Reablement Task finding outcomes

Puneet Sidhu Account Manager Mobile: 07472 837738 Email: puneet.sidhu@justchecking.co.uk

Today’s Agenda Introduction to Just Checking How does it work? How does it work in reablement? What can it do for you? Today’s Agenda

What can it do? Just Checking is a simple, web-based assessment tool that helps you get the right support to the right people at the right time. It provides objective evidence to support decision-making, taking the guesswork out of support planning. What can it do? A simple tool to help you evidence an individuals capabilities and plan care appropriately

Helping you get the right support, to the right people, at the right time.

What makes us different? Work with the majority of local authorities - Experienced in your services 15 years experience in health and social care - Solid company you can invest in

How can we help? Objective evidence for your care decisions Reduction in assessment time Efficiencies in your service without compromising on the quality of care Objective evidence for your assessments A) Share with other individuals involved in care (Family members, GP’s, Colleagues, Other services) B) Clients can over or under exaggerate their capabilities C) Provide quicker evidence next steps in an individuals care plan D) Identify issues and capabilities sooner with 24 hour view of an individual 2) Reduction in assessment time A) Points discussed above help you get information quicker, B) Reduce time physically spent gathering data C) So you can allocate your time effectively where it is most needed 3) Service Efficiencies Getting a person out of hospital bed quicker (£400 per day cost) B) Getting a stronger person out of hospital to give them the best start within reablement
 I) An individual can lose 3-5% of muscle mass per day in hospital - NAO, 2016
 II) Increased likelihood of infection III) Avoid institutionalization

Working towards shared goals To enable people to remain at home To prevent the need for on-going care or re-admittance to hospital To evidence progress through objective setting Enable people to remain at home Prevent the need for ongoing care or re-admittance to hospital To evidence progress throught

Daily Living System Door sensors Movement sensors Hub Activity sensors Just Checking is there to support goal setting within reablement (eating, drinking, hygiene)
 Door sensors allow you to see an individual entering or exiting a property
 Motion sensors allow you to see how an individual moves from room to room within the property
 Activity sensors allow you to see what an individual is doing when they enter a room
 Sequences allows you to evidence activities of daily living in terms of frequency and length of time to complete

Logging in To view the activity charts, login to your account via computer, tablet or mobile. Our charts are easily accessible at www.justchecking.co.uk through a secure login portal.

Use arrows on chart to point to scenarios

The Enhanced Service The Enhanced Service gives professionals more time to focus on what they do best – provide the right care to individuals. The service includes: Chart reading Summary reports Feedback Quarterly reports

Chart summary report Behaviour pattern summary Day-time activity patterns Night-time activity patterns Bathroom / personal hygiene observations Any other relevant observations

Example quarterly report Compares Allocations to installations Instances of cost saving through overcare Instances of optimal levels of care identified Instances of under provision Residential care placements Did Just Checking increase the speed of the assessment? Did Just Checking add value to the assessment?

Working with Cambridge Working with Cambridge, since taking up the Enhanced Service Assessments using Just Checking has dramatically increased compared to the same period last year Helping more people get the right support at the right time

Elsie Bowler Elsie’s family contacted the Access Team, concerned that she may be wondering at night. Elsie’s family were also concerned about her eating and sleeping habits as she always appeared to be asleep when they visited. Elsie has dementia but wants to remain at home She has two homecare visits a day, at breakfast and tea time Care staff say she isn’t eating during their visits Family concerned about her eating and sleeping habits and also think she may be up in the night, as she is often asleep when they visit Elsie is a very private person and often asks care staff to leave as soon as they arrive

Elsie Bowler Gets up at 7am, uses the bathroom, lounge then into the kitchen. Visits the kitchen at lunchtime and again in the evening. Visits correlate to mealtimes. Charts showed: Elsie gets up at 7am Uses the kitchen at expected lunch and dinner times Sequences where able to evidence that she is making meals at appropriate times Goes to bed on her own just before 10 and does not leave the property

Elsie Bowler Gets up at 7am, uses the bathroom, lounge then into the kitchen. Visits the kitchen at lunchtime and again in the evening. Visits correlate to mealtimes. Charts show a consistent daily routine Elsie gets up at 7am Uses the kitchen at expected lunch and dinner times Sequences are able to evidence that she is making meals at appropriate times Goes to bed on her own just before 10 and does not leave the property

Elsie Bowler Homecare call at 8:30, after Elsie has had breakfast. Regular visits to the kitchen to prepare meals. Regular visits to the bathroom help to confirm she is eating and drinking. Charts showed: Morning home care visit arrived AFTER Elsie had made breakfast on her own If the evening care visit arrived before 5pm Elsie would refuse to eat. Charts confirmed she was going into the kitchen to prepare meals at a later time that suited her Still we can see a regular pattern of meal preparation unprompted by carers Regular bathroom visits also confirm that she is eating and drinking

Elsie Bowler Visits the bathroom 3 times in the night and returns to bed. After lunch, Elsie would doze in a chair. At this time her daughter would usually visit. Her daughter was surprised at the level of activity in the day. Charts Showed: Visits bathroom during the night unassisted and safely returns to bed Just after 12 Elsie has an afternoon nap which can be seen by her entering the lounge and then period of no activity Charts where shared with the Daughter and she commented that she was surprised at the level of activity during the day

Elsie Bowler No door activity. No homecare visit. Elsie’s daily routine much the same despite no visitors. Charts showed: No door activity, indicative of no care visits to the property Elise's routine remained the same despite lack of care visits

Outcomes Reduced homecare visits More independence Changed emphasis of homecare visits Tailored care package that works for Elsie Saving 3.5 hours per week = annual savings of £2,600* * Av. hourly cost of externally provided homecare for older people. src: Personal Social Services Expenditure, 2015-16 Outcomes Since the homecare visits had little effect on Elsie’s meal routine Mealtime visit was removed One visit was kept, but the emphasis was changed to help with personal hygiene Tailored care package that works for Elsie, increasing her independence Annual saving of £2,600 per year that can be reallocated

Mrs Baker Mrs Baker is 76 Recently overcome lung cancer Recently lost her husband and family were concerned Mrs Baker had a fall in her bathroom and admitted to hospital with a fractured hip After a lengthy hospital stay, she was discharged  Entered into a 6 week reablement pathway Mrs Baker is 76 Recently overcome lung cancer Recently lost her husband and family were concerned Mrs Baker had a fall in her bathroom and admitted to hospital with a fractured hip After a lengthy hospital stay, she was discharged Entered into a 6 week reablement pathway

Daily Living System was installed to monitor natural behaviour Particular attention was given to bathroom visits Practitioners noticed that there wasn’t a lot of movement due to her injury

A week on, Mrs Baker was settling back into a routine Practitioners were concerned that Mrs Baker was struggling to use the bathroom The oxygen unit was being used heavily after each bathroom visit They also noticed that visits were taking much longer in the day than at night They asked Mrs Baker why this was and she explained that at night, her nightgown made the process easier A few simple aids were installed in the bathroom to help ease her visits, such a perching stool

Using sequences, practitioners could see how many times Mrs Baker visited the bathroom and used the assistive aids This sequence included: toilet, tap, towel and perching stool Objectives were met on four of the six visits Practitioners noticed that the Oxygen unit was used less frequently Bathroom visits were taking less effort

The duration of each bathroom visit reduced and she required less oxygen after each visit. Mrs Baker remarked that the assistive aids made the process a lot easier. Mrs Baker got her independence back The Daily Living System remained in the property throughout the six-week programme and was able to evidence that, with the help of a few assistive aids, Mrs Baker was able to remain independent in her own home. Outcomes Daily Living System remained in the property throughout the six-week programme Evidence that, with the help of a few assistive aids, Mrs Baker was able to remain independent in her own home

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