Our Rehabilitation Pathway
Careline Lifestyle endeavours to optimise each service user’s capabilities via an evidence based rehabilitation pathway that helps maximise autonomy.
Detailed pre admission assessment
There will be a detailed pre-admission assessment. This will usually take place at the home setting of the service user, or hospital. It will help the Careline multi-disciplinary team begin to understand the complexity of need and the type of support and care package required. This stage will also assist in identifying which of the Careline Lifestyles facilities is the most appropriate for the individual.
Initial assessment phase
This stage takes place following admission to a Careline Lifestyles Home in order to gain a thorough knowledge and understanding of the complexity of the service user. Depending on the level of complexity, this stage can take between one and two months.
This stage is vitally important for all stakeholders in order that clear goals can be set which are understood by all, and agreed by all concerned in the service user’s welfare.
Careline Lifestyle care package offer
We recognise the need to need to be flexible and have an approach which meets the needs of the service user and so careful consideration has been given to develop a Careline Lifestyles care offer; this offer has three Care Delivery Models.
Model 1 - Traditional
This is the traditional well established universal model of care in the community. We will provide, the accommodation and basic care facilities. Careline will also provide assessment of needs by a qualified OT, Behaviour Analyst and Physio Therapist in the initial part of a service user’s placement in a Careline Unit. A basic Programme of stimulating and meaningful activities will be developed and implemented.
Any intensive and medium to long term needs relating to OT, BT and PT will be identified at the outset by the Careline Therapy in the first CPA.
Any intensive, bespoke or prolonged elements of care and treatment, including an MDT input (e.g. psychiatry, psychology, SALT etc.) will be highlighted so that they can be identified and sourced from LA or NHS resources.
Model 2 - Bespoke Care
This model of care will be suitable for those service users who have highly specialised care and continued treatment needs but where the LA or the Community Mental Health Team is unable to provide the requisite MDT input for support and treatment. For example this could include ongoing psychological therapies for not being discharged from a hospital setting due to the lack of availability of appropriate treatment and risk management strategies in the community. For such cases, the Careline Team will endeavour to create a highly specific/person-centred, risk and needs based management strategy to minimise the risk whilst putting the service user on a care pathway that optimises their capabilities. We will identify and source bona fide and well-established clinicians to put together the Best-Fit Risk Management and treatment plan. This will ensure that the service user’s pathway to the least restrictive placement option in the community is not hamstrung by lack of appropriate care and treatment.
Model 3 – Partnership Care
This model is a flexible and adaptable model where Careline will work in true partnership with the local NHS and Local Authority services to optimise care provision to the service user; this care model will see Careline Lifestyle and partner agencies pooling and dove-tailing their resources to create a complete care package for the service user.
An evidence based transparent approach
Careline Lifestyles prides itself in being transparent and evidence-based in its care provision.
Within the rehabilitation and care plan, there will be a clear evidence based journey plan. MDT Treatment Plan will be put together will be identified and outcomes against this treatment will be measured and recorded in order to measure the effectiveness of the treatment; this will ensure that the very best care package is being administered in order to optimise our service user’s abilities to facilitate their progress towards increased autonomy and their identified least restrictive placement.
So what we are able to offer is a transparency of care costs. We will demonstrate the actual individual unit costs rather than give a package, there will be no hidden costs or charges.