West Dunbartonshire CHCP recognised that the RCOP agenda offered both opportunities and risks to providers of care. In developing a cohort of managers involved in My Home Life we are attempting to support our Managers to embrace the changes which RCOP will bring and also support them to engage with key decision makers in order that they can help direct the future provision of care in order that it better meets the needs of those receiving care. Whilst promoting the delivery of high quality care.
The challenges included shifting from institutional based care to care at home or a homely setting, the need for quicker assessment and care plan coordination and formulation in a more homely setting taking into account the person’s conditions and home situation instead of needs and support being assessed in a ward setting.
This case study highlights the use of additional AHP support which was provided to community service users through the use of Change Fund resources.
A man with a diagnosis of Alzheimer’s disease was referred to Speech & Language Therapy. He was experiencing word finding difficulties as his primary symptom and felt frustrated. I visited him at home and heard many stories about his life travelling the world with the army. His wife supported his conversation skills. Denis clearly demonstrated a passion for the topic and was motivated to communicate. I was already working with another man, John, following his stroke. His speech was non- fluent with long hesitations as he struggled to retrieve the word. He had also travelled the world with the army and was interested in sharing his experiences in therapy. Both gentlemen lacked the vocabulary to discuss their past easily with a new conversation partner. Both gentlemen were frustrated by their difficulties and felt increasingly passive. It transpired that both men held the same rank in the army (Warrant Officer 2). I knew little about this rank and their progression to this position. I asked them if they would be interested in working together and they agreed.