1. Braemar Care Initiative

2. Why does Braemar need a Care Initiative?
Ageing population
Geographical limitations in delivering care
Opportunity to keep people in their own homes/community for longer
Employment opportunities
Community engagement

3. Case Study 1
Lady in her 80’s living alone in her own home, family work abroad, needs additional care, does not wish to go into a nursing home
Receives home care twice a day, once in the morning to get her out of bed and dressed; once in the evening to get her dinner
Family pays for a cleaner one day a week, this person also comes in one day a week to deliver personal care
Neighbours care for her on a daily basis, she has frequent falls and they respond to her panic alarm
Confused, forgets what medication taken, to go to bed and where she lives and who lives with her. Confusion improves with social interaction
Neighbours are untrained carers delivering around 18 hours of care a week

4. Case Study 2
Gentleman in his 80’s being cared for at home by his wife also in her 80’s
Homecare twice a day – morning, get out of bed, washed and dressed – early evening undress and put to bed
Could be after 9.30 am and he would try and get out of bed himself, attempting to stand, concern about falls
Evening could be 5-6pm, too early for him, would be dressed for bed, wife would put him to bed but this became too difficult
Went to nursing home care over an hour away

5. Case Study 3 Gentleman in his 90’s cared for at home by his wife
Initially one carer visit a day, extended family moved in to assist
Required assistance to get to the bathroom but only one carer could be provided at a time
Care increased to two visits a day
Care overnight required when patient was poorly, this only available as on call cover (carers covering Laurencekirk to Braemar)
Marie Curie was used as a short term measure
Went to nursing home care

6. Aims of the Braemar Care Initiative
Help to meet the care needs of the vulnerable in the community in a timely and appropriate way.
Employ and train people in the community to deliver care
Keep the elderly and vulnerable in their homes and in their community for longer
Encourage the community to be responsive and aware of the care needs of others

7. What is the vision of the Braemar Care Initiative?
Engage with an existing, accredited care provider to employ and train carers in the Braemar community, with a strong preference for a more flexible and sustainable social enterprise model
Provide flexible working opportunities to meet the needs of individuals receiving care and employees
Use existing funding for care provision
Work directly with the individual to use their funding allocation in the best way for them
Provide ‘top up’ care paid for by the individual as required
Have volunteers provide services such as shopping, transport, befriending etc

8. What are we building on?
Scottish government commitment for innovation in the provision of ‘local support at home services’
Financial and practical support from Aberdeenshire Health and Social Care Partnership
Local support articulated in the Braemar Community Action Plan
Experience of other rural areas in Scotland
At a national level there is a recognition that care at home services need to have increased capacity and flexibility if we are to continue to support older people in their own homes and community. Increasingly government are emphasising the potential of local solutions tailored to local need. In Aberdeenshire the new Health and Social Care Partnership are also looking to support new thinking an initiatives and believe that there is the potential to further develop services to people here in Braemar. The Partnership have provided a grant of approx. £10,000 and are also offering practical support through, for example, looking to provide historical data on local supply and demand. A senior manager of the Partnership is also a member of the Steering Group. The challenge for all of us is to harness the skills and resources in our community to achieve the maximum degree of flexibility and responsiveness in local services

9. Progress to date
Established a steering group under the auspices of CAP, to direct and oversee the development phase
Seeking charitable status with the advice of Development Trust Association Scotland
Investigated innovative care models in other rural areas of Scotland
Meeting with potential partners on Aberdeenshire Council’s list of approved providers
Engaged with the community and key stakeholders to report progress and obtain views

10. Next steps Upcoming workshop to inform the structure of BCI
Set up as an organisation, social enterprise or partner?
Establish organisation as a charity if appropriate
Find a partner organisation to work with that shares our vision
Apply for funding/identify funding streams
Fulfil the requirements of the Aberdeenshire Health and Social Care Partnerships Framework

11. Any questions?