The project was aiming to find out information about the sleep quality of patients with dementia and their carers. There was interest in this area because previous research has found that sleep disturbances in this group have been linked to poorer physical health outcomes; carer physical and emotional role limitations; mental health health-related quality of life. Sleep disturbance associated with caring for someone with dementia has also been reported to be a major reason for institutionalisation.
Information Services Division (ISD) was keen to further develop the Scottish Patients at Risk of Readmission and Admission (SPARRA) tool to identify patients who may benefit from a more anticipatory approach to their care; planning for events or exacerbations to reduce the risk of emergency hospital admission.
SPARRA is a tool which predicts a patient’s risk of emergency admission; a patient with a SPARRA score of 50% has a one in two chance of being admitted to hospital in the following year.
To provide a service designed to promote recovery and a return to independent living for service users. Rehabilitation for adults with physical, social, communication and/or sensory difficulties, and for some with reduced confidence following illness, accident or other crisis situation. The objective is to provide an holistic range of social care, therapies and activities to enable service users to achieve and maintain their best possible function and to support their return to independent living.
The overall goal is to decrease dependence on health and social care support, increase community integration and improve the quality of life of individuals whilst also supporting their carers. The client group is older people and adults recovering from illness, accident or acquired brain injuries. During the development of the service a gap for rehabilitation for younger people was identified and the facilities were further developed to enable their discharge from a specialist unit to continue their rehabilitation in a home setting.
Development of a traditional care home environment towards a more reablement model of care which can be accessed by all professionals in the community and including hospital staff for rehab discharges prior to patients returning home.
An integrated housing and social care plan across local authority, health, third and independent sector providers was implemented to promote service improvement and cost efficiencies whilst improving outcomes for individuals and their carers. Specifically:
To provide services designed to promote independence and wellbeing through flexible and integrated onsite personal care and housing support teams within sheltered and very sheltered housing.
To address recruitment difficulties
To reduce in-house service costs, maximise capacity, reduce duplication and reduce travel time.
To reduce the number of admissions to hospital and facilitate a speedy return home following an illness/crisis.