raising the stakes: promoting extra care housing a project to support the development of a range of...

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


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.


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


Current ECH provision

Survey findings

Prospects for a descriptive typology


Goldsborough

Stepping Stone

HicaLife

Mrs & Mrs H Allison BML Healthcare Ltd

Orwell HA

Less than 10 properties


Accent Homes

Joseph Rowntree HT Retirement Security Ltd

McCarthy & StoneHousing 21

Hanover

30 - 40 properties


Anchor Trust

ExtraCare CTWhiteley Homes Trust

Retirement Villages plc

100+ properties

HicaLife Developments Ltd


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.


Tenures

Tenure Schemes %Social rent only 275 74%Market / mixed rentals 7 2%Ownership only 68 18%Mixed tenure 21 6%


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%


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


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


New or remodelled?

Type Schemes %New 281 85%Remodelled 51 15%


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%


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%


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.


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


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


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


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


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


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.


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 housing a project to support the development of a range of...

Documents

care solutions

range of successful

housing corporation

older people project

mccarthy stone housing

older people project

older people goldsborough

stakeholders slide