Extra care services
Services we commission as at March 2018
The Council tendered contracts during 2018 and now contracts directly with nine schemes effective from 1 April 2019 for two years, plus two optional 12-month extension periods. Funding for a waking night is included within these arrangements. Arrangements in the schemes listed below include five schemes where the housing provider does not deliver care andfour schemes where the housing provider is also the care provider:
- Beacon Park Village, Lichfield
- Brunel Court, Wombourne, Wolverhampton
- Chestnut Grange, Burton-on-Trent
- Jubilee Court, Stafford
- Lea Court, Madeley, Crewe
- MacGregor Tithe, Tamworth
- Mill Rise, Cross Heath, Newcastle-under-Lyme
- School Court, Hednesford, Cannock
- Summerfield Court, Stone, Stafford Borough
The following enhanced sheltered or extra care housing schemes listed on the housingcare website are not commissioned by the council:
- Adlington House, Wolstanton, Newcastle-under-Lyme
- Barton Mew, Barton-under Needwood, East Staffordshire
- Beechwood, May Place, Newcastle-under-Lyme
- Belong, Newcastle-under-Lyme
- Chasewood, Hednesford, Cannock
- Cherry Tree Court, Essington, South Staffordshire
- Corsers Court, Perton, South Staffordshire
- Daisy Haye, Leek
- Deans Park Court, Stafford
- Elmwood, Stafford
- Maywood, Wombourne, Wolverhampton
- Pencric, Penkridge, Stafford
- Standon Gardens, Tamworth
- Vine Court Cannock
In addition to the above arrangements the Council has let two framework agreements across north and south Staffordshire. Within the framework agreements, the Council is looking at the potential for outreach services to be delivered from extra care schemes. These are services that provide community support or personal care and support to individuals that live within a few miles’ radius of an extra care scheme. It is usually delivered by the onsite care staff.
The tender exercise during 2018 included the following six lots:
- Jubilee Court
- MacGregor Tithe
- Mill Rise
- Chestnut Grange
- Framework for Care and Support services for extra care schemes in North Staffordshire:
- Framework for Care and Support services for extra care schemes in South Staffordshire
Lots 1-4 are scheme specific and include contract arrangements for assessed daytime care needs and an additional 11 hours inclusive of 8 hour waking night and 3 hours of unplanned care.
Lots 5 and 6 are for the purpose of individual social care funded packages within extra care schemes within the above contract zones through accessing a framework of providers. This framework will be used for any call off contract for possible future provision, including existing schemes in those contract zones or future schemes.
In other schemes, people with assessed eligible care needs can receive funding through either a direct payment or a managed account.
Contract zones classified as north Staffordshire include the following:
- Zone 1 – East Staffordshire
- Zone 4 – Moorlands north
- Zone 5 – Moorlands south
- Zone 6 - Newcastle
- Zone 7 – Newcastle north
- Zone 8 – Stafford
Contract zones classified as south Staffordshire include the following:
- Zone 2 – Tamworth
- Zone 3 – Lichfield
- Zone 9 – South Staffordshire north
- Zone 10 – South Staffordshire
- Zone 11 – Cannock south
- Zone 12 – Cannock north
These contract zones also align with home care service zones as illustrated in the map below:
Homecare service zones across Staffordshire
Commissioning intentions as at March 2018
Within the framework arrangement, the Council is looking at the potential for Outreach Services to be delivered from extra care schemes. These are services that provide community support or personal care and support to individuals that live in a few miles’ radius of an extra care scheme. It is usually delivered by the onsite care staff.
Providers who are interested in contracting with the council in future should register on the e-Procurement Portal Proactis in order to register their interest. Specific engagement about tender opportunities will be carried out through the Portal.
Key Market Messages
The Council is not currently looking to put capital funding into new extra care developments, or prioritise, through nomination rights, adult social care funded placements within extra care. Currently, we are keen to explore the opportunities offered by and make better use of the potential within existing schemes in Staffordshire. This includes for example the wider use of assistive technology and technology-enabled care. In addition, it includes exploring potential opportunities which we believe exist to support wider needs including respite and reablement or step-down provision, day services and potentially also dementia care (although there is a paucity of evidence of successful models supporting people with complex needs).
As part of the new contract arrangements, the Council is committed to meeting regularly with both contracted care providers and scheme housing providers as part of our ongoing engagement and relationship building. We will also endeavour to engage regularly with the wider care marketplace across Staffordshire digitally and through a range of ongoing events such as the Managers Quality Network Forum and Registered Managers Forum and other workshops and events organised throughout the year identified on our ‘ Market Engagement Opportunities’ page.
We would strongly recommend that providers who are interested in developing or re-developing extra care facilities in Staffordshire reference older people’s housing and care needs using Council intelligence and strategic direction and guidance provided in Local Plans.
We are encouraging organisations to contact us to discuss how we can work with you or act as a consultee, especially if the following apply:
- Care providers who deliver care in extra care schemes wishing to upskill their workforce to support more specialist or innovative care provision.
- Extra care facilities keen to increase extra care capacity where there is unmet need, intention to diversify or innovate, e.g:
- Utilise innovative assistive technology and technology-enabled care approaches to conduct wellbeing checks, provide medication support etc.
- Diversify their provision to meet specific needs, including dementia, respite and reablement or step down provision, day services, people of working age with eligible physical disability and mental health adult social care needs.
- Diversify their provision to provide outreach services etc.
- Staffordshire extra care providers keen to seek further business support on improving how they run their business.
Principles of service provision
Market position statement intelligence provides the evidence base supporting this programme of work.
The Council is continuing the shift towards personalisation and community-based support. To achieve this, the Council aims to:
- Promote a vibrant and sustainable market for the future available to older people and working age adults with disabilities which meets people’s needs which is affordable and is of the right quality.
- Offer newly assessed individuals both choice and control in respect of where they live and increased options in respect of the types of accommodation available, including alternative options to building-based accommodation or services.
- Support individuals in their own homes to participate fully in the same range of community options as other citizens and building on individual and community assets.
- Make timely decisions where there is an assessed need and when individuals are unable to remain independent without significant support in the community to place citizens in building-based accommodation or services.
Nationally and locally the following key pressures in the extra care market have been identified:
- Homecare providers are struggling to recruit and retain an effective workforce and to sustain financial viability, particularly as unemployment in Staffordshire is currently at a significantly low level. This has led to an increased reliance on agency staff.
- The National Living Wage and auto enrolment into the workplace pension scheme introduced additional cost pressures to extra care.
- There is a lack of agreement nationally on the best tenure and care needs mix in this sector.
Further information about extra care services in Staffordshire is available in a printable PDF document.
Housing and home care providers can contact us by emailing the Health and Care engagement inbox: firstname.lastname@example.org
You can also download this document for offline viewing (1 MB)