Care and Repair Edinburgh

Better at Home

www.careandrepairedinburgh.org.uk

Care and Repair Edinburgh (C&RE) support older and disabled people to live satisfactory and satisfying lives at home through providing a range of practical services that support their safety and wellbeing in their own homes. We are writing to ask again for your support in raising awareness of the services in place to support older or disabled members living in Edinburgh and can provide leaflets and talks to various groups.

The purpose of us attending meetings such as these is to ensure that we are engaging effectively with our key stakeholders to ensure that we are providing the right levels of support, together with helping us to keep them informed.

C&RE is contracted by the City of Edinburgh Council (CEC) to provide the following core services:
• Small Repairs
• Adaptations
• FREE Handyperson/Volunteer
• Keysafe Fitting (Police Approved)
• Trade Referrals

We would be delighted to speak to you further about how we can support and happy to attend meetings to ensure that we are engaging effectively with our key stakeholders and that we are providing the right levels of support.

We receive referrals from various support agencies across Edinburgh; Older and Disabled people directly, Friends and Family, NHS Lothian Social Work Departments, Occupational Therapists, AGE Scotland, Fire and Rescue and Community Groups.

Our Vision is Home is Best and ensure that we will work with and for our clients to enable them to remain as independent for as long as is possible. The increased delivery of our core services will make a significant contribution to the prevention of accidents and falls and will result in lower hospital admissions. Being a small and nimble organisation, we are able to provide a responsive service in terms of fitting hand rails, ramps and keysafes to help facilitate and expedite discharge.

Volunteer

Our Volunteer Officer runs the Volunteer/Handyperson service. Our team of 30 volunteers help people to feel less isolated, yet more secure within their own homes by offering a range of services from changing a lightbulb to fitting door chains, window locks and carbon monoxide sensors – the cup of tea and a blether comes as standard! The handyperson service assists older and disabled people to have minor jobs carried out, reducing the incidence of injury. The labour element of the service is free of charge. It results in less admissions to hospital and sustains older and disabled people to be able to live at home, reducing the burden on acute hospitals.

This service is delivered by enthusiastic and skilled volunteers, not only looks to prevent accidents but also strives to make sure people are well connected. Volunteers provide help with new technology such as setting up TV’s and WiFi, downloading Skype, helping down load photos to reminisce – all manner of things to make people feel less lonely and more able to stay in touch with family and friends

Joinery Service

Our Joiners and Handyperson are responsible for Small Repairs/Minor Adaptations e.g. ranging from fitting a ramp or grab rail to repairing thresholds and ensuring doors open and close properly –helping to eliminate any trip hazards. This service is charged at a subsidised rate. It results in less admissions to hospital and sustains older and disabled people to be able to live at home, reducing the burden on acute hospitals. Those who are vulnerable know that they will receive a reliable and trustworthy service.

Keysafes

We deliver a responsive Keysafe fitting service to assist patients leaving hospital with a care at home package. Carers can access a property without need for a client to be mobile to answer door. Keysafes are charged at RRP with a £25 fitting charge. Patients are able to be discharged when they would not otherwise be able to, saving NHSL significant bed-days. Peace of mind because the Keysafe is Police and British Board of Insurers approved.

Trade Referral

If repair work cannot be done by our in-house services, we offer clients names of contractors who can help .Trades include: Painters and decorators; Plumbers; Electricians; Roofers and Builders; etc.
This service is free of charge but most clients like to make a small donation in return for receiving contact details for trustworthy and reliable trades people.

The number of over 75s is set to double in the next 30 years;
• 1 in 5 of us will live to see our 100th birthday;
• Older people are more likely to have multiple health conditions and will clearly require more healthcare resources going forward.
• The Government’s “Reshaping Care for Older People” agenda has been around for nearly 10 years. Its purpose is to consider ways of “shifting the balance of care” for older people away from acute hospitals and into the community i.e. their own home or a care home.

Within this context, C&RE was well positioned to support the Health and Social Care integration agenda and our work has a direct impact on some of the National and Health and Wellbeing Outcomes. In particular, it contributes to “We live longer, healthier lives.” and “People, including those with disabilities or long term conditions, or who are frail, are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community”.

One of the critical challenges facing the health and social care sector in Edinburgh is delayed discharge. An audit carried out by the Western General Hospital in Edinburgh in late 2016, established that some 42% of patients did not have a medical reason for being there. While the vast majority were delayed due to care shortages, some were related to housing issues. Many of these patients required some form of adaptation to be made to their homes. C&RE is ideally placed to provide these services which in turn will support early discharge from hospital.

We have become recognised installers of Easiaccess equipment:
• Easirail – fully compliant handrail system;
• ‘warm touch’ coating. A galvanised rail does not.
• When you need it most (when it is cold and icy) – you won’t stick to it! You would with a galvanised rail.
• Regulations also state that a continuous handrail should be installed – with key clamp style rails people often have to remove their hand to get to the next bit of rail, so there might as well be a gap.
• Easirail is a pre-coated product, which saves time on painting and does not look industrial.
• Easiaccess provide CPD training re the use and benefits of their products and many OTs in England and Wales now have Easiaccess Certificates to add to their portfolio. The training lasts 2-3 hours. They will come up and provide this for OT teams.
• C&RE is the first installer of Easiaccess equipment in Scotland. We are putting together case studies which we can share with you. These referrals were from self-funders and our prices are very competitive.
• Easiaccess also provides Step Units and Ramps which are very easy to fit. These are slip resistant and can be removed, recycled and re-installed. The latter also applies to Easirail products. As there is no requirement to build steps out of concrete, this equipment can be installed within hours rather than days.

The CEC Adaptations Team view this positively and we are due to have further discussions about taking this work forward in due course.

Our joiners have become Trusted Assessors and can supply small equipment and carry out minor adaptations and repairs within the internal and external home environment to support hospital discharges e.g. urgent installation of handrails and ramps within 24 hours where necessary.

Summary

The increased delivery of our core services will make a significant contribution to the prevention of accidents and falls and will result in lower hospital admissions. Being a small and nimble organisation, we are able to provide a responsive service in terms of fitting hand rails, ramps and keysafes to help facilitate and expedite discharge.