Responding to the National Dementia Strategy and the National Dementia Standards, the Dementia Support Service was set up to provide short term intervention for cases that had ordinarily ended up at crisis or in the residential care system.
Falkirk Council Home Care Service provides care to approximately 1,600 in house service users and manages the care of approximately 300 + external agency only and in-house plus external agency and or voluntary provider service users.
The traditional model of management for this service had been to appoint home care managers on a geographical basis to manage the whole range of services to be provided. Whilst this was acceptable 15 years ago with the changes to care provision, increased volume of care at home services and the changing ethos of how we provide services, e.g. re-ablement, use of private providers etc. the traditional model was outdated, no longer met the needs of the service users and was preventing the capacity of managers to provide the high quality of care services which we aim to provide.
As part of our self evaluation exercise we highlighted the need to diversify our management arrangements and specifically aim to target the effective splitting of the patch home care manager’s role into three specialism’s. These will be long term service provision within a geographical patch, resource management of agency providers, shopping meals and laundry services and our 24/7 service providing specialist re-hab at home, crisis care and to move into a more involved relationship with facilitating more appropriate and timely discharge of patients as well as preventing hospital admission by extending the remit of our rapid response services and working closer with our colleagues in Reach.
transfer appropriate people to the HWCRS (e.g. those who meet the agreed criteria)
work with and encourage service users to regain their level of function with regards to mobility, personal care and kitchen tasks resulting in an increase in confidence and independent living for the service user
educate the informal care/family regarding the re-ablement approach to care
encourage socialisation and taking part in mainstream HWC activities
Carer burn-out or extreme fatigue has often been anecdotally cited by carers themselves as the lead cause for the cared-for being moved on to institutional hospital care, often viewed as an avoidable hospital admission.
This can often lead to poor personal outcomes for both the cared-for and the carer. Tackling this in a preventative manner has allowed carers to retain their physical and mental well-being, supporting them in the longer term in their caring role.
Falls in older people are common and lead to increased anxiety and depression, reduced activity, mobility and social contact and greater dependence on health and social services. There are many risk factors that can be altered to reduce the risk of falls and raising awareness can resulting behaviour change however older people are often resistant to public health messages on falls. Communicating messages in a way that’s acceptable to older people is challenging (Age UK, 2012).