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? • Support is to empower & enable • HRS keeps people from being people in including life skills such homeless, returning to a life of as budgeting, employment offending, or accessing other education and training, social statutory services which incur interaction and activities, cleaning other costs to the public purse . and cooking, taking medication • HRS is a preventative service - prevents people needing more costly services.
Consultation findings Accommodation-based services All customer groups • Increased mental health problems • People have higher needs than common, customers identified they used to. were at risk of self-harm and suicide. • The current split of high, medium • A need for an assessment process and low level units needs review. in order to receive the right service Floating support customers first time • Main problems for customers are Older People in managing finances and paying • Mixed messages. the rent, with many at risk of eviction.
Changing needs Latest needs (2014/15) Current mix High needs standard needs low needs (based on 2010 research) High needs Crash pad Standard Refuge Move on (low) 22% 1% 10% 11% 42% 10% 36% 68%
Need for hostel beds- men Older offenders, medical High level physical & Lower need, homeless Some rough sleeping problems (24%) mental health issues, (35%) approx. 50% offenders, some substance misuse tend to be homeless or issues, tend to be in in short-term short term accommodation, tend to accommodation, tend to be between 18 and 44. be 25 to 54. Young and ‘at risk’ (21%) Most likely male class to Self-harming offenders Very high need, physical be ‘at risk’, some (20%) and mental health learning disability, some issues, some learning leaving care, tend to be disability, high risk of living with friends / self-harm / suicide, some family or in short term substance issues, wide accomm, aged 15 to 24 age range (18 to 44.
Need for hostel beds- women Young , ‘at risk’ but low Low need group except that some are ‘at risk’, often living in short need (48%) term accommodation or homeless, tend to be very young (15-24) Unwell, self-harming High mental and physical health problems, very high self-harm and ‘at risk’ (28%) 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 High mental and physical problems, some have substance abuse problems (24%) problems, at risk of self-harm and suicide, likely to be offenders, tend to be homeless or in short-term accommodation, tend to be older (25 to 54)
Need for support at home - men Single, facing eviction At risk of eviction, financial problems, low need in other areas, often not (27%) working, living in a tenancy or private accommodation, a wide age range (25+). Families with financial At risk of eviction, financial problems, low need in other areas, often not problems (19%) working, living in a tenancy or private accommodation, aged between 25 and 44. Single with health Some substance misuse and mental health problems, tend to have a problems (27%) disability, not employed due to poor health, tend to live in a tenancy, some financial problems, tend to be 45+. Young, single in Tend to not be working or sick/disabled, living in temporary temporary accommodation, some substance misuse and financial problems, some learning disabilities and ‘at risk’ ( 18 to 34). accommodation (26%)
Need for support at home - women Families with financial At risk of eviction, financial problems, many clients not problems (24% of females) working, mostly living in tenancies, generally between 25 and 44 years old. Mature, health & financial At risk of eviction, financial problems, mostly sick/disabled, problems (23% of females) some mental health problems and disability, likely to be in a tenancy or private accommodation, aged between 35 and 54. Single with financial Low level of need except for financial problems and at risk problems (37% of females) from eviction, both not working and working, in a tenancy or private accommodation, aged between 18 and 44. Young single and ‘at risk’ All single with a high likelihood of being ‘at risk’, mostly (16% of females) not working and in temporary accommodation, a younger age group (18 to 34).
Other findings…. • There is a need for a small number Units for people with very chaotic behaviour of jointly funded highly staffed units across the county where these • There is a small group of people individuals can be accommodated with extremely high needs and for a short time in order to stabilise chaotic behaviour who cannot be them before moving into more accommodated in traditional hostel traditional hostels accommodation. • Typically will have a history of repeat homelessness, offending behaviour, drug / alcohol misuse and a mental health problem.
Links to SLCC
Supporting Lives Connecting Communities SLCC
HRS Links to SLCC Tier 3 Most HRS customers would not be eligible for Tier 3 support at the time of intervention HRS is a preventative service that helps people regain independence through low level enabling support that delivers Tier 2 prevention and enablement. 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 1 – prevention – linked to community asset based offers (very low level floating support i.e. drop in centres and telephone support)
Transformation of HRS – future vision and the detail
The vision for Short term accommodation based HRS services Assessment Beds. Up to 28 days One Allocated appropriate housing Gateway accommodation based Including some for all HRS high level beds that are jointly funded Services Floating support wrap around and preventative. Time limited intervention
HRS Gateway SCS and Work with February 16 Sep 16 new Cara sector and got to model of contracts SCS & Market for single extended CARA to both Gateway until Sept develop new provider and goes live 2016 model system
HRS Re-commissioning timeline for STABs and Floating Support October 2015. Out to market. All services commissioned at maximum hourly rate of £17. October 2015 to April 2016. This measured approach Ongoing work to assess needs and discussion with strategic partners enables continued including options re future joint collaborative working with funding . providers to maintain April 2016. stability, ensure that Framework agreements in place. services meet need, that any risk is minimised as Collaborative work with successful providers and wider sector will much as possible continue to redesign services. April 2017 Call off contracts in place for redesigned services.
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 of 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
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