HAPPI at home Future-proofing housing for an ageing

HAPPI at home? Future-proofing housing for an ageing population Doing Dementia Design 2017 Liverpool 14 & 15 September Jeremy Porteus Managing Director Housing LIN

About the Housing LIN • Previously responsible for managing the DH’s £ 227 m Extra Care Housing Fund and £ 80 m Telecare in England grant • 40, 000 members across housing, health and social services to help improve partnership working and integration on housing and care • Essential online resources on housing with care for older people to support commissioners, funders and providers in market development, innovation and investment • Publish papers to brief on latest innovative policy, research and practice developments in housing, care and support for older people • 10 regional ‘learning labs’ in England Wales supporting local information exchange, peer-topeer shared learning and improvement activities

An ‘inward orientated home’ “From the viewpoint of many older persons, the housing market for them is lacking in the physical environment but also in the emotional side of contact with the wider community. The segregation of one section of the community in an ‘inward orientated home’ just because of age is a failed proposal and the ‘baby boomers’ are looking for more enlightened prospects for their later lives. ” Ian Hooper, Housing LIN viewpoint

What does contemporary housing for older people look like? • Matching different housing options to identified need in particular locations/ communities • Based on strong partnerships - signalling clearly to the market and providers what types of housing options will be required and supported • New care and support delivery models • Ensuring there is a balance and mix of housing options (dwelling and tenure) developed and available to meet future need • Growth of downsizer, upsizer, or rightsizer housing? But also ‘staying put’ options

Dean Hawke’s Circadian House • Longing and belonging – the psychology of ageing • Combatting loneliness and isolation – social care of ageing, friendships and family • Home, place & community – the environment for ageing • • • Live in balance with nature – follow the daily and seasonal cycles of the outdoors Adaptability – adapt to changing conditions ie ‘care ready’ Sensibility – protection from and control of environment ie passive solar gain

HAPPI – 10 components of good design quality

Improving later life Building personal resilience Detachment from social participation in older age can have negative impacts on health & wellbeing, including depression, physical and cognitive decline, and increased mortality. Building community resources to resilience Social mobilisation – providing ways and means to build, enable and support older people’s connections to social networks in the community and to foster their mutual aid Co-creating lifelong neighbourhoods Older people are both the beneficiaries of and contributors to all age-friendly activities that span the generations.

Some principles of design for older people • Easy access to outdoor space • Homely and practical internal environment • Therapeutically and psychologically informed environment • Shared activity space to tackle isolation • Located close to community and health facilities, ‘hub and spoke’ • Flexible to enable varying level of personal care and support • Engagement and partnerships with NHS providers, commissioners and partners • Link to Health & Wellbeing

Getting the design quality right • Doing it for ourselves/co-design a volunteer ethos- desire and necessity for next generation of older people; resident-led, self-care, mutual ownership, co-housing, ‘virtual’ villages, age-friendly communities • ‘Care ready’ housing more closely integrated housing, care and support commissioned locally to reduce dependency, address long term conditions such as dementia

What’s housing got to do with dementia? ‘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

Enabling people with dementia to remain at home: A housing perspective • Dementia-design principles are increasingly applied to new build specialist housing schemes, but not beyond eg into mainstream housing. • Some housing providers apply these when refurbishing schemes. But there appears to be less clarity about their implementation in practice. • More work is needed to ascertain where good dementia design overlaps with design for other needs and where it is distinctive, and this information widely disseminated. • There is some designing of aids, adaptations and technology devices specifically for people with dementia, but more are needed, particularly those that are co-designed with people with dementia and then evaluated to ensure user-friendliness and effectiveness.

Other key resource on housing and dementia • Dementia: Finding Housing Solutions (in partnership with NHF, Foundations and University of Stirling Dementia Centre) • 3 rd of people with dementia living in specialist housing • Alzheimer's Society report on Dementia -friendly Communities • Important how we design inclusive communities • Housing LIN Viewpoint with the University of Warwick • Checklist of creating dementia-friendly environments • A selection of case studies, viewpoints and good practice guides on designing for people with dementia

Opportunities or Challenge? • What scope is there for better planning, commissioning and/or access capital funding to promote innovation in lifestyle choices for older people or stimulate a housing with care market as an alternative to institutional provision in London? • Dementia-friendly communities help partners such as not-for-profit, churches and statutory health and social care services support more people in the community, meet growing demand of an ageing population, any targets / cost-benefits? • Is there the case for Extra Care for maximising independence for people with dementia or is the future more residential care and home based care and support? • Are there other market opportunities such as aids and adaptations, telecare, co-housing, homesharing, social capital? • What strategies and policies are in place to engage, involve and listen to the housing with care needs of older people and their carers, and the wider community? • Join the Housing LIN to stay connected with latest ideas

Housing LIN’s focus on dementia • Dedicated dementia pages on Housing LIN website for commissioners, providers and developers of older people’s housing and services https: //www. housinglin. org. uk/Topics/ browse/Housingand. Dementia/ • Member of the PM’s Challenge on Dementia Champion’s Group – leading on dementia-friendly communities • Dementia Action Alliance membership to raise awareness in the housing with care sector • Membership of Housing & Dementia Research Consortium to improve evidence base

Thank you! C/o EAC 3 rd Floor, 89 Albert Embankment London SE 1 7 TP email: dementia@housinglin. org. uk tel: 020 7820 8077 website: www. housinglin. org. uk Twitter: @Housing. LIN