Housing with Care: Recent Research Findings Imogen Blood Ian Copeman London Housing LIN 5th December 2013

A Better Life programme Older people with high support needs Quality of life Voices of older people

Overview of the research Practice examples Whose responsibility? 3 UK-wide, cross-sector Qualitative HWC studies Evidence review 2 quantitative studies with New Policy Institute Affordability for self-funders Affordability Guide Supportive communities Supported housing for older people in UK Affordability of retirement housing Older people’s housing: choice, quality of life & under-occupation

Rights Housing rights: ‘my own front door’ Private family life Controlling entry Choosing to mix Maintaining my independence

Relationships Living as a couple Relationships with carers and other staff Living in a community Family can visit but have peace of mind Keeping in touch with former networks

What are the barriers for those considering a move? Lack of advice and information Diversity of models Lack of choice (tenure, size, location) Affordability Risk and uncertainty

‘Under-occupation’ and downsizing Half of the 8 million ‘under-occupying’ households are older households Half of older owner occupiers who have recently moved are still ‘under-occupying’ Around half the properties they vacate go on to be ‘under-occupied’ by younger households 85% of 3 or 4 bed properties ‘released’ by older owners are as a result of death

Downsizing to leasehold HWC

Why does affordability matter?

How did people fund HWC?

Is housing with care value for money?

The affordability ‘maze’…A guide for Commissioners and Providers

Implications Government – policy and strategic clarity Funding and affordability – is it affordable and for whom; Providers – what is deliverable for whom Making it ‘normal’ to plan for future housing (and care) requirements Political consensus about housing an ageing society 13

Key emerging issues Choice – what is available Affordability factors and what help is available Equity release - options and acceptability Complexity - commissioning, funding, regulation No single ‘best’ model Quality of life is central Importance of front line staff Ability to stay to end of life 14

Benefits advice

Local authority housing Housing Management staff Adult social care Housing Management staff Family & friends Support staff Care staff Older person Catering staff Health services Supporting People

Working across boundaries…… Older person Mechanisms Protocols Systems Relationships Attitudes Values

When it works well…….. “This is independent living and all the staff work so well together. They have good relationships and this comes from the top – [care manager] is brilliant at being professional and neutral and approachable.”

Contacts Imogen Blood & Associates Housing & Support Partnership imogen@imogenblood.co.uk www.imogenblood.co.uk Twitter @ImogenBlood Housing & Support Partnership enquiries@housingandsupport.co.uk Joseph Rowntree Foundation http://www.jrf.org.uk/work/workarea/better-life 19

Resources Blood, I., Pannell, J. & Copeman, I. (2012) Findings from Housing with Care Research, Practice Examples, Joseph Rowntree Foundation http://www.jrf.org.uk/publications/housing-care-research-practice-examples Blood, I., Pannell, J. & Copeman, I. (2012) Whose responsibility? Boundaries of Roles and Responsibilities in Housing with Care, Joseph Rowntree Foundation http://www.jrf.org.uk/publications/whose-responsibility-boundaries-housing-care Pannell, J., Blood, I. & Copeman, I. (2012) Affordability, Choices and Quality of Life in Housing with Care, Joseph Rowntree Foundation http://www.jrf.org.uk/publications/quality-life-housing-care Copeman, I. & Pannell, J. (2012) Can self-funders afford housing with care? A guide for providers and commissioners, Housing LIN http://www.housinglin.org.uk/Topics/type/resource/?cid=8655

Resources Pannell, J. & Blood, I. (2012) Supported housing for older people in the UK: an evidence review http://www.jrf.org.uk/publications/supported-housing-older-people-evidence-review Pannell, J., Aldridge, H. & Kenway, P. (2012) Older People’s Housing: Choice, quality of life and under-occupation, JRF/ New Policy Institute http://www.jrf.org.uk/publications/older-peoples-housing-choice Aldridge, H., Kenway, P. & Pannell, J. (2012) Who can afford retirement housing? JRF/ New Policy Institute http://www.jrf.org.uk/publications/who-can-afford-retirement-housing Blood, I. & Pannell, J. (2013) Putting Rights at the Heart of Housing with Care, Housing LIN Viewpoint 41 http://www.housinglin.org.uk/_library/Resources/Housing/Support_materials/Viewpoints/HLIN_Viewpoint_41_HWCRights.pdf