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Choice is key: where next for accommodation and support for people with learning disabilities?
- Author:
- DONOVAN Tristan
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
This report brings together a range of views on accommodation and support for people with learning disabilities or autism or both. The report argues that central to delivering change is ensuring there are more ‘settled accommodation’ options, namely accommodation in the community where individuals have security of tenure in the medium to long term, while acknowledging the important role played by residential care. Conversely, there are concerns that some residential care homes are rebranding as supported living but doing little more than deregistering from the CQC. The report calls for new, innovative approaches, including: the creation of a small fund to support families to buy a house for a person with learning disabilities; the creation of a multi-disciplinary community forensic service to help people whose behaviours and disabilities have led to them experiencing very extended stays in secure hospitals, move into community based accommodation; improving the design of accommodation to reduce social isolation; and changing culture and mind-set barriers that hinder efforts to re-engineer accommodation and support for people with learning disabilities or autism. (Edited publisher abstract)
Housing with care and support: a snapshot of the sector and its challenges and opportunities
- Author:
- SKILLS FOR CARE
- Publisher:
- Skills for Care
- Publication year:
- 2017
- Pagination:
- 36
- Place of publication:
- Leeds
Using five in-depth case studies of housing with care and support providers, this paper explores the strategic and operational issues they face, the influence these have on their workforce and what they saw as the future challenges ahead. The five case studies focused on extra care housing for older people and supported living for people with learning disabilities. The services were set up using different delivery models, some splitting the landlord function from the housing support function and some separating the housing from the care function, with some keeping all three together. Issues discussed include: the structure of the service and its effect on learning and development, workforce planning; recruitment and retention; progression and career development; and partnership, integration and changing expectations of commissioners and their influence on the workforce. Common themes identified across the sites included: challenges in recruitment and retention; lone working as a factor in poor staff retention; and an increasing number of people with high levels of need living in extra care housing, placing the model at risk. Common gaps in learning included mental health, substance dependence, anti-social behaviour, challenging behaviour and preventing loneliness. (Edited publisher abstract)
Independent research and cost analysis of the use of Just Checking and the Just Right approach to identify appropriate levels of care for adults with learning disabilities
- Authors:
- UNIVERSITY OF BIRMINGHAM, KPMG
- Publishers:
- University of Birmingham, KPMG
- Publication year:
- 2017
- Pagination:
- 10
- Place of publication:
- Birmingham
Summarises the findings of research on the use of Just Checking activity monitoring equipment to help determine the most appropriate level of care for people with learning disabilities living in residential or supported living accommodation. The research involved nine local authorities working with 33 care providers in England. The Just Checking technology was installed in a sample of accommodations units, most of which were supported living accommodation. The data were used by care staff, with advice about person-centred planning, to discuss whether the current package of support is appropriate, or whether care could be reduced or adjusted to better meet the needs of the service user. The results found that care providers were able to use the technology to achieve improved outcomes for individuals, improved person-centred support and achievement of goals, as well as greater independence and autonomy for individuals. KPMG’s financial analysis of the findings, found that care providers identified no change in the level of care for 38 per cent of tenants, a potential over-provision of care for 34 per cent and a potential under-provision of care of 28 per cent of tenants. The analysis estimates that, even taking into account under-provision, Just Checking would pay for itself within 9 weeks. The report concludes that the Just Checking activity monitoring approach is viable, acceptable and useful to service providers and commissioners of care for adults with learning disabilities. It highlights factors that support the successful implementation of Just Right/Just Checking. (Edited publisher abstract)
Registering the right support: CQC's policy on registration and variations to registration for providers supporting people with a learning disability and/or autism
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- Newcastle upon Tyne
This policy statement provides guidance for registration managers and inspectors assessing providers of services for people with learning disability and/or autism. It aims to ensure the Care Quality Commission (CQC) have a consistent approach to registration of services for people with a learning disability and/or autism and also informs providers, people who use services and their families and carers of the Care Quality Commission (CQC) approach to registration. It applies to three key areas of registration: specialist hospital provision, such as an assessment and treatment unit for people with a learning disability and/or autism; opening a new care home or location; and new applications for registration and applications to change a location’s service type, for example from hospital services to care home or supported living services. Case studies are included to provide examples of applications that are likely to be approved, and application that are unlikely to be granted. Providers of services are more likely to have their application for registration granted if they can demonstrate how their model of support is: is in line with Building the Right Support and the accompanying service model, built on evidence-based care; and is in line with national policy. (Edited publisher abstract)