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Local Account - Health and recovery

The following information has been taken from the Local Account of Adult Social Services in Blackburn with Darwen.  The Local Account gives an overview of the range of social care services we have offered to local people during 2014/15, as well as our plans for 2015/16. To view the full Local Account document click here

To have good or at least reasonable health is the number one priority for people of all ages. 

We work with culture, leisure and sport services to deliver healthy living programmes and with other organisations in the voluntary and non-for-profit sector.  

The Reablement Team work closely with staff from the NHS to help people who have been in hospital to maintain their independence.  Older people sometimes need extra help to prepare them for going home from hospital.  Others need some support to prevent them going into hospital.  The Reablement Team help people to remain at home safely.

Individuals are assisted, in their own home, to regain the skills needed to live as independently as possible and increase confidence in their own abilities. 

Reablement care packages last about 3-4 weeks and are reviewed weekly and adjusted to the needs of the person.  In 2014/15 45% of service users left the Reablement service needing no formal support afterwards.

Customer satisfaction with the service is high, as is shown by what people say about it:

"The Reablement team have supported my family through a very difficult period.  The exemplar service provided is a credit to the Council and should be shared as best practice across other boroughs.  Communication throughout the process made my family feel at ease and the speed and efficiency through which equipment was provided goes against all pre-conceived and stereotypical opinions of NHS/local Council support.  The service is truly value added."

"Thank you for all the help my mum received from the Reablement service.  The help has assisted my mum to become more independent and to avoid admission back into hospital."

"A good service which has enabled me to remain in my own home and manage well.  Very kind people who looked after me really well.  Thank you so much."

"I must compliment the staff from the Reablement team who have looked after me so well since my return home from hospital.  They have all been kind, considerate and non-intrusive and each day have encouraged me to regain my confidence in the simple tasks of washing and dressing.  I must admit whilst in hospital, despite the wonderful care I received, I did wonder how I would cope on returning home.  But now, with the support of your excellent team, I feel I can look forward.

Spotlight on: Learning Disability 'Eat Well' Course

A learning disability 'Eat Well' course was set up to help people with a learning disability learn about healthy eating.  The course took place over 6 weeks and focussed on the 'Eat Well Plate' and the 5 food groups.  The sessions were divided into short sections of information and food tasting, to hold the participants' interest and to reinforce the 'Eat Well' message using all of the senses.

Each session also featured a physical activity, a game, food tasting, and homework, which involved completing a fruit and vegetable diary at home.

Feedback from the course attendees was very positive.  Three individuals signed up for Health Trainer support on a 1 to 1 basis as a direct result of attending the course.  The staff supporting the people with a learning disability said that they also benefitted from the course, and as a result they feel they now have the knowledge and skills to empower the people they support to make healthy food choices too.

Achievements 2014/2015

  • We have set up integrated teams made up of social workers, reablement, occupational therapists, physiotherapists and district nurses.  This has led to an improvement in partnership working and a better more joined up experience for the service user.
  • Continued increase in the number of people using the reablement service.  The average number of people starting the reablement service has increased over the past year from 7 to 14 per week. 
  • An in-reach service is going into residential homes to provide reablement support to people to help them to return home following a stay in residential care following illness or hospital discharge.

Challenges  

  • At times of crisis people often end up going into hospital or residential care.  The 'ITAR' crisis support service now provides alternative support as well as planned short term night visits.

Priorities 2015/2016 and beyond  

  • To further develop partnership working through integrated locality teams and to complete the co-location of the locality team in Darwen.
  • Extend reablement support to ensure that everyone who could benefit from reablement is given the opportunity.
  • Further develop the night time visit service which has been established by the Crisis team to build up a night time support service to help people avoid going into short term care and remain in their own homes.

In focus: Reablement Support and Mrs Talbot

'Mrs Talbot' had a history of falls and she was struggling with day to day activities.  She had an extreme fear of falling again.  Her mental health plummeted and her doctor admitted her to hospital.  Following a stay in hospital Mrs Talbot moved into a residential home for rehabilitation. 

A multi-disciplinary team (MDT) made up of representatives from Social Work, Reablement, Physiotherapy, Community Mental Health and Community Psychology met to discuss Mrs Talbot's case. 

Mrs Talbot's fear of falling was so bad that it prevented her from walking anywhere and she had to be moved using a hoist operated by two carers.  The Community Mental Health Team provided support to Mrs Talbot and she saw a Psychologist and Intermediate Support Workers to help with her anxiety levels for 12 weeks. 

The Social Worker referred Mrs Talbot to Reablement at which time Mrs Talbot's mental health support had reduced and support from a Physiotherapist helped her to mobilise with the use of a wheeled Zimmer frame.  Mrs Talbot was still fearful to go out.

Mrs Talbot was worried about going home as she lived in a 'two up two down' terraced house.  Mrs Talbot's Social Worker made an application for extra care housing at Spring Bank Court.  The application was accepted and Mrs Talbot moved into her new flat. 

The Reviewing and Assessment Officer from Reablement assessed Mrs Talbot's needs and arranged for 4 Reablement visits per day, equating to 28 hours per week.  Following a further review, Mrs Talbot moved to a long term package of 10.5 hours per week (30 minutes in the morning, lunch time and tea time), which is now carried out by staff at Spring Bank Court.

The Reablement team are referring Mrs Talbot to Age UK's assisted shopping service, and they have set up a lift with Dial a Ride to take Mrs Talbot to see her sister. 

Mrs Talbot is now independent with personal care.  Her mental health is stable and she can walk with a frame.

The Local Account provides an overview of Adult Social Services.

Local account - Health and recovery