Sunderland City Council : Care Model Neil Revely, Executive Director – People Services Housing LIN Event 28 May 2014 Dovecote Meadow Extra Care Housing Scheme

Sunderland City Council : presentation title Care Service Provision in Extra Care The Sunderland Model

Background Extra Care Programme started in 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

Residents at Woodridge Gardens, Washington

Care delivery Review 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

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

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 Process review and upgrade

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

£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 Sunderland Model

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 Potential Efficiencies

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 Monitoring of Model

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 The Future

Springtide Cove, Roker – Opens September 2014

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 Community Leadership – What are we doing now?

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 Community Living Solutions – Extra Care Housing, Sunderland

Kris Hopkins MP Visit to Dovecote Meadow – April 2014