exceptional care solutionscih2012

CIH CONFERENCE

OLDER PERSONS HOUSING AND SUPPORT CONFERENCE

AUGUST 2012

Exceptional Care Solutions

Exceptional Care Solutions©


• INDEPENDENT L IVING• CARE

• DEME NTIA• FEASIBILITIES• DESIGN AUDITS

• ASSISTIVE TECHNOLOGY• OPTION APPRAISALS• FUNDING SOLUTIONS• MODULAR SOLUTIONS


A HOUSING STRATEGY FOR PEOPLE LIVING WITH DEMENTIA AT HOME



IS SHELTERED HOUSING SUITABLE FOR PEOPLE WITH DEMENTIA ?

CAN EXTRA CARE PROVISION KEEP PACE WITH DEMENTIA ?



WHAT IS DEMENTIA ?


Dementia (taken from Latin, originally meaning "madness", from de- "without" + ment, the root of mens "mind") is a serious loss of global cognitive ability in a previously unimpaired person, beyond what might be expected from normal aging.

Wikipedia

http://en.wikipedia.org/wiki/Latin

http://en.wikipedia.org/wiki/Cognition

WHAT IS DEMENTIA ?


ALZHEIMERS

DEMENTIA


Dementia

About 750,000 people in the UK have dementia –

and this number is expected to double in the next thirty years. DofH

Designing the environment for People with Dementia


Senses

Designing for people with dementia should enable people to make the best use of any and all of their senses that they are still able to use.

Designing for Dementia


Accessibility

Lifetime Homes

Physical Disabilities

Disability Discrimination Act



Design aims – cognitive impairments

FamiliarityRelief of stressDomestic scale Clear visibility, multiple cluesAvoidance of confusion/minimising

distractionsEase of use and understandingImportance of activity and exercise (ADL)



The Basics

Room space/adjacenciesVisibility/PermeabilityWayfinding / Way markersScalePrivacy / SociabilitySensory enhancement (comfort)



Ideally 2 storeys high – as not ideal in the future if someone with Dementia was on a 3rd floor.

Making the grounds totally secure especially if one has dementia – older people want to feel safe and secure.

Allotment facilities where possible for the green fingered.

People want facilities and out door space, which have a massive well being factor for us all.



Assistive Technology Technology is great – but quite often people will only turn towards this option when a crisis point has been hit – telecare and alarms are still undervalued – but by installing such technology in the first instances when flats/apartments are built as new builds is imperative – many older people without dementia will drift off and take a nap or forget that a bath is running or something is on the stove – but telecare can step in to avoid stress or tragic events. Environmental control systems can enable any individual to operate everyday domestic appliances if its in place.

There are the ethics of using monitoring equipment.

Domiciliary Care


Living with Dementia can be made so much easier - having a care at home facility (domically care) is great onsite.

With personalisation there is a choice and the individual has the right to choose what service provision they wish to employ.

What is Extra Care Housing


Types of Extra Care Housing

Extra care housing may come in the form of:A retirement villageA block of apartments or flatsA bungalow developmentExtra care housing usually provides most of the facilities

that residents need on-site, for example a laundry, a community area and sometimes even a restaurant.

Residents of extra care housing will have access to care either on-site or through a care home, as extra care housing is often built very close to or next to care homes.

Fundamentals of Planning Decisions.

Click icon to add pictureThe Choice of Location of a facility.

• Neighbourhood

• Community Based

• Regional

The Choice of care concept.

• Mixed

• Specialised

The Choice of model type.

Integrated

Annexe

Semi Autonomous

Autonomous


Location and

Catchment Area

Care Concept

sModel Type

Who needs Care ?


Paying for Extra Care

The cost of extra care housing varies depending on who it is run by and what the needs are. Extra care housing schemes run by the council or Housing Association will usually be affordable private may be more expensive.

Components Rent/mortgage The accommodation can often be rented, or purchased or part-

buy/part-rent and paid on a monthly basis as you would in most types of housing. As often people want to feel that at least they have invested some of their money to use later on if requiring Nursing care or to pass onto ones family.

Service charges There will usually be service charges for the maintenance and

staffing of the communal areas of extra care housing. Care There may be a number of care needs, such as needing help moving

around or needing help with washing, dressing and cooking.Exceptional Care Solutions©

'The Future Cost of Housing Benefit for Older People'


There is growing awareness that among today's younger generation, a larger proportion may rent throughout their life compared to previous cohorts. However, in debate on 'generation rent', little consideration has been given to the fact that many people who rent in retirement rely on state support for their housing costs, in the form of means tested Housing Benefit.

A recent report explores how trends in longevity and tenure will affect the future cost of Housing Benefit for older people in the very long term. Using projections of owner-occupation rates and the number of retirees in 2060, the report finds that the UK Exchequer will have to spend an extra £8.13 billion on Housing Benefit for pensioners each year compared to today.

Care and Support Reform


The Government has published its Care and Support White Paper and the draft Care and Support Bill

Of particular note is the £200 million fund announced for investment to encourage providers “to develop new accommodation options for older people and disabled adults” over the next five years. Full details of the fund have not yet been published and are promised for October.

As widely reported in the press, decisions on possible capping of individuals’ financing of later life care costs have been postponed.

What’s needed


At every stage and in every setting, there needs to be a greater focus on local delivery of quality outcomes and local accountability for achieving them.

Strong leadership and support with effective decision making.

The right team with an emphasis on working as a partnership.

Quality of staff to ensure that the care is personal to the individual and not just a corporate mission based on profit alone.

Loneliness


"Being unwanted, unloved, uncared for, forgotten by everybody, I think that is a much greater hunger, a much greater poverty than the person who has nothing to eat.“ Mother Teresa

Conclusion.


An individual can live extremely well with a great quality of life whilst living with Dementia.

If the complex has been skilfully designed. With up to date technology.

Great management/leadership on site.

With a care provision on site.

THANK YOU FOR LISTENING

T I M C H A U D H R Y

E M A I L I N F O @ E X C E P T I O N A L G R O U P. C O. U KT E L 0 8 7 0 0 6 1 2 0 0 1



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