River Clyde Homes Extra Care Team – Sustaining wellbeing, sustaining relationships, sustaining tenancies

Examples of Practice

This is an Example of Practice illustrating how initiatives and extra services run by Housing Associations directly or indirectly have a significant positive impact on the quality of life, health and well-being of those people being supported.

This example describes the range of supportive activities and resources provided by an Extra Care Team to new and established tenants, most of which are targeted at more vulnerable tenants, and looks at the impact of these. The connection between these activities and health and/ or well-being is not always immediately obvious, but nevertheless exist.

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More Than a Roof – Aspire Housing and Personal Development Services

Examples of Practice

This an Example of Practice illustrating how initiatives and ways of working in housing, housing support and homelessness services have significant positive impact on the health and wellbeing of those people being supported and contribute towards the nine national health and wellbeing outcomes for Integration.

This example focusses on the outcomes being achieved through the pathway created by its Direct Access and Resettlement Service in Glasgow and centres on James who had been evicted from his tenancy and stayed with a friend before moving into Aspire’s Direct Access Service.  He had a problem with budgeting and issues with addiction, consuming on average 10 pints of lager per day. James did not initially perceive his alcohol consumption as being an issue. However, over time he decided that it was something he would like to address.

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Papermill Gardens: Making an Impact, Penumbra 97

Examples of Practice

This an Examples of Practice illustrating how initiatives and ways of working in housing, housing support and homelessness services have significant positive impact on the health and wellbeing of those people being supported and contribute towards the nine national health and wellbeing outcomes for Integration.

Penumbra wished to transform its services in Aberdeen from existing shared, supported accommodation to a more flexible, personalised approach which offered greater opportunity for ordinary living with each person having their own flat.  They considered that this model would promote recovery.

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Transform Community Development – Seagate Project: Supported Accommodation – A key to the future

Examples of Practice

This an Examples of Practice illustrating how initiatives and ways of working in housing, housing support and homelessness services have significant positive impact on the health and wellbeing of those people being supported and contribute towards the nine national health and wellbeing outcomes for Integration.

This practice example is based on Larry who is currently living at the Seagate Project, which offers tenancies and secure occupancies to individuals who have suffered from severe and enduring mental health issues. Larry’s life had been a succession of admissions to mental health establishments all over the country. As these admissions became longer and more regular it was agreed that he would benefit from living in supported accommodation within the community.

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Intermediate Care – Step Up, Step Down

Examples of Practice

The issue we wanted to address was to expand the range of tiered interventions accessible to older people at key points of transition, recognising the limitations of the pre-existing service system. Gap analysis highlighted the need to create alternative inputs in circumstances where:

  • the older person has had a hospital admission and is clinically ready to leave hospital  but requires time to rebuild confidence and regain abilities in a reablement/enablement approach
  • the older person is at home and due to deterioration in health and wellbeing is at risk of avoidable admission to hospital, the newly developed intermediate care model being able to offer safe care with a lower tariff intervention
  • the older person is at home and due to deterioration in health and wellbeing or to a change in their social circumstances, [frequently this has taken the form of emergence of adult protection concerns] is at risk of crisis-driven avoidable admission to a mainstream permanent care home. The newly developed intermediate care model is able to offer assessment and a reablement approach which enables more effective care planning and decision making in a less pressured environment and context.
  • short term support is needed because the carer is unexpectedly temporarily unable to continue in the caring role
  • planned regular short breaks are required to provide stability, contributing to  prevention of unscheduled / crisis triggered transitions.

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