The following case studies show how services might be different in the future:
FULFILLING LIVES Case Study 1
Mel is a 30 year old lady who attends the centre at Aylesbury 2 days per week. She is physically able and has a mild learning disability. She spends a lot of her time in the centre helping both staff and clients and enjoys and benefits from a helping role. Staff from her supported living drop her off and pick her up.
Mel could be supported to undertake a role in the community voluntarily which could lead to paid work. She would learn new skills and her self-esteem would be boosted. Mel would love to use her people skills to volunteer with others that need help for example, in a nursery, hospital, charity shop or a library. She would initially need a Personal Assistant to attend with her, until her confidence develops and support her to get to know her role well. She has the potential to be able to use public transport independently after some travel training. She would need some close supervision if she was to be unsupported in her job role.
FULFILLING LIVES Case Study 2
Joe is a 19 years old he attends the centre at Buckingham 1 day a week and Thrift 2 days per week. He travels via taxi services. Joe has 2 Personal Assistants that support him in the community. He lives at home with his Mum and Dad. Joe is physically able and has autism/autistic traits with some challenging behaviours. It is a rare to see Joe display these behaviours and this is usually if he’s not stimulated with activities he likes.
Joe is able to access the community and it would be ideal for him to go to activities within the community such as swimming, going to the gym, shopping, and other groups where he is able to socialise such as gaming groups and other sports. With the right support he could maintain a regular position of voluntary work as Joe really enjoys helping others and having a purpose in an environment. This could be in a pet shop, café or type of retail that he could contribute in. He would need support from PA’s to work towards this initially and hopefully through time he could manage independently when in a routine.
FULFILLING LIVES Case Study 3
Freddie is a 29 year man who is very happy living at home with his mum and dad. Freddie has cerebral palsy, severe learning difficulties and epilepsy. Freddie uses a moulded (specialist seat) Neo wheelchair and needs to be hoisted to change position. Freddie is doubly incontinent and requires personal care to be carried out by 2 carers (using a hoist and changing bed). Freddie needs one to one support to be able to have a drink and something eat. During the day it is likely that Freddie may have an epileptic seizure, therefore medication must be administered by trained staff. Freddie is non-verbal and he has severe learning difficulties. He is vulnerable and will not recognise when he faces danger from hazardous situations or unscrupulous carers. He will always need to be with carers he recognises and carers who understand his needs.
Attending a building-based service provides a safe environment for Freddie. It is also a place where he can receive regular physiotherapy which enables him to live the healthiest life he is able to do. The physiotherapist is able to monitor Freddie's scoliosis in his spine and signpost any potential health difficulties to his family. Freddie enjoys going into the community with a carer he knows for planned activities and may benefit from planned, increased opportunities in the community whilst retaining a building base to return to.
Freddie loves to be able to have a short break in a respite unit, supported by trained and caring staff with the opportunity to spend time with his friends. It is also an opportunity for Freddy's family to catch up on sleep, see other family members and to prepare themselves for Freddy's return after his short break. This enables Freddie and his family to remain together in the family home.