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Home Care Reablement – From ‘Mainstream’ to ‘Specialist’ Services

Home Care Reablement – From ‘Mainstream’ to ‘Specialist’ Services. Jane Dabrowska Locality Service Manager , Older and Disabled People’s Services Leicestershire County Council. H omecare A ssessment & R eablement T eams. Council Profile:

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Home Care Reablement – From ‘Mainstream’ to ‘Specialist’ Services

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  1. Home Care Reablement – From ‘Mainstream’ to ‘Specialist’ Services Jane Dabrowska Locality Service Manager, Older and Disabled People’s Services Leicestershire County Council

  2. HomecareAssessment&ReablementTeams Council Profile: • 610.000 population – 15.7% over 65, 1.8% over 85 (2001 census) • Rural area, 6 market towns, 7 District Councils • 4 PCTs now down to 1

  3. HomecareAssessment&ReablementTeams Home Care Reablement Team: • Pilot project begun in 1999 • ‘New’ Team in one area of the County • ‘New’ look • ‘New’ way of working • Independently evaluated

  4. HomecareAssessment&ReablementTeams After the Evaluation…. • Pilot never stopped…. rolled out across all areas • How it works:- • Assessment/care plan by commissioning worker • First visit: identify ability and set goals • Care Plan adjusted as needs change: on-going assessment • Assess/arrange provision of basic equipment/aids to daily living • Timely review • Close or commission on

  5. HomecareAssessment&ReablementTeams What’s the Difference? • Working to outcomes • Doing with, not doing to • Confidence Building • Role and Function of HART – short term

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  8. HomecareAssessment&ReablementTeams Financial Benefits: In 2007/8 • Taking account of the cost of HART, average break-even point is approx. 25.1 weeks • Reduction/week - £89,843

  9. HomecareAssessment&ReablementTeams And finally……..Top Ten Tips:- • Recruit willing staff – sell the idea • Keep teams small • Hold regular meetings – communicate well • Have a ‘link’ worker between office and HCAs - Senior HCA • Strive forclarity of role from first visit

  10. HomecareAssessment&ReablementTeams Top Ten Tips continued…:- • Foster good relations with commissioning teams • Avoid creating dependency – ensure staff know the difference between long and short term involvement • Complete the circle – share success stories with the staff • Manage risk thoroughly and effectively • Ensure recording skills are well developed and maintained.

  11. HomecareAssessment&ReablementTeams For further information, contact jdabrowska@leics.gov.uk 01664 503900

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