The Future of Care for Older People


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Helen Allen, Community Catalysts: 'Doing it Differently for Older People'

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The Future of Care for Older People

  1. 1. Doing It Differently For Older People All Change Event 9 th December Helen Allen Operations Manager
  2. 2. What is Community Catalysts? <ul><li>A Community Interest Company established by and working in close partnership with the charity Shared Lives Plus. </li></ul><ul><li>Aims to make sure that people wherever they live have real choice of great local social care and health services </li></ul><ul><li>Works to harness the talents of people and communities to provide high quality small scale and local support services.   </li></ul>
  3. 3. Main Focus <ul><li>Shared Lives </li></ul><ul><li>Homeshare </li></ul><ul><li>Micro Enterprise </li></ul><ul><li>Look at how these services can deliver cost effective services for older people that deliver great outcomes </li></ul>
  4. 4. What is Shared Lives? <ul><li>Shared Lives is a way of providing accommodation support and services for people who need some support to live their life </li></ul><ul><li>Local people are recruited, trained and approved to deliver a range of services. </li></ul><ul><li>Whatever the service, sharing family life is part of the deal </li></ul>
  5. 5. What are the characteristics of a Shared Lives arrangement? <ul><li>Shared Lives arrangements are based on relationships which are important to everyone involved. Shared Lives Carers say that they get as much as they give. </li></ul><ul><li>Shared Lives Carers help people to connect into their local community. They use their own friendship, family and community networks to benefit the people that they support.   </li></ul><ul><li>Shared Lives arrangements are very individual and always ‘co-produced’. </li></ul>
  6. 6. Elaine and Bob <ul><li>Elaine was widowed, children had left home, retired from her job </li></ul><ul><li>Elaine felt she had no experience to care for people - attended training, fulfilled approval process for short term </li></ul><ul><li>Gained confidence- provided long term accommodation for Bob who had lived in institutions/ with family </li></ul><ul><li>Both gained from the arrangement- met new friends </li></ul><ul><li>Have now lived together for 15 years- Bob has developed dementia </li></ul><ul><li>Appropriate support is in place to sustain the arrangement- Elaine’s family see Bob as a family member and provide help and support </li></ul>
  7. 7. Susan and George <ul><li>Provide short term stays for people who have had elective surgery and are leaving hospital </li></ul><ul><li>Downstairs bedroom has been adapted with appropriate equipment </li></ul><ul><li>Fully trained to care and support people with physical care needs </li></ul><ul><li>The home provides a base for relevant professionals e.g. physiotherapist/occupational therapist </li></ul><ul><li>Family members welcome to visit loved one </li></ul><ul><li>Good outcomes- cost AND quality </li></ul>
  8. 8. Micro providers <ul><li>Are local people providing support and services to other local people </li></ul><ul><li>Work on a very small scale (5 or fewer workers – paid or unpaid) </li></ul><ul><li>Are independent of any larger organisation </li></ul>
  9. 9. What types of services do they provide? <ul><li>People buy support and services to help them to live their lives - many micro enterprises deliver services that fall outside health and social care such as: </li></ul><ul><ul><li>Supported tenancies </li></ul></ul><ul><ul><li>Well being and health </li></ul></ul><ul><ul><li>Leisure and arts </li></ul></ul><ul><ul><li>Holidays and short breaks </li></ul></ul><ul><ul><li>Friendship or good neighbour </li></ul></ul><ul><ul><li>Drop in centres and lunch clubs </li></ul></ul><ul><ul><li>Advice and representation </li></ul></ul><ul><ul><li>Transport </li></ul></ul><ul><li> </li></ul>
  10. 10. How do the providers work? <ul><li>A range of business models: sole trader, partnership, small business, social enterprise, charity or voluntary organisation </li></ul><ul><li>Deliver on a continuum from fully voluntary at one end to fully commercial at the other. </li></ul><ul><li>May employ a small number of staff. Most directly deliver support themselves. </li></ul><ul><li>Full time or occasional - fitting in with other employment, personal, caring responsibilities or study. </li></ul><ul><li>Established or new and emerging </li></ul><ul><li>May not fit within the regulatory framework </li></ul>
  11. 11. What do micro providers offer people who need support and services? <ul><li>Personal and tailored </li></ul><ul><li>Co-produced </li></ul><ul><li>Flexible and responsive to change </li></ul><ul><li>Choice of services that help people to live their lives and meet health and support needs </li></ul><ul><li>Help people to link to their community and build social capital </li></ul><ul><li>Help people to make their money go further </li></ul>
  12. 12. The micro enterprise support agency model <ul><li>Developed and tested with funding from DH </li></ul><ul><li>Scopes, identifies and engages with current micro providers. Can help them to regenerate or remodel </li></ul><ul><li>Provides a single contact point for local people with good ideas who want to set up services </li></ul><ul><li>Links customers and potential providers </li></ul><ul><li>Makes best use of existing advice and support agencies by sign posting and information </li></ul><ul><li>Gives people help to overcome barriers </li></ul><ul><li>Facilitates peer-to-peer mentoring through association membership </li></ul>
  13. 13. Companions <ul><li>Founded by Sue and her colleague who worked for the Council as home care staff </li></ul><ul><li>Disliked 20 minute pop ins/ restrictions to care plan </li></ul><ul><li>Set up their own service that is not registered with CQC </li></ul><ul><li>No framework agreements with the Council </li></ul><ul><li>Support older people in their home who are self financing/have a personal budget </li></ul><ul><li>Deliver what the customer and family require (except personal care). </li></ul><ul><li>Shopping (with or for the person), emergency call out service, any support within the home and the community </li></ul>
  14. 14. <ul><li>Aimed at the over 50s in the Walsall area. </li></ul><ul><li>Hold a variety show every week </li></ul><ul><li>Bring in professional performers every fortnight. </li></ul><ul><li>Have a number of theatre trips throughout the year. </li></ul><ul><li>Hold a breakfast and lunch club </li></ul><ul><li>Provide a meals at home service. </li></ul><ul><li>Run by 2 paid staff and a number of older volunteers </li></ul>Community Care Entertainments
  15. 15. Any Questions? <ul><li>[email_address] </li></ul><ul><li> </li></ul><ul><li>@CommCats </li></ul>