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Amanda Johnson Alternatives to traditional models of care.

Person with learning disability shares their home with another person in exchange for ... Individuals must be living in own homes as demonstrated by: ...

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Amanda Johnson Alternatives to traditional models of care.

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    Slide 1:ARC Conference May 2010 Amanda Johnson

    Slide 2:Advisory service for the public Aim of increasing range of options- not to present a view about which is a ‘better’ option Charitable organisation funded primarily by membership Established to promote shared ownership, use of family resources and ordinary housing Website – factsheets & briefings Expertise and advice to help people plan www.housingoptions.org.uk

    Slide 3:Valuing People said housing was important. The aim is for a choice of where and how you live. The Government want people living with their families to be able to plan for a home of their own. People with learning disabilities can live successfully in many types of housing. Local authorities should expand the range and choice of housing, care and support services. What role do Providers have in delivering this?

    From In Control Child - living with parents Tenant - whilst student/early work Homeowner – Married, living in terrace Homeowner - Family home Tenant – Sheltered accommodation Nursing home Born - hospital 6 Born and remained - hospital Adult – large residential home (20 adults) Adult – residential home (4 adults) 4

    Slide 7:Overall population: Home owners 71% Social renting 19% Private renting 10%

    Adults with learning disabilities: Live with families 50-60% Live in residential care 30% (no change and in fact SW has highest %) Tenants 15%

    Slide 8:Do people have a menu of housing choices Do they, or people who support them know what the choices are If social housing cannot provide all that it needed we need to find sustainable ways of: Accessing the private rented sector Increasing home ownership where appropriate Using existing family property and equity to make provision

    Slide 9:Strongly held beliefs and perceptions by some people about people with learning disabilities being ‘unsuitable’ for a range of housing, by professionals, families and people themselves Lack of joint planning- Adult Care/Housing/ Providers and Families Do Care Managers and Providers know what the options are- do financial decisions influence the options people are told about? Do people know what their options are?

    Slide 10:

    Slide 11: People with learning disabilities can live successfully in different types of housing. from individual self-contained properties, housing networks, group homes, and shared accommodation schemes, through to village and other forms of intentional community. They can cope with the full range of tenures, including home ownership

    Slide 12:Renting Renting in the public sector from a council or RSL Renting in the private sector Private sector leasing Passing over tenure – succession Ownership Outright ownership Homebuy SMI (support mortgage interest) system and taking out mortgages Shared ownership with a RSL

    Slide 13:Family and third party investment in housing Shared ownership – privately financed Buy to rent for a relative Inheritance and Trusts Joint ownership Shared Lives and Homeshare Living with a family Person with learning disability shares their home with another person in exchange for support

    Slide 14: Existing supported housing services Local authority housing (where applicable) Registered social landlord existing stock RSL new build – rented and shared ownership Private landlord/private sector leasing Home ownership options Use of family home or investment Provider investment

    Tenancy: Exclusive possession Own home Does not look like an establishment Not Registered Care Home Licence: Extent of services and board Landlord has unrestricted access Lodger Registerable

    Slide 16:Individuals must be living in own homes as demonstrated by: security of tenure through tenancy (or lease); having complete control over who crosses their threshold; could refuse care if they chose to. Tenancies can be provided for a room in a shared house or the whole house. Tenancies with RSLs and Housing Associations are preferred due to security of tenure. Ideally people should have Assured Tenancies, although often have shorthold assured initially. Support is needed for many people to maintain their tenancies. This will be provided by the Support Provider and a minimal amount by the landlord. The landlord usually focuses on management and maintenance of the property.

    Slide 17: Do we mean people having real choices with regards to how they are supported, where they live and who they live with? Challenges are everywhere! Funding social care- shared care/individual Mental Capacity Act and Tenancies Ordinary Residence Safeguarding and Risk Averse decisions Housing Benefit and LHA Lack of information

    Slide 18:Commitment to funding- esp. if they own the building Motivation to change (values/market/finance) Identify and share risks around changes in financial income Rent/void impact Investment in training staff Clarity on how to evidence changes and ‘outcomes’ for individuals Working with individual budgets, different providers

    Slide 19:Knowledge. More information about options in a format that is useful to them Understand changing policy and language Clarity on MCA Deputy/Best Interest decisions Opportunities for Involvement Be able to share and discuss their perception of risk and safeguarding Know how quality and standards will be monitored Actively and creatively contribute to planning

    Slide 20:Choice and Control over their lives Be involved in all aspects of ‘Planning’ for changes- strategically and personally Accessible information about the options Ensure decisions are made for ‘least restrictive option’ and good use of capacity decisions Information about financial impact of being a tenant, rights and responsibilities Housing Options planning

    Slide 21:The key challenges for your organisation: Delivering new models of support and care Delivering or partner arrangement for landlord services and housing Customers now and in the future Costs and pricing Staffing implications Organisational costs and overheads Quality and regulation implications Project management

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