This chapter was last reviewed and/or updated April 2021.

1. What is Extra Care Housing?

Extra Care Housing is accommodation that has been designed for people who are aged 55+. The flexible approach to the provision of housing and homecare which it provides can achieve positive outcomes for  the person. It has been proven that Extra Care Housing enhances the quality of life, whilst supporting the person to remain as independent in as many areas as they can.  It also enables them to be able to stay within their chosen community, with continued access to  services that are close to home. It is essential to understand that Extra Care Housing is not the same as a residential care home or a nursing home and the support within these schemes will be very different from these facilities.

Extra Care Housing is rented accommodation that the individual and the person they live with are responsible for. The person will need to have mental capacity to understand the content of the tenancy agreement and to be able to meet the requirements set out within the agreement. The person will need to pay rent along with a service charge, which covers for the upkeep of the communal areas. They may be eligible for housing benefit to help them pay towards the rent.

2. Benefits of Extra Care Housing

There are numerous benefits of Extra Care Housing, some of which are listed below:

  • safe accessible accommodation;
  • promotes social inclusion through a range of facilities and activities;
  • reassurance of 24 hour access to care and support services;
  • focuses on the person’s strengths and abilities promoting continued independence where possible;
  • provides a positive  environment that is beneficial to health and wellbeing;
  • increases the potential towards an improved quality and increased longevity of life;
  • security and privacy.

3. What does Extra Care Housing Offer?

The facilities offered within each scheme vary from place to place, some examples are listed below. The relevant scheme manager will confirm what they have available:

  • reception;
  • secure access to flats;
  • 24/7 emergency support;
  • 24/7 on-site care team;
  • restaurant;
  • hairdressers;
  • shop;
  • laundry;
  • mobility store and charge area;
  • meeting and hobby rooms;
  • a library and computer room;
  • therapeutic activities with some schemes offering a therapy room and spa bathroom;
  • assisted bathrooms;
  • communal seated areas to meet for coffee and conversation;
  • garden with raised flower beds;
  • fitness facilities such as outdoor exercise equipment;
  • sharing of experiences and knowledge;
  • arranging activities, events and being part of tenants meetings;
  • scheme managers actively seek to invite local health support services and local communities to visit;
  • some schemes allow pets (please check with scheme manager);
  • at a cost, top-up support is offered at some schemes for those who require extra help with things like the weekly shop or getting ready for a family event such as a  wedding.

3.1 The Accommodation

  • a letterbox and a doorbell at each front door and Royal Mail delivers directly;
  • intercom system;
  • lifeline;
  • open plan sitting room and kitchen;
  • one or two bedrooms – be aware of potential top up rent costs for the additional bedroom; further justification may be required to be awarded a flat with a second bedroom because some of the schemes have limited two bedroom flats available;
  • wet room bathrooms with some schemes providing a low threshold shower cubicle.

The property provided can be accessible to meet the variety of physical needs but each person’s physical abilities are very different and it would be very difficult to ensure the accommodation meets every possible physical need. See chapter 19.

4. Care

Extra Care Housing aims to encourage individuals to remain as independent as possible with onsite care provided. Care and support is available 24 hours, seven days a week and 365 days a year.

Before moving into Extra Care Housing the individual (or their deputy) must submit an housing  application and / or be nominated by an adult care practitioner. Each applicant must have had an ACCW needs completed and have a care need as these will be considered by an allocations panel to ensure that the person is eligible for accommodation at the scheme and will need to accompany their application as it will be used to provide information required for consideration at the allocation panel.

The care provider is able to support to the tenants with:

  • personal care;
  • domestic including shopping;
  • social support;
  • medication prompting.

5. Application Process

It is important to remember that each registered housing provider will have a different application process. Therefore, it is important for you to do the following when supporting the person considering extra care housing:

  • contact should be made with the relevant scheme manager to understand the process;
  • make an appointment to visit the scheme of interest to provide an opportunity for the person to have a look around and ask questions.

It is also important to consider the following:

  • each extra care housing scheme will have an allocation policy and it is important to understand these as it can impact upon the person’s application;
  • there will be a waiting list, so do not be put off if at the time of application the scheme does not have any vacancies. If the person is interested still encourage them to complete an application;
  • the housing provider of the  scheme will also require a copy of the person’s care plan with their application; Extra Care scheme managers will also consider a person based on the information within the person’s needs assessment but ensure you have consent from the person to share;
  • as or if things change for the person whilst waiting for accommodation , it is a good idea to keep the Scheme Manager updated. If not, this could result in a delay, as a decision cannot be made until further clarification of the person’s circumstances has been gained.

6. Panel Process

The organising of a panel meeting will depend on the number of available vacancies.​

The panel consists of:

  • Specialist Housing Manager​;
  • Scheme Manager;​
  • LCC Adult Care Representative; ​
  • Care Provider – Team Leader and sometimes the LCC contracts officer may also be present;​
  • District Housing Department Representative.​

Each application is discussed and thorough consideration is given based on the information provided. Further supporting documents can be provided to highlight a person’s strengths and abilities to further support the panel’s decision.​

  • Applications are not based on a first come basis, allocations are based on the availability to accommodate the assessed needs of the applicant at the time of the vacancy;​
  • Additional information may be required from the LCC representative to clarify if Extra Care Housing will work for the person, to gain further clarification of needs, independence and confirm support requirements; ​
  • All Members will achieve an agreed outcome.​

​7. What Happens Next?

  • If the person is successful they will have approximately three days to decide;
  • Practitioner will need to ensure transfer of care – end and starting of care package;
  • Family/practitioner to assist person where required with the transition of moving home; this may include organising support with transport, financial matters and removals;
  • Practitioner to ensure any arrangements for minor equipment needs have been made;
  • Within two weeks Practitioner should ensure that checks are made with the person, representative and providers to ensure that the plan is fulfilling needs and make any necessary adjustments;
  • Practitioner to ensure a first review takes place within six to eight weeks.

 8. Customer Feedback

“A lady moved in who loved to be active she organised numerous activities including getting the ladies knitting hats for premature babies, she then befriended a gentleman that moved into the scheme and they ended up getting married”.

“A couple moved in, the gentleman had dementia, his wife had no care needs but wanted to be with him and help look after him along with the care support. Unfortunately he passed away, but as his wife felt so happy living in the scheme and had made some good friends and felt safe she decided to stay rather than return to the bungalow they rented out as she knew it wouldn’t be long before she needed support too”.

“A gentleman moved in a few years ago, as he lived out in a small village with very few facilities and because of his health issues he couldn’t get out anywhere due to mobility issues and became quite isolated and lonely. He moved in and has never looked back. He has a scooter, which enables him to go into town and visit his friend who lives locally. He also goes to the local theatre on a regular basis and other community events. He has a busy social life now and is very happy and says it’s the best thing he ever did“

9. Extra Care Housing Directory

Extra Care Housing Directory

Listed below are the Extra Care schemes currently available across Lincolnshire.

BRICK KILN PLACE

Caunt Road, Grantham NG31 7GJ

Housing Association – LACE Housing

Care Provider – Fosse Healthcare

Scheme Manager – Tracey Warren

Contact Tracey Warren, on 01476 516358 or email Brick Kiln Place.

OLSEN COURT

Olsen Rise, Lincoln LN2 4UZ

Housing Association – LACE Housing

Care Provider – Sage

Scheme Manager – Agne Vaivadiene

Contact Agne Vaivadiene, on 01522 522458 or email Olsen Rise.

WORTH COURT

Willoughby Road, Bourne PE10 9LD

Housing Association – LACE Housing

Care Provider – Atlas Health

Scheme Manager – Tracey Warren

Contact Tracey Warren on 01778 423138 or email Worth Court.

BARRETT COURT

Lyndhurst Avenue, Skegness PE25 2PQ

Housing Association – Platform Housing

Care Provider – Walnut Carers

Scheme Manager – Hayley Cotton

Contact Scheme Manager: email Hayley Cotton or telephone 01217 887675.

ELIZABETH COURT

Church Street, Louth LN11 9BP

Housing Association – Platform Housing

Care Provider – Libertas Carers

Scheme Manager – Donna Koss

Contact Scheme Manager email Donna Koss or telephone 0121 788 7738.

REV BILL BAKER COURT

Broadway, Sutton on Sea, Mablethorpe LN12 2FH

Housing Association – Anchor Housing

Care Provider – Libertas Carers

Scheme Manager – Debbie Prince

Scheme Manager: email Debbie Prince or telephone 01507 443431.

ESLAFORDE GARDENS

Sleaford NG34 7JE

Housing Manager – North Kesteven District Council (NKDC)

Housing application Lincs Home Finder

Care Provider – CRG

Contact email Natalie Mitchell or telephone 01522 550619.

MAYFIELDS

Broadfield Lane, Boston PE21 8DY

Housing Association – Lincolnshire Housing Partnership (LHP)

Mayfields

Care Provider – CRG

Lettings Officer – email Lucy Rogers

Letting Manager – email Rachel Long.

10. Additional information

Thinking about Extra Care Housing – Fact Sheet

Extra Care Housing – Flowchart

Care Choices Directory