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Adult care case studies

Here are some case studies to give you an idea of how adult care support and other organisations have helped a range of people:

Help with mental health issues

Ms K first visited her GP 5 years ago due to feeling very low and was diagnosed as being depressed. Ms K was facing a number of challenges in her life including a serious physical illness, recent divorce and she also was the main carer for her elderly mother.

Via her GP Ms K was signposted to the Primary Care Liaison service and she received some initial support from a mental health nurse and also LIFT (talking therapies). The mental health nurse opened up a number of local support groups including a local choir and conservation group. Ms K was also able to use her library to access books and CD relating to mindfulness which she found very useful.

Once Ms K was feeling more in control of her life and was settled into a number of supportive structures including her local church the mental health nurse gradually reduced contact.  Ms K is clear that if she need more support her GP is her first support and way to access other services.

Mr M contacted a local charity just over two years ago saying he was feeling suicidal. The charity referred Mr M to adult social care who judged he was eligible to receive support from a social worker. Mr M had been out of work and very isolated for a long time. His social worker gave Mr M support in dealing with his landlord and energy provider plus some budget and debt support. She also referred him to a local exercise programme for people with a range of conditions and a peer support group for people with mental health conditions.

Mr M tried LIFT (talking therapies) and volunteering but neither were right for him but he did start working with his social worker and has so far been on a couple of work experience placements in order to follow his goal of returning to work. Now Mr M has built more contact and structure into his week he is no longer seeing his social worker on a regular basis but his case is still open and he still has access to support if specific issues come up.

Helping to reduce loneliness and isolation

Mr  C was identified by a neighbour as being isolated and lonely. Mr C is in his mid-80s and is a widower. After contact with the customer services desk, Mr C’s neighbour was able to take round information about a local befriending scheme. Mr C now has a weekly visitor for some company but has also been introduced to a local friendship club where he is able to take part in a gentle exercise session but also share a cup of tea and make new friends.

How the council helps people to become independent again

Mrs W was very independent until she sustained a fall whilst in the supermarket, injuring her shoulder and back and this meant she could not manage to complete daily tasks as she did before. Mrs W had particular difficulty with getting washed and dressed due to the restrictions caused by her injury. Mrs W had a short term period of support from the Promoting Independence Team who assisted and encouraged her with personal care tasks every morning and evening whilst her daughter helped with a meal during the day. Mrs W recovered to a point where she could manage in the evenings by herself, however she needed longer term support in the mornings.

As the service was coming to an end, a social worker reviewed the support, and the financial assessment indicated that Mrs W would have to contribute fully towards her ongoing care support. Mrs W was advised at the care review she could arrange care privately or have a service commissioned by the council. After having a discussion with her family, Mrs W chose to have care support commissioned through the council.

Mrs J referred herself to the council for help at home. She was considered eligible for support under the Fair Access to Care criteria due to her physical health needs and reduced mobility. There were also concerns for Mrs J’s mental health and isolation. A referral was made to LIFT Psychology requesting support at home with Mrs J’s agoraphobia. Mrs J also received a service from a community based support provider, funded by the council, to meet her basic needs and work towards taking part in local community activities with support.

Supporting carers and people with dementia

Mrs P was referred by her daughter and main carer for a short break.  Mrs P has dementia and experiences depression and anxiety.

In order for daughter to sustain employment and her caring role Mrs P required support during the day.

Three days a week at a dementia day service was arranged by the council.  This has since been increased to four days a week and although the situation remains challenging, Mrs P’s daughter feels able to continue with her employment and caring role with the additional support provided by the council.

Mrs P has stayed in her home with support of her daughter and granddaughter as is her wish.

Signposting to help at home

Mrs R was referred by her GP for a package of care. Mrs R needed support with practical chores, and she was given advise on how to arrange this privately, with the help of Wellaware to signpost her to the help available.

With signposting from the council, Mrs R arranged for a pendant alarm to call help if she fell at home, and a key safe; she also arranged for street care to collect her wheelie bins, and is on the waiting list to see an occupational therapist about bathing and access to and from her house.  Mrs R also received information on meals at home.

Mrs R doesn’t feel she needs a package of care, as she felt she could manage with support of her family and the services above which have been put into place.

Accommodation and housing options

Mrs T was referred by her daughter following the death of her husband.

Mrs T was unable to stay in her home unsupervised due to risk of falls and had moved in with her daughter and son in law.  This situation was not sustainable and Mrs T needed alternative suitable accommodation.

The council completed an assessment for Extra Care Housing, with 5 hours support per week.  Mrs T was successful in bidding for a flat in Cambrian Green Court Extra Care Housing and moved in this year.  At her review it was noted Mrs T had settled in well, had made lots of new friends and was only receiving a 15 minute visit daily to help her stay independent and well.

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