David Hughes, Senior Partner

1. Models & concepts of extra care David Hughes, Senior Partner POZZONI LLP Architects

2. The definition of extra care: • Independent living (own front door) with managed on-site care and support services • These may include: • Lounge • Programme of activities • Meals • Domestic help • Assisted bathing • 24 hour staff • Hairdressers

3. Alternative examples of innovative extra care in the UK and abroad

4. Site specific • Community focused • Larger • Often mixed tenures • Higher levels of care requirements • Location often key • Dialogue with locals (lifetime neighbourhood) • Often a component in urban regeneration

5. Extra care schemes as community hubs • Extra care as part of a continuing care development • Learn from abroad: Extra care as a component in regeneration

6. Extra care schemes as community hubs • Daycare centre • Links with adjacent school • PCT office • Homecare office • Bistro open to outside • Community choir based there • A “village hall” concept • ORMSKIRK EXTRA CARE VILLAGE Owner: Arena Housing Association Limited

7. Extra care schemes as community hubs • ORMSKIRK EXTRA CARE VILLAGE Owner: Arena Housing Association Limited

8. Extra care schemes as community hubs • ORMSKIRK EXTRA CARE VILLAGE Owner: Arena Housing Association Limited

9. Extra care schemes as community hubs • ORMSKIRK EXTRA CARE VILLAGE Owner: Arena Housing Association Limited

10. Extra care schemes as community hubs • ORMSKIRK EXTRA CARE VILLAGE Owner: Arena Housing Association Limited

11. Extra care schemes as community hubs • ORMSKIRK EXTRA CARE VILLAGE Owner: Arena Housing Association Limited

12. Extra care as part of a continuing care development OAKLAND VILLAGE, SWADLINCOTE Owner: Trident Charitable Housing Association

13. Extra care as part of a continuing care development OAKLAND VILLAGE, SWADLINCOTE Owner: Trident Charitable Housing Association

14. Extra care as part of a continuing care development OAKLAND VILLAGE, SWADLINCOTE Owner: Trident Charitable Housing Association

15. Extra care as part of a continuing care development OAKLAND VILLAGE, SWADLINCOTE Owner: Trident Charitable Housing Association

16. Extra care as part of a continuing care development OAKLAND VILLAGE, SWADLINCOTE Owner: Trident Charitable Housing Association

17. Extra care as part of a continuing care development OAKLAND VILLAGE, SWADLINCOTE Owner: Trident Charitable Housing Association

18. SANDFORD STATION, SOMERSET Owner: St. Monica Trust Location: Winscombe

19. 108 independent living and extra care apartments • 30 resident nursing with care home • 73 resident nursing with dementia care home • Communal facilities SANDFORD STATION, SOMERSET Owner: St. Monica Trust Location: Winscombe

20. Extra care as part of a continuing care development SANDFORD STATION, SOMERSET Owner: St. Monica Trust Location: Winscombe

21. Extra care as part of a continuing care development SANDFORD STATION, SOMERSET Owner: St. Monica Trust Location: Winscombe

22. Extra care as part of a continuing care development and a community hub • 54 one and two bedroom extra care apartments • 67 care bedrooms • Communal facilities • BELONG WIGAN Owner: Belong / CLS Care Services

23. Extra care as part of a continuing care development and a community hub • BELONG WIGAN Owner: Belong / CLS Care Services

24. Extra care as part of a continuing care development and a community hub • BELONG WIGAN Owner: Belong / CLS Care Services

25. Learn from abroad: Extra care as part of a continuing care development Community Center Nursing School Adult Day Service Pre-School Visiting Nurse service Home Care Service Assisted Living Skilled Nursing GOJIKARA VILLAGE, JAPAN

26. Learn from abroad: Extra care as part of a continuing care development • 80 skilled nursing care • 50 assisted living (extra care) • 35 adult day care • 190 child day care • 300 nursing school • Community centre • 13 co-housing (dementia) with 4 staff • 10 respite care hotel • Local off campus extra care GOJIKARA VILLAGE, JAPAN

27. Learn from abroad: Extra care as part of a continuing care development GOJIKARA VILLAGE, JAPAN

28. Learn from abroad: Extra care as part of a continuing care development GOJIKARA VILLAGE, JAPAN

29. Extra care as a key in urban regeneration • 95 one and two bedroom apartments • Bo01 ecological redevelopment • Area (62 acres) of Malmo Western Harbour • Communal facilities • Appeals to many older residentsof Malmo. Many live in other apartment blocks • 5-7 year waiting lists • Older people at heart of regeneration plans and the area is a lifetime neighbourhood • Wide community inclusion NEPTUNA, SWEDEN

30. Extra care as a key in urban regeneration NEPTUNA, SWEDEN

31. Extra care as a key in urban regeneration NEPTUNA, SWEDEN

32. Extra care as a key in urban regeneration • 53 storey tower incorporating • 35,000 sqft of University faculty • 5 floors (2nd to 7th) of parking • 8th floor common area with garden, aquatic centre, fitness centre, beauty salon. • 9th floor to 15th floor nursing, assisted living, memory support. • 16th floor dining • 18th floor business centre, performance centre, library, arts and craft studio, medicine centre, chapel

33. Is extra care always the solution for everyone? • Consider: • Flexibility of approach • Higher dependency • Local factors – avoid duplication of facilities • Client skills – partnerships • Self-containment in more remote areas • Long term sustainability

34. David Hughes • Senior Partner • Pozzoni LLP • www.pozzoni.co.uk