Intermediate Care
Services
Presented by:
Donna Roberts
Clinical Team Lead –
Intermediate Care and Rapid Response
Intermediate Care Services
One stop Referral / Access Number 0845 113 0761
Operational hours 08:30 – 22:00, 7 days a week
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Bed based Hollybank House (21 Beds)
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Bed based Richmond Hall (8 Beds)
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Up to 13 ‘Spot Purchase’ beds
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Frail Elderly Pathway
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Rapid Response
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Clinical Intervention – Query Deep Vein Thrombosis (DVT) / Positive DVT / Intravenous (IV)
Pathways
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5:00 pm – 10:00 pm additional Planned / Unplanned Community Nurse Caseload including
COPD
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Central Base supporting whole of Walsall Borough with 2 hour maximum response time
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Number of referrals per month to Intermediate Care = 700
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IV Community Capacity: 6 Multiple dose patients and 6 Single dose patients
Supportive Systems
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Mobile Technology
– Laptops, Mobile phones / Blackberries
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Transport including minor adaptations
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Equipment store on site
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Medi-well 365
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Access to short term emergency care provision
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Access to ‘Step Up’ ICT beds to avoid hospital admission
Meet the Integrated Team
Health
Council Team
1 x Clinical Team Lead
1 x ICT Service Manager
26 x Nurses
1 x Hollybank House Manager
(inc. 1 Mental Health Nurse)
1 x Deputy Manager
9 x Physiotherapists
4 x Senior Reablement Officers
7 x Occupational Therapists
42 x Reablement Officers
9 x Assistant Practitioners /
3 x Cooks
Technical Support
4 x Domestic Staff
4 x Administrative Team
2 x Social Workers
Council Team
Based at Hollybank House:
• Deliver 24 / 7 care to the 21 patients
• Perform / implement all care planning
– Kitchen Skills
– Therapy / Lifestyle
– Mobility
– Personalisation
Training
Led by Health (Phase I and II)
Examples:
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Minor Wound Care
Infection Control Awareness
Pressure Ulcer Prevention
PEG feed training
Stoma Care
Dehydration Awareness
Epilepsy Awareness
Current Status
Average Length of Stay for Hollybank House
15 days
Weekly Patient Flow at Hollybank House
8
Next Steps for Integrated Service
- Complete competency frameworks and training for Council Staff
Team
- Personalisation approach including documentation training for all
staff team
- Completion of on-going building works
- Dementia Care Aspect
- A fully integrated Intermediate Care Service for Walsall, for Health
and Social Care
- Locality Integration to support GP / patient centred approach
Patient Feedback for
Hollybank House
“I wish to bring to your attention your excellent staff at Hollybank House. They
all work very hard, are very good at what they do, and are all very dedicated
staff. I have enjoyed my time at Hollybank House and I have never come
across such a wonderful place. Your staff work very hard with clients, to get
them motivated and get them mobilising and being more independent and
happy. A big thank you to Cedar and Elm unit staff.
I feel the general public of the West Midlands, should be informed of the
good work achieved at Hollybank House. Also the office staff, have been
helpful and kind, helping me with telephone and always happy to listen to me.
I enjoyed making cakes / scones with the staff as part of my activity programme.”
Patient Feedback for
Hollybank House
Alan and I wish to tell you how much we appreciate
your friendliness, support and kindness whilst on Ash.
It made such a difference to Alan’s recovery and helped
us to cope better. Alan is still improving with lots of
help from the Physio’s.
I wish to thank all the wonderful staff who have looked after me
from the welcome on arrival and during my stay.
Choice of food is perfect and lovely cooked.
A big thank you from my family and all the visitors for your
kindness.
I shall always look back on my stay here with happy memories
A ramp was installed last week so he will now be able to
get out of the house and meet a few people at the local
shops.
Keep up the good work. It really makes a huge
difference.
Best wishes to you all
Just to say a big thank you
to all your amazing staff
A sincere thank you all for helping
to return my mobility and all the
help you gave me to gain my
confidence back
All staff at Hollybank have
been wonderful - a nice place
to be. All my family feel the
same
What you have done for me means a lot
Thank you for listening
Any questions?