University of Worcester Worcester Research and Publications

‘You Have Got To Stick To Your Times’: Care Workers and Managers’ Experiences of Working in Extra Care Housing

Evans, Simon ORCID: and Atkinson, Teresa ORCID: (2019) ‘You Have Got To Stick To Your Times’: Care Workers and Managers’ Experiences of Working in Extra Care Housing. Health and Social Care in the Community, 28 (2). pp. 396-403. ISSN Online: 1365-2524

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Extra care housing (ECH) has been lauded as an innovative model of housing with care for older people that promotes and supports independent living. The study used a qualitative design to explore how care is delivered in four extra care settings in England over 20 months during 2016-2017. This paper reports findings from semi-structured interviews with 20 care workers and seven managers. The article argues that, despite being heralded as a new model, care workers in ECH face similar organisational pressures as those working in more conventional settings and, in turn, the care which they are able to provide to residents mimics traditional forms of care.

Key words (5) extra care housing; social care; the organisation of care; care work; older people.
What is known about this topic
• Extra care housing (ECH) is a form of housing with care for older people.
• ECH aspires to support older people to live independently for longer through the flexible provision of care in resident’s own apartments.
• Similar schemes exist in America and Europe, where they are known as ‘retirement living’, ‘assisted living’ or ‘special housing’.

What this paper adds
• The population living in ECH is changing, with more people having complex needs.
• Managers report that these changes are impacting on the way in which care is organised.
• Care workers report that these changes are undermining the ability of ECH to provide responsive and flexible care to residents.

Item Type: Article
Additional Information:

Staff and students at the University of Worcester can access the full-text of the online published article via the online Library Search. External users should check availability with their local library or Interlibrary Requests Service.

© 2019 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd

The full-text of the online published article can be accessed via the official URL.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Uncontrolled Discrete Keywords: extra care housing, care management, care settings in England
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
Related URLs:
Copyright Info: Open access article
Depositing User: Simon Evans
Date Deposited: 24 Sep 2019 15:41
Last Modified: 17 Jun 2020 17:32

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