Tooltip Categories: Taxonomy

Taxonomy of supported housing

Need
Need
Time
Time
Rights
Rights
100
100
50
50
100
100
50
50
B
B
C
CExtra care housing (rente...
Extra care housing (leased)
Extra care housing (l...
AST supported housing, low-level support
AST supported housing,...
Short term
Short te...
Medium term
Medium t...
Long term
Long t...
A
A
A =
A =
B =
B =
C =
C =
Types
TypesViewer does not support full SVG 1.1

The UKSH Model

1. A 3D model of UK supported housing types we have developed on the basis of the fundamental attributes of:  

  1. need; 
  2. time and 
  3. rights.

The three axes

2. Need: the level of support/supervision/care need by the occupant – notionally indicated on a scale of 0 to 100.

3. Time: expected duration of occupation: short-term, medium-tem, long-term time spent occupying a unit of accommodation

4. Rights: occupiers’ rights reflected in residence agreements (e.g. licences, ASTs, leases, etc ) – essentially the occupiers legal interest in the accommodation. 

5. Our model allows you to pinpoint any type of supported housing such as extra care housing (rented), extra care housing (leased) or short to medium term AST supported housing with low-level support.

Types

6. In the illustration above: 

A = AST supported housing, low-level support is located at Time (short to medium term), Need (low at about 10/ 100) and Rights (low at about 10/ 100).

B = Extra care housing (rented) is located at Time (longer term), Need (50/ 100) and Rights (70/ 100)

C = Extra care housing (leased) is found at Time (higher end of long term),  Need (60/ 100) and Rights (90/ 100)

Enhanced sheltered housing

1. An enhanced form of sheltered housing but with additional services on site to enable older people to retain their independence for as long as possible. This accommodation is mostly for renting but also leasehold or purchase.1EAC glossary entry on “enhanced sheltered housing” 

2. Most developments will have a scheme manager and alarm systems in the property. There may also be some personal care and home help services that can be arranged by management.2Too Little, Too Late? Housing for an ageing population by Professor Les Mayhew, published by Centre for the Study of Financial Innovation (CSFI), 2020, p.18 

Notes   [ + ]

Age-exclusive housing

1. The Elderly Accommodation Counsel (EAC) introduced the description ‘age-exclusive housing’ for schemes or developments that cater exclusively for older people.1EAC glossary entry on “age-exclusive housing”

2. EAC say that this term was introduced because of the recent trend away from providing ‘wardens’ or Scheme Managers in traditional sheltered and retirement housing schemes. 

3. Age exclusive housing is designed, built and let/sold exclusively to older people (typically 50+ or 55+), but without supportive on-site management and usually without any shared facilities except perhaps a garden, residents’ lounge and guest suite.2EAC glossary entry on “age-exclusive housing” & Too Little, Too Late? Housing for an ageing population by Professor Les Mayhew, published by Centre for the Study of Financial Innovation (CSFI), 2020, p.18 

4. Age-exclusive housing usually incorporates design features helpful to older people, and may have communal facilities such as a residents’ lounge, guest suite and shared garden. It does not provide any regular on-site support to residents.

Notes   [ + ]

Residential care home

1. The NHS say that there are two main types of care home:1NHS page on dementia and care homes

  1. residential care homes;
  2. nursing homes.

2. Some care homes offer both residential and nursing care places.

3. Residential homes provide personal care, such as help with:

  1. washing;
  2. dressing;
  3. taking medicines;
  4. going to the toilet.

Notes   [ + ]

Nursing home

1. Nursing homes provide personal care as well as assistance from qualified nurses. They are sometimes called care homes with nursing.1Age UK

2. The NHS say that some nursing homes offer services for people that may need more care and support. For example, these are people with:2NHS page on care homes

  1. severe learning disabilities, severe physical disabilities or both
  2. a complex medical condition that needs help from a qualified nurse – such as someone who has a colostomy or who is fed through a tube

Notes   [ + ]

Sheltered housing

1. Sheltered housing is one form of supported housing. 

Working Age HB Claimants
[Not supported by viewer][Not supported by viewer][Not supported by viewer]
Pension Age
HB Claimants
[Not supported by viewer][Not supported by viewer][Not supported by viewer][Not supported by viewer][Not supported by viewer]
Sheltered Housing
[Not supported by viewer][Not supported by viewer]
UC?1DWP’s LA Welfare Direct Bulletin 4/2019 para 8-10
[Not supported by viewer]

2. There is no statutory definition of sheltered housing. The UK Government has adopted the following definition of “sheltered housing” for policy purposes:2DWP A5/2019 Sheltered and extra care supported accommodation – New LA IT functionality requirement, 21 May 2019

Sheltered housing is housing designated for occupation mainly by over-55s with low-level care and support needs. The majority of residents are above the state pension age, but some are of working age.

3. Residents’ needs are at least in part met by extra housing facilities and services. This support could be either physical (getting in and out of the property) and/or emotional/ mental (emergency help or assurance).

4. Features of a sheltered unit might include:

  1. 24-hour emergency help (alarm system);
  2. warden present some of the time;
  3. some communal facilities, in other words, lounge, restaurant, laundry, garden;
  4. rooms available for outreach services; and
  5. often accessible buildings designed for communal purposes.

5. Extra care housing is related to sheltered housing. 

Notes   [ + ]

Extra care housing

1. Extra care housing is a form of supported housing.

2. There is no statutory definition of extra care housing. The UK Government has adopted the following definition of “extra care housing” for policy purposes.1DWP A5/2019 Sheltered and extra care supported accommodation – New LA IT functionality requirement, 21 May 2019

Extra care housing is related to sheltered housing. Like sheltered housing, it is also designated for occupation mainly by over-55s but with higher level support and care to help residents live independently (for example, where the likely alternative might be a residential care home).

Notes   [ + ]

Refuge [SA3]

1. A refuge is one form of supported housing. 

2. Generally speaking the term “refuge” refers to an institution which provides safe accommodation for individuals (most frequently women) who have suffered violence from a spouse or partner.

Definition for the purposes of HB specified accommodation

3. Within the context of specified accommodation, the label “refuge” applies to accommodation which:1The Housing Benefit Regulations 2006/213 reg 75H(4)

  1. is provided by an HB administering authority (i.e. a relevant authority) or a relevant body to the claimant because the claimant has left the home as a result of domestic violence; and
  2. consists of a building, or part of a building, which is used wholly or mainly for the non-permanent accommodation of persons who have left their homes as a result of domestic violence.

DWP circular

4.  The DWP say that refuge as a category:2DWP Housing Benefit Circular HB A8/2014, paras 24 to 28

[…] looks to protect the rents of both third and social sector refuges. This is again achieved through identifying the provider type as well as the reason why the person is living in the property (i.e. that they are fleeing domestic violence) and that this is a temporary arrangement.

The definition for domestic violence we are using is the same as the crossgovernment definition, with the exception that we do not include the reference to age because Universal Credit is available only to those aged 16 or over. The exclusion of the reference to partnership or familial relationships broadens the definition to include other types of violence that may occur in a domestic setting (for example, violence by a neighbour or landlord). This will ensure that the new definition provides protection for as wide a range of provision as possible.

The legislation refers to having “left the home as a result of domestic violence”. As a clarification, in this context the meaning is the home where the claimant usually lives and from where they initially fled, rather than any intermediate accommodation, which may well have been another refuge in some cases. All that is required is that there is a causal connection between the claimant being in the refuge and their having left their home as a result of domestic violence.

It has been estimated by stakeholders that around half of refuges currently available are protected because they are “exempt accommodation”. The rest are said to be outside the definition because the refuges only manage the properties they use, often for social sector landlords.

Many refuges are likely to already be covered by the first and second categories as this category includes the same types of providers already covered through the first two. However, it also includes LA refuges.

Notes   [ + ]

Care home

Description

1. A care home is a place where personal care and accommodation are provided together.1NHS Business Definitions – Care Home

2. People may live in a care home for short or long periods. For many people, it is their sole place of residence and so it becomes their home, although they do not legally own or rent it.

Types

3. There are two types of care home:

  1. Care home without nursing (residential care home);
  2. Care home with nursing (nursing home).

Care homes for HB purposes

4. For HB purposes a “care home” is separately defined as:2The Housing Benefit Regulations 2006/213 reg 2(1) def: “care home“; The Housing Benefit (Persons who have attained the qualifying age for state pension credit) Regulations 2006/214 reg 2(1) def: “care home“; Universal Credit Regulations 2013/376, sch 1, para 1 def: “care home“

  1. a “care home” in England;3Care Standards Act 2000 s 3 
  2. a “care home service” in Wales, which is provided wholly or mainly to persons aged 18 or over;4Regulation and Inspection of Social Care (Wales) Act 2016 part 1 and
  3. a “care home service” in Scotland.5Public Services Reform (Scotland) Act 2010 sch 12 para 2

In England 

5. In England an establishment is a “care home” if it provides accommodation, together with nursing or personal care, for any of the following persons (unless excluded by relevant law):6Care Standards Act 2000 s 3(1)-(2) 

  1. persons who are or have been ill;
  2. persons who have or have had a mental disorder;
  3. persons who are disabled or infirm; or
  4. persons who are or have been dependent on alcohol or drugs.

6. Accommodation is not a care home unless the care which it provides includes required assistance with bodily functions.7Care Standards Act 2000 s 121(9), 3(1)-(2)

In Wales

7. In Wales a “care home service” is the provision of accommodation, together with nursing or care at a place in Wales to persons because of their vulnerability or need.8Regulation and Inspection of Social Care (Wales) Act 2016 s 2(1)(a), (2); sch 1 para 1(1)

In Scotland

8. In Scotland a “care home service” is a service which provides accommodation, together with nursing, personal care or personal support, for persons by reason of their vulnerability or need; but the expression does not include:9Public Services Reform (Scotland) Act 2010 sch 12 para 2

  1. a hospital;
  2. a public, independent or grant-aided school; or
  3. a service excepted from this definition by regulations.

Regulation of care homes

9. Care homes, as defined in the relevant legislation, are regulated by:

  1. the Care Quality Commission (in England);
  2. the Care Inspectorate Wales; and
  3. the Care Inspectorate Scotland.

Care homes and benefit entitlement

Housing Benefit

10. People who are liable to make payments in respect of a care home are not normally eligible for HB. This applies to individuals of working age or pension age.10The Housing Benefit Regulations 2006/213 reg 9(1)(k); 9(4)(a); The Housing Benefit (Persons who have attained the qualifying age for state pension credit) Regulations 2006/214 reg 9(1)(k); 9(4)(a)

11. In the first instance the distinction between a “care home” and “exempt accommodation” for HB purposes may be difficult to determine for individuals with high care needs. 

12. For a benefit decision-maker it is normally whether or not the accommodation is registered that determines the matter.

Universal Credit

13. For UC claimants payments in respect of a care home are excluded from being rent payments for UC calculation purposes.11Universal Credit Regulations 2013/376, sch 1, para 3(d)

Notes   [ + ]

Top