Have Your Say Workshop 26 th April 2016 Zoe Mayhew Service Manager Commissioning for Older People Warwickshire County Council Domiciliary Care Services Customers who require domiciliary ID: 537119
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Slide1
New Contract for Domiciliary CareHave Your Say Workshop
26th April 2016Zoe Mayhew Service Manager Commissioning for Older People.Warwickshire County CouncilSlide2
Domiciliary Care Services
Customers
who require domiciliary care are supported with undertaking daily living tasks
Services
are delivered with the aims of promoting a customer’s independence and it supports them to achieve positive outcomes in all aspects of their life.Slide3
Service Overview
Warwickshire County Council (WCC)
commissions Domiciliary Care Services to approximately 2,400 customers, at an average cost of £2 million a month. The current agreement is due to end in December 2016 and is a joint contract with WCC and the three Clinical Commissioning Groups for Continuing Health Care Services
Domiciliary
Care Services
are currently
commissioned at varied rates;
from
£12.60 to £17.84 per hr. Slide4
Case for Change
National evidence base UKHCA Briefing Market Stability Survey – September 2015 Home care: Delivering Personal Care and Practical Support To Older People Living In T
heir Own Home. Published 23rd September 2015
Time To Care A UNISON Report Into Homecare – 2012Slide5
Local evidence base
Too many providers Quality issuesHigh costsWorkforce issuesSlide6
Continued…
An engagement survey was designed for home care customers and their families to share their views and contribute to the development of home care services in Warwickshire. Paper version of survey posted out to 2489 existing homecare customers.Approximately 600 people responded to the survey.23 telephone calls to home care customers were undertaken
In addition 729 paper surveys were also hand delivered to home care customers Visits by Council staff to sheltered accommodation took place to engage with customers in receipt of home care service.Slide7
Your turn to complete the survey
With the person sitting next to you complete the survey from a perspective of a Homecare customerYou have 15 minutes to complete this exerciseSlide8
As is: Time task
8:30am 30minutesSupport with personal careSupport with dressingSupport to prepare breakfastPrepare snack for laterSupport to wash and dry top halfApply cream, Talc, Deodorant Dress top halfUndress Mrs M bottom half
Support to wash and dry bottom halfApply cream, Talc, deodorantDress bottom half and open curtainsFold night clothes and make bedEmpty and clean commode – have to go back upstairs to do this – to empty commode into the toilet
Ask Mrs M what she wants for breakfast
Go into kitchen to make breakfast and also let dog out into garden for a wee
Wash
up any pots from the previous night
Snack she wants left out for later
Go into kitchen and prepare snack
Leave snack in fridge for later
Fill in contact sheets
Make sure Mrs M has fluids in easy reach and pendant/alarm
Log out of electronic visit recording
Say goodbye to Mrs M
Put key back in
keysafe
Get into car for next callSlide9
What customers told us..
6 Key themes:
Relationship with Care Staff
“I feel my care worker should have the right personal qualities and skills to support me well”
“I want my care worker to know about me, who I am and recognise and support me when something is wrong”
Communication
“It is important to me and my family that there is good communication in the right way and the right time”
“ I want to feel confident that I am being listened to and that what I say matters
”
Continuity of Care
“ I feel well supported when I have regular carers who know me and what support I need”
“ I feel safe and am confident in the support I receive”
Flexibility of care and support tasks
“A more flexible and adaptable service would support me in all aspects of my life”
“ I feel that I am supported to do the things I want to do
”
Time to Care
“To feel fully supported, I need my care at times that suit me and for carers to have enough time to suit me well”
“ I am involved in the planning of my own support and providers work with me to provide the care I need”
Quality Monitoring
“ Regular checks and assessments help me feel confident that my care is working well and I want to be involved in this process”
“My opinion matters and I contribute, and am informed about all aspects of my service
”Slide10
What we will do…Slide11Slide12Slide13
Care at Home tender timetable
Key Milestone
Date
Issue Invitation to Tender document
26th
February 2016
Tender period
4
th
April 2016
Evaluation Period
3
rd
June 2016
Tender Approval
8
th
July 2016
Enter into new Contract
16
th
August 2016