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Extra care housing: exploring motivations, expectations and perceptions

Michael James Buckland (School of Medicine, University of Leeds, Leeds, UK)
Anthea Tinker (Institute of Gerontology, King’s College London, London, UK)

Housing, Care and Support

ISSN: 1460-8790

Article publication date: 29 January 2020

Issue publication date: 18 May 2020

124

Abstract

Purpose

The purpose of this paper is to explore and compare the motivations and expectations that older people have when choosing to move into either a private or housing association (HA) extra care housing (ECH) scheme, and any effects this had on its residents.

Design/methodology/approach

This qualitative study is based on findings from four HA schemes in Tower Hamlets, London, and one private scheme in Warwickshire. Eight semi-structured interviews were conducted with five women and three men of varying backgrounds, from schemes managed by different associations and companies. Interview transcripts were coded and analysed thematically.

Findings

All residents moved into ECH in response to deteriorating health. However, almost all residents had felt obliged to move by others, generally their children. Few residents had any expectations of ECH on arrival, but many developed high expectations of an increased sense of independence and security and of an improved social life. ECH appeared to be beneficial for residents’ health and well-being.

Research limitations/implications

The inability to recruit an equal number of people from HA and private scheme, alongside the small sample size, may compromise the external validity of any conclusions drawn from any comparisons.

Practical implications

This research identifies a lack of knowledge about ECH among the general population and offers insight into areas of poor management within ECH schemes which could be improved.

Social implications

Inadequacies in the ECH model could be attributed to failures in the current health and social care system. Differences between expectations and perceptions of HA vs private schemes should be acknowledged and responded to.

Originality/value

This is a rare example of research exploring the relationships between ECH residents’ motivations and expectations (Hillcoat-Nallétamby and Sardani, 2019), and between those in HA vs private schemes.

Keywords

Acknowledgements

Ethical approval for this project was granted by King’s College London Research Ethics Office. No real names were recorded in any of the data collected; instead, pseudonyms were created. Audio-recordings were kept for a maximum of one day before being destroyed. There was no funding for this research. All travel expenses were covered by the principal author.

Citation

Buckland, M.J. and Tinker, A. (2020), "Extra care housing: exploring motivations, expectations and perceptions", Housing, Care and Support, Vol. 23 No. 1, pp. 15-26. https://doi.org/10.1108/HCS-02-2019-0007

Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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