1. Pam Dixon Head of Community Support Services Redditch Borough Council Lifeline Community Alarm Community Warden Service St. David’s House Supporting People Adult Protection CCTV

2. Supporting Independent Living

3. St. David’s House and Queen’s Cottages, Batchley, Redditch Integrated very sheltered housing scheme

4. Location In one of the most deprived wards in the country Close to shops, bus stop and local ‘green’ Level area Public right of way

5. Location

7. Main Building Built in 1990 Main building has 35 flats including 4 mobility flats All one bedroom Lounge, dining area Activities room Hairdressing room Assisted bathroom Landscaped area Balcony or patio doors

8. Cottages Bulit in 1952 19 cottages Mostly one bed room – 4 x 2 bedroom No disabled access except for one Cottage Can keep pets

9. Funding Housing – HRA, rents and HB and capital programme. Support – Supporting People contract and payments from those not on HB Care hours through Contract with Social Services Luncheon Club – also contract with Social Services

10. Profile of Tenants 54 tenancies Age 56 to 99 55% over 85 years old Care provided to approximately half Support to all

11. Support charge covers £51.66 126 hours support per week = 2.3 hours per tenancy pw Daily visits Organised activities 24 hour staffing – sleep-in Support to attend the luncheon club More intensive support when needed Assessment and allocation to scheme

12. Care 143 hours per week Care varies from 1-28 hours per week Only 112 Hours waking nights last year Typically 23 – 26 care packages at any one time Of these 4/5 typically provided to tenants in the cottages Registered as a Domiciliary Care Agency

13. Dependency levels Third low, third medium and third low Low = upto 4 hours Medium = 4-13.5 hours High 14- 28 hours This includes any informal care that relatives and family may give

14. Provision of care and support 29 staff including relief and kitchen staff 14 Care and Social support assistants ( not including relief staff) 2 part time deputies and I full time manager Same staff provide care and support

15. Luncheon club Funded by Social Services and users charges Premises funded through HRA Operates 365 days a year Open to visitors 52 places per day Occasional delivery of meals 72% usage - less used on Saturdays Teas - developing

16. Outcomes 65% Tenants otherwise in residential care Of these 9 expected to need nursing care within next 12 months 15% Tenants otherwise in nursing care 22% Tenants with mental health issues

17. What kept them out of care? For 70% social activities and company For 50% it was the promptness of response For 30% was the co-ordination of services For 54% early intervention when things started to go wrong For 35% it was giving regular prompts

18. Tenants High levels of satisfaction from tenants and their carers Thriving social committee

19. Learning - physical Good design lasts Refurbishment needed after 15 years Need space to develop as changing expectations Design homes to meet expectations in 50 years time – need to be at least 2 bedrooms/flexibility of use Good to have a mix of bungalows and flats

20. Technology advances Updated community alarms systems with overlay to support sensors Installed CCTV outside the building and nearby Assistive technology project

21. Contracts and standards Hard to work up contract which captures the essence of the scheme Working to separate contracts and separate standards - different evidence and arrangements Need to have in place clear exit strategies should funding reduce.

22. Inspections/Reviews/Assessments Commission for Social Care Inspection Supporting People Centre for Sheltered Housing Studies (accreditation) Environmental Health Comprehensive Performance Assessment

23. Partnerships Need good Partnership working on the ground Social service – older people’s team, mental health team, Community pharmacist Discharge Team at hospital District nurses GPs May make assumptions that cannot be met – need to understand limitations

24. Servcie users Tenants like care provided by support staff They like the option of the cottages as alternative to flats – attracts different people. Some carers like to be able to give some care themselves but feel supported in doing so Feels part of the community – visitors to luncheon club and activities, carers invited to events.

25. Issues related to tenancies Separate housing management Have considered ASBO,injunction and possession Can’t terminate tenancy if support and care needs go beyond what we provide. Intermediate care units– not in own home therefore care home and not Domiciliary Care Agency

26. Community Warden Service

27. Sheltered Housing

28. Sheltered housing 1,166 units – about 12 long term vacancies- mainly bed-sits All have fixed Lifeline Bungalows – 558 = 48% Flats – 474 = 41% Bed-sits – 95 = 8% Other - 39

29. Sheltered Housing Category 2 -– 246 units -21% Category 1.5 –299 units - 26 % Category 1 –-621 units - 53% 18 communal lounges No resident wardens at all

30. Dispersed All council tenants in general needs Users – currently 488 45 staff Same servcie provided to all tenants whether they live in sheltered housing or not. All charged £9.55 per week for 48 weeks pa

31. Activities 3,391 activities in sheltered schemes in 2004 Organised by tenants and Community Wardens Examples coffee mornings, quiz nights, watercolours, computer courses, Prevention Grant /Access grant