Using Technology to support people with dementia and their carers in Portsmouth
description
Transcript of Using Technology to support people with dementia and their carers in Portsmouth
1
Using Technology to support people with dementia and their carers in Portsmouth
Rosanne Brown MSc DipCOTWessex HIEC workshop
4th October 2012
2
Session planDefinitions & principlesDevelopment of Telecare service Response serviceTraining for staffPublic awareness raisingKey lessons learned ResourcesObtaining AT for your clients
3
Assistive Technology (AT)
Assistive technology = A generic term for any device or equipment which enables someone to undertake an activity of daily living with greater safety and/or independence.
4
Stand alone……………………TelecareWhat’s the difference?
Stand aloneused directly by the person or carer (not linked to alarm monitoring centre)
Stand alone examples• Recorded message memo minders• Plug that releases the water in a bath before it overflows if tap left running
Telecare automatically sends a signal to A N Other (may be an on-site carer or to an alarm monitoring centre) to call for assistance
Telecare examples• Fall detector raises alert even if user unconscious• Door exit monitors that raise alert if person leaves building at inappropriate times
5
Principles of AT in person-centred assessment & care planning
Should be considered following holistic assessment of the needs and wishes of the individual concerned
Should be used to enable and support people to live more independently
Should be considered alongside ethical issuesShould be considered alongside the use of other
services, not as a replacement for human contact and care
It may not be the answer for everyone
6
Is technology appropriate in the situation?
What are the alternatives to technology?AT is not a ‘quick fix’ K.I.S.S.Start with low-tech, least intrusive, most cost
effective
7
Practical considerations in service provision
Booking appointment for installation Family available for assessment & installMonitoring - issues for call centreResponse servicesTraining of user / carersEvaluation of installationRegular review
8
Portsmouth early ‘specials’Medication managementResidential Rehab unit installs – Care SensorUrgent installations – no phone - Mobile cell routerAssessment with QuietCareWandering solutions Door exit monitor Lions Emergency Message in a Bottle & Photo Responders GPS trialsASC Funding Panels
99
Current serviceApprox 70% of total referrals are for dementia.Telecare and stand-alone equipment now in use for
assessment purposes and to support users and carers in the community.
Risks being managed: wandering, medication compliance, falls, epilepsy,
extreme temperatures, gas, smoke, flood, inactivity, bogus callers, domestic violence
Impact on carers
10
Cost of Telecare in PortsmouthNo installation chargeTelecare (Monitoring) charge = £5.40 per weekSensors can be added at no extra costTelecare Plus (Monitoring + Night Responder service)
= £7.50 per weekNo charge for Key SafeDisability-related expense – care packageNo charge for stand-alone equipment if identified
need during community care assessment
1111
Portsmouth Telecare Responders• From April 2009, PCC has provided a night time (9pm to 6am) response service for Telecare users whose key holders cannot be contacted, or who do not have their own night responder.• Staff with personal care skills, trained in risk assessment, first aid, moving & handling, use of Mangar Elk (lifting cushion)• Feedback to NHS & social care, to close information loop on, e.g. fallers, people who wander• Requirement remains for joint-funded, integrated (NHS & PCC) 24/7 responder service
12
Training for staffTelecare – a tool in everybody’s toolbox‘Telecare Experience’ - fortnightly training
programme for health, housing and social care staff, & voluntary sector
Enhanced training workshop on AT in dementia
Currently no on-going training programme
13
Support for staffUntil February 2012 - Telecare Co-ordinator and Telecare Development
Worker available to answer queries, provide advice and information to staff considering making referrals
Joint assessment visits with staff, to help determine appropriate recommendations and increase staff confidence and competence
Currently no dedicated staff for this task
14
Public Awareness-raising
For carers of people newly-diagnosed with dementia Talks to church groups, clubs for older people e.g.
U3A, day centres, established carers’ groupsStaff of major local employersDisplays and presentations at community events, e.g.
Carers WeekCurrently no dedicated staff for this task
15
Key Lessons LearnedEffective use of AT requires…..Informed, skilled and personalised outcomes-focussed
assessment of needs and riskResolution of ethical dilemmas around capacity, informed
consent and choice (for each individual in each situation)Training and education for the service user, carers, personal
care and support staff in how the equipment can be used or misused, and how it should be tested and maintained
Regular review of its effectivenessRobust, integrated 24/7 response servicesJointly-commissioned and funded AT service based in JES
16
Assistive Technology in Dementia website
www.atdementia.org.uk Interactive self-help area - Identify topic of interest,
answer yes/no questions to narrow down likely problem, receive suggestions for products, suppliers
Product directory, based on 4 major subject headings – Prompts/reminders, Leisure, Safety, Communication
www.alvolution.co.uk – product search & comparison site
17
Displays of AT for dementiaAssistive Technology Library at: Acorn Therapy Unit,
Moorgreen Hospital, Botley Road, Southampton SO30 3JB. Tel: 023 8047 5111
Joint Equipment Service, Josian Centre, Southampton. Tel: 023 8071 0359
AZTEC Centre, Croydon - Comprehensive display of Telecare & Free-standing AT for purchase. 28 Boulogne Road, Croydon CR0 2QT. Tel: 020 8664 8860. [email protected]
1818
Referrals for TelecareIndividual can self-referCarer can referProfessional can referIn PortsmouthInfo for professionals at :
http://www.portsmouth.gov.uk/living/19498.htmlFreephone: 0800 731 2228Write to: Portsmouth City Council, Telecare, Freepost NAT17741,
Portsmouth PO1 2BREmail: [email protected] SouthamptonRichard de Normanville Guy, Tel: 023 8083 4916 Email: [email protected]
19
Obtaining free-standing AT for dementia
In PortsmouthLimited supply from Telecare service PCCPersonal budgetJoint equipment serviceHigh street gadgets vs. ‘disability’ products
In SouthamptonJoint equipment service
2020
Useful referenceswww.atdementia.org.ukwww.alvolution.co.uk www.telecarelin.org.ukwww.chubbcommunitycare.co.ukwww.tunstallgroup.com/home.aspxwww.quietcare.co.ukwww.pivotell.co.ukwww.telecareaware.comwww.dementia.stir.ac.ukwww.scie.org.uk/publications/dementia/in
dex.asp