Home' Community Care Review : CCR MAY 2016 Contents but has a clear vision and strategy, says
Redford, with many initiatives currently
in development. Key to this is placing
consumers at the centre of design and
evaluation. "This gives us the best
information and feedback to inform our
development strategy," says Redford.
Among initiatives that led CCS towards
its current approach was participation in the
NSW Government's Better Practice Project
in 2013, a funded pilot to develop and
implement a reablement program. It saw
clients reduce their personal care hours as
care workers took a "doing with", rather than
"doing for" approach.
Since then, the organisation has
trained all its community workers and
coordinators in reablement, which Redford
says has made a significant difference in
how personal care and social support is
"We are seeing that people are calling
the shots on what they feel they can do
and... completing those aspects as opposed
to community workers completing the
whole tasks," says Redford.
"We are also seeing that with task
modification, and through prescriptions
of aides and equipment, people continue
to be further empowered to achieve more
In the year following, CCS developed a
formal health and wellness framework, with
six key focus areas: being active; healthy
eating and drinking; staying connected;
lifestyle; clinical care and healthy mind.
Redford says the development of this
framework was crucial to seeing out CCS's
vision, and forms the foundation of its
program and services.
It has established a health and wellness
unit with a dedicated manager to implement
the framework, which it plans to expand
further. There is also a dedicated steering
committee to guide the process. "This has
been important for keeping the health and
wellness framework front of mind when
there have been so many other distractions
with sector reform," says Redford.
Among the lessons CCS has learned
along the way is that success requires long-
term organisational investment. "We would
like to have been further advanced in the
implementation of our framework, however
truly embedding changes and culture change
takes time. The evidence of significant
benefits to our customers makes this
investment very worthwhile" says Redford.
CCS recognised staff and organisational
culture were key to embedding wellness
successfully, she says.
Southern Cross Care SA/NT is rolling out a healthy
ageing program across the whole organisation.
In particular, it saw staff training as
crucial and ongoing, and is currently
developing the second wave of reablement
training to build on prior learning.
A MINDSET CHANGE
For the past two years Southern Cross Care
SA/NT has been rolling out its organisation-
wide reablement approach to reverse its
clients' decline and bring about healthy
outcomes. It's involved a complete re-think
of how staff work, and the organisation's
policies and procedures.
But another challenge has been a lack
of confidence among clients, as many
don't believe that they can make functional
gains, says Jo Boylan, the provider's
director of operations.
"We have to build self-efficacy through
good health literacy; to say actually you can
still gain good muscle mass at your age,
and you can prevent falls," Boylan tells CCR.
Staff have been using a technique called
appreciative inquiry, where they encourage
clients to reflect on a time in the past when
they felt healthy and energised. Drawing
on these positive memories, they work
together on how the client can make steps
towards regaining that function.
When a new client first enters an SCC
service, they're measured on the frailty
spectrum and from there staff assist them
to improve their outcomes. Key areas
include building muscle, core strength,
nutrition and social engagement, and
preventing causative factors of decline.
Boylan says SCC's approach is anchored
in the conviction it is a universal human
right to have the potential to improve
health and wellbeing. "It is possible to make
healthy normal... It is possible to reverse
frailty," she says.
At the organisational level, Boylan says
embedding reablement required a whole
of system approach, ensuring that policies,
procedures, staff and environment all
supported healthy outcomes for its clients.
"Making healthy normal has to be a
mindset change," she says.
SCC has worked on this over a two-
year rollout period. In the past year, it has
re-written procedures and established early-
intervention working parties in its sites.
These parties monitor and quickly identify
when decline occurs, and work out how it
can be reversed. The provider is also in the
process of establishing data collection and
evaluation tools, says Boylan.
The organisation invested in staff
education and the development of
guidelines around health literacy and
healthy ageing. It was also currently in
the process of reviewing job descriptions
and appraisals to better reflect a healthy
To build its focus on physical activity,
SCC is also installing gyms across
residential sites, and has re-skilled
members of its lifestyle team in a
Certificate III in Personal Training.
Boylan says it planned to allow
community access to these gyms, where
it will operate the Council of the Ageing's
Strength for Life fitness program for over 50s.
While the rollout of the approach is
not yet fully complete, Boylan says it has
already seen a 54 per cent reduction in
fractures across residential sites. n
Alzheimer's Queensland, Catholic
Community Services and Southern Cross
Care will share their experiences of
embedding wellness and reablement
across their organisations during a
panel discussion at the Active Ageing
Conference 2016, which is hosted by
Community Care Review and takes place
on 4 August at Swissotel, Sydney. Go to
aaa community care review | 29
Links Archive CCR Jan Feb 2016 CCR Aug 2016 Navigation Previous Page Next Page