The Role of Extra Care in Dorset: An Evaluation of Trailway Court

1. The Role of Extra Care in Dorset: An Evaluation of Trailway Court Sara Macbeth Research & Development Officer Dorset County Council Adult and Community Services s.d.macbeth@dorsetcc.gov.uk

2. Background • DH Grant Application set out a commitment to evaluate extra care setting in North Dorset • Perfect opportunity to look at the impact of extra care on • People • Local services • Using methods based on previous national research

3. Methods • Outcomes • Pre and post measures • Face to face interviews using ASCOT • Control group from ASCS • Costs • Pre and post measures • Recall / data collection from agencies • Control group (n=16) • Personal Outcome Monitoring

4. Findings – Impact to People

5. Findings – Impact to people (2)

6. Findings – Impact to costs

7. Findings – Impact to costs (2) • Health care costs dropped • Regression to the mean after a crisis year • Social care costs rose • Previously unmet need addressed • THIS IS COMMON TO BOTH GROUPS • Social care costs rose more for the control group after 4 people went into residential care

8. Implications • Data suggests that • It costs money to do nothing • Great outcomes can be achieved in Extra Care for a cost similar to low level domiciliary care • Extra care can be a viable alternative to high cost residential care right up to end of life

9. Final thoughts… • Nominations panels in extra care • Median age of 84yrs cf 79yrs. Thus ensuring extra care is available to people who might otherwise have needed high cost residential placements • Recall vs Stakeholder data sharing • Recall is tricky but we need to find improved ways of recording and sharing data. We achieved no housing data costs and limited health data which is a key limitation of this study.

10. Sara Macbeth Research & Development Officer s.d.macbeth@dorsetcc.gov.uk David Goswell Recently moved to new post in Public Health at DCC d.goswell@dorsetcc.gov.uk Contact Details