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Intergenerational programming in senior housing: from promise to practice
- Authors:
- HENKIN Nancy Z., et al
- Publishers:
- Generations United, LeadingAge
- Publication year:
- 2017
- Pagination:
- 45
- Place of publication:
- Washington, DC
This report describes the findings from a year-long study on the nature and extent of intergenerational programming in senior housing. There is a growing interest among senior housing providers in intergenerational programming as a vehicle for connecting residents to the broader community, enhancing well-being for both youth and older adults, reducing ageism, and preparing an aging workforce. The study explored a range of implementation issues, including: motivations for engaging in intergenerational activities and perceived benefits; partnerships; staffing; participant engagement; activities; evaluation; and funding/sustainability. The report also highlights challenges and effective strategies for overcoming barriers, and identifies technical assistance needs. Finally, it includes four “Spotlights” which focus on different ways providers can integrate multigenerational activities into senior housing. Key findings from the study include the following: many housing providers have integrated a range of intergenerational activities into their overall programming and see positive benefits for residents and youth; most housing sites, with some exceptions, focus on engaging residents in specific activities, rather than employing more general strategies to foster cross-age relationships; most intergenerational efforts identified are short-term or one-time events and do not require a major commitment of time; residents engage in both active and passive activities – although residents in some properties are actively involved in planning and implementing intergenerational programs, most activities are planned by members of the housing team; most providers have not identified clear outcomes for older adults or youth, nor have they conducted formal program evaluations; there is limited training of staff and volunteers. (Edited publisher abstract)
Housing with care: innovative care solutions for living well at home
- Author:
- TRUST HOUSING ASSOCIATION
- Publisher:
- Trust Housing Association Ltd
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- Edinburgh
Findings of an independent evaluation of the outcomes in the Trust Housing Association’s Housing with Care (HwC) services. The evaluation has analysed data from a range of sources including: HwC managers at HwC developments (four of whom were interviewed directly, along with a further dozen members of care and catering staff); approximately 50 customers from four HwC developments; commissioners from four local authorities where Trust has HwC developments; Trust’s own data about its HwC developments; secondary data including care home funding and NHS costs and Care Inspectorate reports. The evidence from this evaluation demonstrates that Trust’s HwC services: are valued highly by its customers; deliver a highly caring but enabling model of care and support, assisting people to have a good quality of life in later years; have a very good reputation with local authority commissioners and referrers; meet its own perceived benefits of HwC services; are consistent with the national Health and Wellbeing outcomes; provide value for money and cost savings to local authorities when compared to other long term care options, particularly residential care, as well as providing benefits to the health service. (Edited publisher abstract)
Older people's housing, care and support needs in Greater Cambridge 2017-2036
- Authors:
- ARCHER Tom, et al
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2017
- Pagination:
- 93
- Place of publication:
- Sheffield
This report presents the findings of research into the housing, care and support needs of older people in Greater Cambridge. The study combines modelling of future demand and supply of older people's housing with assessments of current policy and practice aimed at meeting the requirements of this population. The model identifies a requirement for 3,422 units of specialist housing in Greater Cambridge in 2016, against an actual supply of 3,280 units, and indicates significant shortfalls in the supply of age-exclusive housing and residential and nursing care. It also suggests that there is a gap in provision of sheltered accommodation while extra care housing is approximately supplied at the right level at present. However, if it is decided that extra care should meet a greater proportion of needs (e.g. a proportion that would otherwise be met in residential care), then this could significantly change how many units of extra care are required. The model recommends that by 2035, the supply of specialist housing will need to be 80 per cent higher than present, at 6,163. This equates to an annualised rate of development of approximately 140 new units through that period, before any additional units are required to account for reductions to the stock. Rather than accepting these projected supply figures as static, the report argues that policymakers should see them as the basis for more informed policy making. This requires understanding how the demand and supply of housing for older people is affected by various other interventions outside the housing realm. Over time, and as the model is re-run, new patterns and trends will emerge to which policy-makers will need to respond. (Edited publisher abstract)
Fast forward to digital care. White paper: why digital tops housing providers' agenda
- Author:
- APPELLO
- Publisher:
- Appello
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- Hampshire
The first in a series of reports exploring digital care and telecare transformation in housing for older people, this paper looks at some of the rationales for moving away from analogue based systems, such as warden call, and examines how ready existing providers are to make these changes. It draws on the results of a roundtable debate and a survey of approximately 80 senior executives from retirement housing providers, local authorities and organisations responsible for delivering support to older people at home. The paper looks at the benefits of digital care and how it can improve care for the individual, reduce costs, and create a better understanding of customers through the collection of data. It identifies key challenges to implementing changes, such as a lack of joined up thinking and commercial awareness. It then outlines three factors for the successful adoption of digital technology: these are driving change from the top, choose partners wisely, and create a business case for change. The survey results found that 84 percent of housing providers agreed that the adoption of digital will be critical for their future success and more than half are actively planning to move from analogue telecare, warden and community call systems to digital/IP (internet protocol) solutions. (Edited publisher abstract)
A community hub approach to older people’s housing
- Authors:
- EVANS Simon, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 18(1), 2017, pp.20-31.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the potential of housing with care schemes to act as community hubs. The analysis highlights a range of benefits, barriers and facilitators. Design/methodology/approach: Data are presented from the Adult Social Services Environments and Settings project which used a mixed methods approach including a review of the literature, surveys and in-depth case study interviews. Findings: Most housing with care schemes have a restaurant or café, communal lounge, garden, hairdresser, activity room and laundrette, while many also have a library, gym, computer access and a shop. Many of these facilities are open not just to residents but also to the wider community, reflecting a more integrated approach to community health and adult social care, by sharing access to primary health care and social services between people living in the scheme and those living nearby. Potential benefits of this approach include the integration of older people’s housing, reduced isolation and increased cost effectiveness of local services through economies of scale and by maximising preventative approaches to health and wellbeing. Successful implementation of the model depends on a range of criteria including being located within or close to a residential area and having on-site facilities that are accessible to the public. Originality/value: This paper is part of a very new literature on community hub models of housing with care in the UK. In the light of new requirements under the Care Act to better coordinate community services, it provides insights into how this approach can work and offers an analysis of the benefits and challenges that will be of interest to commissioners and providers as well as planners. This was a small scale research project based on four case studies. Caution should be taken when considering the findings in different settings. (Publisher abstract)
Older people's housing: we need a solution
- Author:
- GAUL Dan
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 5
- Place of publication:
- London
In this viewpoint, the author discusses the challenges facing the older people's housing market. It argues that with difficult financial times and increased development risk, a new business model is required. It explains that the traditional extra care business case focuses on predominantly a care solution and questions whether the focus should be on a housing solution that provides quality homes for people of all ages. It highlights an alternative option of developing inter-generational accommodation that offers some units that are ‘care ready’ designed to HAPPI design principles within a general housing scheme. It then highlights who methods of prioritising and supporting community housing schemes through planning and capital funding. (Edited publisher abstract)
Creating homes that people would like to live in rather than have to live in: Is there a role for occupational therapists in the design of housing?
- Author:
- WALKER Marney
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
The author explores the skills that occupational therapists can bring to ensure that homes are accessible and adaptable to the changing needs of residents as they age. It highlights how first-hand experience of working with end users to find effective solutions can inform and complement the design and specifications of new build, refurbishments and adaptations. (Edited publisher abstract)
Enjoying the third age! Discourse, identity and liminality in extra-care communities
- Authors:
- WEST Karen, et al
- Journal article citation:
- Ageing and Society, 37(9), 2017, pp.1874-1897.
- Publisher:
- Cambridge University Press
Extra-care housing has been an important and growing element of housing and care for older people in the United Kingdom since the 1990s. Previous studies have examined specific features and programmes within extra-care locations, but few have studied how residents negotiate social life and identity. Those that have, have noted that while extra care brings many health-related and social benefits, extra-care communities can also be difficult affective terrain. Given that many residents are now ‘ageing in place’ in extra care, it is timely to revisit these questions of identity and affect. The authors draw on the qualitative element of a three-year, mixed-method study of 14 extra-care villages and schemes run by the ExtraCare Charitable Trust. The authors follow Aleman in regarding residents' ambivalent accounts of life in ExtraCare as important windows on the way in which liminal residents negotiate the dialectics of dependence and independence. However, the authors suggest that the dialectic of interest here is that of the third and fourth age, as described by Gilleard and Higgs. The authors set that dialectic within a post-structuralist/Lacanian framework in order to examine the different modes of enjoyment that liminal residents procure in ExtraCare's third age public spaces and ideals, and suggest that their complaints can be read in three ways: as statements about altered material conditions; as inter-subjective bolstering of group identity; and as fantasmatic support for liminal identities. Finally, the authors examine the implications that this latter psycho-social reading of residents' complaints has for enhancing and supporting residents' wellbeing. (Edited publisher abstract)
Evaluation of extra care housing in Wales
- Authors:
- BATTY Elaine, et al
- Publisher:
- Welsh Government
- Publication year:
- 2017
- Pagination:
- 142
- Place of publication:
- Cardiff
An independent evaluation of extra care housing to help inform discussion about the role that extra care housing should play in delivering the vision housing for older people in Wales. It explores: local authority strategies for meeting the housing needs of older people and where extra care housing fits in; demand for, and provision of extra care housing; residents experience of extra care housing; costs and cost-effectiveness. The evaluation included a literature review and the collection and analysis of primary and secondary quantitative data. Case studies were undertaken in six local authority areas, in each area up to 10 key stakeholders were interviewed and in total over 80 extra care residents were engaged in the research. The final chapter provides recommendations to address questions raised in the report in relation to the future size, form, role and function of extra care housing in Wales. (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)