Rebecca Mollart, erosh CEO AGM 9 May 2017

1. Rebecca Mollart, erosh CEO AGM 9 May 2017

3. Erosh • Raises awareness of the value and benefits of older people’s housing and support • Celebrates housing with support for older people • Promotes sheltered/retirement housing schemes as community hubs • Provides policy and practice resources for frontline staff supporting older people and their managers

4. Our offer to members • Representation/lobbying at national & local level • Collective responses to national consultations • Job vacancy listings • Service Impact Tool (SiT) • Sensitive Contractors guide, training and ‘approved’ status • Good practice/case studies • Showcase own good practice • Discounted training/events • Policy briefings • Bi-monthly e-newsletter • Networking events • ‘Erosh Community’ page • ‘Ask Another Member’ facility • ‘Ask An Erosh Expert’ facility

5. Good practice resources Upcoming • Loneliness & social isolation • ‘About housing’ for health & social care professionals • ‘About health/social care’ for housing professionals • Hoarding - update Current topics • Person centred support planning • Professional boundaries • Intergenerational projects • Sensitive Contractors • Mobility vehicles – update • Safeguarding – update • Fire safety – new

6. Sheltered & retirement housing is worth celebrating! • Saves money for the public purse • Prevents hospital admissions/readmissions and reduces length of hospital stays • Improves health, well-being, and quality of life • Prevents loneliness and social isolation • Serves a whole community of older people • Maximises older people’s income and reduces fuel poverty • Frees up much needed family accommodation • Provides peace of mind, security and safety, and independence

7. The evidence In the UK by mid-2039: • No of people aged 75+ will rise by 89.3%, to 9.9m • No people aged 85+ will more than double, up to 3.6m • No of centenarians will rise nearly 6x, from 14,000 (mid-2014) to 83,000 • More than 1 in 12 people will be aged 80+ Source:ONS, 2014

8. Outer blue line = 2039 Source:ONS, 2014

9. Sheltered & retirement housing saves money Sources: Berrington, 2017and Laing & Buisson Care of Older People UK Market Report 2014/15 *Stats not broken down into England and Wales. Cost per person x 395,000 units of supported housing (England) and 30,500 units of supported housing (Wales)

10. Saving money • Net capital cost benefit of developing specialist housing for older people over general needs housing of £444 per person per year. • For older people in sheltered &retirement housing, an investment of £198.2m results in a net financial benefit of £646.9m. • Savings for health and care of £9,700 per person. • Savings for local authority care entitlement of £18,600 per person. (Berrington, 2017)

11. Saving money • Net financial benefit from SP (England) of £3.4bn per year for an overall investment of £1.6bn • Every client group - a positive financial return on investment • HCA capital investment - total benefit of specialist housing of £1.6bn and net benefit of £640m • Supported housing for older people - largest net benefits along with people with mental health issues and people with learning disabilities. • Average HB spend per older person per year = £5,200; average spend per working age person per year = £9,000 (DWP/CLG, 2016)

12. Mrs K, 95, was an active, independent sheltered resident who became increasingly frail and forgetful after a fall, and less able to manage. The SM supplied Mrs K with an alarm pendant and helped arrange a cleaner, and for her son to help with shopping. After another fall, the SM referred Mrs K for an OT assessment resulting in additional mobility aids. When Mrs K’s memory declined further, the SM referred Mrs K for memory clinic assessments resulting in vascular dementia diagnosis. A care package has enabled Mrs K to live independently in her sheltered home rather than moving to residential care. Case study

13. Hospital admissions, readmissions and length of stay Source: Buck, D., Simpson, M., & Ross, S., (2016). The economics of housing and health: The role of housing associations.

14. Hospital admissions, readmissions and length of stay • Stronger social networks help older people to seek medical advice earlier reducing hospital admissions • Emergency alarm call systems in sheltered and retirement housing reduce 999 calls and associated hospital admissions where a lower level of assistance and reassurance is sufficient

15. When Mr A had a below knee amputation, his partner didn't want him to return to his (privately owned) home from hospital as she couldn't look after him. After some time in a local hospital, Mr A moved into a level access sheltered flat. • After a further amputation on the same leg Mr A could return home immediately. • The HA carried out a number of improvements to help Mr A live independently and avoid residential care. • Mr A has no care packages other than support provided by the HA and his family. Case study

16. ‘Passion for Life’ is a framework for older people to make incremental changes in their lives to improve health and well-being, particularly after a life-changing event e.g. retirement or bereavement. The project (open to tenants of other housing providers and older home owners) centres on themes e.g. health and well-being; movement; social networks; safety in the home etc. and each session or ‘life café’ involves interactive activities, guest speakers and sharing experiences. Health, well-being, and quality of life

17. Loneliness & social isolation • Older people more likely to live alone and at risk of isolation, loneliness and depression (ODPM, 2006) • 59% people 50+, and 38% 75-84 year olds living alone (ONS, 2013) • Illness/bereavement contribute to isolation/lack of confidence • Older people in specialist accommodation less likely to feel lonely (Wood and Salter, 2016)

18. Mrs G is an active lady in her 80s. After her husband died, she had trouble making friends and creating a social life. Secure in her sheltered accommodation, we were able to work with Mrs G to improve her self-confidence and as a result she became chair of the social committee, taking the lead in organising many events and scheme activities. Case study

19. A Community Project integrates two sheltered schemes and an extra-care scheme into a central hub for all older people in the community where they can access information about services and health/well-being initiatives as well as socialise. 8 hubs have been developed, including in isolated rural areas, offering a wide variety of resident driven activities. The whole community • Resource hub for all older people in communities • Ideal location for other statutory/voluntary services

20. Income and fuel poverty • 2001 – half fuel poor households included someone aged 50+ (Dept of Energy & Climate Change, 2013) • Depth of fuel poverty increases as age of oldest household member increases (Department of Energy and Climate Change, 2013) • Older people more likely to spend longer in homes (Berrington, 2017) • Sheltered & retirement housing residents benefit from lower utility bills • Residents signposted to advice and support to maximise income and reduce utility bills (Berrington, 2017) • Sheltered housing is cost effective to heat; residents unlikely to go without heat/hot water

21. Mr V, 72, moved into sheltered housing after serious debt problems which led to eviction. Mr V suffers with depression so spent a lot of time in his flat, finding it hard to get out of bed. We referred him to agencies who could help. He now doesn’t worry so much about his finances and is less depressed. He gets involved in the scheme and has a brighter outlook. • Without support, he would have got deeper into debt and further isolation, leading to poor physical and mental health, and likely hospital admission. Case study

22. Peace of mind, security, safety and independence • Issues most concerning older people: • Too much responsibility • Home/garden maintenance • No help if ill • Accommodation too large • Stairs/mobility • Limited public transport • Not feeling safe (Berrington, 2017 and Welsh Government (2017) • Sheltered & retirement housing provides manageable accommodation resulting in peace of mind, security, safety and independence

23. Mrs W is an 85-year old whose mental health and ability to live independently deteriorated. She had been receiving a daily care package but there were concerns for Mrs W’s safety as well as issues around managing her finances, including suspected financial abuse. Mrs W has been safeguarded and appropriate action taken with social services and the police, leading to the imprisonment of the abuser. • Without living in a sheltered scheme, this abuse could have gone undetected. Case study

24. Freeing up accommodation • Older people would move if suitable accommodation available and they were aware of housing options (Welsh Government, 2017) • Only 7% of homes (England) have basic 4 accessibility features (Wood, 2013) • Specialist housing for older people = 6% of the existing stock and represents only 5,000 of the 155,000 homes built in 2014/15 (LGA, 2016)

25. Mr and Miss P, father and daughter, were living in an adapted family home. Mrs P, who used a wheelchair, had passed away. Mr and Miss P had chronic health problems and disabilities but didn't need wheelchair housing. They moved into a 2 bed flat in a sheltered scheme which gave them a new lease of life. Miss P enjoys being part of the community, helping to run social events, and frail residents with shopping. Mr P enjoys talking to other residents and takes part in social activities. • Their move enabled the council to house a family from B&B, saving more than a £1,000 a week. Case study

26. So, sheltered & retirement housing ... • Saves money for the public purse • Prevents hospital admissions/readmissions and reduces length of hospital stays • Improves health, well-being, and quality of life • Prevents loneliness and social isolation • Serves a whole community of older people • Maximises older people’s income and reduces fuel poverty • Frees up much needed family accommodation • Provides peace of mind, security and safety, and independence

27. And we need ... • Secure long term funding to develop new /refurbish existing schemes • More good quality, affordable, accessible, flexible sheltered & retirement housing • Greater appreciation of the role of sheltered &retirement housing in saving public money, contributing to prevention, and reducing hospital admissions • Greater appreciation of the role of sheltered & retirement housing in the wider community and helping to prevent loneliness and social isolation • To pro-actively involve older people in design, development and delivery of services to ensure they meet future needs and promote empowerment, independence and choice • More information for older people about housing options so they can make positive choices

28. Help us to Celebrate Sheltered & Retirement Housing • Circulate our Celebrating Sheltered & Retirement Housing paper highlighting the value of sheltered & retirement housing with case studies and good practice examples • Use ourlogo to help promote sheltered & retirement housing • With your residents, engage in our poster ‘project’ • Use our letter/email template to write to MPs, councillors and other stakeholders to tell/remind them about the value of sheltered & retirement housing. See our Celebrating Sheltered & Retirement Housing  web page

29. Supporting erosh • Join if you haven’t already! • Follow us on Twitter/re-tweet/favourite our tweets • Like/share us on Facebook • Come to regional network meetings and invite colleagues • Pro-actively engage with our website • Make our lobbying messages your messages • Use the SiT to demonstrate the value of your services • Tell people about our good practice guides • Shout about housing/services for older people • Support our 2017 ‘Celebrating Sheltered Housing’ theme

30. Get in touch Rebecca Mollart Chief Executive T: 01446 679524 M: 07803 176957 E: ceo@erosh.co.uk Kate Chapman Administrator T: 03330 115804 E: info@erosh.co.uk W: www.erosh.co.uk Twitter: @erosh_uk