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20 Years of Extra Care: A Review - Hanover

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3.1.5 What older people get from <strong>Extra</strong> <strong>Care</strong><br />

The conclusion <strong>of</strong> a review <strong>of</strong> the empirical evidence on the effectiveness <strong>of</strong> <strong>Extra</strong> <strong>Care</strong> from a<br />

number <strong>of</strong> studies is summarised in the box below: 3<br />

Promoting independence<br />

• High levels <strong>of</strong> satisfaction are consistently<br />

reported by residents <strong>of</strong> housing with<br />

care developments<br />

• It is the combination <strong>of</strong> independence and<br />

security that is valued by residents<br />

• Residents and providers do not always<br />

have a shared understanding <strong>of</strong><br />

independence<br />

Addressing social isolation<br />

• Housing with care <strong>of</strong>fers opportunities<br />

for social interaction and companionship:<br />

however, the very frail and people with<br />

sensory and cognitive impairments<br />

are consistently reported to be on the<br />

margins <strong>of</strong> social groups and networks<br />

An alternative to residential care<br />

• In some circumstances, housing with care<br />

can provide an alternative to residential<br />

care. However, the evidence suggests that<br />

it is not a substitute for these settings<br />

Home for life<br />

• The evidence indicates that “home<br />

for life” is a potentially misleading<br />

description, and that “ageing in place” will<br />

not always be a reality for some people<br />

• The evidence suggests that housing with<br />

care can have a positive impact on the<br />

health and well-being <strong>of</strong> residents<br />

• In terms <strong>of</strong> assessing quality <strong>of</strong> life,<br />

authors have drawn on residents’<br />

expressions <strong>of</strong> satisfaction and<br />

contentment to infer that housing with<br />

care <strong>of</strong>fers a good or better quality <strong>of</strong> life<br />

than other settings<br />

3: Housing with <strong>Care</strong> for Later Life: A Literature Revision, K Croucher etal, JFR, <strong>20</strong>06.<br />

3.2 <strong>Extra</strong> <strong>Care</strong> and the community<br />

<strong>Hanover</strong> has led the way in meeting the<br />

aspirations <strong>of</strong> older people to live in<br />

environments which successfully marry their<br />

requirements for security and social interaction<br />

with their continuing demand for a high degree<br />

<strong>of</strong> independence.<br />

The model <strong>of</strong> flexible services and a range <strong>of</strong> onsite<br />

facilities coupled with the right location has<br />

meant that the developments can become more<br />

than a home for residents but a real hub for the<br />

community.<br />

3 Older people, local communities and partnerships<br />

12

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