Rosanne Brown MSc DipCOT Wessex HIEC workshop 4 th October 2012 1

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 2

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.

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Stand alone……………………Telecare

What’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 4

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

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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 6

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 7

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 8

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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

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 10

Portsmouth Telecare Responders

11 • 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

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 12

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 13

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 14

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 15

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

comparison site – product search & 16

Displays of AT for dementia

 Assistive Technology Library 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. 2 8 Boulogne Road, Croydon CR0 2QT. Tel: 020 8664 8860. [email protected]

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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: [email protected]

In Southampton

 Richard de Normanville Guy, Tel: 023 8083 4916  Email: [email protected]

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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 19

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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

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