An overview of our progress against this outcome in 2023 to 2024
From the workforce perspective, we have seen evidence of positive implementation of social services resulting from a focus on the principles. Equally, the general ethos of the [Social Services and Well-being (Wales)] Act, giving people more voice and control and approaches such as ‘what matters’ conversations, have helped cross divides that may exist within workforce cultures, albeit not always consistently. This has enabled workers to work beyond prescribed boundaries and explore wider options.”
Final report: evaluation of the Social Services and Well-being (Wales) Act 2014, March 2023
“5% of people said they received help for themselves from care and support services in Wales in the last 12 months. Of the people who receive care 33% have a package of care arranged by the local council, and 37% of this group pay towards the care they receive. A further 3% of people said they have needed but not received help from care and support services in the past 12 months.”
National Survey for Wales headline results: April 2022 to March 2023
Supporting a strengths-based outcomes approach
A strengths-based outcomes approach supports people who access care and support and their families to live the best lives possible by building on their strengths and capabilities. It means recognising that everyone can contribute to and take responsibility for their lives: the person, their network of friends and family, and their community.
We continued to support five local authorities to develop and provide training to build the confidence and skills of those working in across both children, adult and social work teams in applying this approach. We also supported their management teams to prepare for the systemic shift needed to support the approach. We’re finalising online training resources for management in the wider social care sector and an offer to support management will be available in 2024 to 2025.
Supporting the transformation agenda in children’s services
In 2023 to 2024, we focused our support on the part of the transformation programme that has the highest complexity and implications for the social care workforce and where we can add most value – the elimination of profit in children’s services. Specifically, the elimination of profit in residential children’s care.
To help us support capacity building in local authorities, we sent them a questionnaire in December to get information about recruitment, retention and training needs around therapeutic approaches. We’ll now analyse the data and share the main findings with Welsh Government.
Balancing rights and responsibilities: an evaluation
In June, we published an evaluation of a new programme that focused on hospital discharge. The programme aimed to develop new skills and capability to rebalance the reliance on risk- and problem-based approaches, with a view to developing and delivering person-centred care. The joint programme (BRR) was a hybrid of the ‘Collaborative Communications Skills’ (social care) and the Care Aims (health) training and skills development.
The evaluation by the Social Care Institute for Excellence found that after the programme most people who took part felt more confident talking to patients about what matters to them. Almost everyone said they now had a better understanding of duty of care.
Of the 68 people who took part in the programme, 12 became ‘mentors’ or ‘champions’ and attended more training which helped them further embed the approach.
Supporting the shift to outcomes-based practice with up-to-date research
We published relevant and up-to-date research about place-based care and trauma-informed approaches, and their role in providing social care in Wales.