ASTRAL PUBLIC SERVICES
A summary of the main points raised at the Disabled Facilities Grant summit together with some apposite case studies showing what works well now. Disabled facilities grants are a national housing grant available to adults and children with a disability to facilitate access to and within the property. The grant is available to all owner occupiers, private and housing association tenants subject to a statutory means test. The meeting discussed five key questions about DFGs and their context within the wider theme of people remaining independent in the community, regardless of their means. The questions are: what works well in current practice; how to improve customer service; how to support self-funders; how to collaborate better with other services; and how to redesign services for the future. The document closes with major themes that emerged from the day together with some key recommendations of what can be changed nationally and locally to advance collaborative systems, prevention and DFG regulations.
RISEBOROUGH Moyra, JONES Adrian
This report presents the main findings from a collaborative evaluation over a year with four small housing associations who decided in 2013 to work towards becoming dementia friendly organisations. The report illustrates the changes the associations made and gives their reasons for making those changes. It describes detailed experiences of the small housing associations, reflecting on their starting points and examining the methods they used to establish dementia friendly housing organisations. The report looks at the reasons why leaders and key staff decided to invest time and energy into becoming dementia friendly housing organisations. It also looks at the reasons why training was so important and at how the organisations started to change their practices, processes and policies. Drawing on a variety of measures to compare and contrast the work of the associations against, the report concludes with an overall evaluation, showing that through a mix of pragmatism and planning the housing associations were able to make deep changes.
Examines older people’s expectations from their housing and housing providers and the choices the UK housing market currently offers older and vulnerable people, and explores innovative housing and care solutions that could meet the demands of an ageing population and more widely support people with other social needs. The study drew on both quantitative surveys and qualitative interviews undertaken in previous research to establish what older groups need and expect from the housing market, and then used statistical methods to create a clear picture of the housing that older people inhabit now and the choices that the English housing market offers to them. Having established that the market presents only a limited range of options to older people, the research explored the international literature to identify different models of housing and support, focusing on countries that face similar demographic challenges. The report considers ideas that could potentially be adopted in England and adapted to an English housing and health context. A number of options were tested with two focus groups, involving over-55s and over-65s. Finally, based on the information drawn from the research, and through consultation with external experts, this report outlines a range of possible policy measures designed to ensure that the current and future stock of housing for older people is more effectively focused on supporting their health requirements.
SNELL Tom, FERNANDEZ Jose-Luis, FORDER Julien
For many dependent adults, the provision of adaptive technologies provides a means to independent living and a decrease in the reliance on support from family members or more costly social care services. At present, the two main sources of state funding for equipment and adaptations are through Community Equipment Services (for minor adaptations up to a value of £1,000, such as grab rails) and through Disabled Facilities Grants (DFGs) (for major adaptations up to a value of £30,000, such as stairllifts or bathroom modifications). While costs of provision vary greatly by type of intervention, the majority of the research literature focuses on adaptations with an average value of approximately £6,000. The research described in this report provides an evaluation of the outcomes associated with the provision of adaptive technologies at an economic level, and, by extension. the likely impact of increases or reductions in investment in the context of increasing constraints on social care budgets. The analysis followed a three-stage process. The first stage was a systematic review of the literature in which the available evidence on the costs, effectiveness and outcomes associated with adaptive technologies was systematically collected and analysed. In the second stage, an analysis incorporating the findings gathered in the literature review was used to build a quantitative simulation model of the outcomes associated with aids and adaptations. At the final stage, the output of the literature review and model were used to inform a discussion around the policy implications. The research in this report was supported by a grant from Stannah and the British Healthcare Trades Association.