1. Midlothian Health and Social Care Partnership
Anthea Fraser – Service Manager – Older people
Using data to inform planning
Tableau
Mosaic
CM2000
ioRN

2. Tableau
Tableau is a business intelligence software that helps people see and understand their data.
In Midlothian H & SCP we have used Tableau to illustrate care at home carer capacity and support the review of care at home.
It provides data that illustrates the efficiencies and inefficiencies of carers planned visits to clients.

3. Tableau

4. Tableau

5. Mosaic and CM2000
Mosaic – client information system that can produce many reports – such as number of hours for individual sheltered housing complexes.
Number of hours provided by in house care at home service.
This data has enabled us to plan dedicated hours to sheltered housing complexes having a dedicated group of carers for the sheltered housing services.

6. CM2000
We have introduced CM 2000 into our care at home service in Midlothian which has provided a range of reports that has influenced care at home analysis and planning.
This includes having accurate reports on planned versus actual delivery of care, missed visits, medication errors.
It provides an opportunity to plan and deliver carer visits more efficiently reducing down time.

7. Use of ioRN in Midlothian
In Midlothian we use a range of ioRN tools.
We use the enhanced community ioRN (ioRN2)within our fieldwork services alongside the community care assessment.
It is used in the joint dementia team.
It is used in Reablement at the beginning and end of the 6 week Reablement pathway.
We use the Care home ioRN to determine staffing levels in the care homes.

8. Use of ioRN
Midlothian H&SCP in house day care service also uses the community ioRN (ioRN 2) to provide an overview of level of need using day care provision.
We have started to use the community ioRN (ioRN 2) for all admissions into Intermediate care.
It is a very useful planning and evaluation tool for service delivery.

9. Reablement in 2015
73% of those who received the Reablement service remained the same or improved.
39% has an improved ioRN score at the end of Reablement.
27% showed a deterioration in their independent living skills.
What does this tell us?
Does Reablement work?
Could we do more?

10. Reablement in 2017
71 people have completed a Reablement pathway in the first 5 months of 2017.
70% of those who received the service had an improved ioRN score.
7.5% showed a deterioration.
22.5 % remained the same.
This is a high percentage increase although the increase is much smaller compared to Intermediate care data.

11. Reablement 2017

12. Intermediate care in 2015
91.5% of those who received the service improved or remained the same.
49% had an improved ioRN score.
8.5% showed a deterioration in their independent living skills.
This data demonstrates high levels of improved outcomes for individuals - enabling them to return home.
Could we do more?

13. Intermediate care in 2017
In the first 6 months 21 people were admitted to the Rehabilitation beds in Highbank ICH.
90% of those who received the service improved or remained the same.
75% had an improved ioRN score.
10% showed a deterioration.
15% remained the same.
It would appear a more holistic approach to Rehabilitation promotes improved outcomes for the individuals receiving the service.