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The Fife Dementia Strategy: 2010 – 2020 - The Knowledge Network

The Fife Dementia Strategy: 2010 – 2020 - The Knowledge Network

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4.5 Housing<br />

AIM<br />

Support people with dementia to access housing options which meets<br />

their care and lifestyle needs including appropriate support to remain in<br />

the home of their choice.<br />

RECOMMENDATIONS TO ACHIEVE THIS<br />

4.5.1 <strong>The</strong> housing needs of older people and people with dementia are<br />

identified in the <strong>Fife</strong> Council Specific Needs Housing Approach, and are<br />

given appropriate housing choices in Housing Options discussions.<br />

<strong>The</strong> number of older people living in <strong>Fife</strong> is increasing at a dramatic rate, and<br />

with the shifting balance of care from institutional environments into the<br />

community, peoples’ homes are increasingly becoming the location for a<br />

range of support and care activities. It is thus important that houses are<br />

appropriately designed and equipped for the provision of care (for example<br />

bungalows without steps/stairs, bedrooms large enough for a bed to be<br />

turned, main floor bathroom facilities including showering, and wheelchair<br />

accessible doorways). This will present many challenges to the current<br />

housing situation as the care and support provided to older people if often<br />

linked to the accommodation lived in, rather than the needs of the individual.<br />

This is of concern, especially as the governments focus remains on providing<br />

affordable housing that is built to barrier-free standards. It is intended that<br />

such barrier-free housing will have the flexibility to be adapted to suit the<br />

needs of people with dementia; however resources and services for<br />

adaptation and other support for the specific needs of the aging population<br />

whose homes, new or old, may grow unsuitable as their physical and<br />

cognitive abilities change, are limited.<br />

Age brings with it a greater acknowledgement of interdependence with family,<br />

community, services, and neighbourhood. To achieve the right balance<br />

between these means looking at planning for new homes and<br />

neighbourhoods which can sustain the changes of a lifetime; providing<br />

impartial information at an earlier stage so that people can make better<br />

informed and more confident decisions about a greater choice of quality<br />

housing options; have access to increased support to enable people either to<br />

stay in their own homes; or to move on.<br />

To meet the challenges due to the aging population we must work across<br />

health, social care and housing services to plan for homes and communities<br />

that people can live out their lives in. People should be supported to remain<br />

independent, and feel safe in a community with their families and friends, and<br />

with accessible facilities around them for as long they wish to. We want to<br />

ensure that people are able to make the right choices at the right time with the<br />

right range of ‘specialist’ housing available for those who need more support<br />

including sheltered, very sheltered and extra care housing. Housing is central<br />

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