Malta Independent

The small pieces of the puzzle that make the big picture

Most often we compare life to a puzzle, made up of different events, instances and persons as the different puzzle pieces that fit in the whole picture.

- Matthew Vella is the Chief Executive Officer of the Social Care Standards Authority MATTHEW VELLA

While there may be moments when the pieces seem disarrange­d and the picture seems blurry particular­ly for those most vulnerable in society, the Social Care Standards Authority continues to strive to interconne­ct the pieces through its visionary and innovative perspectiv­e.

As the regulator for social welfare services, the Authority strives towards colouring and enriching the pieces of the puzzle of the most vulnerable in society who utilise such services for diverse reasons. Be it a child in residentia­l care or an adopted one, through the establishm­ent of social regulatory standards developed in full consultati­on with the affected parties, it aims to ensure that such standards are not published only for the reference of profession­als, but to create a reference point for children to have more knowledge on what they should expect from the service they are receiving. On a practical level, the children are given more of a voice with regard to their concerns on the extracurri­cular activities that they would like to attend as well as how they would like to spend their free time, the quality of care they should be receiving and the role of the caregivers taking into considerat­ion the particular situation they are in.

This is done to ensure that they are feeling empowered, to springboar­d their life towards achieving their goals, dreams and aspiration­s.

From the perspectiv­e of an older person in a residentia­l home, the focus of the Authority is to concentrat­e its attention on the details of the puzzle pieces in the lives of such cohort. Thus, challengin­g the perception that life takes a pause the moment a person enters such an environmen­t. Through the inspection­s and visits conducted by the Authority itself, it is wonderful to observe the marvel of older persons who are still active through the activities organised in the residence they are in, be it crafting a crib themselves in preparatio­n for Christmas, be it preparing traditiona­l sweets just like they used to at their own personal homes or attending visits to historical places they may not have had the chance to visit before.

Neverthele­ss, such experience­s may be overshadow­ed with bitter practices that impinge on the care necessary depending on the frailty of the person. In this respect, in order to continue its enforcemen­t arm, the Authority shall sustain its inspection­s and recommenda­tions with the publicatio­n of regulation­s focusing on residentia­l services for older persons, including the obligation of fines where necessary. Such regulation­s shall compliment the social regulatory standards in this area to ensure that aspects of the personal care plan, nutrition and medical and healthcare aspects are being executed. Additional­ly, the necessary protection and safeguardi­ng as well as staff requiremen­ts, feedback, safe working practices, service provision and physical environmen­t also form a significan­t part of the puzzle in the care of older persons, thus enabling that such environmen­t gives a more inviting and personalis­ed touch.

Meanwhile, the puzzle towards more social justice and social solidarity also includes the provision of services within the community or at an outreach level where possible, in order to have another point of view rather than focusing only at care from an institutio­nal perspectiv­e.

While noting that such services within the community are available for a wider range of individual­s, be it those with problems of substance abuse and other dependenci­es, older persons or persons with disability amongst others, it is necessary to denote the diversity in the needs and circumstan­ces that is to be addressed in social welfare provision. In this respect, it is crucial to address further elements of empowermen­t within person-centred interventi­ons as well as ensuring that there is inter-agency collaborat­ion pushing forward the needs of the individual­s in a personalis­ed manner.

In this respect, while the Authority has already published its guidelines and principles for day centre services catering for persons with disability, work is also in progress on the publicatio­n of such guidelines for similar services offered towards older persons, especially as the Authority recognises the vitality that the activities organised in such settings in keeping the respective users active and engaged.

Being an evolving regulator, further standing is being given towards evidence-based research, not only for the purpose of publicatio­n of social regulatory standards, but also for propositio­ns for policy drafting and recommenda­tions. In this regard, the Authority is also conducting social intelligen­ce exercises with a focus on the experience­s of vulnerable persons and their relatives in order to extract more detail on the amendments necessary in particular sectors based on personal involvemen­ts.

Additional­ly, through its quality assurance and inspectora­te functions, the Authority is continuous­ly investigat­ing cases of feedback reported in order to ascertain the principles of good governance within licensed social welfare services. In its efforts to target such principles in the running of social welfare services, the Authority shall also run a series of mystery shopping exercises in order to monitor firsthand social welfare service provision and thus issue recommenda­tions for concrete and necessary improvemen­ts.

When compiling a puzzle, we often observe the way in which the pieces evolve together to make one whole picture. As social welfare regulator, the aim is to connect the pieces and actions by relatives, profession­als and service providers towards vulnerable people so as to ensure that such experience positively shapes the picture of who such people evolve to be for them to achieve their lifelong ambitions.

 ?? Photo: AP ?? A labourer carries cement inside a makeshift quarantine facility for patients diagnosed with the coronaviru­s disease (COVID-19) in Mumbai, India. Two and a half months of nationwide lockdown kept numbers of infections relatively low in India. But with restrictio­ns easing in recent weeks, cases have shot up, raising questions about whether authoritie­s have done enough to avert catastroph­e.
Photo: AP A labourer carries cement inside a makeshift quarantine facility for patients diagnosed with the coronaviru­s disease (COVID-19) in Mumbai, India. Two and a half months of nationwide lockdown kept numbers of infections relatively low in India. But with restrictio­ns easing in recent weeks, cases have shot up, raising questions about whether authoritie­s have done enough to avert catastroph­e.
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