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Bespoke Recovery Models that cater to individual needs

At Iris Care Group we have developed our own bespoke frameworks to support the delivery of evidence-based, person-centred care that caters to the needs of people with the most complex needs.

We believe that all the people we support are capable of progress. We are dedicated to their rights to equality, dignity, independence, and fulfilment. Their journey to enhance their quality of life should be unique to them, and we support them by providing this tailored and achievable approach that allows individuals to have control and choice.

The challenge in services like ours is in ensuring that the service, the staff, and the people in our care are supported to focus on what is most important – quality of life – as well as ensuring that the service is able to safely respond to any periods of increased challenge and difficulty.

We know that standardising the processes used to support people enables the right care to be delivered. To do this we have designed two systems to support the development of individualised care plans: Building Better Lives (BBL) and RISE.

Both are specifically tailored either for individuals with learning disabilities or for those with mental health conditions. Each outlines a clear and simple process, using evidence-based materials, to help these individuals develop the skills they will need to succeed in the community and prevent them from returning to hospital.

 

Putting Quality of Life at the fore

Mental health outcomes traditionally focus on symptoms or, for complex services, rates of challenging behaviour. For RISE and Building Better Lives, outcomes are instead focused on quality of life. Both frameworks measure improvements in key quality of life indicators, like hope, autonomy, self-perception, belonging, wellbeing, activities, and physical health.

RISE uses the Recovering Quality of Life Measure (ReQol) measures a patient-reported outcome measure which captures changes in an individual’s perception of their progress towards recovery. Similarly, Building Better Lives uses the Maslow Assessment of Needs Scales – Learning Disability (MANS-LD), which is another quality of life indicator.

Both measures are completed on a quarterly basis, reporting supported individual’s views on a number of quality of life statements such as:

  • I am happy with where I live
  • I am happy with how I spend my time (e.g. jobs, college)
  • I feel able to trust others

The importance of goal setting

Setting clear goals helps provide focus and structure for staff and the people we support on the purpose of the placement. We believe that meaningful goals underpin progress as well as supporting the development of healthy and adaptive behaviours.

In both BBL and RISE, individuals are asked to set their own goals with support from staff within 4 goal setting areas:

  • Physical health and wellbeing
  • Belonging and relationships
  • Choice, control, and autonomy
  • Activities

Goals build on these themes and can be anything from wanting to try new recipes, exercise, or socialise more. These goals are centred around the individual’s quality of life – their ability to keep themselves safe, build friendships and relationships, and make their own decisions.

Making a goal SMART

To make sure these goals are achievable, they are written in a ‘SMART’ manner. A ‘SMART’ goal is one that is Specific, Measurable, Achievable, Relevant, and Time-bound.

For example, a person we support may choose a goal to improve their physical health and we then add some timing and structure around the goal. In this case, specifying how often they will exercise and discussing with them different ways the goal can be achieved.

Reflection and review

All goals are then tracked in a monthly planner with actions taken to meet the goal being recorded.

At the end of each month, everyone has the opportunity to reflect on their progress. What worked well for them? Do we need to make any changes to ensure that the goal is achievable?

Some goals may not be a good fit, and sometimes the individual’s priorities shift – this is OK! Giving people the opportunity to reflect, review, and change their goals means they can set goals that grow with them and their potential.

It is important that people feel supported as they work towards their goals. Achieving a goal is a fantastic feeling, but working towards one can be stressful. Trying new things or forming new routines can be difficult, and there may be an element of trial and error., BBL and Rise are active facilitators for our staff; giving them the skills and knowledge they need too to achieve their own career goals to support individuals to thrive and live happy and productive lives.

 

To find out more about the successes we have had with our bespoke recovery models, click on the image below to read a presentation on a large scale evaluation of outcome measures we produced.

 

RISE

Our RISE model is focused on Mental Health Conditions, so our staff are trained to provide support that combines empathy, validation, and redirection. When struggling to meet a goal, negative feelings can surface. Staff needed to be able to identify when this occurs and redirect a supported individual to refocus their behaviour, attention, or thought processes; it’s important that our staff know when to support people to focus on another activity or area of need that is less distressing or demanding.

 

Click here to read our Rise support booklet

Building Better Lives

Our Building Better Lives programme is focused specifically for people with Learning Disabilities. It is the means by which we deliver Active Support to support individuals to acquire new skills. BBL guides staff on how to deploy different levels of tailored support dependent on how difficult someone may find an activity.

 

Click here to read our BBL support booklet

Talk to the Iris Care Group team

If you have any questions about our services including how to make a referral or the career opportunities with Iris Care Group please complete our Get in Touch form.

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