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Supported housing for older people in the UK: an evidence review: summary
- Authors:
- PANNELL Jenny, BLOOD Imogen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- York
Sheltered housing has changed significantly over the past decade, yet has received little attention from researchers and policy-makers. Changes to funding and benefits for older people's housing and support services need underpinning by robust evidence. This study examines existing evidence about the quality of life offered by sheltered and retirement housing and identifies factors that may improve or reduce quality of life. Eighty publications with material on housing with support and further background publications were included, along with a detailed analysis of 24 academic and resident-led research reports. Key points suggest that: there is limited recent research evidence on the quality of accommodation, services and residents in the UK's 550,000 units of housing with support for older people; this lack of evidence is a cause for concern for residents, providers and commissioners of housing, support and care; and diminishing levels of on-site staffing have affected quality of life for some residents.
Affordability, choices and quality of life in housing with care: report
- Authors:
- PANNELL Jenny, BLOOD Imogen, COPEMAN Ian
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 63p.
- Place of publication:
- York
Research on affordability of housing with care has so far focused on costs and savings to local authority budgets. There has been little research on affordability for residents, especially self-funders. Proposed changes to benefits will potentially impact on all residents, especially on people under state pension age. This report presents findings from the first study of tenants and leaseholders who are paying some or all their own costs in private and not-for-profit housing with care (HWC). It examined how affordability affects choice, and the consequences for quality of life - particularly for those with high or increasing support needs. The 18-month UK-wide study involved 21 schemes (for rent and sale), developed and managed by private and not-for-profit providers. Interviews were held with 78 residents (54 tenants and 24 leaseholders), 4 family carers and 47 professionals. This research found that: older people face many uncertainties about affordability, changes to charges and care needs; 85% of residents interviewed were very happy in HWC. Couples could stay together, and partner carers received support; the majority of people saw HWC as good value for money; and age and health influenced whether HWC was (and would remain) affordable.
Whose responsibility? Boundaries of roles and responsibilities in housing with care: report
- Authors:
- BLOOD Imogen, PANNELL Jenny, COPEMAN Ian
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 56p.
- Place of publication:
- London
Housing with care (HWC) aims to bring the provision of housing support and care together under one roof and this can bring many benefits to older people with high support needs. However, schemes operate in a complex funding and regulatory environment. There is no single model of HWC, and in some schemes, providers are delivering different services alongside each other. This is the first UK-wide study to explore the impact of this complexity on residents’ quality of life. It explored the boundaries of roles and responsibilities in HWC and how they impact on older residents' quality of life, particularly those with high support needs. Most residents reported very positive experiences of HWC, but a third described problems linked to roles and responsibilities, from building maintenance to increasing care needs. Ambiguity around the boundaries between job roles can lead to confusion, gaps or duplication. Also, gaps were often filled by staff members over-stretching their roles, but such a discretionary approach can be inconsistent, inequitable and unsustainable.
Whose responsibility? Boundaries of roles and responsibilities in housing with care: summary
- Authors:
- BLOOD Imogen, PANELL Jenny, COPEMAN Ian
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- York
Housing with care (HWC) aims to bring the provision of housing support and care together under one roof and this can bring many benefits to older people with high support needs. However, schemes operate in a complex funding and regulatory environment. There is no single model of HWC, and in some schemes, providers are delivering different services alongside each other. This brief summary describes the first UK-wide study to examine the impact of this complexity on residents’ quality of life. It explored the boundaries of roles and responsibilities in HWC and how they impact on older residents' quality of life, particularly those with high support needs. Most residents reported very positive experiences of HWC, but a third described problems linked to roles and responsibilities, from building maintenance to increasing care needs. Ambiguity around the boundaries between job roles can lead to confusion, gaps or duplication. Also, gaps were often filled by staff members over-stretching their roles, but such a discretionary approach can be inconsistent, inequitable and unsustainable.
Findings from housing with care research: practice examples
- Authors:
- BLOOD Imogen, PANELL Jenny, COPEMAN Ian
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 28p.
- Place of publication:
- York
This report draws together practical examples of ways of working from two reports: “Boundaries of roles and responsibilities in housing with care” and “Affordability, choices and quality of life in housing with care”. It highlights ways of working in different housing with care schemes, drawing on the two studies and considering their implications in very practical terms. The practice guide is aimed at people managing frontline housing with care schemes, commissioners and senior managers in housing organisations, social services and health, and frontline staff, older people and their relatives. The practice guide: identifies five key topics in housing with care which could benefit from improvement; summarises what older people and their relatives say they value in housing with care; and presents practical examples.
Promoting supportive relationships in housing with care: report
- Authors:
- CROUCHER Karen, BEVAN Mark
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 52p.
- Place of publication:
- York
Evidence has consistently shown that older people with high support needs, particularly those who have cognitive and sensory impairments, can be marginalised within housing with care schemes. This research looks at approaches to Housing with Care (HWC) in England and Wales, and how these communities are being made socially inclusive places to live, based on what older people with high support needs say they value and want. The report found that: communities are more likely to be inclusive when organisations have taken positive steps to promote a central ethos and culture of respect and tolerance of individuals; one of the ways of promoting respect and tolerance is by raising awareness of the experiences of people with conditions and impairments; organisations can take a number of steps to create an underlying environment that helps residents participate; and neighbourliness is key to supportive communities.
Supported housing for older people in the UK: evidence review: report
- Authors:
- PANNELL Jenny, BLOOD Imogen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 68p.
- Place of publication:
- York
Sheltered housing has changed significantly over the past decade, yet has received little attention from researchers and policy-makers. Changes to funding and benefits for older people's housing and support services need underpinning by robust evidence. This study examines existing evidence about the quality of life offered by sheltered and retirement housing and identifies factors that may improve or reduce quality of life. Eighty publications with material on housing with support and further background publications were included, along with a detailed analysis of 24 academic and resident-led research reports. Key points suggest that: there is limited recent research evidence on the quality of accommodation, services and residents in the UK's 550,000 units of housing with support for older people; this lack of evidence is a cause for concern for residents, providers and commissioners of housing, support and care; and diminishing levels of on-site staffing have affected quality of life for some residents.
Affordability, choices and quality of life in housing with care: summary
- Authors:
- PANNELL Jenny, BLOOD Imogen, COPEMAN Ian
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- York
Research on affordability of housing with care has so far focused on costs and savings to local authority budgets. There has been little research on affordability for residents, especially self-funders. Proposed changes to benefits will potentially impact on all residents, especially on people under state pension age. This report presents findings from the first study of tenants and leaseholders who are paying some or all their own costs in private and not-for-profit housing with care (HWC). It examined how affordability affects choice, and the consequences for quality of life - particularly for those with high or increasing support needs. The 18-month UK-wide study involved 21 schemes (for rent and sale), developed and managed by private and not-for-profit providers. Interviews were held with 78 residents (54 tenants and 24 leaseholders), 4 family carers and 47 professionals. This research found that: older people face many uncertainties about affordability, changes to charges and care needs; 85% of residents interviewed were very happy in HWC. Couples could stay together, and partner carers received support; the majority of people saw HWC as good value for money; and age and health influenced whether HWC was (and would remain) affordable.
Promoting supportive relationships in housing with care: summary
- Authors:
- CROUCHER Karen, BEVAN Mark
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- York
Evidence has consistently shown that older people with high support needs, particularly those who have cognitive and sensory impairments, can be marginalised within housing with care schemes. This research looks at approaches to Housing with Care (HWC) in England and Wales, and how these communities are being made socially inclusive places to live, based on what older people with high support needs say they value and want. The report found that: communities are more likely to be inclusive when organisations have taken positive steps to promote a central ethos and culture of respect and tolerance of individuals; one of the ways of promoting respect and tolerance is by raising awareness of the experiences of people with conditions and impairments; organisations can take a number of steps to create an underlying environment that helps residents participate; and neighbourliness is key to supportive communities.
Improving decision-making in the care of older people: exploring the decision ecology: report
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 71p.
- Place of publication:
- York
The proportion of the population in retirement is estimated to rise significantly. This major demographic change makes it imperative to review the position of older people both as receivers and as givers of care and support. This report reviews the evidence relating to how to improve decisions made by and for older people about their care and support. It investigates how formal, semi-formal and informal relationships can work together to best effect, and the relationship between risk, trust, and good decision-making. The report: examines the nature of decision-making; explores the 'decision ecology' - the multi-factored contextual backdrop to decisions about risk and trust in an ageing society; discusses factors that influence, improve and impede caring decisions taken by a range of actors; considers the role of narratives in improving decisions for, by and about older people and their care; appraises risk management and trust development strategies; and investigates responsibility in decision-making. It argues that effective decision-making requires constructive partnerships between older people (carers and cared-for), and informal and formal carers that understand their value, potential shortcomings and strengths. However, risk elimination is not possible and the wellbeing of older people requires positive risk-taking.