1. © The Association for Dementia Studies The Community Hub approach to Extra Care Housing Simon Evans & Teresa Atkinson

2. © The Association for Dementia Studies Adult Social Services Environments and Settings (ASSET) ASSET is an independent research project commissioned and funded by the National Institute for Health Research’s School for Social Care Research

3. ASSET: Project Team Project Team Simon Evans & Teresa Atkinson Association for Dementia Studies, Worcester Robin Darton, Theresia Baumker & Ann Netten PSSRU, University of Kent Randall Smith & Ailsa Cameron School for Policy Studies, University of Bristol Jeremy Porteus - Housing LIN Sarah Vallelly - Housing & Care 21 Advisory Group Nigel Holmes (Commissioner) Marjorie Corely (Resident) Des Kelly (National Carer Forum) Joe Oldman (Age UK) Sarah Buchanan (Thomas Pocklington Trust) Janine Boucher (Audley Care) David Challis (NIHR) Sue Garwood (Consultant) Martin Stevens (Kings College London) Adult Social Services Environments and Settings3

4. project methods Online survey of housing with care schemes that included questions about the scheme (size, location, tenure, etc.), services provided, funding sources and staffing. In depth case studies carried out at four housing with care schemes that operated a community hub approach.

5. What are community hubs? Shared Facilities: restaurant/café, communal lounge, garden, hairdresser, activity room, laundrette, library, gym, computer suite, shop, woodwork room, cinema, ‘village hall’. Integrated community health and social care: GP consultations, onsite care/offsite care, therapies, podiatrist, rehabilitation team. Access to events / activities held in the scheme: e.g. art classes, coffee mornings, quiz, farmers market.

6. Shared facilities

7. Community hub case study A Local Football Club Dementia Information Innovative catering We do outside catering ……but if we didn’t have that that wouldn’t make the business viable because we would just literally break even.

8. Community hub case study B Innovative Catering Intergenerational Activities Information Groups “the kids were all running around there to find the eggs and stuff like that and they said it was lovely to see some children out there running around and having fun.”

9. community hub case study C Spa & Gym Facilities Local Community Groups Information groups “the physiotherapist and the osteopath will bring their own clinic base here so they will already have clients that are already seeing them”

10. Community hub case study D Super hub “we have a bit over 1000 over 50s on the estate….the over 50s project ….its fantastic you know, they engaged with over 200 people in the last year

11. Community hubs: some advantages Increased integration with the local community Improved well-being and nutrition Improved social interaction Access to information Greater financial sustainability for facilities/activities Attracting future residents

12. Recommendations 1.The community hub model is based on shared use of resources with the local community. This requires the scheme to be easily accessible to a residential population and adaptable to accommodate local circumstances such as an urban or rural setting. 2.The community hub model requires careful strategic planning to reshape local care markets and support the delivery of at home care and support services at scale. 3.The model also requires careful implementation within a local commissioning ethos that recognises the value of preventative approaches to supporting quality of life for older people.

13. Recommendations 4.Issues to consider include the impact of strategies and policies on the community hub approach, such as the personalisation agenda and contracting arrangements. 5.Implementing the community hub model is likely to incur various costs, which can include buildings, facilities and staff. These might be shared with other organisations and can be balanced in the longer term against increased wellbeing and economies of scale that can make facilities such as restaurants sustainable. 6.Successful implementation of the community hub model is predicated on design of the built environment that takes into account various requirements in terms of space and layout. These include incorporating sufficient space for visitors and preserving privacy and security for residents.

14. Criteria for success Incorporate a dedicated ‘community integration’ roles, or make it part of someone’s job e.g. an activity coordinator. Establish partnerships with local groups and organisations in order to spread costs and maximise opportunities for sharing facilities, events and activities.

15. Criteria for success Support resident acceptance of the community hub model by providing comprehensive information, initiating ongoing consultation and offering opportunities for involvement. Promote opportunities to use resources and take part in activities with local residents, organisations and businesses.

16. A commissioning model They should be pulling people in from outside, there is no reason why Mrs Bloggs who lives two doors down, who is an older person, can’t come in and join in some of those activities. We’ve got to get the right commissioning model for economies of scale, and we’ve got to promote them, and housing providers have got to promote them more. Sometimes just putting a board outside to say we’ve got a restaurant here isn’t really enough, so there does need to be a lot more active engagement as bringing those in. (Commissioner).

17. Contacts Dr Simon Evans Principal Research Fellow, Association for Dementia Studies, University of Worcester Simon.Evans@worc.ac.uk Teresa Atkinson, Senior Research Fellow, Association for Dementia Studies, University of Worcester t.atkinson@worc.ac.uk www.worcester.ac.uk/dememtia @dementiastudies http://assetproject.wordpress.com Adult Social Services Environments and Settings17