Mears provides social care and housing repair services across the UK. They propose integrated solutions to improve outcomes and lower costs, including: 1) Having care workers and repairs operatives work as a team to address both health and housing issues. 2) Integrating telecare technology with personal care services to better monitor individuals and reduce hospital/residential care needs. 3) Conducting single assessments to coordinate telecare, adaptations, care and other services around individual outcomes.

1. Mears thinking for the future of social care

3. We provide 150,000 hours of domiciliary care per week

4. Look after over 500,000 social homes

7. For a disabled wheelchair user, the cost of residential care is £700 - £800 a week amounting to £400,000 over 10 years. An adaptation produces savings within the first year.

8. The average cost of a disabled facilities grant (£6000) pays for a stair-lift and level-access shower, a common package for older applicants.

11. Solution - Medication reminder/ dispenser

12. Benefits to the individual:

13. Non-intrusive, reduces dependency, increases independence and independent mindedness

14. Outcome based care – move away from task based delivery

16. Val was either over dosing or not taking her medication at the right time.

17. Serious incident where overdosing on Warfarin, could have led to blood loss if she had cut herself.

18. Lucy was so worried that she took all medication away and hand delivered it herself at the correct time.

20. Val’s condition has stabilised and she only needs monthly hospital visits.Lucy: “It’s such a relief, knowing that mum is taking the right medication at the right time, I’ve even been able to have a short holiday for the first time in years.”

21. MEARS SOLUTIONS

23. Repairs operatives sometimes not properly trained to work in homes of vulnerable people

24. Repairs operatives can face ‘no access’ issues when trying to carry out essential maintenance in the homes of vulnerable people

26. Care worker reports housing risks/ falls hazards

27. Repairs operative trained by care worker to understand the issues around working in the homes of vulnerable people

29. Need to link more clearly the benefits of technology with the benefits of personal service delivery

31. Mears delivers care program

32. Mears paid for investment in telecare out of savings achieved hospital and residential care

34. Coordinating these services together, will help ensure that activity is integrated and will reduce the number of interventions required.

36. Our assessment form will capture key information consistently across the various agencies Support Network Availability Personal Information (contact, health, social) Physical & Sensory Impairments Individual Aspirations Current Personal and Community Routines Desired Health and Social Care Outcomes Aids & Adaptations Needs Health and Social Care Priorities Property Alteration Needs Delivery and Environmental Risk Assessment

37. Demand Resident Needs Joint Assessment Property Needs Housing Budget Aids/Adaptation Budget Care Budget How do we contract for outcomes? Budget Agreed Complete Care Outcomes Agreed Combined Budget Agree the “Complete Care” Service Package required to meet the agreed outcomes “Complete Care” Package contracted by the LA (Complete Care Package – agreed fixed price) “Complete Care” Package delivered by Mears LA agree that the outcomes were achieved and pay Mears Mears: Continually review the right packages to meet outcomes

40. The alternative is even lower hourly rates and pay, less people receiving care and shorter visits. Service users deserve better than that.