1. Research Project 1 Robert Thomson National Director Care & Repair Scotland Andy Todman Manager Care & Repair in Dumfries & Galloway Loreburn Housing Association

2. External Step Lifts BeforeAfter 2

3. Wet Rooms BeforeAfter 3

4. Functions Disabled adaptations Private home owners and private tenants Enable people to stay in their own home Improve quality of life HandyVan service 4

6. Specialist Wet Rooms 6

7. Care & Repair Scotland Introduction Background & Role Key Challenges Health & Social Care Integration The need for Care & Repair Services The future 7

8. Research Project Why? What? Never Been Done Before In Scotland Thank You  Paul Grainger, Northumbria University  Loreburn Housing Association  Care & Repair Scotland  Care & Repair Edinburgh  Care & Repair Lochalsh & Skye  Caledonia Care & Repair (Perthshire) 8

9. Research Project Thank You  Clients, Their Families and Carers The ONLY authentic voice is that of the client Definition of authentic  Not false or copied, reliable, trustworthy  Entitled to acceptance or belief because of agreement with known facts or experience  Dictionary.com 9

10. Authentic Voice ….”the first time I had a shower in my wet room I just cried and cried and cried..….heaven!” “I’ve often felt we’d still be waiting if we hadn’t got Care & Repair involved” “I don’t freeze now, like I used to…” 10

11. Research Structure 4 Stages of Major Adaptations Pre-assessment Assessment Delivery Post Delivery Definition of Effectiveness Same as Heywood (2001) 11

12. Effectiveness “The degree to which the problems experienced by the respondent before adaptation were overcome by the adaptation without the causing of new, equally or more serious problems, and without perceived waste.” “Money Well Spent” Heywood (2001) 12

13. Perceptual Positions Single Person Viewpoint  Has Blind Spots  Perceptual Filters O'Connor & Seymour (1990) 1 st 2 nd 3 rd Perceptual Positions Grinder & DeLozier (1987)  Own Point of View  Other Persons View  Independent Observer 13

14. COPM & SF 36 Canadian Occupational Performance Measure  Semi Structured interview in which clients are asked to identify all important occupational performance issues for them in areas of self care, productivity and leisure. Rand Short Form 36 A 36 item Health Survey questionnaire covering elements including Physical Functioning, Mental Health, General Health Perceptions 14

15. Skye Case Study Area Profile Island - Remoteness Client Profile Single Male, 83, lives alone, disabled The Intervention Full house renovation & external ramp - £22K Semi Structured Interview Test of Effectiveness 15

16. Perthshire Case Study Area Profile Rural Client Profile Married Male – lives with wife – main carer The Intervention External ramp and access works Focus Group & Semi Structured Interview Test of Effectiveness 16

17. Edinburgh Case Study Area Profile City Client Profile Married Female, 51, with family - MS The Intervention Wet room & external ramp access Focus Group Test of Effectiveness 17

18. So What? Key Learning Points  Look at each stage Pre Assessment to Post Delivery: Effectiveness Test  COPM & SF 36 How Can Learning Be Applied? Links With Health & Social Care Integration  9 National Health & Wellbeing Outcomes 18

19. Answer to the Question Q: How effective are Care & Repair delivered grant funded Major Adaptations to the homes of older and disabled home owners and private tenants in achieving independent living? A: Very Effective 19

20. Summary Questions Andy Todman Work  Loreburn Housing Association  E: andyt@loreburn.org.uk  T:01387 321 362 Personal  E:andytodman@gmail.com 20