East Midland Reablement Evaluation Tool (EMRET)

East Midland Reablement Evaluation Tool (EMRET)

The East Midland Reablement Evaluation Tool EMRET was produced to provide a baseline for the evaluation of reablement services across the region.

It was produced following recommendations made at a meeting organised through the East Midland Region - Care Services Efficiency Delivery programme.

PREFACE:

A number of authorities have expressed an interest in looking at the development of a composite set of measures which would assist in the evaluation of outcomes in ensuring the delivery of an effective reablement service.

It is clear that there are already in existence a number of such measures which are utilised by local authorities in the assessment of individuals who are referred for a reablement service. Having a common framework or set of measures for the assessment of a person’s abilities and then an evaluation of their impact is important. Equally it would be helpful then to have a tool that is helpful in monitoring the impact and effect of a reablement service on achieving peoples’ outcomes.

Participants at an East Midland CSED workshop in September 2009, agreed to try develop a consensus on what would be the core requirements of an assessment tool. The intention would be to apply measures alongside the core requirements in a pre and post assessment of reablement, and then to use this information to evaluate the impact and effectiveness of an authority’s reablement service. Using an Activity for Daily Livings (ADL) profile and having available a common tool across the nine local authorities would then be particularly helpful in comparing, like for like in the assessment of the impact of Reablement

In addition I have also included a further assessment tool used as a Supplementary Activity for Daily Living, which could be used should there be identified the need to consider additional areas and to inform the development of a Resource Allocation Score RAS, or involve other professionals in the early stages of an assessment.

I hope this helps and provides at least a starting point for further discussion.

Colin Pitman,

Workstream Manager

Lincolnshire County Council - Adult Social Care.

East Midlands Reablement Evaluation Tool
(EMRET)
Personal Activities for Daily Living:
In completing this assessment we will want to include your views as much as possible in how we assess your personal situation at home and in what we can do to help you achieve tasks you feel are important.
We will look at some particular areas of your daily living to help us identify what it is we need to help you with and what might be needed to enable you to remain safe and at home.
This form will also be used to assess how well our help has been and in identifying what services you might require in the future.
PADL Scale Key
1 – Able to do on own without help
2 – Able to do on own with difficulty or discomfort
3 – Able but only with significant difficulty or help
4 – Unable to do at all
Personal Care / Assessment Description & Score / Reassessment
Description & Score
Washing face and hands, clean teeth/dentures (shaving if relevant) / Please select0123
/ Please select0123
What are the difficulties:
What might help
Bath, shower or wash all over / Please select0123 / Please select0123
What are the difficulties:
What might help
Getting dressed and undressed / Please select0123 / Please select0123
What are the difficulties:
What might help
Using WC/ Toilet / Please select0123 / Please select0123
What are the difficulties:
What might help
Eating and Drinking
Able to prepare a drink/meal/snack / Please select0123 / Please select0123
What are the difficulties:
What might help
Routine Daily Living Needs
Assessed only if needed to remain independent:
Laundry / Please select0123 / Please select0123
What are the difficulties:
What might help
Cleaning / Please select0123 / Please select0123
What are the difficulties:
What might help
Shopping / Please select0123 / Please select0123
What are the difficulties:
What might help
Managing finances / Please select0123 / Please select0123
What are the difficulties:
What might help
Getting around indoors
Getting on and off chairs / Please select0123 / Please select0123
What are the difficulties:
What might help
Getting in and out of bed / Please select0123 / Please select0123
What are the difficulties:
What might help
Getting up and down stairs / Please select0123 / Please select0123
Getting around outdoors/socialising
Please select0123 / Please select0123
What are the difficulties:
What might help
ADL TOTAL
Supplementary Daily Living Scales:
1- This does not affect you on a day to day basis
3 - Some involvement or assistance by others would be helpful in you being independent and preventing the need for us to be involved.
5 – There is agreement that we need to ask for someone else to assess your situation
Based on this assessment we may ask for someone else to be involved to help you
HEALTH
1 – in good health
3 - some health problems that require some monitoring and support
5 – need for significant help and involvement
Write your assessment here
MEDICATION
1 – does not take any prescribed medication
3 – need for someone to help you take your medication
5 – need for someone to administer medication
Write your assessment here
MEMORY – Please record any issues or concerns regarding cognitive impairment or mental capacity
1 – No problems
3 – short and long term memory loss
5 – memory loss which puts your safety at risk
Write your assessment here
FALLS
1 – None
3 – Occasional trips
5 – more than 4 in the last 12 months
Write your assessment here
WELLBEING
Assessment
1 – positive outlook every day
3 – variable, good days and bad days
5 – problems that need someone to help you cope
Write your assessment here
SOCIAL CONTACTS
Assessment
1 – lots of contacts with family, friends, neighbours and community
3 – would like more contact
5 – lonely and feels isolated
Write your assessment here