Reablement Service Customer Guide – North Welcome to Warwickshire County Council Reablement Service. This guide has been produced to tell you about the Service and answers the most commonly asked questions. If you need more information please contact a member of the Management Team on the number below. Which Reablement Team are providing my service? The Reablement Team North is responsible for your service and is based at: Kings House King Street Bedworth CV12 8LL Telephone No: 02476 754020 or 0845 1551799 What times can I contact the service? A Reablement Supervisor is on duty and can be contacted between the hours of 7am and 10pm 7 days per week, 365 days per year. Who do I contact outside these hours in an emergency? Warwickshire County Council has an out of hours Emergency Duty Team. They can be contacted during the hours of 10pm and 7am on 01926 886922. What are the names of the people in the Reablement Team in my area? Reablement Team Manager: Lucille Chester Occupational Therapist Team Leader: Sarah Faulks Occupational Therapists: Chris Maud, Sheryl Marley, Lesley Fenemore, Emma Shepherd Occupational Therapy Assistant: Pippa Healy, Lyn Sadler, Corrie Firch Reablement Assessment Officer Team Leader: Sally Hall Reablement Assessment Officers: Kate Farndon, Jane Milner, Gay Grant, Sam Fallowes, Annette Smythe, Sandra Page, Sara Scaplehorn Reablement Supervisors : Debbie Parker, Tina Kipping, Jane Loseby, Margaret Jackson, Tracey Fulleylove, Susan Gill, Eileen Smith, Janice Haggan, Christine Griffiths, Lucy Hill, Marion Faulkner Clerical Team: Marie Handley, Diane Clarke, Rachel Jackson, Samantha Morrissey, Gillian Wilkes Reablement Assistants: Please see attached Appendix 2 for names. What is the Reablement Service? We provide the reablement service to customers who we assess will be able to regain the skills and confidence to live more independently at home following our support. We provide the service free of charge for up to 6 weeks to adults (people over the age of 18) in their own homes. The service is normally available to customers: Following an illness On leaving hospital At the stage of an initial assessment for adult social care services or When your social care service has been operating for some time, usually one year, and we review your care. The Reablement Service consists of Occupational Therapists (OT), Occupational Therapy Assistants (OTA), Reablement Assessment Officers (RAO), Reablement Supervisors and Reablement Assistants who work as a team. A member of the Reablement Service (OT/RAO/) will work with you to develop a plan which will then be used by the Reablement Assistants to work with you to achieve your goals. The Supervisors work with the Reablement Assistants to co-ordinate your visits. How Does the Service Operate? Before your service starts: When you are referred to the reablement service you will be informed within 48 hours when a member of the assessment team will come and visit you to complete your initial assessment. We will confirm this visit with you by telephone where possible. During the visit a member of the Reablement team will complete a manual handling assessment. If the manual handling assessment identifies the need for mechanical aids, or other equipment, we can arrange for this equipment to be supplied. Small pieces of equipment will be provided by the reablement service free of charge, such as a kettle tipper, a long-handled sponge to assist with washing, or other items to help you to be more independent. The Reablement Assistants must use the equipment provided at all times. To enable customers to return home quickly and to support the transfer between health and social care services there will be occasions when a member of the reablement team will not carry out an assessment with you before a Reablement Assistant visits. In this instance the Reablement service will accept a trusted assessment from the referring team; the referring team will highlight any issues that need to be taken into consideration by the Reablement Assistants. A member of the Reablement team will work with you to complete your Individual Reablement Support Plan (IRSP). This will detail what your goals are and in which areas you require support. The plan will detail how the Reablement Assistants will work with you to achieve the goals you have set. An IRSP will be left with you and you will be asked to sign this plan to show that you agree with it. During your initial visit if we identify you need support with administering medication, a medication administration record (MAR) will be completed. The Reablement Assistants will follow the instructions on the MAR form when medication is to be administered and will sign the form. For more information see “Medication Administration” section on page 14. A member of the Reablement team will let the other relevant members of the team know the level and type of support you need following their consultation with you. It is necessary for this information to be shared with other members of the team so that we fully understand your needs. Do I have to pay for the Service? The service is free for up to 6 weeks while you are part of the Reablement programme. During the Reablement Programme: A member of the reablement team will leave a module (a green folder) with you for the length of time you receive the service. In the module you will find the following documentation: 1. Personal information relating to you. 2. A copy of the Environmental and the Manual Handling Risk Assessments/summary. 3. A copy of this Customer Guide. 4. Weekly feedback forms. 5. A completed Medication Administration Record if required. 6. A leaflet giving details of how you can make comments, compliments or complaints about Warwickshire County Council. 7. A completed IRSP The module remains the property of Warwickshire County Council. If this folder has not been collected when the Reablement service comes to an end then please contact a member of the Reablement team (the contact details can be found on page 1 of this Guide) who will arrange collection. What time should I expect the Reablement Assistants? We cannot, unfortunately, guarantee specific times due to the nature of the service. However, we will try to provide a consistent service to meet your needs. How will I know who is calling? Where possible we will try to provide you with the same team of assistants throughout the service, but this cannot be guaranteed. The names of the team of Reablement Assistants can be found Appendix 2 of this document. We provide all members of staff with identity (ID) cards (including their photograph), which they must carry with them at all times. We want you to remain safe in your own home and we therefore ask that you check the ID card of any staff visiting you before allowing them into your home. What if I will not be at home to receive the service at any time? If you plan to be away at any time, it is important that you inform the Reablement office so that we can put a temporary “hold” on your service for up to 72hours. If you are going to be away longer than 72hours, your Reablement service will automatically end. If you do not inform us of your absence the Reablement Assistant will call as planned. As your safety is always a serious consideration for us and the Council’s policy is to follow up all “no replies”, if you do not notify us of your planned absence it may lead to the Reablement team arranging a police break-in. Our Reablement Assistants are not allowed to enter your home if you are absent. What if the Reablement Assistant breaks or damages anything in my home? The Reablement Assistant will always be expected to treat your home with care and respect. In the unlikely event that damage is caused due to their negligence, they are protected by public liability insurance, which will deal with such events. However many accidents occur when no one is at fault and in these circumstances your own house contents’ insurance policy may provide cover. Claims should therefore always be referred to your own insurers initially. As employers, the Council carries Employer’s Liability Insurance which covers our employees in respect of accidents whilst they are providing the service in your home. Are there any Health and Safety requirements that affect what the Reablement Assistant can do for me? Warwickshire County Council is committed, and legally bound, to ensure the safety of our customers and staff and there are a range of policies and procedures which staff adhere to relating to health and safety. It is your responsibility to ensure there is suitable and safe access to your home and that it is a safe working environment for Reablement Assistants. Reablement Assistants are not allowed to work in an environment that has been assessed as unsafe, an unsafe environment could result in the withdrawal of the Reablement service. In line with our corporate No Smoking Policy we will ask you not to smoke while members of the Reablement staff are in your home. The Reablement Assistants are provided with equipment as a matter of course and must use it at the appropriate times. The equipment consists of: A circuit breaker for use when operating electrical devices in your home such as a kettle. Protective clothing such as plastic aprons; disposable and powder-free gloves; which are to be worn when carrying out personal care tasks. A bath thermometer for use when preparing a bath for you to prevent scolding. The bath temperature should be approx. 37 degrees. This piece of equipment will be left, with your permission, at your home. Any pets that pose a risk to Reablement staff will need to be excluded from the rooms that the Reablement staff require access too. It is also your responsibility to take precautions to safeguard monies and valuables in your home. If you are unable to manage your finances, you should advise a member of the reablement team. They will contact the appropriate community team who will discuss this with you, as we cannot accept responsibility for money or valuables. What paperwork needs to be completed? Contact Sheets Contact sheets will be completed by the Reablement Assistants and any other member of the Reablement team each time they visit you. They will record the time they arrive and the time they leave along with details of the support that they have given to you during their visit. Weekly Feedback Forms We will ask you to complete the weekly feedback forms with your Reablement Assistant. These will be used by your allocated worker to review your progress and enable them to plan and make any amendments to your Individual Reablement Support Plan (ISRP) as required. You will be fully consulted, and we ask that you add your own comments on your progress. Medication Administration Record If your IRSP states that you self-medicate, but the Reablement Assistants need to prompt you more than twice a week, then they will record this on the contact sheet and inform a Reablement supervisor. See Section 6 for more information. Receipt Books Financial transactions will be recorded in the Reablement Assistant’s receipt book and you will be asked to sign to confirm that the details are an accurate record. Timesheets The Reablement Assistants will produce a timesheet for you to sign when they call. The Reablement Assistant will record on the timesheet next to your name how long they have been with you delivering your service. By signing the timesheet you are confirming that the Reablement Assistant has spent the amount of time they have recorded. If you have any queries or disagree with the time recorded, do not sign the timesheet but contact the Team Manager or Reablement supervisor on the telephone number given on Page 1 and the Reablement office will retain this information. Consent to seek and share information (RS 50A) A member of the Reablement team will ask you to sign the document RS 50a to confirm that you have received a module containing all of the documentation mentioned. If you are unable to sign these documents, and there is nobody present who you are happy to sign on your behalf, the member of the assessment team will note this. If you choose not to keep this module in your home, a member of the Reablement team will ask you to confirm this by signing a form of declination, which will be kept on your office file. You should note, however, that the module contains important information which advises the Reablement Assistants how you wish to be supported, and we would always encourage you to keep your module within your own home. Changing needs through the Reablement Programme We expect that during your Reablement journey you will require less support or even none at all as you progress. A member of the Reablement team will arrange a review with you to see how you are progressing with your IRSP. On a day-to-day basis, Reablement Assistants are responsible for informing the team of any concerns they may have regarding your support plan so that the service can be changed if necessary. What if I decide I no longer need the Reablement Service? If you decide you no longer require the Reablement service please contact the office to inform us and we will stop your service. What happens when the Reablement Service comes to an end? At the end of the service, Customer may be able to live independently at home, or may require ongoing support. If customers continue to appear to have a social care need they are entitled to a needs assessment and they will be referred for a Self-Directed Support Assessment. The Social Care Practitioner will arrange to visit and support a customer through the Self-Directed Support process to agree how their ongoing needs and outcomes will be met. Customers will be offered a financial assessment as any ongoing care needs are chargeable. Customers will be provided with advice about how non-eligible needs can be met due to the changes to care charging. Will I return to my previous care provider if I am an existing customer? If you were already receiving a service from a care provider before you were referred to the Reablement service, and continue to require on-going support following a Self-Directed Support assessment, we try our best to assist you to return to the same provider, however this may not always possible. Our Aims Working with Customers a) You will be fully involved in the development of your own Individual Reablement Support Plan (IRSP). b) Our Reablement service is centred on you and we will focus on enhancing your quality of life by working with you to see what you can achieve with support and guidance. c) We will strive to achieve a needs-led service through positive, professional service delivery. Working with Main Carers (relatives/friends/etc.) a) We will fully involve your relatives/friends/family in the support planning process if you, and those involved, wish this to happen. b) Our staff will offer support to your relatives/friends/family and will try to support them in their role. Supporting Staff a) We will ensure our members of staff are adequately trained and supported. b) We will encourage and support our staff to share in the responsibility for their own professional development. c) We acknowledge that everyone in the team plays a vital part in providing support for you. We will ensure that everyone’s views will be heard and respected. Management of the Service a) We work with customers and carers to maintain those areas that are working well, and focus on solutions with you to identify and support you in the areas where change is needed. b) We aim to provide an excellent service by providing regular supervision of our staff, carrying out reviews of the service and responding to your feedback. c) We work closely with our partners, for example, colleagues in Health, and respond to the needs they identify. We always welcome opportunities to develop our service. Service Objectives A member of the Reablement team, will agree with you the type and level of support that you require. We will then write this in your Individual Reablement Support Plan. The Reablement Assistants will use this Plan to work with you to provide the support that has been identified to help you. The Reablement service will adapt to help you to achieve the goals and aims detailed in your Individual Reablement Support Plan to enable you to become as independent as you can, within your own home. Warwickshire County Council Reablement service does not usually: Enter into contracts with privately funded customers Provide Nursing Care Undertake invasive medical treatments Provide medication only calls, or administer medication from dossett boxes filled by family or other carers Provide housework only calls Provide shopping only calls Provide meal only calls Manually lift customers Hold keys to customers’ homes. Staff training All of our Reablement Assistants undertake on- going training and development so that they have the necessary skills and knowledge to provide care in an appropriate and safe manner for our customers. The mandatory training for all Reablement Assistants is as follows: NVQ 2 in Care Equality & Diversity Common Induction Standards: The Principles of Care Communication Safeguarding Roles and Responsibilities of the Care Worker Food Hygiene Recording Skills Safer People Handling Safer Handling and Administration of Medication First Aid Infection Control Personal Safety Dignity in Care/Person Centred Care Dementia Specialist training is also available to Reablement Assistants and includes: Reablement – Promoting Independence Training Workshops run by Nurses Parkinson Disease Stroke Awareness Telecare Mental Capacity Act Basic Awareness HIV and Hepatitis Staff supervision The County Council’s policy states that all Reablement Assistants must have an on-the-job observation as part of the supervision process on an annual basis. This may need to be carried out while they are delivering a service to you. If this is the case you will be contacted before the visit to ask your permission for this to take place as it will be in your home. This means that another member of the Reablement Team will be present when the Reablement Assistant is supporting you. If you do not want to be part of this process, you should let a member of the Reablement Team know. If your Reablement Assistant administers medication for you, we will need to carry out an observed supervision of them administering your medication. So a member of the Team may observe the Reablement Assistant during their time with you. Reablement Assistants meet with their supervisor on a regular basis for a formal supervision session to ensure that they are working to the Council’s policies and the standards set by the Care Quality Commission (CQC). Supervision is also a method of discussing and assessing quality, individual performance, training requirements and issues that are impacting on their work. Medication administration You will be responsible for holding and taking your own medication. If you require assistance the following policy and procedures must be followed: Reablement Assistants do not administer controlled medications. Medication must be administered safely and correctly to the person whose name appears on the label and according to the prescriber’s instructions. These instructions are indicated on the pharmacy label. At each administration, medication must be recorded and signed for on the MARS documentation provided. Administration of medication will be delivered in a way that respects your dignity, privacy, independence and your cultural and religious beliefs. Reablement Assistants who administer or support people with their medicines must be suitably trained in medication handling and have been assessed as competent. Confidentiality must be observed regarding your medical history and medication. The level and type of support you require with medication will be recorded on your Individual Reablement Support Plan (IRSP). Data Protection The Reablement Team will maintain certain information about you and this will be recorded electronically on our CareFirst database. Your personal details and any correspondence relating to you will be kept electronically. All information is maintained in accordance with the Data Protection Act 1998 and managed in line with our Confidentiality Policy. You have the right to access all records held by us which relate to you. For more information on how to access your records, please contact the Reablement Team Manager on the telephone number shown on page 1. It may be necessary to share information that has been given in confidence. This may be necessary, for example, to protect and safeguard you or others. This would not happen without you being informed. If you require any further information about this topic, please contact the Reablement supervisor. Quality Monitoring and Standards of Reablement There is a requirement for Warwickshire County Council’s Reablement service to be registered with the Care Quality Commission (CQC). This is to ensure that the service provided meets the required standards set by the Care Quality Commission. CQC inspects each of our Teams annually and compiles a report on its findings. The Reablement service has rigorous internal quality controls. When recruiting new staff a comprehensive selection and interview procedure is carried out. We require two satisfactory references, a disclosure and barring service check. All members of staff have to be declared medically fit before employment is confirmed and a detailed induction for all new staff is carried out. In addition we regularly monitor and conduct supervisions with our staff to ensure regular training and development opportunities are available. A member of the Reablement Team will carry out a review after your service commences to ensure the quality of the service is at an agreeable standard and that the service continues to meet your needs and requirements. You will receive regular reviews throughout your service, and we encourage you and your carers to offer feedback on the service and on how you are developing. What if I have a complaint or want to pass on a compliment? Warwickshire County Council continually strives to improve the quality of its service delivery. Your views are essential to this process. We value your feedback and encourage you to share any compliments, comments and/or complaints that you may have. The Reablement service hopes to respond to any complaint you have, informally through discussion with the Reablement Team Manager , who will always aim to reach an outcome with which you are satisfied. You are encouraged to contact your local Reablement office to discuss the complaint in more detail. The number to contact is 02475 754020 or 0845 155 1798. If you are not satisfied with the way your complaint has been managed or the outcome, you should use Warwickshire County Council complaints procedure which has been left with you. Safeguarding Customers within Reablement There are many types of abuse that you may experience within your lifetime and Reablement Assistants are fully trained to recognise the different forms of abuse such as: Financial Emotional Physical Neglect Psychological Ageism Reablement Assistants are obliged to report any incidents of concern to their Reablement supervisor and a full investigation may take place. This is to ensure that your safety is maintained. If you feel that you are experiencing abuse from a Reablement Team member or any other member of Warwickshire County Council, you should report it to the Safeguarding Team on 01926 412080. What if I have any difficulties in communication? Warwickshire County Council has specialist services for people with visual and hearing impairment and can also provide interpreting and translation facilities. If you feel you need to access these services please inform the Reablement Team when they arrange their initial visit. If you want an independent person to represent your views someone from the advocacy service can assist you. Reablement Staff Code of Conduct All Reablement staff must adhere to a code of conduct whilst undertaking their duties within the service. Within this code of conduct it clearly states that while on duty staff cannot: Smoke or drink alcohol in your home Accept gifts other than token gifts such as chocolates or flowers etc. (Receipt of such token gifts must be reported to the Reablement team by the staff member) Under any circumstances accept legacies Retain your bank books, Wills, pension books, credit or debit cards, or any other items of value Accept, borrow or lend money to/from the people they help Work in a private capacity for you Become involved in any form of mail order club Use their own Loyalty Cards when doing your shopping Give you their home or mobile telephone numbers Enter your home when you are not there Make personal use of your property (unless they use your telephone in an emergency situation relating to you) Undertake nursing tasks Purchase items from you Sell or dispose of goods belonging to you or a member of your family Bring unauthorised persons or pets into your home Hold keys to your property Recommend a friend to undertake private work. Summary We hope you have found this guide useful. If you have any ideas on how we could improve this guide, or should you require any further information, please do not hesitate to contact a Reablement supervisor or Reablement Team Manager on the telephone number shown on Page 1. In addition to this guide, we are required by the Care Quality Commission to produce a Statement of Purpose. This document details: The aims and objectives of the service The nature of the service provided The name, address, qualifications and experience of the registered provider The policies and procedures within which the service operates. Copies of the Statement of Purpose are available and can be obtained from a member of the Reablement Management Team via the telephone number on Page 1. Useful numbers Adult Social Care Service Saltisford Office Park Ansell Way Warwick CV34 4UL Tel No: 01926 410410 Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4EP Telephone No: 03000 616161 Age UK 10 Clemens Street Leamington Spa CV31 2DL Telephone No: 01926 883118 General Social Care Council Goldings House 2 Haye’s Lane London SE1 2HB Telephone No: 0207 3975100 Financial Charging Team Team Kings House King St Bedworth CV11 LL Telephone No: 01926 412533 Customer comments regarding this guide Carer or family members comments regarding this guide 13 Appendix 1 Summary of last CQC Inspection Report. We inspected the following standards as part of a routine inspection. This is what we found: Respecting and involving people who use services - Met this standard People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run. Our judgement The provider was meeting this standard. People's privacy, dignity and independence were respected. People's views and experiences were taken into account in the way the service was provided and delivered in relation to their care. Care and welfare of people who use services – Met this standard People should get safe and appropriate care that meets their needs and supports their rights. Our Judgement The provider was meeting this standard. People experienced care, treatment and support that met their needs and protected their rights. Safeguarding people who use services from abuse – Met this standard People should be protected from abuse and staff should respect their human Rights. Our Judgement The provider was meeting this standard. People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. Requirements relating to workers – Met this standard People should be cared for by staff who are properly qualified and able to do their Job. Our Judgment The provider was meeting this standard. People were cared for, or supported by, suitably qualified, skilled and experienced staff. Supporting workers – Met this standard Staff should be properly trained and supervised, and have the chance to develop and improve their skills. Our Judgement The provider was meeting this standard. People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. Records – Met this standard People's personal records, including medical records, should be accurate and kept safe and confidential Our Judgement The provider was meeting this standard. People were protected from the risks of unsafe or inappropriate care and treatment 14 because accurate and appropriate records were maintained. Appendix 2 Reablement Assistants Belinda, Lorraine A, Keith, Linda E, Julie H, Glenda M, Allison N, Diane O’N, Shirley, Michelle, Julie S, Sharron, Alison I, Tania, Kim L, Sue M, Emma P, Veronica R, Janet R, Angela W, Sarah B, Gillian C, Sue C, Janet D, Carole H, Hazel, Glenda M-J, Rose, Marie R, Violet, Treena, Diane C, Julie K, Donna, Teresa, Nicola, Gillian R, Heather, Tracie F, Lorraine H, Sylvia, Claire H, Debbie M, Kerry, Ann P, Jennifer, Linda A, Eileen, Lyn L, Jeanette N, Emma O, Sandra S, Jayne S, Maureen, Jane W, Gillian B, Kim E, Pauline, Claire H, Lisa, Angela M, Jane P, Tina R, Stephanie W, Debra W, Claire B, Tracey B, Julie B, Marie G, Karen G. Ella, Tina L, Anne M, Pat O, Angela P, Mike, Kit, Christine Y, Karen F, Susan G, Diane H, Tracey P-S, Justyna, Amanda P, Barbara, Sue S, Tracey S. Compliments, comments and complaints If you have any comments or complaints about our services, please let us know. Please contact the: The Customer Relations Team PO Box 48 Shire Hall Warwick CV34 4RD Phone: 01926 410410 Email: [email protected] Useful links Information and advice about Warwickshire social care services: www.warwickshire.gov.uk/socialcareandhealth Support services in Warwickshire: www.warwickshire.gov.uk/directory For general information about council services or for other leaflet formats e.g. large print, audio, another language or through discussion, please contact Warwickshire County Council on 01926 410410. June 2015 WCCC-779-252 15
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