Social Impact Report

Leading change through education in health and social care

Despite challenges faced in our sector, our service has grown by 28% since last year which has improved our reach and impact. We have seen incremental improvements in efficiency and sustainability without compromising core values.

We have grown into new areas such as mental health and well-being and extended our current provision in safeguarding including launching our first Level 5 accredited course in Safeguarding. To enable us to reach the wider community outside of the social care arena, we have utilised technology and social media platforms to collaborate broadly in the development of new resources and continue to share our resources widely.

We are privileged to witness some of the transformational work that is going on in the context of individual relationships and in organisations. We understand the challenges the workforce experience and greatly value the time given to support in the development of skills.

We have invested heavily in mechanisms for reviewing the impacts of training and this has led to important insights and the targeted development of new tools enabling the practical application of learning.

We have been fortunate to work with many inspirational and passionate trainers who have given their time generously to our work and have made measurable differences to people’s lives. 

Due to the current political situation we have seen cuts in funding which has meant that services are often unable to fund training or invest in understanding the impact of training. In our community, some services have gone into liquidation, unable to maintain the sustainable balance. 

Local authorities have (in some cases) rebalanced value calculations in favour of cost over quality. This has meant that critical practices that support transition from learning to practice cannot be funded. Organisations have placed barriers around joint working because of commercial sensitivity which has limited our opportunities for sharing skills and resources to improve outcomes. 

As an external provider, we have experienced ongoing challenges directly monitoring the impacts on quality of life of the person in receipt of care and support. However, we have continued to work in partnership with providers to find creative workarounds to understanding client outcomes from training. 

Despite these challenges we have been able to have a quantifiable impact in our work. In this report we have documented the reach of our work and highlighted some examples of the specific differences our work is having in individual lives and in communities. 

Caroline Bartle (CEO)

Our Tier 3 Impact Assessments

Research suggests that as much as 60% of learning is not transferred to practice. 

Our Tier 3 impact assessments monitor which of the expected impacts are achieved in practice. This is so we can adapt training and develop tools to support learning to practice where there are low impacts. Tier 3 impact assessments are not yet completed on all of our work streams. Where these have been completed, they have led to important insights. In this report we have highlighted areas that have been a specific focus for us.

Mental Capacity Assessments Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Have been able to recall the five principles

55%

Have been able to identify where Best Interest applies

82%

Have carried out supported decision making

50%

Have advocated in team meetings for the client’s rights

32%

Have recorded consent to care and treatment in daily records

23%

Have reported and/or challenged where someone’s rights have been overridden

23%

Medication and Health Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Have discussed the possible side effects of medication with stakeholders

88%

Identify individuals that are prescribed anti-psychotic medication

13%

Have reported and recorded possible side effects

38%

Have raised awareness of the importance of medication reviews (including members MD team)

25%

Have reported and recorded on why a person may be refusing their medication

25%

Have tried alternative ways of supporting a person to take their medication

13%

Have completed a mental capacity assessment where required

25%

 

Health and Wellbeing in Dementia Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Support a person to achieve one, or more, of the five ways to wellbeing: give, connect, keep learning, take notice.

57%

Raise awareness of potential impact loneliness

71%

Use an assessment to identify if a person is lonely

14%

Adopt strategies to address loneliness

43%

Adopt strategies to support sleep

24%

Raise awareness of the importance of exercise

62%

Identify ways to support a person to exercise

48%

Report early signs of delirium

38%

Use the STOP and WATCH tool to identify early signs of delirium

33%

Report potential dehydration and malnutrition concerns

52%

Promote healthy eating and hydration

62%

Adapt the physical and social environment to improve nutrition and hydration

29%

Raise awareness of the potential impact of incontinence upon a person

24%

Raise awareness of the potential impact of incontinence upon a person

24%

Take action to reduce the risk of falls in the workplace

48%

Modify the physical and/or social environment to support ADL’s

19%

Dementia Risk Reduction Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Raise awareness of risk reduction in own team

71%

Access tools to identify risk factors

29%

Put in place strategies to monitor factors impacting on risk e.g. diabetes, depression, loneliness and hearing loss

36%

Supported someone through diagnosis

7%

Provide information to person with dementia and/or family support available post diagnosis

7%

“I would recommend your training to all care providers to challenge and support staff in a very sensitive subject, enhancing working practice.”

Sexuality and Intimacy Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Raise awareness in the workplace of importance of supporting sexuality and intimacy

60%

Discuss the appropriate use of language to describe activities to support sexuality and intimacy in the workplace

60%

Develop / update a policy on supporting sexuality and intimacy

30%

Develop or improve assessment tools to identify potential areas of support

30%

Work with individuals to uphold their rights and wishes in relation to sexuality and intimacy

20%

Provide accessible information to individuals to enable them to make informed choices, keep safe and reduce incidences of sexual exploitation

40%

Put in strategies to enable individuals to express their sexuality in an appropriate and dignified manner

30%

Develop strategies for reporting on and dealing with inappropriate sexually explicit behaviour and/or sexual dis-inhibition

20%

Discuss / develop a system to highlight safeguarding concerns relating to sexuality and intimacy

40%

Discuss / report on situation where capacity assessment is required

30%

 

Safeguarding Managers Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Develop a system for capturing client involvement in plans and reviews

 31%

Identify the desired outcomes of an individual’s safeguarding case (making safeguarding personal)

 50%

Include individuals in positive risk taking

56% 

Assessing staff competency in safeguarding

75%

Carry out an organization wide audit tool for safeguarding

13%

Carry out risk assessments

69%

Collate data to inform safeguarding strategy: number of MCA, DOLs, safeguarding alerts, and complaints

19%

Develop and/or review systems to evidence consent to care and treatment

56%

Collate numbers of MCA assessment

6%

Put in tools to support decision making

13%

Identify ways to use of the least restrictive approach

38%

Monitor any use of restraint including medication

31%

Review & collate data on safeguarding alerts / referrals and whistle blowing – Freedom to Speak Up

25%

Develop a system to monitor the implementation of Best Interest recommendations

13%

Develop Information Sharing Agreements

13%

Review how service is working with the local community to prevent and report safeguarding

25%

Develop links and/or relationships with the safeguarding adults board

25%

Review / develop quality and integrity of recordings

44%

Identify number and impact of protection and safeguarding plans

38%

Review / develop transparent relationship with partner agencies

31%

 

PBS (Positive Behaviour Support) Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

 

Reduced frequency, duration or intensity of incidents of challenging behaviour

22%

Reduced use of any form of restrictive practices

22%

Supported better communication in daily lives

89%

Individuals who challenge are given opportunity to make decisions

56%

Greater self advocacy for people who challenge

67%

Improve recording that reflects on the situation in a way that includes the person who challenges

67%

Better staff debriefing, and reflection

78%

Improved quality of life through better relationships and reduced isolation

33%

Helped support independent living in community and engagement with meaningful activities

67%

Introduction to ASC (Autism) Impact Assessment

Which of the following activities did you deliver/improve upon because of the course?

Identify and report on where someone exhibits ASC traits

35%

Adapt communication skills to foster greater engagement for those with ASC

85%

Refer to the correct referral route for diagnosis

25%

Support someone with the process of diagnosis

35%

Identify and report on conditions co-morbid with autism

40%

Have developed a bespoke portable crisis tool kit

15%

Developed information leaflet

5%