Tender Evaluation for Direct Access Drug & Alcohol - Service Standards

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1 Tender Evaluation for Direct Access Drug & Alcohol - Service Standards Evaluation Description Score Unacceptable Nil or inadequate response. Fails to 0 demonstrate an ability to meet the requirement Poor Acceptable Response is partially relevant and poor. The response addresses some elements of the requirement but contains insufficient/limited detail or explanation to demonstrate how the requirement will be fulfilled. Response is relevant and acceptable. The response addresses a broad understanding of the requirement but may lack details on how the requirement will be fulfilled in certain areas Good Response is relevant and good. The response is sufficiently detailed to demonstrate a good understanding and provides details on how the requirements will be fulfilled. 75 Excellent Response is completely relevant and excellent overall. The response is comprehensive, unambiguous and demonstrates a thorough understanding of the requirement and provides details of how the requirement will be met in full. 0 1

2 1 Describe what you see as a peer led approach to support a person s recovery journey Full understanding of Recovery orientated systems of care: The Quality Principles Standards and Expectations of Care and Support in Drug and Alcohol Services (2014) 1. You should be able to quickly access the right drug or alcohol service that keeps you safe and supports you throughout your recovery; 2. You should be offered high quality evidence informed treatment, care and support interventions which reduce harm and empower you in your recovery; 3. You should be supported by workers who have the right attitudes, values, training and supervision throughout your recovery journey; 4. You should be involved in a full, strength based assessment that ensures the choice of recovery model and therapy is based on your needs; and, 5. You should have a recovery plan that is person centred and addresses your broader health, care and social needs, and maintains a focus on your safety throughout your recovery journey. 6. You should have the opportunity to be involved in an ongoing evaluation of the delivery of services at each stage of your recovery. 7. Services should be family inclusive as part of their practice How a peer led approach relates to care management model: key points being: have a recovery plan, which is regularly reviewed, having a key worker. Recognising how a peer led approach can help people who have relapsed; promoting early re-engagement. Understanding that the service needs to be very flexible: e.g. opening hours, service users taking on roles in the service e.g. volunteering and what that entails (support in a person development, service users running their own groups and initiatives and what this entails. The challenges in the approach: e.g. the provider agency needs to share their authority, there needs to be dedicated staff time in promoting service user 15 2

3 2 Please describe which organisations you see as integral to a Moray wide service for Drug and Alcohol and what steps you would take to involve them in this specific service 3 Please describe current recovery options available and what steps you would take to increase the range of options available to a client involvement, having a clear process for how the provider agency reports data of service users and how they report service user outcomes. Full understanding of statutory and non-statutory sectors: Full range of Moray council services: key ones being, Social Work including children, mental health, Learning disability; as well as other services such as Moray Access Point and employability, money advice, recreation and leisure, MIDAS, Locality Management network meetings, further education and learning support Health services; again the wide range of services, including A & E, sexual health, MIDAS, and the various other departments. Non-stat sector especially Quarriers (carers services), Third Sector Interface, community groups Police and Criminal Justice. Domestic abuse services The list is not exhaustive. The key thing being is recognising that service users have the right and the need (in many cases) to access all the services and opportunities as part of supporting the person in their recovery. The provider will need to link it back to the Recovery Model as well as the wider service development models. There should be a broad as well as detailed understanding of what is available in Moray; cross referencing with question 1. Recognising that recovery has to take in the wide range of the person s needs, not just the drug/alcohol. The provider will need to show option for how the service is developed; based on using data to assess district needs as well as working in partnership with the MADP looking at forward planning. The provider should draw on up to date research and models of good practice from bodies such as (but not limited to), Scottish Recovery network, STRADA, Scottish Government, as well as academic papers. There needs to be a broad understanding of the definition of client. This should include partners; parents; siblings, children. Taking account that a range of people are affected by the person s drug/alcohol use and they will all have needs in their 5 5 3

4 own right. So the range of options will need to take all of this into account. 4 Please briefly describe what support services are currently available for families and carers of people with drug and alcohol issues and what you would do to increase and improve on these services Showing how there would be service users involvement will be essential. Similar to the above but with a clear focus on families and carers. Partnership working will be essential here. There should be a clear understanding of how agencies can work together; involving the carer and the person using the drugs/alcohol. There should be recognition that working with significant others such as carers/families can contribute to the person s recovery. Carers will have a range of needs; which must be recognised including issues such as guilt, anger, shame as well being very protective. Also need to understand the impact of the person s drug/alcohol use on the family dynamic and that when a person is in recovery tis may have a negative as well as positive impact on the dynamic as roles are re-established. 5 Need to have a clear understanding and work with children s services with a clear working understanding of GIRFEC, Safeguarding and SHANARRI. The provider should be able to recite what SHANARRI stands for: Safe, Healthy, Achieving Nurtured, Active, Respected, Responsible, and Included. The provider should recognise that and adult s drug/alcohol use is very likely to impact on the welfare of the child in one or more of these areas. 4

5 5 Please describe how you would work across adult and children s services within Moray taking account of the concepts of a Recovery Orientated System of Care and GIRFEC? See question 4 above for GIRFEC. Key points: The need to recognise the importance of taking account the differing needs of the children/children and those of the parents. Issues will include: Time scale for change the timescale for parental change and the timescale for the child and whether these are compatible. The relationship between drug/alcohol use and parenting ability and how this is assessed and how the interventions. Joint working arrangements between the adult provider and children s services; understanding the differing role e.g. in children s the role of the named person and the lead professional within GIRFEC and the formulation of a child s plan; in adults services the role of the case manager and support/recovery plan. Being able to agree a common plan for the family with clear areas for the different family members. Being able to undertake a detailed risk management assessment and how these should be shared across agencies. An understanding of the Children and Young People Act (Scotland) 2014 and the responsibilities linked to this e.g. sharing of information, a young person is a person up to 24 if they are looked after. How the provider would work with a young adult e.g. 17 years and the transition between children s and adult services. 5

6 6 How would you involve Service Users in the future design and provision of this service, wider services in Moray, the assessment of the quality of services and their involvement in strategic planning? Understanding the family dynamic and how alcohol/drugs impacts on children and young people; noting that for a young person it may be that he/she is taking on a parenting role or caring role and once parents recover the adult will want to re-establish their parental role; possibly causing difficulties for the young person. See above: Quality Standards, Recovery Orientated System of Care and assessing effectiveness. The provider should identify specific resources relating to the engagement of services users and identify quantifiable and reportable actions. This should include: A clear framework/plan for involving service users, How service users are supported to engage in the assessment, quality and planning of services; and, How services users who, at the appropriate stage in their recovery, take on volunteer work which could lead to qualifications and future employment; cross referencing with the workforce development plans. The provider must show how they will link in with the MADP Service Engagement person; and agree to supporting wider strategic planning consultations and service design exercises. The provider should agree to undertake the Quality Framework assessment tool and also to use this tool with service users. 6

7 7 Please describe which case management model you are familiar with and how you would work with this case management model in Moray? See references to Quality Standards. The provider must be able to understand: Assessment tools how soon these should be done Care/recovery plans what these should entails and the need for the views of the services users to be fully considered. Noting the wider needs of the person, not just areas relating to alcohol/drug usage. Reviews why these are important and how they contribute to the person s, and when these should be done ideally every three months or sooner if the person s circumstances require this (where there has been significant change) recovery noting the use of the outcome star tool. Recognising the importance of capturing and reporting on data relating to recovery, e.g. outcome star data. The need to work in partnership with other providers and when to bring in agencies where a person has a higher level of need; recognising that limitations of their expertise and authority. The provider will need to reference back to joint planning with children s services and how this impact on case management. Being able to coordinate case management where there may be more than one person receiving a service; e.g. where there may also be a carer and how the provides work together depending on whether the carer and drug/alcohol person agrees to the sharing of information and joint working. 7

8 8 Please describe how would you measure whether a person has changed their behaviour and the benefits of that change? 9 Please describe how would you assess the effectiveness of the service? See notes relating to: Outcome star and performance management. Case management Using quantitative tools such as outcome star as well as qualitative tools where the person provides things such as testimonies, the numbers of services users taking on volunteer work, entering training or employment. The focus should be more on the benefits of change; capturing the longer term impact. Therefore the provider will need to take a longer term view of recovery and follow up those who have completed recovery to see if positive change has been sustained. This also relates to being pro-active and supporting people who may slip out of service. The provider should have a process for promoting re-engagement. There needs to be clearly set out performance management framework which cross references with, but is not restricted to the contractual requirements. Effectiveness need to cover both internal (organisational) targets as well as being able to quantify the difference the service makes to the public. This should cross reference with question 8 above. This should include staff effectiveness HR and learning/development systems as well as showing how the organisation manages internal performance. Performance data should be available for all elements of the service. As the services will be promoting peer lead recovery; with service users developing their own groups 8

9 the provider must be able to show how effective these are as well as being able to give data on this level of activity. Quality Criteria What you expect to see in a response to earn a Good score Weighting Please provide a business plan for delivery of this service to include all costs related to service delivery and a project plan scheduling each step Need to see: Clearly planned (timetabled) model; with costings. Using tools such as Microsoft Project or other project management tools would be advantageous, but not essential. The business plan would need to show the relationships between the differing actions alongside who is responsible for completing the actions and who is in overall control of the plan and linking in with the Moray Council. Stakeholder analysis; identifying priority stakeholders and how these are prioritised; plus how these different stakeholders will contribute to the delivery of the service. A marketing and communication plan will need to be part of the model; linked to the stakeholder analysis. 20 Need to identify added value (what else can the provider bring to the service over and above the specifics relating to the spec. A risk assessment and risk management plan outlining specific actions to reduce the risk plus contingency planning is essential. 9

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