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Derby Carelink

Telecare Assistive Technology

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Contents Lifeline and Pendant Page 4

Smoke Detector Page 6

Heat Detector Page 6

Carbon Monoxide Detector Page 7

Flood Detector Page 7

Extreme Temperature Detector Page 8

Natural Gas Detector Page 8

Tunstall Bed Occupancy Sensor Page 9

Chair Occupancy Sensor Page 10

X10 Lamp Module Page 10

Pressure Matt Page 11

Door Contacts Page 12

Virtual Property Exit Sensor Page 12

Passive Infa Red (PIR) Inactivity / Movement Sensor Page 13

IVi Intelligent Pendant Page 13

Vitalbase Wrist Worn Fall Detector Page 14

Vibby Fall Detector Page 15

Jelly Bean Switch Page 15

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Bogus Caller Button Page 16

Pull Cord Page 16

Enuresis Sensor Page 17

Care Assist Pager Page 17

Medication Dispenser Page 18

Medication Reminder Notification Page 19

Assessment for Medication Dispenser Page 20

Safe Socket Page 21

Epilepsy Sensor Page 21

Alert It Companion Epilepsy Sensor Page 22

GSM Unit (Global Systems for Mobiles) Page 23

Canary Page 24

Case Studies Page 25

Contact Us Page 25

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Lifeline and Pendant

Pendant Alarms are the perfect solution for elderly or disabled people living on their own. They offer unparalleled peace of mind with minimal intrusion. The lifeline alarm service is made up of two parts: the lifeline alarm base unit and the pendant. Once the alarm unit has been installed, individuals can choose to wear the pendant around the neck or wrist. The alarm unit needs a working landline and an electrical socket within 3 meters. Cost Lifeline and Pendant standard service = £3.52 week. For this service in the event of an emergency we will always contact emergency services if the service user is injured. If there are no injuries then we will contact NOK/ Carers to attend. Lifeline and Pendant Response service= £4.61 week. For this service we will always contact emergency services if the service user is injured and then we will always attempt to contact NOK/Carers to inform them. If uninjured we will contact NOK/ carers to attend if there is no one available to attend then an emergency responder from Carelink will attend, even if this is just to wait with them until help arrives on site.

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How it works

Call handler will establish what help

is required.

Telecare alarm is activated and a call

generated to the monitoring centre

Emergency action required

Equipment reported as

faulty.

Call Handler will attempt to contact key

holders to assist.

Responder will assess the

situation and communicate

with the monitoring

centre via the lifeline.

Appointment arranged for

either a Responder or

Assistive Technology

Officer to attend to fault.

If unable to make contact

with key holder / NOK then

Carelink Responder will be contacted

If not injured responder will lift using specialised

equipment or contact emergency

services if necessary.

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Smoke detector

Smoke from a fire is detected by the device, which then gives off an alarm to warn the occupants. The ideal position is on the ceiling, in the room to be protected, where there is a risk or in a central location of the property such as the hall or landing. Ideally a smoke detector should be installed on each level of the home. Smoke detectors are NOT to be used in a kitchen or bathroom. Smoke detectors are suitable for those who may be hard of hearing or those with limited mobility who would find it hard to evacuate the property in the event of a fire. Cost per unit per week £1.15 Heat Detector

The heat detector detects a rapid increase in temperature in the kitchen area, such as caused by a pan/microwave fire where there is a risk of fire due to cooking but a smoke detector cannot be used. Heat detectors are suitable for individuals who still want to remain independent and cook for themselves but may be suffering with short term memory loss and may be at risk of leaving a pan on the cooker. Cost per unit per week £1.15

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Carbon Monoxide Detector

It detects poisonous Carbon Monoxide gas which can be produced from a faulty gas appliance such as cooker or fire. It will typically be used where a person is sleeping in a room with a gas fire or boiler. If the service user will not have a Carbon Monoxide Detector connected to Carelink it is advised that they contact their Gas supplier to obtain one. Cost per unit per week 1.15 Flood Detector

A flood detector will be on the floor in the room to be protected. It is free standing and may be hidden behind a toilet bowl or a sink pedestal. It will detect water for example if a bath has been left running and overflows. The flood detector is suitable for individuals with memory or cognitive problems who may forget that they have left water running. Cost per unit per week £1.15

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Extreme Temperature Sensor

The extreme temperature detector is normally used in the kitchen where there is a risk of fire but a smoke detector cannot be used. It detects a rapid increase in temperature as caused by a pan / microwave fire. It does NOT detect smoke. Suitable for individuals with memory or cognitive problems who are likely to leave saucepan unattended. Cost per unit £1.15 per week Natural Gas Detector

The Gas detector will send an alert to Carelink well before the level of gas detected is at an explosive level. It is suitable for individuals with short term memory or a cognitive problem that wishes to remain independent. A gas detector needs to be connected via the mains power supply.

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If it is not possible to connect a gas detector to the mains electric supply Carelink do a plug in gas detector but there needs to be a socket available that is likely NOT to be unplugged. These detectors can be supplied as emergency temporary solutions until an electrician can visit to install the mains powered detector Cost per unit £2.88 per week Plug in Gas detector

Tunstall bed occupancy sensor

Bed or chair sensors are suitable for individuals who are less likely to wear/press a pendant. The sensor will be placed under the top sheet of the bed or under the cushion seat of a chair It can do 4 things: 1. Raise an alarm if the person does not go to bed by a previously agreed time 2. Raise an alarm if the person does not get out of bed by a previously agreed

time 3. Raise an alarm if the person gets out of bed for longer than a previously

agreed time between an agreed start and end time 4. Turn on a bedroom lamp when the person gets out of bed, and turn it off

when safely back in bed.

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You can NOT use a bed sensor with an airflow mattress. When the user gets out of bed the sensor recognises that there is no longer any weight on it and begins a countdown, the absence time allowed will have previously been agreed with a carer / family member (e.g. 20 minutes) if the countdown reaches zero and the user is not back in the bed/chair a call will be generated to Carelink. If the user has got back to the bed or chair safely within the absence time no call will be generated. Cost per unit £2.88 per week Chair occupancy sensor

The chair sensor works in exactly the same way as the above bed sensor. In some instances a bed and chair sensor can be programmed to work together so that as long as an individual is in either the bed or the chair then no call will be raised. X10 Lamp Module

The lamp module works in conjunction with a bed sensor. The lamp module will automatically turn off a bedside lamp and turn it on when a user gets out of bed. It will only do this during the monitoring period of a bed / chair sensor. It will normally be connected to a plug socket as near to the bed as possible or in a hall/ landing. The light will come on when the user gets into bed and stay

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on for one minute. When the client gets out of bed the light will come on and remain on until the user gets back into bed. Cost per unit £1.15 per week Pressure Matt

The pressure mat will alert an on-site carer/partner that the person is trying to get out of bed. Unlike a bed sensor, there is no delay. As soon as the person stands on the mat, a call will be generated. This will alert the carer from a Care Assist Pager or via a lifeline. The black plastic mat should be on the floor next to the bed. It is often placed under the customer’s own rug. Cost per unit £1.15 per week

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Door Contacts

A door sensor attaches to the door frame. It will alert that someone has opened the door. It can be set to work 24 hours or through a pre-arranged time of the day or night. If set to work 24 hours the sensor will alert either the monitoring centre or a carer pager every time the door is opened. We can also set the sensor to work at specific times of the day or night. This is ideal for individuals with mild dementia or cognitive problems who are at risk of wandering or those who want to remain independent but where someone needs to be alerted if they wander off at inappropriate times. Virtual Property Exit Sensor

A VPES is made up of a number of door contacts, and PIR’s (Passive Infra-Red sensors). They link with a lifeline to check if someone goes out within a monitored period of time and doesn’t return within a set time. A VPES is different from a door contact in that it allows a person a limited time to go out of their home. Once the door is opened the PIR sensor will begin counting down the amount of absence time allowed, the time will have been predetermined by the service user /NOK or carer. If the service user comes back into the property or moves in front of the PIR the countdown will stop

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and the system will reset. If the door has not been closed the countdown will restart until the door is closed or no movement is seen in the property. If the countdown reaches the end a call will be raised to the monitoring centre. Cost per unit £2.30 per week for each additional PIR infrared sensor £1.15 week If any Door / wandering system is installed it must be noted that Carelink CANNOT respond to these calls. The service user must have a named contact to call in an emergency. Passive Infra Red (PIR) inactivity/ movement sensor

A PIR sensor is located in a central or frequently visited part of the home to make sure a person is back home or moving around as expected. It can raise an alert if a person is not home by a certain time each day, or it can raise an alert if a person is not moving around their home as frequently as expected, for example by a certain time each morning, or every hour throughout the day.

Ivi Intelligent pendant

IVi the intelligent pendant with automatic fall detection is a small body worn device that can be used to raise manual alarms by using the integral help button or can detect falls and raise an automatic alarm using an integrated accelerometer and a barometer. When someone has a fall it looks at 3 factors to decide whether it is a ‘real’ fall or not, to cut down on false alarms:

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1. A sudden increase in speed, such as created by someone falling. 2. A sudden change in orientation/angle. 3. A sudden change in air pressure? The fall detector will wait approximately 30 seconds before generating a call as it gives the wearer time to get back into a standing position. If a fall has been detected the alarm will start to bleep and the green light will flash if the wearer still does not get up the fall detector will now begin to flash red and the bleeps will sound a little faster. These are normally worn around the neck but can be worn on a clip that attaches to a cardigan or belt loop. The Ivi is ideal for those who suffer from dizziness, blackouts or fainting and individuals that are likely to forget to press a pendant in an emergency. The Ivi may not raise an alarm call in every situation for example if an individual slips out of a chair or slips of the bed in this instance the button would need to be pressed. Cost per unit £1.15 per week Vitalbase wrist worn fall detector

The wrist worn fall detector automatically senses if the user has fallen and remains immobile and will automatically raise an alert, it also has a button which can be pressed should the individual need any assistance. The alarm call can be cancelled from the pendant by shaking the wrist. Once the fall detector senses a fall it will begin to vibrate on the wrist if the user does not get back into a standing position it will generate a call, however it should be noted that if the user is trying to get up and shakes the wrist inadvertently the call may be cancelled in error. Therefore this detector is only suitable for individuals who may black out / faint but not suitable for individuals with poor memory or Epilepsy. Cost per unit £1.15 per week

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Vibby Fall detector

The Vibby is a fall detector that can be worn around the wrist or the neck. It is supplied configured to work on the wrist strap The vibby can raise an alarm call manually by pressing the help button or automatically when a heavy fall is detected. Cost per unit £1.15 per week Jelly Bean Switch

The Jelly bean switch is for people with limited movement, the jelly bean button trigger is sensitive enough to recognise the slightest touch in order to activate an alarm call. It will be positioned wherever the user requires it for example on a wall next to the bed or on a wheelchair so that it is easily accessible to the user. Cost per unit £1.15 per week

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Bogus Caller Button

The Bogus Caller button is an emergency alert button that is installed at the front door or area where the individual feels at risk. It allows an alarm call to be easily and discreetly placed to the monitoring centre. When pressed, the Bogus Caller activates a silent call for help, so any unwanted or unexpected callers will not know that a call has been received. The operator will be able to determine from the call what action to take. Any incidents will also be automatically recorded and may be used in evidence. The button can also be used to summon assistance or verbal prompts can be given via the lifeline unit if the operator feels it necessary. Cost per unit per week £ 1.15 Pull Cord

The radio pull cord can be strategically placed around the home in order to provide the service user with a convenient means of summoning help in an emergency. When activated by a single pull of the cord a call will be generated to the monitoring centre. A pull cord is an essential requirement for the times when a personal trigger may not be worn, such as in the bedroom giving the user an extra means of raining an alarm call Cost per unit £1.15 per week

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Enuresis Sensor

Wipe clean sensor Cotton Sensor Absorbent sensor The Enuresis (involuntary urination) sensor detects moisture enabling appropriate care to be administered. It is positioned on the bed dependant on which sensor is used. The plastic wipe clean sensor is positioned between the mattress and the bed sheet. This can be cleaned and used again immediately. The cotton senor is positioned under the bed sheet but will need to be removed and washed. The absorbent sheet is positioned above the sheet. This sensor will detect and absorb a small amount of liquid, 300 ml, without disturbing the user; 500ml will trigger an alarm. The Enuresis sensor is suitable for individuals that have a full time carer on site. Cost per unit £2.88 per week Care Assist Pager

The Care Assist is a portable stand-alone piece of telecare equipment that can receive telecare alerts and display not only the type of sensor activated but also either the location of the sensor and/or the name of the person the sensor

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has been assigned to. When the telecare sensor is activated, the Care Assist will vibrate, bleep and the screen light up to alert a NOK / carer to the incident. The radio range is 200m (line of sight) This distance is reduced to approximately 50 meters inside a building where the signal is impeded by walls and doors etc. d The care assist can be programmed with up to 86 sensors so is suitable for smaller nursing / residential homes and individuals with onsite carers. Cost per unit £1.15 per week Medication Dispenser

The Pivotell® Automatic Pill Dispenser is free standing so can be moved if required and will dispense pills up to 28 times a day dependent on the doses per day. At pre-programmed times, the internal pill cassette rotates, the alarm signal is heard, the light flashes and the correct dosage will come into view through the opening in the lid. The medication dispenser is programmed into a lifeline unit and normally if after 30 minutes the medication has not been accessed a call to Carelink will be generated. The Carelink Operator will contact any named contacts for the service user and let them know that medication has not been taken. To stop the alarm ringing and dispense the pills, the user merely tilts the Pivotell® dispenser and the pills fall into the hand or a suitable container. A Pivotell® tipper is available for those with insufficient strength or limited dexterity to lift and dispense their medication. The refill frequency will depend upon the number of daily medications (up to 28) for example: Once a day medication refill every 28 days. Twice a day medication refill every 14 days. Three times a day medication refill every 9 days. The dispenser is supplied with clearly printed discs. The discs identify the day of the week, and the appropriate number of doses per day (between 1 and 4).

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Carelink will need to have a signature from a Next of Kin / Carer who will be responsible for filling the medication dispenser. The medication dispenser is suitable for individuals with poor memory / dementia or individuals with limited dexterity who are unable to open blister packs or pill bottles. Cost per unit £2.88 per week Medication Reminder Notifications The lifeline allows up to 6 voice reminder messages to be recorded onto the unit and then played back at a given time on a one-off or daily basis. When a message is due to be played, the lifeline will bleep and announce ‘Reminder’ every 30 seconds. The user must press the cancel button on the lifeline to hear the message. If the user does not acknowledge the message then a ‘reminder-not acknowledged’ alarm will be generated to Carelink. The Operator will contact NOK/ Carer to let them know the reminder has not been acknowledged. There is no additional charge for this service it is included in the cost of the lifeline package chosen.

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Assessment for Medication dispenser

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Safe Sockets

The Safe Socket™ is a device that will ensure that an alarm call is raised even though the telephone line is in use. It allows the Lifeline home unit to seize the phone line from other connected devices on the same line (i.e. extension phone, computer, fax machine, satellite receiver etc.). Categories: Alzheimer's/Dementia. The safe socket must be used with any medication support. Epilepsy sensors Emfit Epilepsy sensor

Epilepsy sensors are used to monitor people with epilepsy while they sleep. The sensor detects a person’s movement in bed and is able to differentiate normal movements from epileptic seizures. An epilepsy sensor enables a seizure to be detected the moment they occur ensuring carers can respond quickly if they are needed. The Emfit sensor cannot be with air flow mattresses. Cost per unit £2.88

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Alert it companion epilepsy sensor

The Alert it companion epilepsy monitor uses a discreet under mattress sensor to detect movement The companion sensor will work on most bed types and mattresses including profiling bed, memory foam and air flow mattresses. In many cases a carer for someone with epilepsy will undertake regular checks throughout the night, which is labour intensive for paid carers and means broken sleep for informal carers. The person affected may also find these intrusive and undignified. An epilepsy sensor will automatically raise an alert with a carer if it detects a seizure enabling appropriate care to be provided quickly without the need for manual checks. Epilepsy sensors can be used in individual homes or assisted living environments. They are portable and simple to use supporting carers and protecting users. CONFIRMATION IN WRITING IS REQUIRED FROM AN EPILEPSY SPECIALIST NURSE OR NEUROLOGIST BEFORE AN EPILEPSY SENSOR CAN BE INSTALLED. THE SEIZURES MUST BE TONIC CLONIC IN ORDER FOR INSTALLATION TO BE APPROVED. Cost per unit £2 .88 week per unit

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GSM units (Global system for Mobiles)

The GSM lifeline is only used where there is no landline in place. It is supplied with a roaming sim allowing it to connect to the most appropriate mobile network available. It will always use the strongest mobile signal available. The Lifeline GSM has been specifically designed to operate on the mobile telephone network therefore doesn’t require a normal telephone connection in order to provide communication. Cost per Unit £7.90 per week with no response service (contact emergency services and NOK only Cost per unit £8.99 per week with a Carelink response service.

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Canary

Canary is a discreet, easy to install monitoring and notification system that provides round the clock reassurance to family members whilst allowing the older or vulnerable person to stay in the home they love. Canary respects the privacy of people who need care and support so does not use cameras so no-one can be seen or heard.

This information can be used by Telecare providers to find out what equipment can be installed to promote safe, independent living. It may identify risks that were not apparent, and may prove that perceived risks are not really there. The equipment is supplied on a short term basis, for up to 2 – 4 weeks at a time. It will not be left in place for long periods of time. The Canary is easy to install. Sensors are simply stuck to door frames or woodwork with Velcro and there is no wiring. The controller, receives data from the sensors and uploads it to a secure web-site so we can monitor service users from anywhere with an internet connection.

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Case studies Mr. K – Stand-alone telecare Mr. K has epilepsy, learning difficulties and a history of chest infections. He lives in an extra sheltered housing scheme with 24hour waking night staff. Before the introduction of any telecare equipment it was necessary for the on -site care staff to regularly look in on Mr. K to ensure he was ok. This meant that with frequent visits his independence was challenged and consequently this had an effect on his dignity and quality of life. To improve his level of independence whilst maintaining his safety and well-being, it was decided to install some stand-alone telecare equipment. Because of his high risk of falling, particularly when having an epileptic seizure, a fall detector and bed occupancy sensor were supplied. By wearing the fall detector during the day time, it would automatically trigger in the event of a fall, which then generates a call on the carer alert pager. Equally, during the night, if he gets up from his bed, putting himself at risk of falling, the sensor activates a call on the carer pager. If the carer is elsewhere in the building, they will be alerted to activation as the pager can be carried around safely. Stand-alone equipment is so named because it does not connect to a remote monitoring center by way of a telephone line. Consequently, there is no monitoring cost to the service user only the cost of the equipment supplied. Mrs. L – Telecare for falls and memory loss Mrs. L is a lady in her 80s. She had a stroke seven years ago which affected her left side resulting in unsteady mobility loss of dexterity in her left arm and hand. It also caused some short term memory loss and confusion. She uses a rollator frame to mobilise. Mrs. L has regular visits during the day from a homecare agency and her son, who lives some distance away, visits and stays for a few days every week. During the night she is alone in her flat.

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Mrs. L first had a lifeline alarm with pendant installed in 20014 but then with her decreasing mobility and the loss of some cognitive ability it was decided to increase the amount of telecare equipment installed. She was supplied with a fall detector pendant which would automatically activate the alarm unit if a fall is detected along with a bed sensor which would trigger a call in the event she gets up in the night but then does not return to bed within 30 minutes. Additionally to protect her, her property and the neighboring flats, a smoke detector and gas detector were fitted. Both sensors will generate a call to the control center via the lifeline in the event they are activated. The installation of this equipment has meant that Mrs. L has been able to remain within her own home safely, maintain her independence and has given reassurance to her son and the carers looking after her. Mrs. A – Telecare to address dementia Mrs. A is a lady in her 70s diagnosed with dementia, angina and cataracts in both eyes. She was referred for a telecare assessment when she began to leave the gas on but unlit on the cooker and also to go out of the front door into the street putting herself at risk of walking into traffic or becoming confused while out. Her adult son, who lives with her, is her main carer, but also has to go out to work. He himself has a substantial sight and hearing impairment. They live in a large Edwardian house. During the assessment it was agreed that a gas detector was needed to reduce the risk of fire or explosion. The detector will trigger the lifeline and generate a call to the control center. Additionally, smoke, heat and carbon monoxide detectors were installed to improve the safety of the occupants and reduce damage to the property. To address the problem of the service user leaving the home un-escorted and putting her at risk, door sensors were fitted to the front door leading to the street. If the door is opened while the switch is on, it will trigger the alarm to make a call.

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Mr X – Telecare to support independence Mr X is a 50 year old wheelchair user who wished to keep his independence and reduce his need for careers. He uses a hoist to self-hoist himself in and out of bed allowing him to remain at home for longer. Previously his hoist has broken down and he was stuck in the hoist for several hours. He was unable to get to the phone and also was not wearing his pendant; he was in the hoist until his relatives came to visit. An Assistive Technology Officer visited MR X and we installed a door contact to the hoist with a 30 minute absence programmed into it so that once the hoist left the docking station, if it did not return within the 30 minute then a call would be made to the monitoring centre. This allowed Mr X to remain at home with the confidence that this would not happen again.

Contact Us Telephone: 01332 642203 Minicom: 01332 640666 Email: Carelink@derby.gov.uk Web: www.derby.gov.uk/yourlifeyourchoice

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