Grace was introduced to Cavendish Homecare by a case management team who were looking for a live-in care team. She had suffered a brain injury which was the result of a road traffic accident and had a period of rehabilitation in various institutions before being discharged to her home in Westminster.
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Our Client’s Story…
Grace could mobilise indoors, walk short distances, and navigate independently. However, when travelling long distances, she would opt for a taxi or the electric wheelchair to avoid fatigue. While she could operate the electric wheelchair independently, supervision was required for safe manoeuvring.
Additionally, Grace experienced cognitive limitations requiring structured conversations and simplified resources to comprehend complex information. She could prepare basic, familiar meals with guidance and manage showering with minimal assistance. However, she experienced behavioural challenges including frustrations regarding finances or family situations. At times, this led to refusals to participate in therapy activities.
Cavendish Homecare put together a team that was able to understand the Grace’s needs, to judge when to offer encouragement and when to step back in when she would lean towards making potentially unwise decisions.
The Cavendish Approach…
To ensure Grace’s safety and wellbeing, a team of two live-in carers was implemented. This provided consistent support, preventing burnout, and always ensuring cover. The carers meticulously managed medication adherence and collected monthly medication supplies from the local pharmacy. The carers also monitored the Grace’s overall health and made any relevant referrals to the GP and her case manager. The team encouraged her to reduce alcohol intake to reduce risks to the her health. Additionally, they took an active role in managing appointments, vital signs, household expenses, cleaning, ironing, and light housework.
Beyond daily tasks, the carers played a crucial role in promoting Grace’s independence. They supervised safe ambulation with the walker, assisted with meal preparation (offering help with challenging tasks like cutting meat), and ensured all nutritional needs were met. They also encouraged healthy living by accompanying her on walks and promoting social engagement through outings to shops and church.
Effective communication was central to this successful care plan. The carers maintained regular communication with other medical teams, keeping the Clinical Manager informed of any updates from the multidisciplinary team (MDT).
The Outcome…
Cavendish Homecare successfully addressed Grace’s needs following a brain injury. The implemented team of live-in carers provided comprehensive support, ensuring medication adherence, health monitoring, and assistance with daily living activities autonomy resulted in a positive outcome.
Disclaimer: For privacy and confidentiality reasons, the names and locations in this case study have been changed. The events and outcomes described are based on real situations, but identifying details have been altered.