1

Delivering the Delivering the outcomes that outcomes that

service users wantservice users wantIntegrating assistive technology Integrating assistive technology

into supported living services into supported living services for people with learning for people with learning

disabilities disabilities

2

OUTCOMESOUTCOMES

To improve lives of people with LDTo improve lives of people with LD

To maximise efficient use of Taxpayers’ To maximise efficient use of Taxpayers’ moneymoney

3

Cheshire ContextCheshire Context

Rural county with 700,000 populationRural county with 700,000 population Increasing percentage of older peopleIncreasing percentage of older people Telecare rolled out countywide for over Telecare rolled out countywide for over

65s65s Telemedicine pilot projects underwayTelemedicine pilot projects underway 1700+ ALD Service Users1700+ ALD Service Users 700+ ALD Tenancies700+ ALD Tenancies ALD Pooled Budget £50m Spend £53mALD Pooled Budget £50m Spend £53m

4

Risk ManagementRisk Management

““Independence, Well-being & Choice”Independence, Well-being & Choice” ““Our Health, our care, our say”Our Health, our care, our say” People want opportunities to take risksPeople want opportunities to take risks Culture in services that is risk averseCulture in services that is risk averse How can we provide people with the How can we provide people with the

chance to take managed risks?chance to take managed risks?

5

The Role of Technology?The Role of Technology?

Telecare style technology to decrease Telecare style technology to decrease reliance on staffreliance on staff

Build on experience & established links Build on experience & established links made by over 65s servicesmade by over 65s services

Opportunity to use staff time more Opportunity to use staff time more effectively effectively

Reduce the need for ‘just in case’ Reduce the need for ‘just in case’ staffingstaffing

6

Financial ArgumentFinancial Argument

Each Waking Night Staff costs £63k paEach Waking Night Staff costs £63k pa Each Sleep In Staff costs £16.5k paEach Sleep In Staff costs £16.5k pa Cheshire ALD – 25 Waking Night staffCheshire ALD – 25 Waking Night staff Target – Reduce 5 Waking Night staffTarget – Reduce 5 Waking Night staff Save – £230k pa Year On YearSave – £230k pa Year On Year

7

Finance – Funding Finance – Funding EquipmentEquipment

Preventative Technology GrantPreventative Technology Grant Paying for equipmentPaying for equipment Ongoing costsOngoing costs Housing BenefitHousing Benefit Supporting PeopleSupporting People

8

The TechnologyThe Technology

Telecare Definition: Telecare Definition: the use of monitors or the use of monitors or sensors to alert a remote carer to an sensors to alert a remote carer to an individual’s needindividual’s need

11stst generation: pendant/ pull chord generation: pendant/ pull chord 22ndnd generation: alert generated automatically generation: alert generated automatically Examples Examples

Bed monitorBed monitor Passive Infra Red sensorsPassive Infra Red sensors Epilepsy sensorEpilepsy sensor

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Not Just TelecareNot Just Telecare

Environmental ControlsEnvironmental Controls Intelligent MicrowavesIntelligent Microwaves Assessment Assessment Lifestyle MonitoringLifestyle Monitoring Prevent ‘over-support’Prevent ‘over-support’

10

Build on Existing WorkBuild on Existing Work

West Glamorgan H.C.West Glamorgan H.C. Reduced direct staff cover at nightReduced direct staff cover at night Environmental controls introduced Environmental controls introduced

Oldham social servicesOldham social services Assessment bungalowAssessment bungalow Sharing cover at night timesSharing cover at night times

11

Pilot SchemePilot Scheme

LDDF money secured for capital costsLDDF money secured for capital costs 5 houses with high levels of staff support5 houses with high levels of staff support Engage managers & inform them about Engage managers & inform them about

available technologyavailable technology Audit current support levels, identify Audit current support levels, identify

risks & appropriate equipmentrisks & appropriate equipment Consult with tenants & staff regarding Consult with tenants & staff regarding

technology technology

12

Learning from the PilotLearning from the Pilot

Contract with local installersContract with local installers Learn to programme the equipment Learn to programme the equipment

within the provider service within the provider service Hold very specific, very clear protocols Hold very specific, very clear protocols

jointly with call centre where jointly with call centre where appropriateappropriate

Engage staff with the cultural change in Engage staff with the cultural change in how we support peoplehow we support people

13

Assistive Technology Assistive Technology StrategyStrategy

Ensure strategic use of technology Ensure strategic use of technology across Cheshireacross Cheshire

Let users, carers and staff know what to Let users, carers and staff know what to expect from assistive technologyexpect from assistive technology

Encourage them to find out moreEncourage them to find out more Use as a basis for consultationUse as a basis for consultation

14

Ethical IssuesEthical Issues

Values underpinning assessmentValues underpinning assessment What do we need to know & why?What do we need to know & why? Consulting & informing tenantsConsulting & informing tenants Ethics of alternative practiceEthics of alternative practice Over-supportOver-support

15

StaffStaff

Information and demonstration of Information and demonstration of equipmentequipment

Vital role in assessmentVital role in assessment Need to believe in & trust equipmentNeed to believe in & trust equipment No additional assessment paperworkNo additional assessment paperwork Links in with Individual BudgetsLinks in with Individual Budgets Training to focus on issues rather than Training to focus on issues rather than

the technologythe technology

16

Progress so farProgress so far

Awareness DayAwareness Day Links with other services & agenciesLinks with other services & agencies Mobile demosMobile demos Consultation with tenants Consultation with tenants Success StoriesSuccess Stories

17

The FutureThe Future

Access to telecare across service Access to telecare across service boundariesboundaries

Health & Care professionals promoting Health & Care professionals promoting TelecareTelecare

Environmental controls commonplaceEnvironmental controls commonplace People living independently with People living independently with

support when they need it not in case support when they need it not in case they need itthey need it