PRESENTATION TO HOUSING LIN CONFERENCE Siobhan Pierce/Charlotte Cook 18 February 2014 www. wslaw. co. uk
Introduction • • Generations are constantly changing. Our generation is different to that of our parents, and this will continue to be the scenario for generations to come. For example we may shortly be housing the ‘Jimmy Hendrix’ generation as opposed to the ‘war’ generation. Does this generation change affect our approach in designing and modelling accommodation for older people? Extra Care housing is usually designed and implemented by younger people. In today’s austere social care funding cuts environment, we can get ‘hung up’ on thinking about new revenue funding models rather than thinking about how we may feel once we get older and our health needs start to change.
What would you look for in terms of extra care housing? • Is extra care solely the unattractive, mall and hard to s let properties? Frequently bedsits? Or institutional settings, ith TV blaring nto w a i a common oom, r day and night? Imagine that you (or your parents, depending upon your age!) need accommodation in ‘Extra Care’ housing due to a deterioration in your health. You may be living on your own, lonely and socially isolated. Imagine that you are unable to carry out some tasks very easily i. e. shopping, cooking, bathing and need support to do this:
• Where would you like to live in terms of geographical location and access to amenities? • What would you like to see in terms of facilities/environment within an Extra Care setting for your own flat, and the communal areas. • Do you think there are specific issues relating to gender? For example women tend to live longer than men and therefore there may be more women living in this type of accommodation than men • If so, does this affect the facilities/services that should be provided • What triggers would make you or your parents make the move to this type of accommodation? • Do you think that a mixed community customer group works – i. e. older people with learning disabilities/mental health? If not, why not? Summarise your top ten ideas in priority order.
Who are we designing for when we consider “extra care” housing – how old is old? A common view taken is that this type of housing leads to “ageist ghettoes” in which older people are excluded from the wider community. Fact or fiction?
When we look at designing extra care housing, what do we expect of those who will manage and run the same? Warden versus concierge – are job roles and types changing – and why in the professional letting market are concierges and porters seen as a luxury, whilst in extra care they are an isolated workforce, seen as not having professional skills or aptitudes, and only there to call the bingo?
Extra care housing and gender questions A - The World Health Organisation claims that gender differences and gender inequalities can give rise to inequalities between men and women in health status and access to health care. • • • Have any of the participants noticed a difference in men's and women's initial attitudes towards accessing extra care? Does that change once they have accessed services? Does one gender appear to make better use of the care available? If so, what factors might be driving the differences? (e. g. gender norms/values) What interventions can be made to address them?
B - Traditionally older women have a higher risk of care home admission than men, this difference remains even after accounting for variations in health. A likely reason for this is the difference in social support provided by spouses. Older men may provide less care for their wives than women do for their husbands. Results suggest that advanced age and physical frailty explain why men provide less care for their partners than women do. The narrowing gap in life expectancy between men and women could have an effect on the future demand formal care. (The Northern Ireland Longitudinal Study - Oxford Journals)
C - Half of over 50 s will sell their home to fund old age retirement the "home is my pension" generation. Retirement pots have been swallowed up by rock-bottom interest rates on savings and so people will rely exclusively on their property to fund retirement. 1, 163, 200 retired people have been forced to sell their home in th past 5 years to pay for care. Another 2 million are close to putting their homes on the market. (LV= Insurers survey September 2013
D - Socially active older adults have slower rates of health declines. Elderly people who are socially active and maintain or increase their interactions with others as they age have a slower progression of health declines than elderly people who become les socially engaged over time. Socially engaged older people may be more motivated to maintain their health than their less-engaged peers. Elders who are more socially active may have access to better health information than their less-engaged peers. (Centre For Advancing Health)
Thank You Siobhan Pierce Head of Operations (East) Genesis Housing Association Siobham. Pierce@genesisha. org. uk T. 07540 122 689 Charlotte Cook Partner ccook@wslaw. co. uk T. 020 7593 5107 Solicitors and Parliamentary Agents Minerva House 5 Montague Close London SE 1 9 BB DX 156810 London Bridge 6 T. 020 7593 5000 F. 020 7593 5099 www. wslaw. co. uk
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