housing needs for people with a learning disability - workshop july 15

8/20/2019 Housing Needs for People With a Learning Disability - Workshop July 15

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Housing Needs for People with

a Learning Disability

A Local Authority Perspective

Scott Woodhouse


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Context

• 2% of adult population have a learning disability• Equates to 3200 people in North Tyneside

• Adult Social Care linked into 650 people

• Spendo Adult Social Care - £24m gross

o VFM profile – North Tyneside is a high spender on

learning disability services

o Also we have high unit costs when compared to otherLA’s


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Current Needs (1)

• Where people are living at the present

time:

– 226 people living in supported living services

– 85 people in residential care

– 339 people living by themselves at home or in

the family home with family carers


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Current Needs (2)

• Services cover a range of levels of needover and above the person having a

learning disability:

– Complex needs

– Behaviours that challenge

– Physical needs

– Autism

– Mental health


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Future Numbers

• Increasing numbers of people

• Not high numbers but average cost of

£54k per annum for higher cost packages

2012 2014 2016 2018 2020 % Inc

People aged 18-64 predicted to have a

learning disability3,037 3,060 3,090 3,116 3,129 + 3%

Of which moderate to severe 680 688 697 705 712 + 4.7%

Of which severe 179 181 183 185 187 + 4.9%


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Changing Need

• Higher expectations from customers• Balance of personalisation, choice and

control versus cost and efficiency

• Less reliance on residential care

• Affordable options need to be looked at


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Summary of NeedGroup Units in 2014 Units in 2015 Comments

People living with older

carers

Variable numbers needing

housing

Numbers not specifically

known but need some

capacity

ISL properties no longer

fit for purpose

4 4 Will monitor and review aspart of ISL project

Residential care 3 2

Hospital 7 4 Part of WinterbourneReview cohort of people

Transition 4 8 Further 3 in 2016

General housing list 20 Further work to prioritisenames

Totals 18 18 Further 20 to be addedonce prioritised


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Market Position Statement

• Housing strategyled

• Housing options for

vulnerable groups• Supported by Adult

Social Care


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MPS – Key Messages


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Current policy

• Support people to remain independent andlive in the community

• Current performance – 90% in settled

accommodation• But this comes at a cost…..

• Others in residential care / hospital


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Funding

• Reduction in ASC budget over the last 4years - £20m

• Austerity set to continue - £5m in 2015/16

• Government budget detail is imminent butdirection unlikely to change

• We need to look at how we spend the

funding we have……..


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Housing Delivery Options

• Key future principles are: – Shared provision

– Self contained, minimise matching issues

– Enablement support to maximise opportunity /independence of individuals

– Assistive technology

– Community and social assets

– Role of the family

People need to “buy

in” to the concept ofshared support as

part of the service

delivery model

There are a range ofhousing partners, NT

Homes, Registered

Providers, Private

Sector


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Future Model of Housing (1)

• Shared support arrangements

• Develop these across the borough

• Concierge / block support available to

meet generic needs

• Additional support for individuals through

support plan and personal budgets


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Future Model of Housing (2)

• Single block of 12-16 self contained

properties with communal facilities, ie

Beardall Court

or

• Multiple properties on a single site to

replicate traditional housing provision, ie

new housing developments


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Manage Demand and Cost

• How can we use the model of housing

provision to manage demand and the cost

of services

• Relate this to amount of personal budget

• More cost effective delivery models

• Strategic approach needed


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Environmental Solutions

• The right housing can help manage

behaviours and promote independence

• Design solutions

• Inside and outside space

• Cost effective if part of build


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Reducing costs….

Typical costs of services,

assume 98 hours and overnight

– Single person services – £78k

– Two people sharing – £105k or £52.5k each

– Three people sharing – £120k or £40k each

– Four or more sharing - £132k or £33k each Assume 98 hours per week plus 7 x

sleep-in (£12.80 per hour and £36 sleep)

If more than one person also 20

additional 1:1 hours per person.

Cost range of

£40k to £216k

per annum


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and remember, these are long

term costs……..

30, 40, 50 years plus


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so what are service users

telling us…….


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North Tyneside User Forum


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Impacts of the Care Act 2014

Sue Wood

housing needs for people with a learning disability - workshop july 15

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