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.

Accommodation Status: People with Mental Health Needs

• 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.

Accommodation Status: People with Learning Disability and Autism

The number of adults aged 18+ with learning disability/autism in Dudley was 1,125 individuals (2021/22), according to SALT data.

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

Percentage change in the 55+, 65+ and 75+ population for Dudley to 2038

Source: ONS 2021 census and ONS 2018-based subnational population projections.

• 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.

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

• We want people to have the opportunity to live in their own self-contained homes with their own front door to maximise their self-determination and outcomes
• We will support people where appropriate in shared housing where this is sustainable and the best option to meet their aspirations and outcomes
• We want to increase the provision of extra care to meet changing needs, expectations and demand
• We want to explore new 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

• Go forward to Direct Payments and Non-Commissioned Services
• Go back to Voluntary and Community Sector and Health and Wellbeing