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Issues Covered• What is Extra Care?
• What is the vision for Extra Care?
• Evidence regarding the impact of Extra Care on promoting health and well being
• Current level of provision in Lancashire
• Green Brook and Brookside – what do they offer?
• Case study
What is Extra Care? ADASS and LIN Guidance
“Extra Care takes a number of different formats and styles, but primarily it is housing which has been designed, built or adapted to facilitate the care and support needs that its owners/tenants may have now or in the future, with access to care and support twenty four hours a day either on site or by call. It is generally based on the following principles
What is Extra Care? (contd.)• To promote independence – the provision of self-
contained accommodation designed to enable individuals to live independently within the community, and promote their well-being and quality of life.
• To be empowering and enabling – the availability of flexible, person-centred care and support services which empower and enable individuals to maximise their independence and promote health and wellbeing.
• To promote social inclusion – services and buildings designed to promote social inclusion and alleviate social isolation”. ADASS and LIN
Models of Extra Care
• Purpose built scheme without community resources• Purpose built schemes with community resources• Core and cluster (including virtual models)• Remodelled Extra Care• Retirement village • Extra Care schemes for people with specialist needs e.g.
dementia, learning difficulties• Extra Care linked to care home provision
What is the Vision for Extra Care?• To provide a home for life • To provide a viable alternative to residential care • To improve health and well being• To provide onsite care which delivers cost savings• To provide a wider community resource and support
place shaping • To benefit wider housing market and regeneration
activity/free up family housing
Reducing Admissions to Residential Care
Permanent admissions of older people (aged 65 and over) to residential and nursing care homes, per 100,000 population (2013/14)
•Lancashire 818.9 •Average NW 776.6 •Average comparator group 690.7 •Average England 668.4
High numbers of people moving into residential care when compared with comparator authorities
Extra Care Housing in Blandford Forum, Dorset
ASCOT Measure Pre-measure Post-measure (after 6
months)
Difference
Accommodation cleanliness and comfort
81.75 94.02 +12.27
Personal cleanliness and comfort 84.92 97.44 +12.52
Food and drink 86.51 91.45 +4.95
Personal safety 61.90 94.02 +32.11
Social participation and involvement 57.94 85.47 +27.53
Occupation 56.35 78.63 +22.28
Control over daily life 69.84 88.03 +18.19
Dignity 73.33 78.79 +5.45
Collaborative Research between Aston Research Centre for Healthy Ageing (ARCHA) and the ExtraCare Charitable
Trust• Over a 12 month period total NHS costs (including GP
visits, practice and district nurse visits and hospital appointments and admissions) reduce by 38% for Extra Care residents who were in the sample across the period.
• NHS costs for ‘frail’ residents had reduced by 51.5% after 12 months.
• 46% reduction in residents’ routine or regular GP appointments in year one
• A significant reduction in the duration of unplanned hospital stays, from an average of 8-14 days to 1-2 days.
• A significant number (19%) of Extra Care residents designated as ‘pre-frail’ at baseline had returned to a ‘resilient’ state 18 months
• At baseline new residents had more difficulties with cognitive functions, independence, health perceptions, depression and anxiety than controls, but after 3 months these differences have reduced and some have disappeared, with significant improvements in psychological well-being, memory and social interaction for Extra Care residents.
• After 18 months Extra Care residents in general showed a reduction in depression – and those with low mobility, showed the greatest improvement (from their lower initial levels).
Current Level of Provision in Lancashire
Purpose Built Extra Care Schemes
•Brookside
•Green Brook
Sheltered Housing Based Extra Care
•Care team within sheltered housing schemes
•14 schemes
Sheltered Housing Based Extra Care SchemesSheltered housing schemes generally don't have 24 hour staff cover; however there are around 13 schemes which have 24 hour care on site. North•Beck View, Lancaster •Parkside Court, Lancaster •Torentum Court, Wyre •Stanner Lodge & Croft Court, Fylde
East •Kirk House, Hyndburn •Hyndbrook House, Hyndburn •St Ann's Court, Ribble Valley •Plessington Court, Longridge
Central •Molyneux Court, Preston•Bannister Brook and Greenwood Court, South Ribble•Marlbrough Court, West Lancs•Ainscough Brook, Preston
Green Brook House• Purpose built extra care scheme opened in April 2010 in Whitworth• Landlord – Greenvale Housing, Care and Support Provider -
Willowbrook• The scheme consists of 6x1 bedroom flats and 36x 2 bedroom flats. • Facilities include communal lounges, laundry, bistro, shop, hairdressing
salon, consulting room, buggy store and assisted bathing.• Care provider Willowbrook - core and add on model• Bingo, coffee mornings, cinema, day trips, nails, botcha, chair
exercises, strollathon, any activities requested
Brookside• 111 apartments which are of mixed tenure, 33 shared ownership/outright sale,
73 rental & 5 rehabilitation in Ormskirk• Landlord – Your Housing, Care and Support Provider - HICA
• Balanced community: general needs, moderate care & substantial care
needs.
• All allocations go through the allocations panel which consists of a
representative from Your Housing Group, Hica Care, & West Lancs
Housing Options Team.
• Hair salon, Bistro, Music Room, Library, Leisure suite (used for tai chi,
yoga, keep fit, chair based exercises)
• Merebrook day centre for people with dementia and support for families.
• Alzheimer's society run carers information & support programme,
dementia advisors at Brookside.
• CMHT Memory Assessment Service,
• Smart recovery group (people with addictive behaviour)
• Diabetes clinic
• Podiatrist
• Buddhist meditation group
• Singing for the brain, activity groups
• Age UK coffee afternoons
• Staff team s on site heavily involved in fund raising for various charities
Brookside
1
1:30-2:30pm
Age UK
tea/Coffee &
Cakes
Function
Room
2
Card Making
2pm
Craft Room
3
Bonmarche
1pm
Reception
Tai Chi 7pm Leisure
Suite
Bingo7.30pm Bistro
4
Yoga 10:30am
Leisure Suite
Bingo 2-3pm
Library
Table Top Games 2-
3pm Games Lounge
5
Tai Chi
10am
Leisure Suite
£3
6
Bingo 8pm
Bistro
8
1:30-2:30pm
Age UK
tea/Coffee &
Cakes
Function
Room
9
Tia Chi
10am, Leisure
Suite £3
Oswaldtwistle
Mill Coach
Trip
Skylarks
630pm
Function
Room
£3
10
Knitters 2:30pm
Garden Room
Tai Chi 7pm Leisure
Suite
Bingo7.30pm Bistro
11
Yoga 10:30am
Leisure Suite
Bingo 2-3pm
Library
Table Top Games 2-
3pm Games Lounge
Classical Music on
DVD 7:15pm
Garden Lounge
12
Tai Chi
10am
Leisure Suite
£3
13
Queens
Official
Birthday
15
1:30-2:30pm
Age UK
tea/Coffee &
Cakes
Function
Room
16
Tia Chi
10am,Leisure
Suite £3
Card Making
2pm
Craft Room
17
Knitters 2:30pm
Garden Room
Tai Chi 7pm Leisure
Suite
Bingo7.30pm Bistro
Old Fashion Sweet
Stall 10:30-3pm
Reception
18
Yoga 10:30am
Leisure Suite
Table Top Games 2-
3pm Games Lounge
Bingo 2-3pm Library
19
Tai Chi
10am
Leisure Suite
£3
20
Bingo 8pm
Bistro
22
1:30-2:30pm
Age UK
tea/coffee &
cakes
Function Room
Body Shop
Pamper
Afternoon
Function Room
2 - 3:30pm
23
Tia Chi
10am, Leisure
Suite £3
Skylarks 630pm
Function Room
£3
24
Knitters 2:30pm
Garden Room
Tai Chi 7pm Leisure
Suite
Bingo7.30pm Bistro
25
Yoga
10:30am
Leisure Suite
Table Top Games 2-3pm
Games Lounge
Bingo 2-3pm Library
Classical Music on DVD
7:15pm
Garden Lounge
26
Tia Chi 10am Leisure
Suite £3
29
1:30-2:30pm
Age UK
tea/Coffee &
Cakes
Function Room
30
Tia Chi 10am,
Leisure Suite £3
Card Making 2pm
Craft Room
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