Reablement is about giving people over the age of 18 years the opportunity and confidence to relearn/regain some of the skills they may have lost, as a consequence of poor health, disability/impairment or going into hospital or residential care, and to gain new skills that help them to maintain their independence."The service offers a stepping stone of intensive reablement for people with the motivation or potential to further develop their daily living skills to enable them to live as independently in their own homes as is possible".The Reablement Service also provides an opportunity to carry out an extended and detailed assessment of an individuals abilities and needs so that the appropriate services and support will be available to meet their ongoing care needs.
What are we aiming to do?
Sometimes after a spell in hospital or problems at home, people lose confidence and are worried about their ability to cope at home again. Using the Reablement Service we will try to help people get their confidence back. The Reablement Service is intended to help individuals to get back the skills that they need to return to their own home. Using our trained staff we will work with individuals to ensure that they are supported in their own home to enable them to safely practice those skills. Hopefully, this will also reassure them and their carers that they are able to function as independently as possible. The Reablement Service will implement agreed action plans that are based upon assessments carried out by Social Services Care Managers and other appropriate professionals such as Occupational Therapists who will devise and set goals, together with the service user. These goals will be recorded as part of the Service Users care plan and kept in their home so that they, their carers, and home care reablement staff can monitor the achievements and identify new goals to work towards.
The aim is to help individuals improve or regain their abilities and confidence to carry out daily living tasks in their own homes such as:
- Personal care tasks e.g. washing, dressing, toileting
- Domestic skills e.g. food and drink preparation, shopping, organising and planning daily routines, using transport, laundry, etc.
- Encouraging confidence to enable safe transfers e.g. getting up and out of a chair, in and out of bed, on and off the toilet
- Educating service users and their carers in safety awareness to prevent falls or avoidable accidents.
- To enable service users to choose courses of actions that will enable them to achieve their preferred life styles.
Home care assistants will follow the programme in the care plan and will work with service users during the day and will assist them to complete tasks for themselves. We will aim to help users and their carers to understand and accept that there are risks in living in the community, but we will work towards minimising these and try to ensure that all risks are acceptable. The emphasis will not to 'do to' the individual service user but to allow and encourage the individual to 'do for' themselves. It is expected that reablement programmes will take up to a maximum of 6 weeks depending on the capabilities of individual service users and they may take a lot less. What will the service not provide
The Reablement Service is not an extension of the hospital, neither is it an intensive treatment service
Therapy involvement is limited to assessing people's abilities and skills and setting programmes, which are then followed Individuals who have on-going nursing needs, other than those that can be provided by the District Nursing Services, will not be able to access reablement.
Access to the service
Access to the service will be through a social worker / care manager assessment and should identify that:
- The service user has been assessed as being eligible for a home care service.
- The service user may benefit from assistance with the development of skills for more independent living.
- The service user and their carer(s) recognise that the reablement process is a function of services, not necessarily a service in its own right. It may involve a range of clinical, therapeutic and social interventions, which are more appropriately met outside the home environment.
- The service user accepts the need for regular reviews of their progress and that it is time limited to up to 6 weeks.5) If a service user has substantial on-going needs which can be met by qualified medical and nursing staff, the Reablement Service will aim to complement these activities.
Charges for the service
Social Services are obliged by law to charge for their services. This charge only represents a contribution towards the full costs of the service. Your care manager will advise you of the current charging regime and a copy of the appropriate leaflet will also be available in the service users file that will be kept in your home.
For further information and advice please contact adult social care
This page was last updated on 14 November 2014