Presentation to
National Home Care Council
Brian Brown
1st November 2012
CM2000 – The Company
 Hosted monitoring real time landline solution, accessed over the internet
 No need for additional equipment
 Available anytime anywhere with internet connectivity
 Full support included
 12th year, 30% growth year on year
 Team from a Local Authority contract & public sector IT solutions and Home
Care provider background
 Successfully operate in 81 Local Authority areas, over 600 independent
provider sites use CallConfirmLive! within the UK domiciliary care sector.
 Monitored in excess of 250 million calls to date
 Handle 2,000,000 calls per week, safeguarding 90,000 Service Users, being
delivered by 60,000 Care Workers
CM2000 - Scotland
 Delivering our services across 9 Scottish Local Authorities:
 Mix of landline and mobile device monitoring
 Integrated Scheduling solution including Optimisation
 Financial management payment arbitration
CM2000 Product Modules
Local Authority
Actual delivery
records
Client Index System
Corporate Finance
Commissioned
Records
Referrals
Finance Manager
Outcomes
Management
Check
Call
CallConfirmLive!
Fund
Monitoring
Management
Mileage
Wizard
Code
Confirm
Care
Worker
Carer
Portal
Client
Portal
Service User
(& budget holders)
Provider
Quality
Portal
Actual
delivery
data
CM2000 mobile
workforce monitoring solutions
Scheduling
information
Captures
Resource
Availability
Commissioning
CM2000 Brokerage
Module
Package tender
management
Service Providers & In-House/ Reablement Services
3rd Party
Rostering Systems
Tier 2
Subcontractor Portal
CM2000 Rostering
& Resource Optimisation
services
S.T.A.R.S
Short Term Augmented Response Service
Ross McGaw Service Manager
Wendy Thomson OT Development Facilitator
Care at Home Service (CASS)
• Strategic Review of Care at Home Services 2008
• Develop a partnership with NHS Dumfries & Galloway to
provide a Reablement Service
• Mainstream home care (CASS) delivering around 6,500
visits per week or 312,000 visits per year
• Experienced home care staff
• Rota Management Systems
• First Council in Scotland to introduce CM2000’s
CallConfirmLive in 2001
• Real time monitoring and recording processes
S.T.A.R.S.
• NHS Originated Service
• Born out of Joint Futures agenda:
• Avoid unnecessary hospital admission
• Early supported discharge
• Facilitate enablement opportunities and optimal
independence in self maintenance
• Assessment and review to establish ‘needs led’ care
provision
• Care to Reablement
• Registered Practitioners – Allied Health and Nursing
• Health Care Support Workers
Service Integration - Operational Challenges
•
•
•
•
•
•
•
•
Reablement and Integration agendas
Support holistic goal orientated reablement practice
Integration of health and social care support workers
Transfer, train and develop staff to undertake roles
effectively
Geography & Demography – delivering rural reablement
Cost effective, measurable and accountable
IT and systems integration
Research and introduce technology to improve service
delivery – various options
Transition and Development
• Need to Improve Scheduling - Smart Phone to send rota
information directly and in real time
• Moving towards CM2000 as the one stop IT solution
• One care team using the scheduling system and the smart
phone technology with very good results
• Plan to roll out across the region
• Developing Outcome evidence - Outcome Module
• Training and Development – up skill role & reablement
HSCSWs
Development and Career Opportunities
•
•
•
•
•
Assessment and Treatment Planning devised by registered
practitioners
Health ‘assurance’ and social care ‘regulation’ agendas
Dovetail – KSF/CLF evidence
Create employer led in-house training “spring-board” for Health
and Social Care Support Workers (HSCSWs) – reablement ethos
Fundamental premise of consistent:
– patient safety
– public protection
– holistic care
– flexible multi skill mix
– skills synergy and sustainable local capability
Develop and Assure – HSCSWs workforce
• Create multi skilled support roles with allied health
professional, social care and nursing skills
• Application to Scotland's Colleges and Scottish
qualification authority (SQA) to assure reablement skills
• October 2012 - validation of in-house reablement training
• 1st National Progression Award (NPA) in Health and Social
Care: Promoting Reablement (SQA register - H2M712)
• SCQF6 – 2 SVQ credits within design
• Service user/carer autonomy and personalisation
• Optimal satisfaction and quality independent community
living
Need to evidence Qualitative - Outcomes
• Qualitative outputs and outcomes recording
• Joint Improvement Team (JIT)
• Indicator or Relative Need (IoRN) – review group
• Validated Self Assessment Life Style Questionnaire (Mayer)
• Satisfaction survey (talking points)
End of Service
I
14%
G
H
0%
F
14%
A
B
C
D
E
E
0%
D
5%
A
57%
F
G
H
C
0%
I
B
10%
Outputs and Outcomes
Client
Name
Client
End of
Start End No ReNo of
Client Start
Client Start End Difference Start End Difference
Additional
STARS
Reablement
IoRN IoRN ablement days in
Date
End Date Visits Visits in visits Hours Hours in Hours
Reablement
ID
Date
Score Score days
service
AA
12345
21/02/2012
21/03/2012 30/03/2012
4
3
-1
4.75
2.25
-2.50
D
C
29
38
9
BB
54321
01/02/2012
20/03/2012 01/04/2012
4
1
-2
5.25
2.25
-3.00
C
A
48
60
12
CC
65432
01/03/2012
15/03/2012 20/04/2012
4
3
-2
5.00
2.00
-3.00
D
A
14
50
12
DD
23456
02/02/2012
10/03/2012 16/03/2012
4
3
0
4.75
3.00
-1.75
C
B
37
43
6
EE
34567
09/03/2012
20/03/2012 20/03/2012
4
0
-2
5.50
2.75
-2.75
B
A
11
11
0
FF
76543
10/03/2012
29/04/2012 10/05/2012
4
3
-1
4.75
4.00
-0.75
D
B
50
61
11
GG
45678
20/02/2012
13/05/2012 15/06/2012
2
4
1
4.75
5.00
0.25
A
C
83
116
13
HH
45436
15/02/2012
25/02/2012 16/03/2012
4
2
-2
5.65
3.00
-2.65
C
B
10
30
16
II
87587
27/02/2012
30/04/2012 16/05/2012
3
2
-3
6.00
3.75
-2.25
D
B
63
79
12
JJ
25234
13/03/2012
29/04/2012 01/05/2012
4
0
-4
5.25
2.00
-3.25
D
A
47
49
2
KK
98989
25/02/2012
24/04/2012 16/05/2012
3
1
-2
4.00
1.00
-3.00
C
B
59
81
10
LL
35235
02/04/2012
10/05/2012 11/05/2012
4
1
-3
4.25
2.00
-2.25
D
A
38
39
1
MM
46645
10/03/2012
21/05/2012 30/05/2012
3
2
-3
3.75
3.50
-0.25
D
B
72
81
9
NN
68784
02/03/2012
10/04/2012 10/04/2012
3
0
-3
2.50
0.50
-2.00
C
A
39
39
0
OO
32234
10/03/2012
15/03/2012 17/03/2012
4
2
-2
6.00
2.15
-3.85
C
B
5
7
2
Contacts and References
•
•
Ross.McGaw@dumgal.gsx.gov.uk
wendythomson@nhs.net
•
Single Shared Assessment Indicator of Relative Need (IoRN) 2004
Scottish Executive
http://www.scotland.gov.uk/Publications/2004/08/19652/40272
•
Mayers CA (2003) The Development and Evaluation of the Mayers’
Lifestyle Questionnaire (2). British Journal of Occupational Therapy, 66
(9), 388-395 © Dr Christine Mayers 2004 School of Professional Health
Studies, York St. John College
c.mayers@yorksj.ac.uk
How are we going to do it…?
Variety of Tools….
 Wide range of Outcome / Assessment tools in use
 IoRN
 COPM
 Mayers
 Spru
 Ascot
 Locally developed / modified versions of above
 Lost count at 82
 Use of IoRN and Mayer within Dumfries & Galloway
CM2000 - Oxfordshire
headlines
What do all these tools have in
common?

Identification of Service User’s needs

Placing a score or value on the response
given to the question (s)

Continual feedback

Reflect Service Users condition including
improvement / deterioration
CM2000 - Oxfordshire
headlines
What do all these tools have in
common?
Answer 1a
Question 1
Answer 1b
Domain
Answer 2a
Question 2
Answer 2b
CM2000 - Oxfordshire
headlines
Turning Assessments into Outcomes

Identifying areas that need to be assessed

If an assessment area is positive it does not
need frequent re-assesment

Classifying elements that are personal and
unique in order to aid feedback
Turning Assessments into Outcomes
Domain
Question(s)
Responses
Fully
Independent
With Verbal
Prompts
Carrying Items
With Physical
Assistance
Fully Dependent
Meal
Prep
Fully
Independent
Clearing up
With Verbal
Prompts
With Physical
Assistance
Fully
Dependent
Fully
Independent
Preparing Food
With Verbal
Prompts
With Physical
Assistance
Fully
Dependent
Turning Assessments into Outcomes
Domain
Question(s)
Responses
None
Medication
Level of
Assistance
Low
Medium
High
Turning Assessments into Outcomes
Domain
Question(s)
Responses
None
Review
Level of
Assistance
Low
Medium
High
CallConfirmLive! Outcomes Tool
Data capture at point of delivery
Formats available for Data capture:
Software Entry
Landline Message
Pop up window
AURA with tasks
Software Entry:
Mobile Application
Mobile Workforce
Monitoring Integration
Send SMS
Text messaging
with auto replies
Print Letter
Traditional surveys
Alerting and Reporting
hours
Goal 1 - Want to stroll to the shops
Goal 2 – Control over daily life
Goal 3– Cultural/religious preferences
Outcome Report (Data Extract)
Hours/Visit Summary Report
CM2000 Reablement:
Outcomes Reporting Tools
CM2000 - Oxfordshire
headlines
Alerting Mechanisms

Decrease in Outcome completion

Increase in Care Delivery

Enables practitioners / providers to
“Intervene” in a care package immediately

Ultimately assist to provide better
outcomes for the service user
Thank you
Come & speak to us at lunch