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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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)