“Plan B”
As someone with moderate to severe cerebral palsy, I have been a user of social care and other services since 1992 when I was 18 and went to university in Coventry. At that age I was a young fit and healthy person with cerebral palsy who was enjoying his new found freedom as a university student.
As the years have gone on and the freedom of studenthood as been replaced by running my own company, my personal assistance needs have increased. Also with the increased advance of aging I have due to cerebral palsy this has on paper, put me to a stage where I believe I ideally need assistance 24/7 in order to maximise my lifestyle.
The difficulty with this is I have a level of impairment which is in the middle. I can technically walk and talk and perform many activities but in a fashion which has been increasingly difficult as I have got older. Within a traditional needs led assessment it could be argued that I can perform the many tasks needed and I do not need much assistance. However this does not take into account my work commitments as someone who owns my own company which means I need to focus on my work and not my personal assistance.
Also, it does not take into account the effects of myself performing tasks in terms of my management of time, the use of my energy and the amount of time needed to clean up after me. Within a traditional assessment, the fact I was deemed to be mostly physically independent in term of needs means cost cutting without any insight to the implications in terms of personal hygiene and mental well being.
Under the individualised budget pilot in Coventry I received an outcome focused assessment. In this kind of assessment, my aspirations and the bigger picture is taken into consideration. Therefore, my ability and desire to work via my own company is taken into consideration as well as the associated needs to this in terms of my general physical and mental well-being as someone who works. The assessment looks at what is best for me long term and not just short term.
So Plan A is the perfect personal assistance situation when I have all my positions filled with good quality personal assistants which understand me and my needs. With this, I am able to move forward with great leaps as the assistance I have helps me maximise what I can achieve 24/7. I would be able to perform any activity I wish whatever time of day it is.
However, in the real world this does not often work that way. Staff can go sick or it is difficult to recruit staff and therefore it is important to have a backup plan, hence ‘Plan B’. So plan B is basically how I cope when I do not have any immediate care.
It works on the assumption that I will receive care at some point and therefore the mess created by myself looking after myself will be cleaned up. It also works on the assumption that some preparing is needed to ensure I am able to perform plan B such as ensuring jars and bottles have been loosened so I am able to open them myself. It is also good if food and drink is prepared for me although it is not the same as if they were eaten or drunk freshly.
Plan B also requires an accessible environment which works on my abilities, I am currently working on getting a level access walk in shower. In this way, social care assessments need to look at both Plan A and Plan B in order to promote independence and have coping strategies in place.
While Plan B is not ideal, it is better than no plan at all and I feel its adoption in social care assessments will be good for everyone involved.