Adekunle Sabitu Oyegoke, Saheed Ajayi, Muhammad Azeem Abbas and Stephen Ogunlana
Delay in housing adaptation is a major problem, especially in assessing if homes are suitable for the occupants and in determining if the occupants are qualified for the Disabled…
Abstract
Purpose
Delay in housing adaptation is a major problem, especially in assessing if homes are suitable for the occupants and in determining if the occupants are qualified for the Disabled Facilities Grant (DFG). This paper describes the development of two self-administered intelligent integrated assessment tools from the DFG Adapt-ABLE system: (1) The Home Suitability Assessment Platform, which is a preventive mechanism that allows assessment of the suitability of homes based on occupants’ mobility status and (2) an indicative assessment platform that determines if the applicants are qualified for the DFG to prevent lengthy delays.
Design/methodology/approach
The adopted method aligned with a development study approach: a grounded literature review, a severity measurement approach, two stakeholder engagement workshops, four brainstorming sessions and four focus group exercises. The system development relied on Entity–Relationship Diagram (ERD) technique for data structures and database systems design. It uses DFG context sensitivity with alignment with DFG guidance, interlinkages and interoperability between the assessment tools and other platforms of the integrated Adapt-ABLE system.
Findings
The assessment tools are client-level outcomes related to accessibility, usability and activity based on the assessment process. The home suitability platform shows the percentage of the suitability of a home with assessment results that suggest appropriate action plans based on individual mobility status. The indicative assessment combines the function of referral, allocation, assessment and test of resources into an integrated platform. This enables timely assessment, decision-making and case-escalation by Occupational Therapists based on needs criteria and the eligibility threshold.
Originality/value
These assessment tools are useful for understanding occupants’ perception of their physical housing environment in terms of accessibility, suitability and usability based on basic activities of daily living and their mobility status. The indicative self-assessment tool will substantially cut down the application journey. The developed tools have been recommended for use in the CSJ Disability Commission report and the UK government Guidance on DFGs for local authorities in England.
Details
Keywords
Adekunle Sabitu Oyegoke, Saheed Ajayi, Muhammad Azeem Abbas and Stephen Ogunlana
The problem of long delay and waiting time in Disabled Facilities Grants (DFG) housing adaptation has been ongoing for years. This study aimed at constructing an innovative smart…
Abstract
Purpose
The problem of long delay and waiting time in Disabled Facilities Grants (DFG) housing adaptation has been ongoing for years. This study aimed at constructing an innovative smart solution to streamline the housing adaptation process to prevent lengthy delays for disabled and elderly people.
Design/methodology/approach
The Adapt-ABLE approach is suggested based on a constructive research approach, where extensive theoretical development of the Adapt-ABLE concept is developed. It consists of four integrated platforms that undergo theoretical and analogical development and validations through applicable theories, a workshop, four brainstorming sessions and a focus group.
Findings
The proposed Adapt-ABLE approach utilises process optimisation techniques through an IT system for streamlining the process. The merits of the semi-automated system include the development of a preventive measure that allows measurement of suitability index of homes for the occupants, indicative assessment that shorten the application duration, procurement and contracting platform that utilises principles based on framework agreement and call-off contract, and a platform that standardised performance management for continuous improvement.
Originality/value
The Adapt-ABLE solution will cut the application journey of non-qualified applicants and suggest where help can be sought. The qualified applicants' application journey will also be shortened through an online indicative assessment regime and early online resources (means) testing. Overall, the proposed system reduces the waiting time, and timely delivery improves the applicant's quality of life by living independently. It will potentially save the NHS billions of pounds used to replace hips and residential care costs due to lengthy delays in the housing adaptations process.
Details
Keywords
Good housing is vital to the well‐being of children, but disabled children are widely suffering social exclusion and deprivation of life chances through housing adaptations that…
Abstract
Good housing is vital to the well‐being of children, but disabled children are widely suffering social exclusion and deprivation of life chances through housing adaptations that are not good enough. Whereas generous provision can do immense long‐term good, adaptations that do not allow for children's growth or development are a waste of time and money. National policy on adaptation has not so far addressed the particular needs of children. Under regulatory reform local authorities have a chance to leap ahead. A checklist to help with planning is offered.
Details
Keywords
PETER S. BRANDON and FRANCISCO LOFORTE RIBEIRO
This paper describes a multistrategy knowledge‐based framework for supporting human experts in assessing applications for the house renovation grant system (HRGS). This framework…
Abstract
This paper describes a multistrategy knowledge‐based framework for supporting human experts in assessing applications for the house renovation grant system (HRGS). This framework integrates different problem solving strategies as set up by the task analysis. The task analysis carried out in the context of the HRGS domain decomposed the overall task into a number of subtasks and problem solving methods for performing each subtask. The framework modularises the knowledge required to solve each subtask into historical cases, objects, procedures and domain models. The framework was implemented as a computer system using Kappa‐PC which is a shell designed for implementing knowledge‐based systems. The implementation followed the client centred approach (CCA) method. This computer application has been successful in demonstrating that a multistrategy knowledge base can be used to support human experts in assessing applications for the HRGS. Therefore, the application has proved to perform as accurately as human experts do for all of the subtasks set up by the task analysis.
Details
Keywords
This study aims to explore the environmental health role in meeting the housing condition, adaptation and associated needs of older people living in private sector housing in…
Abstract
Purpose
This study aims to explore the environmental health role in meeting the housing condition, adaptation and associated needs of older people living in private sector housing in London, including those living with and at risk of dementia.
Design/methodology/approach
A multi-method approach was adopted. First, relevant public-facing websites in London were scrutinised. Second, a Qualtrics online survey was designed and circulated to capture relevant information around relevant services offered. Third, seven face-to-face interviews were conducted with front-line practitioners involved in providing housing services to private sector owners and tenants. These were transcribed verbatim and analysed using NVivo software before categorising into themes arising.
Findings
An erratic picture emerged around the meaning of “older people” and the services offered. A mixture of organisational arrangements and types of assistance available was reported, with different ways of access and referral to services, with a range of discretionary grants offered including for dementia. Some local authorities offered minimal specialist services, with others providing highly integrated and client-led, flexible interventions to meet a range of needs. Limited inclusion of research, evidence and evaluation of the effectiveness of interventions was reported overall, although client feedback was noted as good where services were provided.
Originality/value
There is very little published around environmental health work in supporting older people living in London and their housing, health and social care needs. This paper captures a snapshot of current and proposed services offered across London for owner-occupiers and private sector tenants, as a basis for further research for evidence-based, effective front-line services going forward.
Details
Keywords
This article outlines the housing situation facing families with disabled children, and particularly draws attention to the additional disadvantage experienced by families with…
Abstract
This article outlines the housing situation facing families with disabled children, and particularly draws attention to the additional disadvantage experienced by families with disabled children from black and minority ethnic groups. It is a summary of a workshop presented by the author to the Race Equality Foundation conference in November 2007 on the theme of extending choice and participation for black and minority ethnic communities.
Details
Keywords
Adaptations ‐ permanent or fixed alterations to make homes more suitable for disabled occupants and their families ‐ are important. A recent project has been seeking to assess…
Abstract
Adaptations ‐ permanent or fixed alterations to make homes more suitable for disabled occupants and their families ‐ are important. A recent project has been seeking to assess their effectiveness from the point of view of the resident. The research was carried out in 1999‐2000 by teams of professionals (housing, environmental health and occupational therapy staff) working in partnership with a research co‐ordinator and with two disabled researchers. This approach generated important data and deficiencies which need to be addressed. There was one clear message from the findings: adaptations work. They improve the quality of life of the people whose homes are adapted, and they deliver on a number of key government objectives.
Christine Oldman and Bryony Beresford
This article is based on two pieces of work. The first, Homes Unfit for Children (Oldman & Beresford, 1998), was based on a postal survey and 40 in‐depth interviews with families…
Abstract
This article is based on two pieces of work. The first, Homes Unfit for Children (Oldman & Beresford, 1998), was based on a postal survey and 40 in‐depth interviews with families with disabled children. The second, due to be published by the Policy Press in the spring this year, reports the results of a programme of consultation roadshows with a range of professionals from housing, social services and health, in a series of regional consultation meetings.
This article considers how current national policies could include disadvantaged groups or people with disabilities so that they have more equality of opportunity in the housing…
Abstract
This article considers how current national policies could include disadvantaged groups or people with disabilities so that they have more equality of opportunity in the housing system. It looks at identifying needs, the delivery of social housing through the Housing Corporation and housing associations, and the social housing options of rented and low‐cost home‐ownership schemes. It also explores the way forward and some of the challenges involved for government and professionals if they are to help vulnerable people or those with disabilities to live in more ordinary housing. In National Service Frameworks and other guidance the Government expects special groups to have the same rights and choices over where and how they live. For example Valuing People, the learning disability White Paper, tells us that people with learning disabilities can live successfully in different types of housing and can cope with different forms of tenure. This is true of other vulnerable people too, yet many still live with their families or are offered ‘placements’ or specialist homes. How can we use housing policy to ensure we can meet some of these challenges?
Claudine McCreadie, Fay Wright and Anthea Tinker
The importance of assistive technology (AT) in helping older people maintain independence is increasingly recognised in policy. The article reports on a modest piece of research…
Abstract
The importance of assistive technology (AT) in helping older people maintain independence is increasingly recognised in policy. The article reports on a modest piece of research, funded by the Helen Hamlyn Foundation, that looked at an important corollary of this development — the provision of relevant and appropriate information about AT. The research involved mapping both AT and information sources, focus groups with 28 users aged 75 and over and 12 carers, interviews with 40 professionals and information providers and a postal questionnaire to 131 care home managers (response rate of 45%). The findings point to the large volume of available information, but suggest that there are problems in identifying needs and in accessing all necessary information. Professionals share these problems and organisational issues impact on professional capacity to provide satisfactory information. The situation in care homes appears ambiguous in terms of responsibility for AT provision for residents and hence for information. The researchers concluded that there is considerable scope for improving both access to information and the design of that information. They also concluded that there are terminology issues that need addressing in further research.