Ageing in Extra Care Housing: Preparation, Persistence and Self-Management at the Boundary Between the Third and Fourth Age

Johnson, E.K., Cameron, A., Lloyd, L., Evans, Simon ORCID: https://orcid.org/0000-0002-2919-8167, Darton, R., Smith, R., Atkinson, Teresa ORCID: https://orcid.org/0000-0003-2020-7239 and Porteus, J. (2020) Ageing in Extra Care Housing: Preparation, Persistence and Self-Management at the Boundary Between the Third and Fourth Age. Ageing & Society, 40 (12). pp. 2711-2731. ISSN Print: 0144-686X Online: 1469-1779

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Abstract

Extra care housing (ECH) has been hailed as a potential solution to some of the problems
associated with traditional forms of social care, since it allows older people to live
independently, while also having access to care and support if required. However, little
longitudinal research has focused on the experiences of residents living in ECH, particularly in
recent years. This paper reports on a longitudinal study of four ECH schemes in the United
Kingdom (UK). Older residents living in ECH were interviewed four times over a two-year
period to examine how changes in their care needs were encountered and negotiated by care
workers, managers, and residents themselves. This paper focuses on how residents managed
their own changing care needs within the context of ECH. Drawing upon theories of the third
and fourth age, the paper makes two arguments. First, that transitions across the boundary
between the third and fourth age are not always straightforward or irreversible and,
moreover, can sometimes be resisted, planned-for, and managed by older people. Second,
that operational practices within ECH schemes can function to facilitate or impede residents’
attempts to manage this boundary.

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