Community Services (Housing) Prudent Falls Approach Neil Williams (Care & Repair Cymru) June 24th 2016

Care & Repair Services Care & Repair is a home improvement/ independent living, community service In the homes of 12-15,000 each year It enables through a home visit and a ‘problem-led, person-centred’ approach It has an unique blend of casework (people) and technical (housing fabric) All agencies have a home maintenance service – Handyperson Service

Casework Services A home visit & Healthy Home Assessment Client details, health, hopes & aspirations Focus on the home environment Welfare & rights Digital, financial inclusion and wider access Reducing the risks to independent living Falls – Home Safety – Warmth > Increased Confidence

Technical Services Technical advice on building work Property survey and scheduling Drawings and specifications Adherence to CDM & legal aspects Health & Safety Tendering, liaising with council, contractor engagement/recommendation, supervising work, quality

Managing Better Service Basic approach is traditional Care & Repair services supporting independent living Greater awareness of communication needs & challenges related to sensory loss Reducing risk for falls & home safety from sensory loss (there before the need arises) Providing confidence, rights to access & adhering to Visibly Better standards

Added-Value Services Increasing awareness of sensory loss and impact on likelihood/risk of a fall Partnerships with statutory partners and intermediate care/reablement/community services for referral on (60% self referrals) Fast-track adaptations and RRAP solutions Address cold homes as underlying falls risk Broker in funding for tailored solutions

FRAT Prudent Falls Prevention Personalised assessment picks up complex health issues & develops a bond of trust Brief intervention approach – akin to conversations with mamgus & dadcus Link falls history to housing risks (hot-spots) Prompt for review of medication Prompt for mobility, safe footwear & exercise Prompt eye checks & nutrition/hydration

Housing Services: Health Outcome Falls prevention and addressing housing hazards with adaptations for bathing, stairs, steps, seating, toilets, external surfaces, etc. Improved levels of warmth, addressing fuel poverty, energy efficiency – outcomes relating cold homes to falls (NICE) Telecare, assistive technology and improving personal safety

Stronger Together Understanding mutual benefit & relevance Increasingly clear ‘Your Patient is Our Client’ Hospital to Home/Primary Care is about targeting for prevention or impacting on secondary admissions/cyclical presentment Clinical Doctor – Property Doctor approaches provide another leaf on the prescription pad

Our Challenges Developing and maintaining sustainable partnerships Establishing protocols that target referrals for effective prevention Providing consistent service approaches across Wales Getting investment for solutions that support our risk-based assessments (£capital)