EAC First Stop Advice Extra Care Housing Conference

EAC / First. Stop Advice Extra Care Housing Conference, 2011 Connecting with the voice of older people + Making the economic case John Galvin, Chief Executive Elderly Accommodation Counsel (EAC) with colleagues from First. Stop and several local agencies and partner organisations 020 7867 john. galvin@eac. org. uk

EAC / First. Stop Advice A reminder of who we are: = Information, data, research = Advice Connecting with the voice of older people: How EAC and First. Stop are enabling older people’s experience and views to shape their information & advice services

EAC / First. Stop Advice Since 2009 we have developed new ways of consulting older people: 1. National Housing for Older People Awards and Resident Consultation Service (RCS) 2. HOOP online focus group 3. First. Stop training for older people’s forums & groups in housing & care options 4. First. Stop Peer Review & Peer Support Programme 5. Website users’ feedback

EAC / First. Stop Advice 1. The Housing Awards and the Resident Consultation Service (RCS) The card game first developed as a nomination tool and now used as a resident consultation tool

EAC / First. Stop Advice The card game, complete with instructions and score sheets, offers residents an enjoyable opportunity to discuss relevant

EAC / First. Stop Advice Over 6000 residents of sheltered, retirement and extra care housing have played the game

EAC / First. Stop Advice Providing feedback on: Location Convenient Safety/security Building Facilities Design Garden Individual apartments Space standards Design Practicality …

EAC / First. Stop Advice … Services/management Maintenance Consultation Staff role and interaction Lifestyle Community spirit, friendship Privacy Activities and outings Link with community at large Providing us with valuable and comparable data which can be correlated with the data on our National Database of Housing for Older People

EAC / First. Stop Advice Comparisons with regional and national performance (extract from Housing Provider Report)

EAC / First. Stop Advice 2. HOOP online Focus Group

EAC / First. Stop Advice Older people Focus Group leads the upgrade

EAC / First. Stop Advice 3. First. Stop and Older People: Training • First. Stop partnership launched 2008 to deliver a one stop shop for information & advice for older people • DCLG funding from 2009/10 for national advice service with local pilots and training • Including training by Care & Repair England for professionals & older people’s forums & groups

EAC / First. Stop Advice Oct 09 to March 11 • Face-to-face housing options training and workshops delivered to 1, 650 older people, volunteers, community activists, councillors and professionals • 28 Housing Choices/ Options workshops / training events delivered throughout England Apr to Oct 2011 • Training & workshops for 850 older people

EAC / First. Stop Advice 4. First. Stop & Older People: Peer support & review During 2010 -11, members of older people’s forums in Newcastle, Wirral, Haringey, Leeds, Thurrock, Tewkesbury and Dorset funded to survey 658 members to: • understand their circumstances • map use of local I&A services • update EAC housing & care databases • understand perceptions of local housing options

EAC / First. Stop Advice First. Stop: Survey results • 91% good contact with friends & family (91%) • 83% good contact with local community (83%) • 40% good mobility • 42% good health • 31% with a physical disability • 58% in homes without space for mobility aids • 83% with easy access to local services • 81% with homes that meet current needs • 73% believing homes will meet future needs …

EAC / First. Stop Advice • 33% with community alarm • 23% with a support service • 50%- know where to seek advice if they need more support and / or care. Popular sources – Age Concern/UK (18%), Council, Social Services, GP, CAB, Family, Scheme Manager (7%) • Of 50% who don’t know, half look for ‘a service with someone to review their specific needs and identify service options in or out of area’

EAC / First. Stop Advice First. Stop: Peer Support 2011/12 • Involve older people as peer mentors or providers of information • Focused work in Wirral & Knowsley • Wirral brochure drafted with Wirral Pensioners Parliament (WPP) and HIA, signed off by OPAG • 5 people from WPP trained as Peer Mentors (PMs) with sessions run for larger group; brochure will be used by 5 to run info sessions with C&RE supporting each peer mentor …

EAC / First. Stop Advice • PMs give info & signpost; refer to FS National, local HIA or Age Concern; identify housing issues to be taken up by WPP with local authority • In Knowsley, work with Independent Living Centre (ILC), offering housing options training for all staff & volunteers and developing training workshops/skills & support for OPAG volunteers • Plans to develop similar work in Leeds, Newcastle & Thurrock

EAC / First. Stop Advice Values • Commitment to enabling older people to shape our agenda on the ground through user feedback, training to shape local policy and volunteers adding value to service • Aim to enable older people to contribute as peer volunteers, eg. by surveying outcomes for service users • Older people to test translation of rhetoric of national policy to the reality of local practice

EAC / First. Stop Advice Making the economic case Helping older people choose the right home for them - an introduction to the costs and benefits of providing advice and support Outline of research commissioned by EAC at the request of DCLG and carried out by Nick O, Shea

EAC / First. Stop Advice Research aims • Help commissioners determine which models of support and advice would work in their area • Identify the types of savings that an area would make by implementing one of the services described • Highlight approaches which work in both Private and Social Sectors

EAC / First. Stop Advice Case Studies • Freespace, Redbridge • WE Care & Repair • Seamless Relocation • Crossroads Care (CCCNL) Homeshare • First. Stop

EAC / First. Stop Advice What we need to look at – costs and benefits • Attribution = what happened as a result of your service • Counter-factual = what would have happened if you were not there • What are the main costs you avoid – residential care, increased support, falls and hospital? • What are the benefits? Safer living environments?

EAC / First. Stop Advice What were some of the findings? • Interventions costing a few hundred pounds can save thousands • Living somewhere safe is the main driver of cost reductions • Schemes can use equity in a home to offer support to owner-occupiers • Older people need a ‘trusted expert’ to help them decide what to do and then implement their choice

EAC / First. Stop Advice What are some of the challenges? • The advice sector would benefit from improving data collected to show the impact of their services • There a number of services that can scale up their approaches and help more people • Social impact bonds could work well in the sector, as they are equity based

EAC / First. Stop Advice Example 1: Redbridge Council Free Space • Works with owner occupiers and social tenants • ‘Free Space’ brings together finance, practical help, equity release and cross-borough moves • Strong team • Limited cost-benefit analysis – potential for much more

EAC / First. Stop Advice Main benefits This scheme is financially astute. • Owner occupiers with large houses and low income are not able to downsize without selling their homes. Scheme enables them to rent out their house, rent a smaller place and make a profit • Council offers practical support to facilitate the move, plus equity release and financial advice • In return, Council can rent the house to people in temporary accommodation and manage that tenancy directly

EAC / First. Stop Advice Example 2: CCCNL Homeshare • Popular concept in parts of Europe, USA and Australia • Many models depending on agencies involved, history, legal & financial framework, local demographics & opportunities • Aims to deliver benefits for both parties to home -sharing contract

EAC / First. Stop Advice CCCNL Home. Share • Works with older people with a room to spare and need for support and companionship • Matches them to younger home-sharers willing to provide these in return for free ‘lodgings’ • Agency costs met by fees paid by both parties • Benefits – care, company, reduced risk of crisis

Direct benefits of the scheme Benefits Homecare reductions Home. Sharer support – skilled Unit cost 21. 4 Home. Sharer support – company Accompany to GP Burglary - personal costs Burglarly - CJS costs Rent to person Per month Savings 4 20 £ 85. 6 £ 428. 0 10. 7 20 84 0. 5 1225 0. 000256 1348 0. 000256 300 1 £ 214. 0 £ 42. 0 £ 0. 3 £ 300. 0 £ 1, 070. 3 TOTAL Annual £ 12, 843. 1

EAC / First. Stop Advice Indirect savings in British terms Indirect savings Early discharge from hospital Deferral of residential care Units per Per Unit cost month 30 £ 193 £ 2, 316 1 £ 2, 394 Crisis Social Work Intervention SW admin 5 15 £ 181 £ 63 Annual Savings 30% attribution £ 905 £ 945 £ 6, 560 £ 78, 720 23, 616

EAC / First. Stop Advice What costs and benefits could you demonstrate?

EAC / First. Stop Advice Some questions to consider Contextual questions • How much does your service cost per hour? • How many people do you help a year? • What is the duration of that help? Short, medium, long term? • Are you the only person helping your client? How many other organisations are involved?

EAC / First. Stop Advice Establishing a baseline • What services are your clients already using when they are referred to you? (housing support e. g. handyperson, meals on wheels, social care etc) • What is the nature of their problem/need they wish to address? (crisis, need to move, want to adapt)

EAC / First. Stop Advice Outcomes • What changed as a result of your service? (did the person move, have adaptations, take up home-share, or, no change at all? ) • Are they living in a safer home now?

EAC / First. Stop Advice Sources of information • Unit costs of social care – University of Kent. pssru. ac. uk • Research into the financial benefits of the Supporting People Programme, Capgemini. • Frontier Economics, Financial benefits of investment in specialist housing for vulnerable and older people, (2010). Homes and Communities Agency • Handypersons Cost Toolkit: communities. gsi. gov. uk

EAC / First. Stop Advice Next steps • Report will be published in January • You can use it to look at the costs and benefits that your service achieves • There are some suggestions on the types of data that might be useful to collect to make the case for investment

EAC / First. Stop Advice Extra Care Housing Conference, 2011 Connecting with the voice of older people Making the economic case John Galvin, Chief Executive Elderly Accommodation Counsel (EAC) 020 7867 John. galvin@eac. org. uk