Transcript An Enabling Approach to Home Care in Leicestershire

Home Care Reablement
a
Jane Dabrowska
Service Manager, Provider Services,
Older and Disabled People’s Service Area
Leicestershire County Council
Homecare Assessment & Reablement Teams
Council Profile:
• 610.000 population
– 15.7% over 65,
1.8% over 85 (2001
census)
• Rural area, 6 market
towns, 6 District
Councils
• 4 PCTs now down to
1
Homecare Assessment & Reablement Teams
Triggers for Change in 1999:
• Promoting Independence Grant
• Rehabilitation Agenda
• Best Value Review
Homecare Assessment & Reablement Teams
Reablement Team:
• Pilot project begun in 1999 in one area of the County
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Short term
Time spent to fit service user’s needs
Not ‘doing to or for’ - doing with
Working towards set goals
Adjusting care plan
Carrying out timely review
Homecare Assessment & Reablement Teams
Pilot was evaluated by De Montfort University
• Pilot never stopped…. rolled out
• Some changes made to original design:– Entry criteria expanded
– Entrance extended to all newly assessed (or reassessed following significant change) service
users
– Home Care Staff assess for and order minor aids
and adaptations
– Home Care Managers review and commission any
on-going care packages to independent sector via
broker.
Homecare Assessment & Reablement Teams
Activity
2005/6
2006/7
2007/8
2008/9
Number of
Cases
1836
2,216
2,217
2,092
No Further
913
(49.7)
1,102
(49.7)
1,243
(56%)
1,161
(56%)
On-going need
Start – Finish
6.61 – 5.1
6.37 – 5.3
6.06 – 4.57
6.31 – 4.64
Total %
Reduction in
Hrs/week
56.4%
57.6%
62.7%
63.8%
Services
Homecare Assessment & Reablement Teams
Current Issues:• Unit Cost
• Capacity
• Throughput
• Terms and Conditions of staff
• Efficiencies