Dudley Council commissioned Housing Lin to undertake two separate assessments of housing with care needs, one related to adults with disabilities and the second in relation to older adults. In completing the assessment and analysis, Housing Lin engaged with people and held virtual and face to face engagement / focus groups to gather views, experiences and expectations from people who access services currently or who may in the future have a need for housing with care.
As part of the assessment current provision mapping, benchmarking and projections and estimation of demand were concluded.
The below provides some key initial headlines from the draft reports. The reports will be published on the council website once finalised.
Adults with Mental Health Needs
Accommodation Status: People with Mental Health Needs
|Supported Living (self-contained)||39|
- The number of adults aged 18+ with a mental health need eligible for a service from the Council is 234 individuals (2021/22), according to SALT data
- 27 people are living in residential and/or nursing care, 12% of the total population
- 39 people are living in supported housing/supported living, c.16% of the population
- The remainder are living in mainstream housing with a care/support package
Demand and Projections
Mental Health Bed Based Accommodation Trajectory
Mental Health Community Accommodation Trajectory
There is an estimated net need of c.30 units of additional supported accommodation for people with a mental health need living in Dudley, to 2031/32.
Adults with Learning Disabilities and/or Autism
Accommodation Status: People with Learning Disability and Autism
|Living with Family/Friends/Informal Carers (SALT)||650|
|Supported Housing/Supported Living (SALT)||235|
|Residential Care (SALT)||126|
|Mainstream Housing with a Care/Support Package||56|
|Shared Lives (Adult Placement SALT)||47|
|Nursing Care (SALT)||9|
|In Hospital/NHS Setting (Dudley Council)||5|
The number of adults aged 18+ with learning disability/autism in Dudley was 1,125 individuals (2021/22), according to SALT data.
|Use of Residential Care||11%||21%||17%|
Demand and Projections
Disabilities Bed Based Care Trajectory
Disabilities Community Based Care Trajectory
- An additional c.180 units of supported accommodation are estimated to be needed by 2031/32 for people with a learning disability/autistic people. It is anticipated that up to 20 of these additional units of accommodation could be within Shared Lives and the rest self-contained accommodation that is tenancy based
Housing with Care and Housing for Older Adults
Percentage change in the 55+, 65+ and 75+ population for Dudley to 2038
Source: ONS 2021 census and ONS 2018-based subnational population projections.
|Local Authority||Residential Care (beds)||Prevalence||Nursing Care (beds)||Prevalence|
|CIPFA Comparator average||1,030||44||877||38|
- Significantly higher proportion of people placed in residential care than England average and CIPFA comparators
- Significantly fewer people placed in Nursing care than England Average and CIPFA comparators
Demand and Projections
Housing and accommodation for older people, net estimated need to 2038, in Dudley. The below table identifies the likely demand and additionality assumed based on population growth and increasing complexity of need.
|Housing type and use class||Number of homes/bedspaces needed by 2038|
|Housing for older people (retirement and contemporary 'sheltered housing'). Use class C3||c.680 homes: c.280 for social/affordable rent c.400 for sale/shared ownership|
|Housing with care (extra care housing). Use class C3/C2||c.675 homes: c.405 for social affordable rent c.270 for sale/shared ownership|
|Residential care. Use class C2||c.110 bedspaces|
|Nursing care. Use class C2||c.310 bedspaces|
Headlines from Housing Assessments completed by Housing Lin
Overall analysis showed that there is a relatively high percentage of shared supported housing that has sustainability risks and where accommodation is generally not well suited to individual or changing need.
There is limited accommodation for young people transitioning to adulthood where they have complex needs.
There is a small but increasing cohort of people with "complex" and or forensic needs where more bespoke accommodation is required.
There has been an over-reliance on out of area residential schools for young people with complex needs.
There is a need to manage "speculative" approaches to supported housing development by providers.
The most recent CQC guidance in relation to supported living, Right Support, Right Care, Right Culture, sets out more clearly than in any previous CQC guidance what the specific expectations are of care providers both in terms of registration of supported living services and inspection.
The council intends to publish an “investment prospectus” to attract appropriate investment in supported housing.
Key messages from local people and their supporters collated in engagement sessions includes:
- People with learning disabilities and/or autistic people are seeking a wider range of housing choices
- Young people with a learning disability and/or autistic young people are seeking supported housing that enables them to transition into adulthood
- There is a need for an increased range of tenure options – e.g. shared ownership
- Housing application and allocation processes need to be more learning disability and autism friendly
- For people with more complex mental health needs, there is a need for more self-contained supported living accommodation
- There is a need for access to and increased provision of ‘move-on’ accommodation. There is evidence that there are people with mental health needs living in supported housing that don’t need to be there
- People with a range of mental health needs report that the existing process for finding alternative accommodation, whether in the private rented sector or through choice-based lettings, is often very challenging which can cause further anxiety and stress
- There is a need for supported accommodation for people with acquired brain injury
- Older people want to remain living in their own homes for as long as possible
- Older people are seeking housing options that enable them to live independently for as long as possible
- Some older people are interested in and willing to "right size/downsize" provided that an alternative home is sufficiently attractive and meets their requirements
Messages for the Market
- We want people to live in their own self-contained homes with their own front door to maximise their self-determination and outcomes
- We want people to have sustainable, good quality accommodation that meets their needs
- We want to increase the provision of extra care to meet changing needs, expectations and demand
- We want to explore sheltered housing models that support people with health and social care needs
- We want to explore different models of housing with care for people aged 18+ with complex needs
- We want to explore different models of housing with care for people with learning disabilities and or autism who are aging and require accommodation and support that is flexible to meet changing need – for example specialist extra care housing
- We want to work with not-for-profit housing associations and registered Providers to deliver new accommodation options and schemes to meet our growing demand