Alternative Housing Models and Intermediate Care

What was the issue you were addressing or working on?

Issues the projects addressed were:

  • Supporting people to live more independently in the community for longer, thereby reducing care home admissions
  • Making better use of care services to move away from the rigid model of home carers visiting
  • Working with Registered Social Landlords to bring together the Housing Support function with personal care
  • Filling the gap of reduced social and community based activities as a result of the move from institutional models of care

What you did?

We are working with Registered Social Landlords to develop models of on-site care and support, including Housing Support and Personal Care.  We have agreed joint allocation protocols so Social Work can influence tenancy allocation and development work is underway with local NHS and re-ablement projects to ensure interdependencies between the outcomes are understood and opportunities for working together maximised.

The Red Cross has encouraged, supported and provided reassurance to the group of older people and their families by setting up and providing a wide variety of activities, e.g. arts and crafts, fish and chip nights, coffee mornings, bingo, project with the Eastgate Theatre, reading groups etc.  A hot meal service has been established and run by a social enterprise 3 times a week and is supported well by the tenants.


What were the outcomes - benefits or otherwise?

Over the last two years the Change Fund has supported the development of alternatives to long stay institutional care such as Extra Care Housing, Housing with Care and Intermediate Care.  Capacity in non institutional alternatives has risen from 46 in September 2011 to 141 in August 2013.  By ensuring alternative accommodation is available for older people who may have otherwise been accommodated in care homes; we have been able to create permanent alternatives in the form of Extra Care Housing and Housing With Care, alongside short term approaches like Intermediate Care, Respite, Dementia and assessment beds in care homes.  We have seen packages of care reduced as older people have moved from their own home to a more supportive and suitable environment of Housing with Care.

Since project initiation 20 older people have moved into Housing with Care developments via the joint allocation protocol.  In total we have agreed a minimum of 174 properties will be available for Housing with Care in 13 different developments across the Borders.  The Dovecot Extra Care housing development offers 37 units; each could potentially house 2 people and was developed as part of the Transforming Older Peoples Services programme, with the Change Fund providing transitional and social support on site. Tenants have been actively involved in taking part in community activities and groups with 95% satisfied with the opportunities for social interaction.  Activities were tailored to tenant needs and catered for 1 activity per day which suited the majority of tenants.  The total tenant contact hours for between February and July 2013 was 1789 and tenants, who gave feedback through completion of questionnaires and focus group meetings, gave an excellent rating for the following areas – Service met my individual needs and preferences, treated me with dignity and respect, and reliability of the service


Contacts - to find out more

Michael Curran, mcurran@scotborders.gsx.gov.uk  07825780619