ONE SIZE DOESN’T FIT ALL: LEADING EDGE DEVELOPMENTS JANE BARKER MHA CARE GROUP 0113 271 5805/07814 717560

With over sixty years experience of providing care, accommodation and support for older people. Operate in England, Wales and Scotland. The Group comprises Methodist Homes Housing Association and Methodist Homes for the Aged. Our Strategic Plan seeks to provide a wide range of services in a variety of settings:- Care Homes Housing Resource Centres At home/in the community A national reputation for our expertise in dementia care.

Consider MHA’s latest developments in dementia care housing:- - specialist - integrated - ‘segregated’ - mixed tenures - extra services What has worked well? What could have worked better? Issues to be considered in developing dementia care housing.

Portland House, St Helens Specialist Scheme: ● Purpose built, single storey ● Smart Technology ● 24 hour care and support for 8 older people Funding: ● Capital – Social Housing Grant ● Revenue – Rents, Service Charges, S.P., Block Care Contract People living with dementia have specific care needs, and MHA ensures individuals have a quality of life underpinned by privacy, dignity, independence, choice, care and loving support. In addition we: Focus on the individual and promote well being Give person-centred care Ensure effective communication Provide good quality and caring staff Ensure a safe and homely living environment Our care practice is based on research and our long term experience.

Learning Points: ● Well resourced ● Alternative to residential care ● Small scale and homely ● Improvements in well-being and independence ● Costs (See DoH’s “That’s my Home”).

Moor Allerton, Leeds Integrated and ‘segregated’ schemes: ● Purpose built ● 70 apartments – 45 ‘traditional’ 5 intermediate care (mental health) 20 dementia care ● Dementia Resource Centre ● Extensive assistive technology ● Specialist design features and sensory gardens Understanding the individual allows MHA to develop a personalised Care Plan. We support and care for older people by: Enabling a preferred way of life to be continued Responding to and supporting individual needs, including unusual routines and behaviour Supporting residents in daily living activities such as preparing food, etc Maintaining personality and identity by continuing interests and skills

Funding: ● Capital – SHG and fundraising appeal ● Revenue – Rents, Service Charges, S.P. and Block Care Contract Learning Points: ● High level care needs being met ● Extensive community facilities ● Local community involvement ● Enabled LCC to close a home ● Segregation vs. integration

Swindon Specialist Scheme: ● Purpose built ● 14 apartments for couples where one is living with dementia Funding: ● Capital – MHA loans ● Revenue – Sales receipts, service charge and care fee

Learning Points: ● Revenue Costs ● Selling and marketing concept ● Person ‘left behind’ ● Benefit of adjoining home ● Enables couples to stay together ● Enables people to continue to be homeowners Design Features Single storey buildings – allow for : ease of movement reduce dead ends create space for relaxation Domestic feel but areas available for social gathering Areas where staff can observe at a distance Outside doors connected to call system to alert staff that a resident may have gone outside Residents can choose the colour of their room door and be involved in choices when decorated Wide corridors so people can pass without stopping Places to rest whilst on your journey Colour-coded wings to make identification easy

Bridge Court, Wolverhampton Integrated Scheme: ● Purpose built ● 40 apartments including dementia, mental health and learning disability. Funding: ● Capital – SHG ● Revenue – Rents, Service Charge and Block Care Contract

Learning Points: ● Well resourced alternative to residential care ● Flexible Care Contract ● Social Club ● Economies of scale – Home and Resource Centre ● Integration leading to co-support

Clayton, Bradford Integrated Scheme: ● Purpose built ● 46 apartments and Resource Centre ● Mixed Tenure – Sale, Shared Ownership and Rent ● Extensive assistive technology ● Outreach service ● Centre of Dementia Excellence Funding: ● Capital – DoH Grant, Flat Sales and Loans ● Revenue – Rents, Service Charges and Block Care Contract.

Learning Points: ● High staffing levels ● Support to other schemes in the city ● Flexible Care Contract ● Early marketing of apartments

Considerations In Developing Dementia Care Housing: ● Selling the concept ● Marketing the flats ● Getting the price right ● Model of Care – Flexible Contract Person Centred approach Specialist training Adequate hours! ● CSCI ● Specifying the assistive technology and funding it ● Making the Catering operation work ● Effective partnership working ● Take risks!