Post on 09-Jul-2020
transcript
Wigan Council
Reablement
Introducing the Service
Reablement support people to remain independent or learn new skills after a period of illness / change in circumstances
Looking at areas of daily living / assesses for living aids
Reduce hospital admissions/reduce dependency on formal support/ provide care
Free 6 week service, operating 7 days a week 7.30 am until 10pm
82 staff– Leads, Managers, Officers, Support workers, co-ordinators
April 2018-March 2019 - 2224 referrals via the acute trust, OOB hospitals, Step Down, Community social and therapy teams
72.78% independent following Reablement intervention
Pathway/Process/Roles Assessment complete by Occupational Therapist/Physio/Social
worker/Primary Assessor/ Reablement officers/ Community health teams
Co-ordinator receives completed referral, screens and processes (Within 48 hours usually same day)
Reablement Officer completes initial visit
Support workers visit to progress goals/outcomes, monitoring and reviewing for up to 6 weeks – All trusted assessors
Outcomes met service user independent or reduced needs
No further action or Package of Care arranged
Case closed – audit/ review
Managers operationally manage teams
Our Model
Integrated with Council OTs
Skilled workforce to ensure team is autonomous i.e. can progress change and develop programmes, request adapts, equipment, AT
Embedded in Integrated Discharge Team
Embedded in Integrated Community Services as key partner: admission avoidance, supported discharge, Reduction in care packages, undertaking programmes written by Physio, OT, District nurses, SALT, Mental Health , Public Health
Flexible approach – Reablement/Care : Take people who have been deemed to require care package
Asset based approach (The Deal): programmes to increase community involvement/QOL
Stand alone programmes.
All support workers have laptops, phones and access to social care IT system, email etc
Accessing my home
Preparing Lunch
Off to the shops
Confidence Building
Off to bed
Supporting with Medication
Reablement completions (Overall %) - April 2018- March 2019 72.78% of all referrals do not require commissioned POC following Reablement intervention
72.78
27.22
Completed cases (%) commissioned POC not required
Completed cases (%) commissioned POC required
Reablement Request by source
78
115
89 89
67
80 76
91
83
95
87 90
1 4 4 3
6 5 5 5 1 2 1
4
28 25
22
29 25
18 19 23 23
26
20
28 32
39
31 28
37
32 28 28
30
41
32 34
9 12
5 7
9
3
9 11
6 7 6 5
0 1 4
2 1 3 4 4 5
2 5 4
0 1 0 0 4 4 3
0 0 0 2
0
9 7
10 9 9 6 7
15
7 6 8
11
5 3 3
11
1
6 2 3
6 7 7 3
15 15 12
8
16 13
10 12
9
14
2
17
1 4 5
1 1 2 2 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19
0
20
40
60
80
100
120
140 Wigan Infirmary
ACST - Wigan Infirmary
OOB Discharge
Alexandra Court
Richmond House
Temporary Step Down Bed
Temporary Step Up Bed
Hospital at Home
Community Therapy
Early Intervention
Mental Health
Hospice
Other
Outstanding CQC rating
Highly skilled, committed team with Wigan Behaviours, using The Deal approach, going the extra mile
Value based recruitment
Striving to improve, develop, be innovative, “Can-do”
Scaled up capacity delivering and widening of eligibility with £1.5m of additional investment per annum
Contributing to DTOC performance
Mosaic: worked with company to design own IT unit within social care system
DRS – worked with company to designed own rota system
Celebrating Reablement
In 2016 we were the first Reablement team in
the country to be rated ‘OUTSTANDING’
In 2019 Wigan Reablement team retained our CQC ‘OUTSTANDING’ rating
SAFE
Without exception, people using the service told the inspectors
they felt extremely safe and well supported. Comments
included,
• "Safe, oh very. Every one of the staff has been nice"
• "Yes, I feel very safe and in their presence.“
• “I’m very happy, very happy with how this is managed”
How? Focus on safety of staff, service users via rigorous recording processes,
competences, training, joint working with OTs/DN etc, Peer support feedback
meetings twice a week
EFFECTIVE
People the inspectors spoke with were positive about the Reablement process. Comments included,
• "They discussed things with me, sought my consent, excellent, can't fault them"
• "They went through the assessment with me to see what I expected.
• “The staff were exceedingly helpful.“
How? : Skilled staff with easy access to OTs, equipment, adaptations, AT. standardised measures, confident to adapt and develop programmes, Focus on induction, audits, observations, relevant, asset based programmes, learning, audits, feedback, competency
CARING
Service user comments:
• 'Thank-you so much for your visits, it was like having friends stopping by’
• 'Thank you for your kindness and help, you have been wonderful’
• 'Every one of you is brilliant, caring and very good at what you do.“
How?: Wigan behaviours, value based recruitment, observation of staff, encouraging service user feedback
RESPONSIVE
Responsive to need: Inspectors noted they saw and were told about numerous examples where the service had been responsive to people’s needs.
One person had been referred specifically for support with personal care and
meal preparation following a fall. During conversation with support workers, they identified an interest in working on their mobility, with a goal of being able to go into town. This was added to the support plan and the person was supported to mobilise indoors, and then into town using the bus, with support gradually withdrawn until they were able to make the trip independently.
Responsive Timescales: We provide same day discharge for referrals before 4pm
WELL LED
Inspectors stated each member of staff they spoke with was clear about who their immediate line manager was, but said they were both able and felt comfortable going to any of the senior staff. Comments included
• "I feel this is the most supported job I have ever been in“
• "All of them [senior staff] are very approachable and make time for you"
• "Management are very approachable, you never feel you are on your own here. Definitely an open-door policy in place.“
How? Wigan management behaviours, Strategic managers (OT and Experienced reablement lead) Team leaders: all with same vision and approach
Why are we Outstanding?
https://drive.google.com/open?id=1x0NO6zmVcBwKt3qYVhtDVBjNuS96pwEA