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Older Persons Accommodation Appendix 1

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Older Persons Accommodation Appendix 1 Assessment of Older Person’s Housing and Accommodation including with Care and Care Ready For Cardiff & Vale of Glamorgan Regional Partnership Board Housing LIN Final Version 2018 Contents Executive Summary ................................................................................................................................................. 4 1. Introduction ................................................................................................................................................... 13 2. Existing provision of housing and accommodation for older people .......................................... 15 2.1. Approach and purpose .......................................................................................................................... 15 2.2. Provision of older people’s housing and accommodation services...................................... 15 Cardiff: provision of older people’s housing and accommodation .......................................... 17 Vale of Glamorgan: provision of older people’s housing and accommodation services . 18 2.3. Suitability of older people’s housing services to meet future needs. .................................. 19 Features and characteristics of existing older people’s housing ............................................... 19 Care and support needs of older people ............................................................................................ 21 Cost effectiveness considerations .......................................................................................................... 24 Access to older people’s housing and accommodation ............................................................... 26 2.4. Findings and implications ..................................................................................................................... 27 3. Future need for older people’s housing and accommodation ....................................................... 30 3.1. Approach ..................................................................................................................................................... 30 3.2. Future need for older people’s housing and accommodation: Scenario 1 ........................ 31 3.3. Future need for older people’s housing and accommodation: Scenario 2 ........................ 33 3.4. Findings and implications ..................................................................................................................... 37 4. Housing and accommodation: Older people’s views and perspectives ...................................... 38 4.1. Approach ..................................................................................................................................................... 38 4.2. Survey: Views and perspectives of older people in relation to housing ............................. 38 4.4. Focus groups and interviews ............................................................................................................... 57 Key messages: what matters to older people ................................................................................... 57 4.5. Summary ...................................................................................................................................................... 60 5. Developing Older People’s Housing and Accommodation including Housing with Care and Care Ready Housing .................................................................................................................................... 61 5.1. Policy and practice context ................................................................................................................... 61 National policy context: Older people and housing ....................................................................... 61 Supported housing funding policy ....................................................................................................... 63 Local policy context: Older people and housing ............................................................................. 64 5.2. Older people’s housing trends ............................................................................................................ 64 2 Housing LIN 5.3. The policy context and evidence base: implications for developing older people’s housing and accommodation including with support/care and care ready housing. ........... 68 5.4. Older people’s housing and accommodation: A typology and specification ................... 70 Housing and accommodation typology specifications ................................................................. 73 5.5. Care enabled technology ...................................................................................................................... 91 5.6. Health and wellbeing .............................................................................................................................. 92 Inter-generational housing approaches .................................................................................................. 94 5.5. Recommendations ................................................................................................................................... 96 Annexe 1. Older people’s housing and accommodation provision ................................................. 100 Annexe 2. Future need for older people’s housing and accommodation ..................................... 116 Annexe 3. Approach and demographics: primary research with older people ........................... 125 Annexe 4. Research with older people: Focus groups and interviews ............................................ 131 3 Housing LIN Executive Summary Existing provision of older people’s housing and accommodation Cardiff has the following provision of older people’s housing and accommodation: Age Sheltered Private Extra care Residential Nursing designated housing retirement housing care (beds) care (beds) housing (units) housing for rent & (units) (units) for sale (units) Total 1423 1847 1022 267 711 1051 NB. There are 1,423 units of ‘age designated’ housing, i.e. typically flats or bungalows whereby all tenants are over a certain age (generally age 50 or 55 for flats and 60 for bungalows). In summary: Overall there is a mix of social rent and private retirement housing offers for older people in the city. There is limited extra care housing/housing with care provision compared with the prevalence of residential care beds. The most prevalent type of older people’s housing is sheltered housing (and other age-designated housing) in the social rented sector. The current private retirement housing does provide a mix of housing choices for different equity and income groups. Vale of Glamorgan has the following provision of older people’s housing and accommodation: Localities Age Sheltered Private Extra care Residential Nursing designated housing retirement housing care (beds) care (beds) housing (units) housing for rent & (units) (units) for sale (units) Total 927 625 204 42 464 462 NB. There are 927 units of ‘age designated’ housing, i.e. typically flats or bungalows whereby all tenants are over a certain age (generally age 50 or 55 for flats and 60 for bungalows). In summary: The most prevalent type of older people’s housing is sheltered housing (and other age-designated housing) in the social rented sector. There is very limited extra care housing/housing with care provision compared with the prevalence of residential care beds. 4 Housing LIN The current private retirement housing provides some mix of housing choices for different equity and income groups The future suitability of this provision to meet the needs of a significantly increasing older population will be constrained by the following factors: The majority of older people’s housing schemes, over 90% have level and/or ramped access; however, the available data indicates that no more than approximately 20% of units are identified as wheelchair accessible. The profile of an ageing population with increased prevalence of mobility and care related needs indicates that there is likely to be increased need for wheelchair adapted housing or, as a minimum, housing that has been built to HAPPI1 design principles. Approximately 50% of older people’s housing schemes have a lift. Older people’s housing schemes without a lift are likely to present a challenge with an anticipated ageing resident profile. Providers of existing older people’s housing can expect the proportion of their existing residents who will have care and support needs to increase in the future. As the prevalence of care needs increases, the suitability (for this cohort of older people) of the most prevalent types of older people’s housing, i.e. sheltered housing and private retirement housing, is likely to decrease over time. It can be anticipated that there will be an increasing proportion of older people with care needs including dementia related needs living in all types of housing. To secure greater cost effectiveness from the supply of housing and accommodation for older people it is likely to be necessary to consider: o Increasing the provision of extra care housing, as a direct alternative to the use of general residential care beds. o Increasing the supply of HAPPI inspired ‘care ready’ contemporary sheltered/retirement housing for older people, i.e. housing that is suitable for ageing in place, (as per extra care housing), i.e. accessible living space, bathroom, kitchen and able to be used
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