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The Vision and the Challenges it Presented

HELP TO LIVE AT HOME Improving Services for Older and Vulnerable People Living Well with Dementia – October 2011. V1. The Vision and the Challenges it Presented. Improving the lives of the people we serve by giving them more control and choice Prevention and low level services

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The Vision and the Challenges it Presented

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  1. HELP TO LIVE AT HOMEImproving Services for Older and Vulnerable PeopleLiving Well with Dementia – October 2011 V1

  2. The Vision and the Challenges it Presented • Improving the lives of the people we serve by giving them more control and choice • Prevention and low level services • Developing the workforce • Culture change • It’s not cuts: Wiltshire Council will invest £34M in Adult Social Care between 2011 and 2015

  3. What was in Scope? • All services supporting people at home • 1500 domiciliary care customers except those with complex needs requiring specialist services • 3000 sheltered housing tenants • Residents of Wiltshire not eligible for WC funding • 5 equipment contracts • In house reablement service – 100 staff • In house housing support officers – 18 • 100 external housing support officers

  4. Voice of the Customer

  5. Voice of the customer Ranked ‘top six’ themes

  6. The Projects • Help to Live at Home Service • Telecare and Crisis Response • Equipment • Enabling people to access help and support they need when they need it • Delivered jointly with NHS

  7. Help to Live at Home Service • Outcome focused support • Bringing together • Domiciliary Care • Supporting People (Sheltered Accommodation) • In-House Reablement • Intermediate Care • Work in partnership with fewer Providers

  8. £6,600 £10,000 Level of need Level of care £3,400 0 3 6 9 12 Time (months)

  9. £3,200 £6,600 £10,000 Level of need Level of care £3,400 0 3 6 9 12 Time (months)

  10. HTLAH – Customer High Level Process Overview • Providers to have greater input in developing support plans and present reviews • Council authorises support plans and reviews • Development of a RAS to establish Indicative Budgets

  11. Response Service • All customers to have Telecare • Pilot project has demonstrated effectiveness for people with dementia • Staff to go out to customers 24/7 who require a social care intervention • Reassurance and prompt calls • Integrated approach with Health Out of Hours • Accessible to self funders • Savings from reduced admissions to care homes

  12. CUSTOMER REFERENCE GROUP • Representing wider group • Involved from the beginning • Designed the services • Evaluated the tenders • Will be involved in monitoring the contracts

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