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human rights
       Act together, uphold human rights





       We must collaborate to ensure people’s rights are maintained, including those regarding
       boundaries around the body and the home. Sally Warren and Jo Giles explain how using a
       practical guide to the Reach standards for supported living can help you do this



           he fundamental principles of
           supported living are set out in the
       TReach standards. These voluntary
       standards were developed by supported
       living development and training body
       Paradigm and are recommended by the
       Care Quality Commission.
        Paradigm has issued a practical guide to
       these standards, at a time where many
       are questioning whether supported living
       works and whether it is at risk of
       becoming a one-size-fits-all model. In
       addition, the need to defend the human
       rights of people with a learning disability
       and/or autism is increasingly urgent.
        The Reach practical guide is designed to
       encourage all people to stop, reflect and do
       differently, using the standards. It is
       described by Dr Sam Smith, the founder of   I choose who supports me and  how I am supported: people do not always have a say in this
       support organisation C-Change Scotland, as
       “a powerful and much-needed combination   live a good, ordinary life; recognise the   At this point, we ask participants if people
       of simplicity and raised aspiration”.  integrity gaps and design better ways; and   with a learning disability and /or autism
        For us, there is no better way to support   risk trying better ways and reflecting on   generally enjoy the same choices and
       people to reflect and do differently than   what happens.                rights. They start to look uncomfortable.
       by meeting them face to face. This always   During these events, which are run with   “Can people choose who comes into
       works best when people with a learning   a colleague with a learning disability and/  their home?”
       disability and/or autism, family members   or autism or family member, some   “Well... no. Staff must be there and are
       and a range of supporters come together.   common emotions and reactions arise.   often not chosen by the person.”
        To this end, we facilitate Reach     All our workshops begin with a human   “Can people choose who they live with?”
       standards workshops with people from all   rights and freedoms exercise. It is a   “Well, no. Sometimes they can but
       over the country, where we encourage   powerful way to get people to connect   usually someone is referred. They – and
       them, in the words of John O’Brien, a   hearts and minds.                the other people living in the house – do
       thinker and writer on learning disability,   We ask people to think about their own   not usually have the final say.”
       to: see and believe in people’s capacity to   lives and the everyday rights they enjoy.   Article 19 of the United Nations
                                           One by one, these are prioritised by   Convention of the Rights of Persons
        The Reach standards                participants, then (with the magic powers   with Disabilities states clearly that people
        1  I choose who I live with        of facilitation) we start to remove some of   with disabilities have the same rights as
        2  I choose where I live           these rights.                        others, including the right to choose
                                                                                where they live and who with, and to
                                             As we take away each right, the energy
        3  I have my own home  (with tenancy   in the room starts to change. “I didn’t   receive support so they can take part in
           or ownership)                   realise how much I take for granted,” is   the community.
        4  I choose who supports me and    the most common comment.               It is at this point of the workshop that
           how I am supported                People become passionate; they have a   participants describe feeling powerless in
        5  I choose my friends and my      fire in their belly and then – whoosh! –   a big system.
                                                                                  What can they do? This lack of control is
           relationships                   the anger, vulnerability and powerlessness   because of money, time, commissioners,
                                           are palpable. People become frustrated.
        6  I get help to make changes in my   Some withdraw, some even become fiery   support workers, families, social workers
           life                            and some become a little aggressive in   and so on. We can see people having an
        7  I choose how to be healthy and safe  their challenge to what is happening.   internal debate as they think: “I believe
        8  I choose how I am part of my      The rights people typically fight hard to   this... but I do that... why?”
           community                       keep include “I can decide who comes   The energy in the room drops and we
        9  I have the same rights and      into my home”, “I can decide who sees me  can feel people’s despondent paralysis.
                                                                                People are at risk of losing that fire in
                                           naked”, “I can refuse medical treatment”
           responsibilities as other citizens  and “I can choose who I live with”.  their belly right there and then.
      22  Vol 33 No 3  |  Spring 2020  Community Living                                         www.cl-initiatives.co.uk
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