The Columba Project in Runnymede

Dr. R. G. Curry

Telecare Advisor, N Surrey PCTResearch Fellow, Tanaka Business School, Imperial

College London

Housing LIN, Brighton, Jan 05

Columba Project Partners

Surrey Social ServicesN Surrey PCT

Woking Area PCT

Runnymede Careline

Evaluation: Imperial College

Technical: Tunstall Telecom

Columba Objectives

reduce the need for residential home placements

use of telecare to support people at home

Columba Background

65+, loosing confidence, RH, motivated

Telecare as part of a re-ablement and skills gain programme followed by appropriate support package in the patients’ homes

Uses telecare in 4-bed RA Unit (Brockhurst) and in patients’ home

Trial involved 25 patients over 1 year

First patients in March 2003

Hallway

Bedroom

Schematic Operational Procedure

Early Patient

Identification

Patient &

Carer

Interview

Selection to Project or

standard homecare

delivery

Visit to

Brockhurst

Objective

Setting and

Re-ablement

Planning

RegularReviews

Home

Adaptation

Re-ablement

Target

Reached

Home

Visit

Skills GainProgrammeDelivery

Home

Support

Delivery

Regular

Reviews

Telecare Equipment in Brockhurst

Standard Package LifeLine 4000 with Pendant, Fall

Detector, Bed Occupancy Sensor, Pull Cord, Temperature, Smoke Alarm Fridge Door Sensor, Flood Sensor,

Additional Package Door Open Sensors, Carbon Monoxide

Sensor, Movement (PIR) Sensors,

Columba Results

The approach of social, functional and physical re-ablement coupled with telecare (The Columba Process) has demonstrated its effectiveness with:

Two thirds of patients in the pilot project being diverted from residential care (7 still at home).

Continuous monitoring by the Careline service provided information to community care teams that allowed an intervention and prevented a hospital re-admission.

Now part of routine service delivery in N Surrey

Columba Lessons Learnt

The Columba project has demonstrated the strength of partnership working by PCT, County and Borough Councils to support independent living

Telecare is a small but important component in Brockhurst (10%) but is key to returning people to the community to live independently (50%).

The small size of the Columba unit at Brockhurst provides a continuity of care and an opportunity for in-depth client assessment

The staff have gained a tremendous amount of knowledge in assessing clients for telecare and using telecare as part of the care packages but diffusing this knowledge is slow.

Changing established ways of working is difficult and requires continuity of leadership and project management.

Telecare Checklist

The patient or client group to be supported The care process to be enhanced through telecare The care setting The scale of the proposed service (the number of patients or clients

served) The scope of the proposed service (the functionality of the service) The referral process into the service The equipment installation, maintenance and monitoring service The response service The fit with existing care teams The capacity of existing care teams to provide the response The training needs of new and existing staff The distribution of costs and benefits amongst stakeholders The role of private sector suppliers

Telecare as part of Extra Care

Sheltered accommodation has the technical and organisational infrastructure

Telecare supports the concept of independent living – just checking

Telecare creates more flexible accommodation giving options for residents, owners, PCTs and social services

Acknowledgments and Contacts

Prof. James Barlow and Dr. Steffen Bayer

Tele: 01428 724692

E-mail: rcurry@netcomuk.co.uk

Information & communication, e.g.health advice, triage, access to self-help groups

Safety and security monitoring, e.g. Bath overflowing, gas left on, door unlocked

Personal monitoring:•Physiological signs•Activities of daily living

Electronic assistive technology, e.g. environmental controls, doors opening/closing, control of beds

Improving functionality

Mitigating risk

The individual in their home or wider environment

Features of a Telecare Service

Response protocol

Call centreResponse provider:

neighbour, relative, ambulance, HCA, fire, police

NCRS

Response: home visit, emergency services,

remote change

Alarm !

Check status

Record event

The individual in their home

Check

The Emerging Infrastructure

Assessment & referral

Equipment

Monitoring

Response

Review