extra care housing: market trends and intelligence · •technology: digital by default •needs to...
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Extra care housing: market trends and intelligence
• Lifetime Homes Workshop
• LGA/ADASS conference
• 21 November 2019
• Jeremy Porteus, Housing LIN
• @HousingLIN
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About the Housing LIN
Lead Connect Inform Influence
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Retirement village, Keynsham. Care on site including nursing care. St Monica Trust© Philip Riley
Lifetime Homes – Lifelong neighbourhoods• Care ready design standards
continue to rise in all sectors• Successful offers: mix of
housing typologies• Need to accommodate diverse
range of housing & care needs• Focus on lifestyle with shift to
‘hospitality’ service model• Technology: digital by default• Needs to reflect trends in care
enabled tech but also customer digital preferences and expectations`
Getting our Homes and Communities Right
Willow Barns Retirement village, Stoke-on-Trent. Your Housing Group
• ‘Residential Revolution’ (LGA, 2017) estimate shortfall of 400,000 units of housing for older people by 2030. Encourage councils:
• Having a clear vision: promoting awareness and changing attitudes to later life
• Planning for an ageing population
• Delivering and enabling new housing for older people across the public and private sectors
• Promoting an integrated approach to housing, care and health
• Sustaining older people in mainstream housing
• `
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©Julia Park Retirement housing, Orestad, Copenhagen
Market trends -housing suited to an ageing population
• New build age designated housing with care but growing emphasis on a ‘mixed offer’:• New build age designated
housing (‘care ready’)• Inter-generational
housing• Placemaking / a
community hub• Remodelling and
refurbishment of existing age designated housing
• Rethinking customer service offer
• Language and branding
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Mixed tenure. Village 135, Wythenshawe Community Housing Group
Strategic planning and demand assessment
• Bespoke multi-data demand assessments
• Strategic support for commissioning
• Whole population approach
• Range of tenures• Addressing the ‘middle
market’• Consideration for
other client groups eglearning disability, dementia etc
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©Tim Crocker
Quayside. Guinness Partnership. Totnes
Service transformation• Balance of
need/resident mix
• Wellbeing service models
• Community hubs and integration
• Funding for ‘core’ services
• Ability to support complex needs/ dementia needs
• End of life care
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The Orangery. Optivo. Bexhill
Health and wellbeing• Growing evidence of the health benefits
of extra care housing
• Southampton City Council research, reductions in:• Number of GP visits• Number of community health nurse visits • Non-elective admissions to hospital • Ambulance call outs• Length of stay and delayed discharges
• Financial benefit to NHS approx. £2,000 per person per annum
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Retirement village, Keynsham.. St Monica Trust© Philip Riley
Design and Technology • Lifetime Homes and Lifetime Neighbourhoods to deliver age-friendly communities
• HAPPI design principles continue to rise in all sectors
• Successful offers: mix of housing typologies
• Need to accommodate diverse range of housing & care needs
• Focus on lifestyle with shift to ‘hospitality’ service model
• Technology: digital by default
• Needs to reflect trends in care enabled tech but also customer tech preferences and expectations`
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Retirement village, Keynsham. Care on site including nursing care. St Monica Trust© Philip Riley
Homes Made for Everyone:A 7 point Charter
• Government: A higher regulatory baseline for accessibility of all new homes (M4 Category 2).
• Councils: Collate data from every planning authority on the number of new homes built to each of the Categories set out in Approve Document M4 Volume one (access to and use of buildings)
• Councils: Adopt planning policies for accessible housing, utilising MHCLG guidance and best practice approaches to evidencing need.
• Homes England: Give preference to development bids for homes that meet M4 Category 2 standards and include a number of Category 3 wheelchair accessible properties
• Councils: should review and keep up to date with the accessibility of housing in their area
• Estate Agents/ARLA: Should work with others to create and deliver standard Accessibility Performance Rating system
• The Home Builders Federation: should join our call for legislative change for higher accessibility standards.
• `
Homes Made for Everyone:A seven point Charter
• Government: A higher regulatory baseline for accessibility of all new homes (M4 Category 2).
• Councils: Collate data from every planning authority on the number of new homes built to each of the Categories set out in Approve Document M4 Volume one (access to and use of buildings)
• Councils: Adopt planning policies for accessible housing, utilising MHCLG guidance and best practice approaches to evidencing need.
• Homes England: Give preference to development bids for homes that meet M4 Category 2 standards and include a number of Category 3 wheelchair accessible properties
• Councils: should review and keep up to date with the accessibility of housing in their area
• Estate Agents/ARLA: Should work with others to create and deliver standard Accessibility Performance Rating system
• The Home Builders Federation: should join our call for legislative change for higher accessibility standards.
• `
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Retirement village, Keynsham. Care on site including nursing care. St Monica Trust© Philip Riley
Design and Technology • Lifetime Homes and Lifetime Neighbourhoods to deliver age-friendly communities
• HAPPI design principles continue to rise in all sectors
• Successful offers: mix of housing typologies
• Need to accommodate diverse range of housing & care needs
• Focus on lifestyle with shift to ‘hospitality’ service model
• Technology: digital by default
• Needs to reflect trends in care enabled tech but also customer tech preferences and expectations`
Collaborative models of housing
• Community led housing• Community Land Trust• Cohousing• Almshouses for the
C21st• Coops• Homesharing• Intergenerational Living
K1. Marmalade Lane, Cohousing Cambridge
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Sue Adams
Care & Repair England
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Who?Care & Repair England; national housing charity aims to address poor and unsuitable housing conditions amongst the older population, esp. low income home owners (est. 1986)
Pioneers initiatives over 30+yrs; Local Care & Repair services, Minor Works Grants, Handyperson, Housing Options Info & Advice, Healthy Homes, Older People’s “Housing Activism” etc
Policy shaping: Older people’s housing – Chair of Housing & Ageing Alliance plus Home Adaptations Consortium; member of MHCLG & DHSC Integration Partnership Board, NHS England Task Group; LGA Adviser etc…
www.careandrepair-england.org.ukinfo@careandrepair-england.org.uk
Twitter @cr_england
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Why housing?
A decent home = the foundation of quality of life
Direct links to need for health and care services
System failings impact on cost of social care and health, as well as affecting individuals’ lives
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Homes for living well?23 million dwellings - flats, maisonettes, houses - terraced, semi-detached, detached, bungalows, boat, caravan, park home, tent, container/castle etc.
Periodic leaps forward in improvements to housing conditions
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80% of 2050 homesalready built
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Happy at home94% older households
86% of younger households
say they are satisfied with their accommodation*
Source: English Housing Survey MHCLG
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BUT - Housing HeadlinesHomeless– on the streets, sofa-surfing
Very poorly housed e.g. B&B, substandard private rented, overcrowded
‘Stuck’ generation -living with family, shared housing, private rented
Unsuitably housed -some older & disabled people
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For independence and well-being
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Where older people liveAround 9.5million older * households
c. 500,000 in specialist (retirement/sheltered)
*HRP 55yrs+
Tenure revolutions
1970s – 50% O.Occ
2003 – 71% O.Occ - peak
2019- 64% O.Occ - static
Today
77% of older HH O.Occ
16% social rented
7% private rented
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Asking the right questionsMoving home promoted as the ‘golden bullet’
Useful minority option
Disadvantaged HHs- careneeds sooner, private retirement housing costly
More options for top and bottom of market - social rented for poorest
Long view – meeting care costs from housing equity
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Current homes – key to future
7% of current homes 'visitable*'
72% of the housing stock could be adapted to this level
* level ground floor access, flush threshold, downstairs toilet, widened doorways, turning space
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Improving current homes
4.3 million homes (19%) are non-decent
2.0 million/47% non-decent homes occupied by older households
78%/1.6 million of these are owner occupied
11% (222,687) are social rented
11% (213,934) are private rented
Main reasons non-decent are
Falls hazard
Cold home
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Shortage of accessible housing
Outside London, by 2030
22% new homes planned to meet accessible, adaptable standard (M4(2)/LTH)
and only
1% wheelchair accessible
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Related policy developments
Cabinet Office Disability Unit
Working on new policies
PM May promised consultation about making new homes accessible
Prevention StrategyMentioned housing, cited Middlesbrough example
NHS Plan Prevention focus (but housing weak)
Better Care Fund Future TBC but housing included
High Impact Change Model
New housing section
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Local good practice examples
Report – describes context and what works
24 linked local profiles & RRO e.g.
Manchester
Kent
Cornwall
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Co-production: A fresh viewpoint
Reviewing local adaptation provision with older and disabled people
Includes a ‘Challenge Checklist’
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Ageing Armageddon narrativeUnhelpfulbasis for policy decisions
Nuanced -inequality, frailty, multiple LTC,
Younger disabled -bigger issue
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Lifetime Homes: meeting the housing needs of older & disabled people
NCASC 21 November 2019
Torbay case study
Frances Mason: Head of Partnerships, People & Housing Torbay
Council
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Summary
• Context people and place
• Integrated care model
• The research
• The plan
• Next steps
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People Context
More younger adults with long term conditions
Increasing demand for health & social care
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Place Context
More private retirement housing
Less Extra care housing More residential care
Affordable 8%
Private rented 20/30%
Owner occupied 65/70%
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Integrated Care Model
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Research
• Funded through the LGA Housing Advisers programme, worked with Housing LIN
• People’s aspirations for housing in later life
• Evidence demand for housing with support
• Where ECH fits into the wider housing market
• Survey & focus groups/interviews
• Sample representative of tenure
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Headline findings• Almost 50% plan to move in next 10 years
• Only 23% favoured designated older persons housing
• 46% would like a staff presence on site
• Lack of information & advice on housing options
• Concerned about cost and process of moving
• Mix of housing options & tenures needed
• Sense of community is vital
• Accessible location and outside space
• Minimum of 2 beds
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Estimated need for older people’s housing and accommodation to 2035
Housing/accommodation
type
2019 current
provision
(units/beds)
2035
estimated
need
2035 net
need
(units/beds)
Housing for Older
People
2128 2976 848
Housing with Care 100 376 276
Residential Care 1267 1079 -188
Nursing Care 508 878 370
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Draft Plan for Housing in Later Life
• Support to remain at home
• Information & advice
• Support to move
• Extra care housing design guidance
• Supplementary Planning Document
• Review of age designated housing
• Design & train for dementia friendly housing
• Community led & co-housing models
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Wider place shaping outcomes
• Council/partners role in place shaping
• Lifetime homes in lifetime neighbourhoods
• Quality, affordable housing with care & support
• Innovative support to remain at home
• Reduced use of residential care
• Intergenerational models
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Thank you