Factor 1: Client outcomes.

*Effective home support services for people living with dementia ensure that the needs of the client are upheld at all times, that clients are treated with respect, that client outcomes are integrated into realistic service care-plan goals, and that caregivers/family are included in service planning.*

Enliven places clients and their caregivers/families at the centre of their service provision. The aim of Enliven restorative home support services is to achieve client outcomes that assist clients to remain living in their own home and to maintain physical, cognitive and social wellbeing. A majority of clients/caregivers identified four aspects of the Enliven service that were most important to them: their relationship with home support staff, the capability and professionalism of home support staff, the liaison/communication across home support staff (and Enliven), and the service care-plan developed with the service coordinator. Clients and caregivers wish to be treated with dignity, and to ensure that the client is viewed as a total person, e.g. someone who has had a full life, with rich experiences and capabilities. Clients and caregivers discussed the importance of home support staff liaising with one another (often through the client's log book), to ensure that all staff were kept updated of any developments in the client's life.

A number of clients, caregivers and key stakeholders also remarked on the importance of the client's service-plan having some flexibility built into it, so that support workers have opportunities to undertake alternative (appropriate) tasks for the client as required; a number also recommended that a small proportion of the client's home support time be specifically allocated for the client's/caregiver(s) discretion, to be used as they think most appropriate.
