![\"\"](\"https:\/\/blogs.iriss.org.uk\/fitforthefuture\/files\/2014\/02\/2865788674_9a359b7599.jpg\")
<\/a><\/p>\nFollowing January\u2019s outcomes event in West Lothian, I caught up with one care home in the area to discuss how outcomes have become part of practice in the home.<\/p>\n
Wilma, registered manager at Peacock Care Home, has been attending many national and local events that have been stressing the importance of outcomes \u2013 but she wasn\u2019t sure how that fit into her current model of support provision.<\/p>\n
Wilma believes that the key to delivering outcomes isn\u2019t about paperwork- but about staff attitudes and taking the \u2018fear\u2019 out of outcomes.<\/p>\n
Wilma\u2019s solution:\u00a0Adding the simple question \u201cwhat matters to you?\u201d to her current assessment form\/person centred care plan<\/strong><\/p>\n This question gives space for a discussion, which can inform the rest of the information \u00a0that is gathered about a resident’s support needs. It also gives staff permission to have this discussion as a part of the process of getting to know somebody.<\/p>\n A small change that is the start of a much larger journey. Implementing it quickly and in a small scale in existing systems gives staff the opportunity to test and feedback on the question – shaping how to progress next.<\/p>\n This incremental approach, as detailed in IRISS intern Jodie Pennachia’s recent report\u00a0Exploring the relationships between evidence and innovation in the context of Scotland\u2019s social services<\/a>\u00a0in which she details the value of “incremental or additive innovation”. This approach could be seen as more practical for the sector, particularly as it does not “disrupt and transform practice” but rather \u00a0“sustain[s] and add[s] to what is already there (Van De Ven, 1986; Leadbeater, 2010; Mulgan, 2013).”<\/p>\n It’s great to see people taking action based on learning, and taking initiatives within a residential setting. The question is: can incremental innovation get residential support where it needs to be for the future? or at some point will a more radical approach be needed?<\/p>\n <\/p>\n