astrid reynolds - summer foundation - learnings from our first demonstration housing & support...
DESCRIPTION
Astrid Reynolds delivered the presentation at the 2014 Younger People with very High & Complex Care Needs Conference. The 4th Annual Younger People with very High & Complex Care Needs Conference focused on topics such as report on Summer Foundation’s preliminary findings from NDIS Launch sites in Barwon & the Hunter Valley, identify policy & practice opportunities & barriers for YPINH that arise from the NDIS. For more information about the event, please visit: http://www.informa.com.au/youngerpeopleconference14TRANSCRIPT
Housing and Support Demonstration Projects !
What are we learning
Overview!
The demonstration projects – overview of core features
Why the Summer Foundation is establishing these projects
Discussion of various aspects and insights in more details
The NDIS – some issues and opportunities 2
Core features of model and approach
1. Central geographic location
2. Individual units peppered through an apartment building
3. Accessible and adaptable design
4. Home automation and communication technology
5. Individualised and independence enhancing support approach, balanced with some efficiencies from close proximity of units
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Core features of model and approach con’d
6. Access to 24 hours support (on site staff office)
7. One support provider for first 2 years
8. Property and tenancy management by community housing organisation
9. Evolving model – reflection, refinement and formal evaluation
10. Encourage and support replication
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Why is Summer Foundation establishing demonstration projects?
• Need wider range of housing and support models for YPINH
• Need integrated thinking across building, technology and support approach – how they all work together to support independence
• Establish, test and refine model – action research approach
• Summer Foundation role – a broker, not a service provider, contributes the housing component
• Document, evaluate and support replication
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Ultimately we would like to be able to provide hard evidence that
The provision of: • well located • good quality, • well designed, • accessible and adaptable
housing • incorporating technology & • an independence enhancing
support approach
Results in:
• increased quality of life • increased independence • reduced life time care costs
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Inner Melbourne
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Hunter Region NSW
Loca6on! Loca6on! Loca6on!
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Design !
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Design!
Adaptability features in NSW project include:
Kitchen • Benches – varied heights possible
• Capacity to easily remove or replace under-‐bench cabinetry
• Movable kitchen bench – can be secured – power point in floor
Bathroom • All walls are reinforced walls
• Toilet – no change to plumbing to
• move to le@ or right • replace ordinary with disabled toilets easily
• Height adjustable vanity unit
Wardrobe – modular – move to suit tenants specific capabilities
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Capital funding
Project 1 • Philanthropic funding
• NRAS
Project 2 • Philanthropic funding
• Social investment potenGal – Social Investment Think Tank • Shared equity potenGal?
• NDIA “User cost of capital funding”?
• NRAS?
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Technology Melbourne project • Based on a security system
integrated smart technology
ability to communicate with support staff via two way speakers
iPad, iPhone, or other user interface acGvaGon
• Infrastructure to enable “add-‐on’s”
LighGng control
Air-‐condGoner control
Automated Blinds
Automated Window openers
Automated Doors
• Tenants responsible for;
! Personal AV equipment
! Internet, Foxtel, phone lines, etc.
Purpose of technology
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• Give people privacy and control over their environment
• Safety and sense of security -‐ alert someone in an emergency
• Reduce reliance on staff
• EvaluaGon indicates – home automaGon supports sense of
independence and control
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Technology – some of the learnings for second project
• Design of system • Costs • Making sure it works reliably from start • Flexibility and capacity to change parameters • Capacity for customisation for individuals • Long term maintenance • Role of support provider versus property manager in
managing and maintaining the technology
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Support model focus annecto is support provider in Melbourne project
• Intensive transition support – Community Inclusion Facilitation/Planning role
• What opportuniGes does this new home give me?
• How do I want to live my life in this new home?
• How do I want to be supported?
• Tenant capability building – problem solving, planning for living, decision making, community linking
• Probing and reflective questioning
• Tenant selection of support staff in collaboration with HR
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Support Model Structure!
• One support provider selected to partner on project for first two years
• Individual support to tenant by small team of staff
• 24 hour staff presence on site at beginning active night, now inactive night
• Ongoing role of inclusion support facilitator/planner
• Technology supports tenants alert staff in case of an issues/emergency
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Support model - emerging insights
• Selecting tenants who want to live more independently is key
• Retaining capacity for flexibility in response to changing need
• Critical to have capacity to evolve model
• Higher anxiety in first 3 months
• Adjusting 24 hours support arrangement
• Reducing or refocusing individual support hours across time
Challenges of maintaining concerted focus on tenant capability building
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The NDIS – how can this model fit?
Approach highly consistent with aspirations of the NDIS
Models linking housing, technology and support in new ways – requires some thinking about fit with individualised funding approach
The model is not a new version of shared supported accommodation model
Model of individual homes – that happened to provide opportunities for efficiencies because they are in close proximity
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The NDIS – how can this model fit con’t
Types of questions for discussion with NDIA • How can the model fit with an NDIS funding framework?
• What options are there to package up the various interrelated elements of the model in a coherent way in an NDIS individual funding context?
• Will NDIA fund adaptation of units for specific individuals during the final stages of the building process?
• How can we develop a framework for funding the costs of emergency communication systems that are integrated into the building in these of projects?
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The NDIS – how can models fit con’t
• Transition support as implemented in Melbourne project – intensive and empowering, not just practical focus – how will that fit?
• 24 hour support coverage that is shared – how can that be most effectively managed in the NDIA individual funding framework?
• In what ways might the “user cost of capital” fund some of the costs of purchasing the units?
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• The model is one of a range of options to fill current gaps
• Is a time of opportunity for new options
• Already know that the approach is able to change people's lives and aspirations
• Made significant progress on adaptable design
• Next phase - work out the fit with NDIS funding more integrated, flexible and robust technology
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Summer Foundation
Presentation by Astrid Reynolds
Innovative Housing and Support Manager
About the Summer Foundation
Established in 2006, the mission of the Summer Foundation is to
resolve the need for young people with disability to live in nursing
homes. The Summer Foundation focuses research, creating a
movement, and developing integrated housing models.
Website www.summerfoundation.org.au
Understand more about what we do
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