Access for elderly people from home care to 24-hour care

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The goal of the assessment
The main question of the assessment was whether older people who are clients of home care could access 24-hour care in accordance with their needs and in a timely manner. The assessment examined whether the new service needs assessment of a home care client is started on time if the client's situation changes. It was additionally assessed whether the analysis, assessment and placement process of 24-hour care is functional and whether clients are provided with a place in 24-hour care within the target time of three months from being placed in the queue.
Conclusions
Based on the assessment findings, older people who are clients of home care can usually access 24-hour care in accordance with their needs and in a timely manner. Access to 24-hour care depends first and foremost on the assessment carried out by the home care unit of whether the criteria for 24-hour care are met. However, the ability of home care staff to identify risks affecting a client’s coping at home varies. The analysis, assessment and placement process of 24-hour care is effective for the most part, but the application process with all of its stages may take a long time, and feedback on the functioning of the process is not collected from clients or their loved ones. In 2024, almost all clients who were provided with a place in 24-hour care were provided with a place within the target time of three months.
hospital, rehabilitation and care services of the Social Services, Health Care and Rescue Services Division must
- develop the skills of home care staff in identifying and assessing risk factors affecting the wellbeing and health of elderly people.
- comprehensively monitor the time taken to complete the different phases of the application process for 24-hour service housing and, on the basis of this monitoring, develop the process so that the client’s access to the service that they need is not delayed.
- collect feedback from clients and relatives on the functioning of the application process for 24-hour service housing and develop the application process based on the feedback received.
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