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Using Technology to support people with dementia and their carers in Portsmouth

Using Technology to support people with dementia and their carers in Portsmouth. Rosanne Brown MSc DipCOT Wessex HIEC workshop 4 th October 2012 . Session plan. Definitions & principles Development of Telecare service Response service Training for staff Public awareness raising

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Using Technology to support people with dementia and their carers in Portsmouth

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  1. Using Technology to support people with dementia and their carers in Portsmouth Rosanne Brown MSc DipCOT Wessex HIEC workshop 4th October 2012

  2. Session plan • Definitions & principles • Development of Telecare service • Response service • Training for staff • Public awareness raising • Key lessons learned • Resources • Obtaining AT for your clients

  3. Assistive Technology (AT) Assistive technology = A generic term for any device or equipment which enables someone to undertake an activity of daily living with greater safety and/or independence.

  4. Stand alone……………………TelecareWhat’s the difference? • Stand alone • used directly by the person or carer (not linked to alarm monitoring centre) • Stand alone examples • Recorded message memo minders • Plug that releases the water in a bath before it overflows if tap left running • Telecare • automatically sends a signal to A N Other (may be an on-site carer or to an alarm monitoring centre) to call for assistance • Telecare examples • Fall detector raises alert even if user unconscious • Door exit monitors that raise alert if person leaves building at inappropriate times

  5. Principles of AT in person-centred assessment & care planning • Should be considered following holistic assessment of the needs and wishes of the individual concerned • Should be used to enable and support people to live more independently • Should be considered alongside ethical issues • Should be considered alongside the use of other services, not as a replacement for human contact and care • It may not be the answer for everyone

  6. Is technology appropriate in the situation? • What are the alternatives to technology? • AT is not a ‘quick fix’ • K.I.S.S. • Start with low-tech, least intrusive, most cost effective

  7. Practical considerations in service provision • Booking appointment for installation • Family available for assessment & install • Monitoring - issues for call centre • Response services • Training of user / carers • Evaluation of installation • Regular review

  8. Portsmouth early ‘specials’ • Medication management • Residential Rehab unit installs – Care Sensor • Urgent installations – no phone - Mobile cell router • Assessment with QuietCare • Wandering solutions Door exit monitor Lions Emergency Message in a Bottle & Photo Responders GPS trials • ASC Funding Panels

  9. Current service Approx 70% of total referrals are for dementia. Telecare and stand-alone equipment now in use for assessment purposes and to support users and carers in the community. Risks being managed: wandering, medication compliance, falls, epilepsy, extreme temperatures, gas, smoke, flood, inactivity, bogus callers, domestic violence Impact on carers 9

  10. Cost of Telecare in Portsmouth • No installation charge • Telecare (Monitoring) charge = £5.40 per week • Sensors can be added at no extra cost • Telecare Plus (Monitoring + Night Responder service) = £7.50 per week • No charge for Key Safe • Disability-related expense – care package • No charge for stand-alone equipment if identified need during community care assessment

  11. Portsmouth Telecare Responders • From April 2009, PCC has provided a night time (9pm to 6am) response service for Telecare users whose key holders cannot be contacted, or who do not have their own night responder. • Staff with personal care skills, trained in risk assessment, first aid, moving & handling, use of Mangar Elk (lifting cushion) • Feedback to NHS & social care, to close information loop on, e.g. fallers, people who wander • Requirement remains for joint-funded, integrated (NHS & PCC) 24/7 responder service 11

  12. Training for staff • Telecare – a tool in everybody’s toolbox • ‘Telecare Experience’ - fortnightly training programme for health, housing and social care staff, & voluntary sector • Enhanced training workshop on AT in dementia • Currently no on-going training programme

  13. Support for staff • Until February 2012 - • Telecare Co-ordinator and Telecare Development Worker available to answer queries, provide advice and information to staff considering making referrals • Joint assessment visits with staff, to help determine appropriate recommendations and increase staff confidence and competence • Currently no dedicated staff for this task

  14. Public Awareness-raising • For carers of people newly-diagnosed with dementia • Talks to church groups, clubs for older people e.g. U3A, day centres, established carers’ groups • Staff of major local employers • Displays and presentations at community events, e.g. Carers Week • Currently no dedicated staff for this task

  15. Key Lessons Learned Effective use of AT requires….. • Informed, skilled and personalised outcomes-focussed assessment of needs and risk • Resolution of ethical dilemmas around capacity, informed consent and choice (for each individual in each situation) • Training and education for the service user, carers, personal care and support staff in how the equipment can be used or misused, and how it should be tested and maintained • Regular review of its effectiveness • Robust, integrated 24/7 response services • Jointly-commissioned and funded AT service based in JES

  16. Assistive Technology in Dementia website • www.atdementia.org.uk • Interactive self-help area - Identify topic of interest, answer yes/no questions to narrow down likely problem, receive suggestions for products, suppliers • Product directory, based on 4 major subject headings – Prompts/reminders, Leisure, Safety, Communication • www.alvolution.co.uk – product search & comparison site

  17. Displays of AT for dementia • Assistive TechnologyLibrary at: Acorn Therapy Unit, Moorgreen Hospital, Botley Road, Southampton SO30 3JB. Tel: 023 8047 5111 • Joint Equipment Service, Josian Centre, Southampton. Tel: 023 8071 0359 • AZTEC Centre, Croydon - Comprehensive display of Telecare & Free-standing AT for purchase. 28 Boulogne Road, Croydon CR0 2QT. Tel: 020 8664 8860. brian.longman@btinternet.com

  18. Referrals for Telecare Individual can self-refer Carer can refer Professional can refer In Portsmouth Info for professionals at : http://www.portsmouth.gov.uk/living/19498.html Freephone: 0800 731 2228 Write to: Portsmouth City Council, Telecare, Freepost NAT17741, Portsmouth PO1 2BR Email: telecare@portsmouthcc.gov.uk In Southampton Richard de Normanville Guy, Tel: 023 8083 4916 Email: richard.deNormanvilleGuy@southampton.gov.uk 18

  19. Obtaining free-standing AT for dementia In Portsmouth • Limited supply from Telecare service PCC • Personal budget • Joint equipment service • High street gadgets vs. ‘disability’ products In Southampton • Joint equipment service

  20. Useful references www.atdementia.org.uk www.alvolution.co.uk www.telecarelin.org.uk www.chubbcommunitycare.co.uk www.tunstallgroup.com/home.aspx www.quietcare.co.uk www.pivotell.co.uk www.telecareaware.com www.dementia.stir.ac.uk www.scie.org.uk/publications/dementia/index.asp 20

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