Throughout England and Wales, Aspirations currently provides support to over 200 people with mental health need in their homes. We deliver community-based mental health support and have a reputation for innovative person-centred work. We our highly experienced in supporting people moving from highly supported environments e.g. hospital, secure settings and residential placements into their own homes with personalised support to enabling people to gain or regain the skills and confidence needed to sustain their home. Aspirations is able to meet the needs of people that have been described as 'challenging' or 'difficult to place'.
Our support operates with
- day support,
- sleeping night,
- waking night
- 24/7 on-call facilities available
This enables each person to receive the support most appropriate to their level of need.
Additionally we have throughout England set up specifically designed and supported recovery services. (Read Lisa’s story opposite to find out more about one such service in we set up in Kent)
These supported living service are for people living with or recovering from mental illness and provide specialist support on-site. Each individual is offered one to one and group support tailored to their needs and aspirations. People are encouraged to live independently and gain all the skills they need to support their recovery.
We believe strongly that there is always a solution or a different way to respond to opportunities and dilemmas.
The opportunity we were given was to support six men – between the age of 22 and 38, all with mental health issues – through a daily support package of nine shared support hours a day, in smaller packages of support, for seven days a week between 9am and 6pm, in their own homes.
I identified the skills, personal qualities, and interests of the existing staff team drawing on the person-centred thinking tool - Matching Support, so that we could ensure we had the best person to support the men.
This is how you can expect us to work to design and deliver personalised support
Attention is paid to information the person has about their life, their history and what works or doesn’t for them from what they say and the views of others. We use a range approaches to ensure that each person is supported to make decisions about their life and enabling “best-interest decisions making to be undertaken in line with Mental Health Act, DoLs and Mental Capacity Act when a person doesn’t have capacity to make a specific decision. Our policy guide draws on the key principles using decision-making agreements – Person-Centred Thinking Tools and being able to answer these questions for each person:
- Do we fully understand what is important to the person and their communication?
- Are we the best people to support this particular decision?
- Is the information that we are giving to the person relevant to the decision?
- Are we presenting information in a way that the person can understand?
- Are we giving the information at the right place and time?
- Have we given the person the best chance to make this decision themselves?
Our use of the Recovery Star paired with Person-centred Thinking Tools has proved highly effective e.g. using the Working Not/Working Person-Centred Thinking Tool to help people think about their life more deeply using the domains in the Star.
We then gain clarity about what is important to the person, what good support looks like using approaches like Stay Well Plans which inform Advanced Directives and what actions to take at each stage of their recovery.
Monthly, the Recovery Star is used with the person to review progress and perspectives of other people are sought as well, new goal are set together with each person and the next steps agreed. Three monthly or as required, we facilitate a person-centred review which consolidates achievements of the person in line with their personalised outcomes and those which are commissioned. These reviews inform the C.P.A process.
Where people live and the quality of their housing has a direct effect on well-being and our experience in working landlords and Housing Associations ensures we are able to effectively prevent tenancy breakdown which help people then to achieve their recovery. We can facilitate a number of supported living housing options and assure that each individual we support has a safe and secure home. We take actions within our support to enable an individual to become aware of their tenancy obligations and will facilitate appropriate levels of contact to maintain the agreement.
Our Supporting People with Their Finances Policy guides staff to help manage the finances of the people they are supporting, recognising that support needs can be very different from person to person and ensures that such support is undertaken in a person centred way. We promote independence and involve each person in as many decisions about their finances as they are able to. As a result it should support people wherever possible towards developing the money management and budgeting skills they need.
Our successful outcomes with people include
- Preventing hospital re-admission
- Preventing offending,
- Developing interests and talents
- Getting active and physically fit
- Developing skills in managing housing and money,
- Supporting contribution to neighbourhoods through volunteering, cultural and leisure pursuits,
- Gaining employment
- Developing friendships, maintaining relationships and reconnecting with family as appropriate.
These outcomes are achieved through person-centred practice as described in the Aspirations Journey working in a complementary way to support recovery