A review by tandealkent
Making Individual Service Funds Work for People with Dementia Living in Care Homes: How It Works in Practice by Helen Sanderson, Gill Bailey

5.0

Helen Sanderson is CEO of Helen Sanderson Associates and Director Emeritus of the International Community of Person-Centred Practices. Gill Bailey is a Dementia Care Mapper with a wealth of experience working across health and social care services for people living with dementia. Lisa Martin is Manager of Bruce Lodge, a care home in Stockport, part of Borough Care Ltd, that provides care and support for up to 43 people living with dementia

Individual Service Funds (ISFs) have been around for some time, helping people to have more choice and control over the care and support they receive. But ISF’s are not just about better outcomes. They are about designing more cost efficient solutions. Austerity often engenders greater rigidity and the language of “can’t”. The inherent flexibility of ISFs, and the mind-set of person centred approaches that underpin them, offer greater opportunity for creativity to enable people to flourish.

ISFs have been shown to work for people in community settings. But what about for people living with dementia in a large care home? What if you were asked to prove it were possible, with no extra staff and no extra budget?

That was the challenge laid down by David Behan, then Director General of Adult Social Care, to Helen Sanderson. Prove it is possible, he said. So she did

This is the story of that challenge. An unfettered honest description of what success looks like through the stories of people who live and work at Bruce Lodge. People like Ken, who used his personalised time to watch his beloved Stockport County play at home. Then there was Helen, who took up swimming at 83. People like Winifred and Beryl. Not cared for and carer, but friends sharing the pleasures of a job well done.

Although this book provides solid quantitative evidence of positive change, it is clear that, for those involved, the data means was so much more than just counting the number of person centred processes employed or outcomes achieved.

The introduction of ISFs for people living at Bruce Lodge heralds a new horizon, a paradigm shifts in the provision of care and support for people living with dementia. It demonstrates clearly what is possible when organisations and commissioners take a leap of faith and stop talking about residents and start having conversations about people. Not reinventing the wheel, but removing unnecessary spokes.

A huge resource in a readable format, this book is invaluable for anyone who is interested in using person centred thinking approaches to develop individualised care and support for people living with dementia.