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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Reablement and Crisis Care

Examples of Practice

The re ablement and crisis care service has re-focused its activity to intervene earlier and promote the independence of older people. The new service design has delivered the following improvements

  • 24/7 response to any crisis
  • Fast Track provision of technology and equipment
  • Single point of contact for responding to falls
  • Falls prevention programme
  • Respite for Carers
  • Intensive Re-ablement Programme, building personal resilience
  • Improved alignment of social and health care staff, making better use of resources

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Reablement and developing the Community Equipment Service

Examples of Practice

This project ensures the continued provision of the Reablement pilot (phase 1) and strengthening of the integrated Community Equipment Service to ensure  responsive and integrated delivery of timely interventions whilst developing phase 2 of Reablement in partnership with Care at Home Services in the Western Isles.

It seeks to maximise existing resources, reducing unnecessary dependency, giving practical support to people to live safely, confidently and independently with some short term, intensive, practical support from a dedicated, well trained team.

  • Reablement is services for people with poor physical or mental health to help them accommodate their illness by learning or re-learning the skills necessary for daily living.
  • Reablement seeks to support people, maximise independence and reduce the whole life cost of care
  • Timely provision of equipment to support to reduce the risk of falls, enhance independence and support reablement programmes.

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Closer Working with Housing

Examples of Practice

Within Inverclyde there are six RSL’s, three of  which are national providers which operate specialist housing for disability and older people.  There was a lack of a cohesive approach to implementing the local housing strategy across the CHCP therefore dedicated OT time was sought to develop closer working and appropriate processes.

Reviewing and refining processes across services and organisations.  Influencing choice based letting to ensure that those who have difficulty engaging with the bidding processes were supported.  Working with RSL’s to influence housing allocations and adaptations, and to carry out site surveys to ensure appropriate allocations for those with complex housing needs.  Strengthening the links to allow housing colleagues access to CHCP services.   Signposting RSL’s to link with 3rd sector organisations to provide social activities within sheltered housing complexes.

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Older People’s Access Line (OPAL)

Examples of Practice

The project allows early intervention with customers providing a range of services aimed at decreasing their reliance on medical or other statutory provision.  Many of the customers were socially isolated and did not know how or where to access services and community supports OPAL allows for the customer to gain information about local social activities, lunch clubs and advice and information on such issues as benefits, income generation, housing, support for carers and volunteering.

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