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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)
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)
Active subjects of passive monitoring: responses to a passive monitoring system in low-income independent living
- Author:
- BERRIDGE Clara
- Journal article citation:
- Ageing and Society, 37(3), 2017, pp.537-560.
- Publisher:
- Cambridge University Press
Passive monitoring technology is beginning to be reimbursed by third-party payers in the United States of America. Given the low voluntary uptake of these technologies on the market, it is important to understand the concerns and perspectives of users, former users and non-users. In this paper, the range of ways older adults relate to passive monitoring in low-income independent-living residences is presented. This includes experiences of adoption, non-adoption, discontinuation and creative ‘misuse’. The analysis of interviews reveals three key insights. First, assumptions built into the technology about how older adults live present a problem for many users who experience unwanted disruptions and threats to their behavioural autonomy. Second, resident response is varied and challenges the dominant image of residents as passive subjects of a passive monitoring system. Third, the priorities of older adults (e.g. safety, autonomy, privacy, control, contact) are more diverse and multi-faceted than those of the housing organisation staff and family members (e.g. safety, efficiency) who drive the passive monitoring intervention. The tension between needs, desires and the daily lives of older adults and the technological solutions offered to them is made visible by their active responses, including resistance to them. This exposes the active and meaningful qualities of older adults’ decisions and practices. (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)
Reimagine housing
- Authors:
- KILLIAN Joanna, ESSEX Mark
- Publisher:
- KPMG
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- London
This paper attempts to reimagine Britain's current approach to housing to help meet people's needs, reduce the UKs health and social care burdens and allow for investment opportunities. It argues that the current model of social care funding is unfair and rife with perverse incentives and imagines a new deal between the elderly and government: the creation of an insurance policy which would encourage those in need of care to exchange their existing home for one in a new care community, while guaranteeing a fixed payment to their family after they pass away. Reimagining supported housing could introduce an incentive that encourages older people to sell their homes ‘earlier’ to access the kind of support that will help them live longer, healthier, happier lives in the community, and postpone – or even avert – the need for residential care. A new wave of care communities, provided by the private sector and housing associations working on a commercial basis, would provide an attractive alternative source of accommodation, offering a high quality of life to their residents, including leisure facilities such as cinemas, restaurants, gyms, IT facilities, shops and landscaped gardens, and onsite medical care – with offers such as 24-hour nursing services. In addition, rather than paying £400-600 for a room in a shared house, young people could be offered discounted accommodation with an elderly person in exchange for a few hours a week – which could either be spent performing household tasks, or simply keeping their housemate company. (Edited publisher abstract)
Putting older people first in the North West: a whole system approach to meeting housing, health and wellbeing outcomes for our older populations in North West England
- Author:
- HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 21
- Place of publication:
- London
Sets out the challenges faced by those involved in the housing, health and care of older people in the North West between now and 2030 and provides examples of initiatives practice show how services can help to meet these challenges while delivering better outcomes and efficiencies. The paper summarises some of the key characteristics of older people in the North West and how these are expected to change between now and 2030. It also highlights the implications of the increasing numbers of older people in need of care and support for services and the workforce. The paper shows how housing and housing-related services can make a significant contribution to emerging models of integrated health and social care services and can play an important part in maintaining the independence of older people. Innovative local examples of practice include: social prescribing; telecare; home improvements and adaptations to prevent hospital admissions; extra care housing; and early supported discharge teams. (Edited publisher abstract)
Going digital: living better for less with technology-enabled housing
- Authors:
- ADASS. Housing Policy Network, LOCAL GOVERNMENT ASSOCIATION, HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
An online toolkit providing information for professionals working in adult social care on the area of technology enabled housing. It looks at the connection between technology and home care and support and the benefits of investing in the right technological infrastructure. Sections cover why it is important to adopt digital solutions; how digital technology can support policy and commissioning objectives; technical considerations to getting better connected digitally; and making the case for the benefits of technologically-enabled housing. Each section contains a series of questions that set out how services might get better connected digitally and provides links to useful resources. A series of case studies also highlight the use of technology enabled housing in the areas of prevention; rehabilitation and reablement; long term support and support for people with complex needs. Although focused on adult social services, the resource will also be of interest to a wider network across health, housing and social care. It is intended that the resource will be updated on a regular basis. (Edited publisher abstract)
Housing choices discussion paper 3: characteristics of housing and support options: inclusion, rights, choice and control
- Authors:
- HARFLETT Naomi, et al
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- Bath
This paper sets out the different characteristics of housing and support options in terms of the level of choice, control, rights and inclusion they offer to people with care or support needs. Using the housing and support categories identified in the typology in briefing paper 2, the paper uses a table to show what each of the options offer. Characteristics cover: choice over who to live with, choice in relation to nature and level of support, choice over who supports, control over what happens in the home, own front door, security of tenure, rights to full welfare benefits, CQC regulated, community location, sole or shared ownership, and which client groups the housing caters for. The discussion paper aims to stimulate feedback and comments which will be used to inform a final position paper. It focuses specifically on housing and support available for older people, people with learning disabilities and people with mental health problems (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)