An agreement was drawn up with three Care Homes within the Kilmarnock area for one room in each home for the purpose of rehabilitation. The steps up step down beds (as now named) have been purchased by local authority and change fund money. They will offer an alternative to hospital admission or an early supported discharge when the patient/service users can not be supported at home but are not unwell enough to stay in hospital. The care homes have embraced this service working closely with all concerned to ensure that the agreed outcomes are met.
Initially getting appropriate referrals was difficult as after assessment, we found we were able support the majority of service users/patients within their own home. At present we are working with the local GPS and Geriatricians to build up trust and confidence in this service so they will refer more complex cases that require the twenty four hour support from the team within the care home.