Transcript Corporate Powerpoint presentation template for images 2009

Meeting the Aspirations of Older People-
What is Extra Care and how is it evolving?
Presented By:
Royston Betts
Head of Commercial
Development
How did Older Peoples’ aspirations shape the
Extra Care model?
Better designed homes that reflect aspiration not just functionality
Homes that respect private space as well as a thriving community
‘I retired from work not from thinking and living’
‘More choice and self-determination’
‘More discreet – less invasive - services that I control’
‘More involvement in decisions that affect me’
‘Respect for my individual lifestyle’
‘I change – so you need to as well’
How did this translate to a housing
with care model?
Ability to contribute to my community and
economy if I wish / need
Preventative – enabling me to be healthier
and more active – focus on my potential
Enabling – don’t think that I am incapable of
doing things myself just because of my age
Stimulating- prevention of isolation –
sometimes I need my confidence building in
a safe & friendly environment
A living space that my friends and family of
all ages will feel welcoming
What does extra care look like?
So what actually is extra care?
Alternative to Residential Care … but not a
replacement
Model of housing with care provision – social
rent; leasehold; outright ownership.
Mixed dependency community – low to high
care need.
Ranges from 10 to 200+ flats in size.
Typically 2 x bedrooms, living room, kitchen and
large bathroom with walk in shower.
Offers enabling housing environment with 24
hour on-site care … more flexibility and safety
than home care
A home and community resource
Its NOT a hotel!!
Service Model Features …
Progressive Privacy / Outdoor Space
People have privacy and a key to their own
front door
Whole Person approach: Flexibility and
focus on personalised outcomes
Within reason … People make choices
about what time they want care delivery
There is a background support to promote
feeling of security – Waking Night Service
Core ethos is active aging: Independence
is key - positive risk management
Its cheaper than residential care for most
people
BUT It is not always a home for life
Extra care …
A flexible living community
To sustain a thriving on and off site community - it
needs to continuously adapt and evolve..
Imports what it needs: Builders; Carers;
Management; a diverse community; commercial
business; public services; creative therapies;
volunteers; apprentices; activity workers …
Exports benefits: Provides high quality homes; skilled
jobs and workforces; a community hub, a local resource
centre; a competent local care team and other
resources to go out into the local community…
In Blackburn, Sunderland, Oldham and Portsmouth
Extra Care has been at the heart of estate regeneration
In Derbyshire, Staffordshire and North Yorkshire rural
Extra Care has created jobs and services in rural areas
Extra Care…
A Lively Community Resource.
• Restaurants & Cafes
• Health Care & Wellbeing Suites
• Customer-run shops
• Libraries & Information Points
• Councillor Surgeries
• Post Offices
• Community Halls & Churches
• Hairdressers & Beauticians
• Computer facilities…
Innovation … Funding & Delivery: More
Customer Choice
HCA AHP pump primed. PFI developments
Provider / Consortia Funded. Leasehold / Ownership
Models
Extra Care Services are seldom block purchased
Individual Service Funds/ Provider Managed Services
• Understanding core support which everyone must
buy into – it represents value for money
• Tailor made planned support service on top
• Banked hours / even more choice and control
• Pooling personal budgets to joint-purchase services
• Increasing self-help / peer support / volunteers
Extra Care as Local Resource & Brokerage Hubs?
Greater control, flexibility and choice
• Positive partnership working- pilots to share learning
• Increased personal contributions
• Overall reduction of cost to Public Sector
Innovation...
Its not just bricks and mortar
It’s the ethos – not just bricks and mortar – we need to think bigger
Portable Care Packages- Hospital in reach project (Bristol) : carers from
extra care support people admitted to hospital. Significant cost savings
for Adult Social Services and NHS – barriers to delivery on the front line.
• Treated with dignity and respect in other settings
• Improved recognition of the PERSON in hospital
• Improved speed of discharge
• Improved planning of discharge
• Improved success of discharge
• Our approach – least institutional setting possible
• Service Model flexes with the person
• From low care needs to end of life
And the next steps?
Greater use of Assistive Technology
Redefining what is standard kit in our
customers’ homes
Telecare / Telehealth - routine
What technology will customers
purchase themselves? Aspiration and
Lifestyle?
Increased use of Interactive
communication and self-management
tools
An Older Person’s aspirations and expectations
are changing …are WE???
Any Questions?