CARE & SUPPORT

1. CARE & SUPPORT Managing Housing to extend care and support solutions to needs ICN 29-09-2004

2. Flow of this Colloquium • Needs • Partners & practical benefits • Extra-care funding, models • Intermediate care practice example • BME service practice example • Supported living projects for people with high MH needs • Outcomes & Gains

3. 21st Century Needs • Home adaptations or aids or equipment • Support -Cultural & Community -Advice -Benefits -A little bit of • Care -Personal tasks -Meals -Cleaning? • Odd Jobs

4. Blurred Borders - issues in delivery of care & support • Definitions used vary! • Funding streams -Supporting People -Health -Social Services -Insurance or savings or direct payments -Housing Benefit • Convalesce? Respite? Rehabilitation?

5. Agendas for Partnership • National Service Framework NSF is a health driven agenda but increasingly delivered with housing, social services, PCT’s & community regeneration and support providers as shared objectives especially around the Standards- Prevention & Recovery. • CSHS Code of Practice • QAF • Community Alarms ASAP Code of Practice • GSCC Code of Practice • Supporting People • VFM, Best Value,

6. Practical Benefits • sharing goals • mutual agendas • shared resources • knowledge sharing • promoting joint working • whole-systems working practices • comprehensive assessment & service delivery • better outcomes for the individual’s well being!

7. Care & Support Planning- • Living in the scheme / Networks • Understanding the procedures • Social involvement / Daily living skills • Being consulted / Looking after your health • Health & safety / Personal Care tasks • Cultural, Religious & Community needs • Your mobility / Your finances • Staying independent and taking risks • Learning, language & life-skills • What do you want (goals, dreams, hopes?) • Complaints & concerns

8. CSCI - CSCC Codes of Practice • Two codes - employer & employee • Relevant to delivery of care • Expectations -5 for employers suitable staff, policies & procedures, training & development, behaviour & practice, co-operation. -6 for employee- rights of users, trust & confidence, promoting independence, respect, public trust, self development.

9. Delivery Models -Juggling 3 contracts • Landlord- housing provider • Support provider • Care provider • COMMISSIONING models • Building’s spaces

10. Intermediate Care - case study • 1 SEE Bed Un-blocker report • 2 BLITZ a limited focused intervention • 3 Pre & Post hospital visit support

11. Design Issues • Wandering & security & access - ROUTING • Reminders & notices - PROMPTING • Design for dementia , colours & textures • Disability enablement HFL & DFG • Community access to and use of spaces • luncheon clubs, surgeries, day care? • Technological infrastructure- cabling for future

12. BME Services - a case study • When tabloids attack! (see ppt) • Jubilee house- a Chinese cracker • Core Group policy - facilitating BME elders in sheltered housing (see report)

13. Supported Living MH- high needs • Therapeutic community model • 24 staffing of supported living shared flat block • Partnerships for service access and protocols to enable crisis response

14. Outcomes & Gains • Independence • security • minimise hospital admission - maximising recovery curve • community engagement • raised skills levels lifelong learning • life-skills & coping strategies • medication monitoring

15. Future Service Construction - issues • Dementia & security • Hospital entry & discharge • Rehab and recuperation • Flexible models in flexible buildings • Social-care delivering the codes of practice • Tele-help, tele-support, tele-care • Multi needs and or variable client groups