1. Implementation of an Accommodation Strategy
Development and
Implementation of an Accommodation Strategy
Housing LIN Conference
17 February 2015
HOLDING SLIDE
Christy Holden – Head of Commissioning (Accommodation) Virginia McClane – Commissioning Manager (Accommodation) Kent County Council

2. Why we needed an Accommodation Strategy
KCC spends £180m on residential and nursing care
The right type of accommodation in the right place
Stimulate the market or directly intervene
Inform planning applications
Secure better outcomes and make savings
Quality and safeguarding

3. Development of the Strategy
Joint KCC, NHS and Kent Housing Group document supported by Kent Planning Officers Group and Housing LIN
Analysis of KCC case load, placement patterns, availability of services
Engaged with local teams, CCG’s, District Councils in its development
Formal approval and launch in July 2014

4. Accommodation Strategy Overview
Dynamic strategy
On-line with links
Evidence Base
Case studies
Maps
Design Principles
District Profiles
Key findings by user
group
Financial Impact
District aligned with CCG Consideration

5. Accommodation for Older People Analysis
Service Type
National Ratio
Kent Ratio
Future need?
Sheltered
125 units per 1000 pop 75+
144
Extra Care
45 units per 1000 pop 75+
1.51
Residential Care
65 units per 1000 pop 75+
65.7
Nursing Care 30
Intermediate Care
26.3 units per 100,000 pop
29.7
National Ratios
Population forecast
Impact of enhanced community provision
Placement patterns
Market appraisal
Workshops with KCC,CCGs and Districts
Numbers are indicative and will be used to target priority areas. Numbers will need to be periodically reviewed and adjusted in line with the performance of enhanced community services

6. District Profiles

7. Older People Summary Vacancy Rate: National = 7% Kent = 3% KCC fund:
+/- R
+43 N
-111 EC
+197 SH OP
+/- R
-96 N
+90 EC
+114 SH
Vacancy Rate:
National = 7%
Kent = 3% OP
+/- R
-621 N
+344 EC
+278 SH
KCC fund:
37% of placements OP
+/- R
-281 N
+254 EC
+230 SH
-87 OP
+/- R
-439 N
+264 EC
+183 SH
-96 OP
+/- R +5 N
+150 EC
+112 SH OP
+/- R
-48 N
+108 EC
+161 SH
Shift to Extra Care Housing could reduce KCC revenue costs by £6m by 2021 OP
+/- R
-133 N
+52 EC
+120 SH OP
+/- R
-318 N
+297 EC
+331 SH
-25
Positive impact
on Kent Economy OP
+/- R
-94 N
+270 EC
+416 SH
-36 OP
+/- R
-128 N
+18 EC
+166 SH
% increase by 2021:
Accommodation units = 6%
Older People 85+ = 30%
More Nursing Care OP
+/- R
-360 N
+195 EC
+234 SH
334 care homes OP
EXISTING
2021
+/-
Known R
8200
5730
-2470 70 N
3730
5661
+1931
170 EC
490
3032
+2542
946 SH
17950
17706
-244
30370
32129
+1759
1186
Fit for Purpose Modern Accommodation
Average Size:
New build = 57 beds
Kent = 35 beds
West Kent = 40 beds
East Kent = 32 beds
R = Residential incl. Dementia
N – Nursing incl. Dementia
EC = Extra Care
SH = Sheltered Housing

8. Was Residential Appropriate?
Source: BICA Study
In 11% of cases residential was deemed appropriate
Pathway resulted in residential placement (Unintended/Incorrect decisions)

9. Short Term Bed Usage - Review Outcomes
Yes –61%
STB Required
No – 39%
© Newton Europe Limited. All Rights Reserved

10. Comparison of Preference for Long Term Care
User Preferred Outcome
Family/Friends Preferred Outcome
Comparison of Preference for Long Term Care
Source: BICA Study
© Newton Europe Limited. All Rights Reserved
Family & friends request residential or STB 77% vs 9% service user requests. What factors lead to this decision being made by the family?

11. Wellbeing, lifestyle & peace of mind in Extra Care
£27.96
Review completed in 2014
Support the Accommodation Strategy
Does it act as a deterrent?
Comparisons with other LA’s
Develop consistent approach
Affordability
Rents
24 hour onsite care & support
Meals
Service Charge
- 70% don’t pay
- 27% pay full amount
- 3% pay reduced amount
- Kent expensive compared with other LA’s
- Affordability can act as a deterrent
Key decision taken September 2014
£15 for existing schemes effective April 2015 and immediately for new schemes .
Still some work to do where Housing Providers are also care providers. Housing business models may be based on the assumption that they will also be the care provider and apply a “lifestyle” charge within tenancies

12. Delivery
Step One: Establish Priority list based on Need, Opportunity and Stakeholder desire
Step Two: Agree Priority list through KCC’s Transformation Board
Step Three: Prepare Market Position Statements and publish on the Kent Business Portal
Step Four: Meet with providers or developers that wish to develop services in that area, scope all opportunities
Step Five: Undertake business cases where investment is required
Step Six: Issue any formal procurement opportunities and develop legal agreements where required

13. The Accommodation Strategy
About the Council
Strategies and Policies
Adult Social Care Policies
Accommodation Strategy

14. Questions Christy Holden, Head of Commissioning – Accommodation
King Edward Court ,Herne Bay
Questions
Christy Holden, Head of Commissioning – Accommodation –
Virginia McClane, Commissioning Manager – Accommodation –