What is extra care?
Housing Local Improvement Network defines extra care housing as, “housing with care primarily for older people where occupants have specific tenure rights to occupy self-contained dwellings and where they have agreements that cover the provision of care, support, domestic, social, community or other services. Unlike people living in residential care homes, extra care residents are not obliged as a rule to obtain their care services from a specific provider, though other services (such as some domestic services, costs for communal areas including a catering kitchen, and in some cases some meals) might be built into the charges residents pay.”
What we know:
- The East Riding has an ageing population higher than the national average.
- Extra care housing has an important role to play in allowing people to live independently and preventing or delaying moving to residential care and reducing hospital admissions.
- We currently don’t have enough extra care housing to meet local demand.
What we are doing:
- We work closely with our strategic housing colleagues to ensure the extra care housing that is delivered in the East Riding offers quality and value for money options for our residents.
- We are working to ensure there is pipeline of affordable and private market extra care housing in the East Riding.
- We are developing more detailed needs analysis of what extra care we need.
- East Riding of Yorkshire Council has two extra care schemes in Beverley and Hessle.
What we expect providers to do:
- We expect extra care housing developers to contact us before embarking on any speculative developments so we can work together to deliver the services our residents need.
- We want to see extra care housing that meets national minimum space standards and allows ageing in place.
- We want to see extra care housing developed by providers that are experienced in the field and have a clear track record of developing successful extra care projects.
- We expect care providers proposing providing care at new extra care developments to be registered with CQC and rated either ‘good’ or ‘outstanding’.
- We expect care providers providing care to be working to the principles of personalisation and person-centred care that is outcome focused and allows people to maintain their independence.
- We’re particularly interested in talking to providers of affordable extra care housing that provide intergenerational extra care catering for a mix of needs.
Further information on housing for older people in the East Riding, including extra care housing can be found in the East Riding of Yorkshire Council Older People’s Housing Strategy
East Riding’s vision for supported living is to enable personalised, outcomes-based care, where people are supported to live as equal citizens in their communities. We would like to support people to achieve their life goals by assisting them to actively participate in their community.
Supported living forms part of a range of community-based care and support services for people with learning disabilities, autism and mental health support needs. The level of, and type of, support can vary depending on the person’s needs, and their home, whether it is individual occupancy or shared accommodation. The expectation within East Riding is that the person would have a above minimal, care, support and supervision, with overnight support also required.
As we move towards implementation of the new open framework for supported living, there will be emphasis on people having their own front door, whether that be individual housing or shared flats, giving people their own space, with the potential of communal options within shared areas outside of their home. We would want housing options to have local, or private, access to outdoor space to promote independent living and a sense of community. Location is key, and properties would need to be near public transport networks whenever possible, as this is key for both supporting independence and the attraction and retention of staff. We want to provide consistency to the care and support for people.
Alongside the opportunities the framework will create, our processes for helping people to find accommodation and support will change. We are creating a single pathway for new placements, a joint approach with our accommodation and commissioning teams and field work colleagues will streamline the process reducing delays. This new process will enable us to identify the demand for services and help us work with providers to ensure there is enough provision providing the right support, right care, right culture (CQC). This new process provides a more transparent and equitable single point of access for providers to access opportunities.
Current market position
- At the time of writing, we know there are approximately 300 people in long term supported living settings across the East Riding. We are currently compiling our current and future demand data.
- Most of the supported living in the East Riding is older shared accommodation where tenants do not have their own front door.
- We know more people want to be able to live in their own home rather than residential care and need more supported living for this to be achieved.
- The East Riding is a large geographical area with many rural areas and that can make it challenging for people to be able to live exactly where they want. It can also make it more challenging for housing providers and care providers to offer supported living in some areas.
- There are approximately 80 supported living schemes in the East Riding of Yorkshire, providing accommodation for over 300 people. The vast majority (60%) of accommodation is made up of converted shared housing.
- We have 39 CQC registered care and support providers, of which 24 are rating outstanding or good with CQC.
- We have a number of regulated housing providers that support schemes across the county.
How we aim to improve the offer
- Within the Local Authority the accommodation team, adults commissioning team, contract and quality assurance team, housing benefits team, planning team, strategic housing team and frontline colleagues, such as social workers, work in partnership to ensure good quality services are delivered through our supported living offer.
- The Local Authority works closely with system partners, such as the Integrated Care Board, frontline health professionals, Department for Works and Pensions, Care Quality Commission, Regulator of Social Housing and Justice System to ensure supported living is delivered in a person-centred way that meets the needs of the people receiving support.
- We are in the process of implementing the open framework for supported living within the East Riding, which will provide structure and a transparent call off process for people’s care and support needs.
- Under the implementation plan for the new framework, the accommodation team and adults commissioning team, alongside adult social work colleagues, are going to be reviewing our supported living provision.
- We are following closely the advice from the government and the Regulator of Social Housing on concerns regarding the lease-based model of supported living and sustainability and quality issues.
- We are exploring potential opportunities to review how night support is delivered through housing benefits.
- Development of a new housing strategy for East Riding to demonstrate a five year plan under the supported housing (regulatory oversight) act 2023.
What we expect from providers that work with us
- We would like to work in partnership with supported living developers, housing providers and care providers on future development opportunities. Ensuring any offers of development will meet the future need of people we support.
- We expect the housing provider to be a not-for-profit registered social landlord that is compliant with the Regulator of Social Housing.
- We would recommend as best practice for the care provider and the housing provider to be separate organisations and/or entities.
- We expect full transparency for all organisations involved with the care and housing support provided for people within supported living schemes.
- We expect to see the intensive housing management aspect of supported living delivered by the social landlord and not the care provider.
- As best practice we would expect care providers to be registered with CQC and rated either ‘good’ or ‘outstanding’.
- We expect care providers to deliver person-centred and outcomes focused care for people they support. Ensuring people are happy, healthy and at home, with access to their local community to allow people to live their best lives.
- When looking to partner with care providers for specialist care provisions, we aim to create long lasting secure placements. Enabling high acuity individuals to be supported within their own home without risk of eviction through carer breakdown.
- Care providers are expected to follow the supported living open framework standards and call-off process.
- We would particularly be interested in hearing from housing providers that would be interested in working with the council to provide social housing for people with lower-level support needs.
Shared Lives
Shared Lives supports adults aged 18 and above with learning and physical disabilities who want to live independently in their community, with the support of a person or family and community network. It’s an alternative to supported living or residential care. People using the service are matched with eligible carers and their families, to live within their home. They are part of a community, while being supported to maintain their independence.
Shared Lives carers provide help with, daily tasks such as dressing and meal preparation, learning new skills or how to live independently and building new friendships and social networks. Shared Lives care is based on shared interests, lifestyles and family. It’s a bit like fostering – but for adults.
Our aspirations for the future are to grow our scheme recruiting new carers, which will enable more service users to have this fantastic opportunity.
