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Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support...

Date post: 19-Jun-2015
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Astrid Reynolds delivered the presentation at the 2014 Younger People with very High & Complex Care Needs Conference. The 4th Annual Younger People with very High & Complex Care Needs Conference focused on topics such as report on Summer Foundation’s preliminary findings from NDIS Launch sites in Barwon & the Hunter Valley, identify policy & practice opportunities & barriers for YPINH that arise from the NDIS. For more information about the event, please visit: http://www.informa.com.au/youngerpeopleconference14
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Housing and Support Demonstration Projects What are we learning
Transcript
Page 1: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Housing and Support Demonstration Projects !

What are we learning

Page 2: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Overview!

The demonstration projects – overview of core features

Why the Summer Foundation is establishing these projects

Discussion of various aspects and insights in more details

The NDIS – some issues and opportunities 2

Page 3: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Core features of model and approach

1.  Central geographic location

2.  Individual units peppered through an apartment building

3.  Accessible and adaptable design

4.  Home automation and communication technology

5.  Individualised and independence enhancing support approach, balanced with some efficiencies from close proximity of units

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Page 4: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Core features of model and approach con’d

6.  Access to 24 hours support (on site staff office)

7.  One support provider for first 2 years

8.  Property and tenancy management by community housing organisation

9.  Evolving model – reflection, refinement and formal evaluation

10. Encourage and support replication

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Page 5: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Why is Summer Foundation establishing demonstration projects?

•  Need wider range of housing and support models for YPINH

•  Need integrated thinking across building, technology and support approach – how they all work together to support independence

•  Establish, test and refine model – action research approach

•  Summer Foundation role – a broker, not a service provider, contributes the housing component

•  Document, evaluate and support replication

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Page 6: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Ultimately we would like to be able to provide hard evidence that

The provision of: •  well located •  good quality, •  well designed, •  accessible and adaptable

housing •  incorporating technology & •  an independence enhancing

support approach

Results in:

• increased quality of life • increased independence • reduced life time care costs

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Page 7: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Inner  Melbourne    

Page 8: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

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Hunter  Region  NSW  

Page 9: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Loca6on!  Loca6on!  Loca6on!  

Page 10: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

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Page 11: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

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Design !

Page 12: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

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Design!

Page 13: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Adaptability features in NSW project include:

Kitchen •  Benches  –  varied  heights  possible  

•  Capacity  to  easily  remove  or  replace  under-­‐bench  cabinetry      

•  Movable  kitchen    bench  –  can  be  secured  –  power  point  in  floor  

Bathroom •  All  walls  are  reinforced  walls    

•  Toilet  –  no  change  to  plumbing  to      

•  move  to  le@  or  right  •  replace  ordinary  with  disabled  toilets  easily  

•  Height  adjustable  vanity  unit  

Wardrobe – modular – move to suit tenants specific capabilities

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Page 14: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Capital funding

Project 1 •  Philanthropic  funding  

•  NRAS  

Project 2 •  Philanthropic  funding    

•  Social  investment  potenGal  –  Social  Investment  Think  Tank  •  Shared  equity  potenGal?  

•  NDIA  “User  cost  of  capital  funding”?    

•  NRAS?  

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Page 15: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Technology  Melbourne  project    •  Based  on  a  security  system    

integrated  smart  technology    

ability   to   communicate   with   support   staff   via   two   way  speakers    

iPad,  iPhone,  or  other  user  interface  acGvaGon  

•  Infrastructure  to  enable  “add-­‐on’s”  

LighGng  control  

Air-­‐condGoner  control  

Automated  Blinds  

Automated  Window  openers  

Automated  Doors  

•  Tenants  responsible  for;    

! Personal  AV  equipment  

! Internet,  Foxtel,  phone  lines,  etc.  

Page 16: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Purpose of technology

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•  Give  people  privacy  and  control  over  their  environment    

•  Safety  and  sense  of  security  -­‐  alert  someone  in  an  emergency    

•  Reduce  reliance  on  staff    

•  EvaluaGon  indicates  –  home  automaGon  supports  sense  of  

independence  and  control  

Page 17: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

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Page 18: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Technology – some of the learnings for second project

•  Design of system •  Costs •  Making sure it works reliably from start •  Flexibility and capacity to change parameters •  Capacity for customisation for individuals •  Long term maintenance •  Role of support provider versus property manager in

managing and maintaining the technology

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Page 19: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Support model focus annecto is support provider in Melbourne project

•  Intensive transition support – Community Inclusion Facilitation/Planning role

•  What  opportuniGes  does  this  new  home  give  me?  

•  How  do  I  want  to  live  my  life  in  this  new  home?  

•  How  do  I  want  to  be  supported?  

•  Tenant capability building – problem solving, planning for living, decision making, community linking

•  Probing and reflective questioning

•  Tenant selection of support staff in collaboration with HR

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Page 20: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Support Model Structure!

•  One support provider selected to partner on project for first two years

•  Individual support to tenant by small team of staff

•  24 hour staff presence on site at beginning active night, now inactive night

•  Ongoing role of inclusion support facilitator/planner

•  Technology supports tenants alert staff in case of an issues/emergency

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Page 21: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Support model - emerging insights

•  Selecting tenants who want to live more independently is key

•  Retaining capacity for flexibility in response to changing need

•  Critical to have capacity to evolve model

•  Higher anxiety in first 3 months

•  Adjusting 24 hours support arrangement

•  Reducing or refocusing individual support hours across time

Challenges of maintaining concerted focus on tenant capability building

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Page 22: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

The NDIS – how can this model fit?

Approach highly consistent with aspirations of the NDIS

Models linking housing, technology and support in new ways – requires some thinking about fit with individualised funding approach

The model is not a new version of shared supported accommodation model

Model of individual homes – that happened to provide opportunities for efficiencies because they are in close proximity

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Page 23: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

The NDIS – how can this model fit con’t

Types of questions for discussion with NDIA •  How can the model fit with an NDIS funding framework?

•  What options are there to package up the various interrelated elements of the model in a coherent way in an NDIS individual funding context?

•  Will NDIA fund adaptation of units for specific individuals during the final stages of the building process?

•  How can we develop a framework for funding the costs of emergency communication systems that are integrated into the building in these of projects?

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Page 24: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

The NDIS – how can models fit con’t

•  Transition support as implemented in Melbourne project – intensive and empowering, not just practical focus – how will that fit?

•  24 hour support coverage that is shared – how can that be most effectively managed in the NDIA individual funding framework?

•  In what ways might the “user cost of capital” fund some of the costs of purchasing the units?

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Page 25: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

•  The model is one of a range of options to fill current gaps

•  Is a time of opportunity for new options

•  Already know that the approach is able to change people's lives and aspirations

•  Made significant progress on adaptable design

•  Next phase - work out the fit with NDIS funding more integrated, flexible and robust technology

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Page 26: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

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Summer Foundation

Presentation by Astrid Reynolds

Innovative Housing and Support Manager

[email protected]

About the Summer Foundation

Established in 2006, the mission of the Summer Foundation is to

resolve the need for young people with disability to live in nursing

homes. The Summer Foundation focuses research, creating a

movement, and developing integrated housing models.

Page 27: Astrid Reynolds - Summer Foundation - Learnings from Our First Demonstration Housing & Support Project in Abbotsford, Victoria & Insights Applied to a New Project in the NSW NDIS Launch

Website www.summerfoundation.org.au

Understand more about what we do

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