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.
To test and develop a model for a rehabilitation and enablement that would prevent avoidable hospital admission, facilitate early hospital discharge to home, and enable people to develop confidence, re-learn daily living skills following illness that are consistent with their personal goals and sustain independent living, working towards supported self management.
The complexity of people with care needs has increased over recent years. The service means that people with high level needs can be supported at home with care delivered overnight. Previously this was only possible in a residential or hospital setting. Prior to the investment from the Change Fund there were two Overnight teams. The investment from the Change Fund allowed another three teams to be established. This has allowed people to move home from hospital, or remain at home, whereas previously a move away from home would be the only feasible outcome for meeting their needs. In some cases the requirement for care overnight was the only stumbling block to meaning someone could be cared for in their own home.
Provide a workforce capable of meeting the demands of increased anticipatory care activity within homes or homely settings by addressing the key priorities of the workforce development agenda. These priorities are: