Successful places with homes and jobs

A NATIONAL AGENCYWORKING LOCALLY Event Capita Sheltered Housing

Conference, London

Name Kevin McGeough

Date 20TH March 2015

Delivering Housing options and

opportunities for older and vulnerable people

Contents

Setting the context

HCAs role in improving supply of specialist housing including new opportunities (Cassh 2)

Importance of quality in homes for older and vulnerable people (HAPPI)

Lessons from Care and Support for Specialised Housing Fund (CASSH)

The context(current trends – demand/supply)

Spectrum of housing – ‘older’ people

Older people live in a wide variety of housing types and tenures reflecting a wide spectrum of support needs. Only some are classified by HCA as OP housing

Classified by HCA as ‘OP housing’ for statistics purposes

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Spectrum of housing types for disabled adults

The housing needs of disabled groups including those with mental health problems can be met in a variety of settings but the prime focus of supported housing is to enable ‘independent living’

Mainstream housing

Care Home/ Institution

Mainstream housing

Care Home/ Institution

Examples from EoI’s

Mainstream housing Care Home/

Institution

Facts and Figures

8,578 people with a learning disability (LD) were referred to LA for housing support in 2011, joining 10,000 others on the waiting list.

29,000 adults with a LD live with parents aged 70+, whilst only 25% of these have LA planned alternative housing.

Older people tend not to move and currently represent 57% of household under-occupation

Older social tenants are not subject to “spare room subsidy”. It is estimated that by 2026 there will be over 10 million empty bedrooms in the homes of the retired.

Only 10% of specialist housing shall have on-site care provided,

BACKGROUND INFORMATION ON DEMAND AND SUPPLY The majority of the housing market is currently focused where the least growth shall be.

To 2029 the population aged 75+ is projected to rise by 47% in urban areas and by 90% in rural areas.

The bulk of extra households are in the age groups 60+, with limited change between 20 and 60 year olds.

Increase in demand from dementia specific cases

New supply of OP housing

OP build rates are lower now than in the 1980s by a factor of 3 or 4. Supply of older persons housing for sale at its lowest for 30+ years – despite 75% of older people owning their own home.

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4,000

12,000

Peak

Avg

x2

x2

Supply at lowest

for nearly 70 years

Data from Elderly Accommodation Council (EAC )

Demand vs Supply for specialist supported housing

High level estimates might suggest a supply gap of up to 45k units a year of specialist housing suitable for people with varied support needs.

Supply / demand gap20k-45k units pa

High level estimates might suggest that even with CASSH funding continuing there is a supply gap of 20k to 45k units a year of housing catering for people with support needs.

Some demand may catered for through adaptation and floating support, churn in existing units, or other alternatives However, estimates also ignore demand from older people without existing support needs who are seeking specialist

housing, which is estimated as being up to 6m people

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The HCA’s role and new opportunities (Cassh)(funding and supply)

NAHP 2008-11 AHP 2011-15

TRENDS IN INVESTMENT FOR VULNERABLE AND OLDER PEOPLE OP/VP delivery figures from AHP have declined from the height of NAHP delivery, but only in line with overall mainstream delivery. Total output from AHP for OP will be 59% below NAHP. Output for VP housing swill be 80% below NAHP. CASSH however will improve these figures to some degree.

CaSSH 2013-1843% vulnerable

People(7,805)

27%(1,568)

14%

57% older People(10,345)

73%(4,241)

86%18,150homes

5,809homes

3,162homes

VOP indicative 9.5% of AHP(14.4% of starts on site )

DATA illustrates a drop in overall numbers of units for VOP in line with the scale of the overall programme, however there is a significant move from VP housing to OP housing

VOP 9.7% of NAHP

Programmes relate to the year of allocation rather than completion

£3.3bn for affordable housing up to 2018

£886m initial allocations

Shall deliver 43,821 new affordable homes of which 11.5% (5,058) are for supported housing or housing for older people.

Process of continued market engagement (CME).

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2015-18 Affordable Homes Programme

Note: HCA and DCLG CORE data.

Care and Support for Specialised Housing ( CaSSH )

Phase 1 HCA Investment partnersSupport to specialist affordable housing for older people and disabled adults.Allocations announced July 2013

Phase 2 (now open for bids!)HCA Investment partners£120 m available outside LondonGLA will make a separate announcement for LondonSupport and accelerate the development of specialist housing in affordable sector for older people, disabled adults and those suffering from mental health issuesWiden opportunities for affordable homeownership

Re-establishes links between Health and Housing Up to £315m (£200m + £115mSR) 2013-2018

Aneurin “Nye” Bevan, Minister for Health with responsibility for housing (1945-51)

Harold McMillan, minister for Housing and Local Government with responsibility for Health (1951-54)

What we want – programme focus for older people

Retirement village

Extra care

Sheltered retirement

Very sheltered /assisted

living

Close care

Adapted homes

Specialised /

dementia

• Specialised long-term housing opportunities for older people living independently

• Spectrum of “specialised” types

• Varying levels of personal care and support could be appropriate.

• Innovation for dementia sufferers or from co-housing models.

• Collaborative approaches encouraged between local authorities, NHS and other public bodies

Specialised housing opportunities for older people

Individual housing with their own front doors Flexibility to adapt or install assistive technology Availability of care and support – on-site or in a local and accessible

location Communal areas Considered response to the 10 ‘Happi’ principles

Support to people with mental health problems and disabilities • Mental health needs• Physical or sensory disabilities• Learning disabilities and Autism

For Adults aged 18+ Individual dwellings with their own front door MH / LD by exception, shared accommodation considered where part

of a longer term strategy to increase independence Flexibility to adapt or install assistive technology Ability to access care where appropriate – on or off site Remodelled is acceptable where it represents value for money

Care and Support for Specialised Housing CaSSH Fund – Phase 2

Assessment criteria– Value for money– Deliverability– Fit with local strategic priorities– Sustainability– Design and Quality

17th February Launch Bids to be submitted by 29th May 2015 Allocations announced, Autumn 2015 All homes complete by 31st March 2018

Prospectus can be found here: https://www.gov.uk/government/publications/care-and-support-specialised-housing-fund-phase-2-prospectus

Importance of Quality“HAPPI” - Housing our ageing population: panel for innovation

Some existing VP/OP stock outdated and mismatched with demand – Demolition of unsuitable/un-lettable (eg design, location, access to care/family)

• c20% of SH non-self contained or shared, 60%+ one-bed• HCA part-funded refurbishment of 1,000+ units of SH through NAHP

New stock and housing typologies also face challenges– Reductions in revenue funding– Welfare reform impact on some schemes [tbc]– Move away from residential care toward floating support and/or extra care – Sustainability of some models questioned (eg retirement villages)

Suitability of existing stock

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Improving the quality of housing for older people (and other groups)

Challenge the perceptions

Raise the aspirations

Ensure that future homes and remodelled homes are fit for purpose, functional and adaptable to future needs

Raise awareness of the possibilities offered through innovative approaches to the design of housing and neighbourhoods

10 principles of good housing

Housing Design AwardsHAPPI Award

Most respected and longest running awards in UK.

Founded by Minister of health and Housing

192 entries in 2013

HAPPI Award- Re-establishes links between Health and Housing

Widened to include other forms of specialist housing

Approx 25% of all entries

Prince Charles House, St.Austell, PRP for Ocean Housing

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Pilgrim Gardens, Leicester, HAPPI Winner, completed schemes, 2014 - PRP

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Pilgrim Gardens, Leicester, HAPPI Winner, completed schemes, 2014

Lessons from CaSSH 1

CaSSh fund

Phase 1 allocations to CaSSh were announced on 24 th July 2013,

for affordable housing and affordable home ownership only.

£130 m allocated 2013 – 18o £101m HCAo £29m GLA

121 providers received fundingo 86 outside Londono 35 in London

3,831 new homeso 3162 outside Londono 831 in London

 HCA phase 1 CASSH allocations by area

HCA Funding Units

Average grant rates

East and South East £23,715,998 576 £41,174Midlands £16,240,942 681 £23,849North East, Yorks & The Humber

£16,632,308 609 £27,311

North West £21,834,000 644 £33,904South and South West £23,170,023 652 £35,537Grand Total £101,593,271 3,162 £32,150

 HCA phase 1 CASSH allocations by client type

Number of units %

Older people 2,726 86.2%

People with mental health problems 57 1.8%

People with learning difficulties 270 8.5%People with physical or sensory disabilities

109 3.4%

Total 3,162 100.0%

 Size and range by area Range in operating 

area

Average size of schemes funded in dwelling numbers

East and South East 7 - 92 41Midlands 2 - 83 26North East, Yorks & The Humber

2 – 60 22

North West 7 - 105 41South and South West 5 - 81 27Grand Total 2 - 105 30

Murray House,Bideford-upon-Avon

Creative Support for Warwickshire County Council, extra-care for vulnerable adults with learning disability; 9 x 1 Bed apts, £1,770,134 scheme, £256,500k CaSSH

Ennerdale Road, Maryport

Home Group with Royal British Legion for Veterans; 10 x 1 Bed apts, 3 x 2 bed houses, flexible hub; £1.3m scheme, £426k CaSSh funding

Brooke Mead Extra Care, Brighton CC

£8.8m project, £2.4m Cassh, 45 apartments, 39x1bed, 6 x 2bed

Community hub in centre of city with dementia focus

Tile Hile, Dementia Centre, Coventry

£4.56m project, £1.286m CaSSh, 33 x 1 bed apartments

Cloister arrangement, Homely features, importance of outside space

END

Contact: kevin.mcgeough@hca.gsi.gov.uk

“As we know, most people want to be independent in their own homes and as the population ages, more and more of us will need housing that supports us to do that. ..…

These will be tailored to people’s needs and will help them to remain active as long as possible without the need of going into a care home…..”

Norman Lamb, Minister for Care Services.

CASSH 2

17th February Launch

Bids to be submitted by 29th May 2015

Allocations announced, Autumn 2015

All homes complete by 31st March 2018