Reshaping care and support planning for outcomes

About this resource

Reshaping Care and Support Planning is a nationally approved learning resource containing information and guidance to encourage and assist you to review your approach to care and support planning for people in homes and for those in a homely setting. It contains a variety of learning and development materials explaining why outcomes are important and how you might begin a change in practice to deliver outcome focused care and support.

The resource is primarily designed for service providers but may be of interest a wider audience.

'Outcome focused' means putting the person at the centre, identifying what is important in their life, ensuring that everyone is working together to achieve the same purpose of maximising the person's independence and quality of life.

‘Personal outcomes’ is a way of describing what matters to the individual, and an outcomes focused plan is the written record setting out what the individual is aiming for, and the actions required to achieve the outcomes.

The resource encourages reflection by offering:

• A video case study of an older man (Ken) moving into a care home which demonstrates how small changes can make a big difference
• Recorded stories from staff, service users and carers
• Guidance notes
• Examples of written care plans
• Sample forms for assessment, care planning, risk management and review
• Links to other good practice resources on personal outcome approach, tissue viability, falls assessment, infection, anticipatory care planning

Some of the materials relate to one outcomes approach called Talking Points. However, there are other approaches in Scotland, including Better Futures. which was developed in the housing support sector.

The resource is in six sections, with key supporting materials are highlighted throughout in boxes. The six sections are:

• Ken's story – case study preface
• Why things need to change
• How to go about making the change
• What difference the change makes
• The importance of keeping it under review
• Further reading

To ensure a personal outcome focus, care services must also become familiar and work with local partnerships (NHS, local authorities and others), ensuring that relevant information is shared, in keeping with good practice guidance and regulatory requirements.