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Outcome based practice is about putting the residents at the centre of care. Outcome based practice is also referred to as outcomes management and outcomes-focussed assessment. The outcome based services includes all those services which aims at reaching the goal and desires that the carers or residents think about as essential rather than simply providing standardized services determined by service giver. “Social care policy is increasingly focusing on outcomes for those in receipt of services rather than on inputs and processes.” Scie. As a result the outcome based service put the needs of the resident at the centre of the service and ensures to deliver best of services ensuring they live meaningfully.

Harris et al (2005) produced a framework of outcomes implanted in the social model of disability. The social model of disability, which was created by disabled individuals, looks at the environment and society, focusing on, and adapting an individual’s surroundings and access to support them rather than the medical model which focuses on an individual’s impairment as a hindrance. “The social model helps us recognise barriers that make life harder for disabled people. Removing these barriers creates equality and offers disabled people more independence, choice and control.”

The personalisation agenda

The personalisation agenda is to make sure that all care work that take place within the health and social care surroundings is carried out to meet the individuals specific care needs. Personalisation is about providing the individuals with much more selection and control over their lives, it means to assess the needs and purpose of the entire communities to make sure that individuals have full access to the right information, advice and advocacy to make appropriate and informed decisions regarding the support they need.

The personalisation agenda 2008 defines personalisation as the method in which services are modified to the needs and preferences of citizens to empower citizens to shape their own lives and the services they receive.
Level 5 diploma in leadership for health and social care 2nd edition. Tina Tilmouth.

As a result, the personalisation agenda which has replaced the previous “needs led approach” is a person centred approach which is implemented to meet and achieve outcomes of wellbeing and personal requirements. “The traditional service-led approach has often meant that people have not received the right help at the right time and have been unable to shape the kind of support they need. Personalisation is about giving people much more choice and control over their lives and goes well beyond simply giving personal budgets to people eligible for council funding. Personalisation means addressing the needs and aspirations of whole communities to ensure everyone has access to the right information, advice and advocacy to make good decisions about the support they need.”
The outcomes framework consists of four groups of outcomes, these are:

Autonomy outcomes
1. Access to all areas of the home
2. Access to locality and wider environment
3. Communication access
4. Financial security

Economic participation outcomes
1. Access to paid employment as desired
2. Access to training
3. Access to further/higher education/ employment
4. Access to appropriate training for new skills

Personal comfort outcomes
1. Personal hygiene
2. Safety/security
3. Desired level of cleanliness of home
4. Emotion well being
5. Physical health

Social participation outcomes
1. Access to mainstream leisure activities
2. Access to support in parenting role
3. Access to support for personal secure relationships
4. Access to advocacy/peer support Citizenship
Maclean et al 2002

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