1. Audit Commission Presentation Smart Solutions - effective use of assistive technology Graham Brownsell – Health Specialist Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004

2. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 Assistive technology – what is it? Equipment used to increase, maintain, or improve functional capabilities of individuals It is a wide term to embrace:- Environmental controls Community equipment Telecare /community alarms Telemedicine

3. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 SUPPORTIVE PREVENTATIVE RESPONSIVE PREDICTIVE/ DEDUCTIVE SYSTEMS Activities of daily living (ADL) 'Transfer' monitoring Event monitoring Gradual general decline Fall prediction Room occupancy monitoring ALARM SYSTEMS Respiration monitor Gas monitor Fall detector (In)Activity monitor Cardiotachometer Incontinence monitor Chair occupancy monitor Blood pressure monitor Smoke detector 'Panic' pendant SMART HOME TECHNOLOGIES Pacemaker Smart wheelchair Therapy Units Personal heating systems Video 'doorbell' Stair-lift 'Keyless' entry systems Drug dispenser/ compliance unit Dialysis machine Reminder unit (dementia) Smart Solutions

4. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 I want to stay in my own home I want to have real choice I want to use technology I want enabling care I do not want to enter residential accommodation I am going to stay independent I want to be included in my community I want to live with risk! But what do services users want?

5. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 The “care ready” principle Add equipment when needed –based on users assessment - the property being able to have the equipment fitted through good design Create an electronic support network

6. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 The assistive technology prescription Assess the needs of the individual Prescribe the required equipment Embed the equipment into the care plan Review Add more equipment/care hours as needed

7. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 + COMMUNITY EQUIPMENT SERVICE LOCAL DLC NHS specialist services – wheelchairs, environmental controls telemedicine hearing / vision aids Specialists e.g. tissue viability nurses, lifting / handling co-ordinators NHS and voluntary sector – mobility centres; Electronic assistive technology Housing agencies: adaptations / housing aspects of tele-care Education and employment services Specialist voluntary sector – RNIB / RNID Dementia centres Retailers Industry ICES: THE ‘HUB’ FOR HOME CARE AND INDEPENDENCE

8. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 Hints & Tips – the care ready home The modern home has:- electric & or gas lighting system heating system television reception system telecommunication system The care ready home:- All the above + Assistive technology capability

9. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 Basic package Community alarm flood detection smoke detection gas if applicable movement detection Add as needed falls detection hyperthermia detection dementia aids telemedicine

10. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 Future protecting Sensors – increasingly will be “wireless” Data transmission requirements will continue to expand Environmental aids/equipment will continue to need mains supply People will want the property and services to change around them, and not to have to move up the care ladder so……………….

11. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 Think ahead – new build/refurbishment Power supply near windows – automatic opening or curtain closing above main entrance door, other key doors – automatic opening next to telephone points – data out/in in accessible supply cupboard – data controls double points each side of bed space – hoists/telemedicine Telephone points direct access all rooms – hard wire two lines into property – data, personal use

12. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 Think ahead – new build/refurbishment Automatic water/gas shut off valve link to flood detection link to over running of a tap Automatic locking system simple central locking system for all dwelling warning if window open keyless door entry Automatic lighting system light on when person raises to get out of bed light on in bathroom

13. Audit Commission Presentation Making a Difference – Housing People With Care & Support for Older People : Ipswich 22 Jan 2004 We live in a changing world… The effective use of technology can help older people to remain in their own home