1. ONE SIZE DOESN’T FIT ALL: LEADING EDGE DEVELOPMENTS
JANE BARKER MHA CARE GROUP /

2. 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.

3. Consider MHA’s 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.

4. 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
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.

5. Learning Points: ● Well resourced ● Alternative to residential care ● Small scale and homely ● Improvements in well-being and independence ● Costs (See DoH’s “That’s my Home”).

6. Moor Allerton, Leeds Integrated and ‘segregated’ schemes: ● Purpose built ● 70 apartments – ‘traditional’ intermediate care (mental health) dementia care ● Dementia Resource Centre ● Extensive assistive technology ● Specialist design features and sensory gardens
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

7. 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

8. 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

9. 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
Design Features
Single storey buildings – allow for :
ease of movement
reduce dead ends
create space for relaxation
Domestic feel but areas available for social gathering
Areas where staff can observe at a distance
Outside doors connected to call system to alert staff that a resident may have gone outside
Residents can choose the colour of their room door and be involved in choices when decorated
Wide corridors so people can pass without stopping
Places to rest whilst on your journey
Colour-coded wings to make identification easy

10. 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

11. 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

12. 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.

13. Learning Points: ● High staffing levels ● Support to other schemes in the city ● Flexible Care Contract ● Early marketing of apartments

14. Considerations In Developing
Dementia Care Housing: ● Selling the concept ● Marketing the flats ● Getting the price right ● Model of Care – Flexible Contract Person Centred approach Specialist training Adequate hours! ● CSCI ● Specifying the assistive technology and funding it ● Making the Catering operation work ● Effective partnership working ● Take risks!