the columba project in runnymede dr. r. g. curry telecare advisor, n surrey pct research fellow,...
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The Columba Project in Runnymede
Dr. R. G. Curry
Telecare Advisor, N Surrey PCTResearch Fellow, Tanaka Business School, Imperial
College London
Housing LIN, Brighton, Jan 05
Columba Project Partners
Surrey Social ServicesN Surrey PCT
Woking Area PCT
Runnymede Careline
Evaluation: Imperial College
Technical: Tunstall Telecom
Columba Objectives
reduce the need for residential home placements
use of telecare to support people at home
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
Schematic Operational Procedure
Early Patient
Identification
Patient &
Carer
Interview
Selection to Project or
standard homecare
delivery
Visit to
Brockhurst
Objective
Setting and
Re-ablement
Planning
RegularReviews
Home
Adaptation
Re-ablement
Target
Reached
Home
Visit
Skills GainProgrammeDelivery
Home
Support
Delivery
Regular
Reviews
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,
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
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.
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
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
Acknowledgments and Contacts
Prof. James Barlow and Dr. Steffen Bayer
Tele: 01428 724692
E-mail: [email protected]
Information & communication, e.g.health advice, triage, access to self-help groups
Safety and security monitoring, e.g. Bath overflowing, gas left on, door unlocked
Personal monitoring:•Physiological signs•Activities of daily living
Electronic assistive technology, e.g. environmental controls, doors opening/closing, control of beds
Improving functionality
Mitigating risk
The individual in their home or wider environment
Features of a Telecare Service
Response protocol
Call centreResponse provider:
neighbour, relative, ambulance, HCA, fire, police
NCRS
Response: home visit, emergency services,
remote change
Alarm !
Check status
Record event
The individual in their home
Check
The Emerging Infrastructure
Assessment & referral
Equipment
Monitoring
Response
Review