in the room, with one side of the room representing the ‘worries’ and the other side of the room representing the ‘safety’ Using Emojis Visuals – someone climbing up a hill, with the top of the hill representing the goal or a ladder

Reviews in LAS In the review process in LAS, scaling can be used to record the steps people have taken and evidence progression towards the best hopes/goals. If the person’s circumstances have changed , you will need to do a Re-assessment and write a new statement in the Care Act Eligibility form. This way we are clear about why we’re working with the person and what their goals are in a way that respond to the changes in their life

Support Plan Review If the Danger Statement & Safety Goal remain the same you need to complete a Support plan review. Responses to scaling questions should be recorded in the Review Summary. • • • What steps were taken to reach the safety and wellbeing goals? What worked? What difference did it make? What needs to change to improve the situation and what needs to stay the same? How do we measure progress, how do we know if things are improving? What would happen if things are not going as planned? Do we have a contingency plan and what does it include? Who does what to ensure the success of this support plan/task/activity etc? Where did the person scale themselves at the start of your work together? Where on the scale would the person put the current situation? What has happened to create any moves towards 10? How did the person do that? What is the evidence that small changes are happening? What would your next single step be to move the situation towards 10?

Carers

Carers Short Term Plan Within the Carer’s Short Term Plan (in Carers assessment) the ‘Your Views’ section can be used to record the worry/concern/danger Statement, under the ‘What are your worries & concerns’. The ‘What will it look like when the situation is as good as it can be’ question can be used to record the Safety Goal & Scaling’s, from the Carer & their networks. What is already working well in relation to the concerns/worries? What does the person say is already working for them? What can they do for themselves? What do other people do already that is useful? Who helps? What difference does it make? When have they been able to cope with the concern in the past? What is the person worried about? What are the family/friends/professionals worried about? What are your key concerns about the situation? What will people be doing instead? What will; the person be experiencing? What will their everyday life be like? What difference will this make to the person, to their family and network and to ACS?

Danger Statement & Safety Goal in Carer’s Care Act Eligibility Assessment The worry/concern/danger Statement, The Safety/wellbeing Goal & Scaling Question should be recorded at the end of the Carers Eligibility Assessment, under the ‘impact of your wellbeing’ in Criteria 3 section of the form. This ensures the Carer meets the eligibility criteria and clearly defines the reason ACS are involved. Worry/concern/danger statement? 1. Who is worried? 2. An example of what has happened to make the worry? 3. The impact on the persons/families everyday lived experience? 4. What will happen if nothing changes Safety/wellbeing Goals? • What will it look like if the worry/concern is not there? • What will the person/family/network be doing instead? • What will tell us things have changed? • If things were good enough for you and for the Local Authority was happy with that, what would that look like for the person? Scaling questions are useful for finding out what people think about something, noticing their progress and creating next steps; On a scale of 0 to 10 – where 10 is your best hopes/goals and 0 is the opposite • • Where on the scale would the person put the current situation? Where would the carer/family/network put the current situation? What is already working that gets you/them to the chosen position on the scale? What small step would need to happen next to move one point up the scale – for the person/family/network/LA What difference will it make to the everyday lived experience of the person? What will the person be doing that will tell you and others that they have moved up the scale? Where on the scale will be good enough for the person/family/network/LA, and how will they know they have got there?

Carers Review The review process in LAS can be used to record scaling conversations that evidence the carer’s progress towards the best hopes/goals. If the circumstances have changed, you will need to do a Re-assessment and write new worries & goals in the Carers assessment.

Scaling in reviews If the worry/concern/danger Statement & Safety/wellbeing Goals remain the same you need to complete a Carers review. Scaling conversations can be recorded as exampled here. The boxes expand to capture responses from the carer and their naturally connected networks. This will ensure we have a clear understanding of the Carers Journey and what difference has been achieved that is useful to them. Scaling Where 10 is the best hope/safety and wellbeing goal and 0 is the opposite, where would you rate yourself today?

Uploading SOS pictures & plans to LAS You can upload any plans, pictures and case mappings that you have completed with the Person and their naturally connected networks. This might include a plan they have developed themselves or words and pictures you have created together. Save any documents like this to the Persons/Carers file using the icon highlighted below. You can record in the Persons/Carers support plan stating what you have uploaded to their file.