To develop a personal plan, the worker needs to have a full understanding of the assessment information to devise a personal plan that meets the individual’s needs and outcomes.
A personal plan sets out how care and support needs will be met. Individuals should be involved in the preparation of their own care and support plan as much as possible. The personal plan may also be referred to as a service delivery plan.
Effective assessments should be valuable experiences in themselves. They should build a better understanding of someone’s situation, identify the most appropriate approach and establish a plan for how they will achieve their personal outcomes.
The primary focus of personal plans is building on an individual’s strengths and assets including their abilities and families/communities.
The key elements of a personal plan are:
The legislation, policy and guidance related to assessing the needs of the individual are:
Er mwyn datblygu cynllun personol, mae angen i'r gweithiwr feddu ar ddealltwriaeth lawn o'r wybodaeth asesu er mwyn llunio cynllun personol sy'n diwallu anghenion a chanlyniadau'r unigolyn.
Mae cynllun personol yn nodi sut y bydd anghenion gofal a chymorth yn cael eu diwallu. Dylai unigolion fod yn rhan o'r gwaith o baratoi eu cynllun gofal a chymorth eu hunain gymaint â phosibl. Gellir cyfeirio at y cynllun personol fel cynllun cyflenwi gwasanaeth hefyd.
Dylai asesiadau effeithiol fod yn brofiadau gwerthfawr ynddynt eu hunain. Dylent feithrin gwell dealltwriaeth o sefyllfa rhywun, nodi'r dull mwyaf priodol a sefydlu cynllun ar gyfer sut y byddant yn cyflawni eu canlyniadau personol.
Prif ffocws cynlluniau personol yw adeiladu ar gryfderau ac asedau unigolyn gan gynnwys ei alluoedd a'i deulu/cymuned.
Prif elfennau’r system ar-lein yw:
Y ddeddfwriaeth, y polisi a'r canllawiau sy'n ymwneud ag asesu anghenion yr unigolyn yw:
Assessments must, as a minimum, record information in line with national assessment eligibility tool, which comprises the national minimum core data set and an analysis structured around 5 elements of assessment:
The assessment process requires that practitioners must:
Further reading on eligibility tool, this includes national minimum core data set and flow charts of plans: https://bit.ly/2JeNXve
The individual has an eligible need for care and support if an assessment establishes that they can only overcome barriers to achieving their personal outcomes by the local authority working with them in jointly preparing a care and support plan, or a support plan for a carer and ensuring that the plan is delivered.
If the provision of care and support cannot help the person achieve their personal outcomes the question of eligibility does not arise. It is not the purpose of the eligibility criteria to draw local authority care and support services into challenges they cannot address (such as provision of health care, employment and education).
The eligibility criteria decision flows naturally from the assessment process. All five elements must be taken into account in the assessment and from this judgement reached about whether the person has eligibility needs. There is no longer thresholds in relation to eligibility.
The regulations specifically identify needs which meet the eligibility criteria for children. Identifying whether there would be an adverse effect in the development of the child if the need goes unmet is crucial. Assessing children’s needs must be about ensuring their best interests are met and welfare safeguarded. A key part of assessment must be to establish whether there is a reasonable cause to suspect that an adult or child is experiencing or at risk of abuse, neglect or other harm.
Rhaid i asesiadau, o leiaf, gofnodi gwybodaeth yn unol â'r adnodd cymhwysedd asesu cenedlaethol, sy'n cynnwys y set ddata craidd gofynnol genedlaethol a dadansoddiad wedi'i strwythuro o gwmpas 5 elfen o'r asesiad:
Mae'r broses asesu yn gofyn bod yn rhaid i ymarferwyr:
Darllen pellach ar yr adnodd cymhwyster sy’n cynnwys set ddata craidd gofynnol genedlaethol a siartiau llif cynlluniau: https://bit.ly/2xrUb5B
Mae gan yr unigolyn angen cymwys am ofal a chymorth os yw asesiad yn cadarnhau mai dim ond drwy i'r awdurdod lleol weithio gyda hwy i baratoi cynllun gofal a chymorth ar y cyd, neu gynllun cymorth ar gyfer gofalwr a sicrhau bod y cynllun yn cael ei gyflwyno ei fod yn gallu goresgyn unrhyw rwystrau i gyflawni ei ganlyniadau personol.
Os na all darparu gofal a chymorth helpu'r person i gyflawni ei ganlyniadau personol, nid yw'r cwestiwn o gymhwysedd yn codi. Nid diben y meini prawf cymhwysedd yw tynnu gwasanaethau gofal a chymorth awdurdodau lleol i heriau na allant fynd i'r afael â hwy (megis darparu gofal iechyd, cyflogaeth ac addysg).
Mae penderfyniad y meini prawf cymhwysedd yn llifo'n naturiol o'r broses asesu. Mae'n rhaid ystyried pob un o'r pum elfen yn yr asesiad ac o'r dyfarniad hwn barnu a oes gan y person anghenion cymhwystra. Nid oes trothwyon mwyach mewn perthynas â chymhwysedd.
Mae'r rheoliadau'n nodi'n benodol anghenion sy'n bodloni'r meini prawf cymhwysedd i blant. Mae'n hollbwysig nodi a fyddai effaith andwyol ar ddatblygiad y plentyn pe na fyddai'r angen yn cael ei ddiwallu. Rhaid i'r asesiad o anghenion plant fod er eu lles pennaf ac yn diogelu eu lles. Rhan allweddol o'r asesiad fydd sefydlu a oes achos rhesymol dros amau bod oedolyn neu blentyn yn cael ei gam-drin neu mewn perygl o gael ei gam-drin, ei esgeuluso neu ei niweidio mewn unrhyw ffordd arall.
The Act required local authorities to make significant changes in how they respond to individuals with needs for care and support and in the services that they commission. The implementation of the Act required a change to assessment practice, with a move away from identifying what services an individual ‘needs’ to an emphasis on what care and support the individual requires to achieve the personal outcomes ‘that matter to them’ – outcomes identified through a respectful conversation about how the individual and / or their family wants to exercise control over decisions about their care and support.
The process of assessment should be based on the principles of co-production so that practitioners and individuals share the power to plan together. This might mean a shift in relationship between professionals and people who use services. For professionals it will be important not to be too risk averse, and to enable and empower individuals.
Developing a strengths-based approach is seen as a key aspect of working collaboratively between the individual supported and the professional(s) supporting them, working together to determine outcomes that draw on the individual’s strengths and assets.
The primary focus is not on problems or deficits, but building on people’s resources and assets, including people’s strengths, abilities and families or communities.
Practitioners may like to use the following list to consider their own practice:
Roedd y ddeddf yn ei gwneud yn ofynnol i awdurdodau lleol newid yn sylweddol yn y ffordd y maent yn ymateb i unigolion ag anghenion am ofal a chymorth ac yn y gwasanaethau y maent yn eu comisiynu. Roedd gweithredu'r Ddeddf yn gofyn am newid i arfer asesu, gan symud i ffwrdd oddi wrth nodi pa wasanaethau sy'n 'angenrheidiol' i unigolyn i bwyslais ar ba ofal a chymorth sydd ei angen ar yr unigolyn i gyflawni'r canlyniadau personol 'sy'n bwysig iddyn nhw' – canlyniadau a nodwyd drwy sgwrs barchus am sut y mae'r unigolyn a / neu ei deulu am reoli penderfyniadau am eu gofal a'u cymorth.
Dylai'r broses asesu fod yn seiliedig ar egwyddorion cyd-gynhyrchu fel bod ymarferwyr ac unigolion yn rhannu'r pŵer i gynllunio gyda'i gilydd. Gallai hyn olygu newid yn y berthynas rhwng gweithwyr proffesiynol a phobl sy'n defnyddio gwasanaethau. Yn achos gweithwyr proffesiynol, bydd yn bwysig peidio ag osgoi risg yn ormodol, ac i alluogi a grymuso unigolion.
Ystyrir bod datblygu dull sy'n seiliedig ar gryfderau yn agwedd allweddol ar gydweithredu rhwng yr unigolyn a gefnogir a'r gweithiwr/gweithwyr proffesiynol sy'n rhoi cymorth iddynt, gan weithio gyda'i gilydd i bennu canlyniadau sy'n defnyddio cryfderau ac asedau'r unigolyn.
Nid problemau na diffygion yw'r prif ffocws, ond yn hytrach adeiladu ar adnoddau ac asedau pobl, gan gynnwys cryfderau, galluoedd a theuluoedd neu gymunedau pobl.
Efallai yr hoffai ymarferwyr ddefnyddio'r rhestr ganlynol i ystyried eu hymarfer eu hunain:
The overarching duties of the Act must be followed when developing plans, which should be person-centred, promote well-being and be outcome-based. It is also important that they are clear and concise and use appropriate language, suitable communication methods and are in an accessible format so that the individual can participate in their planning and understand their plan.
Safeguarding runs throughout the Act and all practitioners will need to be alert to any risk of harm to the individual or to others. Care and support planning will explore the possible responses to these risks and agree approaches to risk management and / or mitigation.
Plans must also be integrated where possible (and it is appropriate to do so) and be jointly owned and operated by practitioners. For example, integrated across health and social care or social care and education.
The format of the support plan must be agreed by the local authorities and local health board (LHB) and NHS Trusts and, as a minimum, must be consistent across the regional LHB footprint. They must work together to ensure that local and specialist templates for support plans meet the national minimum core data set and content required.
Planning must reflect the Welsh Government Strategy ‘More than Just Words’, which means that local authorities must be proactive and enable people to communicate and participate through the medium of Welsh.
The plan as a minimum should cover the following content:
Where appropriate plans should also set out:
Rhaid dilyn dyletswyddau trosfwaol y Ddeddf wrth ddatblygu cynlluniau, a dylent fod yn canolbwyntio ar yr unigolyn, yn hybu llesiant a bod yn seiliedig ar ganlyniadau. Mae hefyd yn bwysig eu bod yn glir ac yn gryno a'u bod yn defnyddio iaith a dulliau cyfathrebu priodol, a'u bod mewn fformat hygyrch fel y gall yr unigolyn gymryd rhan yn ei gynllunio a deall ei gynllun.
Mae diogelu yn amlwg drwy'r Ddeddf a bydd angen i bob ymarferwr fod yn wyliadwrus o ran unrhyw berygl o niwed i'r unigolyn neu i eraill. Bydd cynllunio gofal a chymorth yn archwilio'r ymatebion posibl i'r risgiau hyn ac yn cytuno ar ddulliau o reoli a / neu liniaru risg.
Rhaid i gynlluniau hefyd gael eu hintegreiddio lle bo modd (ac mae'n briodol gwneud hynny) a bod ymarferwyr yn berchen â nhw ac yn eu gweithredu. Er enghraifft, wedi'u hintegreiddio ar draws iechyd a gofal cymdeithasol neu ofal cymdeithasol ac addysg.
Rhaid i'r awdurdodau lleol a'r Bwrdd Iechyd Lleol (BILl) ac ymddiriedolaethau'r GIG gytuno ar fformat y cynllun cymorth ac, fel isafswm, rhaid iddo fod yn gyson ar draws ôl troed y BILl rhanbarthol. Rhaid iddynt weithio gyda'i gilydd i sicrhau bod templedi lleol ac arbenigol ar gyfer cynlluniau cymorth yn bodloni'r set ddata craidd gofynnol genedlaethol a'r cynnwys sy'n ofynnol.
Rhaid i gynllunio adlewyrchu strategaeth Llywodraeth Cymru 'Mwy Na Geiriau', sy'n golygu bod yn rhaid i awdurdodau lleol fod yn rhagweithiol a galluogi pobl i gyfathrebu a chymryd rhan drwy gyfrwng y Gymraeg.
Dylai'r cynllun o leiaf gwmpasu'r cynnwys canlynol:
Lle y dylai cynlluniau priodol hefyd nodi:
Local authorities must provide, and keep under review, care and support plans for children and adults, and support plans for carers, who have needs which meet the eligibility criteria.
This duty also applies for people where it appears to the local authority that it is necessary to meet their needs in order to protect them either from, or from risk of abuse, or neglect or (for children) other harm.
Many individuals’ needs for care and support can be met without a formal plan. In such instances relevant preventative or community based services should be clearly signposted to the individual or their family. A record of how these needs will be met without a plan must be made on the National Assessment and Eligibility Tool. However, a plan is needed when the individual is unlikely to achieve their personal outcomes unless the local authority provides or arranges care and support to meet an identified, eligible need.
The local authority must involve the individual and jointly develop the plan and, where feasible, any carer. The plan should set out the ways in which the individual can be supported to achieve their personal outcomes; the types of care and support that might be best suited and available to them; and how these can be accessed.
The plan must be kept under review. If the authority believes that an individual’s eligible need for care and support has changed, it must conduct an assessment and revise the plan as necessary.
The Act introduced the portability of support plans for adults and children across Welsh local authority boundaries. This means that if someone with eligible needs relocates within Wales, the ‘new’ authority has a duty to maintain the care and support set out in their previous plan at least until it has had the opportunity to review their needs.
Rhaid i awdurdodau lleol ddarparu a pharhau i adolygu cynlluniau gofal a chymorth ar gyfer plant ac oedolion, a chynlluniau cymorth i ofalwyr, sydd ag anghenion sy'n bodloni'r meini prawf cymhwystra.
Mae'r ddyletswydd hon hefyd yn gymwys i bobl os yw'n ymddangos i'r awdurdod lleol ei bod yn angenrheidiol diwallu eu hanghenion er mwyn eu diogelu rhag camdriniaeth neu esgeulustod neu eu bod mewn perygl o gael eu cam-drin neu eu hesgeuluso neu (i blant) niwed arall.
Gellir diwallu anghenion llawer o unigolion am ofal a chymorth heb gynllun ffurfiol. Mewn achosion o'r fath dylai gwasanaethau ataliol neu wasanaethau cymunedol perthnasol gael eu cyfeirio'n glir at yr unigolyn neu ei deulu. Cofnod o sut y bydd yr anghenion hyn yn cael eu diwallu heb gynllun ar yr Adnodd Asesu a Chymhwysedd Cenedlaethol.
Fodd bynnag, mae angen cynllun pan fydd yr unigolyn yn annhebygol o gyflawni ei ganlyniadau personol oni bai bod yr awdurdod lleol yn darparu neu'n trefnu gofal a chymorth i ddiwallu angen a nodwyd sy'n gymwys.
Rhaid i'r awdurdod lleol gynnwys yr unigolyn a datblygu'r cynllun ar y cyd, a phan fo'n ymarferol, unrhyw ofalwr. Dylai'r cynllun nodi'r ffyrdd y gellir cynorthwyo'r unigolyn i gyflawni ei ganlyniadau personol; y mathau o ofal a chymorth a allai fod yn fwyaf addas ar ei gyfer ac sydd ar gael iddynt; a sut y gellir cael gafael ar y rhain.
Rhaid adolygu'r cynllun yn barhaus. Os yw'r awdurdod o'r farn bod angen cymwys unigolyn am ofal a chymorth wedi newid, rhaid iddo gynnal asesiad a diwygio'r cynllun yn ôl yr angen.
Cyflwynodd y Ddeddf yr hygludedd o gynlluniau cymorth i oedolion a phlant ar draws ffiniau awdurdodau lleol Cymru. Mae hyn yn golygu, os yw rhywun ag anghenion cymwys yn adleoli yng Nghymru, bod gan yr awdurdod 'newydd' ddyletswydd i gynnal y gofal a'r cymorth a nodir yn ei gynllun blaenorol o leiaf hyd nes iddo gael y cyfle i adolygu ei anghenion.
The Act brought in a new duty for local authorities in respect of adults with care and support needs who are in the secure estate in Wales, and an extension of the duty of a local authority to visit a looked after child, or former looked-after child, to all children in the secure estate and a change in how existing responsibilities for the care and support of children in the secure estate (whether detained in England or Wales) are fulfilled.
The responsibility for the need for care and support of an adult, regardless of their place of ordinary residence before their detention, falls on the local authority where the provision is located. This was a big change for local authorities with prisons and they have the same duties to fulfil in respect of assessing and meeting the need for support for adults in the secure estate as for their citizens in the community i.e. the requirements outlined in the previous slides. They need to take a holistic approach when individuals are serving their sentence and when planning for their release.
The responsibility for the support needs of a Welsh child falls on their Welsh home local authority, that is, the local authority in whose area the child was ordinarily resident prior to being in custody.
If the child has no known ordinary residency status, then responsibility for their support needs will fall on the local authority where the child is detained, whether that be in England or Wales.
Daeth y Ddeddf â dyletswydd newydd i awdurdodau lleol o ran oedolion ag anghenion gofal a chymorth sydd mewn sefydliadau diogel yng Nghymru, ac estyniad ar ddyletswydd awdurdod lleol i ymweld â phlentyn sy'n derbyn gofal, neu blentyn a oedd yn arfer derbyn gofal, i bob plentyn mewn sefydliadau diogel a newid yn y ffordd y mae'r cyfrifoldebau presennol am ofal a chymorth i blant mewn sefydliadau diogel (boed yn cael eu cadw yng Nghymru neu Loegr) yn cael eu cyflawni.
Yr awdurdod lleol lle mae'r ddarpariaeth wedi'i lleoli sy'n gyfrifol am yr angen am ofal a chymorth oedolyn, ni waeth ble mae ei breswylfa arferol cyn iddo gael ei gadw yno. Roedd hwn yn newid mawr i awdurdodau lleol â charchardai ac mae ganddynt yr un dyletswyddau i'w cyflawni mewn perthynas ag asesu a chwrdd â'r angen am gymorth i oedolion mewn sefydliadau diogel ag ar gyfer eu dinasyddion yn y gymuned h.y. y gofynion a amlinellwyd yn y sleidiau blaenorol. Mae angen iddynt ddilyn dull cyfannol pan fydd unigolion yn bwrw eu dedfryd ac wrth gynllunio ar gyfer eu rhyddhau.
Awdurdod lleol cartref plentyn o Gymru sy'n gyfrifol am anghenion cymorth plentyn o Gymru, hynny yw, yr awdurdod lleol y mae'r plentyn yn preswylio fel arfer cyn iddo fod yn y ddalfa.
Os nad oes gan y plentyn statws preswylio cyffredin, yna cyfrifoldeb yr awdurdod lleol lle mae'r plentyn yn cael ei gadw, boed hynny yng Nghymru neu Loegr, fydd yn gyfrifol am ei anghenion cymorth.
A key part of assessment must be to establish whether there is reasonable cause to suspect that a child or adult is experiencing or at risk of abuse, neglect or other kinds of harm and unable to protect himself or herself (with regards to adults) and whether any emergency action is required to safeguard the person.
The practitioner should undertake an assessment that is proportionate to the circumstances, but should take into account the five elements of assessment that enable an eligibility decision to be made. An assessment may conclude that a more comprehensive or specialist assessment is required, including a partnership approach of one or more agencies or professional assessments. These should all feed into one integrated assessment and one single assessment process.
An assessment should identify whether, and if so to what extent, the provision of advice and information or signposting to preventative or other services could contribute to the achievement of the individual’s personal outcomes or otherwise meet their care and support need(s).
The eligibility decision flows naturally from the assessment process. All five elements must be taken into account in the assessment, and from this a judgement reached about whether the person has eligible needs. If the identified need(s) can only be met through a care and support plan or a support plan the need will be eligible.
Rhan allweddol o'r asesu yw sefydlu a oes achos rhesymol dros amau bod plentyn neu oedolyn yn profi neu mewn perygl o gael ei gam-drin, ei esgeuluso neu ei niweidio mewn modd arall ac nad yw'n gallu amddiffyn ei hun (o ran oedolion) ac a oes unrhyw gamau gweithredu brys i ddiogelu'r person.
Dylai'r ymarferwr gynnal asesiad sy'n gymesur â'r amgylchiadau, ond dylai ystyried pum elfen yr asesiad sy'n ei gwneud yn bosibl i wneud penderfyniad ynglŷn â chymhwysedd. Efallai y daw asesiad i'r casgliad bod angen asesiad mwy cynhwysfawr neu arbenigol, gan gynnwys dull o weithio mewn partneriaeth gydag un neu fwy o asiantaethau neu asesiadau proffesiynol. Dylai'r rhain i gyd fwydo i mewn i un asesiad integredig ac un broses asesu unigol.
Dylai asesiad nodi a allai darparu cyngor a gwybodaeth neu gyfeirio pobl at wasanaethau ataliol neu wasanaethau eraill, gyfrannu at gyflawni canlyniadau personol yr unigolyn neu fodloni ei angen/anghenion gofal fel arall, ac os felly i ba raddau.
Mae'r penderfyniad ynglŷn â chymhwysedd yn deillio'n naturiol o'r broses asesu. Rhaid i bob un o'r pum elfen gael eu hystyried yn yr asesiad, ac o fod dyfarniad i'r cwestiwn a oes gan y person anghenion cymwys yn cael ei gyrraedd. Os mai dim ond trwy gynllun gofal a chymorth neu gynllun cymorth y gellir bodloni'r angen/anghenion a nodwyd, bydd yr angen yn gymwys.
Part 5 of the Act replaced previous legislation and allows local authorities the discretion to set a charge for the non-residential and residential care and support they provide or arrange for adults. The Act introduced one set of charging and financial assessment arrangements rather than the previously differing arrangements for charging for non-residential and residential care and support.
A weekly maximum charge and “buffer” will be maintained, as well as a capital limit to be used to determine who pays the full cost of their residential care themselves.
The regulations prohibit charging children and young people under 18 (or their parents or guardians) for care and support received under Part 4 of the Act.
The Act requires mandatory deferred payments schemes for residential care.
Deferred payment agreements allow a person to ‘defer’ or delay the need to sell their property (or other asset) to meet the costs of their residential care until a later, more appropriate time for them. Instead the cost of their residential care is met by their local authority with the costs of this secured against the value of their property by means of placing a first legal mortgage charge upon it.
A local authority can charge a low level flat rate charge for prevention or assistance provided to adults although not for preventative services for children. Note that the provision of information and advice are excluded from charging under the Act, but that a flat rate fee for assistance can be charged.
Disodlodd rhan 5 o'r Ddeddf ddeddfwriaeth flaenorol ac mae'n rhoi'r disgresiwn i awdurdodau lleol godi ffi am y gofal a'r cymorth preswyl dibreswyl a phreswyl y maent yn eu darparu neu'n eu trefnu ar gyfer oedolion. Cyflwynodd y Ddeddf un set o drefniadau codi tâl ac asesu ariannol yn hytrach na'r trefniadau blaenorol i godi tâl am ofal a chymorth dibreswyl a phreswyl.
Bydd uchafswm ffi wythnosol a "byffer" yn cael eu cynnal, yn ogystal â terfyn cyfalaf i'w ddefnyddio i bennu pwy sy'n talu cost lawn eu gofal preswyl eu hunain.
Mae'r rheoliadau'n gwahardd codi tâl ar blant a phobl ifanc o dan 18 oed (neu eu rhieni neu warcheidwaid) am y gofal a'r cymorth a dderbynnir o dan Ran 4 o'r Ddeddf.
Mae'r Ddeddf yn gofyn am gynlluniau taliadau wedi'u gohirio gorfodol ar gyfer gofal preswyl.
Mae cytundebau taliadau wedi'u gohirio yn caniatáu i berson 'ohirio' neu oedi'r angen i werthu ei eiddo (neu ased arall) i dalu costau ei ofal preswyl tan amser diweddarach, mwy priodol iddynt. Yn hytrach, caiff costau ei ofal preswyl eu talu gan ei awdurdod lleol a chaiff costau hyn eu sicrhau yn erbyn gwerth ei eiddo drwy osod tâl morgais cyfreithiol cyntaf arno.
Gall awdurdod lleol godi cyfradd unffurf lefel isel am ataliad neu gymorth a roddir i oedolion er nad yw ar gyfer gwasanaethau ataliol i blant. Noder nad yw'r ddarpariaeth o wybodaeth a chyngor yn cael ei chynnwys yn y Ddeddf, ond y gellir codi ffi gyfradd unffurf am gymorth.
The Act sees direct payments as enhancing an individual’s ability to have real choice and control as to how to meet their personal outcomes: it encourages their use. Where eligible care and support needs, or support needs in the case of a carer, have been identified and that individual, or their representative, expresses a wish to receive one, direct payments must be made available in all cases where they enable personal outcomes to be achieved.
Direct payments are designed to be used flexibly and innovatively, and there should be no unreasonable restriction placed on their use as long as it is being used to meet an eligible need for care and support. The Act removes some current exclusions of certain classes of payments (with appropriate safeguards).
A key change is that direct payments are able to be provided for any identified need for support a local authority is to meet including, unlike previously, in long term residential settings.
An adult, child / their family or carer will be able to use their direct payments to purchase their care and support directly from their local authority if they wish (previously prohibited).
The previous direct payment regulations allowed the employment of close relatives living in the same household so long as the local authority agreed that this was necessary for the individual’s requirements. This is now viewed and expressed more positively so long as the local authority has no doubts as to the individual’s wish for such an arrangement and are assured that the individual’s personal outcomes will be met by this arrangement.
Many people use the direct payment to become an employer e.g. by employing a personal assistant (PA). If so, the local authority should give people clear advice as to their responsibilities when managing direct payments.
In general, people should be given assistance to maintain their ability to receive a direct payment where they are unable or unwilling to manage one.
When developing a personal plan for an individual, it is important to build a positive relationship with the individual to fully understand their needs and preferences. The care worker needs to understand that their role is to support the individual to decide a plan and have a voice over their own care.
The care worker can build this positive relationship by establishing an honest relationship with the individual, having a clear line of communication with them and fully understanding their needs and preferences. The care worker also needs to build a good working relationship with their families and carers. The care worker needs to have a clear understanding of beliefs and cultures, language preferences and any family information that is relevant to the plan being implemented.
The care worker needs to have meaningful and deep conversations with the families and carers to seek what really matters to them and if they require any additional support throughout the process. These conversations need to be planned and arranged at suitable times so all parties can talk freely and at ease. This needs to be in an open safe space where all parties feel comfortable.
When discussing the content of the plan, the care worker may experience conflicting views between parties. The care worker needs to ensure that a professional environment is maintained and that the individual’s care is given the upmost importance. The conflicts needs to be discussed in detail with clear reasons for the opinion or beliefs. This will allow the parties to hopefully come to an agreed opinion to move the plan forward.
Throughout the discussions, the care worker needs to remain non-judgemental and value each opinion and suggestions. No comments should be made on how they live their lives and decisions they make.
Due to GDPR regulations, consent needs to be gained from the individual and their families on what information can be shared with outside agencies and services. This can be written consent which is stored at the care setting and available to the care worker to reflect on. Plans need to be in an appropriate format to share amongst professionals and teams.
When the plan is agreed and finalised, this then needs to review with the individual to ensure that their assessed needs and outcomes are adhered to. The agreed plan needs to be flexible to ensure that the individual changing needs and preferences can be embedded. The individual needs to have a voice in the plan and how they want to be supported and cared for.
In general, people should be given assistance to maintain their ability to receive a direct payment where they are unable or unwilling to manage one.
Mae'r Ddeddf yn ystyried bod taliadau uniongyrchol yn gwella gallu unigolyn i gael dewis a rheolaeth wirioneddol o ran sut i gyflawni ei ganlyniadau personol, mae'n annog eu defnydd. Pan fo anghenion gofal a chymorth cymwys, neu anghenion cymorth yn achos gofalwr, wedi'u nodi a bod yr unigolyn, neu ei gynrychiolydd, yn mynegi dymuniad i dderbyn un, rhaid sicrhau bod taliadau uniongyrchol ar gael ym mhob achos lle y mae'n galluogi canlyniadau personol i gael eu cyflawni.
Mae taliadau uniongyrchol wedi'u cynllunio i'w defnyddio mewn modd hyblyg ac arloesol, ac ni ddylai fod cyfyngiad afresymol ar eu defnydd cyn belled â'i fod yn cael ei ddefnyddio i ddiwallu angen cymwys am ofal a chymorth. Mae'r Ddeddf yn cael gwared ar rai eithriadau cyfredol o rai dosbarthiadau o daliadau (gyda mesurau diogelwch priodol).
Un newid allweddol yw bod modd darparu taliadau uniongyrchol ar gyfer unrhyw angen a nodwyd am gymorth y mae awdurdod lleol yn bwriadu ei gyrraedd, gan gynnwys, yn wahanol i'r arfer, mewn lleoliadau preswyl tymor hir.
Bydd oedolyn, plentyn / teulu neu ofalwr yn gallu defnyddio eu taliadau uniongyrchol i brynu eu gofal a'u cymorth yn uniongyrchol gan eu hawdurdod lleol os ydynt yn dymuno hynny (a oedd wedi'i wahardd yn flaenorol).
Roedd y rheoliadau taliadau uniongyrchol blaenorol yn caniatáu cyflogi perthnasau agos a oedd yn byw yn yr un cartref cyhyd â bod yr awdurdod lleol yn cytuno bod hyn yn angenrheidiol ar gyfer gofynion yr unigolyn. Mae hyn nawr yn cael ei weld a'i fynegi'n fwy cadarnhaol ar yr amod nad oes gan yr awdurdod lleol unrhyw amheuon ynghylch dymuniad yr unigolyn i gael trefniant o'r fath, ac y cânt eu sicrhau y bydd y trefniant hwn yn bodloni canlyniadau personol yr unigolyn.
Mae llawer o bobl yn defnyddio'r taliad uniongyrchol i ddod yn gyflogwr e.e. drwy gyflogi cynorthwyydd personol. Os felly, dylai'r awdurdod lleol roi cyngor clir i bobl o ran eu cyfrifoldebau wrth reoli taliadau uniongyrchol.
Yn gyffredinol, dylai pobl gael cymorth i barhau â'u gallu i dderbyn taliad uniongyrchol os nad ydynt yn gallu, neu os ydynt yn anfodlon rheoli un.
Wrth ddatblygu cynllun personol ar gyfer unigolyn, mae'n bwysig meithrin perthynas gadarnhaol â'r unigolyn er mwyn iddo ddeall ei anghenion a'i ddymuniadau yn llawn. Mae angen i'r gweithiwr gofal ddeall mai ei rôl yw cefnogi'r unigolyn i benderfynu ar gynllun a chael llais dros ei ofal ei hun.
Gall y gweithiwr gofal feithrin y berthynas gadarnhaol hon drwy sefydlu perthynas onest â'r unigolyn, bod â llinell gyfathrebu glir â nhw a deall ei anghenion a'i ddewisiadau'n llawn. Mae angen i'r gweithiwr gofal hefyd feithrin perthynas waith da gyda'u teuluoedd a'u gofalwyr. Mae angen i'r gweithiwr gofal feddu ar ddealltwriaeth glir o gredoau a diwylliannau, dewisiadau iaith ac unrhyw wybodaeth am y teulu sy'n berthnasol i weithredu'r cynllun.
Mae angen i'r gweithiwr gofal gael sgyrsiau ystyrlon gyda'r teuluoedd a'r gofalwyr i geisio'r hyn sy'n wirioneddol bwysig iddynt ac a oes angen unrhyw gymorth ychwanegol arnynt drwy gydol y broses. Mae angen cynllunio a threfnu'r sgyrsiau hyn ar adegau addas fel y gall pob parti siarad yn rhwydd a hamddenol. Mae angen i hyn fod mewn man diogel agored lle mae pob parti'n teimlo'n gyfforddus.
Wrth drafod cynnwys y cynllun, efallai y bydd y gweithiwr gofal yn teimlo safbwyntiau croes rhwng y partïon. Mae angen i'r gweithiwr gofal sicrhau bod amgylchedd proffesiynol yn cael ei gynnal a bod gofal yr unigolyn yn cael y pwys mwyaf. Mae angen trafod y gwrthdaro'n fanwl gyda rhesymau clir dros farn neu gredoau. Bydd hyn yn caniatáu i'r partïon, gobeithio, ddod i farn gytûn er mwyn symud y cynllun yn ei flaen.
Drwy gydol y trafodaethau, mae angen i'r gweithiwr gofal barhau i fod â safbwynt nad yw'n feirniadol a gwerthfawrogi pob barn ac awgrym. Ni ddylid rhoi unrhyw sylwadau ar sut y maent yn byw eu bywydau a'r penderfyniadau y maent yn eu gwneud.
O ganlyniad i Reoliadau GDPR, mae angen cael caniatâd yr unigolyn a'i deulu o ran pa wybodaeth y gellir ei rhannu ag asiantaethau a gwasanaethau allanol. Gall hwn fod yn ganiatâd ysgrifenedig a gedwir yn y lleoliad gofal ac sydd ar gael i'r gweithiwr gofal ei ystyried. Mae angen i gynlluniau fod mewn fformat priodol i'w rhannu ymhlith gweithwyr proffesiynol a thimau.
Pan fydd y cynllun wedi'i gytuno a'i gwblhau, bydd angen wedyn adolygu hyn gyda'r unigolyn er mwyn sicrhau y cydymffurfir â'r anghenion a'r canlyniadau a aseswyd. Mae angen i'r cynllun y cytunwyd arno fod yn hyblyg er mwyn sicrhau y gellir cynnwys yr anghenion a'r dewisiadau newidiol unigol. Mae angen i'r unigolyn gael llais yn y cynllun a sut y mae am dderbyn cymorth a gofal.
Yn gyffredinol, dylai unigolion dderbyn cymorth er mwyn iddynt allu parhau i dderbyn taliadau pan nad oes ganddyn nhw’r gallu neu pan nad ydynt eisiau rheoli un.