Reablement

Examples of Practice

Older people becoming dependent on Care at Home services and losing their independence after a change in circumstances, e.g. hospital admission or period of illness.

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Assessment of quality of care pathway and outcome for older patients

Examples of Practice

The project is targeting older people recently discharged from hospital to obtain feedback on their experiences of hospital care, discharge planning and accessing community support services.  In addition it has looked at the experiences of older people currently in receipt of home care and community services.  The research has focussed on quality of care, patient satisfaction and whether the service needs of older people and their carers are being met.

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Homecare Redesign

Examples of Practice

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 the traditional model was outdated, no longer met the needs of the service users and was preventing the capacity of managers to provide the high quality of care services which we aim to provide.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.

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Housing with Care Reablement Service, Tygetshaugh Court, Dunipace, Falkirk

Examples of Practice

The aim of the HWCRS is to:

  • 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

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Home Care Re-ablement

Examples of Practice

Users of the previous traditional home care service received a service that operated in a culture of ‘doing things for’ people that reinforced deficits and increased dependency. This ‘locked in’ resources with people who had the potential to improve their confidence, self esteem and independence while demand for the service was increasing because of the growing numbers of older people. In addition, there were financial pressures on the local authority.

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