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The Columba Project in Runnymede

The Columba Project in Runnymede

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The Columba Project in Runnymede

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  1. The Columba Project in Runnymede Dr. R. G. Curry Telecare Advisor, N Surrey PCT Research Fellow, Tanaka Business School, Imperial College London Housing LIN, Brighton, Jan 05

  2. Columba Project Partners Surrey Social Services N Surrey PCT Woking Area PCT Runnymede Careline Evaluation: Imperial College Technical: Tunstall Telecom

  3. Columba Objectives • reduce the need for residential home placements • use of telecare to support people at home

  4. Columba Background • 65+, loosing confidence, RH, motivated • Telecare as part of a re-ablement and skills gain programme followed by appropriate support package in the patients’ homes • Uses telecare in 4-bed RA Unit (Brockhurst) and in patients’ home • Trial involved 25 patients over 1 year • First patients in March 2003

  5. Hallway

  6. Bedroom

  7. Schematic Operational Procedure Selection to Project or Patient & Visit to Brockhurst Objective Skills Gain Programme Early Patient Carer Setting and standard homecare Identification Interview Re-ablement Delivery delivery Planning Re-ablement Home Regular Regular Home Target Home Support Reviews Reviews Adaptation Reached Visit Delivery

  8. Telecare Equipment in Brockhurst Standard Package • LifeLine 4000 with Pendant, Fall Detector, Bed Occupancy Sensor, Pull Cord, Temperature, Smoke Alarm Fridge Door Sensor, Flood Sensor, Additional Package • Door Open Sensors, Carbon Monoxide Sensor, Movement (PIR) Sensors,

  9. Columba Results The approach of social, functional and physical re-ablement coupled with telecare (The Columba Process) has demonstrated its effectiveness with: Two thirds of patients in the pilot project being diverted from residential care (7 still at home). Continuous monitoring by the Careline service provided information to community care teams that allowed an intervention and prevented a hospital re-admission. Now part of routine service delivery in N Surrey

  10. Columba Lessons Learnt • The Columba project has demonstrated the strength of partnership working by PCT, County and Borough Councils to support independent living • Telecare is a small but important component in Brockhurst (10%) but is key to returning people to the community to live independently (50%). • The small size of the Columba unit at Brockhurst provides a continuity of care and an opportunity for in-depth client assessment • The staff have gained a tremendous amount of knowledge in assessing clients for telecare and using telecare as part of the care packages but diffusing this knowledge is slow. • Changing established ways of working is difficult and requires continuity of leadership and project management.

  11. Telecare Checklist • The patient or client group to be supported • The care process to be enhanced through telecare • The care setting • The scale of the proposed service (the number of patients or clients served) • The scope of the proposed service (the functionality of the service) • The referral process into the service • The equipment installation, maintenance and monitoring service • The response service • The fit with existing care teams • The capacity of existing care teams to provide the response • The training needs of new and existing staff • The distribution of costs and benefits amongst stakeholders • The role of private sector suppliers

  12. Telecare as part of Extra Care • Sheltered accommodation has the technical and organisational infrastructure • Telecare supports the concept of independent living – just checking • Telecare creates more flexible accommodation giving options for residents, owners, PCTs and social services

  13. Acknowledgments and Contacts Prof. James Barlow and Dr. Steffen Bayer Tele: 01428 724692 E-mail: rcurry@netcomuk.co.uk

  14. Features of a Telecare Service Mitigating risk Safety and security monitoring, e.g. Bath overflowing, gas left on, door unlocked • Personal monitoring: • Physiological signs • Activities of daily living Information & communication, e.g. health advice, triage, access to self-help groups The individual in their home or wider environment Improving functionality Electronic assistive technology, e.g. environmental controls, doors opening/closing, control of beds

  15. The Emerging Infrastructure The individual in their home • Assessment & referral • Equipment • Monitoring • Response • Review NCRS Alarm ! Record event Response protocol Response: home visit, emergency services, remote change Check status Check Response provider: neighbour, relative, ambulance, HCA, fire, police Call centre