1. Parvaneh Rabiee Caroline Glendinning, Hilary Arksey, Kate Baxter, Karen Jones, Julien Forder, Lesley Curtis What Works: Putting Research Into Practice Institute for Research and Innovation in Social Services (IRISS) Workshop Series, Edinburgh, 30 th April 2010

2.  Policy context and the rationale for the project  Aims and methods  The key findings  Success factors  Conclusion  Implications for practice

3.  Re-ablement a priority for adult social care  A decade ago: Recognising the need for greater investment in preventative and rehabilitation services  2000: A wide variety of intermediate care services established  More recently: Development of home-care re-ablement services  Restated in the recent Green Paper on future options for adult social care  Reduced needs for on-going home care support  But how long does this last?  Which groups are likely to benefit most?  How best can re-ablement services be organised?  Prospective study SPRU (York) and PSSRU (Kent)  Investigating the longer-term impact of home care re-ablement services

4.  Provide research evidence on the immediate and longer term benefits of home care re-ablement  Identify the factors that affect the level and duration of benefits for service users  Identify any impact on and savings in the use of social care and other services  Describe the content and the costs of home care re- ablement services

5.  A comparative design  5 councils offering home care re-ablement services  5 councils offering standard home care services  Using quantitative and qualitative approaches

6.  How are home care re-ablement services organised and delivered?  Factors contributing to the success of re- ablement service  Interim report  Research Works

7.  Five established services  Interviews with re-ablement service managers  Observations of re-ablement service visits  Focus group discussions with front line staff

8.  From selective to inclusive intake  Multiple roles  Re-ablement  Intensive short-term intervention  Short-term home care support  Extended assessment  Transforming in-house home help services  Transferring staff to new specialist services - retraining staff  Volunteering to join the scheme  Voluntary redundancy and early retirement

9.  Eligibility criteria: Adults over 18 newly referred for home care support  Exclusions: people at last stages of their life and people with severe dementia  Duration of re-ablement  Charging policies

10.  (Re) assessment and care plans  Flexibility about length of visits

11.  Staff rotas to enhance continuity  Case recording and communication within team  Supervision and shadowing  Formal reviews  Onward referrals

12.  Personal care (e.g. washing and dressing)  Practical support (e.g. meal preparation)  Prompting medication  Psychological / emotional support  Advice and information (e.g. falls prevention)  Rapid access to equipment  Problem solving

13.  Service users characteristics  User support needs  User motivation  Staff attitude, commitment and skills  Training and supervision  Flexibility and prompt intervention  High quality assessment  Consistent recording system  Rapid access to equipment and specialist skills (OT/physio/mental health/dementia)

14.  Family/informal carer support  Wider environment  Strong/shared vision of the service  Capacity within independent sector providers

15.  Re-ablement as an intake service and implications for measuring ‘success’  Organisation of services  Training, skills and supervision  Factors external to the re-ablement service

16.  Be clear about the aims of the service and the conditions under which they can be achieved  Using appropriate performance measures  Need to adopt a ‘whole system approach’

17.  Reflections of what has been presented?  What are the likely implications for staff and service users of what you have heard?  What issues does what you have heard create for you, your work and your organisation?  What do you think you/your organisation needs to do or change as a result?

18. Parvaneh Rabiee Caroline Glendinning, Hilary Arksey, Kate Baxter, Karen Jones, Julien Forder, Lesley Curtis Download from: http://php.york.ac.uk/inst/spru/pubs/1223/