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Home ownership for people with long-term disabilities (HOLD): factbook
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Local Government Association
- Publication year:
- 2018
- Pagination:
- 14
- Place of publication:
- London
This factbook is about the HOLD shared ownership scheme and was developed to support those professionals who are working with people with a learning disability, autism or both as part of the Transforming Care programme. However, shared home ownership is a possible option for a much wider range of people; this guide is therefore relevant to other professionals too. Shared home ownership won’t be right for everyone, but we do know that it can work really well for some people who may have very specific housing requirements. We know, for example, that individuals with complex and challenging behaviours often require tailored solutions that will minimise the triggers for behaviour, in some cases with significant adaptations and/or modifications, and where location and environment are very important in achieving sustainable housing solutions for people. Where the person lives, who they live with, the design of their home and how they are supported (including in an environment that they are comfortable with) can have a significant impact on wellbeing and behaviour. Home ownership under the HOLD scheme enables the individual and their family to select a property from the open market, within their budget, just like everyone else who is looking to buy a property. This gives them a much better opportunity to choose where they live and the kind of property they will be living in, coupled with the security of tenure that only home ownership delivers. The step by step guide included in the second half of this document is a guide for those professionals involved in the process to help ensure things run as smoothly as possible. Anyone who has ever bought a house knows that it can be full of twists and turns, so keeping a strong commitment is critical to success. (Edited publisher abstract)
The impact of the COVID-19 pandemic on adults with learning disabilities and / or autism, their family carers and service provision: a rapid learning review
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2021
- Pagination:
- 17
- Place of publication:
- London
This report aims to reflect and build on the work of ADASS regions in supporting people living with learning disabilities and / or autism, and their carers during the COVID pandemic. It is a rapid qualitative review, using semi-structured interviews and a roundtable event to capture professional perspectives after a year of exceptional challenges. A strong view emerged that the early stages of the national COVID-19 social care response was driven exclusively by a focus on older adults living in care homes – people with learning disability or autism were perceived to be an after-thought by government, reflected in the lateness and fragmentary nature of national guidance, testing and PPE relating to these groups of adults. This was considered a reflection of the long-standing weaker policy focus on this community more generally. As social care and health staff were redeployed into different roles, a gap was exposed in the knowledge, skills and competencies around learning disability, autism and neurodiversity across the general social care, health care and housing workforce. The loss of contact with friends, daily activities and routines has exacerbated pre-existing health and wellbeing challenges for people with learning disabilities and / or autism. Increases in (or new) anxiety and depression were reported, alongside boredom and frustration. Market development was highlighted as a priority issue in numerous interviews, with the initial focus on reshaping day opportunities and short-breaks / respite. The recurring theme was to achieve a shift away from building-based support to buildings used as hubs/pods and / or increasing the availability of outreach. This was seen as a collaborative process with providers to diversify and flex what it is possible to offer for adults with learning disabilities or autism, including the development of micro-providers/PAs. (Edited publisher abstract)
Finding common purpose: developing strategic commissioning relationships to support people with learning disabilities
- Authors:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES, CARE PROVIDER ALLIANCE
- Publishers:
- Association of Directors of Adult Social Services, Care Provider Alliance
- Publication year:
- 2013
- Pagination:
- 9
A workshop organised by the ADASS’ Learning Disability Policy Network and the Care Provider Alliance and attended by local authority commissioners and provider chief executives explored the challenges and solutions to productive strategic commissioning of services for people with learning disabilities. The workshop focused on the barriers to more productive strategic commissioning relationships, how to overcome those barriers and who might take action to improve the situation. The areas discussed included: procurement; leadership and capacity; mutual understanding between commissioners and providers; and sharing risks. There was also a all for more robust research findings of what works and examples of good practice. The report also suggests a number of specific recommendations for stakeholders (Original abstract)
New models of care supported by assistive technology
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2017
- Place of publication:
- London
An interactive toolkit detailing results of research into how assistive technology can support the areas of most concern to directors of adult social services, including detailed practice examples. The toolkit explores the extent to which technology has been integral to integration in the context of the following four themes: high cost packages; learning disabilities; prevention and early intervention; and demand management. Programme examples include: Televida teleassistance service (Barcelona, Spain); Blackburn with Darwen Borough Council’s telecare model; Assisted Living Leeds; Gloucestershire County Council’s assistive technology for people with disabilities; and West Sussex County’s telecare services, to enable timely discharge from hospital, avoid hospital admissions, reduce domiciliary care or delay admission to a residential care home and referrals are accepted on this basis. Lessons learnt from the examples include: new services can take time to become part of a social care and health workers ‘unconscious’ toolkit; massive variation from one practitioner to another is a challenge to address; savings estimates can be too optimistic and do not take account of attrition; dedicated capacity for assistive technology when starting from a low baseline; there are pros and cons to charging for people with eligible needs which need to be carefully evaluated from the outset; capture the imagination of stakeholders and professionals, assuaging the fears and anxieties that personal care is being replaced by technology by telling real people stories with positive outcomes; and embrace the passion and commitment about the difference technology can make in empowering people. (Edited publisher abstract)
Building the right home
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- NHS England
- Publication year:
- 2016
- Pagination:
- 34
Issued as part of the Transforming Care Programme, this guidance supports NHS and local authority commissioners to expand the housing options available for people with learning disabilities and/or autism who display behaviour that challenges. The guidance supplements ‘Building the right support' and the accompanying service model, to enable people with learning disabilities and/or autism to access the right home and support at the right time. The document covers the key housing principles in Transforming Care, to increase housing options and achieve reductions in inpatient capacity. It explains different models of settled accommodation through supported living and the provision short-term accommodation in the community. It then looks at developing the housing market for the Transforming Care, including negotiate with housing providers and agreeing key terms such as rent levels. It recommends Transforming Care Partnerships should consider producing a housing strategy, with a clear understanding of the types and volume of accommodation required Case studies are included to give examples of different housing approaches that could be applied to housing for people with a learning disability and/or autism with behaviour that challenges. Annexes also set out key housing principles designed by people with a learning disability and/or autism and their families and a list of useful resource. (Edited publisher abstract)
Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: service model for commissioners of health and social care services
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publishers:
- NHS England, Local Government Association, Association of Directors of Adult Social Services
- Publication year:
- 2015
- Pagination:
- 41
- Place of publication:
- London
This service model brings together good practice taking place in local areas to describe what good services should look like for children, young people and adults with a learning disability and/or autism who display behaviour that challenges. It covers all aspects of commissioning: strategic, operational and individual/micro commissioning. The model is organised around nine principles from the perspective of the people using services. These are: a good and meaningful life; person-centred care and support; choice and control; support for family carers and care staff; choice of housing; good health care; access to specialist community health and social care; getting support in staying out of trouble when at risk of being in contact with the criminal justice system; and having access to high quality assessment and treatment in a hospital setting where necessary. The model gives people a clear picture of what they can expect from the services they use. It also allows those designing and commissioning services flexibility to ensure services work for local areas. The new model, which was co-produced by people using services, commissioners and health and social care system leaders, has been finalised using the feedback from early implementation by six ‘fast track’ areas. (Edited publisher abstract)
Building the right support: a national plan to develop community services and close inpatient facilities for people with learning disability...including those with a mental health condition
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publishers:
- NHS England, Local Government Association, Association of Directors of Adult Social Services
- Publication year:
- 2015
- Pagination:
- 56
- Place of publication:
- London
Sets out a national plan to enable people with learning disabilities who display behaviour that challenges to be supported to live more independently in their local community and reduce reliance on institutional care and long stay hospitals. The plan looks at the learning from the six 'fast track' areas; describes the new services that will be needed to better support people with learning disabilities to live in the community; and outlines how transforming care partnerships (commissioning collaborations of local authorities, CCGs and NHS England partners) in health and care will need to work together to deliver these changes. Areas discussed include: the need for appropriate local housing, such as schemes where people have their own home but ready access to on-site support staff; an expansion of the use of personal budgets, enabling people and their families to plan their own care, beyond those who already have a legal right to them; for people to have access to a local care and support navigator or key worker; and investment in advocacy and advice services run by local charities and voluntary organisations. To achieve the shift from inpatient to community-based services the plan identifies three key changes: that local councils and NHS bodies will join together to deliver better and more coordinated services; pooled budgets between the NHS and local councils to ensure the right care is provided in the right place; and adoption of a new service model. (Edited publisher abstract)
Supporting people with a learning disability and/or autism who have a mental health condition or display behaviour that challenges: draft service model for commissioners of health and social care services
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES, NHS ENGLAND
- Publishers:
- Local Government Association, Association of Directors of Adult Social Services, NHS England
- Publication year:
- 2015
- Pagination:
- 49
- Place of publication:
- London
A draft national framework designed to improve the care of people with learning disabilities, shifting services away from hospital care and towards community-based settings. The document outlines a service model designed to ensure a degree of national consistency, while giving commissioners the flexibility to design services that best fit the needs of their local population. It sets out to provide clarity on ‘what good looks like’ for health, social care and housing services for people with a learning disability and/or autism and a mental illness or behaviour that challenges. It focuses on services and packages of care and support funded by the NHS and local government, as well as NHS/local government interfaces with other services (e.g. education), but not those services funded by other public sector agencies themselves (e.g. schools). The model comprises nine principles that should underpin the design of good services, and these are: planned, proactive and coordinated care; service users’ choice and control over their care; support in the community; service users’ choice over where they live; fulfilling and purposeful everyday life; good care from mainstream NHS services; access to specialist health and social care support in the community; access to services aimed at preventing or reducing anti-social or offending behaviour; and access to high-quality hospital treatment. (Edited publisher abstract)