South West Housing LIN Meeting Moving from an

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South West Housing LIN Meeting Moving from an accommodation based service to Floating Support

South West Housing LIN Meeting Moving from an accommodation based service to Floating Support Nigel Fain Head of Care and Support Services The Community Housing Group

Setting the scene • • • Company information Contract Information Where we were Developing

Setting the scene • • • Company information Contract Information Where we were Developing service with Commissioner Where we are Future working

The Community Housing Group • • Wyre Forest Community Housing Ltd Wyre Forest Sheltered

The Community Housing Group • • Wyre Forest Community Housing Ltd Wyre Forest Sheltered Housing Ltd Worcestershire Tele. Care Ltd Vestia Community Trust CHG Property Services Oakleaf Grounds Services Bespoke Joinery Services

Care and Support Services • • • Older People Visiting Service Call Alarm /

Care and Support Services • • • Older People Visiting Service Call Alarm / Telecare Service Extra Care Scheme Lunch Club Service Equipment and Adaptations Service

Wyre Forest Sheltered Housing • 1959 properties designated for older people • Properties in

Wyre Forest Sheltered Housing • 1959 properties designated for older people • Properties in Kidderminster, Bewdley, Stourport on Severn & surrounding villages • 10 group schemes with communal facilities, including Extra Care • Remodelling an Intermediate Care scheme

Supporting People Contracts: 2003 • 2113 Company properties – including group schemes, bungalows and

Supporting People Contracts: 2003 • 2113 Company properties – including group schemes, bungalows and flats • 368 Company general needs houses • 2481 Hard wired and dispersed call alarm connections • Support linked to tenancy with specific charge on rent account

Provision of Service - 2003 • • • Wardens required to live within schemes

Provision of Service - 2003 • • • Wardens required to live within schemes Minimum supervision Limited opportunities to work as a team Reduced service during absence Service Inconsistency Lone Working issues

Worcestershire County Council • Approach to Older Persons Supporting People Contracting (2003 – 2010)

Worcestershire County Council • Approach to Older Persons Supporting People Contracting (2003 – 2010) • Older People Strategy • Quality Assessment Framework • Developing outcomes • Procurement 2010 to date • Supporting People Provider Forum

Floating Support Contracts • • • 1770 hours per week Hourly rate Irrespective of

Floating Support Contracts • • • 1770 hours per week Hourly rate Irrespective of tenure Capacity split - Older People / Generic Requirement to meet Outcomes

Changes in provision of service • Support not linked to tenure • Support Workers

Changes in provision of service • Support not linked to tenure • Support Workers not required to live within schemes • Visit by appointment • Improved supervision • Team working • Consistency of service during absence • Service consistency • Improved Lone Working procedures

Issues • • Meetings with tenants Review of support needs Landlord & Support Provider

Issues • • Meetings with tenants Review of support needs Landlord & Support Provider Existing Self funders Attracting new self funders Workforce development Reliance on Supporting People funding

Action taken • IT Systems • Service Viability Review • Marketing of services –

Action taken • IT Systems • Service Viability Review • Marketing of services – non recurrent funding Supporting People Contract • Response service to Older people – falls • Developing range of services – care and support

Falls Response • Developed in partnership with NHS Worcestershire and Worcestershire County Council •

Falls Response • Developed in partnership with NHS Worcestershire and Worcestershire County Council • Why? • 6 month pilot completed • Pilot evaluation • Developing the service

Access to Falls Response Service • 4, 500 older and other vulnerable people living

Access to Falls Response Service • 4, 500 older and other vulnerable people living in Wyre Forest area • Connected to Worcestershire Tele. Care Monitoring and Response Centre located in Malvern • Range of older and other vulnerable people living in Sheltered Housing, Private rented and Owner Occupiers

Preparation by TCHG • • Research Review of current processes Agreement of new protocols

Preparation by TCHG • • Research Review of current processes Agreement of new protocols Setting up the team Training Equipment Raising awareness

Links to other services provided by the Group / Key Partners • Support 24

Links to other services provided by the Group / Key Partners • Support 24 Floating Support service • Worcestershire Tele. Care • Home Improvement Agency - Festival Housing Group • Carewise website – Worcestershire County Council

Outcomes • • • Part of falls pathway Projected savings GP benefits Health benefits

Outcomes • • • Part of falls pathway Projected savings GP benefits Health benefits Service user benefits

New Contracts – April 2011 • Impact of Comprehensive Spending Review / WCC budget

New Contracts – April 2011 • Impact of Comprehensive Spending Review / WCC budget • December 2010 / January 2011 • Capacity of contracts maintained • Reduced hourly rates • Changes to Company Terms and Conditions • Changes to services provided to tenants

Future working • • Working with GP Consortia Personalisation Wider Consortium working Telehealth Specialist

Future working • • Working with GP Consortia Personalisation Wider Consortium working Telehealth Specialist services to other client groups Joint Commissioning Influencing the future direction of services

Questions Nigel Fain Head of Care and Support Services The Community Housing Group 01562

Questions Nigel Fain Head of Care and Support Services The Community Housing Group 01562 733041 nigel. fain@communityhg. com