Area Locality Referral Management Service (ARMS)

Starter Pack for Assessment Officers

Date: 10.03.2017

Version: 1.6

Version	Date	Revision
1.0	11.03.13	Kim Fernandes / Anita Harris
1.1	12.03.13	Anita Harris
1.2	2.4.13	Anita Harris
1.3	3.4.13	Kim Fernandes
1.4	13.05.14	Kim Fernandes
1.5	5.11.14	Anita Harris
1.6	10.03.17	Kerry Given

Contents	Page
General Information
Signature Pickers	3-4
Sending a referral to TBOT	5-6
TBOT Tick List	7-8
Trouble Shooting Ideas	9
Fast Track and Bathing Tips	10
Post Operative Guidance Dementia/Sensory	11-12
Fast track
ARMS CTS 57	14
Equipment & Adaptations Provided by TBOT	15
Height Adjustments for Equipment	16
External Rails Assessment Guidance	17
bathing
Exploring the correct Bathing Route	19
Bathing Assessments - tenures	20
Technician/Clinic Service – Useful Information	21
Clinic Information	22-23
Bathroom Diagram	24
Location Map – Ashford	25
Location Map – Canterbury – Longfield Court	26
Location Map –Canterbury –King Edward Court	27
Location Map –Shepway	28
Location Map - Dover	29
Location Map – Thanet Gateway	30
Location Map – Thanet – Westbrook House	31
Location Map - Maidstone	32
Location map - Swale	33
Location Map – Tunbridge Wells	34
Location Map - DGS	35
Fast Track Adaptations	36-37
Fast Track Equipment	38-39
Examples of Bathing Equipment	40-51

ARMS signature picker

(to be sent with every email to fast.track@kent.gov.uk)

The following picker should be captured and sent via email with the BICA to fast.track@kent.gov.uk. If a bathing/housing needs assessment is requested remember to put BATHING at the beginning of the subject heading of the email.

SIGNATURE PICKER

Dear TBOT

*Please see attached BICA for Fast Track provision only

*Please see attached BICA for Fast Track provision and need for further assessment by ACT/KEAH (delete as appropriate)

*Please see attached BICA for Clinic/Tech Bathing Assessment only

*Please see attached BICA for Clinic/ Tech Bathing Assessment and Fast Track provision (delete as appropriate)

(*You will only need one of these so delete the other 3 unless there is an enablement package)

PLEASE NOTE :

For any LA/HA/PR adaptations please ensure that the contact name and address is also documented.

Who the technician needs to contact should be recorded under Next Steps Information and Advice within the BICA. If this is left blank TBOTwill assume it is in order for the technician or LA/HA to contact the SU direct.

………………………………………………………………………………………

If you are sending a BICA that includes a request for a fast track adaptation please include the description of the adaptation in the next steps of the BICA under Equipment/Adaptation.

If there is a request for an adaptation (rail, raiser etc) then a CTS57 will be needed. TBOT will complete the CTS57 on behalf of the assessor but will need to be provided with the following details:

Adaptation requested

Position where adaptation is required

Wall type (for rails only)

Number of steps, any turns/landings for banister rails

Type of chair / sofa / bed / stairs (see adaptations list)

Floor Type

For example, here are a few examples of what needs to be recorded on the BICA

Banister rail requested to staircase, right hand side ascending. This is a straight flight of 13 stairs. Wall described by Service User as solid. Or

Chair raisers requested to armchair with 4 Queen Anne style legs. Or

Grab rail requested at front door. There is one step. Rail requested right hand side as looking at front door from outside. Wall is described by Service User as brick.

(Caution: Any requests for grab rails in the bathing areas, for example by bath or shower cannot be requested via Fast Track, a bathing assessment is required. No promises or expectations should be given to the SU as the most moderate solution will be provided to meet the need.)

The information you type is copied and pasted onto a CTS57 that TBOT will complete on your behalf and send to the County Technician Service inbox. Please therefore ensure that your description is spell checked and grammar checked and includes all information a technician will need at first point of receiving. This is the same if we are sending a request to a Housing Association or a Local Authority. Please give a precise description and avoid abbreviations etc.

SENDING A REFERRAL TO THE TECHNICAL & BUSINESS OPERATIONS TEAM (TBOT)

A BICA would be sent to fast.track@kent.gov.uk for the following:

FAST TRACK

Provision of equipment/adaptation that is on the list of items that can be provided via “fast track” (see separate list)

As above with further assessment needed by ACT/KEAH/Sensory etc

BATHING

Bathing Assessment only (at a clinic or by a technician) or

Bathing Assessment with provision of Fast Track equipment/adaptation

HOUSING NEEDS

Housing Assessment only or

Housing Assessment with provision of Fast Track equipment/adaptation

FAST TRACK/ BATHING/HOUSING NEEDS ONLY (send to TBOT only)

The referral should be opened up to TBOT (ID 26981) on the referral tab and should be key team.

ACT (CARE MANAGEMENT)AND BATHING (send to TBOT and ACT)

The referral should be opened up to ACT team on the referral tab and should be key team.

ACT AND FAST TRACK – (send to TBOT and ACT)

The referral should be opened up to the ACT team on the referral tab and should be key team. TBOT should be c.c. into the email.

Other examples

A client wanting a bathing assessment and a bed assessment will go to ACT only (who will carry out the bathing assessment)

For Fast Track referrals, send completed BICA to fast.track@kent.gov.uk with signature picker (as above), deleting as appropriate.

In the subject heading should be the initials of the Service User, their ID, their town and first part of post code – e.g. - A H – 1234567 – Ashford TN23

For Clinic referrals, send completed BICA to fast.track@kent.gov.uk – as above but subject heading should be preceded with the word BATHING.

If there is a request for an adaptation (rail, raiser etc) then a CTS57 will be needed. TBOT will complete the CTS57 on behalf of the assessor but will need to be provided with the following details:

Adaptation requested

Position where adaptation is required

Wall type (for rails only)

Number of steps, any turns/landings for banister rails

Type of chair / sofa / bed / stairs (see adaptations list)

Floor Type

For example, here are a few examples of what needs to be recorded on the email

Banister rail requested to staircase, right hand side ascending. This is a straight flight of 13 stairs. Wall described by Service User as solid.

Chair raisers requested to armchair with 4 Queen Anne style legs.

Grab rail requested at front door. There is one step. Rail requested right hand side as looking at front door from outside. Wall is described by Service User as brick.

The more concise information you give the better as it enables the technician to carry the correct adaptations in the van and helps them allocate the correct amount of time for the job.

Referrals to TBOT for Bathing/Fast Track.

CHECKLIST

QUESTIONNAIRE – Mandatory – please ensure you document the following	TICK
1. When establishing the Tenure of the property, it is important to also gain information on the age of the property and if the referrer is aware of any asbestos within the property. (It is KCC’s policy that our employees do not carry out any works on asbestos containing materials,)
2. If a rail/s is/are requested and the tenure of the property is not privately owned, document full contact details of the LA/HA or landlord in the Next Steps.
3. If the SU struggles with a task/transfer, document any solution offered and the outcome even if they decline.
4.. Before sending BICA, check mandatory fields are pulling through on output
5. If adaptation request for CTS, document furniture type, position, wall etc on email.
6.. Save BICA and send to with appropriate sig picker.
7. End your own involvement as “Case Responsibility transferred…”
FAST TRACK EQUIPMENT/ADAPTATION(S) (with or without further assessment*)
Complete Next Steps within Questionnaire including:-
a) if requesting equipment/adaptation(s) select Yes then copy & paste the equipment/adaptation(s) into Text Answer box
b)– if further assessment requested select Yes then complete Text Answer box i.e. “BICA to be sent to (ACT) for Further Assessment”
BATHING ASSESSMENT (clinic and technician)
Complete Assessment Details within Questionnaire including the mandatory questions set out above AND :-
1. If the property is not privately owned, document full contact details of the LA/HA or landlord in the Next Steps.
2. Document the Service Users height and weight (weight limit for Clinic Assessment is 22 stone)
3. Ask & document how the SU currently accesses the community such as medical appointments.
4. If Service User is having a bathing ass. at their Home Address by a technician document who the technician will need to contact to arrange appt and advise that the technicians have 4 – 6 weeks to carry out the assessment
5. Ask & document how the SU currently accesses the community such as medical appointments.
Housing Assessment (clinic)
Complete Assessment Details within Questionnaire including the mandatory questions set out above AND :-
1. If the property is not privately owned, document full contact details of the LA/HA in the Next Steps.
2. If the property is privately rented and Housing Needs Assessment only is required there is no requirement to obtain and/or document the landlords detail as this may jeopardise the client’s tenancy.
2. Document the Service Users height and weight (weight limit for Clinic Assessment is 22 stone)
3.. Ask & document how the SU currently accesses the community such as medical appointments.

Trouble Shooting ideas

When creating a BICA you may find the below helpful in making sure that there are no gaps left on the BICA output when sending out to other teams. We have put together a few guides below on the most common:

Accommodation / tenure not pulling through

If the accommodation is not pulling through it may be due to the following:

If the address is not down as Home (See address not pulling through below

Home address is end dated

If the accommodation has been added after the contact date. The accommodation needs to be added with a date the same as the contact or older than the contact date.

If the wrong address has been selected and linked to the accommodation e.g. the billing address it will not show. If this is the case end date the accommodation and re add but select the second address from the drop down (both address will be the same if this occurs but the second one is the home address)

GP not pulling through

Check in involvements that the role has been selected as general practitioner

Where to put NOK details if not given full details

Please add as a case note as a partial NOK with the details given (NOTE a relationship should only be created if you have 3 details for that person e.g. name, address, DOB)

Where to put GP details if it can’t be added

Please add as a case note as a partial NOK with the GP noted as the Head Line and add the details in the Note Box

Client Category

Please make sure that there is a current client category open for the client. If not, this can be added according to the relative category for that client. This can be found under person details, Summary.

Address not pulling through

The address should always be Home and does not have an end date.

Phone number not pulling through

Please check that the phone number is under either Home or Mobile. ANYTHING ELSE will not pull through. If there are other phone numbers that are old please end date these but with a day before the new phone number was added

Two ethnicities pulling through

Please advise the Business Unit what the correct one is as this needs correcting on SWIFT

Make sure your involvement is closed

Please make sure that your involvement has been ended before sending a BICA.

Fast Track and Bathing Tips

Please put BATHING at the beginning of the subject header of any BICA’s that have a Bathing/Housing Needs element

Fixing of toilet frames: There should be a clinical reason why a client wants their frame fixed i.e one sided weakness. If they push up from a chair or bed evenly then this is how a free standing frame would be used. If they require fixing and the property is HA/LA/PR then it is important that you document that you have advised them NOT to use the frame until it has been fixed.

LA/HA properties where adaptations are required: Please ask if the tenancy is in the clients name, if not annotate on the BICA whose name is on the tenancy and the relationship

Replacing broken equipment: Caller should be given the telephone number to ring NRS in the first instance. If it is established that the equipment was not originally provided by NRS or a period of two years has elapsed, a new assessment will be needed.

Replacing broken/rusty adaptations in LA/HA property: If this is the only assessed need then the caller should direct their request to the LA/HA

Privately Rented: if an email address of the landlord/agency is know please annotate on the BICA under the Next Steps, as this will enable us to gain permission much quicker.

Collection of Equipment: If a client calls requesting collection of any equipment please give them the telephone number of NRS to arrange a convenient date. If they advise that they are having difficulty getting through email the Fast Track inbox with the details of the equipment to be collected and the client and we will email the store to arrange.

Post Operative Guidance

Service Users calling for a bathing assessment post operation need to be fit for the assessment and requiring it for a long term need.

Social Services provide aids and adaptations for long term and substantial disabilities. Therefore if the SU has had an operation and is likely to gain full function after a reasonable period of rehabilitation they would not have these aids from us.

If they have other conditions e.g. arthritis elsewhere that restricts their function we will of course assess and provide aids as necessary as long as they are recovered enough from the recent op to assess and gauge their long term requirements.

They firstly need to have a fully healed wound.

They need to be in a fit state to actually bathe.

Total Hip Replacements: The SU should have finished their precautionary time – 6-8 weeks post op precautions include not flexing the hip past 90degrees. Consultants advise that someone should not get into a bath for approx 3 months after the THR. With a Total Knee Replacement they should be waiting at least 2-3 months to allow increased mobility and flexion of the knee.

If a Care package has not been put in place upon discharge, check with the SU the advice given by the hospital

Explore other routes for the SU such as Enablement, Impact team.

Dementia

The diagnosis of dementia is so broad that you will need to ‘dig deep’ within the assessment to find out a little more about the diagnosis that has been given to the client. You will need to gage the client’s ability to function, their ability to process information and their behaviour (ie willingness to attempt an assessment) as these may vary day to day.

You will need to find out what stage of dementia the client is at – very early stages may be ok for techs to visit (and possibly even the clinic if very early stages) but if the condition is affecting their functioning they will need to be seen at home in their own environment by the ACT Team. They may need some careful and clever interviewing by someone who understands dementia, and is prepared to spend a reasonable amount of time on that assessment visit to reach the goal of getting the client to co-operate.

If you feel unsure please check with someone in your Locality Team and annotate the outcome of this on the BICA.

Sight Impairment

For clients with severe sight impairment please ensure that they are seen in their own homes. This can be carried out by the technicians. Again please annotate the reason for the home visit on the BICA.

FAST TRACK

ARMS REFERRAL TO COUNTY TECHNICIAN SERVICE REFERRAL FOR FAST TRACK PROVISION (Please complete all applicable fields clearly)

Service User:	Date of Birth:	ID No:
Address:	Postcode:
Tel: The Service User has agreed to be contacted direct on OR: Please contact
Health & Safety concerns:
Property Owned By Service User	Local Authority	Housing Association	Private Rent - Lives with Owner?	Yes (owner will be at property)
No
Letter of Permission Gained by Owner (Business Unit Use Only) Adaptations Requested : The above has been requested by Further Equipment/Services Requested:
Referred by: ARMS / TBOT	Tel: 03000	Referral Date:

Equipment and Adaptations provided by TBOT

Household Equipment	Weight Limits
H87668 Adjustable Height Metal trolley adjusted to Qty :	28 stone
F19893 Perching Stool with arms and back adjusted to Qty:	25 stone
H87679 Perching Stool no arms and back adjusted to inches Qty:	26 stone
L96738 Extra Wide Perching Stool with arms and padded back adjusted to inches Qty:	44 stone
N63667 - Extra Wide Perching Stool with arms and non padded back adjusted to inches Qty:	44 stone
N70854 High Density Foam Cushion Qty:
Toileting Equipment
N68185 2" Raised Toilet Seat Qty:	30 stone
N68197 4" Raised Toilet Seat Qty:	30 stone
N05266 6" Raised Toilet Seat Qty:	30 stone
M66625 Toilet Frame with Integral Seat (Scandia) adjusted to Qty:	30 stone
M00869 Toilet Frame Adjustable Height Adjusted to Qty:	30 stone
M00870 Adjustable Width Toilet Frame Adjustable Height adjusted to Qty:	30 stone
M24308 Fixing Kit for Toilet Frame Qty:	30 stone
Technician requests
CTS57 completed for Half Steps CTS57 completed for Grab Rails
CTS57 completed for Banister Rail
CTS57 completed for Medway Rail
CTS57 completed for Newel Rail
CTS57 completed for Chair Raiser
CTS57 completed for D Rails
CTS57 completed for Galvanised Rails
CTS57 completed for Sofa Raiser
CTS57 completed for Bed Raiser

Height Adjustments for Equipment

If ordering a Raised toilet seat, Scandia, Free standing Toilet Frame, Perching stool or trolley, then in next Steps of the BICA you will need to quote the adjustment required (based on height and weight of service user)

Averages chart for ordering equipment
Height of Service user	Estimated leg length	Suggested size of Raised Toilet Seat	Suggested Height for Scandia Toilet seat / frame combination (Min 19" Max 25")	Suggested Height for armrests of Free Standing toilet frame (Min 25" Max 31")	Suggested height for HARD SEAT	Suggested height for ARMCHAIR or SOFT seating	Suggested height for PERCH STOOL ( Min 19.5" Max 25")	Suggested height for BED to top of mattress	Recommended height for HANDLE OF TROLLEY (Min 31" Max 36")
4' 11"	16"	N/A	N/A	25"	16"	18"	20"	18"	31"
5'	16"	N/A	N/A	25"	16"	18"	20"	18"	31"
5' 1"	17"	2"	19"	26"	17"	18"	21"	18"	32"
5' 2"	17"	2"	19"	26"	17"	19"	21"	19"	32"
5' 3"	18"	4"	19"	28"	18"	19"	22"	19"	33"
5' 4"	18"	4"	19"	28"	18"	20"	22"	20"	33"
5' 5"	19"	4"	19"	28"	19"	21"	23"	21"	34"
5' 6"	19"	4"	19"	28"	19"	21"	23"	21"	34"
5' 7"	20"	4"	20"	29"	20"	22"	24"	22"	35"
5' 8"	20"	4"	20"	29"	20"	22"	24"	22"	35"
5' 9"	20"	4"	20"	29"	20"	22"	24"	22"	35"
5' 10"	21"	6"	21"	30"	21"	23"	25"	23"	36"
5' 11"	21"	6"	21"	30"	21"	23"	25"	23"	36"
6'	21"	6"	21"	30"	21"	23"	25"	23"	36"
6' 1"	22"	6"	22"	31"	22"	24"	25"	24"	36"
6' 2"	23"	6"	23"	31"	23"	25"	25"	25"	36"

External Rail Assessment Guidance for Referrals

To the County Technician Service

The County Technician Service (CTS) will assess the technical requirements for external rails at the entrance/exit, or other external multiple stepped areas, of an owner occupied or privately rented property. Rails could be in the form of simple grab rail/s, ‘D’ rail or a galvanised rail. The CTS would then be able to prescribe the correct and most modest, or more complex solution, and deal with accordingly. The referral may come directly from The Technical and Business Operations Team (TBOT) or from local ACT teams. Please note that galvanised rails are provided for stepped areas only and not slopes or pathways, also only one side is provided for, unless the service user has a condition that impairs the function to one side of the body i.e CVA. Home Improvement Agencies (HIA), InTouch for example, can often provide a service for clients wishing to install extra galvanised hand rails or rails on paths or slopes. A charge for this will be levied privately through the HIA.

When an owner occupied property is to be assessed:

A referral from TBOT to assess an entrance/exit solution would be received in the normal way, as a fast track request to the CTS inbox and allocated to the relevant Technician. If the request to assess is a simple one (grab rail/s or ‘D’ rail) and not involving a galvanised rail, it would be returned as completed, in the usual manner to TBOT.

If a galvanised rail is needed, the Technician would assess for what is required and then either complete the work or forward on to the Senior Technician for completion by the Contractor. When the works are completed, the Technician/Contractor will notify the Senior Technician who would then log the work on the galvanised rail spreadsheet and notify TBOT for closure.

When a privately rented property is to be assessed:

If it can be established that the rail/s are for an entrance/exit with no more than two shallow depth steps (where a grab rail or ‘D’ rail may be used – no more than arms reach), TBOT would seek the relevant permission from the landlord, if not already in place, prior to the Technicians visit. The job would then be completed and closed with TBOT in the normal way.

If there are large steps, glass panelling (where we are unable to fit to), more than two shallow depth steps at an entrance/exit or for other stepped areas (access up garden etc.), then a galvanised rail may need to be considered. TBOT would seek the relevant permission from the landlord, if not already in place, the Technician will then complete his assessment and detail on the request, along with any photos, what works are required.

The Technician would then either complete the work or forward on to the Senior Technician for completion by the Contractor. When the works are completed, the Technician/Contractor will notify the Senior Technician who would then log the work on the galvanised rail spreadsheet and notify TBOT for closure.

BATHING

Exploring Correct Bathing Route

If a Bathing assessment is requested, depending on the other outcomes of the telephone assessment, you will need to decide which bathing route to take, choosing from one of the three options below.

Bathing Clinic

At Home Address by a Trusted Assessor (Technician)

ACT

Please remember that a client can only have either their shower or bath adapted – NOT BOTH

NEXT STEPS

Equipment/Adaptations: Yes or No. Copy and paste from the Quick Info any Equipment/Adaptations requested

Further Assessment: Yes or No. Complete as appropriate

Send with signature picker. Remember if Fast Track adaptation is requested to document type, position, wall etc.

before sending/saving check mandatory fields (see below) are pulling through on BICA output

End your own involvement if appropriate.

MANDATORY FIELDS

Home Address

Telephone Number

Accommodation (Tenure Type)

Next of Kin

GP

Client Category

MANDATORY DATA REQUIRED

Bed Transfers

Height and Weight of Client

Equipment they have already tried or have in place (Pen picture)

BATHING ASS ONLY	LAHA	PRIVATELY OWNED	PRIVATE RENT
Scenario	Shower (Cubicle) Ax	SU able to attend appts.	SU not able to attend appts.	Furniture raisers	Banister or Grab Rails	Rails & Raisers	FT Equipment	FT Equip. (able to get to appts)	Technician	FT Equip & Tech	Furniture raisers	Banister or Grab Rails	Equip. only
Technician	√	X	√	√	X	√	X	X	√	√	√	√	X
Clinic	X	√	X	X	√	X	√	√	X	X	X	X	√
Comments	Unless valid reason why SU would need a tech to visit	Unless SU is unable to attend a clinic, in which case tech will visit	Advise client LAHA will carry out the rail request	Unless SU is unable to attend a clinic, in which case tech will visit	Unless SU is unable to attend a clinic, in which case tech will visit	TBOT will still require landlords address	Referral will be sent once permission has been received	Unless SU is unable to attend a clinic, in which case tech will visit

Bathing

Useful Information

Clinic

These are the only exceptions (consider Tech to assess) - otherwise please proceed with the clinic route.

Cannot get out of their home and have no ability to get to external appointments, explore how they attend GP appointments/ food shopping and whether they drive or have ownership/access to a car.

For those with a condition that makes them very short of breath on exertion, a terminal illness, severe disability, long term condition - Motor Neurone Disease or late stage Dementia.

For those that exceed 22 stone and people who are wheelchair dependant please send to OT ACT.

Technician Visit

Assessment for a shower must be carried out by technician

Find out how many walls shower cubicle has and if made of glass, plastic or are solid.

If client requires Technician to fit FT equipment/adaptation also (they will assess when visiting) the property must be an owner occupied or privately rented (Unless the client only requires raisers in which case no permission will be required from landlord or LA/HA.)

If client is having a technician appointment please advise that technician will call to arrange appointment.

Also advise that they have up to 28 days to complete this.

Need to also know

If epileptic – Do they have seizures and if so do they get any warning

Level of mobility

Ability with transfers – bed, bath, chair etc

If they have any other sensory loss – blind/partially sighted

Clinic Information

Area /Clinic Name	Address	Appointment Details
Ashford Ashford Gateway	Ashford Gateway Church Road, Ashford TN23 1AS	Bathing and Housing Tuesday Weekly
Canterbury Longfield Court	Longfield Court, St John’s Road Swalecliffe, Whitstable CT5 2SP	Bathing Tuesday weekly
Canterbury King Edward Court	King Edward Court, King Edward Avenue Herne Bay CT6 6ED	Housing Thursday weekly
Shepway	Broadmeadow Registered Care Centre, Park Farm Road, Folkestone, Kent, CT19 5DN	Bathing and Housing Friday Weekly
Dover Gateway	71 Castle Street Dover CT16 1PD	Bathing and Housing Tuesday Weekly
Thanet Gateway	(Margate Library) Cecil Street, Margate CT9 1RG	Bathing and Housing Monday Weekly
Thanet Westbrook House	Westbrook House Intermediate Care Centre Canterbury Road, Westbrook, CT9 5DD	Bathing and Housing Tuesday Weekly
Maidstone and Malling	Tovil Green Court, Tovil Green Lane, Tovil,Maidstone ,Kent ME15 6NE	Tuesday am (weekly)Bathing Tues pm (fortnightly) Housing
Tonbridge Tunbridge Wells Sevenoaks	8 Grosvenor Road, Tunbridge Wells TN1 2AB	Bathing and Housing Monday weekly

Swale Gateway Clinic	Sheerness gateway (The old Woolworths) 38-42 High Street Sheerness ME12 1NL	Bathing and Housing Tuesday weekly

DGS Clinic	Gravesham Place, Gravesham Community Hospital, Bath Street DA11 0DG	Dartford, Gravesend and Swanley

Please note that ARMS officer do not currently book appointments into DGS Clinic - please refer to ACT or Technician

PLEASE COMPLETE THE INFORMATION REQUESTED AND BRING THIS ALONG TO THE APPOINTMENT

Height Width

Width of Bath
Height of Bath
Does your bath have a ‘lip’	YES NO
Does your bath have handles on the side	YES NO

BELOW IS A ROUGH DIAGRAM OF A TYPICAL BATHROOM layout, CAN YOU PLEASE INDICATE THE ROUGH LAYOUT OF YOUR BATHROOM IN THE EMPTY BOX NEXT TO IT, SHOWING POSITION OF YOUR BATH, TOILET, BASIN, RADIATOR, WINDOW AND DOOR (TOGETHER WITH MEASUREMENTS IF YOU CAN). If your bathroom has a completely different layout please feel free to draw on the other side of the page. Thank you.

Window Width

Width from wall to basin Length

Door

Location Map

Ashford Gateway, Church Road, Ashford TN23 1AS

Gateway Location

Please note there is car park space opposite the Gateway that are charged by the hour.

Car Parks

Station Road, Station Road TN23 1PP

Civic Centre & Stour Centre, Tannery Lane TN23 1PL

Vicarage Lane, Vicarage Lane TN23 1NJ

Dover Place, Dover Place TN23 1HU

Location Map

Longfield Court, St John’s Road, Swalecliffe, Whitstable, CT5 2SP,

There is a small car park to the rear of Longfield Court and parking in the road at Longfield Close.

King Edward Court, King Edward Avenue, Herne Bay. CT6 6ED

Housing Needs Assessments

King Edward Court Queen Victoria Hospital

Broadmeadow Registered Care Centre

Park Farm Rd, Folkestone, Kent CT19

Location Map

Dover Gateway, 71 Castle Street, Dover CT16 1PD (see arrow)

8 7 6 5 4 3 2 1

List of Car Parks near to Dover Gateway

Pencester Road – 54 spaces

Stembrook – 89 spaces (nearest, limited to maximum of 2 hours)

Woolcomber Street (Leisure Centre) – 62 spaces

Russell Street – 245 spaces (2nd nearest, this is a long stay car park)

Townwall Street (Leisure Centre) – 29 spaces

Seafront (on-street parking) – 210 spaces

Albany Place – 94 spaces

Camden Crescent – 77 spaces

Location Map

Thanet Gateway (Margate Library), Cecil St, Margate CT9 1RG (see arrow)

List of Car Parks near to Thanet Gateway:

Market Street – 66 spaces

College Square – 486 spaces

Mill Lane – 432 spaces

Cecil Square – level access for disabled users

Westbrook Care Centre

Canterbury Road, Margate, Kent CT9 5DD

Location Map

Tovil Green Court, Tovil Green Lane, Tovil, Maidstone Kent ME15 6NE

(see arrow)

Entrance to Tovil Green Court

Details of Parking, Bus services from town centre and Voluntary Car Service are below;

There is free parking available at the centre and 2 disabled bays.

The numbers 17, 23, 26 and 26a Buses, stops on Farleigh Hill and Tovil Green Court

There is also a Voluntary Car Service within the Maidstone area, and they can be contacted on 01622 756662.

6 5

4 3 2 1 Location Map

Sheerness Gateway (The Old Woolworths), 38-42 High Street Sheerness ME12 1NL

Location Map

8 Grosvenor Road, Tunbridge Wells TN1 2AB

Bathing Clinic

Car Parks

Meadow Road, Meadow Road TN1 2EN

Royal Victoria Place, TN1 2SS

Crescent Road, Crescent Road TN1 2LU

Mount Pleasant Avenue (Long Stay) Mount Pleasant Avenue TN1 1QY

Gravesham Place, Gravesham Community Hospital, Bath Street DA11 0DG

Bathing Clinic

The assessment clinic is in Gravesham Place Day Centre situated in Bath Street. The entrance is on the green tiled corner of the building next to the car park entrance.

On site parking (pay at machine in hospital when leaving) or at other municipal car parks in Gravesend

Buses 480 &490 from Dartford, 306, 308 & 309 from Swanscombe and rural areas

Fastrack route B buses

A short walk from Gravesend railway station

Disabled Parking bays

FAST TRACK ADAPTATIONS

MINOR ADAPTATIONS	DESCRIPTION	QUESTIONS	Wall Type	TENURE
Chair Raiser	Type of Feet: Castors or Mushroom/Wooden Blocks Type of Legs: Straight or Queen Anne	x	All
Sofa Raiser	Type of Feet: Castors or Mushroom/Wooden Blocks How many feet? 4,6 or 8 How many seats? 1,2 or 3	x	All
Bed Raiser	Type of Bed: Box Divan (drawer/no drawers), Pine or Metal Size of Bed: Single, Double or King-size Is the bed in two parts How many feet? 4,6 or 8 Is there a 5th support leg in the centre?	X	All
Medway Rail	To be fitted to left or right side? How many steps before turn?	Should be Plasterboard	Private Owned or Privately Rented with permission from owner
Newel Rail (attached to Newel Post)	Left or right side? Top or bottom of stairs?	X	Private Owned or Privately Rented with permission from owner
Banister Rail	To be fitted to left or right side? How many steps before turn?	Solid	Private Owned or Privately Rented with permission from owner
Grab rail (Metal – for use outside)	Where is this rail to be fitted? Front Door? Back door? To be fitted to left or right side? ONE STEP ONLY	Brick Cannot be fixed to UPVC	Private Owned or Privately Rented with permission from owner
MINOR ADAPTATIONS	DESCRIPTION	QUESTIONS	Wall Type	TENURE
Grab rail (Plastic – for inside)	Where is this rail to be fitted? Upstairs toilet To be fitted to left or right side? Steps inside the house eg step into kitchen	Solid	Private Owned or Privately Rented with permission from owner
Galvanised Rails	Not on a slope – how many steps and what side	Private Owned or Privately Rented with permission from owner
D Rails	2 Steps – What Side?	Private Owned or Privately Rented with permission from owner
Socket Raisers	Private Owned or Privately Rented with permission from owner

FAST TRACK EQUIPMENT

CORE EQUIPMENT	DESCRIPTION	Weight Limit	Questions
Perching Stool with Arms & Back	25 stone 160 kg	(1) Able to weight bear through both legs? (2) Enough room as could be a trip hazard? (3) Where will it be used? Ie Bathroom? Kitchen?
Perching Stool without Arms & Back	26 stone 165 kg	(1) Able to weight bear through both legs? (2) Enough room as could be a trip hazard? (3) Good trunk control? (4) Where will it be used?
Extra Wide Perching Stool with padded seat and padded back Adjustable Height	44 stone 280 kg	(1) Able to weight bear through both legs? (2) Enough room as could be a trip hazard? (3) Where will it be used?
Extra Wide Perching Stool with padded seat and non padded back Adjustable Height	44 stone 280 kg	(1) Able to weight bear through both legs? (2) Enough room as could be a trip hazard? (3) Where will it be used?
2” Raised Toilet Seat	30 stone 190 kg
4” Raised Toilet Seat	30 stone 190 kg
6” Raised Toilet Seat	30 stone 190 kg
Toilet Frame with Integral Seat (Scandia)	30 stone 190 kg	(1) one sided weakness / able to push up evenly (2) if to be fixed advise SU not to use until then
CORE EQUIPMENT	DESCRIPTION	Weight Limit	Questions
Toilet Frame Adjustable Height	30 stone 190 kg	(1) one sided weakness / able to push up evenly (2) if to be fixed advise SU not to use until then
Toilet Frame Adjustable Width & Height	30 stone 190 kg	(1) one sided weakness / able to push up evenly (2) if to be fixed advise SU not to use until then
Fixing Kit Toilet Frame	30 stone 190 kg	(1) SU not to use until fixed
Adjustable Height Metal Trolley	28 stone 177 kg	(1) Not to be provided if uses 2 sticks or has a frame or at risk of falls (2) Any trip hazards such as thresholds/rugs/steps?
High Density Foam Cushion ** NB please note this cushion has no pressure relieving properties **	NA	(1) only one piece of furniture per SU to be raised (2) Not suitable for riser/recliners (3) Think about possible height issues – if the client is very short and have a cushion they may not be able to touch the floor with their feet

Bathing Equipment

PLEASE NOTE THE EQUIPMENT ON THE FOLLOWING PAGES IS NOT FOR ORDERING BY ARMS OFFICERS. THIS IS JUST FOR YOUR GUIDANCE ONLY AND GIVES YOU AN IDEA OF WHAT EQUIPMENT AN SU MAY HAVE IN SITU CURRENTLY

H84588 - BATHLIFT - NEPTUNE

View Large Image Zoom	Category Bathing Equipment - Bath Lift Description • Rechargeable battery powered bathlift • Secures to bath with 4 x large suckered feet • Battery monitoring system • Waterproof hand control • Position when fitted allows maximum leg room • Does not recline Dimensions • Seat Height: 70 – 435mm (2 ¾ - 17”) • Overall Height: 735mm (29”) • Seat Width: 350mm (13 ¾”) • Seat Width Inc Flaps: 730mm (28 ¾”) • Seat Depth: 410mm (16”) • Overall Length: 725mm (28 ½”) • Product Weight: 9.5kg (21 lbs) Safe Limits • Maximum user weight: 160kg (25st)

M18217 - Bathing Cushion

View Large Image Zoom	Category Bathing Equipment - Bath Lift Description • Enables User to be lowered to the bottom of the bath and raises them back out when required. • User needs reasonable upper body stability. • An Airflo compressor is supplied to inflate the cushion. • Waterproof hand control. Dimensions • Maximum Height: 400mm (15½"). • Minimum Height: 20mm (¾"). • Seat Width: 580mm (23"). • Seat Depth: 440mm (17½"). • Backrest Width: 540mm (21") • Backrest Depth 330mm (13") • Airhose length: 1.8m • Total product weight: 2kg (4½lbs). Safe Limits • Maximum User Weight: 150kg (24st)

Further Information
User Instructions	Click here
Linked Products

68476 - Bathlift Fixed Backrest

View Large Image Zoom	Category Bathing Equipment - Bath Lift Description • Suitable for those who have difficulty lowering into, and rising from, the bath • Side flaps to ease transfers • FIXED Backrest (does not recline) • Foldaway Design • Large seat Depth • Low Seat Height • Easy to use hand control • Two Part Construction. Dimensions • Seat height at lowest position: 60mm (2 ½”) • Seat height at highest position: 420mm (16 ½") • Seat width with side flaps folded out: 715mm (28 ¼") • Seat width with side flaps folded in: 420mm (16 ½2) • Width of backrest: 360mm (14 ¼") • Seat Length: 590mm (23 ¼") • Total weight without hand control: 12.1kg (26.7lb) • Charger weight: 100g (3.5oz) Safe Limits • Maximum Weight Limit: 135kg (21 stone)

Further Information
User Instructions	Click here
Compatible Products
Compatible Product Description Unit Cost Select? M55317 Bathlift Cover Set Blue £15.00 M51683 Bathlift Cover Set White £15.00

N65743 - SWIVEL BATH SEAT

£42.00

View Large Image Zoom	Category Bathing Equipment - Swivel Bather Seat Standard Description • Swivel bather with arm rests • Non-slip non-marking rubber ends on frame. • Adjustable width Dimensions • Frame Width external: 660 – 710mm (26 – 28”) • Frame width internal: 500 – 610mm (20 – 24”) • Depth: 550mm (21 ½”) • Seat Height from top of bath: 130mm (5”) • Armrest height from top of bath: 230mm (9cm) • Seat width: 460mm (18”) • Seat depth: 420mm (16 ½”) Safe Limits • Maximum User Weight: 160kg (25 stones)

Further Information
User Instructions	Click here

M78419 - Bath Seat Slatted 6"

£10.15

View Large Image Zoom	Category Bathing Equipment - Bath Seat Description • Slatted bath seat • Fixes securely to the bath with large suction pads • Reinforced PVC • Large slatted seat area for easy drainage • Can be used with a bath board. Dimensions • Height: 150mm (6”) • Width: 457mm (18”) • Depth: 280mm (11”) • Product Weight: 2.7kg (6 lbs) Safe Limits • Maximum User Weight: 160kg (25 stones)

M78421 - Bath Seat Slatted 8"

£10.15

View Large Image Zoom	Category Bathing Equipment - Bath Seat Description • Slatted bath seat • Fixes securely to the bath with large suction pads • Reinforced PVC • Large slatted seat area for easy drainage • Can be used with a bath board. Dimensions • Height: 200mm (8”) • Width: 457mm (18”) • Depth: 280mm (11”) • Product Weight: 2.8kg (6 lbs) Safe Limits • Maximum User Weight: 160kg (25 stones)

M78433 - Bath Seat Slatted 12"

£10.15

View Large Image Zoom	Category Bathing Equipment - Bath Seat Description • Slatted bath seat • Fixes securely to the bath with large suction pads • Reinforced PVC • Large slatted seat area for easy drainage • Can be used with a bath board. Dimensions • Height: 305mm (12”) • Width: 457mm (18”) • Depth: 280mm (11”) • Product Weight: 2.9kg (6 ½ lbs) Safe Limits • Maximum User Weight: 160kg (25 stones)

M11077 - Bath Steps (Adjustable)

£13.50

View Large Image Zoom	Category Bathing Equipment - Bath Step Description • Each step section has non-slip feet so the bath step remains secure. • The top surface of each section has a textured surface so it’s comfortable on the feet. • Provides excellent resistance to slipping, even when the client has wet feet. • Support pillars provide extra strength and support to the bath step • A recess on the side of each section allows the step to be easily picked up • Manufactured from polypropylene • Can be cleaned with a mild disinfectant. • ***IMPORTANT: CONTAINS SMALL PARTS, MAY NOT BE SUITABLE FOR CHILDREN*** Dimensions • Length: 500mm (19.5”) • Width: 395mm (15.5”) • Height Options: 51mm (2”), 77mm (3”), 103mm (4”) Safe Limits • Maximum User Weight: 190kg (30st)

M99515 - Bath Step

£9.47

View Large Image Zoom	Category Bathing Equipment - Bath Step Description • 100mm (4”) step for use in bathroom • Slip-resistant blue padded top • Rubberised feet to prevent slipping • Can be stacked with additional steps to increase height in 50mm (2”) increments Dimensions • Height: 100mm (4”) • Width: 500mm (19 ½”) • Depth: 400mm (16”) Safe Limits • Maximum User Weight: 127kg (20 stones)

M48295 - Shower Chair Height Adjustable

£16.50

View Large Image Zoom	Category Bathing Equipment - Freestanding Shower Chair Description • Shower Chair. • Height adjustable. • Integral handles for extra support. • Drainage holes Dimensions • Seat height: 410 – 537mm (16 ¼ - 21 ¼”) • Width between arms: 485mm (19”) • Footprint: 545 x 450mm (21 ½ x 17 ¾”) Safe Limits • Maximum User Weight: 160kg (25 st).

F20524 - SHOWER STOOL with Handles

£13.30

View Large Image Zoom	Category Bathing Equipment - Shower Stool Description • Adjustable height shower stool • Does not rust • Removable seat • Does not rust Dimensions • Height: 480 - 630mm (19 – 25”) • Width between arms: 485mm (19”) • Seat Size: 380 – 280mm (15x 11”) • Base size 455x380mm (18x15”) Safe Limits • Maximum User Weight: 160kg (25 stones)

Further Information
User Instructions	Click here

M78342 - Bath Board Slatted 26"

£8.24

View Large Image Zoom	Category Bathing Equipment - Slatted Bath Board Description • Reinforced PVC slatted bath board. • Stainless steel fittings. • Adjustable brackets for secure fitting. • Optional grab handle to be ordered separately. Dimensions • Length: 660mm (26”) • Width: 230mm (9”) • Bracket to end of board: 25 – 90mm(1 – 3 ½”) Safe Limits • Maximum User Weight: 190kg (30stone)
Compatible Products
Compatible Product Description Unit Cost Select? M78378 Handle for Shower & Bath Boards £2.80

M78354 - Bath Board Slatted 27"

£8.24

View Large Image Zoom	Category Bathing Equipment - Slatted Bath Board Description • Reinforced PVC slatted bath board. • Stainless steel fittings. • Adjustable brackets for secure fitting. • Optional grab handle to be ordered separately. Dimensions • Length: 686mm (27”) • Width: 230mm (9”) • Bracket to end of board: 25 – 90mm(1 – 3 ½”) Safe Limits • Maximum User Weight: 190kg (30stone)
Compatible Products

M78366 - Bath Board Slatted 28"

£8.24

View Large Image Zoom	Category Bathing Equipment - Slatted Bath Board Description • Reinforced PVC slatted bath board. • Stainless steel fittings. • Adjustable brackets for secure fitting. • Optional grab handle to be ordered separately. Dimensions • Length: 711mm (28”) • Width: 230mm (9”) • Bracket to end of board: 25 – 90mm(1 – 3 ½”) Safe Limits • Maximum User Weight: 190kg (30stone)

Further Information
User Instructions	Click here
Compatible Products
Compatible Product Description Unit Cost Select? M78378 Handle for Shower & Bath Boards £2.80

M78378 - Handle for Shower & Bath Boards

£2.80

View Large Image Zoom	Category Bathing Equipment - Handle Description • For use with slatted bath and shower boards • Offers additional support when transferring • Attaches securely to the board • Can be useful if it is not possible to fit a rail to the wall. Dimensions • Length: 190mm (7½") • Width: 30mm (1¼") • Height above board: 100mm (4") • Handhold (dia of bar): 30mm (1¼") • Handhold width (Inside): 125mm (5") • Weight 120g (4½ oz)

M78389 - Shower Board Slatted 26"

£10.59

View Large Image Zoom	Category Bathing Equipment - Slatted Shower Board Description • Reinforced PVC slatted shower board. • Stainless steel fittings. • Adjustable brackets for secure fitting. • Optional grab handle to be ordered separately. Dimensions • Length: 660mm (26”) • Width: 381mm (15"") • Bracket to end of board: 25 – 90mm(1 – 3 ½”) Safe Limits • Maximum User Weight: 190kg (30stone).

Compatible Products
Compatible Product Description Unit Cost Select? M78378 Handle for Shower & Bath Boards £2.80

M78391 - Shower Board Slatted 27"

£10.59

View Large Image Zoom	Category Bathing Equipment - Slatted Shower Board Description • Reinforced PVC slatted shower board. • Stainless steel fittings. • Adjustable brackets for secure fitting. • Optional grab handle to be ordered separately. Dimensions • Length: 686mm (27”) • Width: 381mm (15"") • Bracket to end of board: 25 – 90mm(1 – 3 ½”) Safe Limits • Maximum User Weight: 190kg (30stone).

Compatible Products
Compatible Product Description Unit Cost Select? M78378 Handle for Shower & Bath Boards £2.80

M78408 - Shower Board Slatted 28"

£10.59

View Large Image Zoom	Category Bathing Equipment - Slatted Shower Board Description • Reinforced PVC slatted shower board. • Stainless steel fittings. • Adjustable brackets for secure fitting. • Optional grab handle to be ordered separately. Dimensions • Length: 711mm (28”) • Width: 381mm (15"") • Bracket to end of board: 25 – 90mm(1 – 3 ½”) Safe Limits • Maximum User Weight: 190kg (30stone).

Compatible Products
Compatible Product Description Unit Cost Select? M78378 Handle for Shower & Bath Boards £2.80

M78378 - Handle for Shower & Bath Boards

£2.80

View Large Image Zoom	Category Bathing Equipment - Handle Description • For use with slatted bath and shower boards • Offers additional support when transferring • Attaches securely to the board • Can be useful if it is not possible to fit a rail to the wall. Dimensions • Length: 190mm (7½") • Width: 30mm (1¼") • Height above board: 100mm (4") • Handhold (dia of bar): 30mm (1¼") • Handhold width (Inside): 125mm (5") • Weight 120g (4½ oz)

Further Information
User Instructions	Click here