1. 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
Adult Social Services Environments and Settings (ASSET)

2. Providing Adult Social Care in Housing with Care Settings
Robin Darton & Simon Evans
Extra Care Housing & Dementia Conference, London, 18 February 2014
This presentation reports on independent research funded by the NIHR School for Social Care Research. The views expressed in this presentation are those of the authors and not necessarily those of the NIHR School for Social Care Research or the Department of Health/NIHR.

3. Adult Social Services Environments and Settings
ASSET: Project Team
Association for Dementia Studies, Worcester:
Simon Evans, Teresa Atkinson
PSSRU, Kent:
Robin Darton, Theresia Bäumker, Ann Netten
School for Policy Studies, Bristol:
Randall Smith, Ailsa Cameron
Jeremy Porteus, Housing LIN
Sarah Vallelly, Housing 21
Project Advisory Group
Adult Social Services Environments and Settings

4. Adult Social Care Settings and Environment
ASSET: Aim of Project
Little information is available about how adult social care (ASC) is provided in housing with care schemes. The aim has been to explore how best to deliver ASC, in order to maximise quality of life of residents and make the best use of resources.
Adult Social Care Settings and Environment

5. Adult Social Care Settings and Environment
ASSET: Project Phases
Literature review
Scoping surveys: LAs (56) & schemes (99)
Case studies and cost analysis (9 schemes)
Analysis & reporting
Add-on project: community hub model
Adult Social Care Settings and Environment

6. ASSET: Literature Review
Focus of peer-reviewed literature on residents, wellbeing, environment
Focus of grey literature on systems, providers, funding
Most studies focus on single schemes, single providers, single local authorities
Little evidence on social care and support arrangements
Adult Social Services Environments and Settings

7. ASSET: Scoping Surveys
24 hour waking cover (n=72):
59 by 1 organisation
8 by >1 organisation
5 by no organisations
Restaurant /café:
54 of 66 extra care schemes (79%)
4 of 5 very sheltered schemes (80%)
15 of 15 retirement villages (100%)
4 of 11 other schemes (36%)
Adult Social Services Environments and Settings

8. ASSET Scoping Surveys: Specific Needs Catered for by Schemes
Adult Social Services Environments and Settings

9. ASSET: Commissioning Practices
Commissioning models complex, and differ considerably across the 5 local authority areas
Key drivers: welfare reforms, direct payments, reduced funding, technology, wellbeing agenda, consumer choice
New models of commissioning emerging in response to these drivers
Different approaches to levels of need
Contracting approaches diverse, but trend is ‘less block, more spot’
Adult Social Services Environments and Settings

10. ASSET: Response to Levels of Need
FACS: Usually Substantial/Critical
Balance (H/M/L): ⅓, ⅓, ⅓
High needs usually ≥ 10 hours pw
Difficulty maintaining balance in highly-pressured areas
Greater flexibility to accommodate low/no care needs in counties, and in larger schemes
Adult Social Services Environments and Settings

11. ASSET: Commissioning Challenges
Working in partnership with district councils, e.g. agreeing priorities and tendering approaches
Low awareness of housing with care model among planners, developers, health and social care professionals
Staffing issues: low pay, recruitment, retention, training
Meeting need and demand in context of demographic and financial pressures
Adult Social Services Environments and Settings

12. Adult Social Services Environments and Settings
ASSET: Outputs
Recommendations for commissioners and providers:
What are the most successful ‘models’
Outcome measures
Costs, cost effectiveness and comparisons
Publications
Literature Review (ASSET website)
Housing, Care & Support (forthcoming)
Adult Social Services Environments and Settings

13. Adult Social Services Environments and Settings
Recommendations
The housing with care ‘offer’
Who is housing with care for?
Collaboration and partnership working
Policy and strategy
Increasing awareness of the model
Funding and finance
Staffing
Market development & Innovation
Adult Social Services Environments and Settings

14. Adult Social Services Environments and Settings
Questions
Are the recommendations useful?
How could they be improved?
Who should they be targeted at?
How should they be disseminated?
Adult Social Services Environments and Settings

15. Feedback Summing up Next steps
Adult Social Services Environments and Settings

16. Adult Social Services Environments and Settings
Contacts
Robin Darton
Senior Research Fellow, PSSRU, University of Kent
Dr Simon Evans
Principal Research Fellow, Association for Dementia Studies, University of Worcester
Adult Social Services Environments and Settings