What is the difference between domiciliary care and supported living

As a full Full management care provider, we are subject to regulation in England by the Care Quality Commission CQC , the independent body that inspects and maintains standards within the industry. There are equivalent bodies responsible for service regulation in Wales, Scotland and Northern Ireland.

We as a leading live-in care provider in the United Kingdom, are committed to ensuring our care is safe, caring, responsive, effective and well led. Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies.

It is mandatory to procure user consent prior to running these cookies on your website. Feb 5, Three key benefits of live-in care include: One to one care can promote better health outcomes Care is responsive and proactive A cost effective solution In comparison to residential homes, live-in care can also more affordable than people perceive, especially when couples are looked after together.

Live-in care at home Depending on your chosen provider and level of care, our live-in care services generally include: Support at nighttime Planning, shopping and cooking balanced meals Light housework Laundry and ironing Mobility and personal safety Dressing, hair and make-up or shaving Support with personal care and continence Managing and prompting medication Personal admin, correspondence and help with day-to-day finances Managing appointments, such as GP or hairdresser Trips out of the house to appointments, shopping or social outings many carers will act as drivers Answering the door and phone Companionship and emotional support Providing peace of mind for both clients and family members What type of care provider is ENA Care Group?

Share this post Facebook. Back to all news. In supported living, the person is a tenant in their own home and therefore is liable to pay their own rent and other housing costs. People are often eligible for housing benefit paid by central government or other benefits to cover the costs of the tenancy. So supported living is usually a much cheaper option for the local authority or health board. Local Authorities have been accused of pushing for care homes to deregister to become supported living arrangements on cost grounds.

In general, we think that is unfair. Supported Living offers a range of advantages, especially for people living on their own or as a couple. For others, it is the principle of choice and control that is key.

Of course, this is not a disadvantage of supported living but a question of poor commissioning. Should I listen to those who advocate a cautious approach to building my relatives independence? Our overwhelming experience is that people with learning disabilities are underestimated, including sometimes by their own families.

Irrespective of their background or complexity, it is rare that a person we support in an ordinary house or an ordinary street needs to leave our support through some sort of crisis — though yes, this does happen from time to time. But how many people with the potential to lead an ordinary life are denied the chance to do so by being wrapped up in cotton wool, by those around them preferring the cautious approach?

How many people can never choose what time they get up, eat and bathe? When and where they go out — and who with? Which passions to pursue?

Good environments and approaches will support a person to build their independence. But bad living environments and approaches will make the same claim. Are there risks associated with lone working? A myth about supported living is that there is a greater risk of abuse due to staff working alone in the property. Our experience of delivering support across care home, group supported living and single person supported living arrangements is that if anything, single person services tend to have lower colleague sickness levels, more consistent staffing and fewer accidents and incidents.

All of which indicate that in general, single person services are not riskier working environments. All care environments carry a degree of risk of abuse but we believe that the greatest risk occurs in larger sites with little values-based leadership.

It is worth bearing in mind that the major abuse scandals of recent years — Winterbourne View, Veilstone, Mendip House, Whorlton Hall — were hospitals or large registered care homes, not small supported living arrangements. As with any good provider, we have a series of protections in place to minimise the risk such as values-based recruitment , training , supervision, team meetings, practice observation, strong engagement mechanisms, regular quality reviews and robust whistle-blowing and complaints processes.

We believe that the supported living model does pose a problem in respect of regulation and inspection. All registered care homes receive a periodic inspection, sometimes unannounced. They can request to do so and thus a sample of supported living environments do get an in-person inspection. The rest are reviewed through reports kept in the registered office and the CQC is thus reliant on providers proactively reporting issues.

Whilst external inspection is not a guarantee, it does give families and the public assurance by putting positive pressure on support providers to deliver a high-quality service. At Dimensions, we support calls for a new inspection model for supported living. Because of this regulatory problem, both providers and local authorities put their own inspection procedures in place:.

Our in-house inspection team, for example, includes nearly 50 people we support, employed as quality consultants, who often pick up things other auditors might miss. Our senior management teams are frequently out visiting services. Our whistleblowing processes are prominent, anonymous and robust. And we encourage all visitors to anyone we support to contribute by not being afraid to ask questions if anything seems awry.

Finally, in the very rare event that someone absolutely refuses visitors to their house, or where a Best Interests meeting determines that such visits cannot happen, we would usually try to meet the person outside his or her home or in some other bespoke way that allows us to be confident in the support being delivered. The advantages in terms of long term financial security — not to mention security of tenure — are obvious. Dimensions is working in partnership with MySafeHome to support people to consider whether they could become property co-owners.

Over 80 local authorities and numerous parts of the NHS trust Dimensions to support people with learning disabilities and autism to live fulfilling lives. Local authorities are this having to be vigilant when exercising their safeguarding duties under the Care Act in respect of the users of these services. Safeguarding training is essential for all staff employed in these services. See Safeguarding topics.

The management of care and support provision in extra care and cluster-based supported living eg where people requiring support live in a single block of flats or very near to one another and shared living schemes eg where people share a single house divided into flats or bedsits , has arguably more in common with the management of a care home than, say, a domiciliary care service. For example, such services might provide depending on the needs of the people using the service hour-cover using teams of staff working on a rota basis.

Some organisations might even have on-site offices where staff can carry out their administration and which serve a hub for users seeking advice and information. It has the capacity for offering flexible, individualised support with effective and efficient management and adequate resources. There is the potential to employ and develop stable staff teams with more staff working full time.

This will improve consistency and continuity of the care and support. The issues raised by this approach will be similar to those for domiciliary care, ie to have sufficiently responsive and flexible staffing to be available to provide the help that is needed when it is needed. It has the potential to provide fully individual support in line with person-centred care thinking. There is more choice in terms of service provider, particularly where the same organisation is not responsible for both the housing and the care and support elements, which are therefore kept separate.

Increasing use of direct payments and personal budgets will extend the choices for the individual and increase their sense of being in control. People might receive little or no prior notice that they will be visited by someone they might not know. There might be difficulties in organising the service to manage the assessed risks to an individual.

Monitoring and reviewing the quality of the support provided is more complicated because of the highly individual nature of the service provision. Unit costs can be higher as a result of travelling time and the difficulties in co-ordinating visits to achieve an efficient service.

Partly because of the above there is likely to be more use made of part-time workers, which might affect continuity and consistency of the care and support provided. There will be people in supported living and extra care schemes who require help with personal care as defined by the CQC, eg help with washing, dressing, going to the toilet, moving and transferring, medication, wound management and so on.

However, there are many people in supported living arrangements in particular who do not require help of this nature. Their needs are much more for emotional and social support in coping with the demands of daily living. The skills required by support workers, though based on common social care values and principles, need to be developed in line with these requirements of their roles and tasks. Managers therefore must match carefully the needs of the people to whom their service is providing support with staff who have the right qualities and skills or skill potential to meet their specific needs.

It can be seen from this list that support workers must be able to relate positively to the people to whom they are offering their support and develop the corresponding skills. An agency providing personal care to service users in an extra care housing scheme or under a supported living arrangement requires much the same range of policies as any agency providing mainstream domiciliary care.

Particular attention should be paid in extra care to the liaison between the organisations providing the care and the accommodation, and in supported living to the teamwork between care workers necessary to ensure that care is continuous, seamless and of consistent quality.

All staff new to care working in supported living and extra care services involved in regulated activity must achieve the Care Certificate standards and equivalents in other UK countries as they would in any registered care service. It is recommended that all staff in a support role whether carrying gout personal care or not should receive this training.

If they progress to a Diploma-level programme they will need to choose pathways that are relevant to their work in services for people with, for example, learning disabilities, physical disabilities, autism, mental health problems, etc. See the Staff Training and Qualifications topic. Managers of these services studying for a relevant leadership and management qualification will need to choose the options most closely related to their service context.

Age UK was formed from a merger between Age Concern and Help the Aged and is the leading organisation to advocate for the rights and interests of older people. Its range of factsheets and other information is especially informative. The Association website includes guidance on a range of subjects relevant to the conduct of a care service.

The Care Quality Commission is the regulatory body for health and social care in England. It monitors, inspects and regulates health and social care services. A national charity and membership organisation working with people with learning disabilities, families, advocacy organisations, housing and support providers and commissioners. It helps people with learning disabilities lead ordinary lives in the community and have the same rights as everyone else.

Mencap is a leading learning disability charity working with people with a learning disability and their families and carers. A not for profit organisation that works with communities, governments and health and social care professionals to enable people at risk of exclusion, due to age or disability, to live the life they choose.

The Social Care Institute for Excellence SCIE identifies good practice and embeds it in everyday social care provision; providing briefings on research and latest developments and training resources on a range of topics. Last reviewed 27 May Skip to main content. Printable version.

Is it safe? Is it effective? Is it caring? Is it responsive? Is it well-led? The Scope of CQC Regulation There has certainly been policy discussions about extending registration to the accommodation side of supported living schemes on the grounds that some of the accommodation used for supported living is inadequate, unfit for purpose, or unsafe. Shared Lives Schemes These used to be referred to as adult placements or adult fostering schemes, in which individuals are provided with accommodation and a support in a family home with the expectation that they will be treated as a member of the host family or household.

Retirement villages Some extra care housing schemes are large enough and offer a sufficiently diverse range of facilities to describe themselves as villages. Similarities and Differences between Types of Service Provision Housing with support v care homes and hospitals With both supported living and extra care, the distinguishing features compared to care homes and hospitals is that service users will: own or rent their accommodation, and have the right to contract or purchase the care and support they need.

Domiciliary care, extra care and supported living The CQC lists extra care housing services and supported living services as separate service types. The three types of care can be compared as follows. Characteristics of Housing with Extra Care There is a long history of helping vulnerable people in their own homes, supplementing or replacing the support more frequently given informally and voluntarily by spouses or partners, other family members, close friends and neighbours.

Environmental Features Providers of sheltered housing have increasingly recognised that the growing degree of disability shown by their residents made it advisable to develop schemes capable of offering higher levels of support and personal care. Characteristics of Housing with Support and Supported Living Services Supported living services involve people with acute vulnerability and very substantial support needs who are living in their own homes, which can be single dwellings or can be grouped into a scheme, and who are receiving domiciliary care on a more or less continuous basis, usually from a team of care workers.

A tenancy agreement is in place. The tenant has control over where they live. The tenant has control over who they live with.