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Raising the stakes – Purpose of the workshop, key concepts underlying

the work and development issues

Moyra RiseboroughPeter Fletcher

26 and 27 April 2007

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Who is at the workshop

• Social housing/care providers• Private housing/care providers• Local authority commissioners of

housing with care schemes• Older People• ‘Raising the Stakes’ team and funders –

EAC, RRCA, PFA, IPC, Department of Health

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Purpose of the workshop • Test out prototype tools to provide:

Better Information for consumers on individual Housing with Care schemes and their services

• Assess the appetite of social and private sector providers and commissioners, and older people to embrace/use this approach

• Assess views on going further specifically:

A Kitemarking System for the industry

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The programme – Day 1• The background to Raising the Stakes• Introduce key concepts underlying the

work • Explore ‘critical success factors’ • Look at the current EAC website and

information collected and the new prototype tools and therefore understand the difference that they could make

• Harness your thinking and views

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The programme – Day 2

• Identify the key issues that need to be addressed

• Aim to work through the prototype tools, consider the potential of critical success factors and how it could all link with a kite marking process

• Discuss and agree the next steps

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Introducing the key concepts

• Universal approach to describe housing with care using 4 aspects each with set of standard criteria

• Special focus on Extra Care type models but the approach capable of being used for all provision

• Part of a process and methods for providers to describe provision in a standard way

• Provides minimum standards to describe extra care housing

• Could also provide a set of minimum standards for other provision

• Industry to debate & discuss• Possibilities of having minimum standards to encourage

voluntary improvement & facilitate kite marking system

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Building the aspects and criteria

• Revisited concepts developed by Fletcher and Riseborough & Riseborough and Fletcher (1999 onwards) e.g. ‘Ingredients for Extra Care Housing’

• Updated aspects and ingredients/criteria, building on new knowledge and concepts e.g. JRF and ICP literature reviews, work for Housing Corporation ‘Common Currency’;

Housing LIN material; market knowledge

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Principles underpinning self appraisal prototypes

Aiming for universal language that transcendspublic & private sector approaches & philosophies

But allows for difference as wellFor example the philosophy to promote “well-

being” and “positive lifestyle”And, different provision & different styles, such as:

Housing with discreet servicesCommunity service hubAlternative to residential careClose care or other

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More on underpinning principles

• Person centred approach • Focus on consumers • Based on previous work to create common

language• Aspiration to create universal language and

framework for all • Hence strips out some aspects that are ‘social’

or public sector only• Compares well with ‘statement of purpose’

now expected in residential care/nursing homes

New Universal AspectsCustomer base Lifestyle

Ethos style

Social leisure

Quality of Life

EnvironmentInternal external Services

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What we have done• Use this thinking to produce a self administered

questionnaire for the industry• Would replace current EAC (older age housing)

questionnaires• Questionnaire enables providers to describe all

provision in standard ways particularly housing with care

• Questionnaire is the basis for the self assessment tool – enables performance assessment– culture for self improvement across industry

• Creates a score to indicate quality of information and some quality standards e.g. achieving best modern extra care, good, close to – also reflects other quality assurance and performance achievements

• Can go further - achieve a kite mark against agreed standards

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The tools

1. Questionnaire from which universal and standard information across public and private sector provision and scheme and service types can be produced

2. Self assessment checklist for providers – addresses quality of information, and in some aspects standards as well

3. Statement of Purpose template – to describe the ethos

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1. The questionnaire• Based around the four aspects

• Aims to address the key areas of information that potential customers want to know about

• Builds on current EAC questionnaires of housing with care schemes but less detailed in some areas

• Designed so that the information can be used to assess standards

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2. Self Assessment checklist

• Addresses elements of all the 4 aspects in the questionnaire

• Developed as self assessment system for the industry (current reality unless support and funding for external validation system)

• Section on design and suitability built on standards that can apply across the industry

• Other sections focus mainly at this stage on quality of information - potential to develop these further towards a standards approach

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3. Statement of Purpose

• Required for care homes by CSCI and seen as very helpful by customers in choosing which home

• Aims to provide softer more descriptive information to go alongside the questionnaire

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Key questions to address - questionnaire

1. Is the questionnaire applicable across the industry

2. Do the 4 aspects work3. Looking at each of the 4 aspects what

information is either not needed or missing

4. What else is missing5. Would providers complete it

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Key questions – self assessment checklist

1. How far should a kitemarking system should be focused around quality of information or baseline standards

2. If the latter what should the standards address (see next slides)

3. Should the kitemarking be a self assessment system for providers or a system of independent accreditation – if the later who should administer and pay for it

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Key questions – statement of purpose

1. Does the statement of purpose cover the right areas

2. What should be added or removed

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Developing standards for kitemarking

Customers – does the schemeAttract an occupant mix e.g.

balance of dependency levelsHave a philosophy of prolonged

residence/ageing in place(replaces ‘home for life’ but explicit about what this means)

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Developing standards for kite marking

Services – does the scheme• Have a Service philosophy that promotes

independence and autonomy of the individual and principles of choice and control (note: e.g. ‘working with’ not ‘doing to’; help to help oneself/self maintenance with assistance’; respecting individual’s rights around access to their home with their permission)

• Have a Service (and lifestyle) approach agreed with each individual built around THEIR expressed outcomes and how they can best be delivered (note: aims to take account of private payers choosing and paying for the services they want, AND people assessed for services by social services)

• Provide meals – enable people to access at least one directly provided main meal without having to cook it oneself

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Lifestyle –incorporates ethos, style,social and leisure

Ethos:Clear statement ofpurpose/philosophyCustomer orientedEncourage positivePromote peopleschosen outcomes Informative Promotes mutual

toleranceIndividuality

Style:Healthy livesHotel/comfortFriendly/warmPrivacy/sociabilityFaith/values baseExclusiveLively/activeCalmEncourages sociability

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Ethos (2)SocialLively in-house activities

Promotes access to social

activities

Encourages/facilitates

people to retain social

networks/interests

Encourages socialactivities with external orcommunity

LeisureEmphasis on leisure Has facilities – describes

themClose to facilities –

describesPromotes/facilitates access

to leisure