1. www.alone.ie 01 679 1032 enquiries@alone.ie

2. ALONE’s Services We work over 60s who need support to age at home. Examples of issues we support with; Lonely or isolated, Poor health, Poor housing /struggling to cope with housing /at risk of homelessness, Not linked in with other services, Need advice/support dealing with one or multiply issues, Those for whom old age has made life harder.

3. ALONE : Ethos in Action Quality & Governance Standards Ethos Older person at the centre of all decisions Effective and Compassionate- Evidenced based Models are solution focussed, transferable, innovative and scalable Committed to Quality, Accountability and Transparency Quality Awards 2012 -2015 Awarded yearly - ISO Quality Standard ACHIEVED 2015 - Investing in Volunteer Award ACHIEVED 2016 - Befriending Network Standard Award ACHIEVED 2016 -2018 Support Coordination, HR & Housing IN PURSUIT We Comply with Charity & Housing regulators, Governance Code,ICTR fundraising standards, SORP – finance reporting

4. Meeting the Demographic Challenge together Ageing at the home an agreed policy Cross party support, NPAS, Age Friendly plans, Local Gov changes What older people want, what families want, what we will want. Makes sense to the community, individual and economy Lack of options between independent living & nursing home care ALONE’s Response: - ALONE’s Befriending & Advocacy and Befriending Network Ireland Support Coordination - quality approved ready to go It is accountable, transferable, cost effective, scalable and proven Housing with Support Coordination in current housing and ‘Housing with Care’ with other partners for the future. Investing in technology and practices we are sharing.

5. ALONE’s Business Plan 2016-2018 ALONE are investing €1.3 million to achieve core aims 1.To develop a National Infrastructure of 6/8 regional hubs suppling support coordination – currently supplying to AHB’S in 7 countries 2.Hubs linked locally to housing, health services & befriending services 3.To provide support services to other housing providers/community. 4.To develop with others agreed models to support older people age at home. 5.To champion Housing with Support and Care 6.To make the best use of technology to support older people to age at home

6. Meeting the Demographic Challenge together A 10 year outlook 1-3 yrs.– Quality Befriending & Advocacy 1-5 yrs. – Support Coordination 1-10 yrs. –Current & New builds Development of Skills Relationships Structures Models Planning

7. Partnerships. The aim: To consolidate the age sector To align organisations Help sustain local services To share information, skills & resources. To promote proven outcomes Not to duplicate services. To build economies of scale To work to create common goals, language and model

8. Technology - linked to Quaility ALONE has MIS Framework in place Linking older person and services. Individual services Ensuring quality & proven outcomes. Sharing with others to consolidate the sector Mobile working- Staff & Volunteers – apps. Wellness - Older people inputting Assistive technology: internet of things, assistive technology to support older people to age at home.

9. ALONE’s Befriending & Advocacy Befriending is a proven health intervention 1 in 3 older people live alone 1 in 10 suffer from chronic loneliness which shortens lives Provides companionship for isolated older people Volunteers can support older people with: Basic advocacy Keep people linked into the community Attend ALONE social events Volunteers are and must be trained, Garda vetted & supported Quality Award - ensures accountability/manages risk The community help to look after their own. If needs change, the volunteers and staff link them in with services in the community.

10. Led by Hosted by ALONE - 40 groups Established following 2 years of national consultation Network offers training & support National Quality Standards Will support sustainability of local groups addressing quality, risk & technology Referral on to ALONE Support Coordination Befriending is a health care & community intervention 60,000 visits per annum Befriending Network Ireland – A Vision for a National Infrastructure

11. National Vision of Support Coordination hubs Once created can add skills and roles Mobile staff working with local services. Rolled out within 6 weeks, without any changes to other services Befriending & Advocacy Supports in other housing providers houses Support in own home Support in private housing Coming to and from Hospital

12. Support Coordination – cutting across the boundaries Effective model to support older people to age at home Professional staff link older people in with the existing supports and services in their community Coordinates medical, social, family, technology and community supports Produces timely, effective and positive outcomes for the older person Promotes independence, choice and autonomy Works in all types of housing

13. Support Coordination – How it works Social Care model – Cost effective & supports independence and quality of life Helps discharge people from hospital and reduce admissions Meets the 4 core aims of National Positive Ageing Strategy Works with the ‘hard to reach’

14. Example of real time Data of Support Coordination Number of Support Coordination Cases: 455 Number of Unique Older People: 398 Primary Presenting Needs:  Housing – 31%  Physical Health/ Mobility – 19%  Finance – 14%  Emotional/Mental Health – 11%  Personal Care – 11%  Social contact/ integration – 10%  Other - 4%

15. Support Coordination – The numbers ALONE’s Support Coordination Active Case = €250-€500 (including assessment, support plan & close out) Short Intervention = €25-€50 (information, advice and remote support) 60 day close out on 85% of all support objectives - (will stay as long as required) ALONE’s Support Coordination Case Load in 2015 was 1,061 International Figures 1.90 saved for every £1, spent* 23% improvement in peoples self reported wellbeing* 87% of practitioners say integration is working very well* 40% drop in acute admissions for long term conditions * (* References available on request)

16. Benefits of ALONE’s Support Coordination 1.Support Coordination utilises existing services and fills in gaps 2.Meets aims of National Positive Ageing Strategy – program for government and the goals of the HSE service plans. 3.Promotes local partnership/co-location and maps local services 4.Can be rolled out within 6 weeks in any location without any changes to other services. Works across all boundaries. 5.Creating a support model which has technology framework 6.Possibility of multiple income /funding streams for sustainability 7. Outcome focused and scalable model

17. Support Coordination Model: ‘Sharing the cost, sharing the benefit’ Possibility of multiple income /funding streams for sustainability Examples Housing Providers/Savings/Non profit Older people/Commercial Investment/Social Investment Multiply Government /Statutory/ European Fundraising 1.Support Coordination utilises existing services and fills in gaps 2.Promotes local partnership/co-location and maps local services 3.Can be rolled out within 6 weeks in any location without any changes to other services. 4.Outcome focused, scalable, transferable and accountable model

18. Older people’s housing demand 1 & 2 person Household increase: 1991 - 375,000 2011- 850,000 New housing for older people 4,000 a year 500 of which will need support. Private rented – not suitable /can’t compete % buying dropping & government policy 1161 older people on DCC list 10% older people homes need repairs 24% described their home as too cold* Demand

19. Age Friendly fully fitted houses to older people who are homeless or at risk. Professional staff provide a Support Coordination service to residents (20% require at any time) Types of housing: schemes, pepper potting and one- off housing. 20 application for each house 98% occ rate 8 week,turnaround 15 % a year 960 maintenance call a year. 98% with time. ALONE Supportive Housing €2.000p/a Housing with Care€15,000 p/a Nursing home€42,000 - €57,000 p/a Acute ALONE’s Housing with Support Coordination – How it works

20. A Vision for Housing older people. Using our current housing better - linking to support hubs Higher allocation housing to older people in line with European norms Current housing providers to have access to supports co –ordination Older people in own housing & private rented to have access to support co –ordination House owner allowed to ‘’ buy in’’ to social housing Grants To be demand lead and to have clear and consistent allocation nationally We develop/share the skills to co ordinated care for % of older people who need higher level of care in these locations Use technology manage costs and increase outcomes

21. A Vision for Housing older people. New Solutions needed New Housing Planning for the demographic change. All public/private /social housing to have % units for older people Long term this provides local moving options & access to support and housing with care When we are building schemes for older people we use Universal design, location and access to support. That we agree a model nationally on Housing with Care To allow people to ‘’trade down’ in to Housing with Care Using housing to keep pensions in the community

22. Housing with Care – A range of options Schemes, Clusters, Stand alone housing Short/Medium Term Current & Short Term Support Coordination & HCP’s Delivered in schemes, clusters & stand alone housing Scalable & transferable Cost effective Quality Assured Adaption of existing schemes To include common areas etc. Support Coordination & HCP Bundles Guaranteed HCP hours Purpose built Social facilities on site Support Coordination & contracted hours of care (plus existing HCP’s)24 hours cover Facilities available to local community 33% Low Supports, 33% Medium Supports, 33% High Supports