Integrated Solutions for Older People’s Housing, Care & Support Harriet Bosnell, Director of Health, Care & Support, Curo

About Curo ‘We are a thriving, ethical business, with a mission to make a positive and profound contribution to the neighbourhoods we work in – inspiring and empowering people to succeed in life’

Award Winning Services

What We Do One of the largest landlords in the West of England, more than 12,000 homes across Bath & Bristol area High quality care and support services Supporting around 2,500 people of all ages

Curo Care & Support Services

Sarah Shatwell, Senior Commissioning Manager, Non-Acute & Social Care, B&NES Council

Overview Integration in Bath & North East Somerset Integrated commissioning Integrated solutions in action Steps to Success

Integration in B&NES Health, social care & housing have been friends for a long time Integrated commissioning team, co-located formed in 2009/10 Integrated community health & social care provider organisation ‘Sirona’ formed in October 2011 Tripartite contract, Council leads

Integrated Commissioning Integrated commissioning across a range of patient/service user/customer pathways Long term conditions, mental health, learning disabilities, re-ablement, housing & support Modelled integrated working for partner providers

Integrated Solutions Older People’s Housing & Support Strategy….ILS Integrated re-ablement a ‘universal offer’ Piloted hospital based ‘Home from Hospital’ and ‘Home Safety Check’ services Commissioned bespoke ‘Step Down’ units, forging relationships between housing & health

Independent Living Service ‘ILS is a simple but winning idea. In just 18 months Curo has helped almost 500 people, aged from 23 to 103 to live independently at home’ (24Housing) ‘We know from working with residents and community representatives that people want a service that fits around them and not the other way round’

ILS Offer Menu of options Wrapped around telecare & assistive technology Different service levels Support designed by you and people like you, supported by us For funded and private self funded

ILS Feedback the visits’ ‘I get help with paperwork and money – I feel so much better after the visits’ ‘I can talk properly to someone who listens. It means I can cope better with other things’

Step Down Partnership with Sirona Care & Health CIC Bespoke, accessible and fully equipped housing units supported by re-ablement therapists and care staff Referral direct from hospital, reducing delayed discharges Helping people return home

Step Down Feedback In 2012/13 saved integrated health budgets £100 K every 12 weeks Flexible package of support Every case has been varied Rachel – in hospital for 13 months after serious back injury “ I wasn’t getting better in hospital, once I got the peace and support that step down offered I started to recover so much better”

Evidencing Success 69 people helped to avoid residential care 180 people supported to access aids and adaptations to prevent falls 214 people with dementia supported to live independently at home 24 people stepped-down-then-home

Steps to Success Talk to each other – customers, providers, commissioners Build relationships with partners Offer a flexible, affordable services Private market offer Pilot new ideas – Enabling Service ‘Clean & Shop’

Steps to Success Evidence what you do Highlight SROI Let customers speak for you – ‘Norma’ Use your networks – CCG, Health & Wellbeing Boards, other networks and forums