Intermediate Care Service
Introduction to the Team
Enhanced ICS
The Enhanced Intermediate Care Service (EICS) is the multi-disciplinary side of the ICS. The team consists of Social Workers, Occupational Therapists, Physiotherapists, Nurses and Support Co-ordinators.
When a referral is received the team will triage to determine that it is appropriate, before meeting the person to agree Reablement outcomes and goals.
The team will provide any therapeutic support to the person throughout the period of reablement. The OT will also arrange any pieces of equipment to enhance the effectiveness of the reablement service.
The Reablement Plan is reviewed and adjusted accordingly on a weekly basis (or more often if appropriate).
Where longer term needs are identified a Social Worker or Support Co-ordinator will undertake all relevant care and support processes under the Care Act to ensure an appropriate longer term service is in place before reablement ends.
Note: This is with the exception of referrals made by social work teams, who maintain responsibility for assessing and arranging post-reablement services.
ICS
The second aspect of the team, the Intermediate Care Service (ICS) provides the Reablement Service itself.
CQC registered, the service is delivered by a team of support workers and senior support workers who provide day-to-day visits to the individuals they are supporting. The service operates 7 day a week, 365 days a year between the hours of 8am and 10pm.
Where relevant, the team is supported by the Enhanced Intermediate Care Service (EICS), who can provide therapy alongside the reablement.
Remit of these procedures
The procedures in this section are relevant to Social Workers, Support Co-ordinators and Occupational Therapists in the EICS and ICS.
The Reablement Service
All procedures, processes and supporting documentation for the Registered Service element of the ICS can be found on the intranet.
Practitioners employed by the Berkshire Healthcare NHS Foundation Trust
Practitioners employed by the BHFT should refer to available procedures provided by the Trust.
Carers
The procedures in this section are specific to adults who have (or may have) needs for care and support. If a Social Worker or Support Co-ordinator plans to carry out a Carers assessment as part of the ICS they should refer to the dedicated procedures: Carers.
Establishing Needs
- Introduction, Purpose and Tools
- Preparing to Establish Needs
- The Skilled Conversation
- Agreeing Needs, Making a Formal Record and Next Steps
After ICS (Understanding and Applying Care Act Eligibility Criteria)
Ordinary Residence and Financial Assessment
Reablement
After ICS (Care and Support Planning)
- Setting an Indicative Budget
- Care and Support Planning
- Signing Off a Care and Support Plan and Agreeing a Final Personal Budget
- Arranging Support and Services
Equipment
Reablement and Equipment
- Monitoring Reablement
- Reablement Monitoring Actions
- Monitoring and Review (Occupational Therapy)
- The Reablement Review
- Deciding the Outcome of a Reablement Review and Making a Formal Record
- Actions Following a Reablement Review
