Individual Housing and Support Pathway Plan for people with a learning disability in

Westminster.

2012- 2015

November 2011 1

Introduction

Westminster Learning Disability Partnership and the Westminster City Council Housing Department are in the process of drafting the new Learning Disability Housing and Support Pathway Plan 2012 – 2015 to be published April 2012

This plan will continue to deliver better models of housing and support in Westminster for people who have learning disabilities

This plan will be developed with the input of service users, family and carers, providers and care professionals.

Westminster will also work with the Tri-borough partners to identify shared needs and look to commission high quality accommodation and support to meet the current and future needs of people with a learning disability.

November 2011 2

Changes in Provision 2007 -2011

In 2007 there were 83 units (placements) of residential accommodation and 73 units of supported living within the borough.

  There are now 24 units of registered care and 168 units of supported housing.

 

Westminster in partnership with providers have deregistered 47 units of

accommodation

  There have been 21 units of new supported housing provision in the last three years.

This includes a new build extra care supported housing scheme of 7 units for older

people with a learning disability offering wheelchair accessible accommodation

  One person completed on a shared ownership flat and moved from Campus

26 people with a leaning disability moved into their own flats from 2007 – 2011 through W34 housing quota

November 2011 3

This chart defines the changes

Relative Change in Housing Provision

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2008 2009 2010 2011

Year

Un

it

Independent

New Stock Pipeline

Residential

Supported (New Stock)

Supported (Remodelled)

Supported (ExistingStock)

November 2011 4

How this was achieved

• Deregistration of in borough provision

• Remodelling properties that were decommissioned from other services

• Development of new build (Leonora House)

• New provision from RSLs and Housing Charities (Octavia and Dolphin Square Foundation)

• W34 nominations into WCC Learning Disability Quota

November 2011 5

Going Forward : The new challenges

• Greater pressures on adult care budgets

• Day service changes and impact on supported housing providers

• Personal budgets and housing provision interface - models of core and support

• Increasing need to meet younger people with very challenging behavior

• Increased need for specialist Autism provision

• Increasing need for accessible accommodation for both younger people with complex needs and aging population

November 2011 6

The new challenges - continued

• Economies of scale versus bespoke support packages – impact on choice and control

• Assisted Technology – Smart Homes - a need to invest in technology

• BME - requirement to develop services that will meet the need of increased service users

• Employment and Benefit models – universal credit, changes in Housing Benefit system and encouragement to take up employment where appropriate

• Developing a plural market – joint strategies with Health, Housing, Employment and Training and tri borough arrangements in regard to commissioning services

• Mental Health joint working/vulnerable adults with LD and forensic history

November 2011 7

How do we do it?

• Develop staff in supported housing to look at employment and training opportunities for each individual - increase independence focus

• Develop pilot model of “Foyer Principles “ accommodation - housing linked to employment and training - measure outcomes

• Work with Older people services to identify synergies and needs for developing more Extra care models of supported housing

• Identify housing cluster opportunities to develop YPT transition flats with “Foyer Principles”

• Continue to develop services to meet increased demand of challenging needs - shared care facilities with family and carers??

• Continue to work in partnership with Mental Health services and other Health sectors

November 2011 8

Key things we need to address

We don’t have enough provision to cope with people who have complex needs in borough

There are going to be big changes in needs as younger people enter services

We will need to develop services that meet the cultural needs of people entering the service

We have an aging population and need

more accessible accommodation

November 2011 9

Prevention – Peer support models for people who need low to moderate support

Prevention – Peer support models for people who need low to moderate support People – Draw on

workforce who can provide care and support with skill and imagination.

People – Draw on workforce who can provide care and support with skill and imagination.

Personalisation - How to make this work in current economic climate - choice and control over where you live and who supports you

Personalisation - How to make this work in current economic climate - choice and control over where you live and who supports you

Protection – sensible safeguards against risk but not an excuse to limit people’s freedom

Protection – sensible safeguards against risk but not an excuse to limit people’s freedom

Partnership – care and support delivered in a partnership with individual’s families and communities, voluntary and private sectors. NHS and councils and Housing partners

Partnership – care and support delivered in a partnership with individual’s families and communities, voluntary and private sectors. NHS and councils and Housing partners

The Five Ps

November 2011 10

Current overview of placements (draft)

Living in own home

or with family

Living in registered /NHS care

364

150

November 2011 11

Needs overview

Young people in transition:

There are increasing numbers of young people with very complex needs, physical disabilities (some very profound) coming through year on year

There are 17 YPTS that are entering Adult Services (18yrs now) most have high or complex needs 2011 -2012

There are 20 YPTs who are 17yrs old, 8 of these are very high needs

There are 7 YPTs who are 16yrs old and being tested for services 3 of whom will be very high needs

There are 11 YPTs that are 15yrs and at least 4 of these will be very high needs.

November 2011 12

Needs update

People with Autism

YPTs aged 17 – 18yrs there are 6 known to WLDP

YPTs aged 16 – 17yrs there are 5 known to WLDP

YPTs aged 15 -16yrs there are 3 known to WLDP

YPTS aged 14 – 15yrs there are 2 known to WLDP

YPTS aged 13 – 14yrs there are 6 known to WLDP

November 2011 13

Things we need to think about

Investment in FRS?

Shared Lives? alternative models

of housing and support

Flexible living

spaces?

Safe spaces?

Partnership with families and

carers

Smart homes

Peer Support outreach

November 2011 14

Joint work with mental

Health/YOT

Consultation

Service Users

Families and carers

Clinicians case

managers

Children's Teams

(transition)

Mental Health

Providers

Older People services

BME service users and

carers groups

November 2011 15

Let us know your thoughts

• How do you think the current provision can be improved to meet the needs?

• What models of support/housing do you think should be designed and commissioned to meet future demand?

• How can we increase opportunity for employment and social capital in the models of housing and support

Please send your comments to:

Cindy Maula,

Accommodation Manager (WLDP)

Housing Partnerships,

9th Floor, City Hall, Westminster

City Hall, London SW1E 6QP

November 2011 16