Moyra Riseborough Peter Fletcher 26 and 27 April 2007

1. Raising the stakes – Purpose of the workshop, key concepts underlying the work and development issues Moyra Riseborough Peter Fletcher 26 and 27 April 2007

2. Who is at the workshop • Social housing/care providers • Private housing/care providers • Local authority commissioners of housing with care schemes • Older People • ‘Raising the Stakes’ team and funders – EAC, RRCA, PFA, IPC, Department of Health

3. Purpose of the workshop • Test out prototype tools to provide: Better Information for consumers on individual Housing with Care schemes and their services • Assess the appetite of social and private sector providers and commissioners, and older people to embrace/use this approach • Assess views on going further specifically: A Kitemarking System for the industry

4. The programme – Day 1 • The background to Raising the Stakes • Introduce key concepts underlying the work • Explore ‘critical success factors’ • Look at the current EAC website and information collected and the new prototype tools and therefore understand the difference that they could make • Harness your thinking and views

5. The programme – Day 2 • Identify the key issues that need to be addressed • Aim to work through the prototype tools, consider the potential of critical success factors and how it could all link with a kite marking process • Discuss and agree the next steps

6. Introducing the key concepts • Universal approach to describe housing with care using 4 aspects each with set of standard criteria • Special focus on Extra Care type models but the approach capable of being used for all provision • Part of a process and methods for providers to describe provision in a standard way • Provides minimum standards to describe extra care housing • Could also provide a set of minimum standards for other provision • Industry to debate & discuss • Possibilities of having minimum standards to encourage voluntary improvement & facilitate kite marking system

7. Building the aspects and criteria • Revisited concepts developed by Fletcher and Riseborough & Riseborough and Fletcher (1999 onwards) e.g. ‘Ingredients for Extra Care Housing’ • Updated aspects and ingredients/criteria, building on new knowledge and concepts e.g. JRF and ICP literature reviews, work for Housing Corporation ‘Common Currency’; Housing LIN material; market knowledge

8. Principles underpinning self appraisal prototypes Aiming for universal language that transcends public & private sector approaches & philosophies But allows for difference as well For example the philosophy to promote “well-being” and “positive lifestyle” And, different provision & different styles, such as: Housing with discreet services Community service hub Alternative to residential care Close care or other

9. More on underpinning principles • Person centred approach • Focus on consumers • Based on previous work to create common language • Aspiration to create universal language and framework for all • Hence strips out some aspects that are ‘social’ or public sector only • Compares well with ‘statement of purpose’ now expected in residential care/nursing homes

10. New Universal Aspects Lifestyle Ethos style Social leisure Customer base Quality of Life Environment Internal external Services

11. What we have done • Use this thinking to produce a self administered questionnaire for the industry • Would replace current EAC (older age housing) questionnaires • Questionnaire enables providers to describe all provision in standard ways particularly housing with care • Questionnaire is the basis for the self assessment tool – enables performance assessment– culture for self improvement across industry • Creates a score to indicate quality of information and some quality standards e.g. achieving best modern extra care, good, close to – also reflects other quality assurance and performance achievements • Can go further - achieve a kite mark against agreed standards

12. The tools • Questionnaire from which universal and standard information across public and private sector provision and scheme and service types can be produced • Self assessment checklist for providers – addresses quality of information, and in some aspects standards as well • Statement of Purpose template – to describe the ethos

13. 1. The questionnaire • Based around the four aspects • Aims to address the key areas of information that potential customers want to know about • Builds on current EAC questionnaires of housing with care schemes but less detailed in some areas • Designed so that the information can be used to assess standards

14. 2. Self Assessment checklist • Addresses elements of all the 4 aspects in the questionnaire • Developed as self assessment system for the industry (current reality unless support and funding for external validation system) • Section on design and suitability built on standards that can apply across the industry • Other sections focus mainly at this stage on quality of information - potential to develop these further towards a standards approach

15. 3. Statement of Purpose • Required for care homes by CSCI and seen as very helpful by customers in choosing which home • Aims to provide softer more descriptive information to go alongside the questionnaire

16. Key questions to address - questionnaire • Is the questionnaire applicable across the industry • Do the 4 aspects work • Looking at each of the 4 aspects what information is either not needed or missing • What else is missing • Would providers complete it

17. Key questions – self assessment checklist • How far should a kitemarking system should be focused around quality of information or baseline standards • If the latter what should the standards address (see next slides) • Should the kitemarking be a self assessment system for providers or a system of independent accreditation – if the later who should administer and pay for it

18. Key questions – statement of purpose • Does the statement of purpose cover the right areas • What should be added or removed

19. Developing standards for kitemarking Customers – does the scheme • Attract an occupant mix e.g. balance of dependency levels • Have a philosophy of prolonged residence/ageing in place (replaces ‘home for life’ but explicit about what this means)

20. Developing standards for kite marking Services – does the scheme • Have a Service philosophy that promotes independence and autonomy of the individual and principles of choice and control (note: e.g. ‘working with’ not ‘doing to’; help to help oneself/self maintenance with assistance’; respecting individual’s rights around access to their home with their permission) • Have a Service (and lifestyle) approach agreed with each individual built around THEIR expressed outcomes and how they can best be delivered (note: aims to take account of private payers choosing and paying for the services they want, AND people assessed for services by social services) • Provide meals – enable people to access at least one directly provided main meal without having to cook it oneself

21. Ethos: Clear statement of purpose/philosophy Customer oriented Encourage positive Promote peoples chosen outcomes Informative Promotes mutual tolerance Individuality Style: Healthy lives Hotel/comfort Friendly/warm Privacy/sociability Faith/values base Exclusive Lively/active Calm Encourages sociability Lifestyle –incorporates ethos, style,social and leisure

22. Social Lively in-house activities Promotes access to social activities Encourages/facilitates people to retain social networks/interests Encourages social activities with external or community Leisure Emphasis on leisure Has facilities – describes them Close to facilities – describes Promotes/facilitates access to leisure Ethos (2)