Reablement Welcome Delivered by Jessica Davies Stephanie Kibble

Reablement Welcome Delivered by Jessica Davies, Stephanie Kibble, Chantal Sturman, Lucy Pickup, Glen Head, Maria Page, Shannen Featherstone, Lynne Harlock, Helen Duncan, Gillian Bosley

Housekeeping Toilets Timings Fire exits Phones Break Confidentiality

Car park Any questions or comments? Write them down and park it as the day progresses.

Aims The aims of this session are: • To gain an understanding of reablement in clinical, residential and community settings, within the context of the Care Act 2014 • To gain a better understanding of some of the difficulties experienced by customers following a change in their abilities and the impact this has on activities of daily living • To be able to develop and learn skills and techniques that will enable customers to increase their independence and confidence • To have a better understanding of appropriate language and actions whilst working with customers and their families to foster and promote independence and positive risk taking

Objectives • Understand how reablement differs from traditional care giving • Practical workshops • Discuss communication and recording and why this is important • Understand the value of reablement and the positive impact it can have on people’s lives • Know what resources are available to service users and their families

Warm Up • Introduce yourself to your group • Discuss as a group a valued activity that you did this morning • What skills were required for this activity? • How would it make you feel if you could no longer do this activity? • As a group choose 2 activities to feed back

Reablement in Yorkshire https: //www. youtube. com/w atch? v=HSNfcmlnk. G 8

What is reablement? • Reablement is about helping people to do things for themselves rather than doing things to or for people • The essence of reablement is to work with individuals who have support needs to rebuild their confidence, support the development of their daily living skills and promote community access, integration and a sense of wellbeing • Reablement aims to reduce or minimise the need for ongoing support • Reablement involves setting and working towards specific goals agreed between the customer, families and reablement team • Reablement takes into account culture, choice and is specific to the individual

National Assistance Act 1948 NHS and Community Care Act 1990 1960… 1970… 1980. . . Chronically Sick and Disabled Person Act 1970 Community Care (Direct Payments) Act 1996 1990… 2000… 2014 Carers (Recognition and Services) Act 1995

What is the Care Act 2014 trying to achieve? That care and support: • is clearer and fairer • promotes people’s wellbeing • enables people to prevent and delay the need for care and support, and carers to maintain their caring role • puts people in control of their lives so they can pursue opportunities to realise their potential. • is provided with an advocate if necessary

Wellbeing • • • Personal dignity Promotion of physical and mental health Protection from abuse and neglect Control over day to day life Participation in work, education, training and/or recreation Social and economic wellbeing Engagement in relationships with family and friends Suitable living accommodation Contribution to society

Workshops Making a cup of tea – sequencing

Lunch

Workshops Washing and Dressing lower body –hip precautions Washing and dressing –Upper body Stroke awareness Making a sandwich – sensory impairment

Useful elements of recording Example of why recording matters – What the customer could do What you had to do What was difficult? What level of support was needed? – assistance, prompting, supervision • Did customer achieve a goal today? • Other important information to handover • • Don’t worry about spellin (but please ensure your writing is legible for legal reasons)

Recording An example…… 24/11/2015 – 10. 00 Mrs B in chair, struggled to get up. Had chat and tea, all ok. 24/11/2015 – 16. 00 Mrs B sitting on arrival. Unable to stand independently. Verbal prompts given to position on chair ready to stand. Encouraged to push up from arms of chair and gave assistance to stand with hand on back………………. 16. 25 carer 10. 25 -

Recording - Levels of support Dependent: Score 1 Requires full assistance with whole of the task Moderate Assistance: Score 2 Able to manage approx. 50% of the task independently. Minimal Assistance: Score 3 Requires supervision / verbal prompts / minimal assistance with 25% in order to complete the task Independent: Score 4 Able to manage task without any form of assistance

Carers A carer is anyone who cares, unpaid, for a friend or family member who due to illness, disability, a mental health problem or an addiction cannot cope without their support.

Problem solving workshop • Please read case study provided • Discuss the questions in your groups • Write your ideas on post it notes provided and place under the relevant question.

Value of Reablement: What does reablement mean to you – what is the value of reablement?

Thank you for your participation