All partners in the region have continued to move towards a consistent model of care for older people based on the principles of wellbeing and prevention encapsulated in the SSWB Act and informed locally by a range of plans and strategies including Ageing Well plans, the Health Board’s Integrated Medium Term Plan, Carmarthenshire County Council’s ‘Vision for Sustainable Social Services for Older People 2015-25 and the regional Statement of Intent for the Integration of Services for Older People with Complex Needs in West Wales (2014).
Delivery across the region is based around the three levels of service, which includes three ‘offers’ to individuals depending on their needs:
Offer 1: Help to Help Yourself
Provision of services to build resilience and independence of older individuals, helping people to help themselves and prevent the need for ongoing care.
Offer 2: Help When You Need It
Provide care and support to people so they can regain their previous level of independence after an illness or injury. Includes reablement and rehabilitation at home.
Offer 3: Ongoing Support
Includes services for people who require longer term care or support. Usually delivered through integrated assessment, providing multi-disciplinary professional support. Care support plans are based on the question ‘What matters to you?’ with outcome plans delivered accordingly.
Technology Enabled Care
Currently various technology enabled care programmes are being utilised across West Wales. These vary from using telehealth to monitor and support people with chronic conditions such as COPD and heart failure, to using telecare to monitor and prevent falls. Various technology enabled care programmes can help people to manage their conditions, increase confidence, and help people to live independently in their own homes for longer.
Information, Advice and Assistance
A wide range of information and advice is available, to help people to achieve their outcomes by directing them to support available in the community.
There is a wide range of third sector services available, which promote independence, social engagement and inclusion.
Domiciliary Care and Support
There is rapid access to domiciliary care to provide care and support when it is needed, or on a longer-term basis.
Residential and Nursing Care
There are several residential and nursing care options available across the region, from extra care to EMI nursing. A significant proportion of older people living in the residential care setting in West Wales currently fund their own placement but may need financial support at a later date.