Village 135 Extra Care and Neighbourhood Apartments Zoe Robertson Lead Commissioner, Older People, Disability and Extra Care Housing

Introduction What we wanted to achieve at Village 135 and our Vision for Extra Care in Manchester Standardised Extra Care Block Contract approach One method of application citywide Part of the emerging Manchester New Models of Care and new Integrated Care Organisations Driven by the need to help people earlier and have viable community options to keep people ‘closer to home’ Higher than average DTOC levels particularly in south Manchester Enabled through GM Transformation Fund

Block Care Contract overview Large care contract comprising of 429 day hours plus 189 night time hours Commissioned the Care Provider 3 months prior to ‘perceived’ building ‘go live’ date ‘Go Live’ date slippage Care Contract live prior to start date Key learning (1) – work with RP to factor in adult social care contract if slippage occurs Key learning (2) – Watch out for night care staff particularly for large scheme spread over 2 sites

Neighbourhood Apartments A key element of the GM Transformation Fund was to establish 15 additional neighbourhood apartments (we already had 5 in north Manchester) Wanted to scale up step up/step down accommodation Driven by the entry/access routes into sheltered and Extra Care Housing not a fast solution Adult Social Care need fast solutions in a rapidly changing environment with so many pressures

Neighbourhood Apartments – A Pick and Mix Approach to cater for needs Sheltered Housing – a mix of 1 and 2 bed apartments. No care onsite but can draw on local Reablement Service or local homecare provider Extra Care – again, a mix of 1 and 2 bed apartments. With onsite care, but if care provider is at maximum, can use Reablement or local homecare provider Village 135 – a mix of all of the above! Reablement based onsite alongside the Care Provider during hours 7am to 10pm, then Care Provider provides night time cover to provide additional night worker (which helps provide cover across the split site)

Housing Providers: Partners Registered Provider How many? Type? 5 (2 sheltered housing, 2 extra care, 1 multi-storey dedicated for TB aftercare) - all in North Manchester 4 (all sheltered housing) in North Manchester 1 (extra care) in Central Manchester 5 (2 sheltered housing, 3 extra care) all in South Manchester 5 (all extra care) in Village 135 Wythenshawe

Locations

Setting up Neighbourhood Apartments We started with 5 apartments and now have 20 apartments citywide We work with only 5 RPs who we have built up a strong relationship with in Manchester Apart from Village 135, RPs take on the furnishing of the apartment and add that cost to the rent Village 135 – we had sufficient learning to do this ourselves, although very challenging from a logistics perspective Specification – “a home from home” – high quality furnished apartments that benefit people’s wellbeing and help them on their road to recovery No charge to individuals Now introduced Grocery Welcome Pack and further plans in the pipeline

Who have we helped? To date we have helped 54 people who have come for a short stay Reasons include: Domestic Abuse, Safeguarding Concerns, Major Adaptations to their principal home, Awaiting Rehousing, Delays in Starting Homecare packages, Rent Arrears and unable to apply for rehousing, need care input to better plan for longer term, stabilise and make safe We cannot do this work without the support of Scheme Managers who do a fantastic job in helping individuals back to independence Referrals from health and care professionals in the main or the citywide Housing and Care Options Advisors (who are pivotal to helping us move people on)

Key Driver – reducing reliance on residential care A strategic aim of MCC, the new Manchester Local Care Organisation and Manchester Health and Care Commissioning is to provide Care Closer to Home and reduce placements in residential care Now starting to see dramatic improvements and by 31 March 2018, achieved a 3-year low in rates

Conclusion A full evaluation of the project will be carried out For every person we deflect from residential (temporary) it saves £5k per 3 months To date we estimate that we have deflected 26 individuals from temporary residential at a global saving of £130k, detailed evaluation will evidence more We are going to revisit North Manchester and expand a further 2 and develop a targeted Reablement offer 60% of people who stay in our apartments go on to apply to live in the scheme permanently Instinctively it feels the right thing to do, we are helping more people and there is no rival offer