ONE SIZE DOESN T FIT ALL LEADING EDGE DEVELOPMENTS

ONE SIZE DOESN’T FIT ALL LEADING EDGE DEVELOPMENTS JANE BARKER MHA CARE GROUP 0113 271 5805/07814 717560

With over sixty years experience of providing care, accommodation and support for older people. Operate in England, Wales and Scotland. The Group comprises Methodist Homes Housing Association and Methodist Homes for the Aged. Our Strategic Plan seeks to provide a wide range of services in a variety of settings: Care Homes Housing Resource Centres At home/in the community A national reputation for our expertise in dementia care.

Consider MHA’s latest developments in dementia care housing: - specialist - integrated - ‘segregated’ - mixed tenures - extra services What has worked well? What could have worked better? Issues to be considered in developing dementia care housing.

Portland specific care Helens People living with dementia have House, Stneeds, and MHA ensures individuals have a quality of life underpinned by privacy, dignity, independence, Specialist Scheme: choice, care and loving support. In addition we: ● Purpose built, single storey • Focus on the individual and promote well being ● Smart Technology • Give person-centred care ● effective communication • Ensure 24 hour care and support for 8 older people • Provide good quality and caring staff Funding: • Ensure a safe and homely living environment ● Capital – Social Housing Grant Our care practice is–based on research and our long ● Revenue Rents, Service Charges, S. P. , term experience. Block Care Contract

Learning Points: ● Well resourced ● Alternative to residential care ● Small scale and homely ● Improvements in well-being and independence ● Costs (See Do. H’s “That’s my Home”).

Understanding the individual allows MHA to Moor Allerton, develop a personalised Care Plan. We Leeds support and care for older people by: • Enabling a preferred way of life to be Integrated and ‘segregated’ continued schemes: • Responding to and supporting ● Purpose built individual needs, including unusual ● 70 apartments – routines and behaviour 45 ‘traditional’ • Supporting residents in daily living 5 intermediate care (mental health) activities such as 20 dementia care preparing food, etc ● Dementia identity by • Maintaining personality and Resource Centre ● Extensive assistive technology continuing interests and skills ● Specialist design features and sensory garden

Funding: ● Capital – SHG and fundraising appeal ● Revenue – Rents, Service Charges, S. P. and Block Care Contract Learning Points: ● High level care needs being met ● Extensive community facilities ● Local community involvement ● Enabled LCC to close a home ● Segregation vs. integration

Swindon Specialist Scheme: ● Purpose built ● 14 apartments for couples where one is living with dementia Funding: ● Capital – MHA loans ● Revenue – Sales receipts, service charge and care fee

Learning Points: ● Revenue Costs ● Selling and marketing concept ● Person ‘left behind’ ● Benefit of adjoining home ● Enables couples to stay together ● Enables people to continue to be homeowners

Bridge Court, Wolverhampton Integrated Scheme: ● Purpose built ● 40 apartments including dementia, mental health and learning disability. Funding: ● Capital – SHG ● Revenue – Rents, Service Charge and Block Care Contract

Learning Points: ● Well resourced alternative to residential care ● Flexible Care Contract ● Social Club ● Economies of scale – Home and Resource Centre ● Integration leading to co-support

Clayton, Bradford Integrated Scheme: ● Purpose built ● 46 apartments and Resource Centre ● Mixed Tenure – Sale, Shared Ownership and Rent ● Extensive assistive technology ● Outreach service ● Centre of Dementia Excellence Funding: ● Capital – Do. H Grant, Flat Sales and Loans ● Revenue – Rents, Service Charges and Block Care Contract.

Learning Points: ● High staffing levels ● Support to other schemes in the city ● Flexible Care Contract ● Early marketing of apartments

Considerations In Developing Housing with Care: ● Selling the concept ● Marketing the flats ● Getting the price right ● Model of Care – Flexible Contract Person Centred approach Specialist training Adequate care hours ● CSCI ● Specifying the assistive technology and funding it ● Making the Catering operation work ● Take risks