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Continuing care retirement communities: description and and evaluation
- Author:
- KING Nigel
- Journal article citation:
- Housing Care and Support, 6(4), November 2003, pp.29-33.
- Publisher:
- Emerald
Hartrigg Oaks is a non-profit making community, developed without government subsidy, developed by the Joseph Rowntree Housing Trust, and has become well-known among those interested in different housing and social care for older people. Modelled on American continuing care retirement communities (CCRC), this retirement village has recently been the subject of a three year evaluation. This article gives information about Hartrigg Oaks, and some of the findings of the evaluation.
Residents' views of a continuing care retirement community
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- York
Hartrigg Oaks in New Earswick, York, is the first example in the UK of a Continuing Care Retirement Community (CCRC). This non-profit-making community, developed without government subsidy and run by the Joseph Rowntree Housing Trust, has a financing system unique in the UK. Capital payments and annual fees from each resident are pooled to fund care and support services for all the residents. This allows Hartrigg Oaks to charge a flat rate, inflation-linked fee, that will not rise even if a resident needs permanent residential care. (Residents can opt to pay for care as needed.) The objective is to achieve a balance between those residents who need care and support and those who do not make many demands on its care services. Hartrigg Oaks must therefore try to ensure that it has the right 'balance' of residents and appeals to the 'young-old' who anticipate living independently for some years to come. All potential residents undergo a health check.
Retirement communities: a new perspective on retirement.
- Author:
- SHIPLEY Peter
- Journal article citation:
- Housing Care and Support, 6(3), August 2003, pp.32-35.
- Publisher:
- Emerald
The idea of retirement communities presents a contrast to the prevailing ideas of mixed housing communities. or of ordinary homes in the community. Choice in housing in this case appear to be producing a consumer led revolution in ideas for housing care and support.
Living at Hartrigg Oaks: residents' views of the UK's first continuing care retirement community
- Authors:
- CROUCHER Karen, PLEACE Nicholas, BEVAN Mark
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 80p.
- Place of publication:
- York
Hartrigg Oaks is the first example in the UK of a Continuing Care Retirement Community (CCRC), developed by the Joseph Rowntree Housing Trust. On a 21-acre site in York, 152 bungalows are clustered around a central complex containing amenities, including a library, cafe and restaurant, and a residential care home known as ‘The Oaks’. As a CCRC, Hartrigg Oaks is designed to provide a housing option for older people in which they may live independently for many years. At any given point in time, most of the residents in Hartrigg Oaks will be living largely, or wholly, independent lives. The extensive care and support services provided at Hartrigg Oaks are primarily designed to allow its residents to remain in their bungalows. Should their care needs become more pronounced they can remain on the Hartrigg Oaks site within ‘The Oaks’ registered care home, which offers both interim and permanent care. Hartrigg Oaks is financed through an insurance based model, residents pay into a communal financial pool through an annual fee. The care and support services that Hartrigg Oaks provides are then financed through this pool. Through using this approach, residents can be offered the option of paying an annual fee that will not increase according to their use of care services.
Acceptance of dementia screening in continuous care retirement communities: a mailed survey
- Author:
- BOUSTANI Malaz
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(9), September 2003, pp.780-786.
- Publisher:
- Wiley
In a recent systematic review of the evidence for dementia screening to support recommendations from the US Preventive Services Task Force, the authors found no evidence regarding the interest or willingness of older adults to be screened, and insufficient evidence to provide an estimate of the potential harms of dementia screening. In an attempt to address the acceptability of dementia screening, we asked older adults living in two Continuous Care Retirement Communities (CCRC) if they would agree to routine screening for memory problems. Cross-sectional study using self-administered mailed survey questionnaires. There was a 64% survey response rate. Of these, 49% of participants stated they would agree to routine screening for memory problems. In comparison to people who would not agree to routine memory screening, those who accepted memory screening were more likely to accept depression screening, be male, use drug-administration assisted devices, and take more medications. Approximately half of the residents in this affluent residential community setting were not willing to be screened routinely for memory problems. This high refusal rate indicates that dementia screening may be associated with perceived harms. It is concluded that understanding of the decision-making process driving individual's beliefs and behaviors about dementia screening must be improved before implementing any broad-based screening initiatives for dementia or cognitive impairment.