Raising the stakes: Promoting extra care housing A project to support the development of a range of...
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Raising the stakes: Promoting extra care housing A project to support the development of a range of successful housing with care solutions for older people
Project funded by the Housing Corporation
and the Housing Learning & Improvement Network
Project partners:Elderly Accommodation Counsel (EAC)Institute of Public Care (IPC)Moyra Riseborough (RRCA)Peter Fletcher Associates (PFA)
Extra Care Housing Industry Forum meeting:Harley Room, 89 Albert Embankment, London SE1 7TP, Monday 18th December
2006 - from 1:30pm to 4:30pm
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Project aim:To support the development of a dynamic and sustainable
ECH market by providing all stakeholders with:
An evidence base What are the main aims of current providers? How do they try to achieve these? What evidence of success do we have?
Building confidence in the market A standard language to describe ECH products Tools to measure outcomes Kitemarking of basic standards Communication tools
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Project outputs:
1. Steps to Success Guide including:
Overview of existing provision Standard descriptors Evidence of results Critical success factors Measuring outcomes Kitemarking – our proposition to the Industry
Key purpose – to sell kitemarking proposition to the wider industry.
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Project outputs:
2. A website for all stakeholders including:
All material from Steps to Success Guide Introductions to ECH for different audiences Information about all ECH schemes, including provider objectives detailed description, using standard descriptive
language, of buildings, services, target customers explanation of outcome measures adopted by provider details of outcome measurements
Key purpose – to promote ECH to all stakeholders
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Current ECH provision
Survey findings
Prospects for a descriptive typology
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Goldsborough
Stepping Stone
HicaLife
Mrs & Mrs H Allison BML Healthcare Ltd
Orwell HA
Less than 10 properties
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Accent Homes
Joseph Rowntree HT Retirement Security Ltd
McCarthy & StoneHousing 21
Hanover
30 - 40 properties
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Anchor Trust
ExtraCare CTWhiteley Homes Trust
Retirement Villages plc
100+ properties
HicaLife Developments Ltd
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Size of scheme
Size Schemes %1-10 units 12 3.2%11-20 units 23 6.2%21-30 units 68 18.4%31-40 units 127 34.3%41-50 units 69 18.6%51-60 units 40 10.8%61-70 units 19 5.1%71+ 12 3.2%
Smallest 10 units; largest 277 units.Average 41 units.Median 36 units.
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Tenures
Tenure Schemes %Social rent only 275 74%Market / mixed rentals 7 2%Ownership only 68 18%Mixed tenure 21 6%
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Location type
Location Schemes %Urban 34 17%Suburban 140 69%Rural 4 2%Village 25 12%
Distance from town/shopping centre
Distance Schemes %<=100 yards 38 11%101 yards – ¼ mile 46 13%¼ - ½ mile 93 27%½ - 1 mile 74 21%1 - 2 miles 55 16%> 2 miles 42 12%
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Facilities Schemes %Lounge 232 98%Guest suite 184 78%Laundry 220 93%Dining room (*) 153 65%Restaurant (*) 88 37%Garden 229 97%Conservatory 42 18%Hobby room (**) 69 29%Activities room (**) 103 44%Community / day centre 58 25%
More than 1 lounge 118 50%Bar 16 7%Gym 14 6%Library 81 34%Shop 58 25%Treatment room 83 35%Computer room 80 34%Hairdressing room 149 63%Jacuzzi 7 3%Pool 5 2%
Facilities
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Year built (or remodelled)
Year Schemes %1971 – 1980 9 4%1981 – 1990 78 26%1991 – 2000 75 27%2001 + (*) 135 42%
(*) Includes 45 completions in 2006 / 2007
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
New or remodelled?
Type Schemes %New 281 85%Remodelled 51 15%
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
User profile / scheme aims(note: categories not mutually exclusive)
Aims Schemes %Cater for people with low care needs 174 47%Aiming at mixed care level population 271 73%Admission criteria similar to rescare 125 34%Residents won’t have to move except tohospital
209 56%
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Preferred customers
“Our scheme is best suited to people who need:”
Minimumhelp
Moderatehelp
High levelof help
Schemes Summary %
23 Low needs only 10% 43 Low to medium need 19% 60 Medium needs only 26% 24 Medium to high needs 11% 26 High needs only 11%
52 All levels of need 23%
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Care staffing
Staff Schemes %On site care staff 308 83%24/7 199 54%
243 schemes (65%) claimed they had somestaff (housing staff or care staff) on site 24/7.
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Catering for specific groups of people(other than ‘frail elderly people’ and localresidence criteria)
Group SchemesFrail older people and younger disabled people 10People with disabilities – any age 2Includes units or scheme is for people withdementia
3
BME 1Afro-Caribbean 2Asian 1Older people & people with learningdisabilities/MH needs
4
Adult mental heath 1Specific trades 1
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Selection criteria Rented Ownership% %
Residents must:Be self funders 18% 65%Be on state benefits 18% 5%Have local connection 34% 5%Have a housing needs assessment 72% 14%Have a care assessment 75% 3%Have a risk assessment 47% 14%Have a health assessment 30% 49%Have a minimum support need 34% 6%Have a minimum personal care need 34% 0%Have less than a maximum care need 10% 6%
We accept people with:Urinary incontinence 79% 49%Faecal incontinence 67% 41%Memory problems – moderate 92% 81%Memory problems – severe 15% 8%
Resident selection – comparison by main tenure
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
TerminologyName Used byExtra care Hanover (rented)
Housing 21 Most RSLs & LAs
Very sheltered Retirement Security Ltd St Monica Trust Bield HA (Scotland) Hanover Scotland
Assisted living Sunrise (suites) Hanover (leasehold) McCarthy & Stone/Peverel Goldsborough Sunrise
Close care Barchester Stepping Stone
EasyLiving Hanover (leasehold)Retirement village/extra care ExtraCare Charitable TrustCare village Care Village GroupHousing with care Methodist Homes HAContinuing care retirement community Richmond Villages
Rowntree;Retirement living Audley Court
BovisIntegrated care and housing Anchor TrustIntegrated care AbbeyfieldTotal care living Brendoncare
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Most frequently used words in providers literatureWords General Ethos Alternative to / Aims Care provision Who is it for? TotalCare (as support) 22 13 19 54Independen 40 3 4 4 51Support 16 18 3 37Old (er) 13 4 3 20Own home 10 7 3 20Needs 8 7 15Individ 9 4 13Secure 10 2 12Alternative 10 10Community 7 3 10Residential 3 6 9Safe 7 7Nursing 3 3 1 7Personal (care) 1 5 1 7Dignity 5 5Lifestyle 5 5Social (sociable) 5 5Privacy 3 1 4Help 3 3Hospital 3 3Disab 3 1 4Home for life 3 1 4Dementia 1 1 1 3Leisure 3 3Health (excldmental)
2 2
Mental health 2 2Institution (al) 2 2Alzheimer 1 1 2
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Survey method
• Starting point: EAC National Database of Housing for Older People
• Devising the questions: housing, services, services users
• Two stage survey
• Statements survey
• Returns and quality of data
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Findings: figures and statistics
Findings: what does this tell us?
Findings: statements
Providers share a common language with that of Government departments and agencies, and with the voluntary sector:
Independence, own home, care and support are at the core of the present definition of Extra Care Housing.
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
STAGE REPORT
•Survey has demonstrated the providers’ willingness to work with the project.
•The success of the project depends entirely on the involvement of the extra care industry. Ultimately the industry must own their Kitemark.
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people
Raising the stakes: Promoting extra care housingA project to support the development of a range of successful housing with care solutions for older people