Bingo and beyond: Promoting social wellbeing in extra care housing

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Bingo and beyond Promoting social well-being in
extra care housing

• Simon Evans, University of the West of England,
  Bristol
• and Sarah Vallelly, Housing 21

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Policy Context Legal and regulatory

• Challenging discrimination Human Rights
• New Ambition for Old Age
• Dignity in Care
• Disability Discrimination Act

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Health and Social Care

• The personalisation agenda Self Directed
  Support, Individual Budgets
• Partnership, choice and control
• Delivery of services closer to home
• Renewed focus on prevention
• Simple services which help people achieve their
  goals rather than manage dependency
• Commissioning for Well-being (consultation)

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New Commissioning Framework

• Personalisation agenda
• Sets out governments vision for the future of
  commissioning services across health and social
  care
• Aims to put people at the centre of commissioning
• Emphasis on services which promote or prolong
  well-being rather than acute interventions
• Theoretically should improve access to crucial
  low level services for older people

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Social inclusion and well-being

• Better Government for Older People
• Opportunity Age
• Local Strategic Partnerships
• Local Area Agreements
• Sure Start to Later Life
• Link-Age Plus

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About extra care housing

• Extra care is a key plank of government policy
• Extra Care Housing Fund - 147 million (2004
  2008) to develop 1,500 homes
• Flexibility of models social rented, shared
  ownership, outright sale
• Put simply, extra care is housing with full legal
  rights associated with being a tenant or
  homeowner with 24 hour on-site care that can be
  delivered flexibly
• Its about quality of life, not just quality of
  care
• Kite marking project (EAC and partners)

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About the Research

• Aimed to explore social well-being for older
  people in extra care housing.
• In-depth interviews with residents and managers.
• Carried out by Simon Evans (UWE) and Sarah
  Vallelly (Housing 21)
• Funded by Joseph Rowntree Foundation

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Research Findings

• Overall high levels of satisfaction with social
  interaction and quality of life.
• Some features of extra care housing support high
  levels of social interaction.
• A minority of tenants sometimes felt isolated and
  lonely.
• A range of factors can support social well-being.
  

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Key factors in promoting well-being

• Social interaction
• Models of care
• Design and location
• On site facilities
• The role of family carers
• Links with the wider community

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Social Interaction

• Being part of a community
• Social activities
• Being inclusive

We get all sorts of invitations here. There is
always something going on (Female tenant)
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Models of Care

• Flexible packages
• Person-centred care
• Keyworking models

The only problem we find here is that all the
staff have gone by five o'clock so you're
virtually then back in your own flat for the
evening. You feel like a lot of children shut in
for the night. (Female tenant 106)
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Providing facilities

• A range of facilities
• Venues for social interaction
• Shops and restaurants

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The Importance of Design

• The indoor street

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The Importance of Design

• The indoor street
• Accessible design

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The Importance of Design

• The indoor street
• Accessible design
• Gardens

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Family Carers

• The role of family carers
• Social contact
• Practical and emotional support
• Getting out and about
• Encouraging involvement
• Communication
• Volunteering

I am very lucky in the fact that I have got a
marvellous daughter who comes to visit every day.
She takes me out once a week. (Female tenant)
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The Wider Community

• Accessibility
• Transport
• Local services
• Location
• Rural and urban
• Welcoming visitors
• Facilities and events

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Conclusions

• The importance of social well-being
• Person-centred approaches
• Meeting diverse needs

Well its cosy and its mine. I feel as though its
mine. Id rather be here than anywhere else its
my domain I can run around in the nude if I want
to. Yes, I like it here. (Female tenant)
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Recommendations

• Encouraging use of facilities by community groups
• Providing opportunities for volunteers to get
  involved
• Establishing links with local schools
• Collecting information about individual
  interests, preferences, etc.
• Incorporating good access to local services
• footpaths, bus routes, post boxes, etc.

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The report

• Social well-being in extra care housing.
• Download from www.jrf.org.uk
• Simon Evans
• Senior Research Fellow
• University of the West of England, Bristol
• 0117 32 81120
• Simon.Evans_at_uwe.ac.uk