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The Independent Home-Based Care Reablement Study

Understanding Home Carers' views of Reablement, and critically evaluating the feasibility and acceptability of delivering a strength-based, Reablement competency training to them.

What we are doing?

The aim is to lead a change in approach to independent provider Home-based Care delivery that maximises people’s independence and increases Home Care capacity.


  • To define Reablement, its nature and characteristics.
  • To examine the effectiveness of occupational therapy interventions that are provided during Reablement, by completing a Systematic Review of Randomised Control Trials.
  • To explore Health and Social Care workers` views and experience of Reablement, by completing a Qualitative Systematic Review.
  • To describe ACT -Adult Care "Reablement Competency" Training, provided by Occupational Therapists and to analyse the feasibility of delivering it to Home Carers.
  • To explore Home Carers' Reablement knowledge and skills, and to identify and critically evaluate Home Carers' experience of delivering the ACT Reablement intervention.

Why we are doing it?

  • Reablement is a short-term, goal focused service that promotes independence, occupational therapy adds value to Reablement Services.
  • Some people require long term care and support from the independent home-based care sector, it is unclear whether the occupational therapy interventions that align to Reablement are provided at an optimum point to maximise people’s independence.
  • It is unclear what model Independent home-based carers use, could using a deficit model of “doing for” the person be creating dependency on carers?
  • We want Home Carers to be proactive about requesting occupational therapy progress review, and to promote independence as a desired outcome for the people they work with.

What the benefits will be and to whom?

People in Nottinghamshire who have Home Carer support provided in their homes, will have the opportunity to work on meaningful goals that aim to increase their independence.

Home Carers, delivering care will recognise that doing activities "with" rather than "for" is empowering for the person, and improves wellbeing.

Home carers are coached to use a strengths-based approach to their work with people and this will empower them, and as they see people gain more independence and control over their lives, they will experience job satisfaction.

Who we are working with?

  • Occupational therapists working in social care
  • Home care staff in the independent sector and Local Authority direct care services


Cate Bennett Principal Occupational Therapist, Nottinghamshire County Council, or