1. The Future of Housing with Care in the South West Region 13 June 2016
Engaging with housing to deliver better services for older people
Denise Porter
Assistant Director, Adult Social Care, Housing and 0-25 DIsability

2. So …. What is an older person?

3. living with very complex needs possibly living with dementia
Typically….
over 80 years old,
living with very complex needs
possibly living with dementia
receiving care visits 4 x day
probably with no, or little, family support
isolated from their community.

4. Personalisation and the Care Act 2014
The intended effect of the Care Act is:
to improve the outcomes and experience of care
secure a more effective use of public and community resources by improving the personalisation of services
giving people more choice and control over how their desired outcomes are achieved.
To put the right to a personal budget and self-directed support into primary legislation for the first time.
personalisation and self-directed support is now the expected norm of the care and support system in England

5. Person-centred approach
Care and support
Community
Home
Individual

6. Peer Review - “Being brave” - a case study of how an innovative peer review approach led to service improvement
Decisions made in the acute hospital setting were not always in the best long-term interest of the individual.
The level of influence of professionals based in an acute hospital setting, with a limited knowledge of community-based opportunities, on outcomes was significant.
The decision-making process is owned by single-organisation (council) and does not encourage wider system ownership of final decisions and consideration of alternative options.

7. Peer Review - “Being brave” - a case study of how an innovative peer review approach led to service improvement
The decision-making process is not providing appropriate challenge to decisions made in an acute hospital setting.
Decisions and culture were extremely risk averse, demonstrated a lack of understanding of community assets and services and failed to consider alternative options.
Individuals and their families were rarely engaged and their wishes were not considered

8. ECH provider wouldn’t accept back due to level of care
Barriers to going home
ECH provider wouldn’t accept back due to level of care
Home environment no longer appropriate and couldn’t be adapted
Level of dementia provided a significant risk to safety

9. Organisational structuresLA
Social care
CCG
Board LA
Commissioning LA
Housing
Health and Wellbeing Board
Housing Providers
ECH LA
Committee/cabinet
CCG
Community Health Services
Care providers

10. The future
“If you always do what you’ve always done: you will always get what you always got!”

11. E: denise.porter@Southglos.gov.uk
Thank you
Denise Porter E: T: