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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.
Older people from ethnic minorities in Kirklees: housing needs and preferences study
- Authors:
- BEECH Lois, COPEMAN Ian, GHADIALI Darius
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2022
- Pagination:
- 51
- Place of publication:
- London
This study aims to better understand how preferences in the ageing ethnic minority population affects housing (and housing related support) needs across in Kirklees. The research used quantitative and qualitative methods to gather the views of c.500 people aged 45+ from ethnic minorities, particularly from the South Asian and African / African Caribbean communities. The study found that: a cultural shift in family structure has occurred - more older people from ethnic minorities are now living alone, and this will be more prevalent in the next 10-15 years; the majority want to stay where they are but there was a significant proportion of older people from ethnic minorities that were seeking to move to alternative accommodation; many older people from ethnic minorities are living in properties that will not be suitable for later life; older people are seeking a range of housing options and homes that will be suitable throughout their life course; both 'downsizing' and 'rightsizing' are important; there are several barriers that prevent older people from ethnic minorities moving to 'housing for older people'; older people from ethnic minorities are seeking 'housing for older people' and services that are culturally and/or religiously competent; whether living at home or in specialist housing, more high quality, culturally and/or religiously competent support/care is needed; more cultural/religious competent service providers to better meet the needs of ethnic minorities; access to cultural and/or religious amenities is crucial to combat social isolation and loneliness; whilst homeownership is seen as aspirational, a number of older people from ethnic minorities are also experiencing financial insecurity in later life so a range of tenure types are needed; there is a significant lack of awareness of housing and support options and a strong view, that local community organisations/the third sector are best placed to deliver this. (Edited publisher abstract)
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.
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.
Assessment of the demand for specialist housing and accommodation for older people in Wales
- Authors:
- HASTINGS Reuben, COPEMAN Ian, PORTEUS Jeremy
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2020
- Pagination:
- 85
- Place of publication:
- London
Commissioned by the Welsh Government, this report identifies current provision and future demand to 2035 for different types of specialist housing and accommodation for older people. It covers estimates of specialist housing for older people, including sheltered housing and age-designated housing; housing with care such as extra care housing; residential care; nursing homes; and Step-up and Step-down intermediate care. It estimates by 2035 there are likely to be shortfalls of accommodation across Wales of: approximately 15,000 units of housing for older people, approximately 5,000 units of housing with care, approximately 7,000 nursing care beds, and approximately 120 step- up/step-down housing units. (Edited publisher abstract)
Hearing the voices of older people in Wales: what helps and hinders us as we age? Research report
- Authors:
- BLOOD Imogen, COPEMAN Ian, PANNELL Jenny
- Publisher:
- Social Services Improvement Agency
- Publication year:
- 2016
- Pagination:
- 92
- Place of publication:
- Cardiff
Drawing on interviews and focus groups with 135 older people living in urban and rural areas in Wales this report looks at what helps and what gets in the way of wellbeing for older people and those caring for them. The findings are presented around key themes, and include direct quotations from participants. Themes cover: what matters most to older people and their carers for a 'good life'; relationships and bereavement; the factors that help and hinder older people in achieving well-being, which includes discussion of transport, the home environment, neighbourhood, money, information technology, and the specific challenges that face people from black and minority ethnic communities; perceptions and experiences of social services, the NHS and the voluntary sector. The final chapter looks at learning from the report for a whole system approach to prevention. It looks at what prevention and independence means to older people and their carers and what this means for organisations supporting older people. It concludes by identifying five themes that were important to older people and their carers: choice and control; a strong sense of identity and belonging; coping with worry and uncertainty; planning for change and transitions; and feeling socially connected. It makes suggestions for change to help services adapt to and meet people’s changing needs to support their independence and allow them to continue to participate in their communities. (Edited publisher abstract)
Nobody's listening: the impact of floating support on older people living in sheltered housing
- Authors:
- KING Nigel, PANNELL Jenny, COPEMAN Ian
- Publisher:
- Help the Aged
- Publication year:
- 2009
- Pagination:
- 91p.
- Place of publication:
- London
This research report seeks to ascertain how support in sheltered housing is changing across England, paying special attention to the views of older people as tenants. It takes as its starting point the introduction of the 'Supporting People' regulations in 2003. It investigates the ways in which the provision of residential warden services for sheltered housing are being replaced by care workers acting as 'floating support' that is not permanently based at a particular site. Using interviews and focus groups this research considers older people's experiences and views, those of local authorities and providers of sheltered housing. It also includes practice examples of this type of service change in several local authorities and concludes with some recommendations for ways forward.