Smithfield Court Rehabilitation Service, Aberdeen

Examples of Practice

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.

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Creating a Well-Designed Living Space for People with Dementia Memory Garden, Drummond Ward, Biggart Hospital

Examples of Practice

Creating a safe and well-designed living space for people with dementia within a general hospital setting.  Such a space is a key part of providing care which can improve physical and mental functions of people with dementia, and regular access to fresh air and exercise, and a quiet space away from others helps individuals in becoming less agitated and distressed.

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Using Lean methodology to support the improvement of older people’s pathways

Examples of Practice

To improve entire patient pathways in the areas of Medicine of the Elderly, orthopaedic rehabilitation, stroke services and management of acute patients with dementia and delirium.[1]  Specifically to use lean methodology to:

  1. Improve flow to ensure that patients get timely access to the appropriate services
  2. Reduce lengths of stay for older people
  3. Improve health and social care interfaces
  4. Support the rebalancing of care towards care in the community
  5. Improve the management of patients in acute settings with dementia and delirium.

[1] (Care Homes not in scope for the programme.  MoE encompassed community & social care services (except Stroke, GORU & Dementia).

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Integrated Handyperson and Telehealth & Care Service, Lochalsh & Skye Housing Association

Examples of Practice

The service was established in 1998 by Lochalsh and Skye Houisng Association to provide a ‘traditional’ small repairs service to disabled people and the elderly.  Through collaboration with the Highland Council and NHS Highland it has since set up and operated Joint Equipment Stores in Portree and Broadford to collect, deliver and manage all equipment owned by Social Work Services and NHS Highland.  The service also now includes telecare and occupational therapy support, and runs a demonstration/assessment room within Portree hospital as a training facility for the use and benefits of devices.

All these complementary services are aimed to support people to remain in their own homes and to shift the balance of care from hospital into homely settings.  They illustrate the key contribution that locally based housing associations can make to the reshaping care agenda, working in partnership with health and social care.

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