Community Health Care : Our Approach
We have developed a clinical framework for adults with complex needs, mirroring the rehabilitation typically provided in a hospital setting, but uniquely, we offer this within a home environment. This framework demonstrates our commitment to delivering a community health care service at an exceptional level, ensuring individuals receive quality clinical input in the comfort of their own homes.
The focus of our approach is to provide the least restrictive package of support possible. Our hope is that as each individual makes progress and settles into the community we may see a reduction in staffing hours, and therefore the cost of the package, over time.
Our approach to care exceeds the expectations of national guidance such as Building the Right Support and the White Paper ‘People at the Heart of Care, Adult Social Care Reform’ (December 2021).
Our results show that within two years of receiving support from Gray Healthcare, a third of the individuals in our care will either continue to be supported by us but on a reduced package of care, be well enough to live independently or with some element of support from their local community team. However, because some of the individuals we support have particularly complex needs, they may consistently require high levels of support throughout their lives.
Community Health Care : Our Clinical Framework
Our Multi-Disciplinary Team (MDT) provide support and clinical intervention underpinned by our clinical framework to adults with complex needs within their own homes.
All the people we support are engaged by our clinical team in accordance with their assessed level of need.
The majority of those we support have a minimum of five hours clinical engagement per week. Others may receive more, dependent upon their specific needs.
Everyone, irrespective of their role, receives training in Positive Behaviour Support, Trauma-informed Care and PROACT-SCIPr-UK ®.
There are five key drivers to our clinical framework. Click on each section of the model to find out more.
Meet our National Multi-Disciplinary Team (MDT)
Our Clinical Outcomes
Our Multi-Disciplinary Team uses a suite of outcome measures underpinned by a robust evidence base to monitor and evaluate the therapeutic interventions and to evidence the progress made by the people we support. These outcome measures focus on meeting health and wellbeing needs, building new skills and quality of life. We work collaboratively to empower the people we support and evidence a reduction in support needs, increased independence with daily living skills and meaningful engagement with their local communities.
Our annual outcomes report highlights and evidences areas where the people we support have achieved success with their goals. Many of the people we support have experienced ‘placement breakdown’ historically but have now achieved success in maintaining their life in their own homes. These results not only reflect the effectiveness of our community health care services but also underscore our success in positively transforming lives through clinically informed care in the community.
‘Families told us they saw positive changes in their family members since discharge from long-term care, for example, being involved in activities again, showing a sense of humour, reading, going out and spending time with siblings and relatives.’
(Care Quality Commission)