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Extra Care Housing

Extra care housing in the UK, sometimes called assisted living, is a type of housing designed for older adults or people with disabilities who want to maintain independence while having access to on-site care and support services.

It bridges the gap between fully independent living and residential care, offering a flexible, person-centered approach to housing and care needs.

Key Features of Extra Care Housing

1. Housing Options

  • Residents live in self-contained apartments or bungalows within a purpose-built development.

  • Homes typically include:

    • A bedroom, living area, kitchen, and bathroom.

    • Adaptations for accessibility, such as grab rails, wheelchair access, or wet rooms.

  • Developments often have communal areas like lounges, gardens, and dining facilities.

2. Care and Support Services

  • On-site care teams are available 24/7 to provide assistance as needed.

  • Services offered include:

    • Personal care: Help with bathing, dressing, and medication management.

    • Practical support: Housekeeping, laundry, and shopping.

    • Social support: Encouragement to engage in activities and build friendships.

    • Emergency response systems for added safety and peace of mind.

3. Flexibility of Care

  • Residents can adjust the level of care they receive based on changing needs.

  • Suitable for people with minimal support requirements and those with more complex needs, such as mobility issues or mild dementia.


Benefits of Extra Care Housing

  1. Independence:

    • Residents have their own home, retaining autonomy and privacy.

  2. Community Atmosphere:

    • Access to social activities and communal spaces reduces loneliness and isolation.

  3. Safety and Security:

    • Developments are designed with safety in mind, including secure entrances and 24-hour staffing.

  4. Cost Efficiency:

    • Extra care can be a more affordable alternative to residential care for those who need some but not intensive care.

  5. Aging in Place:

    • Residents can remain in their homes even if their care needs increase, avoiding the need for a disruptive move.


Who is Extra Care Housing For?

  • Older adults, typically aged 55 and over, who want to combine independence with access to care.

  • People with physical disabilities or long-term health conditions who need some support.

  • Individuals who may feel isolated at home but do not need a care home environment.

  • Couples, where one partner requires care but the other does not, allowing them to stay together.


Funding for Extra Care Housing

  1. Housing Costs:

    • Rent, service charges, and utility bills apply.

    • Housing Benefit or Universal Credit may cover some or all housing costs for eligible individuals.

  2. Care Costs:

    • Care services are means-tested and may be funded by:

      • Local authorities following a care needs and financial assessment.

      • Self-funding for those above the financial threshold.

      • Direct payments or personal budgets for those managing their own care.

  3. Purchase Options:

    • Some developments offer homes for purchase, shared ownership, or outright rent.


Regulation and Oversight

  • The Care Quality Commission (CQC) regulates the care services provided within extra care housing in England.

  • Housing providers must meet standards for accessibility, safety, and maintenance.

  • Local authorities often oversee the allocation of places in extra care schemes.


Differences Between Extra Care Housing and Other Options

Feature

Extra Care Housing

Residential Care

Independent Living

Housing Type

Self-contained homes

Communal living in a care home

Private homes

Care Services

On-site, flexible

Provided as part of the service

Not included

Independence Level

High

Low

Very high

Community Facilities

Available

May have shared areas

Limited

Regulation

CQC (care only)

CQC

None


Choosing an Extra Care Scheme

  1. Location:

    • Proximity to family, friends, or amenities.

  2. Facilities:

    • Assess communal spaces, gardens, and services available.

  3. Care Services:

    • Ensure care plans can adapt to changing needs.

  4. Costs:

    • Understand rental charges, service fees, and care costs.

  5. Social Environment:

    • Look for a vibrant, welcoming community with opportunities for engagement.


Conclusion

Extra care housing offers an ideal balance of independence, support, and community for older adults or individuals with care needs. It is a flexible and cost-effective option that promotes well-being, safety, and dignity while allowing residents to retain control over their lives.