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A safe deaf space: the Action Deafness extracare opportunity
- Author:
- CRUMP Steve
- Publisher:
- Action Deafness
- Publication year:
- 2020
- Pagination:
- 22
- Place of publication:
- Leicester
This report explores options for an extra care solution to the housing and care needs of older deaf people and considers the potential for Action Deafness to develop a pilot extra care housing scheme. It is structured in three part. Part I explores the definition of extra care housing and its typical characteristics; Part II reports on the findings of a short survey exercise that was conducted to ascertain expectations and aspirations for housing and care as held by the deaf community; Part III explores the potential for a pilot extra care housing capability for deaf people based on the existing Oxford Centre for Deaf and Hard of People site. All of which is intended to articulate to interested stakeholders, a baseline from which a new model of intervention might be devised. The report puts forward a model of extra care for older deaf people, which would see the use of digital technologies to ensure the appropriate delivery of care set within a total communication construct and safeguarding envelope which ensures that at all times, residents are safe and protected from harm. The model sees older deaf people aged 55+ access a four-part care solution. Namely; 1. Wellbeing service –free (cost recovered through service charges ), checking of vital signs, support with reducing risk to obesity, diabetes and stroke etc; 2. Personal care – funded by personal budget or commissioned by local authority, support with domestic tasks, daily living, exercise and leisure; 3. Nursing care – funded by personal budget or commissioned by local authority, care and support afforded by a registered nurse, who is in situ to devise and monitor care plans, provide and administer treatment (eg injections) and carry out timely medical interventions; 4. Specific care for those with dementia – free (cost recovered through service charges), activities aimed at enhancing quality of life for those older deaf people with dementia. (Edited publisher abstract)
Ageing in extra-care housing: preparation, persistence and self-management at the boundary between the third and fourth age
- Authors:
- JOHNSON Eleanor K., et al
- Journal article citation:
- Ageing and Society, 40(12), 2020, pp.2711-2731.
- Publisher:
- Cambridge University Press
Extra-care housing (ECH) has been hailed as a potential solution to some of the problems associated with traditional forms of social care, since it allows older people to live independently, while also having access to care and support if required. However, little longitudinal research has focused on the experiences of residents living in ECH, particularly in recent years. This paper reports on a longitudinal study of four ECH schemes in the United Kingdom. Older residents living in ECH were interviewed four times over a two-year period to examine how changes in their care needs were encountered and negotiated by care workers, managers and residents themselves. This paper focuses on how residents managed their own changing care needs within the context of ECH. Drawing upon theories of the third and fourth age, the paper makes two arguments. First, that transitions across the boundary between the third and fourth age are not always straightforward or irreversible and, moreover, can sometimes be resisted, planned-for and managed by older people. Second, that operational practices within ECH schemes can function to facilitate or impede residents’ attempts to manage this boundary. (Edited publisher abstract)
Older people's perspectives on living in integrated housing and care settings: the case of extra care housing
- Authors:
- CAMERON Ailsa, JOHNSON Eleanor K., EVANS Simon
- Journal article citation:
- Journal of Integrated Care, 28(3), 2020, pp.281-290.
- Publisher:
- Emerald
Purpose: This paper explores residents’ perceptions and experiences of extra care housing as an integrated model of housing with care. Design/methodology/approach: Data were collected in a longitudinal qualitative study based on four extra care housing schemes. Data from interviews with residents, care workers, managers and local commissioners were analysed thematically. Findings: The integration of housing with care enabled many older people to manage their care proactively. However, the increasing number of residents with complex health and care needs, including chronic illness, led some residents to question the ability of the model to support residents to live independently. Research limitations/implications: The study struggled to recruit sufficient residents from the specialist dementia setting who were able to communicate their consent to take part in the research. In addition, the quality of qualitative data collected in interviews with participants at this setting reduced over successive rounds of interviews. Practical implications: The study suggests the need to ensure that residents are fully informed about levels of care and support is available when considering a move into extra care housing. Originality/value: This paper provides a timely opportunity to consider extra care housing as an example of an integrated housing service, particularly in light of the current challenges facing the sector. (Edited publisher abstract)
The market for extra care housing: a report for Mears Group
- Author:
- HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2019
- Pagination:
- 15
- Place of publication:
- London
This report, commissioned by the Mears Group, provides a review of the potential future demand for extra care housing for older people. It covers the policy and funding context in relation to specialist housing for older people; the current supply of older people’s housing and extra care housing in England, Scotland and Wales, identifying areas of relative under supply; and the implications of commissioner practice for extra care housing. The review found relatively limited UK Government policy in relation to supported and older people’s housing over the last 10 years. The retirement housing sector in the UK is modest in size, but has scope for significant growth due to predicted demographic change, with the fastest growing age group predicted to be people over 65 and over. (Edited publisher abstract)
Medication in extra care housing: factsheet
- Author:
- HOLDEN Michael
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2016
- Pagination:
- 20
- Place of publication:
- London
Update of the 2008 Housing LIN factsheet on the handling of medicines in extra care housing (ECH), taking into account recent policy, legislation and guidance. The factsheet highlights good practice recommendations covering areas such as safe storage, monitoring and record keeping, over-the-counter, medicines adherence support, and consent and choice. It also outlines additional areas for consideration when supporting people with dementia, for people using telecare devices to manage their own medicine, and supporting adherence to medication. It also sets out key lessons learned and provides a list of useful frequently asked questions. The factsheet is aimed at practitioners, commissioners, care service managers and housing managers working in extra care housing. (Edited publisher abstract)
Focus on...Health and social benefits of co-located primary care services and extra care housing
- Author:
- COMMUNITY HEALTH PARTNERSHIPS
- Publisher:
- Community Health Partnerships
- Publication year:
- 2015
- Pagination:
- 2
- Place of publication:
- London
A short paper outlining the health and social benefits of co-located primary care services and extra care housing. The paper explains how, six years since they opened, Milehouse Primary Care Centre and Mill Rise Extra Care Village, purpose built on the same site, provide an innovative example of the benefits of integrated health care facilities with extra care accommodation for older people. (Edited publisher abstract)
Medication in extra care housing
- Author:
- OPUS PHARMACY SERVICES
- Publisher:
- Care Services Improvement Partnership. Housing Learning and Improvement Network
- Publication year:
- 2008
- Pagination:
- 16p.
- Place of publication:
- London
The handling of medicines in Extra Care Housing (ECH) can be difficult to manage because of a lack of guidance relating specifically to this particular environment. Care homes are completely different from extra care housing. A comparable model of care is a domiciliary care agency. If personal care is provided within an ECH scheme, this must be provided by a registered provider, hence the Care Standards Act 2000, National Minimum Standards for Domiciliary Care and the Commission for Social Care Inspection (CSCI) published guidance are all relevant. Any support with medication should incorporate the principles of safe practice set out in the guidance published by the Royal Pharmaceutical Society of Great Britain ‘The Handling of Medicines in Social Care’. This factsheet is aimed at practitioners, commissioners, care services managers and housing managers in extra care housing, an environment not specifically referred to in any guidance on the handling of medicines.
Evaluation of the extra care housing initiative: PSSRU technical report
- Authors:
- DARTON Robin, et al
- Publisher:
- Housing Learning and Improvement Network; Personal Social Services Research Unit
- Publication year:
- 2011
- Pagination:
- 71p., bibliog.
- Place of publication:
- London
The Extra Care Housing Fund was established in 2003 by the Department of Health to develop innovative housing with care options to meet the housing, care and support needs of older people, while helping them to maintain independence in their own accommodation. The objective of this study was to evaluate new build schemes for older people which received capital funding from the Extra Care Housing Fund from 2004 to 2006. 19 schemes which opened between April 2006 and November 2008 in England were included. The evaluation examined the development of the schemes from their implementation and followed residents' experiences and health over time, also collecting evidence about the process and impact of new approaches to providing accommodation and care for older people. Information was gathered from residents and staff at each scheme, with follow-up surveys of all residents, and from the local authorities concerned and the housing associations managing the schemes. This technical report describes the data collection, including fieldwork procedures and data collection issues, and also covers data preparation and response.
Trees Extra Care Housing: Highgate
- Authors:
- NICHOLSON Anne-Marie, WALKER Martin
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- London
The ‘Trees’ Extra Care Housing scheme, opened in March 2011, provides 40 apartments for older people in a beautiful site located in Highgate’s Conservation Area. The scheme is the first 100% affordable housing project in this part of Haringey. The building was awarded a prestigious Housing Design Award in July 2011, winning the best ‘Completed HAPPI Scheme’ and was shortlisted for the British Homes Awards 2011 - Lifetime Home of the Year and the House Builder Awards 2011 - Best Design. This case study provides an overview of the development of the 'Trees' Extra Care Housing scheme, the relationships of the partners involved, the planning challenges in producing modern sustainable design in a conservation area, and how the local community were engaged. The project has resulted in a valuable housing and care facility for older people and the local community, meeting a need in the local area that was previously not met. Key learning points from the project are discussed.
Pretty vacant: vacancy chains and extra care housing: stimulating local housing markets
- Authors:
- DAVIES Ken, CRAIG Louise
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2011
- Pagination:
- 21p.
- Place of publication:
- London
This factsheet considers how the development of extra care housing can have a strategic impact on the better functioning of local housing markets by creating additional mobility within the market. The concept behind this approach is known as ‘vacancy chains’. In this factsheet, the vacancy chain concept is used to offer an insight into the role of extra care accommodation in freeing family homes, and in doing so, increasing flows within the wider housing market and ensuring more appropriate use of under-occupied accommodation. Descriptions are provided of a number of case studies across the country that have been successful in encouraging older households to move out of their current homes and thus releasing family homes back into the housing market. These case studies cover: a scheme commissioned specifically to free housing; a rural development; all rented extra care housing; a large scale development; a private sector development; and an urban development.