Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support...

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Housing Related Support Transformation Workshop

Transcript of Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support...

Page 1: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Housing Related Support Transformation Workshop

Page 2: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Introduction from John Lewis, Assistant Director for Commissioning, ACS

Page 3: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Today we are……

• Providing an update on proposals to transform HRS aiming to retain as much direct provision as possible in light of further budget reductions.

• Sharing plans for a new referral Gateway

• Considering a new approach to measuring outcomes

Page 4: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Transformation of HRS – future vision

Page 5: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

The Vision for HRS

One Referral

Gateway for all HRS Services

Signposted to other advice and services if HRS not required

Allocated appropriate housing with support. Could include some jointly funded high level beds

Floating support wrap around and preventative. Time limited intervention

Page 6: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

New Referral Gateway

• One easily accessible point of access for people needing either floating support or accommodation-based services

• Web-based portal - ability to log in from various access points across the county including local council offices, CAB, libraries, supported housing providers, children and adult social services etc.

• Customer has to tell their story only once

• Clear guidance for customers re how to use the referral route and where to get advice if needed

• Easy to use without support, but support available if necessary, from Housing Options Teams, social workers and housing support providers. Well publicised – via leaflets etc. and on partner/provider websites

• People referred to the right services (floating support or accommodation-based) that meet their needs first time

Page 7: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

New HRS Gateway

Needs and eligibility assessed

Non-urgent needs

Signposted to non HRS

service

Hostel bed if

available

Floating support if don’t need

housing

Floating support

until hostel bed

available

Urgent need

Hostel with

vacancy Floating support

until hostel

available

Floating support if

don’t need housing

Page 8: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Referral Gateway

Page 9: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

New underpinning principles for all services

• Services will be commissioned using a ‘call off’ for those providers on the framework

• HRS services will be commissioned based on clearly defined outcomes for individuals, with agreed time limits for time spent in services.

• HRS will deliver a person-centred outcome-based service that can be flexed according to changing needs.

• These changes will ensure that

the programme is cost effective across the system.

• Other agencies, District Councils, Public Health, Probation, DAAT, Mental Health Trusts have a legitimate interest in changes to the services commissioned and may jointly fund.

Page 10: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

October 2015

April 2016

Jan to July 2016

Aug to Oct 2016

April 2017

Out to tender for framework of HRS providers

Tender process

Framework of 24 HRS providers in place. £745k saved through tender process

New framework in place

Co-productive work to agree new service models that continue to meet need New Gateway designed New mix of service types agreed Approach to achieving remaining savings agreed

Planning stage.

Series of phased call-off contracts New Gateway in place by October 2016

Tender process.

New services in place Savings achieved

Transformation complete

HRS transformation- key stages

Page 11: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Progress to date • Customer consultation

continues and a range of customer design group sessions are taking place during June.

• We have continued to work with providers, partners and other stakeholders to agree how best to use what remains of the HRS budget to provide a preventative service that meets need.

• Discussions continue with key partners such as Public Health, Health, Boroughs & Districts and re joint funded units for people with very high needs

• HRS has contributed to the strategic review of domestic abuse services, led by Public Health.

• HRS will contribute to a review of accommodation-based offender services, in June.

Page 12: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Progress to date with required savings of £2.4 million

• Savings of approx. £750k were achieved as a result of the framework tender process in early 2016.

• Details of the impact on HRS in achieving the savings will

be shared at the next meeting

Page 13: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Data used for modelling • We have analysed information

re key service cost drivers, to ensure that future cost models are viable and enable providers to deliver a safe service that meets minimum standards.

• We are collating feedback from customer consultation and this will be taken into account before final models are produced.

• We have benchmarked hourly rates and weekly costs with other local authorities

• We have taken into account latest information re service utlisation and need and used ‘latent analysis’ to understand likely future need.

Page 14: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Consultation Findings All customer groups • People have higher needs

than they used to. • The current split of high,

medium and low level units needs review.

Floating support customers • Main problems for clients are

in managing finances and paying the rent, with many at risk of eviction – very short term.

Accommodation-based services • Increased mental health

problems common, customers identified were at risk of self-harm and suicide.

• A need for an assessment process in order to receive the right service first time

Page 15: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Summary of customer feedback so far. What’s important • Help with debt • Keeping the same

support worker • More move on

accommodation • Having someone to

talk with 206 returns 65% Acc based 36% Floating support

What’s would they like to see change

• Majority of people were happy with support provided and didn’t want to change anything

• More access to affordable housing

• More activities • More homely

environments

Page 16: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Other findings…. Units for people with very chaotic behaviour • There is a small group of

people (e.g about 11-12 in Ipswich) with extremely high needs and chaotic behaviour who cannot be accommodated in traditional hostel accommodation.

• Typically will have a history of repeat homelessness, offending behaviour, drug / alcohol misuse and a mental health problem.

• Many of these individuals will have ongoing health issues and there may be Care Act responsibilities for ACS and/or other statutory responsibilities for local government ,probation and the NHS

• There is a need for a small number of jointly funded highly staffed ‘intensive beds’ across the county where these individuals can be accommodated for a short time in order to stabilise them before moving into more traditional hostels

Page 17: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Data and Models

Page 18: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

All HRS Services for Adults and Young People

There are 1542 units of floating support, charged at maximum £17 per hour, on a needs-led, basket of hours basis. HRS accommodation-based units were reconfigured in 2010 to represent needs at that time. The majority of beds are currently classed as ‘standard’ and there is a lower proportion of high needs accommodation.

106 12

9

575

227 31

Current breakdown of units

move-on and resettlement units short-stay emergency units

crash pad beds ‘standard’ units

‘higher needs’ units refuge units

Page 19: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Accommodation-based services for adults and young people

There are currently more HRS accommodation-based units for adults than young people but there are considerably more high needs units for young people. The latent analysis findings (see following slides) show a likely future need for more high needs units for adults rather than for young people

399

561

All of HRS services for young people and adults

Young people Adults

154

90

High Needs (excluding refuges)

young people

Page 20: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Accommodation-based services for adults and young people

The charts above show the number and percentages of young people and adults accessing SCS between 1 April 2015 and 31 March 2016. In the last 12 months 55% adults accessed SCS compared to 45% young people.

807, 45%

984, 55%

Young people and adults accessing SCS 1 April 2015 to 31 March 2016

15-24 25+

192, 11%

398, 22%

217, 12%

957, 53%

27, 2%

Age ranges of SCS applicants 1 April 2015 to 31 March 2016

15-17 18-21 22-24 25-59 60-80

Page 21: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Changing needs Latent analysis based on 2 years data re people using accommodation-based services This analysis is showing the likelihood of future need for accommodation-based services.

52% 48%

Women

high needs lower needs

20%

45%

35%

Men

very high needs high needs lower needs

The majority of applicants have high or very high needs. This needs to be taken into account as budgets are reduced in order to achieve the savings.

Page 22: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

latent analysis findings The analysis resulted in four male and four female classes for SPA, and four male and three female classes for SCS. These are described below.

Floating support - female classes

1. SPA female class 1 – Families with financial problems (24% of females)

Families with a high likelihood of facing eviction and financial problems, many customers are not working, mostly residing in tenancies, and the customer is generally between 25 and 44 years old.

1. SPA female class 3 – Single with financial problems (37% of females)

Low level of need except for financial problems and a high likelihood of facing eviction, many are both not working and working, tend to be in a tenancy or private accommodation, aged between 18 and 44.

1. SPA female class 2 – Mature, health

& financial problems (23% of females) High likelihood of facing eviction and having financial problems, mostly sick/disabled with some mental health problems and disability, likely to be in a tenancy or private accommodation, tend to be aged between 35 and 54.

1. SPA female class 4 – Young single and ‘at risk’ (16% of females)

All single with a high likelihood of being ‘at risk’, mostly not working and in temporary accommodation, a younger age group (18 to 34).

Page 23: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

latent analysis findings Floating support - male classes

1. SPA male class 1 – Single, facing eviction (27%)

High likelihood of facing eviction and having financial problems, low level of need in other areas, often not working, tend to live in a tenancy or private accommodation, a wide age range (25+).

1. SPA male class 3 – Single with health problems (27%)

Some substance misuse and mental health problems, tend to have a disability, not employed due to poor health, tend to live in a tenancy, some financial problems, tend to be 45+.

1. SPA male class 2 – Families with

financial problems (19%) High likelihood of facing eviction and having financial problems, low level of need in other areas, often not working, living in a tenancy or private accommodation, customer tends to be aged between 25 and 44.

1. SPA male class 4 – Young, single in temporary accommodation (26%)

Tend to not be working or sick/disabled, mostly living in temporary accommodation, some substance misuse and financial problems, some learning disabilities and ‘at risk’, tend to be younger (18 to 34).

Page 24: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

latent analysis findings

Class Per annum Single women 37% (521, based on total

sample size of 1401 people over 2 years

Women with children 24% (341, based on total sample size of 682 over 2 years),

Single men 27% (225, based on total sample size of 822 over 2 years)

Men with children 19% (160 based on a sample of 320 over 2 years)

The following proportion of floating support customers were likely to have low needs other than a need for help to avoid homelessness and a need for help with finances. This type of support can be delivered via surgery/telephone support or possibly via other agencies such as the CAB.

Average duration of support over the 2-year period across all groups was 187 days (approx. 6 ½ months)

Page 25: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

latent analysis findings Accommodation-based – female classes

1. SCS female class 1 – Young, ‘at risk’ but low need (48%)

Low need group except that some are ‘at risk’, often living in short term accommodation or homeless, tend to be very young (15-24), do not have anger issues.

1. SCS female class 3 – Complex, mental health problems (24%)

High mental health and medical problems, some have substance abuse problems, at risk of self-harm and suicide, likely to be offenders, tend to be homeless or in short-term accommodation, tend to be older (25 to 54) and likely to have anger issues.

1. SCS female class 2 – Unwell, self-harming and ‘at risk’ (28%)

High mental health and medical problems, very high self-harm and suicide risk, also ‘at risk’ with some leaving care, tend to be living with friends / family or in short-term accommodation, tend to be young (15-24), likely to have anger issues.

Page 26: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

latent analysis findings Accommodation-based – male classes

1. SCS male class 1 – Older offenders, medical problems (24%)

High medical and mental health problems, some substance misuse issues, tend to be in short term-accommodation, a wide spread of ages but tend to be 25 to 54, tend to have anger issues.

1. SCS male class 3 – Lower need, homeless (35%)

Some rough sleeping and around half are offenders, but generally low levels of need recorded, tend to be homeless or in short-term accommodation, lower level of anger issues, tend to be aged between 18 and 44.

1. SCS male class 2 – Self-harming

offenders (20%) Very high level of need, medical and mental health needs, some have a learning disability, high risk of self-harm / suicide, some have substance misuse problems, wide spread of ages (18 to 44), tend to have anger issues.

1. SCS male class 4 – Young and ‘at risk’ (21%)

Most likely male class to be ‘at risk’, some have a learning disability, some are leaving care, tend to be living with friends / family or in short term accommodation, are very young (15 to 24), tend to have anger issues.

Page 27: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

latent analysis findings Accommodation-based

As might be expected, the classes in the SCS data were more complex and generally had very high levels of need. Mental health problems were common, with classes identified that were at risk of self-harm and suicide. Many of the customers were also offenders.

There were also classes in both the male and female data of extremely young customers, who were likely to be ‘at risk’. This class made up almost half of the female customers. The majority (715) of SCS customers were male with less than a third (29%) female

However 48% of women (286 based on a sample of 592 over 2 years) and 35% of men (513 based on a sample of 1,474 over two years) in accommodation based services are likely to have generally low needs, other than a need for accommodation.

Page 28: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Latest information from accommodation Gateway

Accommodation-based

This data shows that 27% of referrals over since January 2016 needed support re actual or potential homelessness. The Districts and Boroughs should be able to meet some of this need through their statutory homeless responsibilities. Based on the latent analysis findings and the data below, it appears that HRS may be supporting a number of people in either hostel beds or via floating support, whose needs could be met in other ways,

Family Dispute 17%

Leaving Prison 9%

Leaving Care 2% Pregnancy 1% Fleeing Domestic Abuse 2% Leaving Temporary

Accommodation 9%

Relationship breakdown 11%

Told to leave by landlord 5%

Eviction 17%

Leaving hospital 1%

Unable to afford current accommodation

1% Other

Page 29: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Latest information from accommodation Gateway Sample of reasons for application

support need

leaving a hostel

homeless or potentially homeless Bryn was told to leave his mothers house approx 18 months following some agressive outbursts of behaviour , he slept for some months in his mothers shed.

Mr Warren reports that he has previously resided in Lowestoft & his wish is that he is released form prison to the Lowestoft area. He is reluctant to return to Northampton due to previous offending & associates

got out of house for my safety will be unable to return to his address on release because of the victim Suffering harassment from landlord - threatening behaviour A Hostel based release has prevented me from release for 5 years, so probation are agreeing that i go for supported housing, to gain a release plan.

Mental Problems, stressed, depressed working long hours taking drugs and so I was asked to leave.

Ex partner threatened to kill Daren Landlord is evicting as I do not get on with other residents due to mental health issues

Due to anti-social behaviour/drinking. Rough Sleeping in tent The reasons were following a police raid there was suspicion of drug related activity at the property. (we had complaints from neighbours etc).

Fleeing domestic abuse and told to leave by the house owner

Client was living with mother. He was then placed on the Sex Offenders Register which meant his mother has to ask him to leave as she works closely with children.

Also selected relationship breakdown, family dispute, leaving prison. Modestas does not wish to reside at home anymore due to disputes with family and criminal activity that is putting his parents' tenancy at risk.

Stephen was released from prison on 8th April, and is living with his mother. Historically Stephen and his mother fall out, and if this occurs again, Stephen will be homeless and at risk. I expect this to happen soon, as its been 3 weeks since he moved in, and the situation is tense.

Robert is living with his mum and his brother, who has significant disabilities. His mother finds it difficult to cope and impossible to support Robert. His mother has been a long-term victim of domestic abuse and never found the resources to escape from, she was often pregnant and had several children to care for. Doubtless she did her best but in the family dynamic Robert appears to have been the scap-goat of the family.

Keiron has previously been LAC in a Kinship placement with his sister. This has recently broken down and he has now returned to his mothers address. This is very volatile and unsustainable.

Leyton is currently on Bail with conditions not to return to the family home. Police advised me not to go back due to safeguarding concerns Complicating factors leading to rent arrears I was robbed in town of all my documents and then I could not pay the rent. cannot go back to old address as victim still lives in same block of flats. Patreece said he needs to leave the bail hostel as there is another resident there who hasn't been good for him to live with and makes his life very difficult

Currently in Focus 12 rehabilitation 4 week programme , I am unable to return home and would like to be near my support network for my own well being and continued recovery

Parents vacating family home in circa five weeks time with no certain address - perhaps a caravan which would not be suitable due to level of family conflict which has resulted in some Police involvement.

Left home due to mentally unstable and not safe living with his mum. Fleeing domestic abuse also selected: fleeing DV, relationship breakdown, eviction, unable to afford accommodation, leaving hospital

I was living in the truck from January 2015 and still living in the truck until 20/07/15 when was caught drink driving so lost truck, job and home. I have been sleeping where I can, bus shelters etc. Still in Haverhill.

Criminal behaviour which parents can no longer tolerate. concern about impact on younger siblings. this young person urgently requires HRS. Advised by SCS to also make a homelessness application via WS HOT

I also feel I am in danger of physical abuse from my neighbours. Argument with mother on 9th April 2015 - resulting in slapping her and cautioned by Police and advised he cannot return to Mothers, or will be arrested.

Mum has asked Rhys to leave the family home. Girlfriend, Vanna Dodd (pregnant - expected February 2016) also homeless and sofa surfing. The couple would like to live together and would prefer supported housing such as Coppice Court.

Due to behaviours and tensions within the family Ethan's parents feel they can no longer have him living in the family home. Ethan also feels that living in the family home is no longer tenable either.

police were worried about state of mind so took him to hospital Lives in house owned by Landlord and the rent is to high along with no support in place. I am currently an inpatient at Waveney Acute Services in Lowestoft . Due to circumstances at my family home I am unable to return. I feel that due to my Mental health I am unable to live independantly without support

I have amassed a rent arrears of approximately £1769.69 on 8/03/2016 Connor is 15 years old but will need accommodation when he turns 16 on 23rd August. Friend will only keep him until then.

Was evicted from Mulberry House Sudbury so is currently sofa surfing in Sudbury. ASB from Flagship Evicted from Cangle on 11.1.16 form indirect ASB behaviour which led to an NTD as was on final warning.

Has been asked to leave Britannia House Altercation with another resident Matthew Paulo at Tayfen drug items found in the room so asked to leave as breaks tenancy agreement. Jack has been issued with NTQ from his placement at YMCA Jack has decided he wants to leave YMCA as he feels he would like a fresh start Broke some items due to becoming angry because another resident had stopped him from attending an open event for employment

Elliott has received 2 eviction notices, one for non-payment of rent and one for breaking terms of his behaviour contract

Owen has been given notice for ASB and criminal damage. Jorden has been issued with notice due to non-payment of rent and non-engagement with support

I'm having to leave IHAG accommodation due to being issued with a Section 21 and need somewhere to live.

non-payment of rent and non-engagement Evicted from YMCA due to drunken behaviour and Class A drug use. Behaviour issues at scheme. Contacted Jo Sagrott and that you can present well and they think well of him.

Violence on project No engagement with support staff. Not paying rent or addressing arrears. SCS write - no history of housing given

From the Cangle. Relationship breakdown unable to accommodated both parties as single people at Coppice Court

Evicted from supported housing placement. Also unable to return there due to bail conditions.

Not engaging and some anti social behaviour. tampered with equipment at the hostel although the client disputes this. Jack has been issued with NTQ from his placement at YMCA Dylan has been given a number of warnings for use of drugs and drug paraphernalia found in his bedroom.

Support needs too high for Christchurch House. Has to leave accommodation by 31/03/2015

Previously, Damien left stepping stones and returned home against social services advice. Damien was really unhappy at home and wished he'd never returned home. He moved into Genesis Housing but has struggled with the low level support and requires more help.

Rent arrears £116.03 YMCA Suffolk Was evicted from YMCA for being told the police had been called with regards to an argument with his girlfriend, was confirmed police were not called but became angry because of this so was evicted for being angry

Current supported accommodation not seen to be working as Sonny has not engaged with the offer of a high level of support in to independence.

evicted from hostel due to rent arrears evicted from YMCA after incident with girlfriend in crash pad until 07.07.15 I have no where to go when I leave here

NTQ YMCA Placement at Fyffe ended - disruptive behaviour Darren has been given notice to leave the Salvation Army Lifehouse in ipswich due to his behaviour and will be expected to leave on 8/09/15 if unsuccessful in an appeal.

rent arrears with YMCA. Dad has told Denis he needs to leave Leaving hospital/ previously in HMP custody I have been rough sleeping since the above date.

it is a mixture of some of those options,we've been evicted from family and living with grandparents.it would be nice if i could get emergency accomodation,then be moved to a flat if i have to wait to get a flat.

also selected were Evicted, leaving temporary accommodation & told to leave by landlord

Did not have a tenancy agreement when in hospital the landlord rented the room to someone else

BEEN SOFA SURFING SINCE RELEASE FROM PRIOSN 2014 Current accommodation unsuitable for pregnant partner Had to leave grandparents before baby was born Martyn was staying with his girlfriends parents in Wickham Market. SCS WRITE: got date in need of accommodation from PS Family dispute

told to leave Josh was living with his partner's family but as he and his girlfriend have now broken up and Josh he needs to move out.

Steven is now stable and ready for discharge but cannot leave hospital without accommodation.

Has been released form HMP and currently in a bail hostel for 12 weeks Sister is allowing sofa surfing and is very supportive but cannot reside there longer term

Me and my wife have split up. Tenancy expires on this date Family dispute also selected I added to Suffolk because I used to study in the UEA in Norwich.

Landlord has asked Ben to leave as she was struggling to pay rent Mum has said I have to move out on Sunday. A couple friends can house me for a few nights only.

Did not have a tenancy agreement when in hospital the landlord rented the room to someone else

I have been rough sleeping since the above date. Karnell needed a fixed address as he is on tag and was sofa surfing - Nan does not want him here long term.

Have been training with Lambourne End Outdoor Centre (princess Trust) who provided accommodation for me. I now have to leave this accommodation following a relationship breakdown.

Relationship breakdown - Ex partner was my carer and tenancy was in her name Both me and my girlfriend had to leave because I became unemployed. Room rental - Live in landlord has asked Stuart to leave by Friday 27th March

unable to afford rent due to losing job father is being evicted and holds the tenancy . CLIENT UNABLE TO RETURN TO PARENTS HOME will be released from prison Was in Tayfen House for temp 21 day emergency accmd. Asked to leave as not actively bidding on home link for move on ( reason being did not want to be in this area as has relatives and support in Lowestoft)

was living with partner Cant stay at mums any longer. lost employment and lost accomoation evicted - fell him out with him.

Also due to leaving prison. Sofa Surfing left prison 24/07/2015 will be released from prison , could possibly be released prior if an address can be secured

Sofa Surfing I may get a few days extra as I am attending a funeral this weekend. Current accommodation is B&B provided by St Eds whilst a homeless application is investigated. Decision has been reached that Matthew is intentionally homeless and so the placement will end on 08/06/2015.

Left Prison with no address to go to. Overcrowding at home.

needs to leave the AP as soon as possible and will be out on the streets on 8 April if no other accommodation found

poor relationship with his father, needs to leave. Rough sleeping Jake was released from HMP Norwich on the 26/02/16. He is living with his Dad but this is a very temporary measure as the two of them have a very volatile relationship and will be no good for long term living arrangements. The relationship is already coming under some pressure and Jake needs somewhere as soon as possible before he ends up street homeless.

With Step dad My landlord illegally evicted me on 13/03/2016. The locks were changed without the landlord serving any notice or notifying me in any way.

Told to leave by landlord forced illegally could not pay rent + Unable to afford current accommodation

staying on sofas as strugging to be at home was released from prison as of the 6th october 2014,has been sofa surfing with friends since. went back to iran as of a month ago as his mum passed away. returned as 14th may

Graham was in temporary accommodation in Telford but was asked to leave as homeless application decision stated non priority need. He has returned to Bury as he has family here.

BEEN PLACED IN B AND B AS WAS HOMELESS AND LIVING IN PUBLIC TOILETS IN HAVERHILL

girlfriend Daniel was living in room rental but was struggling to pay rent. His landlord asked him to leave. Daniel had not accrued any rent arrears.

will be homeless on release from Prison 1 weeks rent in arrears. This is now paid but landlord has asked him to leave. No date given for eviction.

relationship breakdown with father.

Phillip's relationship with his parents has broken down and they are not allowing him into the house.

Will be homeless when released Kobe was asked to leave his last placement 22nd April, was placed in B&B for a weekend but had to move on the Monday and refused this accommodation - Stayed with Cousin for a few weeks but due to relationship issues with her boyfriend she asked Kobe to leave - Kobe is now sofa surfing.

Mothers address is for two weeks only. Cannot return to old address as exclusion to the property and area.

With Step dad Appl has given notice on his PRS accommodation after his wife found alternative accommodation.

Relationship breakdown & unable to afford current accommodation also selected. The property may also be taken away.

Living with grandparents but they are in the process of splitting up and this is causing breakdowns in the house with all relationships.

also selected was relationship breakdown

also selected was told to leave by landlord Will be homeless when released Cant stay any longer at mothers as this is a one bed bungalow. Homeless Tee Jay has to leave his accommodation due to his room being unsuitable for living in. The room is full of mold and his land lord has been advised by the council to end the tenancy as it is a health risk.

was released on 15/09/15 but has permission to stay at mothers until 16/09/15 after which will be homeless.

My friend is moving house and I am no longer welcome to stay at my parents house 28 Day license coming to an end. Kobe is being given an intentionally homeless decision from IBC on 31/12/15 (28 days notice)

Tenancy is in partners name and now she is in custody Leaving accommodation 25/02/2016 due to being found intentionally homeless. 28 till NTQ Relationship ended whilst in Prison Asked to leave by Abigail court John has been living in a room share in private rent but has been given 1 week to leave. Needs to leave accommodation by Saturday 1/08/2015.

Sofa surfing Graham was in temporary accommodation in Telford but was asked to leave as homeless application decision stated non priority need. He has returned to Bury as he has family here. Will be staying in Tayfen for weekend only.

Dylan is temporarily accommodated in the Royal Falcon B&B after his release from prison on the 22nd April 2015.

unable to afford accommodation was also selected Until 12/06/2015 Danny was living at home with his mother and father but following an argument Danny was asked to leave the family home. Danny does not want to return to living with his family and Danny's mother does not feel able to have him return home. Without hostel accommodation, Danny will be homeless.

Will need an address for Tag went to visit his sister in SE London and when her returned he found that his partner has dropped all his belongings off at Probation and told him not to return.

Leaving hospital also selected Sofa surfing at mothers following custodial in YOI With parents. Martyn was staying with his girlfriends parents in Wickham Market. Notice has been received by Landlord to leave property on 07/04/2016

Eviction from father Due to behaviours and tensions within the family Ethan's parents feel they can no longer have him living in the family home. Ethan also feels that living in the family home is no longer tenable either.

Left prison on 15/12/2015 and have no where to go breakdown with partner Client has been kicked out of the room that he rents from a landlady, he is now sofa surfing at a friends on a temporary basis

Was renting a room and landlord told to leave. The lady I was renting from was an alcoholic and would through me out of the house in the middle of the night. When she was sober it was lovely. She made the decision for me to leave.

I have been issued with a notice to quit on the 24/8/2015 relationship breakdown Ryan was living with a friend (233 Downside Close) until approx. 1st of April when they asked him to leave (requiring the space for another friend) - Ryan has been temporarily staying on the sofa at a friends (257 Downside Close) but she is moving out of the area and she will no longer have possession of her flat from 1st May 2015 - Ryan has no where else to go and will be homeless as of this date.

Adam's Mother kicked him of home after a dispute and he is now sofa surfing at a friends temporarily.

Cousin has asked Sahin to leave because he is has less income as hours at work had been reduced.

Will be released 08/10/15 and will be homeless cant stay with sister. need to be out ASAP Has been given a week to find somewhere Going through the re-release process. Needs accommodation to get released. Dec date the earliest.

Tenancy expires on this date Was with mum who is now in care not on tenancy also selected were Evicted, leaving temporary accommodation & told to leave by landlord

USED TO LIVE HIS SISTER IN COTTON, IPSWICH. SISTERS PARTNER WAS AGGRESSIVE TOWARDS HIM AND HIS SISTER AND SO HE LEFT.

Release from prison I HAVE GIVEN 28 DAYS NOTICE TO THE HOME WHERE I LIVE AS I NO LONGER WISH TO LIVE THERE I WANT TO MOVE OUT ON 8/1/2016

Relationship breakdown with partner. She is the sole tenant of the property. 3 weeks from now I was staying at my friends house about 6-7 months but fell out with them and I had to leave.

Geoffrey was living with a second cousin who has now asked him to leve. Rent arrears and property being sold. Relationship breakdown with landlord where he was lodging

causing friction at home being there Graham was in temporary accommodation in Telford but was asked to leave as homeless application decision stated non priority need. He has returned to Bury as he has family here. Will be staying in Tayfen for weekend only.

28 till NTQ Family Dispute Leaving acre

Went to Scotland between June and July 2015. Come back to accommodation. homeless Chris was living with his nan in Cumbria after being placed with her by social care when he was younger. Following a dispute over Chris not finding work, his nan has asked him to leave.

Was evicted today 02/04/2015 £1500 approx arrears including court costs. Refuses to pay as has letter stating property needs work.

Being evicted due to non payment/rent arrears £224.24 Sudbury is not a good area for him and wants to move closer to his family in the Ipswich area

"unable to afford current accommodation" was also selected Client was living with partner in social accommodation however they split up and Raymond left the property.

The landlord has just left prison and can't enter Sudbury for three years. Client has been served Section 21 notice. Been kicked out of my parents house NTQ Kicked out

mother has mental health problems and we cannot live together. we argue constantly Move to be near girlfriend in Lowestoft Hudson's mother has asked him to leave their family home. Homeless David is living in a two bedroom bungalow with his mother, her partner and his ten year old sister. David has to share with his sister in a very small box room. David does not get on with his mother's partner and both mother and partner want David to move out of the home. David sharing with is sister is very inappropriate and neither child has suitable space or privacy, especially being mixed sex sharing.

mums fainancee dosnt want him there Eviction for non-payment of rent father is being evicted and holds the tenancy . Relationship breakdown

Clark has received a NTQ due to unpaid rent Also selected was "eviction" kicked out of former accommodation as brother was asking to much rent in Ipswich. leaving temp accommodation after leaving prison Geoffrey was living with a second cousin who has now asked him to leve. can not go back due to the risk of sisters own tenancy Told to leave by landlord Unable to stay at his Mothers two bedroom adapted property due to overcrowding. told to leave

Both Cai and his mother are due to be evicted on 28.03.16 Has to leave approved premises by 15/03/2016 Elliott has received an eviction notice for failure to pay correct rent and arrears relationship breakdown and eviction also selected Asked to leave by parents Clark has received a NTQ due to unpaid rent 1st time I have left home. It was getting aggressive at home. Was living with his father but was asked to leave due to relationship breakdown. Lost job

unable to afford current accommodation was aslo selected I have been issued with a notice to quit on the 24/8/2015 Relationship breakdown Asked to leave by partner following relationship breakdown Trayvond has been asked to leave as he has not been staying at his accommodation in the last two weeks as he wishes to live in Ipswich Suffolk

Mum has split at her husband and she could not afford to run the house last year. So have staying with his dad and sister and I can't stay with them for much longer.

The extract of SCS applicants over the past 12 months has a comments column containing additional information. It's an incomplete sample, because not every row has a comment against it, but it does show how many people are accessing SCS with needs round homelessness and potential homelessness but no other stated support need.

support need

leaving a hostel

homeless or potentially homeless. No other stated support need.

Page 30: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Information from needs assessments

We interviewed a number of support workers working for a range of accommodation-based providers to obtain an overview of customer needs. Findings to date show that very few customers from the sample needed over 3 hours per week formal HRS support on a regular basis.

0%

0% 9%

0%

0%

0%

0%

50%

0

50%

12.5

0%

0%

0%

0%

0%

0 0%

0%

0%

0%

1 2 3 4 5 6 7

clients needing over 3 hours per week formal HRSsupportclients needing over 3 hours per week informal HRSsupportclients needing over 3 hours per week HM support

Page 31: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Proposals for transforming HRS savings

Page 32: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

The balance of accommodation based and floating support

Floating support

Accommodation based

Spend reduced to achieve

savings

Realistic Individual service

budgets

Enough to meet need

Spend reduced to achieve

savings

Preventative wrap around

service

Enough to meet need

However both types of service are currently dealing with quite significant numbers of customers with lower needs that could be met in other ways.

Taking the above into account, it would seem reasonable to reduce the spend on accommodation-based and floating support services by an equal percentage

There is a proven need for both accommodation-based and floating support services and removing too large a proportion of either will destabilise the HRS market, increase risk and have significant knock on effects on the public purse.

Page 33: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Suggested new service models

Page 34: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Challenges We need to ensure that: • There is enough community-based provision to meet

need and help SCC to deliver its strategic objectives in terms of SLCC and MEIC preventative services and short-term services.

• Remaining accommodation based service budgets are

sufficient to allow providers to deliver a safe, sustainable service and not so low that they stifle the market.

Page 35: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Current HRS acc-based service models In Suffolk there are currently three service models for accommodation-based support Model 1 – linked services This model consists of a number (say 5) hostels in the same locality, offering support provided by a team of support staff based at one of the hostels. Out of hours’ cover is funded through the rent and support staff are usually on duty Monday to Friday during core hours.

Page 36: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Current HRS acc-based service models Model 2 – visiting support Visiting support to people

living in small shared houses, owned by or under contract to the service provider. The frequency of visits is needs-led and varies from several times a week to a few times a month or less if someone is ready to move on.

Page 37: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Current HRS acc-based service models Model 3 – ‘stand-alone’ hostels This model consists of a single hostel, with a team of support staff based on site, managed by a part-time or full time manager, and sometimes a deputy manager. Some existing providers use support assistant roles to keep overall costs down. Out of hours’ cover is funded through the rent and support staff are on duty Monday to Friday during core hours. Some hostels also provide staff cover at the weekend.

Page 38: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Cost and service modelling

• Future service budgets will reflect all information provided re local cost drivers collected from HRS providers

• Based on the cost work books received, average apportionment of overall costs funded through HRS is 50%

Page 39: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Proposed HRS service models Model 1 – ‘Linked hostel’/Visiting

Support • Short-term accommodation

based service flexible needs-led support staffed during week and possibly weekends.

• Usually single cover and out of hours provided by on-call. Suitable for individuals who do not present high risk, but still require regular support to address key outcomes and are not yet ready to live independently.

Page 40: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Proposed new HRS service models Model 2 - ‘Stand-alone’ hostel

provision • This model consists of a single hostel,

with a team of support staff based on site, managed by a part-time or full time manager, and sometimes a deputy manager.

• Some existing providers use support assistant roles to keep overall costs down.

• Out of hours’ cover is funded through the rent and support staff are usually on duty Monday to Friday during core hours.

• Some providers also provide cover at weekends.

Page 41: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

New service models Model 3 – Assessment beds • Option to have an agreed percentage of the Model 2 type units are

classed as ‘assessment beds’, where selected individuals can stay for a short period of time (up to 28 days?) whilst their needs are properly assessed before being referred to suitable hostel provision or resettled into the community.

• Out of hours’ cover is funded through the rent and support staff are

usually on duty Monday to Friday during core hours.

• Some providers also provide cover at weekends.

Page 42: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Young People • Option for an agreed percentage of the Model 2 type units are

classed as ‘crash pad’ beds for homeless young people, where the individuals can stay for an agreed period of time.

• Discussions with CYP that YP services cover 16-21 years olds only • No large hostels – smaller accommodation where YP tend to thrive • Higher support than HRS will be funded by CYP for YP leaving care • All YP services should have out of hours’ cover which is funded

through the rent and support staff are usually on duty Monday to Friday during core hours.

• Some providers to also provide cover at weekends.

Page 43: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Move on/ Resettlement Units

• Resettlement – Suggest this is up to one month on needs basis from accommodation based services. Longer term floating support service if required.

• Move on units– still of value but no longer funded by

HRS. Some types of move on support should be eligible for Housing Benefit

Page 44: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

New service models – Preventative Floating Support

• Will be a key element of HRS service provision in the future. • At present, floating support and accommodation-based service

provision are seen as two separate service types with little overlap between the two.

• If better integrated, it should be possible to prevent a number of people with low needs entering and/or returning to accommodation-based services.

• Support will be provided on a flexible, needs-led basket of hours

basis, delivered via surgeries, community hubs, phone calls and home visits where required.

Page 45: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Preventative Floating Support We suggest using some of the

available floating support hours for those people on the Gateway referral waiting list, who can be supported prior to or instead of accessing accommodation based services, which should help to reduce the length of stay within accommodation based services.

• Floating support is also still

required to provide housing support people living in the community, as at present.

Flexible floating support available whilst waiting for an acc-based service

and resettlement support once people move on

Page 46: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Current & Future location of accommodation-based units

Page 47: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Latent class analysis

£0

£200,000

£400,000

£600,000

£800,000

£1,000,000

£1,200,000

£1,400,000

£1,600,000

£1,800,000

Ipswich Forest Heath& St

Edmundsbury

SuffolkCoastal &Waveney

Babergh &Mid Suffolk

Countywide

Current spend

0

50

100

150

200

250

300

350

400

450

Ipswich Forest Heath &St

Edmundsbury

Suffolk Coastal& Waveney

Babergh & MidSuffolk

Countywide

Current Units

0

20

40

60

80

100

120

140

160

180

200

Ipswich Suffolk Coastaland Waveney

West Suffolk Mid Suffolk andBabergh

Out of area

1f 2f 3f 1m 2m 3m 4m

Women with high needs

Women with lower needs

Men with high needs. Class 4 young at at risk.

Men with lower needs

In general, the balance between need, current spend and units looks about right, except that Suffolk Coastal and Waveney has higher needs but fewer units than Forest Heath and St Eds. Also localities don’t match up.

Page 48: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

125 65

329

8

128

19 64

0

16 to 21 22 to 24 25 to 60 Over 60

Ipswich

39

17

59

0

26

2 14

0

16 to 21 22 to 24 25 to 60 Over 60

Babergh & Mid Suffolk

87 41

166

4

78

17 42

1

16 to 21 22 to 24 25 to 60 Over 60

Suffolk Coastal & Waveney

86 32

144

4 58

9 27 0

16 to 21 22 to 24 25 to 60 Over 60

West Suffolk

15 11

72

3 5 2 15

0

16 to 21 22 to 24 25 to 60 Over 60

Out of Area Gender, age and locality breakdown of people accessing SCS over past 12 months.

Page 49: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

What we still need to do

• Agree • Split of units for high/med

support • Numbers of units per

locality split by client group and age

• Where assessments beds could be if proposed.

• Agree number of SSEA beds

• Agree • Configuration of the lots

including call off timeframe

• intensive beds if joint funding is identified

• Approach to outcomes and how collected

• Time limits for people to stay in accommodation based and FS services

Page 50: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Group Work Questions. 1) Based on the evidence of need which models do you think would work best ? a) Majority of medium needs support schemes?

b) Majority of higher needs support schemes?

2 ) Do we need the same number of SSEA beds (12) (Lowestoft, Ipswich & Bury St Edmunds) plus an agreed number of assessment beds (average 35 people per week apply for accommodation based services County wide)

3) Lots for Call Off contracts– consider how you would want the call

off contracts to be tendered for example, client group/locality/county wide

Page 51: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

HRS Outcomes

Wednesday 25th May 2016

Page 52: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Background • Current contracts for existing gateways expire in Sept

2016 and there is need to have new referral system in place by Sept 2016

• This has provided us with the opportunity to develop new outcomes co-productively with the sector dovetail with transformation of programme

• These outcomes will form part of the future HRS contract monitoring and performance management post April 17.

Page 53: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

A new approach to outcome monitoring • Ideally linked to needs identified when the individual first applies for

a housing related support service • Looking at a distance travelled model as well as hard outcomes • We would like to work with you to agree a suite of needs-led

outcomes for HRS services in future.

Page 54: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Challenges

• Need you to have time to consider and contribute to the discussion re outcomes

• Time is of the essence! • We need to have agreed outline needs assessment and

draft outcomes in place before going out to tender in summer 2016.

Page 55: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Opportunities

• Opportunity to move away from hard outcomes dictated by central government.

• Opportunity to better understand what HRS achieves - social value

• More meaningful way of monitoring the programme alongside key performance PI’s and quality reviews.

• A common set of goals that link strategically with Suffolk CC and providers strategic priorities.

• A system that is not bureaucratic but something which is simple and easy to use and understand

Page 56: Housing Related Support Transformation Workshop · 2016-05-27 · Housing Related Support Transformation Workshop . Introduction from John Lewis, Assistant Director for Commissioning,

Today

• SCC recently met with small group of providers to discuss initial thinking

• Can share initial thinking with you today • Nothing is set in stone welcome opportunity to discuss

and consider other options today (also considering other outcomes systems (Sitra, SOUL record)

• BUT time is of the essence – so need to remain focussed!