Housing & Care 21

Housing&Care21 is a not-for-profit organisation, specialising in older people's care and housing services. We are the leading developer of extra care housing with over 122 extra care schemes; and a leading not-for-profit care provider, delivering over 42,000 hours of care a week. We manage a property portfolio of over 15,000 properties, including specialist care facilities for people with dementia. Our mission is to support independence and choice for older people through the provision of quality housing, care and support. We aim to provide a forward thinking, 21st century service, which focuses on Retirement Housing, Extra Care and Home Care for people who are over 65 years of age.

Updated:
16 February 2017
Location:
National
Sectors:
Health, Care, Housing Sector

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

Housing&Care21 is a leading provider of services for older people, and we have over 4,000 residents and customers living with dementia. We are committed to supporting them and their families to live as full and independent lives for as long as possible. To achieve this, we will: 1. Ensure that all staff- both frontline and office based- are dementia aware through the Dementia Friends initiative and other learning opportunities; and are given the training necessary for their roles to deliver high quality services for people living with dementia. We will also proactively promote learning opportunities to further enhance staff understanding of dementia. 2. Encourage residents and customers to become dementia aware through the Dementia Friends initiative 3. Deliver outcomes-focussed care and support services which meet the needs of people living with dementia, while supporting family and carers. 4. Carry out research into assistive technology solutions and service innovation for people living with dementia 5. Ensure our customer engagement and communication plans are inclusive of people living with dementia, and offer opportunities for them to shape and control their services. 6. Work closely with external partners to continuously feed best practice into the organisation, and contribute research and evaluation to external debates. 7. Continuously challenge negative perceptions and language used around dementia through our day-to-day lives. 8. Now that the organisation has restructured along product lines, develop dementia actions specific to each product stream

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

1. Impact of spending cuts- although there is investment in research into dementia, there are significant cuts to day-to-day support and provision of Local Authority funded services. 2. Services are still largely commissioned in a time and task orientated way, which can make it difficult to deliver truly outcomes-focused support to people living with dementia. 3. Stigmatisation of people living with dementia- this is not just an issue in the wider society, but we know that it happens in our services. Dementia is still not widely understood and there is a fear factor attached to it. As a result, people living with dementia and their families can be excluded and discriminated against. 4. Little investment in the future- due to the scale of funding cuts and the rise in dementia prevalence, there is a lot of fire fighting and little long term planning of the whole dementia pathway in many regions. 5. The lack of integration between health and social care- means that people living with dementia often fall through the cracks. As an organisation, this lack of coordination can make it challenging for us to deliver preventative outcomes-focused services. 6. Turnover- across the sector, Housing&Care21 is challenged by a high turnover of care staff. This makes it difficult to build experience and knowledge in the staff teams.

2. Actions

  • Better identification of good practice for people living with dementia/ better sharing of good practice

    1. Review of intranet/ communication boards as a way to share good practice 2. Following realignment of organisation, more emphasis given to sharing good practice on a local level through team meetings. 3. Utilising the internal "Horizon" briefings to disseminate key information and learning, for example the DAA's Dementia Words Matter. 4. Continuing to work with the Mental Health Foundation on the Peer-to-Peer support project, looking at how self-help and peer support can help those living with dementia. Evaluate the project and look to roll out.

    Action in progress.

    Status:
    Delivery

    2016 - Second Quarter Update

    This action is continuing- an example of the good work we've been doing is the Housing and Dementia Charter in partnership with the Alzheimer's Society.
  • Awareness raising for residents and family on our schemes.

    1. Running Dementia Friends sessions for residents, 2. Running Dementia Friends training for staff, encouraging staff to become Dementia Champions 3. Running Dementia Friends sessions with contractors.

    Status:
    Delivery

    2016 - Third Quarter Update

    Housing & Care 21 is currently presenting dementia friends sessions at our annual Residents' Conference (over 400 residents). We are committed to providing Dementia Friends training to half of our residents over the next 3 years (totalling approximately 9,000 residents)

    2016 - Second Quarter Update

    Since 2013 we have led over 263 Dementia Friends sessions for 2,893 staff and residents. Dementia Friends has become a core part of staff induction for all new staff, including back office staff; with staff encouraged to become Dementia Champions.

    Housing&Care21 has committed to provide Dementia Friends training to half of our residents over the next 3 years (totalling approximately 9,000 residents).

     

  • Promote better balance among Commissioners/ health professionals between safeguarding and risk, and independent living

    1. Contribute to the knowledge base around Deprivation of Liberty changes, and how this impacts on the housing with care sector. Ensure that changes do not overly constrain people living with dementia. 2. Review assistive technology offer. 3. Working with Local Authorities to better define the Extra Care Housing offer- ensuring that it meets the needs of people living with dementia 4. Ensure that frontline staff are empowered to challenge Local Authority decisions to place people into our services who are not appropriate.

    Status:
    Delivery

    2016 - Third Quarter Update

    This action is still ongoing.

    2016 - Second Quarter Update

    This activity is still ongoing

  • Ensure that environments we provide are as supportive as possible for people living with dementia

    1. Review of design and build programme, with closer working between operations and development- look at how we feed good practice from our current services, and the latest thinking in dementia design, into our new builds. 2. Scheme evaluation programme, including utilising the King's Fund Dementia Design Tool to evaluate our schemes. 3. Exploring Assistive Technology offer- including testing new technology

    Status:
    Delivery

    2016 - Second Quarter Update

    This is currently being undertaken.

    2016 - First Quarter Update

    Housing & Care 21 has been working with Sarah Waller at the University of Worcester to review dementia design within our extra care schemes. This is feeding into the new Extra Care core design brief which is in the process of being signed off.

    We have also been undertaking work to update the technological offer within our schemes to ensure that the latest assistive technology can be used by tenants.

  • Contribute to external discussions and debates around best practice for people living with dementia

    Utilise our housing expertise to contribute to debates with health and care providers. Champion how good housing design can improve the independence and wellbeing of people living with dementia.

    Status:
    Delivery

    2016 - Second Quarter Update

    This is still being delivered.

    2016 - First Quarter Update

    Housing & Care 21 has committed to be a leading housing voice in the best practice debates around dementia. We sit on a number of working groups, contributing our expertise and experience.