Extra care housing: market trends and intelligence

• Lifetime Homes Workshop

• LGA/ADASS conference

• 21 November 2019

• Jeremy Porteus, Housing LIN

• @HousingLIN

About the Housing LIN

Lead Connect Inform Influence

Retirement village, Keynsham. Care on site including nursing care. St Monica Trust© Philip Riley

Lifetime Homes – Lifelong neighbourhoods• Care ready design standards

continue to rise in all sectors• Successful offers: mix of

housing typologies• Need to accommodate diverse

range of housing & care needs• Focus on lifestyle with shift to

‘hospitality’ service model• Technology: digital by default• Needs to reflect trends in care

enabled tech but also customer digital preferences and expectations`

Getting our Homes and Communities Right

Willow Barns Retirement village, Stoke-on-Trent. Your Housing Group

• ‘Residential Revolution’ (LGA, 2017) estimate shortfall of 400,000 units of housing for older people by 2030. Encourage councils:

• Having a clear vision: promoting awareness and changing attitudes to later life

• Planning for an ageing population

• Delivering and enabling new housing for older people across the public and private sectors

• Promoting an integrated approach to housing, care and health

• Sustaining older people in mainstream housing

• `

©Julia Park Retirement housing, Orestad, Copenhagen

Market trends -housing suited to an ageing population

• New build age designated housing with care but growing emphasis on a ‘mixed offer’:• New build age designated

housing (‘care ready’)• Inter-generational

housing• Placemaking / a

community hub• Remodelling and

refurbishment of existing age designated housing

• Rethinking customer service offer

• Language and branding

Mixed tenure. Village 135, Wythenshawe Community Housing Group

Strategic planning and demand assessment

• Bespoke multi-data demand assessments

• Strategic support for commissioning

• Whole population approach

• Range of tenures• Addressing the ‘middle

market’• Consideration for

other client groups eglearning disability, dementia etc

©Tim Crocker

Quayside. Guinness Partnership. Totnes

Service transformation• Balance of

need/resident mix

• Wellbeing service models

• Community hubs and integration

• Funding for ‘core’ services

• Ability to support complex needs/ dementia needs

• End of life care

The Orangery. Optivo. Bexhill

Health and wellbeing• Growing evidence of the health benefits

of extra care housing

• Southampton City Council research, reductions in:• Number of GP visits• Number of community health nurse visits • Non-elective admissions to hospital • Ambulance call outs• Length of stay and delayed discharges

• Financial benefit to NHS approx. £2,000 per person per annum

Retirement village, Keynsham.. St Monica Trust© Philip Riley

Design and Technology • Lifetime Homes and Lifetime Neighbourhoods to deliver age-friendly communities

• HAPPI design principles continue to rise in all sectors

• Successful offers: mix of housing typologies

• Need to accommodate diverse range of housing & care needs

• Focus on lifestyle with shift to ‘hospitality’ service model

• Technology: digital by default

• Needs to reflect trends in care enabled tech but also customer tech preferences and expectations`

Retirement village, Keynsham. Care on site including nursing care. St Monica Trust© Philip Riley

Homes Made for Everyone:A 7 point Charter

• Government: A higher regulatory baseline for accessibility of all new homes (M4 Category 2).

• Councils: Collate data from every planning authority on the number of new homes built to each of the Categories set out in Approve Document M4 Volume one (access to and use of buildings)

• Councils: Adopt planning policies for accessible housing, utilising MHCLG guidance and best practice approaches to evidencing need.

• Homes England: Give preference to development bids for homes that meet M4 Category 2 standards and include a number of Category 3 wheelchair accessible properties

• Councils: should review and keep up to date with the accessibility of housing in their area

• Estate Agents/ARLA: Should work with others to create and deliver standard Accessibility Performance Rating system

• The Home Builders Federation: should join our call for legislative change for higher accessibility standards.

• `

Homes Made for Everyone:A seven point Charter

• Government: A higher regulatory baseline for accessibility of all new homes (M4 Category 2).

• Councils: Collate data from every planning authority on the number of new homes built to each of the Categories set out in Approve Document M4 Volume one (access to and use of buildings)

• Councils: Adopt planning policies for accessible housing, utilising MHCLG guidance and best practice approaches to evidencing need.

• Homes England: Give preference to development bids for homes that meet M4 Category 2 standards and include a number of Category 3 wheelchair accessible properties

• Councils: should review and keep up to date with the accessibility of housing in their area

• Estate Agents/ARLA: Should work with others to create and deliver standard Accessibility Performance Rating system

• The Home Builders Federation: should join our call for legislative change for higher accessibility standards.

• `

Retirement village, Keynsham. Care on site including nursing care. St Monica Trust© Philip Riley

Design and Technology • Lifetime Homes and Lifetime Neighbourhoods to deliver age-friendly communities

• HAPPI design principles continue to rise in all sectors

• Successful offers: mix of housing typologies

• Need to accommodate diverse range of housing & care needs

• Focus on lifestyle with shift to ‘hospitality’ service model

• Technology: digital by default

• Needs to reflect trends in care enabled tech but also customer tech preferences and expectations`

Collaborative models of housing

• Community led housing• Community Land Trust• Cohousing• Almshouses for the

C21st• Coops• Homesharing• Intergenerational Living

K1. Marmalade Lane, Cohousing Cambridge

Sue Adams

Care & Repair England

Who?Care & Repair England; national housing charity aims to address poor and unsuitable housing conditions amongst the older population, esp. low income home owners (est. 1986)

Pioneers initiatives over 30+yrs; Local Care & Repair services, Minor Works Grants, Handyperson, Housing Options Info & Advice, Healthy Homes, Older People’s “Housing Activism” etc

Policy shaping: Older people’s housing – Chair of Housing & Ageing Alliance plus Home Adaptations Consortium; member of MHCLG & DHSC Integration Partnership Board, NHS England Task Group; LGA Adviser etc…

www.careandrepair-england.org.ukinfo@careandrepair-england.org.uk

Twitter @cr_england

Why housing?

A decent home = the foundation of quality of life

Direct links to need for health and care services

System failings impact on cost of social care and health, as well as affecting individuals’ lives

Homes for living well?23 million dwellings - flats, maisonettes, houses - terraced, semi-detached, detached, bungalows, boat, caravan, park home, tent, container/castle etc.

Periodic leaps forward in improvements to housing conditions

80% of 2050 homesalready built

Happy at home94% older households

86% of younger households

say they are satisfied with their accommodation*

Source: English Housing Survey MHCLG

BUT - Housing HeadlinesHomeless– on the streets, sofa-surfing

Very poorly housed e.g. B&B, substandard private rented, overcrowded

‘Stuck’ generation -living with family, shared housing, private rented

Unsuitably housed -some older & disabled people

For independence and well-being

Where older people liveAround 9.5million older * households

c. 500,000 in specialist (retirement/sheltered)

*HRP 55yrs+

Tenure revolutions

1970s – 50% O.Occ

2003 – 71% O.Occ - peak

2019- 64% O.Occ - static

Today

77% of older HH O.Occ

16% social rented

7% private rented

Asking the right questionsMoving home promoted as the ‘golden bullet’

Useful minority option

Disadvantaged HHs- careneeds sooner, private retirement housing costly

More options for top and bottom of market - social rented for poorest

Long view – meeting care costs from housing equity

Current homes – key to future

7% of current homes 'visitable*'

72% of the housing stock could be adapted to this level

* level ground floor access, flush threshold, downstairs toilet, widened doorways, turning space

Improving current homes

4.3 million homes (19%) are non-decent

2.0 million/47% non-decent homes occupied by older households

78%/1.6 million of these are owner occupied

11% (222,687) are social rented

11% (213,934) are private rented

Main reasons non-decent are

Falls hazard

Cold home

Shortage of accessible housing

Outside London, by 2030

22% new homes planned to meet accessible, adaptable standard (M4(2)/LTH)

and only

1% wheelchair accessible

Related policy developments

Cabinet Office Disability Unit

Working on new policies

PM May promised consultation about making new homes accessible

Prevention StrategyMentioned housing, cited Middlesbrough example

NHS Plan Prevention focus (but housing weak)

Better Care Fund Future TBC but housing included

High Impact Change Model

New housing section

Local good practice examples

Report – describes context and what works

24 linked local profiles & RRO e.g.

Manchester

Kent

Cornwall

Co-production: A fresh viewpoint

Reviewing local adaptation provision with older and disabled people

Includes a ‘Challenge Checklist’

Ageing Armageddon narrativeUnhelpfulbasis for policy decisions

Nuanced -inequality, frailty, multiple LTC,

Younger disabled -bigger issue

Lifetime Homes: meeting the housing needs of older & disabled people

NCASC 21 November 2019

Torbay case study

Frances Mason: Head of Partnerships, People & Housing Torbay

Council

Summary

• Context people and place

• Integrated care model

• The research

• The plan

• Next steps

People Context

More younger adults with long term conditions

Increasing demand for health & social care

Place Context

More private retirement housing

Less Extra care housing More residential care

Affordable 8%

Private rented 20/30%

Owner occupied 65/70%

Integrated Care Model

Research

• Funded through the LGA Housing Advisers programme, worked with Housing LIN

• People’s aspirations for housing in later life

• Evidence demand for housing with support

• Where ECH fits into the wider housing market

• Survey & focus groups/interviews

• Sample representative of tenure

Headline findings• Almost 50% plan to move in next 10 years

• Only 23% favoured designated older persons housing

• 46% would like a staff presence on site

• Lack of information & advice on housing options

• Concerned about cost and process of moving

• Mix of housing options & tenures needed

• Sense of community is vital

• Accessible location and outside space

• Minimum of 2 beds

Estimated need for older people’s housing and accommodation to 2035

Housing/accommodation

type

2019 current

provision

(units/beds)

2035

estimated

need

2035 net

need

(units/beds)

Housing for Older

People

2128 2976 848

Housing with Care 100 376 276

Residential Care 1267 1079 -188

Nursing Care 508 878 370

Draft Plan for Housing in Later Life

• Support to remain at home

• Information & advice

• Support to move

• Extra care housing design guidance

• Supplementary Planning Document

• Review of age designated housing

• Design & train for dementia friendly housing

• Community led & co-housing models

Wider place shaping outcomes

• Council/partners role in place shaping

• Lifetime homes in lifetime neighbourhoods

• Quality, affordable housing with care & support

• Innovative support to remain at home

• Reduced use of residential care

• Intergenerational models

Thank you