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Are we nearly there yet? Enabling people with dementia to remain at home: a housing perspective
- Author:
- GARWOOD Sue
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 87
- Place of publication:
- London
This report sets out the key role housing providers and associated services can play in supporting people living with dementia to stay independent in the home of their choice for as long as possible. Based on findings from a survey and workshop which drew upon the knowledge and expertise of members of the Dementia and Housing Working Group and other associated professionals, the report looks at areas where progress has been made and where challenges remain. The findings are divided into housing specific topics relevant to those working in the housing sector and issues relating to the bigger picture, such as funding, dementia-friendly communities, and relationships and informal networks. Both sections includes examples and case studies. The examples highlight good practice in areas such as: information, advice and advocacy; integrated working; dementia design, home improvements, and informal support networks. The report concludes that examples of good practice and pockets of innovation exist across all domains, but there is not consistent implementation across the country. It makes suggestions for how the housing sector could do more, which include more effective joint working with health and social care, more dementia-friendly housing organisations, and training more of the workforce in dementia. The report has been produced on behalf of the Dementia and Housing Working Group, and supported by Homeless Link, Foundations and the Life Story Network. (Edited publisher abstract)
Briefing on the Law Commission mental capacity and deprivation of liberty report
- Author:
- GARWOOD Sue
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 4
- Place of publication:
- London
This briefing is based on the Law Commission's report ‘Mental Capacity and Deprivation of Liberty’ and provides an ‘at a glance’ look at the key proposals for amending the Mental Capacity Act and replacing the Deprivation of Liberty Safeguards. If enacted, these proposals will apply to the housing as well as health and social care sectors. The proposed changes to the Act include: change from a passive duty to consider the wishes and feelings of the individual to an active duty to ascertain wishes, feelings, beliefs and values and give them particular weight when determining best interests; additional limitations to s5 protection of paid staff in relation to serious interference with the autonomy of the person; and a proposal to give the Secretary of State and Welsh Ministers the power to develop regulations which introduce a supported decision making scheme to support people making decisions about their welfare or property and affairs. In addition, the report calls for the introduction of Liberty Protection Safeguards, comprising: assessment of capacity to agree to arrangements, making allowance for fluctuating capacity; assessment to ascertain if person is of ‘unsound mind’ – medical assessment; and assessment to ascertain if arrangements are necessary and proportionate to prevent harm to self or others (replaces best interests assessment). (Edited publisher abstract)
Approaches to procurement and delivery of care and support in housing with care
- Author:
- GARWOOD Sue
- Editor:
- PORTEUS Jeremy
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 84
- Place of publication:
- London
Drawing on the experience of local authorities and providers, this report uses eight new case studies and five updated ones from the 2010 Housing LIN Care and Support in Extra Care Housing Technical Brief to focus on the variety of ways care and support services are procured, funded, configured, delivered and charged for in HWC schemes for older people. It explains the relevance of each heading in the scheme case studies and includes the approaches adopted by three different local authorities. This report forms part of a set of three documents providing information on care and support in housing with care for older people. The other two in the set are: the newly published Care and Support in Housing with Care for Older People Policy Technical Brief; and an edited version of the 2010 Technical Brief Care and Support in Extra Care Housing. (Edited publisher abstract)
Care and support in extra care housing
- Author:
- GARWOOD Sue
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 50
- Place of publication:
- London
An edited version of the 2010 Care and Support in Housing with Care for Older People Technical Brief, retaining the original sections on commissioning care and support in extra care housing, legal relationships, care delivery and how much care provision is required. These remain relevant although some source documents have been superseded and terminology changed. This brief forms part of a set of three documents providing information on care and support in housing with care for older people. The other two in the set are: the newly published Care and Support in Housing with Care for Older People Policy Technical Brief; and the case study report Approaches to the Procurement and Delivery of Care and Support in Housing with Care. (Edited publisher abstract)
Care and support in housing with care for older people: policy technical brief
- Author:
- GARWOOD Sue
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2016
- Pagination:
- 31
- Place of publication:
- London
- Edition:
- Rev. ed.
This paper outlines key policy changes of relevance to care and support as they are commissioned, funded, regulated, configured and delivered in housing with care settings for older people. Sections briefing cover: what is meant by housing with care; the impact of the Care Act 2014; changes to commissioning, procurement and funding; charging; safeguarding; mental capacity and housing with care, which highlights the implications of the Care Act 2014, Mental Capacity Act and DOLs; and care registration. The briefing paper is one of a set of three documents published by Housing LIN providing information on care and support in housing with care for older people. It updates and supplements some of their previous technical briefings. The October 2015 version of this Policy Technical Brief was updated in April 2016 to reflect the revised Care Act Guidance and CQC Guidance on registration of care in housing with care settings. (Edited publisher abstract)
Approaches to procurement and deliver of care and support in housing with care: case study report
- Author:
- GARWOOD Sue
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 84
- Place of publication:
- London
In the context of the Care Act 2014, a growing emphasis on delivering more integrated community solutions for care and support at home, and closer scrutiny of public spending, this case study report comprehensively puts the procurement and provision of care and support in housing with care (HWC) under the spotlight. Drawing on the experience of local authorities and providers, it uses eight new case studies and five updated ones from the 2010 Housing LIN Care and Support in Extra Care Housing Technical Brief to focus in on the variety of ways in which these services are procured, funded, configured, delivered and charged for in HWC schemes for older people. It explains the relevance of each heading in the scheme case studies and includes the approaches adopted by three different local authorities. (Edited publisher abstract)
Any the wiser? Deprivation of Liberty in housing
- Author:
- GARWOOD Sue
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 5
- Place of publication:
- London
Outlines key issues around deprivation of liberty in housing settings and presents the author’s viewpoint in relation to: tenancy rights and deprivation of liberty; point at which an incapacity to consent may trigger a potential DoL in supported housing; local authorities’ responsibilities; and wellbeing, human rights and best interests. (Edited publisher abstract)
Making a start: dementia: skilling the general needs housing workforce
- Author:
- GARWOOD Sue
- Publisher:
- Dementia and Housing Working Group
- Publication year:
- 2014
- Pagination:
- 45
- Place of publication:
- London
This report and resource pack, written on behalf of the Dementia and Housing Working Group, provides information to assist housing providers in equipping their workforce with the knowledge and skills they need to work effectively with people who have dementia. It suggests levels and topics of awareness-raising and training sessions, aligned to different categories of staff, provides some practice examples and includes external sources of learning for the workforce. The report recognises that general needs housing providers are unlikely to be in a position to introduce all the steps to skilling their workforce and becoming dementia-friendly organisations straight away and supports an incremental approach, including: encouraging staff and customers to take advantage of free Alzheimer’s Society Dementia Friends sessions and supporting those willing to go on to become Dementia Friends Champions; making dementia awareness a core element of induction for all staff; developing a dementia-awareness and training offer that suits their organisation’s approach and customer base; involving people with dementia and their carers where possible; supplementing training with other sources of information to reinforce key messages; supplementing training with support and guidance appropriate to the staff member’s role; gearing up the Human Resources department to respond to those who come forward with personal experience of dementia. (Edited publisher abstract)
Older people with high support needs in housing with care
- Author:
- GARWOOD Sue
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 12
- Place of publication:
- York
Housing with care (HWC) offers a promising model for improving the quality of life of older people with high support needs, but also poses challenges. This Round-up was commissioned as part of the JRF programme ‘A Better Life’, and draws together key messages and practice examples from JRF studies into three aspects of HWC. The first is how positive and supportive relationships between older people with and without high support needs living in HWC can be promoted (Croucher and Bevan). The second is how providers, partner agencies and other stakeholders work together with older people and their relatives to deliver HWC, with a particular focus on boundaries of roles and responsibilities (Blood et al.). The third is and how affordability and complexities surrounding it affect the decision-making and lives of self-funding older people with high or increasing support needs (Pannell et al.). These studies reinforce other research findings: that HWC is a form of housing and support greatly valued by older people with high or increasing support needs and can enhance their quality of life. HWC also supports rights and promotes independence, privacy and control over how residents choose to live their everyday lives. However, future financial constraints and how benefits and personal budgets will work are identified as making for uncertainty. (Original abstract)
Individual budgets, micro-commissioning and extra care housing
- Author:
- GARWOOD Sue
- Publisher:
- Care Services Improvement Partnership. Housing Learning and Improvement Network
- Publication year:
- 2008
- Pagination:
- 4p.
- Place of publication:
- London
In this viewpoint the author raises concerns about the potential damage to Extra Care housing and outcomes for residents, of the blanket application of individual budgets to commission the care and support in Extra Care. She highlights the problems in commissioning Extra Care housing when there is a need to provide round the clock care and support. Where there is a concentration of people all could benefit from night care on site, micro commissioning may not be the best way to deliver efficient personalised care. Other aspects that need to be considered are the co-ordination and financial viability of the range of its on-site provision.