Delivering Care and Support in Extra Care Presented by: Emma Knight, Service Director Erika Bowling, Service Manager

About Creative Support Creative Support a not for profit organisation with a track record of delivering high quality services for adults with care and support needs since 1991. We are a local provider who has delivered services in Stockport for over 15 years. We have delivered excellent services for older people since 2005 We currently deliver support in 34 Extra Care services nationally 100% of our Extra Care services are CQC compliant

About Stockport Extra Care Creative Support won the contract to provide support for six existing services in September 2013 across three areas of Stockport: Reddish, Edgeley and Marple. The services are provided on a hub & spoke model with two sites in each area. A seventh service, Smithy Croft, was built in Heald Green, Stockport and was completed in 2014. The service opened in July 2014. We have Extra Care Services in Tameside, Wythenshaw, Bolton, Bedfordshire, Harrow, Cumbria and have recently been awarded two further extra care service sin Slough.

Support in Extra Care Where individuals have commissioned hours we offer: Support with all elements of daily living including cooking, shopping and home maintenance Person-centred support with personal care Support to manage any health conditions/needs Support to manage finances including budgeting

Support in Extra Care Where individuals don’t have commissioned hours we offer: Welfare/Benefit checks with a trained member of staff or linking in with a specialist service to maximise income Supporting tenants to make appointments to access local amenities or health services Support with correspondence Signposting to local services Emotional support Making referrals to other organisations On site activities & events Resident meetings Daily welfare checks

Activities & Opportunities A key element of a successful Extra Care services is the delivery of an Activity programme which is relevant to the tenants and encourages engagement. We have developed a regular timetable of on-site activities at all sites, many of which are tenant led. These provide opportunities for development of friendships and prevent social isolation. Many of the activities are held weekly as part of the established preferences of tenants but we also hold themed activities, particularly over events such as Christmas & Older Persons Month. Activities are discussed regularly as part of tenants meetings to gain feedback and ensure that we are meeting the needs of tenants.

Strengths Challenges The positives of working in a purpose built service with onsite facilities. Managing the expectations of social workers, tenants and families about the model & support offered by Extra Care. Smooth Running of the service through the use of the handsets for the whole team Recruiting suitably qualified staff with the right values, attitudes and warmth to deliver person centred services A service which focuses of the needs of older people while maintaining their sense of independence and being part of the community Managing ‘down time’ – the impact this has from a financial model and effective rota management.

Strengths Challenges Staff being present on site-reducing hospital admission time enabling to return home and maintain a level of independence. Staff develop trusting and effective working relationships with tenants who don’t receive care Effective deployment of managers to ensure there is a hands on and proactive approach from manager Changing models of practice for families and social workers and other key partner agencies

Strengths Challenges The service provides opportunity for tenants to develop friendships, engage in social activities and reduces the risk of social isolation. Managing perception of resource implications to local services ( GP, health Visitors OTs etc.) A responsive service in line with changing care needs of individuals Ensuring there is always a joined up approach to hospital discharge and changes to care hours. Positive links with pharmacy and local hospitals

Future of older peoples services The population of the UK is aging (the number of people aged 85 years and over has increased by 30% from 2005 to 2014) which will require a significant development in the available services and infrastructure for older people Dementia is also expected to rise over the next 10 years with the biggest increase in those 85 years and over. If current policies remain, demand for residential care looks set to increase 55% by 2025. This will create an unsustainable strain on resources & funding available so it will be necessary to find more cost effective models of support. Services & providers will need to explore new applications of technology to improve cost efficiency, quality of life and service provision. This will include Home automation and social media.

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