Leadership in Health and Social Care

Use and Develop systems that promote communication.


• TC Refresher Training 25/06/13
• Picture Hygiene Chart
• Aspergers Training Certificates
• Minuets from TC updates
• Various support plans (Stated Below)
• Pictures of TC boards
• Feelings chart for RL

In the services that I manage there is a range of individuals with different communication barriers.

In Rivendell one of the services, I have a gentleman SG with very poor hearing and no verbal communication. Myself and the team at the service use Signs, pictures, Symbols and Widgets to communicate with him. We also have a lady LW at the service who has very little verbal communication and what she does say is often in her own way of communicating which at first not everyone understands. She can hear but cannot always understand or take in everything that people say to her. She responds to the welsh language much better. We again use signs, pictures and widgets to communicate to LW. There is another gentleman there DB who can communicate and hear but can get easily distracted so Pictures also work well with DB.

In Gwel Afon another service, I have 3 gentlemen who can read and communicate however they like to have pictures and symbols to help them with things. For example they have an accessible chore chart and I did make one gentleman a picture hygiene chart to prompt him to shower / shave etc on certain days as he would tend to forget.

I also manage a service called Glanadl where two gentlemen live, they are
both very independent and can speek for themselves. However one of these gentlemen cannot read so we do support him with this.

I have two gentlemen in my services who have Aspergers, even though they can communicate they can sometimes struggle to understand what you are saying to them or take it the wrong way.

As manager of these service I ensure that all of my employees have the correct training to support these individuals. All employees from Rivendell that use widget and TC have been on the Total Communications Training, they also receive a TC refresher every few months. I have assigned SW a support worker at the service to

be a TC co-ordinator and he does a TC induction with all new starters before they go on their training. For employees that work with the two gentlemen with Aspergers I requested Aspergers training which was tailored around the two individuals and their communication in particular.

I will have meetings with the Speech and Language department at C.T.L.D every few months to discuss the current Communication systems in place at Rivendell and review them. We are currently looking into getting IPAD’s at the service to improve communication as it was proven very beneficial in the trial the individuals had.

When I took over as manager in the Rivendell service I felt that the communication systems could be improved. I worked with the team to improve the communication systems by getting more wigets around the service, we set up a TC board in individual bedrooms. We also set up a TC board in the hall way with activities on. When we received the timetable from the SAC for each individual it was all written out so none of the individuals would understand it. I asked my Team Developer at the service to re-do these timetables with the relevant symbols and pictures and these are working really well.

The individual files of each persons support I manage are tailored to them,
If they have communication barriers and respond well to pictures then we use pictures aswel as writing in their files so they can be involved in there support plans.

See DB & SG support plans.

Each individual has there own support plans and if they require support around communication there will be detailed support plans stating what support they need.

See ML & LW Communication Support Plans.

What do you think?

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