Suffolk County Council Future service models and timescales What is - - PowerPoint PPT Presentation

Transforming Housing Related Support Suffolk County Council

Future service models and timescales

What is HRS and who is using it

What is HRS?

HRS helps a variety of different people to attain and sustain accommodation and/or independent living. 21 different client groups in all. HRS currently provides support to 6,276 people across Suffolk either through floating support or accommodation based support, including people living in sheltered housing.

What is HRS?

• HRS keeps people from being

homeless, returning to a life of

• ffending, or accessing other

statutory services which incur

• ther costs to the public purse.
• Support is to empower & enable

people in including life skills such as budgeting, employment education and training, social interaction and activities, cleaning and cooking, taking medication

• HRS is a preventative service -

prevents people needing more costly services.

Consultation findings

All customer groups

• People have higher needs than

they used to.

• The current split of high, medium

and low level units needs review. Floating support customers

• Main problems for customers are

in managing finances and paying the rent, with many at risk of eviction. Accommodation-based services

• Increased mental health problems

common, customers identified were at risk of self-harm and suicide.

• A need for an assessment process

in order to receive the right service first time Older People

• Mixed messages.

Changing needs

10% 1% 68% 10% 11%

Current mix (based on 2010 research)

High needs Crash pad Standard Refuge Move on (low) 22% 36% 42%

Latest needs (2014/15)

High needs standard needs low needs

Need for hostel beds- men

Older offenders, medical problems (24%) High level physical & mental health issues, some substance misuse issues, tend to be in short term accommodation, tend to be 25 to 54. Self-harming offenders (20%) Very high need, physical and mental health issues, some learning disability, high risk of self-harm / suicide, some substance issues, wide age range (18 to 44. Lower need, homeless (35%) Some rough sleeping

• approx. 50% offenders,

tend to be homeless or in short-term accommodation, tend to be between 18 and 44. Young and ‘at risk’ (21%) Most likely male class to be ‘at risk’, some learning disability, some leaving care, tend to be living with friends / family or in short term accomm, aged 15 to 24

Need for hostel beds- women

Young, ‘at risk’ but low need (48%) Low need group except that some are ‘at risk’, often living in short term accommodation or homeless, tend to be very young (15-24) Unwell, self-harming and ‘at risk’ (28%) High mental and physical health problems, very high self-harm and suicide risk, also ‘at risk’ with some leaving care, tend to be living with friends / family or in short-term accommodation, tend to be young (15-24) Complex, mental health problems (24%) High mental and physical problems, some have substance abuse problems, at risk of self-harm and suicide, likely to be offenders, tend to be homeless or in short-term accommodation, tend to be

• lder (25 to 54)

Need for support at home - men

Single, facing eviction (27%) At risk of eviction, financial problems, low need in other areas, often not working, living in a tenancy or private accommodation, a wide age range (25+). Families with financial problems (19%) At risk of eviction, financial problems, low need in other areas, often not working, living in a tenancy or private accommodation, aged between 25 and 44. Single with health problems (27%) Some substance misuse and mental health problems, tend to have a disability, not employed due to poor health, tend to live in a tenancy, some financial problems, tend to be 45+. Young, single in temporary accommodation (26%) Tend to not be working or sick/disabled, living in temporary accommodation, some substance misuse and financial problems, some learning disabilities and ‘at risk’ (18 to 34).

Need for support at home - women

Families with financial problems (24% of females) At risk of eviction, financial problems, many clients not working, mostly living in tenancies, generally between 25 and 44 years old. Mature, health & financial problems (23% of females) At risk of eviction, financial problems, mostly sick/disabled, some mental health problems and disability, likely to be in a tenancy or private accommodation, aged between 35 and 54. Single with financial problems (37% of females) Low level of need except for financial problems and at risk from eviction, both not working and working, in a tenancy

• r private accommodation, aged between 18 and 44.

Young single and ‘at risk’ (16% of females) All single with a high likelihood of being ‘at risk’, mostly not working and in temporary accommodation, a younger age group (18 to 34).

Other findings….

Units for people with very chaotic behaviour

• There is a small group of people

with extremely high needs and chaotic behaviour who cannot be accommodated in traditional hostel accommodation.

• Typically will have a history of

repeat homelessness, offending behaviour, drug / alcohol misuse and a mental health problem.

• There is a need for a small number
• f jointly funded highly staffed units

across the county where these individuals can be accommodated for a short time in order to stabilise them before moving into more traditional hostels

Links to SLCC

Supporting Lives Connecting Communities

SLCC

HRS is a preventative service that helps people regain independence through low level enabling support that delivers prevention and enablement.

Tier 1 – prevention – linked to community asset based offers (very low level floating support i.e. drop in centres and telephone support) Tier 2 Most of customers fall in to Tier 2 HRS provides short term crisis and preventative support for DV, drug & alcohol, older people and the homeless Tier 3 Most HRS customers would not be eligible for Tier 3 support at the time of intervention

HRS Links to SLCC

Transformation of HRS – future vision and the detail

The vision for Short term accommodation based HRS services

One Gateway for all HRS Services

Assessment Beds. Up to 28 days Allocated appropriate housing accommodation based Including some high level beds that are jointly funded Floating support wrap around and

• preventative. Time

limited intervention

HRS Gateway

SCS and Cara contracts extended until Sept 2016 Work with sector and SCS & CARA to develop new model February 16 got to Market for both provider and system Sep 16 new model of single Gateway goes live

October 2015. Out to market. All services commissioned at maximum hourly rate of £17. October 2015 to April 2016. Ongoing work to assess needs and discussion with strategic partners including options re future joint funding. April 2016. Framework agreements in place. Collaborative work with successful providers and wider sector will continue to redesign services. April 2017 Call off contracts in place for redesigned services.

HRS Re-commissioning timeline for STABs and Floating Support

This measured approach enables continued collaborative working with providers to maintain stability, ensure that services meet need, that any risk is minimised as much as possible

New underpinning principals

• There will be no block contracts

for HRS services in future.

• Services will be commissioned

using a framework agreement to provide flexibility.

• HRS services will be

commissioned based on clearly defined outcomes for individuals, with agreed time limits.

New underpinning principals (continued)

• HRS will deliver a person-centred outcome-

based service that can be flexed according to changing needs.

• Other stakeholders, District Councils, Public

Health, Probation, Mental Health Trusts have a legitimate interest in changes to the services commissioned.

• SCC will look to other agencies involved to

contribute where applicable

• SCC is committed to ensuring that providers

can pay a living wage.

Assessing need for services

• Work has begun to needs assessments in respect of all individuals in receipt
• f housing support services. These assessments will involve the following:
• Service visits
• Interviews with front line staff
• sample interviews with a range of customers at each service.
• Interviews with partners where appropriate
• Analysis of performance returns and SQT quality visit findings
• This work will be completed by September 2016.

Accommodation-based services (short- term)

Short-term accommodation-based services

• We will go to market in October 2015 for a framework of

accommodation-based providers who can provide suitable accommodation.

• Suitable accommodation can include:
• Hostel style provision
• Shared houses
• Self contained flats
• Mixture of above
• Unit numbers will remain as existing and we will specify the number of units

required for each accommodation-based service when the tender issued.

• If the support provider is different to the landlord then there needs to be a

lease or mgmt. agreement between the two for HB purposes

Short-term accommodation-based services

• From April 2016, payment will be based on agreed hourly rate, 5 hours per

person per week for non-24-hour and 7 hours per person per week for 24- hour support.

• Bidders will find themselves better placed to submit prices which are lower

than the current standard price of £17.00 per hour.

• Unit numbers and hours to stay as existing until reconfiguration work

complete.

• From April 2016, successful providers will be on a framework agreement.
• New call off contracts for services once new models agreed.

Short-term acc-based services (bar DV)

• Successful providers must be prepared to work collaboratively with SCC

from April to September 2016 in order to co-design new system based on following:

• Assessment stage
• High level intensive beds to be agreed (joint funded)
• Generic beds based on basket of hours
• Close links to floating support available both pre and post acc-based stage –

continuous pathway. picture

• Following slides set out the above in more detail

Assessment stage

• First step ‘triage’ type assessment by skilled staff at new Gateway. Decision

made whether to signpost to e.g. CAB etc for short-term help, refer to preventative floating support, or refer to acc-based service in area, which will accept the level of needs that the individual presents with.

• Each provider required to take referral for minimum 24 hours and maximum

28 days while they conduct an agreed assessment process.

• At end of 28 days provider reports back to Gateway re whether they can

keep the referral. If not, the individual is moved to a more suitable service.

• Whole process overseen by multi-agency review panel.
• Requirement for providers to participate in above included in new

specifications.

High needs beds

• Not in scope to tender from September 2016.
• We will work with providers, districts and local agencies to determine how

many are needed in each area and what other funding is available.

• Aim is to develop multi-agency partnerships to oversee and possibly joint

fund

• We will also assess appetite for joint funded preventative rough sleeping

service

All other accommodation-based units

• Providers on framework agreement with call off contracts.
• We will complete light touch needs assessments to find out current level of

needs in acc-based services.

• We will examine current service utilisation, outcomes etc., to establish the

current amount of acc-based units.

• Once we know the mix of needs in terms of high, medium and low, and are

sure about numbers, we will apportion these out across all services.

Floating support

Floating support

• We will go to market in October 15 for a generic floating support service.
• Bidders will find themselves better placed to submit prices which are lower

than the current standard price of £17.00 per hour.

• Floating support delivered on needs-led basket of hours based on initial max

3 months duration

• Providers on framework agreement with call off contracts from April 2016.
• Specialist skills (e.g. for older people with mental health problems) will be

required as part of wider floating support service.

Floating support

• First step is a ‘triage’ type assessment by skilled staff at new Gateway.

Decision then made re whether to signpost to e.g. CAB etc for short-term help, or refer to HRS floating support service

• People who require longer must have approval from SCC/Gateway following

review

• Services to work closely with Housing Options and offer support to keep

people at home and not in hostels.

Domestic Abuse services

• We will go to market in October 2015 for a framework of providers who can

provide accommodation-based support and can offer appropriate accommodation.

• From April 2016, payment will be based on max £17 per hour, 5 hours pp

per week for non-24-hour and 7 hours pp per week for 24-hour support. Unit numbers to stay the same for now.

• A separate strategic review of DA services is already underway and will

inform future call-off contracts. Existing providers and key partners will be asked to contribute to this review.

• Providers on framework agreement with call off contracts.

Young people

• Ongoing work with CYP re:
• Ensuring seamless joint working where possible between CYP and HRS

Young Persons Pathways.

• Need to retain crash pads as part of service model for young people.

Community Engagement

• New specs will require providers to signpost to meaningful day time activities

and measure as an outcome.

• Building on Chapman Centre model and linking into Connect Ipswich,

Connect Sudbury and Lowestoft Rising.

Questions

• What 3 key outcomes should we focus on for HRS?
• Suggestions for engaging with customers during this period of

change?