Whose responsibility? Boundaries of roles and responsibilities in housing with care

This qualitative study looks at how different services, providers and other key players work together in housing with care (HWC) schemes for older people and the impact this has on residents’ quality of life. HWC aims to bring the provision of housing support and care together under one roof and this can bring many benefits to older people with high support needs. However, schemes operate in a complex funding and regulatory environment. There is no single model of HWC, and in some schemes, providers are delivering different services alongside each other.

This is the first UK-wide study to explore the impact of this complexity on residents’ quality of life.

The report:

  • examines evidence of contested boundaries, and looks at the impact which grey areas and gaps can have on older people, especially those with high support needs, their families and frontline staff;
  • considers what is driving the complexity in HWC and how this impacts on the commissioning and management of schemes, and ultimately on residents’ quality of life; and
  • identifies a number of practical ways in which organisations can improve the way they work across boundaries to produce good outcomes for HWC residents.

Published : 31st December 2012

Author : Imogen Blood, Jenny Pannell and Ian Copeman  [ More From This Author ]

Publisher : Joseph Rowntree Foundation  [ More From This Publisher ]

Rights : Joseph Rowntree Foundation

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