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
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Residents live in self-contained apartments or bungalows within a purpose-built development.
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Homes typically include:
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A bedroom, living area, kitchen, and bathroom.
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Adaptations for accessibility, such as grab rails, wheelchair access, or wet rooms.
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Developments often have communal areas like lounges, gardens, and dining facilities.
2. Care and Support Services
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On-site care teams are available 24/7 to provide assistance as needed.
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Services offered include:
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Personal care: Help with bathing, dressing, and medication management.
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Practical support: Housekeeping, laundry, and shopping.
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Social support: Encouragement to engage in activities and build friendships.
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Emergency response systems for added safety and peace of mind.
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3. Flexibility of Care
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Residents can adjust the level of care they receive based on changing needs.
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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
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Independence:
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Residents have their own home, retaining autonomy and privacy.
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Community Atmosphere:
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Access to social activities and communal spaces reduces loneliness and isolation.
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Safety and Security:
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Developments are designed with safety in mind, including secure entrances and 24-hour staffing.
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Cost Efficiency:
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Extra care can be a more affordable alternative to residential care for those who need some but not intensive care.
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Aging in Place:
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Residents can remain in their homes even if their care needs increase, avoiding the need for a disruptive move.
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Who is Extra Care Housing For?
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Older adults, typically aged 55 and over, who want to combine independence with access to care.
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People with physical disabilities or long-term health conditions who need some support.
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Individuals who may feel isolated at home but do not need a care home environment.
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Couples, where one partner requires care but the other does not, allowing them to stay together.
Funding for Extra Care Housing
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Housing Costs:
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Rent, service charges, and utility bills apply.
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Housing Benefit or Universal Credit may cover some or all housing costs for eligible individuals.
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Care Costs:
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Care services are means-tested and may be funded by:
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Local authorities following a care needs and financial assessment.
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Self-funding for those above the financial threshold.
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Direct payments or personal budgets for those managing their own care.
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Purchase Options:
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Some developments offer homes for purchase, shared ownership, or outright rent.
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Regulation and Oversight
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The Care Quality Commission (CQC) regulates the care services provided within extra care housing in England.
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Housing providers must meet standards for accessibility, safety, and maintenance.
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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 |
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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
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Location:
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Proximity to family, friends, or amenities.
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Facilities:
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Assess communal spaces, gardens, and services available.
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Care Services:
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Ensure care plans can adapt to changing needs.
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Costs:
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Understand rental charges, service fees, and care costs.
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Social Environment:
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Look for a vibrant, welcoming community with opportunities for engagement.
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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.