Specialist Supported Living

Person-centred flexible services November 2012

Overview This presentation will provide: !  A brief history of closure of Large Residential Centres and

redeveloped models. !  An outline of current Specialist Supported Living services and

those next to transition. !  What is different and what is the same in these new models !  Person-centred and flexible approaches !  The role of nurses in Specialist Supported Living services !  Key challenges and vision for future service provision

Closure of Large Residential Centres and development of Specialist Supported Living services

LRC Redevelopment in SSL

Peat Island Casuarina Grove – Complex Ageing

Lachlan Centre Norton Road – Complex Behaviour

Grosvenor Summer Hill – Complex Health Network

Specialist Supported Living

!  Provides a standard of excellence in care to people with complex needs including:

•   complex behaviour •   complex health •   complex support needs relating to ageing

!  Services are provided in contemporary forms of specialist supported living accommodation models and respite services.

!  These services support the principles of the Disability Services Act 1993 (the DSA) and the United Nations Convention on the Rights of Persons with Disabilities (the UN Convention).

Large Residential Centres & Specialist Supported Living (LRCSSL) Directorate

Executive DirectorLRCs and Specialist Supported Living

Saviour Buhagiar

Principal Business Analyst

Zubin Mody

Executive AssistantLalita Kumar

Chief Executive OfficerMetro Residences

Lynne Ready

Chief Executive OfficerHunter Residences

Frank Bull

Manager Riverside CentreWendy Crockett

Director Specialist Supported

LivingDeidre Russell

DirectorCommunity Justice

ProgramNatalie Mamone

ManagerProject Development

TeamTanya Smyth

ManagerSpecialist Supported

LivingRobert Williams

Nurse ManagerComplex Health

NetworkYvonne Turiano

Nurse ManagerComplex Behaviour

(Norton Road)Steve Jankovic

Nurse ManagerComplex Ageing

(Casuarina Grove)Ray Garner

Westmead Centre

Rydalmere Centre

Stockton Centre

Kanangra Centre

Tomaree Centre

Riverside Centre

Specialist Supported Living - Complex Ageing

Casuarina Grove !  Developed out of closure of Peat Island Centre in October

2010. !  State-wide service specialising in aged care located in Hamlyn

Terrace on the Central Coast. !  Casuarina Grove provides 99 supported accommodation places

and one respite place across ten houses.

Specialist Supported Living – Complex Behaviour

Norton Road !  Developed from the closure of the Lachlan Centre in

December 2010. !  The state-wide service is located at North Ryde is

configured in a cluster of 10 x five bedroom group homes.

Specialist Supported Living – Complex Health

The Complex Health Network offers specialist disability health care including: 1.Permanent supported accommodation service for adults

–   Four regional group homes –   Two x 10 bedroom state-wide group homes

2.Short term planned centre based respite care for adults and children

Different or new institution?   LRC GH SSL Accommodation Dorm style Own room

Up to 5-6 people

Own Room Up to 10 people Purpose built

Staffing Nursing DSW Nursing Location within community

Single site, isolated

Integrated into the community

Predominately clustered within community

Client Support Needs

Range of support needs

Range of support needs

Complex

Person centred and flexible The outcome of the development of SSLs has been: !  An improved quality of life for people !  Increased community integration !  A greater degree of independence !  The provision of appropriate support to meet individuals

needs !  The provision of contemporary and home-like

environments.

Role for nurses !  Clinical !  Educational !  Leadership and Management !  Facilitators !  Advocates

Challenges Increased demand for SSL services in the future

Recruitment and sustainability of an appropriately trained workforce.

Initial resistance to change from key stakeholders as LRCs closed

Geographic spread of services

Establishing, maintaining and enhancing flexible and person centred services

Successes

!  Casuarina Grove health care - individuals !  Norton Road Day programs !  Finalising eligibility guidelines for SSLs !  Administrative support to SSLs

Where to from here? !  The next transitions – Metro North and Hunter GHs !  Riverside redevelopment !  Metro Residences and Stockton redevelopment !  Learning and development !  Ongoing training programs for entry level staff !  Improved relationships and ongoing agreements with

student nurse training organisations

Vision for the future !  Services of excellence. !  Nursing staff with skills, knowledge, experience, desire

and motivation to work in these complex areas and promote their abilities across the disability service system.

!  Solid and respected relationships with other providers. !  Able to provide a consultant service to nursing and non

nursing group home staff and managers in the areas of specialty – for ADHC and the sector.

!  SSLs having a reputation for resolving support need issues for people and then these people being able to transition to less restrictive accommodation models.

References Kozma et al (2009) Outcomes in Different Residential Settings for People With Intellectual

Disability: A Systematic Review University of Kent, Tizard Centre (Canterbury, Kent, United Kingdom) AJIDD VOLUME 114, NUMBER 3: 193-222 McVilly, K. & Forster, S. (2010). The demographic profiles and projected support needs of persons with multiple and complex disability in NSW. Department of Human Services, NSW, Australia