Reablement

Overview of Reablement

Reablement is about giving adults the opportunity and confidence to relearn and regain some of the skills they may have lost because of poor health, disability or impairment, following a spell in hospital or problems at home. 

Reablement Aims

  • To enable people to stay in their own homes
  • To keep or improve independence and safety in all areas of daily living.
  • To improve quality of life

It provides support for a short time, the service is free from as little as 1-2 days up to six weeks, to help you become as independent as possible. You may need support with aspects of day-to-day living such as personal care, preparing meals and shopping.

The service is free for people aged 18 and over who live in the Borough of Darlington and who are at significant risk of losing their independence.

You can contact the Reablement Team on 01325 342111.

Reablement is short term support:

  • designed to help people to regain independence after a change in their health or a hospital stay.
  • which enables people to ‘do things for themselves’ rather than ‘having things done for them’.
  • focusing on person centred approaches and outcomes for service users.

Key objectives: 

  • to maximise users long-term independence, choice and quality of life
  • to appropriately minimise ongoing support required, and thereby minimise the whole life cost of care

It is about spending much more time with people in the early stages after an illness or accident, to see if their earlier independence can be restored.

Receiving Reablement Support

If it has been determined that you need Reablement support, the “Reablement Team” will work with you to agree what you would like to achieve through Reablement.

The programme is then tailored to support the individual to manage everyday tasks as independently as possible.

People can be rehabilitated to carry out tasks such as cooking, getting dressed etc and to live independently.

Home Care Reablement services provide personal care, help with activities of daily living and other practical tasks for a time-limited period, enabling people to develop both the confidence and practical skills to carry out these activities themselves.

For example, a service user may set their outcome target as “being able to get out of bed, get dressed themselves and prepare breakfast”. The role of the home carer in this situation would be to support the client in re-learning these life-skills. The service would usually be provided for a defined maximum period of time.

Case Study 1

A simple case study to highlight the difference between traditional Care Management and philosophy in Reablement can be shown in a case allocated during March.

The Intermediate Care domiciliary service (PCT) referred someone for a transfer of care to mainstream services. They specifically asked for a "carer to assist with bathing".

This case has been allocated to an OT attached to Reablement with a view to assess for equipment which will:

  • Reduce the need for a carer
  • It will maximise independence, and
  • Give choice of bathing times, and
  • Reduce the need for Home Care.

If a carer is needed, the OT will commission this through in house support with a view to working with the service user to re- learn skills to bathe independently. If care is commissioned, this will be the first time in Darlington that an OT has carried this out. Care planning and recording issues have still to be organised. Historically this would have gone to Age UK bathing service and possible OT, therefore reducing handoffs and cost of professional interventions.

Case Study 2

Mr A's GP rang Adult Social Care and asked if Mr A could be assessed for a carer to help Mr A with bathing.

The Occupational Therapist who works with the Reablement Team was asked to carry out an assessment of Mr A's need for bathing support, with a view to:

  • Reducing the need for a carer
  • Maximising his independence
  • Giving him a choice of bathing times
  • Reducing the need for Home Care

Instead of focusing on the care that Mr A needed to assist him to bathe, his assessment was about looking at the skills he had and what he could do for himself with the help of his wife.

The plan was to ensure that Mr A re-learnt the skills he needed in a short, intensive period of time. Both Mr A and his wife were given equipment to assist with bathing and learnt the skills necessary to ensure he had his bathing needs met independently and without the need for a carer. Therefore the focus was on Mr A's own skills and re-learning old skills that had been lost due to his illness and long hospital stays.

A traditional assessment would suggest that Mr A would have received assistance from a carer to help him bathe.

The Reablement approach ensured that Mr A lived as independent as possible without the need for intervention from a care agency.

As a result of reablement Mr A was able to have:

  • dignity (being able to bathe alone or with people he  knows)
  • independence (being able to carry out the bathing task himself)
  • choice (he can have his bath when he wants it)
  • control (can decide to decline bath if he wishes to)

For more information please see Reablement Frequently Asked Questions (Rich text document)