Housing and Care and Support


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Housing and Care and Support

  1. 1. Housing and care and support The traditional definition of care services is changing and one main aspect of this is the increasing link to housing need as reflected in the increased levels of referrals from housing for Adult Social Services. Need and demand analysis for care and support services is therefore inextricably linked to the analysis of accommodation in the borough and the availability in particular of suitable housing for disabled and vulnerable adults. The Housing Needs Survey 2006 also appears to show the link between support needs and the quality of accommodation and status of tenure. The 2006 Housing Needs Assessment estimates that 4.14% of all households, or 5294 households (see table in appendix), suffer from ill-health due to the condition of their home and which is linked to forms of tenure, and geographical location. For example 15.3% of households living in council rented accommodation suffer from ill-health because of the condition of their home and 7.36% of households in Hendon suffer from ill-health because of house condition. The assessment also estimates that these households are more likely to contain no older people and to have support needs. Further work is required on reviewing the reasons why people said their house condition was causing their ill-health. It might be that they are under notice of eviction or that the house is difficult to heat or that the home suffers from major disrepair. The Housing Needs Assessment also estimated that there are 18,734 households with support needs and that 73.6% of the households require support because of physical disability and 24.2% because they are frail/elderly. A majority of support needs households contain older people and most requirements relate to needs and adaptations. Some of these households must also suffer from ill-health because of the condition of their home and more work needs to be done to identify and link the data on support needs households and ill-health households. 21.4% of all households in Barnet contain only older people and almost all households containing older persons only are comprised of one or two persons only. There is an increase predicted in the numbers of older people living alone in common with the national picture and therefore likely increased demand for support and adaptations to their home. Housing related support funded through the Supporting People programme is focused on maintaining independence and supporting stable accommodation arrangements for adults in the community who experience a range of difficulties including disability, mental health problems, domestic violence, substance misuse and homelessness. There has been a recent rise in the numbers of people supported through these arrangements, some of which act as alternatives to care services. This is reflected in the Supporting People activity data: A total of 1446 new client record forms were received for 2007-08, an increase of 479 on last year’s figure of 970, and an improvement of 49%. The overall number of new service entrants in Barnet was 55% higher than the London borough average although Barnet receives 20% less SP grant than average. These figures reflect increasing volumes of people from a range of groups receiving short term support; where 79.5% of the client record forms were for floating support (the support goes to where the need is) in Barnet compared to a London average of 45.6%, however this should be set against 4.2% for supported housing (support is linked to specific housing options) in Barnet against a London average of 31.4%. A breakdown of activity for 2007/08 for supporting people in Barnet compared to London and England is set out
  2. 2. Comparison of the breakdown of Supporting People activity London England No % % % Floating support 1150 79.5 45.6 40.0 Direct access 166 11.5 11.2 16.3 Supported housing 61 4.2 31.4 30.3 Womens refuge 45 3.1 4.3 5.8 Foyer 15 1.0 0.8 1.7 Resettlement services 9 0.6 5.2 2.8 Residential care home 0.0 0.2 0.1 Adult placement 0.0 0.1 0.1 Supported lodgings 0.0 0.3 0.6 Teenage parent accommodation 0.0 0.2 0.3 Outreach service 0.0 0.9 2.1 100.0 100.0 100.0 Total 1446 1446 30734 203651 Barnet