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Care and Extra Care Housing in Salford. Safia Griffin, Engagement Officer – Healthwatch Salford Phil Morgan, Chair – Healthwatch Salford. @HWSalford #speakup.
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Care and Extra Care Housing in Salford • Safia Griffin, Engagement Officer – Healthwatch Salford • Phil Morgan, Chair – Healthwatch Salford @HWSalford #speakup
Who we are, what we doHealthwatch Salford is the independent consumer champion for everyone using health and social care services in the city of Salford • We are an independent charitable company, commissioned by the local authority to carry out statutory functions, to ensure the voices of people are heard and listened to within the health and social care system • Influencing good health and social care by gathering views and experiences and telling the providers where services are working well and not working so well • Signposting people into correct pathways for raising a complaint and referring them for advocacy support • Watchdog monitoring existing health and care services especially during periods of change
A systems view Healthwatch listens and communicates throughout the system
What is ‘Enter and View’? We have statutory powers as set out under the Health and Social Care Act 2012. Part of these powers allow us to Enter and View any publicly funded adult health or care premises on an unannounced or announced basis • Often used to observe, collect views and report on specific areas of adult health and social care services, at the point of service delivery • Enter and View is just one of many different tools used by a Local Healthwatch to collect information and listen to patient experiences
The Whole Enter and View (E&V) Process Scoping meeting with commissioners Strategic need and alignment identified as part of rationale
Why our focus on Extra Care housing? • Strategic Drivers • 1. Commissioner review • 2. CQC inspects the Extra Care but not the facility • 3. Dignity and choice in an Extra Care setting (and independence) • 4. Social inclusion • 5. Accessibility • The main question on our mind was; Does extra care housing work in Salford to the appropriate standards? … both for the people delivering the service and those receiving it…
The project – ‘Care and Extra Care Housing’ • Surveying both the care providers and housing landlords • Visits and teams - between August and end of September 2018 • 3. We surveyed 115 people in total; • 49 tenants> 37 care staff > 13 housing staff > 9 relatives > 7 Care Coordinators • We made 46 recommendations in total over 6 reports • – 21 were about the 2 care providers – 25 were about the 3 housing landlords • Activities • Information and communication • Staffing • Food and mealtimes • Care • Physical accessibility • Relationship between the providers • Standards and appearance
What people told us • Over 90% of tenants thought their care needs were being met • “ Staff are excellent…” Tenant comment • Over 90% of tenants said that staff treated them with dignity and respect • “Happy but frustrated because it could be so much better.” Tenant comment • Over 75% of tenants thought that living in an extra care scheme had been of benefit to them and their health • “ I couldn’t be in a better place. I was very lonely at home on my own.” Tenant comment • Over 85% of tenants were still able to do things for themselves and retain some independence • “Most tenants want to stay independent and social. We encourage them to come out of their flats” Care staff member comment
Key findings 1. Service quality - Caring and Responsive? 2. Community feel 3. High and complex care needs 4. Activities and social inclusion 5. Equity and equality of opportunity 6. Provider support and offer 7. ‘A home for life’ and independent living
The answer The main question in our minds when we began this project was; The answer; Does extra care housing work in Salford to the appropriate standards? … both for the people delivering the service and those receiving it… • Extra care in Salford was working to appropriate standards in most areas • … despite operational challenges, staffing issues and resource constraints
What happened next The response to this project and its reports; From • Commissioners • The 3 housing landlords • The 2 care providers