Prior to the establishment of the Duty and Response Team, there was no community rehabilitation team and social care and health elements of support operated independently, albeit collaboratively with one another. This still meant duplication of information sharing and assessment processes for older people requiring the service. The Change Fund enabled the addition of Physiotherapy and Occupational therapy professionals to join the Adult Wellbeing duty and response team to form a multidisciplinary duty, response and rehabilitation team.
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.
It was recognised that to address the number of older people entering care homes would require an increase in the number of alternative housing solutions. While there was Housing with Care within the city, more was required. As a result of the recession we were unable to commission or tap into new housing provision and the current sheltered housing stock would require upgrading.
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.