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The CIT: Community Innovations Team

The CIT: Community Innovations Team. CIT – An Integrated team. CIT & HCC ASD’s “Hampshire Model” 3 Core Themes to The Model: Self Directed Support (mainly long-term) Crisis care & re-ablement (acute) Prevention & Early Intervention – “PEI”

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The CIT: Community Innovations Team

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  1. The CIT: Community Innovations Team

  2. CIT – An Integrated team

  3. CIT & HCC ASD’s “Hampshire Model” 3 Core Themes to The Model: Self Directed Support (mainly long-term) Crisis care & re-ablement (acute) Prevention & Early Intervention – “PEI” (maintaining well-being, preventing deterioration) CIT is located in PEI, which is located within “Wellbeing & Partnerships” within HCC Adult Social Services (ASD).

  4. CIT & The Universal Offer: Access to quality information & advice Access to everyday life Active citizenship That ‘little bit of help’ to manage own health & wellbeing

  5. A single network of support - with an early intervention and prevention pathway - for people who require support but who are not in the care system. There are a wide range of services currently in existence without which the only option for many older people would be care services Wellbeing & Partnerships - Vision

  6. Eligibility Older people in the Community over the age of 55 years Struggling to maintain their independence, or Require some support to lead a fulfilling lifestyle Who are not in crisis Not in receipt of statutory support (not FACs eligible)

  7. Who Do CIT Work With? Increasing independence No need Low need Moderate need Substantial need Critical need CIT involvement

  8. What We Do Improve Health and Wellbeing Increase Independence Reduce Risk Early Intervention and Prevention

  9. Multi – Disciplinary Team CSW Link Nurse CDW SW OT

  10. Occupational Therapist Wellbeing Assessment Create support plans with client Equipment and Adaptations Anxiety Management Memory Work Meaningful Activity Signposting Links with Adult Services and Health

  11. Social Worker Wellbeing Assessment Create support plans with client Housing & Benefits Grief Work Social Interaction Carers Signposting Care needs; links with Adult Services

  12. Community Support Worker Hands On Turn support plan in to reality Establish rapport with the client Build Confidence Graded support to attend social activities

  13. Community Action Fareham Gosport Voluntary Action Support for voluntary and community groups Provision of services: Dial-a-Ride; Shopmobility; Home-Helps; Gardening; Befriending; Car Schemes Council of Voluntary Service (CVS)

  14. CIT and OT Direct Don’t Quite Meet Eligibility Criteria Unable to Fast Track ‘Just Not Sure’ Referrals Memory Difficulties or Anxiety Socially Isolated and Lonely Limited Meaningful Activity Employment and Volunteering

  15. Case Study OPMH referral Lives alone 69 years old Lonely Low mood Re-housing Mobility difficulties Bathing Sensory needs Adoption services

  16. Key Findings Socially isolated. Low in mood. Concerns re housing • Couldn’t manage shower or bed transfer • Mobility difficulties. • Information required on POA. • High risk sensory needs. • Emotional support due to adoption. • High risk of falls.

  17. Support Plan - CSW Shower board and bed lever Pendant alarm/Telecare Low mood management/liaison with OPMH. Medication management. Meaningful activity – books and banter, art classes Contacted In Touch – Home Improvement Agency Sensory referral Adoption services- accessing records Finance advise- POA. Falls assessment. Environmental health support. First Wessex referral- ongoing support

  18. Covers all local authority areas All GP practices within the council boundaries Referral from any source, self-referral, voluntary, relative and via Hants Direct Client permission & agreement essential Fareham and Gosport CIT

  19. Average age referral 75 Referral source ,self/adult services and partners in health Average support plan provided four or more services ranging from :- OT Support, Domestic and support services, Voluntary services through driving, support with groups and clubs/social interaction, exercise groups Referral to statutory services/GP/mental health services Fareham and Gosport CIT

  20. Simon.Crouch@hants.gov.uk PEI Manager – South & East Tel: 07590 774265 / 01962 832174 CIT Fareham: Tel: 01329 514116 Based at Fareham Reach on A32 (Fareham Adult Services Office) Jenny.Wilford@hants.gov.uk: Team Leader Social Worker (F&G) Cathy.Guernier@hants.gov.uk : Occupational Therapist Katie.Clements@hants.gov.uk : Community Support Worker CIT Gosport: 02392 432001 Based at Gosport Adult Services Office, Stokes Rd, Gosport Jenny.Wilford@hants.gov.uk: Team Leader Social Worker (F&G) Sophie.Litchfield@hants.gov.uk: Social Worker Lindsey.Hay@hants.gov.uk: Community Support Worker Alice.Fenlon@hants.gov.uk: Occupational Therapist Further Information & Contacts

  21. Any Questions

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