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Current position statement

This Position Statement provides further information regarding the requirements for Adult Social Care in Worcestershire for 2024 to 2029.

Download: Market Position Statement Adult Social Care (PDF)

This Position Statement provides further information regarding the requirements for Supported Living in Worcestershire for 2021-24.

For this Statement, Supported Living is defined as services for individuals who:

• live in shared houses with support
• live in clusters of flats with on-site, often 24/7 support
• live alone with support, the key purpose of which is not personal care but to support with ordinary living skills

Read more in the Supported Living Market Position Statement 2021 – 2024 (PDF)
 

Our Approach and Strategy to Support the Delivery of Services in Adult Social Care:

Download: People commissioning strategy 2024-2029

The allocation of packages of care process can be found in Appendix 3 of your contract (section 1.6, pg. 5).  

1.6 Allocation Process 
(i) Requests for Services shall be made to Service Providers through the Council's brokerage process. 
(ii) The window for responding to brokerage for packages of care shall remain open for a minimum of one hour. 
(iii) The Council shall allocate Services using the following criteria: 

1. Ability to start on the specified date and provide care at the required times and frequency 
2. Lowest price Tier 
3. Highest CQC rating: •1st Outstanding •2nd Good •3rd Not yet inspected or Requires improvement 

Inadequate or suspended, by CQC or the Council, will not be considered. 

You can find our currently hourly rates for payments, and other payment information on our provider payments page.

These are services where the person is a tenant and has specific legal rights to occupy but also require care and/or support to maintain independent living.

Extra Care Housing

1. Primarily targeted at frail older people who demonstrate mental capacity but require care to remain living in the community. Younger people with long term care needs may be appropriate for this setting but generally must be over 55 years.
2. 24-hour staffing is available on site
3. Individuals have their own front door and own facilities, with some shared communal facilities such as a lounge, assisted bathrooms, laundry.
4. The care provided is regulated by the Care Quality Commission (CQC)
5. This setting facilitates individuals who require lower levels of support than Nursing/Residential and offers a practical alternative.
6. Individuals can either own or rent the accommodation.

Supported Housing

1. Accommodation is linked to support, supervision, or care to help people live as independently as possible in the community.
2. 1 – 1 hours can be accessed for individualised support with a provider of choice
3. Single building or cluster of buildings
4. Support can vary widely from 24-hour intensive support to a minimal level per week.
5. Encourages enablement, reablement, progression and independence.
6. Focus on an ordinary life primarily focusing on social care needs.
7. The care provided is regulated by the Care Quality Commission (CQC)

Sheltered Housing

1. Lower level of care needs than Extra Care Housing
2. Can also be known as retirement housing
3. Primarily for older people over the age of 55 years
4. Own front door within a block or close-proximity homes
5. Sometimes there is a Warden/Manager attached to the scheme during the day but otherwise limited onsite staffing and none overnight.
6. Individuals can access bespoke care package.
7. Individuals can be lease holders or tenants; accommodation is a separate charge to care.
8. Meals, personal care, and domestic support are not provided by the scheme and the scheme is not registered by CQC
9. This setting facilitates individuals who primarily require accessible properties; emergency call bell use; opportunities to socialise with others and the use of domiciliary care services for bespoke care.

Additional

• the above are guidelines and exceptions will always exist as all services are designed and delivered slightly differently.
• 'Housing with support’; where individuals receive support services such as call bells, but staff do not provide care.
• 'Housing with care’; where individuals receive personal care services from staff such washing and dressing.
• The services below aren't classified as housing with care.

Nursing Care Home

1. 24-hour care and support.
2. The costs of food and accommodation are included as part of the care costs and the individual does not hold a tenancy but is a resident of the service.
3. Staff offer full support, washing, dressing, toileting, and support at mealtimes.
4. 24-hour medical care from qualified nurses available
5. CQC regulated service
6. This setting facilitates individuals who have significant or complex health conditions which require routine nursing care
7. Costs are higher than Residential Care Homes; these can be funded by NHS continuing health care.
8. Primarily targeted at people above 60, although there are exceptions.
9. Account for 40% of Care Homes

Residential Care Home

1. 24-hour care and support
2. The costs of food and accommodation are included as part of the care costs and the individual does not hold a tenancy but is a resident of the service.
3. Staff offer full support, washing, dressing, toileting, and support at mealtimes.
4. CQC regulated service
5. This setting facilitates individuals who primarily require support to remain safe and attend to their personal care needs and are unable to achieve this within their own homes
6. Medical care is accessed within the wider community, such as the local GP surgery
7. Primarily targeted at people above 60, although there are exceptions.
8. Account for 60% of Care Homes

Further sources of information

• difference between a care home and a nursing home - carehome.co.uk
• specialist housing for older people factsheet - ageuk.org.uk (PDF)
   

Download: Worcestershire County Council Cost of Care Exercise 18+ Domiciliary Care Annex B (PDF)

Download: Worcestershire County Council Cost of Care Exercise 65+ Residential Annex B (PDF)

Download: Market Sustainability Plan - 65+ Care Homes / 18+ Domiciliary Care (Annex C) (PDF)