24 hour community support team, corby, northants
DESCRIPTION
24 HOUR COMMUNITY SUPPORT TEAM, Corby, Northants. Context. 2002 – no purpose built home support service for younger adults with a P.D. But 2 res units choc a bloc with perm. residents Of the 4 people who moved out, readmission rate was 100% - PowerPoint PPT PresentationTRANSCRIPT
24 HOUR COMMUNITY SUPPORT TEAM, Corby, Northants
1KAT/KM MAR 2010
2002 – no purpose built home support service for younger adults with a P.D. But 2 res units choc a bloc with perm. residents
Of the 4 people who moved out, readmission rate was 100%
Trad. Dom care the only choice which set people up to fail
Costly permanent residential care, no process to prevent perm admission
2KAT/KM MAR 2010
Stopped all new perm res care, Res unit closure – C.S.C.I. RequirementsUsed stays as preparation for independent
living Obtained accessible 4 bedded flat, half a
mile from res. UnitObtained “green light” from senior
management to develop 24home care services
Obtained funding for acc. from T.H.B/S.P.
3KAT/KM MAR 2010
Identified not only 4 transitions/ college guys but also existing long standing “hard core” residents who were up for moving out
Worked closely with the borough housing staff on a local level – obtained another 4 bedded flat on the same estate
Inherited 2 services with 2/3 staffing vacancies with a defunct remit giving a base budget of £300k
4KAT/KM MAR 2010
Set up admissions policy, diverting people from perm res care and
setting up spot purchase arrangements with care management and
utilising the 2 community centres and the res unit for prep and cost effective packages
Then team were referred costly agency placements and placements that had failed – 1 customer had 20 diff agencies before team took them on
5KAT/KM MAR 2010
Grew to £1.8 million service, with 3 registered services covering whole county
Excellent “enhanced service” from C.S.C.I.On the verge of acquiring 6 bedded
bungalow to offer prep for independent living in south of county
Delivering 3000 hours worth of service to 55 customers
6KAT/KM MAR 2010
Service started from scratch so could recruit to a staffing structure that worked for the service and the right culture
Introduced new tier of post “community support worker” as well as Manager, Supervisor and Homecarer
Use sleep ins – a lotSpot purchasing made us very efficientTrained in specific issues for the serviceRota’s designed weekly to accommodate
customers and staff requirements
7KAT/KM MAR 2010
Careplans highly specific and full involvement of person Goal setting crucial – working with not for Will give notice on any service where a maid is required
– will support on to P.B. partnership working with others – eg, schools, vol.
Bureau’s children's services, housing, benefits, colleges, travel agencies
Individualised times/cover – expectation that no cover between 10 – 4 – so, employment or day service or other must be sought
Reduced packages in only about 20% of cases – but what we do deliver is the support for a more engaged and fully involved lifestyle of their choice
Of 67 people in total the service has supported 3 moved back into residential care, 3 to other agencies and 9 on to D.P. or P.B. and 3 deaths
8KAT/KM MAR 2010
Currently the service delivers: Client contact hours: 1350 hours weekly Client contact hours we are committed to:1350
hours weekly Sleep Ins: 350 hours (35 per week) TOTAL HOURS: 1655 a week 4% DOWNTIME 3.2% TRAVEL 4.4% SICKNESS 3.2% MATERNITY LEAVE
9KAT/KM MAR 2010
Other County Council priorities – L.D. Reprovision
Serious budget problems 2005/6Management restructureDomiciliary Homecare review restructured
P.D. and Dementia as one serviceService lost a significant number of P.D.
Customers in South of County who are now in costlier or residential placements
Very hard to manage in a flexible responsive way
10KAT/KM MAR 2010
Costly packages due to high levels of personal care
Accommodation, accommodation, accommodation – often why residential care exists in the first place
No real drivers to provide specific services – no decent grant funding and serviced usually lumped with older person services where they only get pennies but there are millions of them
11KAT/KM MAR 2010
Small numbers – most res placements are probably cheaper than a single occupancy care package
Majority of service not re able/re hab. Actually enablement
People with high levels of p.c. lose out Classed as long term service not reablement Supporting disabled adults in their parenting role Being part of N.C.C. increases our unit costs –
corporate recharges beyond our control and high – published unit cost is £22.45. Where as our unit costs would be more like £14.58
12KAT/KM MAR 2010