The Flexi Care Grant Content Objectives for Flexicare
The Flexi. Care Grant
Content • • Objectives for Flexicare Background and rationale How Flexicare will work FAQs
Flexicare Objectives • A service model which: – – can be consistently applied; provides the right services; offers appropriate choice and control; is affordable for people living in Flexicare and the County Council; – is viable for providers; and – safeguards people.
Housing Management Housing Contract Housing Supporting People Contract Care Contract
CARE SUPPORT
Strategic Review 2009 • Block Contracts for Care: – Does not allow for client choice / personalisation – Bandings can be restrictive – Can residents without care needs access unplanned care? • Should the County Council commission services separately?
Why provide choice / personalisation? • Older adults generally report personal budgets as having a positive impact on their lives, where there is: – Self determination – An adequate budget – Help with support planning • However, older adults more likely to have a ‘managed budget’ and miss out on some of the positive impacts.
Outcomes of personal budgets Centre for Disability Research Older people and personal budgets: A re-analysis of data from the National Personal Budget Survey 2011
Care Care Housing Management Housing Care & Support Care Care
The Flexicare Strategy • Recognised benefits of an ‘Integrated Service’ – Better services for residents – Better value for money • Impact 2020 – Flexicare housing will be seen as a positive, high quality, affordable, value for money option – People who live in flexicare housing will have choice and control
Care Care Catering Care Housing Management Housing Care & Support Care Activities Care Care
Old way Housing Management Housing Support Care
The Flexicare Way Care Catering Care Housing Management Care & Support Care Activities Care Care
Flexicare MENU
Main On Site Staff 24/7 Cover Emergency Alarm / Assistive Technology Emergency / Unplanned Support Housing Related Support Activities ? ? Catering ? ? £~? ? per week
Extras Personalised Care & Support, e. g. : Home help Shopping Cleaning Washing Dressing Going out Leisure activities Computer lessons etc, etc
That’s theory….
Making it happen • Turn to the internet…
£Fairer Charging Housing Management £Rent from Resident or Housing Benefit Care Housing Support £SP funding or Resident Care Unplanned Care £? ? ? ? ? Must allow choice of planned care provider
Who pays for unplanned care? • Social Care in full? – Can tender and have a contract – Unaffordable for the Council • Residents in full? – No relationship with the Council – Expensive for residents? • Social Care and Residents shared? – How?
Fairer Charging • National Legislation on charging to meet assessed care needs • Must leave a person with pension credit + 25% to live on • Charge must be related to assessed care needs • Can only have a flat charge in certain restricted circumstances
GRANT FUNDING
Provider County Council Landlord Residents (Community Anchor) Provider
Funding the Integrated Service Grant to be around £ 50 k pa
Cost per unit per week (not rent) £ 50 k grant for a typical 60 unit scheme is worth £ 16 per week per unit
Value for Money examples • Ways to take advantage of integrated service delivery: – private arrangements with residents for shopping, preparation of meals, cleaning, etc. ; – staff on call at night carrying out laundry and quiet cleaning; – some parts of housing support being delivered as floating support; – using care staff to provide housing support; – using assistive technology to check on residents; or – offering services to the wider community (e. g. day opportunities)
24/7 Care FLEXICARE • At least one person on site 24/7 who can provide ‘care’ • Can have more, dependant upon – Care profile of residents; or – Residents willing to pay
Grant Funding - benefits • No contractual relationship, so Fairer Charging rules don’t apply • Housing providers can get on with providing a full service in their scheme • Share costs between Council & Residents • Residents get a say on what is spent • Maximise economies. Minimal procurement
Grant Funding – more benefits • • • Grant conditions – can still monitor Bidding round for housing providers 3 year grants Potential for converting sheltered housing? Charge to residents may be partly covered by proposed changes to Housing Benefits?
FAQs • Who can bid for the grant? – Only landlords of suitable accommodation • So what is ‘suitable accommodation’? – – Self contained units of accommodation (‘own front door’) Generally for older people Access to communal facilities 24/7 CQC registered care service on site
FAQs • Where would the grant be funded from? – The existing SP and current waking nights funding • What if I don’t bid for / secure grant funding? – Council would then only pay for assessed care needs (fairer charged)
FAQs • How would flexibility in care needs be ensured – Direct payments include a 4 week ‘buffer’ which allows for week-by-week variations and short episodes of increased needs • What if I’m a landlord who doesn’t provide care – Need to subcontract or arrange for CQC registered provider
FAQs • Would this affect allocations? – No, would still want to see balanced communities. SCC would retain nomination rights where they exist. Need minimum number of residents with care needs (20 -25) • What about charges to residents? – For providers to decide in consultation with residents – Maximum linked to Pension Credit Guarantee – Unless residents agree otherwise
Extra Care Suitability at LSOA Seeking to encourage more development – Many providers told us that they will only build if they can provide services too
Core & Cluster Approach
The Flexicare Grant • Giving providers the freedom to develop and deliver excellent services to meet the needs of their residents • Giving residents excellent services, transparent cost structures and choice and control over the care they need • Giving the County Council a consistent approach to commissioning, and a real alternative to residential care
The Flexi. Care Grant
- Slides: 40