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.
One example was a lady with Dementia who was referred in order to consolidate support available and identify any areas that might require assistance. However, during preparation it transpired that this elderly lady was also a victim of financial abuse. The family knew this was going on and wanted it stopped but did not know what to do about it. The Family Group Meeting brought these concerns into the open. Social work was informed of these allegations but they agreed to wait for the outcome of the Family Group Meeting before pursuing their own enquiries.
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.
This project aims to tackle isolation of older people. The case study presented here explores Mrs C and her experience of the Twos Company initiative. Mrc C has been an active lady all her life, giving many hours volunteering to her community, with the likes of MS Society and other charitable organisations. Over the past few years it has become harder for her to get out and about on her own and she has lost some of her independence.