Community Stroke Rehabilitation (CSR) is an inter-disciplinary team made up of Nurses, Allied Health Professionals (Physiotherapists, Occupational Therapists, Speech and Language Therapists and Dietitians) and Rehabilitation Support Workers (RSW’s) who provide community rehabilitation for patients in their own homes, residential homes and nursing homes.
After receiving a new patient referral CSR staff contact a patient via phone to arrange initial assessment and follow up visits.
CSR staff support patients with tailored agreed goals for rehabilitation; the frequency and intensity of rehabilitation is individual to every patient based on patient need and will be discussed together with CSR and patient. CSR support patients with self-management and onward patient centred goals, signposting patients to other services as required. Goals are the activities patients most want to achieve and will be agreed between patient and CSR to make sure goals are realistic and right for patient.
CSR also facilitate group rehabilitation, patients will be considered for group rehabilitation if appropriate for their individual rehab needs.