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Find prevention records by subject or service provider/commissioner name

Intermediate Care in Cookson's Nursing Home

Lead service provider/commissioner

Name:

Somerset Care and Yeovil District Hospital

Type of knowledge

Type of knowledge:

Project evaluation

Type of evaluation:

Outcome evaluation; Survey; Focus group; Interviews

Prevention service description

Somerset Care is a not-for-profit provider of social care for older people with disabilities, and funding for the block purchasing of 18 beds at Cookson Court came from Yeovil District Hospitals ‘winter pressures’ money. The facility is staffed by Somerset Care’s nurses, Advanced Healthcare Practitioners (Nurse Associates) and care staff. However, between 8am and 8pm every day, members of Yeovil District Hospital’s rehabilitation team (e.g. physiotherapists and occupational therapists) work on site in collaboration with Somerset Care staff.

Admissions and discharges to the service are managed by the physiotherapists on the team. A proactive approach to case finding is taken with the team conducting daily searches for patients at Yeovil District Hospital. Patients are eligible if they are: (1) Assessed and documented as medically fit for discharge to their usual place of residence, with a completed discharge summary, a Treatment Escalation Plan in place, and medications ready. (2) Have an evidenced potential for reablement, are signed up to a programme of intensive reablement for 10 days or more, with a demonstrable ability to actively engage with rehabilitation (physically and mentally), have had their holistic therapy requirements identified, and have a completed care plan if specialist involvement is required. Patients are ineligible if they have had a stroke; have had chest pain within the last 24 hours; are receiving intravenous therapy; are medically unstable; are ≤ 72 hours post myocardial infarction; or have no fixed place of residence.

Intervention/service type:

Intermediate care and reablement

Target client group(s):

Older people; Adults with long-term health conditions; Adults with physical disabilities


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