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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)
Housing choices discussion paper 1: what is the evidence for the cost or cost-effectiveness of housing and support options for people with care or support needs?
- Authors:
- HARFLETT Naomi, et al
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- Bath
A brief summary of evidence on the costs and cost-effectiveness of residential care and other housing and support options for older people, people with learning disabilities and people with mental health problems. It draws on a review of peer reviewed and grey literature in the UK and Ireland from 2000 onwards. The paper highlights limitations in the available evidence, which include limitations in terms of quantity; quality; lack of reliability of unit costs used in the research, and difficulties of making comparisons across studies. It then provides a broad summary of the evidence that is available. The paper finds that limitations in quality and quantity mean that there is not sufficient, reliable evidence in which to inform housing and support decisions on the basis of cost. It concludes that there is therefore a strong argument that decisions about an individual’s housing and support should be based on other factors supported in current health and social care policy such as rights, inclusion, choice and control. (Edited publisher abstract)
Illustrative cost models in learning disabilities social care provision
- Author:
- ROE David
- Publisher:
- Laing and Buisson
- Publication year:
- 2011
- Pagination:
- 62p.
- Place of publication:
- London
There has been considerable innovation in the housing options and support available for those with learning disabilities, including individual and shared supported living, residential care, extra care, shared lives and shared ownership. A better understanding of the relative unit costs of different types of service and approach should be beneficial in aiding better choices by individuals with learning disabilities, and their advisors, existing local authority commissioners and providers. This report addresses some of the questions relating to relative costs and unit costs, and comments on specific cost-effectiveness considerations. It compiles and describes a range of illustrative cost models, depicting relative unit costs of different approaches, based on input from providers. It focuses on the description of different types of provision, with additional comments on economies of scale, efficiencies and other cost considerations and issues, in the main body of the report. Accompanying illustrative cost models, with further explanation, are set out in the appendices. These illustrative cost models relate to: residential care; supported living; housing benefits; social housing provision through a registered social landlord; examples of the use of assistive technology; a case study of deregistration; shared lives; and extra care.