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Social Care Occupational Therapy, Reablement and Homecare

The effectiveness of Occupational Therapy interventions in Reablement and Home Care Services as a preventative measure, to reduce or delay the need for social care.

What we are doing?

The aim is to lead a change in approach to independent provider Home Care delivery that maximises the customers independence and increases Home Care capacity.


  1. To Identify specific Occupational Therapy interventions and critically evaluate their impact on an individual’s progress during and after a period of Reablement to determine the preventative value.
  2. To explore the enabling skills Home Carer`s have, identifying whether they have been taught formally and who by, critically analysing the effectiveness in practice, and identifying the relationship with skills used by Reablement Support Workers and Health and Social Care Occupational Therapists.
  3. To identify and critically evaluate the service users experience, views, attitudes, and beliefs towards the occupational therapy interventions experienced during a period of Reablement Service.

Why we are doing it?

  • Reablement is a short-term cost-effective service, successful at achieving independence outcomes for people through the use focused goals for activities of daily living. 
  • Occupational therapy adds value to Reablement Services, although the optimum point for interventions is not clear. 
  • Some people require long term care and support, the occupational therapy interventions that align to Reablement, are generally not provided. 
  • Independent home care providers can create dependency through a deficit model of “caring for” the person. 
  • A better approach would be to coach the independent provider home carer, using a strength-based approach to embrace the Reablement Ethos.

What the benefits will be and to whom?

People in Nottinghamshire, who have funded care and support, will have the opportunity to work on meaningful goals that aim to increase their independence.

Independent provider Home carers, delivering care and support that has a reablement ethos will recognise that doing activities alongside or with, rather than for, is empowering for the person, and improves their wellbeing.

Home carers that are coached in a strengths-based approach to their work will have greater job satisfaction and job retention. They will be proactive about requesting occupational therapy review and promote independence as a desired outcome for people.

Who we are working with?

  • Occupational therapists working in social care
  • Home care staff in the independent sector and local authority direct care services
  • People who have had a reablement service and gone on to have home care provided by the independent sector. 


Cate Bennett Principal Occupational Therapist, Nottinghamshire County Council,

Photo by Claudia van Zyl on Unsplash