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Care Service Provision in Extra Care: The Sunderland Model

Learn about the successful Sunderland Model for providing care services in extra care housing schemes. Discover the cost efficiencies, improved monitoring, and future opportunities for community involvement.

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Care Service Provision in Extra Care: The Sunderland Model

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  1. SunderlandCityCouncil:Care Model Housing LIN Event28 May 2014Dovecote Meadow Extra Care Housing Scheme Neil Revely, Executive Director – People Services

  2. SunderlandCityCouncil:presentationtitle Care Service Provision in Extra Care The Sunderland Model

  3. Extra Care Programme started in 2008 • 3 council residential care homes demolished • 3 sites released for extra care housing provision • Care staff to be redeployed from residential care closures • In house service provided care and support in first 3 extra care schemes – commissioned by the council Background

  4. Residents at Woodridge Gardens, Washington

  5. Review of costs undertaken during 2010/11 • Decision reached that in house service to be removed from extra care schemes • Housing provider enabled to commission own care service • Council not providing care framework; procuring care or commissioning care – reduces council resource costs and contract monitoring requirements Care delivery Review

  6. Moved to time and task model • Council paid care provider via managed budget – no contract, no commissioning • £11 per hour for assessed care hours • £11 per hour for 24/7 core hours cover per scheme regardless of tenure • Service quality monitored via CQC rather than via internal contract monitoring arrangements

  7. Process review and upgrade • Removed formal nominations agreement requirement • Removed any void rental loss liability from the council • Reviewed the application process giving the housing provider ownership of their own allocations for extra care • Removed requirement for social workers to attend allocations panel meetings

  8. Seafarers Way, Hendon – Extra Care Scheme for People with Alzheimers – opens July 2014

  9. Sunderland Model • £11.35 for assessed hours • £11.35 for 24/7 core hour cover per scheme • Cost split over all schemes - £40.45 per household per week • Council no longer pays for self funder’s core hours • Care provider undertakes all care re assessments 2hrs+/- current care assessment • All charges are assessed within individual’s personal budget – paid to care provider by council via managed budget • Core hours reviewed – 1/3 of core hours provide housing related services • This charge taken out of care budget • Charge added to service charges in rents • Some of the tasks are eligible for housing benefit • Understand that one size does not fit all – some schemes may require a different approach

  10. Potential Efficiencies • No commissioning frameworks or procurement • Reducing contract monitoring • Social workers not required to attend allocations panels • Core hours contribution from self funders • Social workers not required to undertake smaller hour care reassessments • Social worker time / resource saving • Mileage cost savings

  11. Monitoring of Model • Re assessment to be piloted for 12 months • SWs to undertake spot check monitoring of re assessments • Regular review of re assessments with care provider to monitor all outcomes • Gain improved understanding of actual efficiencies achieved • Mature partnership to work collectively to build a model which delivers quality personal outcomes for customers

  12. The Future • Opportunities to increase volunteering • Embed Community Interest Companies into each scheme to support community resilience • Identify long term opportunities to do things differently • Integrate health into schemes to enable delivery of locality services for the community • More focus upon reablement and participation for residents and carers • Extend care services into wider locality from the extra care scheme to deliver more services more efficiently to more people • Look at Individual Service Funds, enabling pooling of monies to provide services for residents with better VFM

  13. Springtide Cove, Roker – Opens September 2014

  14. Community Leadership – What are we doing now? • CIC providing catering services, hair salon and beauty therapy services • Community library services operating with CIC and volunteers • People’s supermarket via Co Operative approach with volunteer residents

  15. Community Living Solutions – Extra Care Housing, Sunderland • Mixed tenure schemes • HCA / DH / private funded schemes • 174 extra care properties over 4 schemes at end of 2013/14 • End of 2014/15 this will increase to 532 across 10 schemes • Private investor provision including refurbishment and new build • 2015 onwards 130 unit scheme confirmed – 3 schemes in pipeline • Council tax income • Release of family homes • Employment opportunities – construction / care • Training opportunities • Inward capital investment • Reduction in residential care admissions • Reduction in residential care accommodation

  16. Kris Hopkins MP Visit to Dovecote Meadow – April 2014

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