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conference report
      Call for choice and security in homes





       Deciding on where and how you live and rights to stay in your            rights under the Care Act to have
       home were concerns raised by Preston Learning Disability                 someone to support their case.
                                                                                  However, only a month before the
       Forum. Rose Trustam was there                                            forum took place, the Lancashire Evening
                                                                                Post had reported that two men who had
                                                                                shared a house for nine years were being
            emands to give people more of a   There was a feeling at this year’s event   evicted with less than a week’s notice
            say in the type of home they had   that choice had become more limited,   because care provider United Response
      Dand for stronger rights to stay put   with people being made only one offer of   was withdrawing from its contract with
       were made at Preston Learning Disability   long-term housing.            the council. Because tenure was separate
       Forum’s first Housing Forum.          In some cases, rents and shared support  from the contracted care service, the two
        The event took place more than three   costs were underwritten by the local   men did not have to move.
       decades after the north-west of England   authority so people might, understandably,   What this incident and the forum
       was at the forefront of developing   be steered towards these homes – even if   meeting raise is the question of how far
       supported housing for people resettled   they were not the most appropriate.  people’s rights have been eroded, and
       from long-stay hospitals.                                                how these men risked their homes and
        The late David Brandon – Community   New supported homes                support being totally disrupted.
       Living’s first editor – was director of North   Recently, Lancashire County Council
       West MIND in the early 1980s. He and   approved its Housing with Care and Support
       Tom McClean, director of nursing services   Strategy 2018 –2025 (2018). This proposed  “ It seems that tenancy
       at Calderstones Hospital, a long-term   schemes of flats for 6-12 younger people
       institution, challenged a replacement   within estate developments.              rights have been
       hospital unit in Preston. They suggested a   Housing people in supported flats on   weakened and it is rare
       dispersed supported housing system, run   one site could save significant support   now for people to have
       by newly formed charity Integrate. Against  costs but would tend to separate people
       the odds, the North West Regional Health   from the community and, potentially, limit   assured tenancies
       Authority opted for this.           their ability to be part of it. It would also   It does seem to be the case that ”
        The authority went on to develop a   lend itself to more institutional practices.
       model district service for resettlement,   There was concern that, without
       which was adopted by the region and   neighbours nearby and the scrutiny of the   tenancy rights have been weakened and it
       later more widely (NWRHA, 1983).    Care Quality Commission (which does not   is rare now for people to have assured
        Funding was transferred from health to   inspect tenancies), problems would be   tenancies. This can make them vulnerable.
       social care for people moving into the   missed. It was feared that commissioners   Grant funding used to be available to
       community but only if they were moving   would decide to make savings by using   support the extra costs of supported
       into mainstream housing as secure tenants.  these flats only for people with the   schemes, which kept rents reasonable.
        This policy, with the funding following   highest needs who would also have the   Today, supported housing schemes are
       the individual and giving people secure   greatest vulnerabilities and risks.   often significantly more expensive with
       tenancies, transformed the whole way                                     much less security of tenure – and rarely
       people thought about hospital       Making more homes available          offer assured tenancies. Some supported
       resettlement.                       Preston City Council was willing to consider  housing landlords offer personalised
                                           adding supported housing to Select Move,  support, but not all.
       Today: less choice, fewer rights    a choice-based allocations scheme covering   One of the most important findings on
       More than 35 years later, Preston’s   Preston, South Ribble and Chorley.   the day was that tenants were generally
       Learning Disability Forum became      Housing associations list vacancies on   unaware of their rights around tenure, so
       concerned that tenancy rights as well as   Select Move and people can register and   a major follow-up will be the development
       choices (if any) in housing had been   view homes that are available. Clearly,   of some easy-to-read guidance, thanks to
       reduced. It therefore opened up its regular  while identities are kept confidential, care   Advocacy Focus’s development worker.
       meeting to some 60 people involved in   providers/supported housing landlords   l For a summary of the report from
       housing and support to hear their views   should be able to consider any   Preston Learning Disability Forum, see
       and about their experiences. This event   applications with current tenants in   Community Living’s website at: https://
       was independently chaired by learning   shared housing.                  www.cl-initiatives.co.uk
       disability self-advocate Simon Cramp.
        The forum’s original housing task group,   Less security, higher rents  References
       which included the commissioner,    Many attendees were concerned about   Lancashire County Council (2018) Housing with
                                                                                Care and Support Strategy 2018 –2025. http://
       intended to develop a database of   Lancashire’s strategy, which seemed to   council.lancashire.gov.uk/documents/
       supported housing vacancies. However,   suggest people might have to move.   s138807/
       the database was open only to         The local commissioner who attended   North West Regional Health Authority (1983)
       commissioning staff and it failed because   said no one would have to move if they   Services for People who are Mentally
       people were not then aware of the range   did not want to, and a representative   Handicapped: a Model District Service.
       of vacancies included.              from Advocacy Focus said people had   Manchester: NWRHA

      28  Vol 33 No 1  |  Autumn 2019  Community Living                                         www.cl-initiatives.co.uk
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