Julie Allen, Max Neill, Neil Woodhead, Stephen Reid,

Lori Erwin and Helen Sanderson

Person

Centred

Risk

Person Centred Risk

• Risk is a part of everyday life for everyone.

• Every opportunity contains risks – a life

without risk is a life without opportunities,

without quality, without change.

“If I were given one hour to save

The planet, I would spend 59

Minutes defining the problem and

One minute resolving it.”

Albert Einstein

Governing principle is that people have the right to live their lives

To the full as long as that doesn’t stop others from doing the same.

Person centred planning approaches identify what is important

To a person from his or her perspective and find appropriate solutions.

We commend person-centred approaches for everyone.

Dead and happy

are incompatible

Alive and

miserable is

unacceptable

But

1. Purpose

What are we trying to achieve?

How can we use this process to enable the person

to have choice and control in their life, as a citizen

in their community?

2. People

Who needs to be involved with the person to

achieve this?

3. Process

What is the process for thinking about the person

and what needs to change in their life.

How can we record this?

How can we put our actions into practice?

4. Progress

How can we review our progress?

Who is the person?

What people like and admire about Jackie...• Thoughtful, organised, good at keeping in touch, loving, stylish, independent, great memory, good

planner, generous.

•

• What’s important to Jackie...?

• To see her mum at least once or twice a week and to speak to her on the phone once a week.

• To be able to plan her weekly routines using her diary and to have it in her bag

• To have some time on her own at home.

• To look and feel good about herself to be able to wear trendy clothes and jewellery.

• To feel that she is helping others.

• To have lots of cups of tea throughout the day often up to six with milk and no sugar.

•

• How best to support Jackie...

• Jackie’s routines are very important to her, if for some reason there is a change explain this to her by

using the diary. Jackie may feel upset and will need reassurance.

• Always explain in advance if Jackie needs to attend any kind of medical appointment and put the date in

her diary.

• On Tuesdays and Sundays Jackie goes out with her mum to the gym and to visit family.

• When mum is away on holiday Jackie will probably feel upset, support her through this by arranging

support to continue to do these activities. Always record this in her diary with her.

• Jackie needs encouragement and praise to keep up her healthy eating. She enjoys having a take away

treat night every Friday which includes either pampering or watching DVD’s. It is also important that there

are healthy snacks available throughout the day.

• Jackie needs support to make a cup of tea as her hands shake when she lifts the kettle.

What’s working/ not working

Jackie’s perspective

Seeing mum twice a week

and phoning her once a

week

Going to the gym

Living in her own flat

Having healthy snacks

available through the day

Using her diary to plan

Having to wait for support to

make a cup of tea

Not having time alone in the

flat

What’s working/ not working

mum’s perspective

Spending time with Jackie

Jackie losing weight and

eating healthily

Knowing that Jackie is safe

Jackie becoming frustrated

when waiting for a cup of tea

and making it by herself

What’s working/ not working

team’s perspective

That Jackie is doing much

more for herself and is

taking pride in her

achievements.

Jackie’s relationship and the

time she spends with her

mum.

Using the diary and picture

rota to help Jackie plan and

deal with changes.

Jackie not responding when

the fire alarm is tested.

Jackie getting agitated when

wanting a cup of tea.

Jackie answering the door

to anyone and asking them

to come in.

Jackie getting upset when

her mum goes on holiday

What’s working/ not working

care manager perspective

Jackie is living in her own

flat.

Her independent skills have

developed since she moved

from the group home.

Reports of Jackie harming

herself and others have

reduced since moving.

Jackie has been showing

early signs of frustration re

having no time alone and

needing support to make a

cup of tea.

What is the problem we are trying to solve?

• Jackie wants to spend time on her own in the flat, although

she is really sociable she enjoys her own space.

• She likes to feel that she is doing things for herself and is

unhappy that she is not being listened to.

• The problem is that we are worried that she won’t leave the

flat if there is a fire. She doesn’t get up from her chair when

the weekly test is done unless she is prompted to. This is a

real worry and has also been identified on the house fire risk

assessment.

• She would be vulnerable when answering the door as once

she has opened it she could be convinced to ask the person

in even if she didn’t know them. Because Jackie lives in an

area which her team would describe as “dodgy” it is of

concern that she might let someone in.

• There wouldn’t be anyone in to help make a cup of tea and

she might scald herself picking up the kettle. This is likely to

happen as Jackie likes a cup of tea whenever she feels like

one and would not wait long for support.

What does success look like from different

perspectives?

• The person?

• Family and community?

• Staff?

• The organisation?

That Jackie lives the life

she wants to as safely as

possible.

That we explore all the

risks thoroughly and in

keeping with policy and

procedure.

To have time alone in the flat and to be able to

make a cup of tea when she wants one.

That Jackie is able to have time

Alone without being worried that

she will be in danger.

That Mum is not anxious.

That they are not held to blame if

Things go wrong.

MUM = That jackie is happy and safe. That she does not become upset or anxious

and hurt herself or others. That people in the community see her as a good neighbour.y

What is the history of the issue?

• What have you tried?

• What have you learned?

• What are you pleased about?

• What are you concerned about?

What is not working?

What are the consequences if we do

nothing?

• General impact.

• Opportunities lost. What will be

missed if we don’t support the

person to take the risk?

• What does the law say?

Blue sky thinking

• do not discuss ideas- just shout them out

• do not judge or amend ideas

• good, bad, ripe or green- all ideas are

• welcome.

• repeating ideas is fine.

• Building on someone else’s ideas is good.

• wait for silence to end- a wave of creativity

often follows.

• you may need a wacky ideas generator to

kick start the creative flow.

What shall we do next?

• What seems obvious? – what makes

sense? What is jumping out at you?

• What are other potential solutions?

How do these ideas measure up?

• To what we know is important to the

person.

• To best support.

• To what success looks like.

• To what is already working.

• To addressing what is not working.

Unhappy

(conflicts with important to)

Happy (important to)

Safe

(important for)

Unsafe

(conflicts with important

for)

What will you try?

option Yes/maybe, try, no Reason

Who? What? By when?

•What is important to the person.

•What best support looks like.

•What is positive and possible.

Staying in control.

WHO? WHAT? BY WHEN?

team Explore assistive

technology

•Door camera

•Fire alarm

Within a month

Mum and Jackie Buy a 10 second

kettle

On Saturday

team Change how and

when fire alarms

are tested

Next team

meeting

Actions regarding Jackie

What are your responsibilities?

What good

support looks like.

What bad support

looks like.

Click here to add text

How often Jackie’s

mum chooses to go

on holiday

Jackie’s

doughnut

Help jackie to stick photo’s of people

Who will be visiting in her diary

Only test the fire alsrm when jackie is

Out.

To know when jackie’s mum is going to be on holiday

And to plan the additional support needed.

To review progress at every team meeting. In relation to what is

Important to/for Jackie and the risks involved.

To test the door camera is working.

To make sure the batteries in Jackie’s personalised fi

re alarm are working.

What if things don’t go to plan?

• If there is a crisis:

• What do you need to do immediately to

keep the person safe?

• What else do you need to do?

• Who needs to be informed?

Progress

How will we know

if the action plan

is not working?

What will we see,

hear, do or feel?

The person

Others