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Lisa Callaghan

What do we know about older people’s well-being in Housing with Care? Emerging findings from new research. Lisa Callaghan. Chartered Institute of Housing Annual Conference and Exhibition, 16-18 th June 2009. PSSRU Evaluation of the Extra Care Housing Initiative: Project Team.

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Lisa Callaghan

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  1. What do we know about older people’s well-being in Housing with Care? Emerging findings from new research Lisa Callaghan Chartered Institute of Housing Annual Conference and Exhibition, 16-18th June 2009

  2. PSSRU Evaluation of the Extra Care Housing Initiative: Project Team • Professor Ann Netten • Robin Darton • Theresia Bäumker • Lisa Callaghan • Jacquetta Holder • Ann-Marie Towers • Jane Dennett • Lesley Cox • 19 local researchers

  3. Evaluation • Evaluation of new-build schemes funded under DH Extra Care Housing Funding Initiative • Main evaluation: • Short- and long-term outcomes for residents and schemes • Comparative costs • Factors associated with costs and effectiveness • Role in overall balance of care • Associated studies: • Costs before and after moving in to one scheme (JRF) • Social well-being (JRF) • Impact of scheme design on quality of life (EPSRC)

  4. Evaluation Results to Date • ‘Pull’ more important than ‘push’ factors in choice to move • Resident profiles differ from care homes • Average level of dependency lower in extra care • Very few with severe cognitive impairment • Substantial need for help with IADLs & mobility • Increased receipt of formal care services

  5. Social Well-Being Project • Aims: • Explore development of social activities and community during first 6 months • Identify differences in social climate and individual social well-being after 12 months • 15 schemes: • 2 villages: 258 and 270 units • 13 smaller schemes: 35-64 units

  6. Methods • 6 months after opening: • Interviews with 2 staff members per scheme • Interviews with 4-6 residents per scheme • 12 months after opening: • Questionnaires from 599 residents • Interviews with 166 residents • Indicators of individual social well-being • Social climate at scheme level

  7. Quality of Life & Social Well-Being (1) • Residents valued independence, security and social interaction offered by ECH ‘I think more people should know about [extra care]. We get together and talk about all sorts of things, there’s entertainment. And you've got a bell to push if you need anybody. It couldn't be better.’ (Female resident) ‘I would have thought it’s the best answer to everything – you’ve got privacy but you’ve got activities that are there.’ (Female resident)

  8. Quality of Life & Social Well-Being (2) • 2/3 rated QoL as ‘good’ or ‘very good’ • 90% had made friends since moving • 80% felt positively about social life • 70% took part in an activity at least once a week • 75% were fully occupied in activities of their choice

  9. Communal Facilities & Social Activities • Facilities and activities important for friendship development • Restaurants and shops key • Social activities valued

  10. Resident-Led Social Activities • Resident-led approach universal • Differences in residents’ and staff involvement • Activities staff valuable in early stages • Benefits of resident involvement • Resources to support social activities crucial

  11. Villages & Schemes • Overall, better social well-being in villages • Some social advantages? • Villages and smaller schemes different: • Physical environment • Resident population

  12. Social Isolation • Some residents were socially isolated • Less likely to be married • More likely to be in receipt of care • Rated health as worse • Link with dependency more crucial in villages? • Addressing social isolation

  13. Conclusions • Complicated picture • Generally positive • Some issues to address

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