Results for 'assistive technology'
This paper looks at how technology can be used to help deliver good housing, care and support. It summarises the results from an online survey and workshop held with the South West Housing LIN (Learning and Improvement Network) leadership. It looks at what can be achieved when technology is implemented well and the looks at the challenges, barriers to adoption and ways to overcome the barriers. Four main barriers to the deployment of technology emerged from the workshop: culture; awareness; leadership, commissioning and procurement; and budgets. Suggestions put forward to help break down these barriers include: adopting a phased introduction of new ways of working; adopt a range of flexible funding options; good communication with stakeholders which involves them in the process early on; and using technology as one part of an integrated approach. Some case study examples are also presented as a bulleted list.
Blackburn with Darwen Borough Council
Safe and Well is the Assistive Technology Programme with which Blackburn and Darwen Borough Council aims to improve the outcomes for its citizens, supporting them to live independently at home, while also reducing its social care costs. It has consisted of 3 pilot projects to date, working with adults with learning and physical disabilities; nursing and residential homes and early intervention with adults not yet eligible for funded social care. Blackburn has moved from supporting 60 people to over 1900 people with assistive technologies.
SKILLS FOR CARE
A learning and development framework to support those involved in the commissioning, design or delivery of workforce development. The framework aims to help ensure that the social care workforce has the skills and knowledge to use assisted living technology to enhance the lives of vulnerable people and their carers. Five stages provide the structure for the framework: Readiness; Customer Flow Analysis (guidance to assist the identification of work or service flow in your or your partner's organisation); Workforce Analysis (which provides guidance on how to map tasks and roles to knowledge and skills needed); Learning Design and Delivery (providing tools and resources for learning) and Checking (helping to evaluate the impact of learning). The framework also provides definitions, terminology and language that can be used by all when preparing workforce development products in the assistive living technology field.
CONSUMER MODELS FOR ASSISTED LIVING
An evaluation of the 3 year COMODAL (Consumer Models for Assisted Living) project, funded by the Technology Strategy Board, which aims to support the development of a consumer market for electronic assisted living technologies (eALT). The project focuses on those people aged 50-70 who are approaching retirement and older age to gain an in-depth understanding of the barriers to market development and create consumer led business models developed through collaboration with consumers, industry and the third sector. The report focuses on five key strands of the projects: understanding consumer needs; developing solutions and consumer led business models for eALT; development of industry support system for practical implementation of consumer led business models; development of consumer insights guide for industry; and impact, dissemination and exploitation. The report reveals there is a disconnect between industry’s perceptions of what consumers are looking for in the eALT market and that existing businesses in this sector are on the whole set up to serve statutory services rather than consumers. The top three factors that encourage consumers to buy are: believing that a product would really make a difference, a feeling that costs are affordable and worth it, and a belief that the product would make life safer at home.
ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES, IMPROVEMENT AND EFFICIENCY WEST MIDLANDS, COMMUNITY GATEWAY CIC
Assistive Technology is “any product or service designed to enable independence for disabled and older people, and their carers”, or “any device or system that allows individuals to perform tasks that they would otherwise be unable to do, or increases the ease and safety with which tasks can be performed”. This guide brings together references and guides, many of which support more accurate assessment of need and which explain how assistive technology can support either people with dementia or their families or indeed carers. An emphasis is placed on case studies as examples of the application of technology solutions designed around the person, so the examples are highly personalised and tailored to individual needs.
This paper explores the identities and lifestyle choices of older people participating in the AKTIVE study and considers how telecare can support the maintenance of independence and preferred identities. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. The paper focuses on strategies and situations which enable older people to retain important elements of their identity, including their attachment to home and good relations within families. It also examines the circumstances in which telecare can be a source of stigma for older people, compromising self-perceptions and viewed as a sign of dependency. The paper draws on research evidence about who the older people in the AKTIVE study felt they ‘really are’. Using three key concepts, ‘identity’, ‘choice’ and ‘stigma’, it explores the subjective realities older people shared in talk and interactions during research visits over six to nine months in 2012-13 and outlines the ‘identity-management strategies’, which are conceptualised as a form of resilience, used by older people to maintain or protect cherished elements of their identities and the role of telecare in these choices, behaviours and strategies.
CLIFFORD Paul, et al
This summary report describes the findings of a project evaluating the potential cost savings arising from the use of telecare. Another aim was to develop a methodology that will support routine evaluation and comparison of the cost-effectiveness of local telecare implementations. Evaluation was made of the suitability of telecare for 50 clients for whom Overview Assessments had been completed by FACE Recording & Measuring Systems Ltd. Where telecare appeared suitable, the social care costs of meeting the client’s needs before and after provision of telecare were estimated. Estimates were also made of the total savings achievable by the deployment of telecare. Out of the 50 cases, 33 were identified as potentially benefitting from telecare. The average weekly cost of telecare was £6.25, compared to £167 for the average weekly care package for the sample pre-telecare. The results confirmed previous studies showing that very substantial savings are achievable through the widespread targeted use of telecare. Potential savings lie in the range of £3m to £7.8m for a typical council, or 7.4-19.4% of total older people’s social care budget.
This paper focuses on the different types and configurations of formal and informal support in place, alongside telecare, to assist frail older people, and on how having telecare in place affected, and was influenced by, these arrangements. Based on detailed research with older telecare users and people involved in their care, the paper defines and contrasts three ‘ideal types’ identified as: ‘complex’; ‘family- based’; and ‘privatised support’ caring networks. It considers how telecare interacted with each type of caring network and explores differences in the relevance and applicability of each to frail older people in the AKTIVE study. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. In this paper particular reference is made to differences between older people using telecare who lived alone or with others; and between those who had memory problems or were susceptible to falls. The paper shows how telecare enhanced all three types of network, in at least some examples in the study, although no network type was dependent, or solely reliant, upon it. This highlights that telecare is not a panacea, a substitute for human care or an adequate solution in and of itself.
This paper explores responses to changes arising from bodily frailty observed among older people participating in the AKTIVE study and discussed with them during research visits. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. This paper identifies which daily activities were affected in older age and the strategies older people drew upon to cope. The paper also explores how telecare was combined with other support mechanisms to help older people maintain both practical and recreational daily activities. Throughout, there is discussion about limitations in how care support was sometimes provided, including how telecare was acquired and used by older people and/or those caring for or supporting them, and how far these problems might be overcome by more proactive implementation.
SNELL Tom, FERNANDEZ Jose-Luis, FORDER Julien
For many dependent adults, the provision of adaptive technologies provides a means to independent living and a decrease in the reliance on support from family members or more costly social care services. At present, the two main sources of state funding for equipment and adaptations are through Community Equipment Services (for minor adaptations up to a value of £1,000, such as grab rails) and through Disabled Facilities Grants (DFGs) (for major adaptations up to a value of £30,000, such as stairllifts or bathroom modifications). While costs of provision vary greatly by type of intervention, the majority of the research literature focuses on adaptations with an average value of approximately £6,000. The research described in this report provides an evaluation of the outcomes associated with the provision of adaptive technologies at an economic level, and, by extension. the likely impact of increases or reductions in investment in the context of increasing constraints on social care budgets. The analysis followed a three-stage process. The first stage was a systematic review of the literature in which the available evidence on the costs, effectiveness and outcomes associated with adaptive technologies was systematically collected and analysed. In the second stage, an analysis incorporating the findings gathered in the literature review was used to build a quantitative simulation model of the outcomes associated with aids and adaptations. At the final stage, the output of the literature review and model were used to inform a discussion around the policy implications. The research in this report was supported by a grant from Stannah and the British Healthcare Trades Association.