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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.
Promoting supportive relationships in housing with care: report
- Authors:
- CROUCHER Karen, BEVAN Mark
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 52p.
- Place of publication:
- York
Evidence has consistently shown that older people with high support needs, particularly those who have cognitive and sensory impairments, can be marginalised within housing with care schemes. This research looks at approaches to Housing with Care (HWC) in England and Wales, and how these communities are being made socially inclusive places to live, based on what older people with high support needs say they value and want. The report found that: communities are more likely to be inclusive when organisations have taken positive steps to promote a central ethos and culture of respect and tolerance of individuals; one of the ways of promoting respect and tolerance is by raising awareness of the experiences of people with conditions and impairments; organisations can take a number of steps to create an underlying environment that helps residents participate; and neighbourliness is key to supportive communities.
Promoting supportive relationships in housing with care: summary
- Authors:
- CROUCHER Karen, BEVAN Mark
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- York
Evidence has consistently shown that older people with high support needs, particularly those who have cognitive and sensory impairments, can be marginalised within housing with care schemes. This research looks at approaches to Housing with Care (HWC) in England and Wales, and how these communities are being made socially inclusive places to live, based on what older people with high support needs say they value and want. The report found that: communities are more likely to be inclusive when organisations have taken positive steps to promote a central ethos and culture of respect and tolerance of individuals; one of the ways of promoting respect and tolerance is by raising awareness of the experiences of people with conditions and impairments; organisations can take a number of steps to create an underlying environment that helps residents participate; and neighbourliness is key to supportive communities.
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.
Older people with high support needs in housing with care
- Author:
- GARWOOD Sue
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 12
- Place of publication:
- York
Housing with care (HWC) offers a promising model for improving the quality of life of older people with high support needs, but also poses challenges. This Round-up was commissioned as part of the JRF programme ‘A Better Life’, and draws together key messages and practice examples from JRF studies into three aspects of HWC. The first is how positive and supportive relationships between older people with and without high support needs living in HWC can be promoted (Croucher and Bevan). The second is how providers, partner agencies and other stakeholders work together with older people and their relatives to deliver HWC, with a particular focus on boundaries of roles and responsibilities (Blood et al.). The third is and how affordability and complexities surrounding it affect the decision-making and lives of self-funding older people with high or increasing support needs (Pannell et al.). These studies reinforce other research findings: that HWC is a form of housing and support greatly valued by older people with high or increasing support needs and can enhance their quality of life. HWC also supports rights and promotes independence, privacy and control over how residents choose to live their everyday lives. However, future financial constraints and how benefits and personal budgets will work are identified as making for uncertainty. (Original abstract)