1. Intake Team

2. Who are we? We are a team consisting of Social Workers/Social Care Co-Ordinators, Occupational Therapists and Social Care Officers. Sometimes we are joined by student social workers or Occupational Therapists or other people requiring working experience

3. What do we do? We assess, initiate and oversee the care of adults over the age 18 who are referred to the Council because they require care, equipment or a period of enablement to improve health. We also oversee the care of service users who have been discharged from hospital and have been assessed as requiring a period of care to help them continue to get better.

4. So who does what? Social Workers/Social Care Co-Ordinators: These can be Social Workers, Nurses or Occupational Therapists. They will visit service users and assess their needs, deciding whether they need a care package, a period of enablement, equipment or adaptations. Occupational Therapists: OTs visit service users and will work with them to improve their strength and ability to live their lives. For instance they can provide equipment or help service users practice skills such as kitchen skills or dressing skills. Social Care Officers: SCOs will support the Social Workers/Social Care Co-Ordinators and OTs in their work. Some of the SCOs are Trusted Assessors and can visit service users in order to assess for simple equipment or can undertake some enablement work.

5. What does that really mean? Social Workers/Social Care Co-Ordinators Will assess the calls that come into the Council that identify needs that Service Users may have, such as difficulty with washing or preparing meals. Visit Service Users and undertake an assessment to determine what assistance a Service User requires, such as carers visiting to help with personal care or meals. Sometimes a SW/SCC will visit with an Occupational Therapist who will assess a Service User’s ability to do ordinary tasks and identify areas where the OT can work to improve ability Set up packages of care, refer Service Users to other agencies, provide advice about other services such as charities that may be able to assist Service Users or their families

6. What does that really mean? Occupational Therapists OTs work to help people to live as they want to live their lives. They work with service users to improve their ability to manage tasks such as washing and dressing on their own, organising their own food, living in their own homes, doing the things they want to do. OTs will provide equipment and will help a service user practice tasks such as making tea or getting dressed. Sometimes, we can identify more particular goals, such as visiting shops or using public transport. OTs visit people who have come out of hospital and have been provided with a period of enablement care to assist them to fully recover. This means that carers will visit for a period and the OT will assess and identify what can be done to assist the service user to improve their functional ability. When necessary, an OT will refer a service user to another agency such as the Community Physiotherapist or the Community Dietiation.

7. What does that really mean? Social Care Officers SCOs work with the Care Managers and the OTs. They assist with administration and paperwork!!! Some SCOs are Trusted Assessors and can visit Service Users with less complex needs to provide simple equipment such as a raised toilet seat or a shower stool. SCOs will work with the clients to undertake enablement practice such as regular walking practice or assisting a client to become confident making drinks or meals.

8. Case – Mrs J Mrs. J, a lady in her eighties, referred to the Intake Team after a period in hospital. Lived alone, very few relatives. However, she did have friends who visited and assisted her with her housework and shopping. She had a stairlift but was currently sleeping downstairs and using a commode because her toilet was upstairs. Required assistance with washing, dressing, meals and with managing the commode. As a result she was assessed as requiring three calls a day. OT visited and assessed. Mrs. J said she wanted to be able to go upstairs to use the toilet and wash upstairs. She was sleeping in her chair and wouldn’t use the bed that had been moved downstairs. She had been provided with a kitchen trolley and wanted to be able to make her own meals and drinks and use the trolley to transport them to the living room.

9. Case – Mrs J What did we do? Assessed Mrs J’s physical abilities. Practiced walking with her walking frame/kitchen trolley Practiced getting on/off the stairlift; practiced operating stairlift and transferring on/off stairlift at the top of the stairs. Assessed toilet and provided equipment to ensure safe use; practiced transferring on/off toilet. Assessed Mrs J’s washing skills. Provided perching stool for use in the bathroom and provided goals for independent washing to be undertaken with the support and supervision of the carer. Practiced kitchen skills, making tea and snack meals and heating readymeals. Discussed problems that Mrs J experienced in getting on/off bed. Ensured bed lever and back rest were properly fitted. Practiced getting on/off. However, Mrs J felt that she wanted to continue to sleep in her chair.

10. Case – Mrs J At the end of the enablement period, Mrs J was using the stairlift to go upstairs to use the toilet and to wash and dress. She was providing meals for herself. The care calls were reduced to one call a day to ensure the commode was managed although Mrs. J was not using this regularly, and to assist Mrs J with her morning routine

11. Case – Ms. M A joint visit by a Social Worker and an Occupational Therapist to a lady with physical disabilities as a result of a neurological disorder. No care provided as lady was very reluctant to have a carer assist her. OT provided equipment to help get in/out of bath, a mobile commode to assist with nighttime and daytime toileting needs, and referred her to the Wheelchair service for a wheelchair to enable her to go outside OT referred client to Physiotherapy to improve strength in transfers

12. Mr S Older gentleman living with his wife who has severe dementia and for whom he is the primary carer, supported by his daughter and son Mr S had arthritis in his knees and hips. His strength was reduced. As a result he was having difficulty walking up/down stairs, lifting things, getting in and out of his chair and in and out of the bath OT arranged for stair rails to be fitted, and for rails to fitted in the toilet and at the entrance to the house to assist with transfers. Chair was raised and raised toilet seat placed on the toilet to assist with toilet transfers. OT assessed Mr S with a kitchen trolley to assist with the transfer of drinks and meals. With SCO, OT assessed Mr S with a bathboard across the bath, to assist with bath transfers. However, this did not fit. A bathlift could have been provided but Mr S was concerned about the impact of the equipment upon his wife and elected to continue to strip wash at the sink

13. To Sum up … We are a group of professionals who work with service users to assist them to remain in the community for as long as possible. We will assess service users for care and equipment. We will work with service users to help them improve their skills and abilities We will liaise with other agencies when necessary And last but not least … We love our work!!!