CHALLENGING THE NOTION OF CARE ON THE CHEAP

Transcription

1 CHALLENGING THE NOTION OF CARE ON THE CHEAP Jessica Dunne, Occupational Therapist Dorset County Council (DCC) Emma Jones, Operations Manager Magna Careline Limited (MCL)

2 BACKGROUND Government pressures to save money Mainstreaming of Specialist Telecare Team Dorset County Council created an OT post to develop assistive technology services within Learning Disability Services Need for effective monitoring and reviewing of high cost packages

3 PILOT RESULTS 10 Packages were assessed Impact made on 3 packages... Savings - 68, and Avoidance - 47, Assured and/or increased quality of care for 2 packages Potential savings identified on the remaining 5 packages following additional review assessment Potential savings - 126,628.16

4 CASE SCENARIO Aim Question need for waking night support Care provider concerned that staff are sleeping at night Outcome Identified minimal staff movement for large amount of time Identified clear night sleep of over 9 hours Potential saving identified of 30,230

5 Gone to bed TYPICAL NIGHT Gone to toilet, supported by staff and back to bed Getting up Minimal staff movement for 3.5 hours.

6 MAINSTREAMING OF THE JUST CHECKING SERVICE Approval given to purchase 3 Just Checking Kits Installs and daily monitoring to be completed by our telecare partners MCL Policies and procedures have been created to allow our community key workers to access the system as an assessment tool

7 BENEFITS TO MAGNA CARELINE Each assessment gives a clear picture as to whether assistive technology could benefit the individual Aid DCC in the introduction/promotion of assistive technology within Dorset Learning Disability Services and the Reablement Team Increase our depth of knowledge concerning assistive technology sensors & equipment Quick, easy fuss free system to install and monitor daily via Just Checking website

8 PRIVACY The nature of the equipment could be considered as impinging on an individual s privacy, however, all assessments have a fixed time scale with justified extensions where necessary and always with clear objectives for the assessment For all assessments permission is sought directly with service users (where they have capacity), or deputies and through best interest decision processes All staff are made aware that the assessment is being undertaken

9 1 YEAR OF THE JUST CHECKING SERVICE IN DORSET May 2011 September 2012

10 POSITIVE OUTCOMES Improved quality of care Increased creative use of allocated support hours Reduced package costs, through support reduction or change in the way support was provided Evidence based practice in risk assessment Where care needs increased, care could be provided at the minimum level in response to the risk evidence provided through Just Checking Supported adult safeguarding investigations

11 DCC S PERSPECTIVE Advantages 17 assessments completed 2 in progress MCL staff now confident in installs and monitoring 5 more systems ordered for reablement service Disadvantages Still only have a small group of community workers choosing to use the assessment kits

12 MCL S PERSPECTIVE Advantages Enhances our product knowledge and service portfolio which is outside the Norm of the alarm monitoring sector Allows us to create a business model that can be promoted in other localities Provides a one stop shop solution - Installation & Monitoring package Disadvantages Limited referrals for the installation and monitoring of assessment kits Reliant on strength of mobile signal to successfully monitor activity over period of time

13 YEAR 1 - RESULTS INCLUDING PREVIOUSLY MENTIONED PILOT RESULTS 7 assessments made savings totalling 168, assessment showed avoidances totalling 77, assessment showed NO benefit to the package as the service user s needs changed 2 assessment ensured quality of care in relation to night support 3 assessments require ongoing work and possible reassessment to achieve savings suggested potential savings of - 149,209.08

14 CASE SCENARIO Aim To evidence need for waking night support To evidence appropriate use of allocated 2:1 hours for community access Outcomes Confirmed that a disturbed night would meet individual s support needs as he gets up at 5am Highlighted poor use of 2:1 hours recommended reduction Savings recognised of 38,012.16

15 A TYPICAL DAY Only out for 2.5 hours over lunch. Is allocated 5 hrs per day.

16 A TYPICAL NIGHT In bed by 9pm Slept for 8.5hrs Up for the toilet just before 5am, but returns to bed. Wakes up at 5.30am. Lack of staff activity for at least 3 hours

17 FURTHER DEVELOPMENT FOR BOTH DCC AND MCL Additional business/profits Need for additional staff Creating new business opportunities in regards to purchasing own kits for hire following assessment by families Looking to develop a one stop service for lifestyle monitoring, to include install, analysis and removal This will ensure that the service can run at a mainstream level rather than as a specialist service

18 FUTURE PLANS To achieve further savings and avoidances To grow the service Further Joint working with MCL and Training with other Telecare Partner Eldercare / Seniorlink

19 TERMINOLOGY Assistive Technology referring to those items that create electronic alarms through linked and stand alone sensors in addition to activity monitoring systems Savings - where previously paying an amount for support and now pay less as a result of Just Checking intervention Avoidances - where currently paying an amount for care and have stopped that increasing as a result of Just Checking

20 ANY QUESTIONS May 2011 September 2012