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Integrating extra care: partnership working in Staffordshire
- Author:
- EDWARDS Tim
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This case study looks at the establishment of the first purpose build Extra Care facility in the Borough of Newcastle-under Lyme. Mill Rise provides 60 high quality apartments set within extensive communal facilities and landscaped environment. It is the result of successful joint working by 8 partner organisations, including Staffordshire County Council, Aspire Housing, and Prima, and demonstrates that multi-agency collaboration can provide value for money and improved outcomes for customers. This paper considers the design of Mill Rise, which includes a primary care centre in addition to the extra care complex of 60 apartments. Also described are the extensive communication and involvement with the public though the life of the project, the person-centred approach to developing future services, and the key points learned from involvement in such a complex multidisciplinary project.
Flexicare housing Hertfordshire: accommodation services for older people 2009
- Author:
- HERTFORDSHIRE COUNTY COUNCIL. Adult Care Services
- Publisher:
- Hertfordshire County Council. Adult Care Services
- Publication year:
- 2009
- Pagination:
- 9p.
- Place of publication:
- Hertford
Hertfordshire's Accommodation Services for Older People programme was launched in 2008 following a detailed analysis of the market for older people's accommodation. The programme is increasing the number of units and the range of accommodation available. It is an innovative partnership between, the county council, the district and borough councils, two Primary Care Trusts and local housing and care providers. The main focus is on providing more flexicare housing. Flexicare housing is Hertfordshire's unique version of extra care housing. It allows residents to rent or even own their own flat with on-site, flexible care available 24 hours a day. This strategy guide is published by Hertfordshire County Council and its partners. Its use of Flexicare represents a model of extra care housing that comprises a balanced community of older people ranging from those with little or no care needs to those with needs equivalent to residential care, including dementia.
Rowan Court: a specialist extra care dementia scheme in Hampshire
- Authors:
- BURNS Jackie, et al
- Journal article citation:
- Journal of Care Services Management, 3(3), April 2009, pp.275-283.
- Publisher:
- Taylor and Francis
This paper focuses on the work of Rowan Court in providing a specialist service for dementia sufferers in Eastleigh. The paper explains how Rowan Court combines the social housing model for housing elderly residents with on-site specialist domiciliary care and support to provide a third choice to those who suffer with mild to moderate dementia. The paper also explains the qualification criteria for prospective residents and the facilities that are available for residents. It outlines how Rowan Court is run, the challenges met by staff and how the care team works with residents on an individual basis in partnership with other professionals.
The development of social well-being in new extra care housing schemes
- Authors:
- CALLAGHAN Lisa, NETTEN Ann, DARTON Robin
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2009
- Pagination:
- 60p., bibliog.
- Place of publication:
- York
The findings of a study conducted between to investigate the development of social well-being for older people moving into 15 new-build extra care housing schemes are reported. The report describes how schemes had begun to develop social activities and community during their first six months, identifying facilitators and barriers to social participation; considers the social climate or ‘atmosphere’ of the schemes one year after opening; discusses differences in individual social well-being one year after opening. Whilst there are some limitations to the study, the findings suggest that extra care housing an provide and environment supportive of social well-being. Key messages are summarised.
The mental health needs of people living in extra care housing
- Authors:
- BROOKER Dawn J., ARGYLE Elaine, CLANCY David
- Journal article citation:
- Journal of Care Services Management, 3(3), April 2009, pp.295-309.
- Publisher:
- Taylor and Francis
Extra care housing is promoted as the best way of providing long-term support for older people. What happens to people if they develop dementia or other mental health problems in these settings is less clear. While promising ‘a home for life’, the reality is that many have to move on to more dependent care facilities if they experience significant problems. This paper reports data from 268 residents in ten extra care housing schemes who were judged by staff teams as being at risk from exclusion because of mental health problems. The sample included three large village schemes (greater than 170 residents) that had opened in the last five years as well as three medium schemes (60–80 residents) and four smaller schemes (under 50 residents). The overall incidence of dementia and depression was difficult to ascertain from records and from staff reports. Formal diagnosis varied substantially across schemes and staff estimates of diagnosis were also variable. Formal assessment of those residents that staff identified as being most at risk, however, showed that they had similar profiles on the Mini Mental State Examination, Geriatric Depression Scale, Bristol Activities of Daily Living Schedule and Barthel Inventory, regardless of the size of scheme they lived in. Those in larger village schemes were more likely to share their apartment with a spouse but the majority of people identified as being most vulnerable lived alone. These findings suggest that there is a need to take a proactive approach to people's mental health in extra care housing in order to be serious about maintaining a good quality of life for all within housing schemes.
Some social consequences of remodelling English sheltered housing and care homes to ‘extra care’
- Authors:
- WRIGHT Fay, et al
- Journal article citation:
- Ageing and Society, 29(1), January 2009, pp.135-153.
- Publisher:
- Cambridge University Press
Across the United Kingdom, new build and remodelled ‘extra care’ schemes are being developed in many areas on the assumption that they offer older people with care needs an alternative to residential care. This paper reports an evaluation by a multi-disciplinary team of 10 extra-care schemes remodelled from sheltered housing or residential care units. The evaluation audited buildings and identified social and architectural problems. No two schemes in the sample were alike; some aimed for a dependency balance and others set a dependency threshold for admission. The three criteria used for assessing eligibility were the number of paid care hours the older person had at home, their property status and the type of disability. This article focuses on the wide variation in assessing eligibility for an extra-care place and on some social consequences of remodelling. A number of tenants remained in situ during the remodelling process in six of the schemes. Building professionals were unanimous that retaining some tenants on site caused significant development delays and increased the remodelling costs. There was also a social price to pay. ‘Old’ tenants resented their scheme changing into extra care and were hostile towards ‘new’ tenants who had obvious needs for support. In some extra-care schemes, ‘old’ tenants were refusing to participate in meals and all social activities.
The Suffolk extra care/dementia management guide
- Author:
- SUFFOLK COUNTY COUNCIL. Social Services
- Publisher:
- Suffolk County Council. Social Services
- Publication year:
- 2009
- Pagination:
- 20p.
- Place of publication:
- Ipswich
This document details the additional design criteria, social activities, care and support services to be provided in very sheltered housing schemes offering accommodation to older people living with dementia. Issues covered include personal care, medication, staffing, quality of life, involvement with the community, and building design.
Shaping Our Lives consultation for Cumbria County Council / Primary Care Trust: assessing future housing need for older people
- Authors:
- BRANFIELD Fran, WILLIS Jenny
- Publisher:
- Shaping Our Lives
- Publication year:
- 2009
- Pagination:
- 70p.
- Place of publication:
- London
This consultation examined how the needs of older people might affect planning for future housing and care schemes for older residents of Cumbria. Those interviewed came from various backgrounds, with very diverse life experiences and with different aspirations. Key findings included: the housing needs of older people should not be a secondary consideration to care needs and care services; most older people want to stay in their own homes, receiving domiciliary care when and if needed; the vast majority of people do not want to live in residential homes; extra care sheltered housing was viewed positively if it became a necessity; independence and security are valued very highly by older people; older people value easy access to facilities such as shops, doctors’ surgeries, hair dressers, and post offices. This report includes various recommendations. Housing needs of older people cannot be viewed in isolation. It is clear that the well-being of older people is intrinsically linked to social care, transport and other support services and community activities. There was a lack of awareness of direct payments and individual budgets. Ways of informing older people of the options for buying in care need to be reviewed. People felt it was important that housing schemes are integrated with the local community. To maximise independence and well-being for older people transport options need to be explored further. More effective transport provision would mean less practical help would be required e.g. with shopping or medical appointments.
Shaping Our Lives consultation for Cumbria County Council / Primary Care Trust: assessing future housing need for older people: summary report
- Author:
- SHAPING OUR LIVES
- Publisher:
- Shaping Our Lives
- Publication year:
- 2009
- Pagination:
- 3p.
- Place of publication:
- London
This report was commissioned by Cumbria County Council and Primary Care Trust to inform their joint strategic needs assessment ‘Anticipating future accommodation needs for older and older disabled people in Cumbria’. This easy read report summary outlines how the older population will be increasing in the near future. Most people interviewed said they wanted to live in their own homes as they grew older, even though they realised they would need help and support. Transport issues were highlighted as a potential barrier if people could no longer drive their own cars. Extra care sheltered housing was seen as the best alternative to home ownership. Other issues included lack of understanding of older peoples’ rights, the need to maintain a social life with active social interaction, including shopping.
The design of housing for people with dementia
- Author:
- UTTON Damian
- Journal article citation:
- Journal of Care Services Management, 3(4), July 2009, pp.380-390.
- Publisher:
- Taylor and Francis
This paper looks at how the principles of designing for people with dementia have been successfully applied to care homes and extra care housing. Two completed projects illustrate these principles.