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

2. 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’

3. Award Winning Services

4. 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

5. Curo Care & Support Services

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

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

8. 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

9. 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

10. 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

11. 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’

12. 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

13. 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’

14. 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

15. 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”

16. 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

17. 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’

18. 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