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Annex F: Definitions
Amenity housing: housing for older people, including all of the physical features of sheltered housing but not a warden or other support: also known as medium dependency housing.
Assistive technology: any device or system that allows an individual to perform a task they would otherwise be unable to do, or increases the ease and safety with which the task can be performed.
Barrier Free Housing/Lifetime Homes: individual houses built to a standard that easily accommodates adaptation for a resident with a disability and with built-in 'visit ability' for people in wheelchairs even when they are not adapted.
Care Homes: registered care homes providing accommodation, together with nursing, personal care or personal support, for persons by reason of their vulnerability or need.
Dependency Ratio: the ratio of working age population to non-working age population.
Equipment and adaptations: a collective term for a broad range of products and changes to the fabric of a building that help people to carry out ordinary activities of daily life that have become difficult or impossible due to impairment, ill health, traumatic injury, the effects of ageing or a change in circumstances. It includes telecare, but does not include anything invasive to the body or used for medical treatment.
Extra Care Housing: provides 24-hour care and a full meals service for very frail older people within a housing setting. The characteristics are the same as Very Sheltered Housing (see below) except that the responsibility for the provision of care is transferred to the housing provider (usually a housing association) by contractual arrangement, and care is provided directly to residents. Extra care housing is likely to be registered and residents may have occupancy agreements and not tenancies (although they may have tenancy rights).
Independent Sector: includes the private and voluntary sectors.
Informal Sector: provision of care by family/friends who are not paid and therefore not represented in official employment statistics.
Intermediate care: used in this report fairly loosely to describe care falling between the traditional home/care home/hospital pathway. Bridging acute hospital and care in the community. It includes rehabilitation and step-up and step-down. We are aware that intermediate care means different things in healthcare and in community care. The Joint Implementation Team is working to agree a definition that would be understood commonly across Scotland.
Mainstream housing: the accommodation occupied by the person is not specifically provided in response to assessed social or medical care needs.
Sheltered housing: residents live mostly in individual flats, based on standards for general needs housing but with the addition of features that make the accommodation safer and easier to use for older people or people with disabilities, particularly those who are frail. This includes an alarm system, some communal facilities ( e.g. common room, a laundry and guestroom) and often provision of a warden service. Residents are owners or tenants, and care is not inextricably linked to the accommodation: residents are charged separately for accommodation, living costs and care and support.
Special housing: housing with specific physical features to facilitate use by people with disabilities.
Supported accommodation: accommodation with staff support available. In supported or residential rehabilitation accommodation the care given is not inextricably linked to the accommodation itself; residents in housing with support can refuse access to the home, choose whether to receive care or not, and choose who they wish to receive care from. Care support element registerable by the Care Commission. Some residents are owners or tenants, but others are occupants of property owned or rented by the provider.
Telecare: equipment and detectors that provide remote monitoring of care needs by triggering human responses or shutdown equipment to prevent hazards. It includes alarm systems (smoke/gas/water/heat detectors, movement detectors that detect falls), and monitoring devices (pressure pads on beds and chairs; magnetic detectors on exit doors) which alert staff at a remote location.
Very sheltered housing: generally has all the features of sheltered housing but will usually also have special bathroom facilities and a greater level of care and support including the services of extra wardens to provide 24-hour cover, full-time carers or domiciliary assistants and the provision of at least one meal a day. Maximises independent living for residents, who should have tenancies and not occupancy agreements.
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