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Understanding the Well-Being of Older Adults in Housing with Care: Insights from Recent Research

This research highlights the emerging findings on the well-being of older people living in Housing with Care (HWC) environments. The evaluation covers social activities, community development, and the balance of care within 19 new build schemes. Key findings indicate that residents value independence, security, and social interaction, with a significant number reporting positive social experiences and participation in activities. Despite the generally positive outcomes, concerns regarding social isolation and varying levels of need underscore the complexities within different types of housing schemes.

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Understanding the Well-Being of Older Adults in Housing with Care: Insights from Recent Research

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  1. What do we know about older people’s well-being in Housing with Care? Emerging findings from new research Lisa Callaghan Chartered Institute of Housing Annual Conference and Exhibition, 16-18th June 2009

  2. PSSRU Evaluation of the Extra Care Housing Initiative: Project Team • Professor Ann Netten • Robin Darton • Theresia Bäumker • Lisa Callaghan • Jacquetta Holder • Ann-Marie Towers • Jane Dennett • Lesley Cox • 19 local researchers

  3. Evaluation • Evaluation of new-build schemes funded under DH Extra Care Housing Funding Initiative • Main evaluation: • Short- and long-term outcomes for residents and schemes • Comparative costs • Factors associated with costs and effectiveness • Role in overall balance of care • Associated studies: • Costs before and after moving in to one scheme (JRF) • Social well-being (JRF) • Impact of scheme design on quality of life (EPSRC)

  4. Evaluation Results to Date • ‘Pull’ more important than ‘push’ factors in choice to move • Resident profiles differ from care homes • Average level of dependency lower in extra care • Very few with severe cognitive impairment • Substantial need for help with IADLs & mobility • Increased receipt of formal care services

  5. Social Well-Being Project • Aims: • Explore development of social activities and community during first 6 months • Identify differences in social climate and individual social well-being after 12 months • 15 schemes: • 2 villages: 258 and 270 units • 13 smaller schemes: 35-64 units

  6. Methods • 6 months after opening: • Interviews with 2 staff members per scheme • Interviews with 4-6 residents per scheme • 12 months after opening: • Questionnaires from 599 residents • Interviews with 166 residents • Indicators of individual social well-being • Social climate at scheme level

  7. Quality of Life & Social Well-Being (1) • Residents valued independence, security and social interaction offered by ECH ‘I think more people should know about [extra care]. We get together and talk about all sorts of things, there’s entertainment. And you've got a bell to push if you need anybody. It couldn't be better.’ (Female resident) ‘I would have thought it’s the best answer to everything – you’ve got privacy but you’ve got activities that are there.’ (Female resident)

  8. Quality of Life & Social Well-Being (2) • 2/3 rated QoL as ‘good’ or ‘very good’ • 90% had made friends since moving • 80% felt positively about social life • 70% took part in an activity at least once a week • 75% were fully occupied in activities of their choice

  9. Communal Facilities & Social Activities • Facilities and activities important for friendship development • Restaurants and shops key • Social activities valued

  10. Resident-Led Social Activities • Resident-led approach universal • Differences in residents’ and staff involvement • Activities staff valuable in early stages • Benefits of resident involvement • Resources to support social activities crucial

  11. Villages & Schemes • Overall, better social well-being in villages • Some social advantages? • Villages and smaller schemes different: • Physical environment • Resident population

  12. Social Isolation • Some residents were socially isolated • Less likely to be married • More likely to be in receipt of care • Rated health as worse • Link with dependency more crucial in villages? • Addressing social isolation

  13. Conclusions • Complicated picture • Generally positive • Some issues to address

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