Deciding to move into extra care housing: residents’ views

2011 ◽  
Vol 32 (7) ◽  
pp. 1215-1245 ◽  
Author(s):  
THERESIA BÄUMKER ◽  
LISA CALLAGHAN ◽  
ROBIN DARTON ◽  
JACQUETTA HOLDER ◽  
ANN NETTEN ◽  
...  
Keyword(s):  
Older People ◽  
Living Arrangements ◽  
Independent Living ◽  
Living Environment ◽  
Care Needs ◽  
Care And Support ◽  
Care Assessment ◽  
Social Leisure ◽  
Leisure Facilities ◽  
Extra Care Housing

ABSTRACTExtra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. In 2003, the Department of Health announced capital funding to support the development of extra care housing, and made the receipt of funding conditional on participating in an evaluative study. Drawing on information collected directly from residents in 19 schemes, this paper presents findings on the factors motivating older people to move to extra care housing, their expectations of living in this new environment, and whether these differ for residents moving to the smaller schemes or larger retirement villages. In total, 949 people responded, 456 who had moved into the smaller schemes and 493 into the villages. Of the residents who moved into the villages most (75%) had not received a care assessment prior to moving in, and had no identified care need. There was evidence that residents with care needs were influenced as much by some of the attractions of their new living environment as those without care needs who moved to the retirement villages. The most important attractions of extra care housing for the vast majority of residents were: tenancy rights, flexible onsite care and support, security offered by the scheme and accessible living arrangements. The results suggest that, overall, residents with care needs seem to move proactively when independent living was proving difficult rather than when staying put is no longer an option. A resident's level of dependency did not necessarily influence the importance attached to various push and/or pull factors. This is a more positive portrayal of residents’ reasons for moving to smaller schemes than in previous UK literature, although moves did also relate to residents’ increasing health and mobility problems. In comparison, type of tenure and availability of social/leisure facilities were more often identified as important by those without care needs in the villages. Therefore, as in other literature, the moves of village residents without care needs seemed to be planned ones mostly towards facilities and in anticipation of the need for care services in the future.

scholarly journals Ageing in extra-care housing: preparation, persistence and self-management at the boundary between the third and fourth age

2019 ◽  
Vol 40 (12) ◽  
pp. 2711-2731 ◽  
Author(s):  
Eleanor K. Johnson ◽  
Ailsa Cameron ◽  
Liz Lloyd ◽  
Simon Evans ◽  
Robin Darton ◽  
...  
Keyword(s):  
Older People ◽  
Longitudinal Research ◽  
Self Management ◽  
Care Needs ◽  
The Third ◽  
The United Kingdom ◽  
Care And Support ◽  
Care Workers ◽  
Operational Practices ◽  
Extra Care Housing

AbstractExtra-care housing (ECH) has been hailed as a potential solution to some of the problems associated with traditional forms of social care, since it allows older people to live independently, while also having access to care and support if required. However, little longitudinal research has focused on the experiences of residents living in ECH, particularly in recent years. This paper reports on a longitudinal study of four ECH schemes in the United Kingdom. Older residents living in ECH were interviewed four times over a two-year period to examine how changes in their care needs were encountered and negotiated by care workers, managers and residents themselves. This paper focuses on how residents managed their own changing care needs within the context of ECH. Drawing upon theories of the third and fourth age, the paper makes two arguments. First, that transitions across the boundary between the third and fourth age are not always straightforward or irreversible and, moreover, can sometimes be resisted, planned-for and managed by older people. Second, that operational practices within ECH schemes can function to facilitate or impede residents’ attempts to manage this boundary.

scholarly journals Can extra care housing support the changing needs of older people living with dementia?

Dementia ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1492-1508 ◽  
Author(s):  
Simon Chester Evans ◽  
Teresa Atkinson ◽  
Ailsa Cameron ◽  
Eleanor K Johnson ◽  
Randall Smith ◽  
...  
Keyword(s):  
Older People ◽  
Living Alone ◽  
Care Staff ◽  
Key Factors ◽  
Care Needs ◽  
People With Dementia ◽  
Care And Support ◽  
Acceptable Quality ◽  
Extra Care Housing

With over two-thirds of people with dementia living in the community and one-third of those living alone, it is important to consider the future housing needs of this population, particularly as symptoms of cognitive impairment increase. Policy in England has focused on enabling people living with dementia to remain in their own homes for as long as possible, often with the support of a family carer. However, many people struggle to maintain an acceptable quality of life in their own homes as their dementia advances, often due to the design limitations of mainstream housing and the challenge of finding specialist domiciliary care that is affordable and of sufficient quality. Extra care housing offers a model that aims to support older people living in their own apartments, whilst also offering specialist person-centred care as and when it is needed. This paper reports on a longitudinal project that explored how extra care housing can respond to the changing social care needs of residents, including those living with dementia. Participants included residents and staff from four extra care housing schemes, one of which was a specialist dementia scheme, in two regions of England. Interviews were carried with 51 residents across 4 rounds at 5 month intervals between October 2015 and June 2017. Interviews were also carried out with 7 managers, 20 care staff and 2 local authority commissioners of housing for older people. Key factors included person-centred care and support, flexible commissioning and staffing, appropriate design of the environment and suitable location of the scheme within the wider community. The challenge of delivering services that addresses these issues during a period of reduced public spending is acknowledged. Further research is suggested to compare different approaches to supporting people with dementia, including integrated and separated accommodation, and different stages of dementia.

Social support and care arrangements of older people living alone in rural Malaysia

2017 ◽  
Vol 38 (10) ◽  
pp. 2061-2081 ◽  
Author(s):  
NATALIE EVANS ◽  
PASCALE ALLOTEY ◽  
JOANNA D. IMELDA ◽  
DANIEL D. REIDPATH ◽  
ROBERT POOL
Keyword(s):  
Social Support ◽  
Older People ◽  
Old Age ◽  
Adult Children ◽  
Living Arrangements ◽  
Independent Living ◽  
Living Alone ◽  
Ageing Population ◽  
Structured Interviews ◽  
Care Needs

ABSTRACTMalaysia has an ageing population and an increasing number of older people who live alone. This study explores the social support and care arrangements of older people living alone in rural Malaysia. The study took a qualitative approach: semi-structured interviews were conducted with a purposive sample of Malay (N = 20) and Chinese (N = 20) Malaysians aged over 65. Five cross-cutting themes were identified through a thematic analysis: degrees of aloneness; relationships and social support; barriers to social support; and future illness, care and death. All participants said they lived alone; living arrangements, however, were often complex. For Malays, most support came from nearby adult children and relatives, whereas Chinese participants, who less frequently had adult children living locally, emphasised support from friends and neighbours. Emigrant adult children's assistance was mostly informational and financial, instrumental assistance was either substituted for money, or provided solely during periods of ill-health. Physical decline, limited telephone use, inadequate transportation and fears of crime were barriers to social support. Participants avoided thinking or talking about future care needs. These findings have implications for Malaysian old age policy, which is currently focused on supporting families to care for older relatives. Child migration and a growing preference for a period of independent living in old age may require policies and resources directed at older people as individuals to support their own efforts to remain independent, active and age ‘in place’.

Village senior centres and the living arrangements of older people in rural China: considerations of health, land, migration and intergenerational support

2016 ◽  
Vol 37 (10) ◽  
pp. 2044-2073 ◽  
Author(s):  
HUIJUN LIU ◽  
KAREN N. EGGLESTON ◽  
YAN MIN
Keyword(s):  
Older People ◽  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Independent Living ◽  
Rural China ◽  
Living Arrangement ◽  
Population Ageing ◽  
Intergenerational Support ◽  
North East

ABSTRACTChina is experiencing rapid urbanisation and population ageing, alongside sometimes contentious rural land consolidation. These on-going social, economic, political and demographic changes are especially problematic for older people in rural areas. In these regions, social and institutional support arrangements are less developed than in urban areas; older people have few options for re-settlement but are resistant to or incapable of adjusting to high-rise apartment living. In 2012–13, we gathered rich qualitative and quantitative data on over 600 older residents in 12 villages under the jurisdiction of City L in north-east coastal China to analyse residents’ living arrangement choices during the village renovation process. We compared villages with and without senior centres to shed light on the correlates of co-residence and independent living. Senior centres play a role in balancing the burden on rural Chinese families resulting from population ageing, smaller families, widespread migration for work, and the rapid urbanisation that is restructuring land rights and social support arrangements.

Social innovation and care provision

2018 ◽  
Author(s):  
Simone Baglioni ◽  
Stephen Sinclair
Keyword(s):  
Young People ◽  
Older People ◽  
Independent Living ◽  
Social Innovation ◽  
Care Provision ◽  
Public Officials ◽  
Care Needs ◽  
Effective Response ◽  
Migrant Communities ◽  
Social Innovations

This chapter introduces and discusses examples of social innovation in response to the growing and pressing need to provide care for different groups. Social innovations in this area are often user-led and highly participatory. Many of the most imaginative such initiatives emerge from bottom-up responses developed by citizens’ groups. In other cases, social innovations are initiated by former public officials, frustrated at the lack of an effective response to care needs. The chapter discusses examples of such innovations. These include parental self-provision of childcare in France; involving members of migrant communities to assist with integrating new migrants in Germany; and supporting independent living for older people while providing accommodation for young people in Italy. The chapter concludes by reflecting on the lessons and potential transferability of such innovations to other contexts.

Does the design of extra-care housing meet the needs of the residents? A focus group study

2011 ◽  
Vol 32 (7) ◽  
pp. 1193-1214 ◽  
Author(s):  
SARAH BARNES ◽  
JUDITH TORRINGTON ◽  
ROBIN DARTON ◽  
JACQUETTA HOLDER ◽  
ALAN LEWIS ◽  
...  
Keyword(s):  
Focus Group ◽  
Independent Living ◽  
Building Design ◽  
Care Needs ◽  
Focus Group Study ◽  
Study Objective ◽  
Size Type ◽  
And Storage ◽  
Extra Care Housing

ABSTRACTThe study objective was to explore the views of residents and relatives concerning the physical design of extra-care housing. Five focus groups were conducted with residents in four extra-care schemes in England. One focus group was carried out with relatives of residents from a fifth scheme. Schemes were purposively sampled to represent size, type, and resident tenure. Data were analysed thematically using NVivo 8. Two over-arching themes emerged from the data: how the building supports the lifestyle and how the building design affects usability. Provision of activities and access to amenities were more restrictive for residents with disabilities. Independent living was compromised by building elements that did not take account of reduced physical ability. Other barriers to independence included poor kitchen design and problems doing laundry. Movement around the schemes was difficult and standards of space and storage provision were inadequate. The buildings were too hot, too brightly lit and poorly ventilated. Accessible external areas enabled residents to connect with the outside world. The study concluded that, while the design of extra-care housing meets the needs of residents who are relatively fit and healthy, those with physical frailties and/or cognitive impairment can find the building restrictive resulting in marginalisation. Design across the dependency spectrum is key in meeting the needs of residents. Inclusive, flexible design is required to benefit residents who are ageing in situ and have varying care needs.

scholarly journals Towards Responsible Rebellion: How Founders Deal with Challenges in Establishing and Governing Innovative Living Arrangements for Older People

2020 ◽  
Vol 17 (17) ◽  
pp. 6235
Author(s):  
Katja M. Rusinovic ◽  
Marianne E. van Bochove ◽  
Suzanna Koops-Boelaars ◽  
Zsuzsu K.C.T. Tavy ◽  
Joost van Hoof
Keyword(s):  
The Netherlands ◽  
Older People ◽  
Living Arrangements ◽  
Social Engagement ◽  
Independent Living ◽  
Research Question ◽  
Supervisory Board ◽  
Social Entrepreneurs ◽  
Main Research ◽  
Depth Interviews

In the Netherlands, there is an increasing need for collective forms of housing for older people. Such housing bridges the gap between the extremes of living in an institutionalised setting and remaining in their own house. The demand is related to the closure of many residential care homes and the need for social engagement with other residents. This study focuses on housing initiatives that offer innovative and alternative forms of independent living, which deviate from mainstream housing arrangements. It draws on recent literature on healthcare ‘rebels’ and further develops the concept of ‘rebellion’ in the context of housing. The main research question is how founders dealt with challenges of establishing and governing ‘rebellious’ innovative living arrangements for older people in the highly regulated context of housing and care in the Netherlands. Qualitative in-depth interviews with 17 founders (social entrepreneurs, directors and supervisory board members) were conducted. Founders encountered various obstacles that are often related to governmental and sectoral rules and regulations. Their stories demonstrate the opportunities and constraints of innovative entrepreneurship at the intersection of housing and care. The study concludes with the notion of ‘responsible rebellion’ and practical lessons about dealing with rules and regulations and creating supportive contexts.

scholarly journals Older people's perspectives on living in integrated housing and care settings: the case of extra care housing

2020 ◽  
Vol 28 (3) ◽  
pp. 281-290
Author(s):  
Ailsa Cameron ◽  
Eleanor K Johnson ◽  
Simon Evans
Keyword(s):  
Qualitative Data ◽  
Care Needs ◽  
Housing Service ◽  
Content Type ◽  
Levels Of Care ◽  
Care And Support ◽  
Care Workers ◽  
Practical Implications ◽  
Extra Care Housing

PurposeThis paper explores residents' perceptions and experiences of extra care housing as an integrated model of housing with care.Design/methodology/approachData were collected in a longitudinal qualitative study based on four extra care housing schemes. Data from interviews with residents, care workers, managers and local commissioners were analysed thematically.FindingsThe integration of housing with care enabled many older people to manage their care proactively. However, the increasing number of residents with complex health and care needs, including chronic illness, led some residents to question the ability of the model to support residents to live independently.Research limitations/implicationsThe study struggled to recruit sufficient residents from the specialist dementia setting who were able to communicate their consent to take part in the research. In addition, the quality of qualitative data collected in interviews with participants at this setting reduced over successive rounds of interviews.Practical implicationsThe study suggests the need to ensure that residents are fully informed about levels of care and support is available when considering a move into extra care housing.Originality/valueThis paper provides a timely opportunity to consider extra care housing as an example of an integrated housing service, particularly in light of the current challenges facing the sector.

scholarly journals Extra Care Housing: The Current State of Research and Prospects for the Future

2021 ◽  
pp. 1-12
Author(s):  
Robin A. Darton
Keyword(s):  
Care Needs ◽  
Eligibility Criteria ◽  
Supportive Environment ◽  
Current State ◽  
People With Dementia ◽  
Care And Support ◽  
Balance Of Care ◽  
State Of Research ◽  
Extra Care Housing

Extra care housing aims to meet the housing, care and support needs of older people, while maintaining their independence in self-contained accommodation. Evidence from several studies suggests that it has benefits for residents in terms of costs and outcomes, and can provide a supportive environment for people with dementia, although the benefits for residents with greater care needs are less clear. Budgetary pressures and increasing eligibility criteria are altering the balance of care between residents and resulting in more task-focused, less personalised care. An increasing shortfall in provision and incentives for developers to concentrate on ‘lifestyle’ provision raise questions about the long-term viability of the model for supporting local authority-funded residents. Responses to the coronavirus pandemic also raise questions about future housing and care arrangements, and these need to be addressed in the government’s long-delayed plans for social care.

scholarly journals Emerging Technologies With Potential Care and Support Applications for Older People: Review of Gray Literature (Preprint)

2019 ◽  
Author(s):  
Sarah Abdi ◽  
Luc de Witte ◽  
Mark Hawley
Keyword(s):  
Literature Review ◽  
Older People ◽  
Mixed Reality ◽  
Emerging Technologies ◽  
Final Analysis ◽  
Support Needs ◽  
Care Needs ◽  
Gray Literature ◽  
Care And Support ◽  
Technological Developments

BACKGROUND The number of older people with unmet care and support needs is increasing substantially due to the challenges facing the formal and informal care systems. Emerging technological developments have the potential to address some of the care and support challenges of older people. However, limited work has been done to identify emerging technological developments with the potential to meet the care and support needs of the aging population. OBJECTIVE This review aimed to gain an overview of emerging technologies with potential care and support applications for older people, particularly for those living at home. METHODS A scoping gray literature review was carried out by using the databases of 13 key organizations, hand searching reference lists of included documents, using funding data, and consulting technology experts. A narrative synthesis approach was used to analyze and summarize the findings of the literature review. RESULTS A total of 39 documents were included in the final analysis. From the analysis, 8 emerging technologies were identified that could potentially be used to meet older people’s needs in various care and support domains. These emerging technologies were (1) assistive autonomous robots; (2) self-driving vehicles; (3) artificial intelligence–enabled health smart apps and wearables; (4) new drug release mechanisms; (5) portable diagnostics; (6) voice-activated devices; (7) virtual, augmented, and mixed reality; and (8) intelligent homes. These emerging technologies were at different levels of development, with some being trialed for care applications, whereas others being in the early phases of development. However, only a few documents mentioned including older people during the process of designing and developing these technologies. CONCLUSIONS This review has identified key emerging technologies with the potential to contribute to the support and care needs of older people. However, to increase the adoption of these technologies by older people, there is a need to involve them and other stakeholders, such as formal and informal carers, in the process of designing and developing these technologies.

Sign in / Sign up

Export Citation Format

Share Document