The Characteristics of the Residents and Some Comparisons with Those Admitted to Care Homes Robin Darton Extra Care Housing Initiative Feedback Day, Wellington.

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Presentation transcript:

The Characteristics of the Residents and Some Comparisons with Those Admitted to Care Homes Robin Darton Extra Care Housing Initiative Feedback Day, Wellington House, London, 29 November 2007

Entrants to Extra Care: Data Collection Baseline assessment data (RD) ‘Self-completion’ questionnaire (TB) 8 schemes with data in October 2007 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Entrants to Extra Care: Presentation Description of baseline data for 285 people: Demographics Housing circumstances Care and support Financial circumstances Physical and cognitive functioning Comparison with 494 (personal) care home residents admitted in 16 authorities in 2005 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Extra Care Schemes: October 2007 No. units No. residents No. with data Bradford 46 51 37 Brighton & Hove 38 36 East Riding 39 22 Enfield 48 52 Havering 64 31 18 Peterborough 40 41 West Sussex 50 43 Northamptonshire 270 244/75 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Age Group % 45-59 7 60-64 8 65-74 18 75-84 33 85-89 20 90-97 13 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Gender & Marital Status Males % of total Females Single/divorced/separated 13 14 Married/living as married 15 Widowed 6 36 All marital status categories 35 65 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Entrants to Extra Care (2006/7) & Care Homes (2005): Demographics Mean age [Range] 78 [45-97] 85 [65-102] Female (%) 65 73 Non-white 5 1 Single/divorced/separated (%) 27 14 Married (%) 30 17 Widowed (%) 43 68 Living alone (EC: priv/shelt) (%) 60 77 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Previous Accommodation % Private household 61 Sheltered/supported housing 25 Care home 8 Hospital 4 Intermediate care 1 Other 2 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Type and Tenure of Housing (Entrants from Private Households) % Type: House 41 Bungalow 18 Flat/maisonette/bedsit/rooms 40 Tenure: Owner occupied/mortgaged 38 Rented from LA/HA 47 Privately rented/rent free 15 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Household Composition (Entrants from Private Households) % Lived alone 52 Lived with spouse 30 Lived with spouse & children 5 Lived with children 6 Lived with other family 3 Lived with others/other arrangements 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Entrants to Extra Care (2006/7) & Care Homes (2005): Previous Accommodation Domestic household 61 27 Sheltered housing 25 10 Care home 8 12 Hospital 4 38 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Receipt of Informal Care % Lived with informal carer 22 More than once a week 26 Once a week 10 Less than once a week/Not known 7 No informal care 35 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Receipt of Home Care % in last month Not received 52 >0-7 hours pw 16 >7-14 hours pw 11 >14-21 hours pw 4 >21 hours pw 1 Frequency not known 10 Not known 5 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Receipt of Formal Care Services % in last month Home care 43 Day centre 21 Meals on wheels 19 Nurse 15 NHS therapist 6 Intermediate care 2 Direct payments 1 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Financial Circumstances % in receipt State Retirement Pension 74 Private pension 27 Pension Credit 40 Housing Benefit 48 Council Tax Benefit 49 Attendance Allowance 39 Disability Living Allowance 22 Other income 13 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Require Help with IADLs 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Require Help with ADLs 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Barthel Index of ADL 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

MDS Cognitive Performance Scale 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Entrants to Extra Care (2006/7) & Care Homes (2005): Dependency Mean Barthel score [0-20] 14.8 10.4 Barthel score 0-12 (%) 29 66 MDS CPS score 0 (%) 64 15 MDS CPS score 1-3 (%) 32 46 MDS CPS score 4-6 (%) 4 39 Total cases 285 494 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Balance of Dependency (8 Schemes) Balance by care hours (variable): 1/3, 1/3, 1/3: 3 schemes 30% low, 30% medium, 40% high: 2 schemes 50% low, 50% high: 1 scheme 26 housing, 10 physical, 10 dementia: 1 scheme 15, 30, 15, 15, 15 (levels 1-5): 1 village (90 of 270) 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Home Care Before Entry and Planned After Entry % in last month Planned % Not received 52 33 >0-7 hours pw 16 20 >7-14 hours pw 11 >14-21 hours pw 4 7 >21 hours pw 1 5 Frequency not known 10 19 Not known 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Meals Before Entry and Planned After Entry % in last month Planned % None 75 39 More than once a day 2 9 Every day/nearly 42 2-5 times pw 3 Frequency not known 5 Not known 6 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

Discussion Resident profiles differ from care homes Average level of dependency lower in extra care Very few with severe cognitive impairment Imbalance in levels of supply Refusals partly associated with dependency Dependency profile of all residents planned Dependency appears lower than balance Variation in definition of dependency levels 31/12/2018 G:\Housing and Care Programme\Presentations\29 November 2007 Event\ECHIFD2007_RD_final.PPT

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