1. Raising the stakes – building the criteria to describe extra care housing Moyra Riseborough Peter Fletcher 18 December 2006

2. This presentation Describes aims and outputs of the work Outputs so far: Revisited previous domains and ingredients to describe good housing with care provision Building new domains and criteria Principles underpinning this Describes new domains and criteria Proposes way forward

3. Aims and outputs of the work Universal approach to describe housing with care using 4 domains each with set of standard criteria Special focus on EC but a standardised approach for all provision Encourage process and methods for providers to describe provision in a standard way Providing a set of minimum standards – industry to debate & discuss Minimum standards to encourage voluntary improvement & facilitate kite marking system Leading to kite marking system and approach: Options external independent accreditation; or standardised framework for quality self assessment

4. Building the criteria Revisited concepts developed by Fletcher and Riseborough & Riseborough and Fletcher (1999 onwards) e.g. ‘Ingredients for Extra Care Housing’ Updated domains and ingredients/criteria, building on new knowledge and concepts e.g. JRF and ICP literature reviews, work for Housing Corp ‘Common Currency’; Housing LIN material; market knowledge

5. Principles underpinning new domains & criteria Aiming for universal language that transcends public & private sector approaches & philosophies:  Well-being and positive lifestyle  Allows for different provision & different styles e.g. Housing with discreet services Community service hub Alternative to residential care Close care or other

6. Principles underpinning new domains & criteria Person centred approach Focus on older people Based on previous work to create common language Aspiration to create universal language and framework for all Hence strips out some aspects that are ‘social’ or public sector only Compares well with ‘statement of purpose’ now expected in residential care/nursing homes

8. New Universal Domains Customer base Lifestyle Ethosstyle Social leisure Quality of Life Environment Internalexternal Services

9. Customer Base Vibrant community through:  Considering diverse aspirations & wishes/needs consumers in local markets (note: diversity is about health as well as wealth)  Attracting occupant mix e.g. balanced dependency levels  Philosophy prolonged residence/ageing in place (replaces ‘home for life’) but explicit about what this means  Common characteristics occupants – age 55+ likely people (poss. partner) have degree of physical or mental disability  Criteria for social rent occupants only – joint assessment and allocation across housing and care

10. Services (1) Service philosophy - promotes independence and autonomy of the individual and principles of choice and control (note: e.g. ‘working with’ not ‘doing to’; help to help oneself/self maintenance with assistance’; respecting individual’s rights around access to their home with their permission) Information to promote self help e.g. prevent accidents and falls Service (and lifestyle) approach agreed with each individual built around THEIR expressed outcomes and how they can best be delivered (note: aims to take account of private payers choosing and paying for the services they want, AND people assessed for services by social services. The aim is for a transparent approach that puts the older person ‘in control’)

11. Services (2) Encouraging prolonged residence/ageing in place through flexible services tailored to customers e.g.– what I want, when I want, for how long I want Access to practical services – some or all of: shopping, cleaning, laundry, handyperson, maintenance Access to 24 hour personal care/support if required - on site or in-reach from off site ? Service/care team on site (question: is there a minimum?) Allowing people to self care through access to electronic infrastructure and wireless technology Food – being able to access at least one directly provided main meal without having to cook it oneself

12. Environment – split into two Internal Building types HC RSR – all features, some, none Design: Sustainable Promotes self care Life time home standards Ergonomic for social meetings & protects privacy Secure/safety features External Good location Access local services Sufficient car parking Near public transport Outward looking Attractive setting Secure externally

13. Lifestyle –incorporates ethos, style,social and leisure Ethos: Clear statement of purpose/philosophy Customer oriented Encourage positive Promote peoples chosen outcomes Informative Promotes mutual tolerance Individuality Style: Healthy lives Hotel/comfort Friendly/warm Privacy/sociability Faith/values base Exclusive Lively/active Calm Encourages sociability

14. Ethos (2) Social Lively in-house activities Promotes access to social activities Encourages/facilitates people to retain social networks/interests Encourages social activities with external or community Leisure Emphasis on leisure Has facilities – describes them Close to facilities – describes Promotes/facilitates access to leisure

15. Going forward Propose using these domains & criteria to produce a self administered questionnaire for the industry Will replace current EAC questionnaires Questionnaire will enable providers to describe all provision in standard ways but particularly extra care Questionnaire will also be appraisal tool – enable performance assessment– culture for self improvement across industry Create a score to indicate some quality standards e.g. achieving best modern extra care, good, close to – also reflects other quality assurance and performance achievements Achieve a kite mark against agreed standards

16. But Is all up for discussion We aim to work with you to work out the best approach and best solutions Practical and simple as possible So over to you!