Housing Adaptations Demonstration

Sites

Jill Pritchard

Aim & objectives Overall aim

To develop and test key aspects of the approach recommended by the

Adaptations Working Group to inform a revision of the national policy

framework for housing adaptations, and to provide learning to improve

practice

Specific objectives

Test approaches in relation to key issues around current services and

supports

Identify approaches, consistent with recommended principles, which deliver

better outcomes

Capture the learning on a continuing basis over the test period and share

this across Scotland

Inform the review and revision of the national policy and funding framework

for housing adaptations

6 Key features of recommended approach

1. Strategic leadership from the local housing authority,

working in partnership with health and social care, and a

clear local strategy;

2. A strategy for housing adaptations, which is ‘tenure neutral’

with a single funding pot;

3. Arrangements enabling people to have control and choice

through personalisation and self-directed support;

4. A single point of access with a lead agency – ‘one-stop

shop’ – with clear communication and a single point of

contact for service users throughout the process;

5. A broader outcomes-focused service with early

consideration of overall housing options; and

6. Streamlined local partnership working and governance.

Issues and focus Self-directed support approach in housing adaptations

Single funding pot, with tenure neutral access/eligibility

Prevention and early intervention

Adaptations for people with dementia

Design aspects

Adaptations as one response in an integrated menu of options to

secure suitable/fit for purpose housing

Partnership governance - which includes people using services –

and integrates with health and social care

Improved data collection on impact and effectiveness, including

added value

Helping people to help themselves, offering services other than

associated with funding

Integrating the use of technology solutions

JIT site support Encouraging sites to be ambitious

Support the lead partner to identify relevant stakeholders, put in

place governance, practical project support, communication

arrangements, and detailed delivery plans

Encouraging links across to technology solutions and people with

dementia

Providing constructive challenge to local partners throughout the

demonstration period to draw on good practice and achieve more

from their resources

Supporting local teams to identify solutions to problems that arise,

such as through connecting to others, providing practice examples,

or brokering between partners

Channelling and referring experience, which has wider learning, to

the Adaptations Network and wider

Ensuring that local teams provide progress reports to the National

Project Team

Adaptations Network

To share learning across Scotland

From demonstration sites, other initiatives in

Scotland & elsewhere

Focus on practice improvement, in line with

AWG recommendations

Part of a developing wider Housing Learning

Network

Demonstration

Site 1

Demonstration

Site 2

Demonstration

Site 3

Demonstration

Site 4

Demonstration

Site 5

Supported by JIT

SG led Project

Team

Adaptations

Network

Housing

Learning

Network

Adapting for

Change

Advisory Group

Scottish

Government

Ministers (and

Policy Teams)

Assessment criteria applied

Strategic Fit Does the proposal address key issues set out in the AWG

report? Is it consistent with the current context of integrated health and social

care?

Outcomes, Impact & Equity Is the proposal consistent with the principles set

out in the AWG report, in particular having a clear focus on improving outcomes

enabling people to stay independent, safe and happy in their homes for longer,

and to realise their personal outcomes?

Collaboration with partners Does the proposal have the clear support from all

key partners, and have these partners committed to their contribution?

Feasibility Is the proposal ambitious in its aims, but with a realistic chance of

achieving its objectives within 2 years? Are the partners willing to support

wholly different approaches at small scale for test purposes? Can the project be

adequately resourced to complete it?

Transferability & Flexibility Is the proposal likely to have relevance and

provide learning to other parts of Scotland? Is it likely to be adaptable to similar

contexts, and capable of operating at different scales?

5 Demonstration Sites Agreed

> Aberdeen

> Borders

> Falkirk

> Fife

> Lochaber

Demo Sites

> Aberdeen

> Bob Accord Care Lead

> Very broad coalition of partners

> Person centred, self Ax

> Tenure neutral

> Simplified processes

> Preventative approach

> Falkirk

> Falkirk Council Strategy &

private Sector Lead

> Outcome focussed

> Integrated approach

> Provision of information

> Housing options

Demo Sites

> Fife

> Fife Council Housing &

Neighbourhood Lead

> Integrate ,Streamline ,improve

efficiency

> Faster end to end process

> Personalisation

> Link to equipment & minor adaps

> Lochaber

> Care & Repair Lead

> One stop shop- all adaptations

Handyperson & telecare

services

> Tenure neutral, single pot

> Leaning processes

> Removing duplication

Time-scales

Initial Meetings October 2014

Kick off Joint session November 2014

Submission of Improvement Plans January 2015

Project Implementation Feb/Mar 2015

Project end date Nov/Dec 2016

Governance & Evaluation

> Co-ordinated as a Programme

> Consistent elements of Reporting

> Focus on base-lining & measuring improvements

> Building a robust evidence base

> Developing 2 consistent outcome measures

> Evaluation supported by research staff

> Executive Sponsor at appropriate level

> Regular ‘flash reports’

> Series of webinars/learning sessions & feeding in to national

events where possible

> Sharing learning with Adaptations network & wider

What does ‘Home’ mean to you?

Primal security Self expression

Warmth Social status

Safety A place of retreat Control

Relaxation Reflection Privacy

Continuity Permanence Peace

Rootedness Community Friends

Family Independence Freedom to act

A place to foster relationships Reflection of self/achievement

A nodal point from which to go out and return