What was the issue you were addressing or working on?
To research the Social Return on Investment (SROI) of Stage 3 Housing Adaptations and Very Sheltered Housing. SROI is a stakeholder-informed cost-benefit analysis that uses a broader understanding of value for money. It assigns values to social and environmental outcomes as well as to economic outcomes.
Stage 3 adaptations are modifications to a property to reduce a disabling effect on the tenant, and suit the changing needs of the tenant. Very Sheltered Housing (also termed “Extra Care Housing”) provides enhanced staff cover and additional welfare checks compared to other forms of non-Care Home housing for older and disabled people.
What you did?
The Adaptations study examined the impact of Stage 3 Adaptations on tenants, their families and the Scottish Government. The Very Sheltered Housing study examined the impact on tenants, their families and the Scottish Government.
Primary research in the form of qualitative research interviews and quantitative surveys was carried out working with tenants, families and residential managers. The studies also drew from the existing evidence base.
The methodology used followed the UK Cabinet Office SROI guide and Scottish Government’s SROI Project.
What were the outcomes - benefits or otherwise?
The Adaptations study found:
- adaptations generate savings and value for the government’s health and social care budget, far in excess of the amount invested;
- adaptations bring increased independence, confidence, health and autonomy for tenants;
- the average cost of a £2,800 adaptation leads to:
- a potential £7,500 saving through reduced need for publicly funded care home provision;
- a potential £1,100 saving through increased safety and reduced hospitalisation of tenants;
- a potential £1,700 saving through reduced need for social care provision;
- a potential £4,700 saving through reduced need for self-funded care home provision; and
- substantial well-being benefits to tenants valued at £1,400;
- each adaptation in these settings saves the Scottish health and social care system over £10,000;
- £1.4 million invested in adaptations across the three housing associations creates approximately £5.3 million in cost savings to the Scottish Government, and £3.1 million in social and economic value for tenants;
- a total return on investment of £5.50 to £6.00 for every £1 invested;
- it is essential to invest to save and increase the adaptations grant fund.
The Very Sheltered Housing study found:
- Very Sheltered Housing provides enhanced staff cover and additional welfare checks and can enable frailer older tenants to maintain higher levels of independence, freedom, choice, dignity and social inclusion;
- from the SROI study, in most cases, the consensus was that tenants would need Care Home provision were it not for Very Sheltered Housing. In a few cases tenants might have been able to remain in their previous home with support;
- most felt that Very Sheltered Housing enabled greater levels of independence, autonomy and well-being than other alternatives, and allowed greater access to friends and family;
- furthermore, the support provided by Very Sheltered Housing reduced stress and anxiety among family members (who felt reassured that their family member was well looked after);
In monetary terms:
- nearly £18.3 million invested in the three associations in their very sheltered housing leads to the creation of over £33.7 million of value;
- it can help reduce over £20 million in reduced Care Home costs for the government;
- over £11.5 million in reduced Care Home costs for tenants;
- over £400,000 in reduced care need costs; and
- well-being benefits to tenants valued at £1.4 million.
- every £1 invested in Very Sheltered Housing creates a total Social Return of between £1.50 and £2.50
The full technical report can be found here: http://www.hsha.org.uk/Documents/SROI_Full_Report_Nov_12.pdf
A shorter, and slightly more accessible version of the report can be found here: http://www.hsha.org.uk/Documents/SROI_Adaptations.pdf