‘Moving, for independence’

Examples of Practice

  1. Client accommodation was unsuited for older person safe independent living (first floor, no lift, many steps, poor layout)
  2. Person was frightened by thought of moving; family has pressed to ‘go into a home’ – clearly not older person’s preference.
  3. GP confirmed suitable ground floor accommodation meant no need for move to care home or similar
  4. Greatest barrier was older persons fears – how could I manage to move, how can I afford to move, how do I deal with everyone (who?), how do I pack / unpack.  Do I have to give up independence because I am too old to cope.

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Making it CLEAR

Examples of Practice

The evidence base to inform the allocation of the Change Fund was acknowledged to be weak in many areas, and a particular gap was identified in relation to the factors that build and maintain the resilience of older people in the community.  Making it Clear was commissioned to build evidence in this area and also to apply the findings in a practical way.

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Joint Equipment Store

Examples of Practice

Investment to make improvements in the community equipment store to ensure systems are in place to provide outcome focused assessment and the provision of an effective equipment service – This is recognised as the responsibility of all care groups and services as a means of complementing other service provision, interventions and supporting overall service delivery e.g. facilitating hospital discharge.  The Joint Equipment Store was working at full capacity to accommodate the increasing numbers of equipment requests and increasing costs as we strived to support more people in their own homes.

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Integrated AHP Service in Acute Medical Receiving Wards

Examples of Practice

In the view of ‘Care closer to home ’(Darzi) 2008, AHPs  play an integral role in deciding whether a patient is safe for discharge.  They are well positioned to deal with the wide range of pathologies and complexities presented.  Additionally, evidence relating to emergency admissions of older people suggests assessment should take place as early as possible depending on medical stability (RCPL – Management of the older medical patient, RCPL 2000).

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Social Return on Investment (SROI) on Adaptations and Very Sheltered Housing, Bield, Hanover & Trust Housing Associations and Envoy Partnership

Examples of Practice

To research the Social Return on Investment (SROI) of Stage 3 Housing Adaptations and Very Sheltered Housing.  SROI is a stakeholder-informed cost-benefit analysis that uses a broader understanding of value for money.  It assigns values to social and environmental outcomes as well as to economic outcomes.

Stage 3 adaptations are modifications to a property to reduce a disabling effect on the tenant, and suit the changing needs of the tenant.  Very Sheltered Housing (also termed “Extra Care Housing”) provides enhanced staff cover and additional welfare checks compared to other forms of non-Care Home housing for older and disabled people.

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