Challenges: Where do we want to be in 2025? · The outcomes from each engagement session using the...
Transcript of Challenges: Where do we want to be in 2025? · The outcomes from each engagement session using the...
Information Classification: PUBLIC
Challenges: Where do we want to be in 2025? A series of engagement sessions were held prior to and over the main three month consultation phase using the framework identified through previous consultation: i.e. Excellence in Homelessness Services; Preventing Homelessness; Homeless Interventions; and Recovering from Homelessness. These engagement sessions were with a range of stakeholders including service users, frontline staff and senior officers. The outcomes from each engagement session using the framework are described below. It became clear when analysing the outcomes that three main ‘principles’ or ‘themes’ ran throughout the sessions as follows – and each are colour coded in the tables below and will be used to influence Cornwall’s new Strategy.
Putting the Person at the centre
Transformation and Continual Improvement
Working Together Any comments relating to where we want to be by 2025 in terms of homelessness and rough sleeping have been colour coded to ‘Vision’.
Approach 1: Operational Delivery
Engagement Event Challenge Response Influence
MHCLG Feedback on implementation of Homelessness Reduction Act 4th April
Process driven to date but now need to concentrate on user perspective, more up front discussions of support client needs to open up more preventative work, need more learning from cases, staff as problem solvers to meet individual needs
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as meeting specific needs
Person centred approach (P) System transformation
Learning from experiences/cases – for system transformation and staff training
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
United in strategies – more joined up working - less homelessness – clear communication
Fill in the gaps – some people do not fit any criteria
More complex needs/dual diagnosis services
Client should always come first – regardless/human element
Duty to prevent abuse in services – client -> client
No conditions attached to services
Universal database for all services e.g. Inform/Jigsaw
Reduce barriers to referral services – no wrong door approach and choice
A developed support/supervision service for the homelessness workers (commissioners recognise value of staff wellbeing) – an agreed value base to design homelessness services from
Trauma informed services
Understanding of ACEs
All clients are eligible for a service
Single partnership care plan with one lead agency
Co-production
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as being able to work with clients with complex needs and better information sharing
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Person centred approach
Work with all homeless (including those without recourse to public funds and/or no local connections) (P)
Working together
Improved partnership working – all to commit to playing role (P)
Agencies to work with those with multiple needs (I/R)
Improved data sharing (P)
Improved communication between agencies (P) System transformation
Learning from experiences/cases – for system transformation and staff training (P)
Rough Sleeping System Transformation Workshop – 12th April Other - Map –
High Risk Behaviours Panel
Prevention Nos Da project
Complex needs meetings in some towns
Homelessness charter MOU
Cornwall Rough Sleeper Operational Group
No-one has to sleep rough within next 2 years Other - Gap –
Strategic Homelessness Forum
Integrated service – upstream and downstream
Limited awareness of services
Lived experience – input in to system change
Ability to track peoples journey
Journey of clients in one database
Self-help and self-service
User led projects and provisions
Variable provision across Cornwall
Voices from the front line
Voluntary Community Sector and community role in provision unclear and uncoordinated Other - Challenges –
Access to online services
Short term funding
Political buy-in
Lack of tolerance
Commissioning approaches – prevents open dialogue?
Market capacity
Universal credit
Separate strategies – homeless and mental health
Staffing resource
Changing needs and complexity
MPs/community opposition sometimes stunts growth/opportunity for services
Vision – challenge is to make this happen within the lifetime of the new strategy. Absolute zero generally not possible as the desire to rough sleep can be personal choice but measures will be put in place to ensure that no-one HAS to sleep rough
Identified need for strategic overview – link to outcomes from recent Government consultation on ‘Tackling Homelessness Together’ and the proposals around homelessness reduction boards
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as more person centred working, better sharing of information and working with those with complex needs
Reflects current professional thinking in relation to multi-agency working and the short term nature of funding inhibiting long term planning
Vision Working together
Strategic accountability
Improved partnership working – all to commit to playing role
Improved working with voluntary and community sector
Public perceptions
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Role of commissioning System transformation
Improved communication for those who may be affected by homelessness
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Serious case reviews – learn lessons
Information Classification: PUBLIC
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Co-location – sharing office space, partnership agreements across Cornwall (Direct Access has multi agency support space)
Reviewing Homelessness Charter - No one has to sleep rough – emergency provision – safe place – assess and move on schemes
Everyone has a right to a home – council has the right to accommodate regardless of priority need – temporary accommodation (might not be) provided to all single homeless approaches – TA strategy, support until move on to other
Prevention & Engagement Teams accessible 24/7
Vision – challenge is to make this happen within the lifetime of the new strategy. Absolute zero generally not possible as the desire to rough sleep can be personal choice but measures will be put in place to ensure that no-one HAS to sleep rough
Reflects current professional thinking in relation to multi-agency working and co-location
Co-location of services
Improved partnership working – all to commit to playing role
Vision
24/7 help
Crisis Care Concordat 21st May Referrals – don’t fit vulnerable persons criteria especially those with psychosis – can be an operational issue Reflects many of the key messages arising out of the key stakeholder and service user surveys such as more person centred working, better sharing of information and working with those with complex needs
Person centred approach
C&IOS Executive Group 23rd May
No rough sleeping within the lifetime of the new strategy (2 years) Vision – challenge is to make this happen within the lifetime of the new strategy. Absolute zero generally not possible as the desire to rough sleep can be personal choice but measures will be put in place to ensure that no-one HAS to sleep rough
Vision
Cosgarne 4th June Access to Housing Options – frustration of communication via phone Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues
Improved communication for those who may be affected by homelessness
Health for Homeless 5th June Issues with key workers contacting named housing case worker – story of one such incidence where social worker was told the applicant would have to start application process again and call centre refused to put social worker through (56 days may have expired..?)
Duty to refer – no feedback received following referral
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Safeguarding Children’s Board 6th June
Need to link into review of support commissioning particularly for 16-17 year olds Improved partnership working – all to commit to playing role
Role of commissioning
Event at Coastline Offices 26th June (looked at in terms of excellence in homelessness services) (bold highlights are the main points picked out in workshops)
All households owed relief duty provided with suitable offer of temporary accommodation
General awareness across Cornwall of what services are available and how to access them
Easy to access services
If a client asks any council employee about housing they can help them get in contact with excellent empathic advice
A leading authority delivering the best service
Nos Da Kernow model to be extended to FWC
Mirror the national Rough Sleeping Reduction Strategy
Linked in – working with service users sharing important information
Funding and staff to deliver
Joint approach within individual organisations
Person centred
Client led support
A fully funded linked in joint approach with all agencies and sharing information
Needs to be a floating support service available
An action plan to stop the ‘hot potato’ effect and constant revolving door
Dedicated multi agency or multi skilled workers and/or mobile hub – address multitude of issues with 1 presentation to the service
Needs to be new not rehash of same – look to innovative ideas – may need to look at commissioning models
Secondment to specialist services
Care coordination done through county level
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, person centred, multi-agency working etc.
Effective referrals
Improved partnership working – all to commit to playing role
Improved communication for those who may be affected by homelessness
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Role of commissioning
Vision
Person centred approach
Cornwall Rough Sleepers Operational Group 12th July
Housing First – some issues with finding accommodation due to s106 criteria
Housing First for young people in Scotland – project underway – is there any learning we can take from this?
Links into local connection blockages and review of Allocations Policy
Improved partnership working – all to commit to playing role
Strategic accountability
Event at St Petroc’s 16th July (staff and service users)
A free phone number that is known to all that could act as a gateway to all services would be really helpful
Somewhere central in each town in Cornwall that everyone could go to – and can then be directed to help from there;
Issues with Homechoice – when need to change address had to make a new application – or if you change your address the system doesn’t recognise you…
Homechoice – if someone needs to get ID this can take some time – which means the application is put on hold and the applicant has to phone in again to restart the process. DWP use historical data on customers to verify ID so no hold up in processing an application – why can’t Homechoice do the same?
Co-location work between CHL and outreach – much better outcomes and working well
If St Petroc’s contact Council to support vulnerable clients – need to recognise vulnerability. It take such a long time and often have to chase for a response – if goes into out of hours this can create difficulties with clients in terms of getting scripts etc. as don’t know where they may be going. System doesn’t really work for this client group – but dedicated CHL officers can get faster responses – should be same through all routes. Would be good to improve working relationship – more work shadowing by CHL staff? More trauma informed training generally.
Local connection – is an issue to get people housed. Many are fleeing abuse/situation at home – some have a crime number but others just go for their own safety and don’t and this can be a real issue – there needs to be more understanding on why people end up in Cornwall without a local connection.
Should expand NDK service
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, operational issues, etc.
Improved communication for those who may be affected by homelessness
Co-location of services
Learning from experiences/cases – for system transformation and staff training
PROCESSES DO NOT WORK FOR MOST COMPLEX ROUGH SLEEPERS
Information Classification: PUBLIC
Event at CN4C 18th July (service users/those with experience of homelessness)
Local connection issues
Disrepair – work with PSHT when issues of disrepair but if evicted as a result need to work with another team – needs more joining up/continuation of case
Navigator role could work but they could very easily get overwhelmed
Should be able to share information more widely with service users permission
Help with paying deposits – needs to be much quicker as when person finds their own accommodation need deposit/answer in couple of days otherwise landlord won’t keep – landlords know Council takes forever and this makes them reluctant in the first place ….
Feel men with children are often treated differently
Homechoice – delays to system in getting changes made/passwords changed, really clunky system. Some don’t bother with Homechoice as easier to go directly to letting agencies, find a property and then seek help with deposits/rent in advance. Coastline system seems easier to use.
Better understanding of housing benefit which comes in 13x4 week blocks – landlords do calendar months and although evens out over the year can be difficult for some households to manage this
Links into local connection blockages and review of Allocations Policy
Links to ‘navigator’ roles and consistency of support worker to navigate through the system
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, data sharing, operational issues, etc.
Person centred approach
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Approach 2: Communication
Engagement Event Challenge Response Influence
MHCLG Feedback on implementation of Homelessness reduction Act 4th April
Face to face is key as cannot pick up on issues such as domestic abuse over phone – rurality is an issue but needs ways round this. Regular communication – even if nothing to update on, better sign offs/handovers between sections, consistent messages, not having to repeat story unless want to
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues and better sharing of information
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
Offering face to face meetings
All agencies attending consultations
Honesty with clients and other agencies
Shadow different agencies
Accurate notes and acting on actions
Better communication routes between services, clearer guidelines around sharing information
Reduce work duplications
One profile for clients – sharing databases
Co-location – 1 system, shared agreement, method of bypassing GDPR, methodology of shared info and agreed support
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, co-location and better sharing of information
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Co-location of services
Improved working with voluntary and community sector
Learning from experiences/cases – for system transformation and staff training
Rough Sleeping System Transformation Workshop – 12th April
Other - Gap -
Limited awareness of services
Lived experience – input in to system change
Ability to track peoples journey
Journey of clients in one database
Self-help and self-service
User led projects and provisions
Voices from the front line
Voluntary Community Sector and community role in provision unclear and uncoordinated Other - Challenges –
Public perception – mix of ASB and rough sleeping
Access to online services
Media
MPs/community opposition sometimes stunts growth/opportunity for services
Lack of awareness in whose responsibility and strategies by elected members
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues and better sharing of information
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Improved working with voluntary and community sector
Public perceptions
Learning from experiences/cases – for system transformation and staff training
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Upstream prevention – corporate buy in, awareness raising
Schools – need to do more around housing issues, money management, peer support (Media School at University may have done something in the past, e.g. game of life for housing
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Improved working with voluntary and community sector
Safeguarding Children’s Board 6th June
Questionnaires should be simpler and available in several languages
Need to link into review of support commissioning particularly for 16-17 year olds
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Improved partnership working
Event at Coastline Offices 26th June (looked at in terms of excellence in homelessness services) (bold highlights are the main points picked out in workshops)
General awareness across Cornwall of what services are available and how to access them
Easy to access services
If a client asks any council employee about housing they can help them get in contact with excellent empathic advice
Linked in – working with service users sharing important information
Person centred
Client led support
A fully funded linked in joint approach with all agencies and sharing information
Dedicated ‘single’ consent form
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, partnership working, person centred
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Person centred approach
Improved data sharing
Homelessness Round table 27th June
Good news stories – need to promote what we do but need Comms to work with us – focus on the positive not the negative
Trust – tell your story once
Those who have been supported – could we pay them to undertake work/speak to current RS?
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, learning from experience
Public perceptions
Improved data sharing
Improved communication
Information Classification: PUBLIC
Learning from experiences/cases – for system transformation and staff training
Event at St Petroc’s 16th July (staff and service users)
Understanding of customer’s point of view – they are continually being let down by the system which leads to frustration, anger, withdrawal – this is exacerbated when you are homeless
Public should be aware that homelessness can happen to anyone and that many people are only one pay check away… and that it not only of concern at Christmas but is an issues all year round – need ongoing publicity campaign, use of case studies, media e.g. following outreach workers around – would help to reduce public fear of homeless people.
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, learning from experience
Public perceptions
Improved communication
Learning from experiences/cases – for system transformation and staff training
Event at CN4C 18th July (service users/those with experience of homelessness)
Better understanding that when a person is homeless they feel very exposed
Face to face communication definitely
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, learning from experience
Public perceptions
Improved communication
Learning from experiences/cases – for system transformation and staff training
Approach 3: Developing an Evidence Base
Engagement Event Challenge Response Influence
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
Shared computer system (think it would be difficult for all providers to agree)
Encourage regular case studies to review services/pathways – increase in all services providing regular case studies (success and failure)
Keeping information within recent dates
SROI (social return on investment)
Encourage ‘evidence generating practice (EGP)
Proactive feedback to service users when refused service or upon successful completion of support
Cornwall as a rural setting needs case studies that reflect this
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues and better sharing of information
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Rough Sleeping System Transformation Workshop – 12th April
Other - Gap -
Ability to track peoples journey
Journey of clients in one database
User led projects and provisions
Voices from the front line Other - Challenges –
Changing needs and complexity
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues and better sharing of information
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Monitoring – real monitoring – sometimes small interventions can make a massive difference – how do we measure this? Links to person centred approach Learning from experiences/cases – for system transformation and staff training
Homeless Network 6th June CWP, church breakfasts/suppers – numbers have decreased but showing an increase at the moment – and lots of new faces – what are the reasons?
Should we be counting how many people we have helped rather than how many rough sleepers there are?
Local connection criteria is an issue
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as better sharing of information
Improved data sharing
Learning from experiences/cases – for system transformation and staff training
Event at Coastline Offices 26th June (looked at in terms of excellence in homelessness services) (bold highlights are the main points picked out in workshops)
Nos Da Kernow model to be extended to FWC
Whole system change – get genuine buy in from all Partners
Each organisation must detail what their offer is to help case the problem
Linked in – working with service users sharing important information
Joint approach within individual organisations
Person centred
Client led support
A fully funded linked in joint approach with all agencies and sharing information
Accountability by agencies
An action plan to stop the ‘hot potato’ effect and constant revolving door
Dedicated ‘single’ consent form
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as better sharing of information
Improved data sharing
Learning from experiences/cases – for system transformation and staff training
Person centred approach
Improved partnership working – all to commit to playing role
Homelessness Round Table 27th June
Intelligence for those on register with a homelessness duty – was it a perceived risk or an active risk? Need to change behaviours towards this
Improved data sharing
Learning from experiences/cases – for system transformation and staff training
Approach 4: Building Resilience
Engagement Event Challenge Response Influence
MHCLG Feedback on implementation of Homelessness reduction Act 4th April
Key is flow – more prevention and faster move on from temporary accommodation
PRS – need one offer not multiple as currently
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Agree can be confusing
Person centred approach
Improved partnership working – all to commit to playing role
Learning from experiences/cases – for system transformation and staff training
Move on towards independent living should be a priority for those that become homeless
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
All providers deliver programmes (accredited) on tenancy sustainment
Anyone in the community can access support/education that helps them to live in the world – money management, life skills, housing related
Better support for frontline staff reflecting practice, exit interventions and minimal supervision
Where accommodation and housing related support are required they should be provided by the same organisation
Co-location
Housing providers in Cornwall are working on a ‘Cornwall’ version of an accredited scheme that will be recognised by all providers locally
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as better
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Improved working with voluntary and community sector
Building resilience of those that might struggle with maintaining a tenancy
Information Classification: PUBLIC
Ending short term prison sentences sharing of information, multi-agency working, co-location and learning from experience
Improve outcomes for those discharged from prison who are likely to become homeless on discharge
Co-location of services
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Co-location – sharing office space, partnership agreements across Cornwall
‘Spend to save’ – how much would we save if we offered incentives to landlords rather than spend on temporary accom? HACT tool… how do we monitor this…
Who can make referrals – GPs
Simple interventions can make significant impact – e.g. helping someone access UC
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as better sharing of information, multi-agency working, co-location and learning from experience
Co-location of services
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Improved working with voluntary and community sector
Building resilience of those that might struggle with maintaining a tenancy
C&IOS Executive Group 23rd May
The need for business to consider what role they can play, for example in recruiting homeless people.
Universal Credit funding for skills is available to build pilots based on special needs – NK to provide details.
There are good examples we could learn from in other parts of the country - Section 106 agreements to put hours into community activity rather than funding; Only a Pavement Away – NK to share details.
JO to provide details of opportunities to work through Work Skills Academy to provide construction skills
The homeless should be included in inclusivity agenda work being led by St Petroc’s, the LEP and Sarah Newton MP. KC to explore and open dialogue with employers who are struggling to recruit.
KK highlighted that funding model for housing with support may be prohibitive for those seeking to gain employment. A pathway that makes progress on all aspects of improving lifestyle, not just housing, is needed with an appropriate model of funding and investment. There is a need to consider what more could be achieved through joint funding across agencies.
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working and learning from experience
Strategic accountability
Building resilience of those that might struggle with maintaining a tenancy
Better partnership working to help those that need support moving toward independent living
Continue to lobby Government for changes that will improve services for those that experience homelessness
Homeless Network 6th June DISC are helping quite a few families struggling with housing costs (preventative work) Example of what can be achieved by an organisation in the Voluntary & Community Sector
Improved working with voluntary and community sector
Building resilience of those that might struggle with maintaining a tenancy
Event at Coastline Offices 26th June (looked at in terms of excellence in homelessness services) (bold highlights are the main points picked out in workshops)
All households owed relief duty provided with suitable offer of temporary accommodation
General awareness across Cornwall of what services are available and how to access them
Easy to access services
If a client asks any council employee about housing they can help them get in contact with excellent empathic advice
Supply and demand model for Cornwall Council have a wider variety of housing options available (including greater???)
Social housing a realistic prospect for more households
Nos Da Kernow model to be extended to FWC
Annual meeting with all stakeholders – attached to funding – that is mandatory
Whole system change – get genuine buy in from all Partners
Mirror the national Rough Sleeping Reduction Strategy
Each organisation must detail what their offer is to help case the problem
If partners don’t engage and work with the Council then the Council should not use them as Partners in other areas of the Council’s operation. If HAs don’t engage stop allowing them to develop in Cornwall
Linked in – working with service users sharing important information
Funding and staff to deliver
Joint approach within individual organisations
Person centred
Client led support
A fully funded linked in joint approach with all agencies and sharing information
Needs to be a floating support service available
Accountability by agencies
An action plan to stop the ‘hot potato’ effect and constant revolving door
Dedicated multi agency or multi skilled workers and/or mobile hub – address multitude of issues with 1 presentation to the service
Dedicated ‘single’ consent form
Needs to be new not rehash of same – look to innovative ideas – may need to look at commissioning models
Secondment to specialist services
Care coordination done through county level
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, partnership working, person centred
Housing providers in Cornwall are working on a ‘Cornwall’ version of an accredited scheme that will be recognised by all providers locally
Learning from experiences/cases – for system transformation and staff training
Improved communication
Building resilience of those that might struggle with maintaining a tenancy
Strategic accountability
Person centred approach
Better partnership working – all to commit to playing role
Improved working with voluntary and community sector
Homelessness Round Table 27th June
Building resilience – not quick, can take years and needs to start as early as possible
Short term funding
Pre-tenancy training – getting tenancy ready
Bidding for funding – are all partners involved and happy with their level of engagement – would an online forum to quickly gather information be useful?
Those who have been supported – could we pay them to undertake work/speak to current RS? Gateway for opportunities?
Former tenant arrears and behaviours
Unable to sustain tenancy due to seasonal work and accommodation linked to work
Unable to afford social rent
Challenge around Universal Credit
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, partnership working, person centred
Housing providers in Cornwall are working on a ‘Cornwall’ version of an accredited scheme that will be recognised by all providers locally
Building resilience of those that might struggle with maintaining a tenancy
Support required for as long as is needed
Continue to lobby Government for changes that will improve services for those that experience homelessness
Better partnership working – all to commit to playing role
Improved working with voluntary and community sector
Learning from experiences/cases – for system transformation and staff training
Strategic accountability
Event at St Petroc’s 16th July (staff and service users)
Pre-tenancy training – should be linked to landlord incentive schemes
Boredom and loneliness can be an issue for people when they are housed after a long period of rough sleeping – need easy access to courses, volunteering opportunities – or someone to talk to when they need a bit of support. Finding a home does not solve all issues – need more ongoing support when it is needed (suggested weekly). People who have been rough sleeping for long periods of time need space to learn to trust people/agencies again – and to trust themselves – but do need to be some way along road to recovery before this can happen.
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as building resilience, person centred, operational issues, etc.
Housing providers in Cornwall are working on a ‘Cornwall’ version of an accredited scheme that will be recognised by all providers locally
Building resilience of those that might struggle with maintaining a tenancy
Support required for as long as is needed
Continue to lobby Government for changes that will improve services for those that experience homelessness
Information Classification: PUBLIC
Blocks on work when in supported accommodation – can act as a deterrent. Also if do find work there should be at least a 3 month transitional window before having to leave as new job and new home can be traumatic for vulnerable people
Approach 5: Partnership Working
Engagement Event Challenge Response Influence
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
Safeguarding funding for continuation of current projects around partnership working
Long term funds to find tools/resources to be used within the CRSOG, i.e. long term STAR, Housing First
Everyone in the room – cross agency service agreement
Cross agency assessment tool/risk assessment to reduce duplication
Dual diagnosis outreach service made up of qualified mental health worker and drug & alcohol workers
Mental health workers working within other services and supported housing projects
Commissioners recognising value of staff wellbeing
Plymouth Alliance Scheme – sharing commissioning services and loose contracts and 10 years
No wrong door approach
Transparency – one database for all agencies (common portal)
Statutory parties should be at all conversations
3rd sector already partnership working
More transparency from stat agencies – less gatekeeping
Multi agency complex needs strategy
Reflects current professional thinking in relation to multi-agency working and the short term nature of funding inhibiting long term planning
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as better sharing of information, multi-agency working, working with those with complex needs and learning from experience
Strategic accountability
Improved partnership working – all to commit to playing role
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Improved working with voluntary and community sector
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Role of commissioning
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Co-location – sharing office space, partnership agreements across Cornwall;
Reviewing Homelessness Charter - No one has to sleep rough – emergency provision – safe place – assess and move on schemes
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, co-location and learning from experience
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Co-location of services
Improved partnership working – all to commit to playing role
Vision
Strategic accountability
Move on towards independent living should be a priority for those that become homeless
C&IOS Executive Group 23rd May
Homelessness review should capture the opportunities for partnership working and should identify outcomes that the strategy is on track rather than simply waiting for count of rough sleepers.
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, co-location and learning from experience
Regular monitoring to ensure strategy is working to resolve current issues
Improved partnership working – all to commit to playing role
Vision
Strategic accountability
Event at Coastline Offices 26th June (looked at in terms of excellence in homelessness services) (bold highlights are the main points picked out in workshops)
General awareness across Cornwall of what services are available and how to access them
Easy to access services
If a client asks any council employee about housing they can help them get in contact with excellent empathic advice
Nos Da Kernow model to be extended to FWC
Annual meeting with all stakeholders – attached to funding – that is mandatory
Whole system change – get genuine buy in from all Partners
Each organisation must detail what their offer is to help case the problem
If partners don’t engage and work with the Council then the Council should not use them as Partners in other areas of the Council’s operation. If HAs don’t engage stop allowing them to develop in Cornwall
Linked in – working with service users sharing important information
Funding and staff to deliver
Joint approach within individual organisations
Person centred
Client led support
A fully funded linked in joint approach with all agencies and sharing information
Needs to be a floating support service available
Accountability by agencies
An action plan to stop the ‘hot potato’ effect and constant revolving door
Dedicated multi agency or multi skilled workers and/or mobile hub – address multitude of issues with 1 presentation to the service
Dedicated ‘single’ consent form
Needs to be new not rehash of same – look to innovative ideas – may need to look at commissioning models
Secondment to specialist services
Care coordination done through county level
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, partnership working, person centred approach, etc.
Reflects current professional thinking in relation to multi-agency working and the short term nature of funding inhibiting long term planning
Improved partnership working – all to commit to playing role
Strategic accountability
Learning from experiences/cases – for system transformation and staff training
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Role of commissioning
Vision
Event at CN4C 18th July (service users/those with experience of homelessness)
Need to use voluntary agencies like churches more as offer a good service and are in more places Improved working with voluntary and community sector
Approach 6: Safeguarding
Engagement Event Challenge Response Influence
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
Increase in safeguarding resource (not just meetings) accom, support to rough sleepers, complex needs
Internal services to be delivered – i.e. care/cleaning for clients under safeguarding
Joint commissioning services – to meet complex needs of vulnerable individuals
Training for social workers around complex needs and homelessness
Faster response following referral
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, working with those with complex needs and learning from experience
Person centred approach
Improved partnership working – all to commit to playing role
Learning from experiences/cases – for system transformation and staff training
Information Classification: PUBLIC
Agile, responsive, multi-agency person centred actions – right enabling, strengths based and solution focused
Relationship based and trauma informed services
Front line staff in all agencies safeguarded from work related illness/mental health issues
Investigate rough sleeper deaths/complex needs
Remit for safeguarding expanded
More support for the service user and the provider
Specialist safeguarding team surrounding mental health/dual diagnosis
More stat guidance, support, flexibility and joint working/shared accountability
Stat lead agencies to take other professionals assessments seriously
Reduction in safeguarding /more funding
People to take responsibility for reporting safeguarding
Safeguarding alerts to be accepted at a significantly lower threshold
Social services to respond and act upon referrals within 3 days
Single care plans, multi-agency working, virtual multi-agency teams
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Agencies to work with those with multiple needs
Improved data sharing
Improved communication between agencies
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Serious case reviews – learn lessons
Strategic accountability
Continue to lobby Government for changes that will improve services for those that experience homelessness
Rough Sleeping System Transformation Workshop – 12th April Map –
Integrated Community Services Design Group
Health for Homeless – in the West
Dual diagnosis training
Health MOU
Hospital discharge
Needle exchange in tolerant accommodation and new hostel
Hepatitis C treatment
Naloxone in tolerant supported accommodation
CCG – GP/Nurse clinic at Cosgarne once a month
Community psychiatric nurse support for health for homeless
Hospital outreach team
Mental health support in health for homeless
Health for homeless co located un 3 venues, with support, West
Other plus Equality/Diversity/Inclusion plus Health - Gaps –
Lived experience – input in to system change
Ability to track peoples journey, Journey of clients in one database
Voices from the front line
Serious case review for deaths of rough sleeping
End of life care
Access to interpreters
Meeting the needs of LGBTIQ
Veterans accessing services
Young people and county lines
Refugee provision
Accommodation for offenders
Physical care needs of people in supported accommodation – still actively using alcohol and drugs, Palliative care for aging population who continue to drink alcohol within accommodation
Gender informed services – only one female unit known of specific for homelessness
No recourse to public funding
Dual diagnosis services and taking responsibility
GP access for rough sleepers, Health for homeless in all areas, Access (continuous) to health for those in temporary accommodation if move, Access to primary care services in the east
Hospital discharge pathway
Mental health, Access to mental health diagnosis and treatment especially crisis and in the community, Quick access to mental health where drugs and alcohol are present, Lack of mental health outreach and flexibility
Psychological skills linked to outreach services
Needle exchange in the community
Settled accommodation required before care package
Care packages on hospital discharge and transparency of individuals needs e.g. violence and substance misuse
Re-imagine/re-understand accommodation as a health intervention Other plus Equality/Diversity/Inclusion - Challenges –
Lack of tolerance
Commissioning approaches – prevents open dialogue?
Separate strategies – homeless and mental health
Changing needs and complexity
Modern day slavery
No recourse to public funding
Migrants needs
Local connection criteria
All agencies to accept they have a role to play
Policy/safety equation (e.g. high risk/complex needs/offenders)
The label complex needs is misunderstood
Different source of funding for health
Mental health strategy separate to homelessness
Mainstreaming – getting in to services
Funding/capacity of mental health
Dental access
Only countywide mental service is criminal justice and mental health – all other community mental health teams locality based
Separate commissioning process/timetable
Attitude of some health professionals towards rough sleepers
Geographical spread of health for homeless – only mid and west at present
DAAT: o Budget cuts o Outreach o Treatment
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Person centred approach
Improved partnership working – all to commit to playing role
Learning from experiences/cases – for system transformation and staff training
Agencies to work with those with multiple needs
Improved data sharing
Improved communication between agencies
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Serious case reviews – learn lessons
Strategic accountability
Continue to lobby Government for changes that will improve services for those that experience homelessness
Improved health care – mental and physical
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Role of commissioning in provision of supported accommodation to meet needs
Improved working with voluntary and community sector
Information Classification: PUBLIC
o Places
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Balance between households having the capacity to make unwise decisions v Care Act duty of care
Services not currently available to homelessness if in Cornwall less than 6 months due to local connection requirements
Gap - Rehousing service people not meeting help for heroes criteria but who still need help
Transitional support key – should be available to those that need it when they need it
Homechoice policy
Affordability and suitability
Safeguarding referrals – not sure what happens to these as don’t get feedback
Mental health input
Need to ensure that signposting is available to those that have concerns about safeguarding issues
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Learning from experiences/cases – for system transformation and staff training
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Ongoing support for those that might need help long term or at key times of stress
Feed into review of Allocations Policy
Feedback from referrals
TB Service Group Meeting – 17th April
Incidences of TB are increasing in Cornwall and is likely to continue to increase
Would be good to have a specific pathway (wider public health issues)
Reconnection does work but need support and treatment packages in place
Links to review of housing allocations due to wider public health issues needing to be taken into account
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Feed into review of Allocations Policy
Wider public health pathway required
C&IOS Executive Group 23rd May
The pathway for homeless health programme which cuts across health specialisms has been a successful model - NK to provide details.
FH to share information relating to changes to probation services’ impacts upon support services. There are concerns about those leaving prison, particularly women offender. It is important that any new arrangements work for Cornwall where there is a potential gap around offender services.
RW highlighted the consortium of VCS agencies who could help to support offender management work.
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Feed into review of Allocations Policy
Improved working with voluntary and community sector
Person centred approach
Improved partnership working – all to commit to playing role
Improved health care – mental and physical
Event at Coastline Offices 26th June (looked at in terms of excellence in homelessness services) (bold highlights are the main points picked out in workshops)
All households owed relief duty provided with suitable offer of temporary accommodation
General awareness across Cornwall of what services are available and how to access them
Easy to access services
If a client asks any council employee about housing they can help them get in contact with excellent empathic advice
Mirror the national Rough Sleeping Reduction Strategy
Each organisation must detail what their offer is to help case the problem
If partners don’t engage and work with the Council then the Council should not use them as Partners in other areas of the Council’s operation. If HAs don’t engage stop allowing them to develop in Cornwall
Linked in – working with service users sharing important information
Funding and staff to deliver
Joint approach within individual organisations
Person centred
Client led support
A fully funded linked in joint approach with all agencies and sharing information
Needs to be a floating support service available
Accountability by agencies
An action plan to stop the ‘hot potato’ effect and constant revolving door
Dedicated multi agency or multi skilled workers and/or mobile hub – address multitude of issues with 1 presentation to the service
Dedicated ‘single’ consent form
Needs to be new not rehash of same – look to innovative ideas – may need to look at commissioning models
Secondment to specialist services
Care coordination done through county level
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as communication issues, partnership working, person centred
Need to ensure that signposting is available to those that have concerns about safeguarding issues
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Feed into review of Allocations Policy
Improved working with voluntary and community sector
Person centred approach
Improved partnership working – all to commit to playing role
Role of commissioning
Improved data sharing
Improved communication between agencies
Strategic accountability
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Learning from experiences/cases – for system transformation and staff training
Vision
Homelessness Round Table 27th June
Former tenant arrears and behaviours – could link to domestic abuse and benefit arrears
End of life care – Cosgarne currently looking at storage of medicines on site (long piece of work). Skills and support required, shared work with health colleagues
RS who are taken to hospital and then die in hospital – not recorded as a RS death
Physical health and wellbeing
Mental health – need support in place for providers
Need to ensure that signposting is available to those that have concerns about safeguarding issues
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Learning from experiences/cases – for system transformation and staff training
Person centred approach
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Improved data sharing
Event at St Petroc’s 16th July (staff and service users)
Registering with a GP can be an issue without ID
Referrals to other support agencies – can take a long time but if someone is vulnerable they need help quickly as likely to revert to ‘bad behaviours’ if wait too long
Better and faster access to mental health
Need to ensure that signposting is available to those that have concerns about safeguarding issues
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Learning from experiences/cases – for system transformation and staff training
Person centred approach
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Commit to multi-agency working as way of overcoming issues of short term nature of funding
Improved data sharing
Event at CN4C 18th July (service users/those with experience of homelessness)
Feel men with children often treated differently
Advice going forward – physical disability is sometimes easy to see but mental health issues not – if someone has mental health issues and tells you this then you should be believed.
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Need to ensure that signposting is available to those that have concerns about safeguarding issues
Learning from experiences/cases – for system transformation and staff training
Person centred approach
Improved data sharing
Information Classification: PUBLIC
Approach 7: Clear and Meaningful Pathways
Engagement Event Challenge Response Influence
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
No one should be street homeless
Suitable and appropriate accommodation should be available
More aware/enabled/informed interactive services
People fleeing domestic abuse with complex needs (or fleeing drug debts/arrears)
More choice for homeless people – many pathways
Clear incentives for people to move through pathways
Social housing access for supported housing clients (pathway)
More support for those with PN
Care leaver pathways
Dual diagnosis outreach team – mental health and DA working in partnership. Incorporate street triage
Young people’s pathways
More affordable accommodation
Remember the individual
Joint mental health and housing/homeless pathway
Completely different commissioning process – to keep people open/sharing and cross working
Housing providers build the service to be commissioned /not conversely
More support for non-priority homeless clients
Under 35 years old HB rate scrapped
More suitable housing
Referencing should include support workers for housing association
Non-priority clients need more pathways not just sign posting
Stop segregating pathways e.g. do we really need one for every need – could be a young person, mental health and rough sleeper - Simple form that works rather than 18 different ways
Increase in integrated working. One data recording system used by all agencies
Housing associations should work with support workers for housing references
Working people should have support from HB when living in supported accommodation - 3 month overlap rather than just one month
Remove some barriers to private rent – end ‘no HB’
Effective triage/consultation
Pet friendly accommodation
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Vision
Pathway for those fleeing domestic abuse including those with complex needs
Person centred approach
Move on towards independent living
Pathway for care leavers and young people
Improved partnership working – all to commit to playing role
Improved working with voluntary and community sector
Pathway for mental health
Pathways for non-priority clients
Pathways or one pathway for all?
Continue to lobby Government for changes that will improve services for those that experience homelessness
Pet friendly supported and other accommodation
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Generic pathway for all households but with different strands for specific groups e.g. discharge from prisons. Needs multi-agency approach
More to be done at preventative (pre 56 days) stage
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Pathways or one pathway for all?
Improved partnership working – all to commit to playing role
Improved working with voluntary and community sector
Support early prevention work (e.g. NDK)
C&IOS Executive Group 23rd May
It would be beneficial to see people with lived experience providing input into the commissioning process to identify what good looks like. SB provided offer of assistance.
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as learning from experience
Role of commissioning in provision of supported
accommodation to meet needs
Learning from experiences/cases – for system transformation and staff training
Event at Coastline Offices 26th June (bold highlights are the main points picked out at the workshop)
One pathway into housing for all – remove barriers
Prevention services need to be embedded for all rough sleepers
Review exclusions for/to housing and coordinated approach to housing pathway
Digital inclusion – national rough sleeper database and include health, housing
Be able to give service users details of clear pathways for move on
‘Linked in’ working. Constant flow of information between agencies
Accountability
Funding - Resources
Asking service users what they want (what could they manage?)
Evidence and awareness of location, need, engagement of rough sleepers to influence and resource service provision
Person centred success to be shared
More multi-occupancy move on properties
Person centred support plans
Significantly increase the number of preventions
Upstreaming to ‘at risk’ group > inclusion
Always refer – plan ahead (even if not on stat list) e.g. when someone goes into prison for a short time
Realistic prevention options
Housing options need to be available
Accessible to all > easy to navigate
Re-visit pathways
All agencies take responsibility
Specific accommodation for the support groups (pathway) > accessible to needs e.g. LGBT, mental health, women, men, disabilities
Dual diagnosis service
Council owned/commissioned supported accommodation (somewhere that will take those of highest need)
Refuge service able to accommodate complex needs
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects messages from engagement sessions relating to ‘revolving doors’, past histories etc.
Pathways or one pathway for all?
Support early prevention work (e.g. NDK, when people go into prison for short period)
Spend ‘past history’ at some point/proof that have moved on
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Strategic accountability
Learning from experiences/cases – for system transformation and staff training
Pathways for those with complex needs – no refusing to accept someone with multiple issues
Pathway for those fleeing domestic abuse including those with complex needs
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Vision
Information Classification: PUBLIC
Effective communication between different agencies working with clients
Approach 8: Outreach and Flexible Support
Engagement Event Challenge Response
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
‘One for All’ support plan – one database
Multi-Agency linking up – one phone number for signposting
Reduce homelessness for those most hard to place
Dual diagnosis training/providers/placements – mental health workers on outreach, addiction and domestic abuse services
Direct link to mental health team – qualified roles in MH SH
Floating support with no end date
Trauma informed services – ACE aware
Multi agency hubs in each of the 10 Safer Cornwall towns and a mobile multi-agency hub to cover all areas
Media/marketing campaigns to raise awareness and highlight services available
Everyone that needs support gets it
EASL (Enabling Assessment Service London) – mental health
Street doctor
Former homeless/those with experience of homelessness employed in all service areas with specialist support, training and supervision
Enable people not disable people
Ending rough sleeping
Social worker on outreach
No-one falls through the gaps
Gender informed services
Accessible support services
Phone assessment – only initial – after face to face/video
Outreach support and services
Lobbying central government
Culture and religion – beliefs
Visible personality disorder service accessible to all
Can get fuel vouchers through foodbanks if in fuel poverty
Council tax – still have to pay even if on very low income
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention, the need for ongoing support, multi-agency working and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Role of commissioning
Learning from experiences/cases – for system transformation and staff training
Co-location of services
Improved partnership working – all to commit to playing role
Improved data sharing
Support required for as long as is needed
Commit to multi-agency working
Pathway for mental health
Pathways for non-priority clients
Pet friendly supported and other accommodation
Continue to lobby Government for changes that will improve services for those that experience homelessness
Improved health care – mental and physical
Building resilience of those that might struggle with maintaining a tenancy
Person centred approach
Vision
Rough Sleeping System Transformation Workshop – 12th April Map
Person centred and led by client
At least 2 re-settlement centres established
Training for staff available
Volunteer programmes
Social prescribing role
Nos Da Kernow
Assertive outreach
Private rented access landlord incentive scheme
Support - Gap
More preventative early intervention needed
Floating support as a prevention tool
Dual diagnosis
Outreach services in Winter when CWP open
Daytime provision and services in certain towns
Street outreach – funding and size
Limited number of resource centres
Short and long term tenancy support in all tenures Challenges –
Short term funding
Workforce development and supply
Blocks from police in some areas e.g. Newquay
Re-traumatising
Skilled staff
Managing risk to staff and clients
No funding for the training pot
Ensuring staff wellbeing – retention
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention, the need for ongoing support, multi-agency working and learning from experience
Improved partnership working – all to commit to playing role
Co-location of services
Improved working with voluntary and community sector
Ongoing support for those that might need help long term or at key times of stress
Agencies to work with those with multiple needs
Commit to multi-agency working as way of overcoming issues of short term nature of funding (especially in relation to staff training)
Learning from experiences/cases – for system transformation and staff training
Support early prevention work (e.g. NDK, loss of seasonal work)
Building resilience of those that might struggle with maintaining a tenancy
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Navigator role – helping people with support and accommodation found for them
Transitional support key – should be available to those that need it when they need it
Flexibility – may not need support for a while but could do at a later date e.g. when abusive partner released from prison
Need commitment from all to collaborate – formalise commitment
Competitive tendering
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
Navigator role
Ongoing support for those that might need help long term or at key times of stress
Improved partnership working – all to commit to playing role
Role of commissioning
Strategic accountability
Event at Coastline Offices 26th June (looked at in terms of Intervention so support and accommodation together) (bold highlights are the main points picked out in workshops)
Ongoing support
Person centred – navigation
Accommodation should be matched to individual needs and support
Lots more appropriate accommodation and move on support
Getting it right first time to prevent revolving door
Funding across the board
Long term support
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
Navigator role
Ongoing support for those that might need help long term or at key times of stress
Improved partnership working – all to commit to playing role
Strategic accountability
Commit to multi-agency working as way of overcoming issues of short term nature of funding (especially in relation to staff training)
Information Classification: PUBLIC
Spend ‘past history’ at some point/proof that have moved on
Vision
Continue to lobby Government for changes that will improve services for those that experience homelessness
Homelessness Round Table 27th June
Targeted key working – e.g. Together for Families – direct contact and working really helped families to address debt, ASB etc.
Time credits – currently only available for those with complex needs but could be rolled out.
Mental health of young people – not enough work around this and unsure of how to move forwards
Physical health and wellbeing
Mental health – need support in place for providers
Learning from experiences/cases – for system transformation and staff training
Improved data sharing
Agencies to work with those with multiple needs
Improved partnership working – all to commit to playing role
Strategic accountability
Improved health care – mental and physical
Event at St Petroc’s 16th July (staff and service users)
Ongoing support – as and when needed Ongoing support for those that might need help long term or at key times of stress
Approach 9: Appropriate Accommodation
Engagement Event Challenge Response Influence
MHCLG Feedback on implementation of Homelessness reduction Act 4th April
Haven’t got tools needed to understand what is happening, where people are etc.
Key is flow – more prevention and faster move on from temporary accommodation
PRS – need one offer not multiple as currently
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Agree can be confusing
Person centred approach
Improved partnership working – all to commit to playing role
Learning from experiences/cases – for system transformation and staff training
Move on towards independent living should be a priority for those that become homeless
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
Purpose built, multi-purpose, open access, reception centres/hostels with onsite support from multiple agencies and clear move on plans – EMERGENCY ACCOMMODATION FOR EVERYONE
Better access to private rent and increase in HMOs to help young people on low incomes
Have purpose built stock for emergency and temp only
Permanent accommodation pathways for all homeless people (stat or non-stat). Remove need for temporary accommodation
Prevent further debt
Rent prices, affordable housing costs more than some private rents – rents are very high
No one is homeless long term
No delays in hospital due to lack or poor accom
Sharing information with 3rd sector partners to fix problems
75% reduction in homeless applications due to successful preventative and timely measures
Joint commissioning services – to meet complex needs of vulnerable individuals
Specialist, geographically and need appropriate (i.e. where most need is) accommodation (age appropriate, tolerant, flexible, intensive, semi-independent, independent, supported, aspirational)
More social housing – less emphasis on buying
30,000 more new social homes available as a mix of social and affordable rent
Holistic staging of housing – more fluid
More tolerant of people using substances away from the houses
NOT moving people constantly in emergency accom
Emmaus type accommodation
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
Housing providers in Cornwall are working on a ‘Cornwall’ version of an accredited scheme that will be recognised by all providers locally
Need to be building/managing accommodation that meets the needs of those that are likely to become homeless – e.g. single people under 35 only able to claim shared room rate
Fast access to accommodation suitable for household – including tolerant supported accommodation
Pet friendly supported and other accommodation
Move on towards independent living should be a priority for those that become homeless
Learning from experiences/cases – for system transformation and staff training
Navigator role
Ongoing support for those that might need help long term or at key times of stress
Continue to lobby Government for changes that will improve services for those that experience homelessness
Improved partnership working – all to commit to playing role
Co-location of services
Improved working with voluntary and community sector
Vision
Rough Sleeping System Transformation Workshop – 12th April Map –
Move-on accommodation as part of new hostel development
Cold weather provision
Hospital discharge beds
STAR – short term accommodation & re-settlement
Supported accommodation for complex needs
Housing First
STAR development
12 units – domestic abuse and complex needs
Gap –
Levels of tolerance
High tolerance accommodation
Supported accommodation in certain towns
Safe to stay hub
Complex needs – so complex services struggle
Domestic abuse victim accommodation
Pool of supportive private landlords
Lack of self-contained supported accommodation
Long term supported accommodation – those who will never be able to live independently
Alternatives to hostel/shared accommodation – own front door
No Second Night Out accommodation – accommodation to get people off the street today
Varying local provision
Limited move on from hostels/TA and STAR Challenges –
Political buy-in and understanding of complex needs
Local connection criteria
Temporary accommodation supply
Tenancy sustainment
Private landlords leaving/Airbnb
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
A wide range of suitable accommodation is required to reflect differing needs
Challenge of working within the ‘welfare reform’ framework, including the impact this has had on public funds available for operational purposes and to commission appropriate accommodation
Housing providers in Cornwall are working on a ‘Cornwall’ version of an accredited scheme that will be recognised by all providers locally
Fast access to accommodation suitable for household – including tolerant supported accommodation
Move on towards independent living should be a priority for those that become homeless
Agencies to work with those with multiple needs
Pet friendly supported and other accommodation
Ongoing support for those that might need help long term or at key times of stress
Strategic accountability
Role of commissioning in provision of supported accommodation to meet needs
Building resilience of those that might struggle with maintaining a tenancy
Public perceptions
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Information Classification: PUBLIC
18 beds – direct access night shelter (to new build Summer 2019)
Some Housing First
Social landlords across Cornwall
Funding
Land
Risk of reduction as a result of current tender process
Housing benefits cap and local housing allowance
‘Not in my back yard’ from local residents
Emergency temporary accommodation in right places where needed
Approaches different where you go based on agency e.g. levels of support/tolerance
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Reinvent private sector relationships – mitigate concerns around ASB, abandonment, evictions, non-payment of rent – need to keep flow moving – final accommodation offers – tenancy sustainment. Needs properly resourcing as can reach saturation point – also single point of contact. Starts to build on to our Social lettings agency to be resourced (rapid rehousing bid) – navigating type role to support tenancy sustainment – landlord insurance scheme – single point of contact – private schemes need to be aligned – can discharge into private sector - ASTs
Disabled access in both temporary and emergency accom
Large families, heard to house households – need to have flexibility to acquire or adapt to meet specific needs
Multiple complex needs, tolerance – need support attached for some households – need to own some properties that will accommodates these types of households
Past history regarded as ‘spent’ at some stage
STAR more dispersed across Cornwall so don’t need huge moves
A wide range of suitable accommodation is required to reflect differing needs, including a good private sector offer
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
Challenge of working within the ‘welfare reform’ framework, including the impact this has had on public funds available for operational purposes and to commission appropriate accommodation
Fast access to accommodation suitable for household –
including tolerant supported accommodation
Move on towards independent living should be a priority for those that become homeless
Newquay Safe 3rd June Can be some issues at certain properties with mix of tenants – e.g. Mount Wise property – some successes. Will be discussed at ASB meeting as more appropriate venue for discussion.
A wide range of suitable accommodation is required to reflect differing needs
Careful mix of clients needed in some types of accommodation
Move on towards independent living should be a priority for those that become homeless
Event at Coastline Offices 26th June (looked at in terms of Intervention so support and accommodation together) (bold highlights are the main points picked out in workshops)
No-one sleeping on the streets
Sustainable accommodation
Temporary night shelters – modular units
Person centred – navigation
Better private rented sector offer
Accommodation should be matched to individual needs and support
Lots more appropriate accommodation and move on support
Getting it right first time to prevent revolving door
Funding across the board
Supply and demand model for Cornwall Council have a wider variety of housing options available (including greater???)
Social housing a realistic prospect for more households
Bigger and more appropriate range of supported accommodation
Widen housing first model
A wide range of suitable accommodation is required to reflect differing needs, including a good private sector offer
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
Vision
Strategic accountability
Person centred approach
Fast access to accommodation suitable for household – including tolerant supported accommodation
Pet friendly supported and other accommodation
Move on towards independent living should be a priority for those that become homeless
Continue to lobby Government for changes that will improve services for those that experience homelessness
Focus on social housing
Spend ‘past history’ at some point/proof that have moved on
Learning from experiences/cases – for system transformation and staff training
Homelessness Round Table 27th June
Pathway – not just a case of helping them out of RS and into accommodation but going further and seeing what we can do
Short term funding for projects like NDK, STAR, Housing First etc.
Move on accommodation
Reflects current professional thinking in relation to moving people away from homelessness as soon as possible to prevent them becoming used to the lifestyle
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as early prevention and the need for ongoing support
Challenge of working within the ‘welfare reform’ framework, including the impact this has had on public funds available for operational purposes and to commission appropriate accommodation
Fast access to accommodation suitable for household –
including tolerant supported accommodation
Move on towards independent living should be a priority for those that become homeless
Ongoing support for those that might need help long term or at key times of stress
Continue to lobby Government for changes that will improve services for those that experience homelessness
Event at St Petroc’s 16th July (staff and service users)
Need more accommodation that takes people reliant on benefits – still lots of ‘no DSS’ being advertised
Need to look at houses that would house a group of friends – e.g. 3 bed properties.
If in PRS this would help with local connection blockages – and would be provided with funds to support them/rent in advance/deposit – St Petroc’s do this and can liaise with landlord if there are any issues – knowledge of there being sympathetic landlords out there but often they are let down by the system too – delays in payments etc.
Need for pet friendly accommodation – dog is family to many and act as lifeline – ability to pay bigger deposit to cover any damages should be an option
Would prefer own front door but there is understanding that they may need to share a home initially
Shared room rate can be a real issue for young people with complex needs as often cannot share – investigate housing first for young people (project in Scotland currently underway)
Social landlord is seen as providing more security of tenure than PRS
Need for 1 bed accom – better in towns but is expensive
Why aren’t caravans a sensible option? You can get benefits to cover rent if stationary.
Have to have places for people to go to immediately and when moving on
A wide range of suitable accommodation is required to reflect differing needs, including a good private sector offer
Challenge of working within the ‘welfare reform’ framework, including the impact this has had on public funds available for operational purposes and to commission appropriate accommodation
Fast access to accommodation suitable for household –
including tolerant supported accommodation
Move on towards independent living should be a priority for those that become homeless
Work with all homelessness (including those without recourse to public funds and/or no local connections)
Feed into review of Allocations Policy – be more flexible in terms of s106 for Housing First, shared accommodation, accommodation for group of friends, etc.
Faster payments for PRS
Information Classification: PUBLIC
Event at CN4C 18th July (service users/those with experience of homelessness)
Move on accommodation – great support at rough sleeping stage but then you get stuck in the system
Wanting to work whilst in supported accommodation – rules stop you as you won’t be able to claim benefits to pay rent (high rents)
Support for single people – need more shared housing
Need accommodation that will take pets – some talk of sharing pets
Loneliness can be an issue after people are accommodated – especially if been sleeping rough for some time
Night shelters – unsafe for many that are rough sleeping – also addictions should be treated the same – are banned for drinking but can under influence of drugs and not banned..?
Some of the landlords on the list will accept money in advance from Council – but are they good landlords?
A wide range of suitable accommodation is required to reflect differing needs, including a good private sector offer
Careful mix of clients needed in some types of accommodation
Fast access to accommodation suitable for household –
including tolerant supported accommodation
Move on towards independent living should be a priority for those that become homeless
Ongoing support for those that might need help long term or at key times of stress
Continue to lobby Government for changes that will improve services for those that experience homelessness
Pet friendly supported and other accommodation
Approach 10: Complex Needs
Engagement Event Challenge Response Influence
Communities of Practice – organised by HomelessLink 10th April 2019 - (bold are the main points picked out in workshops – highlight from round up)
Flexible thresholds
Capacity/interpretation of vulnerability
Lifestyle choices to be considered and supported (right to make unwise decisions)
More dual diagnosis services
Risk assessment to reflect flexibility
Less gatekeeping of stat services/more resources/prevention
Training and support for staff and reflective practice embedded in all homelessness services
Reducing stigma around stages – reusing stages – treating service users as individuals
More considered placement of service users – into appropriate accommodation – Housing First
Services to be able to respond to complex needs
Stage 1 housing that houses stage 1 people/more options for stage 1 clients
Dual diagnosis procedure developed e.g. mental health and addiction workers assessing together
Reduce discrimination, develop better risk assessment process shared between services
No-one discharged from hospital/prison/anywhere homeless
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Reflects current professional thinking in relation to ACEs, trauma informed services and multi-agency working
Careful mix of clients needed in some types of accommodation
Fast access to accommodation suitable for household –
including tolerant supported accommodation
Person centred approach
Improved partnership working – all to commit to playing role
Agencies to work with those with multiple needs
Learning from experiences/cases – for system transformation and staff training
Strategic accountability
Vision
Improved communication for those who may be affected by homelessness
Improved communication between agencies
Public perceptions – and staff perceptions
Cornwall Housing Ltd – Housing Options Directorate Meeting 16th April
Moorfield – good lessons learnt but was short term solution – need long term solutions (look to work undertaken as part of CWP in 2018 for a more longer term focus)
Some families have generational issues – need to break the cycle
Reflects many of the key messages arising out of the key stakeholder and service user surveys such as multi-agency working, better sharing of data, working with those with complex needs and learning from experience
Improved partnership working – all to commit to playing role
Agencies to work with those with multiple needs
Better data sharing
Learning from experiences/cases – for system transformation and staff training
C&IOS Executive Group 23rd May
Individuals need to be in a place where they can work on all their issues not just homelessness – should be working towards getting people back into a (for them) ‘normal’ life…
Person centred approach
Move on towards independent living should be a priority for those that become homeless
Event at Coastline Offices 26th June (bold highlights are the main points picked out in workshops)
Nobody needs to live on the streets – there should be somewhere for all to go
‘working together’ – multi agencies – requires strategic agreement (highest level) to remove barriers
Access to services for individuals
Supported accommodation available for highest needs – means in place to prevent exclusion of difficult cases, extension of housing first model, multi skilled, multi-agency working, single consent form for multi-agency working
Commissioned services – deliver to contract
Have ongoing support for complex needs (sheltered, long term) (with on-site support workers)
Less frustrating pathways into external services (i.e. mental health)
More funded detox and rehab (less constraints around funding and time limits)
Managers having a working knowledge of what is happening on the frontline
Excellent communication from frontline -> strategic decision makers – unblocks system barriers, enables shared information and learning, ensures a joined up approach for clients, shares accountability for delivery
STAR – effectively working – extend to other client groups
Funding
A wide range of suitable accommodation is required to reflect differing needs, including a good private sector offer
Vision
Strategic accountability
Improved partnership working – all to commit to playing role
Fast access to accommodation suitable for household –
including tolerant supported accommodation
Role of commissioning
Agencies to work with those with multiple needs
Improved communication between and within agencies
Continue to lobby Government for changes that will improve services for those that experience homelessness
Event at St Petroc’s 16th July (staff and service users)
Sometimes the complexity of a person’s needs acts as a barrier to getting and then sustaining accommodation; Ongoing support for those that might need help long term or at key times of stress
Sarah Thorneycroft Housing Strategy & Partnerships Engagement Officer Housing Service August 2019