1. Commercially Sensitive
CaSaH
A reablement care and support service for people living in their own homes – market engagement event 17/12/15
Commercially Sensitive

2. Care and Support at Home
One Service, 3 key elements:
Short Term Intensive Reablement with 24 hour availability
On-going reabling care and support with 24 hour availability
Sitting Service
Developmental contract to support the development of an outcome based approach

3. New model- Full reablement
Sustainable
solution
No other provision
No on-going service
Community referral
Intensive reablement
Provider (up to 6 weeks)
Incentivised to move on clients
Low level community support
Person centre plan
On-going reablement
(previous core service – focus on reabling care)
Hospital referral
- Vol sector/ community services

4. Overarching Aims
Help people to become more independent and achieve their optimum wellbeing and full potential.
Allow people to live well in the community where they have choice and control about how their needs are met.
Help to prevent inappropriate hospital admissions.
Be responsive and flexible to changing need.
Help people with care and support needs to be involved in their local community.
Work in partnership with people and providers to promote the highest sustainable quality of life.
Meet important outcomes in the care and support plan.
Have services that are based upon the social model of disability, social inclusion and enablement

6. INTENSIVE REABLEMENT

7. Vision Short term service 1 to 6 weeks
Ethos of helping people become as independent as possible by doing “with” and not “for”.
Personalised and high quality care and support.
Focused on clearly defined achievable outcomes that will help a person regain skills they have temporarily lost, or help them to do things in a different way.
Reduce or minimise the need for longer term / on-going funded support.

8. Model The service will be split into 2 areas:
Area 1 – West Somerset, Sedgemoor and Taunton
Area 2 – Mendip and South Somerset
Opportunity for up to 2 providers in the county for the intensive reablement service
There will be clear boundaries between service access to intensive reablement and the core service
One off fee for reablement, incentive to move clients on
Provider will support people into low cost / no cost community support or refer back to the ASC for longer term care
24 hour service availability

9. Service Scope
Short term care and support with 24 hour service availability
Short term outcomes
Maximising independence and reducing need
Supporting planned discharge
Preventing hospital admission and re-admission
Includes night time where there is a need
Opportunity for longer visits – move away from time and task.
Free to service user for up to 6 weeks

10. Service User Evaluation
Joint responsibility of ASC and Provider
Maximum threshold for evaluation is 28 days
Evaluation will identify on-going needs when the service ends and eligibility for SCC funded care
Will also identify provider role in support to local community resources

11. Transition Arrangements
Evaluation will trigger review for assessment for on-going service eligibility
Personal Budget
FAB referral
Revised / new Care and Support plan
Reabling provider risk assessment / assessment / care planning / work to date - shared with new provider for continuation of reabling ethos
Ideally first visit is joint as a handover

12. ONGOING REABLEMENT

13. Model 8 Zones, 2 to 3 providers per zone
Need for on-going support with reablement ethos
Outcome focused
Clustering staff: keeping local / working collaboratively
Hourly rate per zone
Provider will support people into low cost / no cost community support or refer back to the ASC for longer term care
24 hour service availability

14. Scope Long term care and support with 24 hour service availability
Maximising independence and reducing need
Supporting planned discharge
Preventing hospital admission and re-admission
Includes night time where there is a need
Providers to continue to collect income

15. SITTING SERVICE

16. Sitting Service
Commissioned in blocks of care and support between 2 and 12 hours
Planned or emergency provision
To enable a carer to take a break from their caring role
To enable service user and provider to maximise their time together in or outside of the home
May be booked as a regular provision by the user or as a one off.
Opportunity for wider range of provision when personal care needs are not required
Ideally consistency of worker and flexible provision
Ethos of creating sustainability by introduction of volunteers.

17. Overall…..
Tender will be divided into 10 lots – bidders can tender for any number of lots
Potential for partnership working/subcontracting – bids accepted from consortiums.
We will set the pricing range for each service element and bidders will be asked to provide a price within that range

18. Key to service success for CaSaH
Good assessment and outcome planning
Key partnerships for
The sharing of skills between professionals and support staff
Close and joint working with Hospital Integration Service, Community Teams and the Equipment assessment centre and Occupational Therapists
Development of locality forums

19. E-Tendering System
Pro-Contract – an online portal accessible via
All provider’s interested will need to be registered.
Add multiple contacts to your account. This ensures you can always access your account in spite of sickness, leave or forgotten passwords.
Please ensure that you are registered against:
the category ‘Health and Social Care’ and;
‘Care and Support at Home Services in Somerset’
Use the Supplier’s Guides to Pro-Contract for help.
Use the helpdesk for technical support -

21. Contacts… Caroline Adams, Service Manager (People)
Prior to the tender launch please contact with any queries:
Caroline Adams, Service Manager (People)
Commercial and Procurement Team
B2E County Hall, Taunton, Somerset, TA1 4DY
Procurement mailbox -
If any tender is launched the question and answer facility on ProContract must be used throughout the procurement process.

22. Thank you for attending this event and for your contribution.
Next Steps…
Output from the discussions today will be used to shape the invitation to tender
Register your organisation:
Presentations and Q&As from today will be uploaded
Check for tender launch mid January
Planning a Tender Information Event shortly after the launch of the Invitation to Tender
Thank you for attending this event and for your contribution.
Please note that. Somerset County Council
reserves the right to change the timetable, scope
and service delivery model prior to tender launch.