ONE SIZE DOESNT FIT ALL - JANE BARKER MHA CARE GROUP / LEADING EDGE DEVELOPMENTS

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 MHAs 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.

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. 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

Learning Points: Well resourced Alternative to residential care Small scale and homely Improvements in well-being and independence Costs (See DoHs Thats my Home).

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 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 garden

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

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 Housing with Care: Selling the concept Marketing the flats Getting the price right Model of Care – Flexible Contract Person Centred approach Specialist training Adequate care hours CSCI Specifying the assistive technology and funding it Making the Catering operation work Take risks