National Disability Authority submission on social housing strategy – July 2014 Submission on Social Housing Strategy Executive Summary The National Disability Authority welcomes the opportunity to contribute to the development of a new Social Housing Strategy for Ireland. Social housing is particularly important for many people with disabilities, who are less likely to have a job than non-disabled people. It is essential that the new Social Housing Strategy encompasses the existing National Housing Strategy for People with a Disability. An integrated policy and strategic approach is required to ensure that there is adequate supply of housing for people with disabilities in integrated, diverse and sustainable communities. The Universal Design Guidelines for Homes in Ireland should become the minimum standard for new social housing build projects in the new Social Housing Strategy. These guidelines should become the target for leased or acquired housing units. Social housing units for people with disabilities should be integrated with other housing. Clustering of units dedicated to people with disabilities should be avoided. Group homes should have no more than four people with disabilities sharing together. Technical and service staff should be supported to build skills and knowledge to ensure they can meet the needs of the broad population, including people with disabilities. Application forms and other written communications should be updated to be readable and usable by most people. A coordinated cross-departmental budgeting approach will be required to ensure that housing and other supports are provided in an integrated manner, and potential savings on the overall support budget can be achieved. Long term vision for social housing People with Disabilities are key users of social housing services There are over 400,000 people in Ireland today living with a significant disability. People with disabilities are more likely to rely on local authority housing than other citizens - 12.8% compared to 8.3% of the public at large - and constitute 1 National Disability Authority submission on social housing strategy – July 2014 about one in ten residents in public housing. 1There is strong evidence to show that on average, people with disabilities have fewer educational qualifications and poorer employment prospects than others.2 People born with a disability or who have experienced onset of a disability by early adulthood are likely to be economically vulnerable and to depend on the state for a permanent home. People with disabilities are therefore a substantial and significant segment of the population that depends on social housing. It is essential that the new Social Housing Strategy recognises the importance of social housing for people with disabilities. UN Convention on the Rights of Persons with Disabilities Article 19 of the UN Convention on the Rights of Persons with Disabilities states that parties to the convention recognise “the equal right of all persons with disabilities to live in the community, with choices equal to others, and shall take effective and appropriate measures to facilitate full enjoyment by persons with disabilities of this right and their full inclusion and participation in the community”. Ireland plans to ratify this convention, so it is therefore essential that the new Social Housing Strategy factors this in. Integration of National Housing Strategy for People with a Disability The National Housing Strategy for People with a Disability was launched in 2011 and sets out a framework for the delivery of housing for people with disabilities through mainstream housing policy. It is essential that this integrated approach is continued and enhanced in the new Social Housing Strategy. The new Social Housing strategy should encompass the needs of people with disabilities as set out in the 2011 disability housing strategy. An integrated social housing strategy that encompasses the disability strategy is required to achieve integrated communities, where people with disabilities live in ordinary houses in ordinary places, supported to live regular lives. The needs of people with disabilities must be considered as part of every acquisition for social housing – including property purchases, leasing of property and capital approval for new builds. 1 Census 2011, Vol 8 2 Census 2011 showed that 33% of adults aged 20-64 had a job, compared to 66% of nondisabled adults 2 National Disability Authority submission on social housing strategy – July 2014 New Social Housing should meet the Universal Design Homes standard The Centre for Excellence in Universal Design is currently completing the development of Universal Design Guidelines for Homes in Ireland. A near-final version of these guidelines was published for consultation to stakeholders, including the Department of the Environment, Community and Local Government in January 2014. The Universal Design Guidelines for Homes in Ireland reflect the fact that all people experience changes in their abilities are they progress through the different stages of life. The Universal Design approach benefits a wide range of user groups regardless of age, size, ability or disability including families with young children, people with a temporary or permanent injury, people with a disability and older people living independently. The National Disability Authority advises that these guidelines should become the minimum standard for new social housing build projects in the new Social Housing Strategy. Housing should be designed from the outset to meet the changing and developing needs of the broad population over their lifetime. This will reduce the need for expensive retrofitting to accommodate individuals. 3This approach would have a number of significant benefits: New social housing units will be available to and usable by everybody, regardless of their age, size, ability and disability. This will ensure that more people can be housed in the community, and can remain in their regular housing should they acquire a disability (be that temporary or permanent), or as needs develop through ageing. Over time, the quality of the national housing stock will improve, and more housing units will be available and accessible to more people regardless of age, size, ability or disability. This benefit will impact social housing, and indeed private housing stock as a proportion of social housing units are bought out by tenants. Costs of adaptations, such as the Housing Adaptation Grants scheme, will reduce over time, as fewer units will require adaptation or retro-fitting to be usable by all people More elderly people will be able to ‘age in place’ and will avoid the need for nursing home or other residential placements. 3 This is in line with the ‘Three Pillars of Sustainability’ model, where the Universal Design guidelines would form part of the Social pillar. 3 National Disability Authority submission on social housing strategy – July 2014 Liveable neighbourhoods The new Social Housing Strategy should aim to create liveable and sustainable neighbourhoods, where people with disabilities can live full and active lives as part of a real community. Social Housing is not just about providing a roof overhead. “Our Sustainable Future, a Framework for Sustainable Development for Ireland” published by the Department of the Environment, Community and Local Government in 2012 states that “Sustainable communities are places where people want to live and work, are environmentally sustainable and contribute to a high quality of life for residents. They are safe and inclusive, well-planned, built and run, and offer equality of opportunity and good services for all.” Social housing tenants and society as a whole will benefit from the development of diverse communities, where people with disabilities are integrated into their local community. Roles and responsibilities Statutory obligation for accessible procurement There is a legal obligation on the Chief Officer of each public body to ensure that all goods or services supplied to the body are accessible for people with disabilities (Section 27, Disability Act 2005), except where this would not be practicable or would result in unreasonable delay or costs would not be justified. This legal obligation applies to the acquisition of housing, whether through the purchase of completed housing units, leasing of housing or direct capital funding of new build projects The legal obligation does not apply would it not be practicable, would not be justified having regard to the cost of doing so, or would cause unreasonable delay. In such cases, it is good practice to include a written note on file to outline the reasons for exclusion. It is important that County Managers as Chief Officers are informed of their statutory role in ensuring that housing is accessible through the new Social Housing Strategy. Staff who are directly involved in the commissioning or acquisition of housing also need to be advised of their role in this area. 4 National Disability Authority submission on social housing strategy – July 2014 Housing needs and supports and affordability People with disabilities have a variety of housing needs, just like the rest of the population. Some people with physical disabilities have particular requirements about physical access to the property. Other people with sensory, intellectual, cognitive or mental health disabilities or autism have few or no requirements for physical access, but may well have other needs related to their integration in the community. Perfect solution not always attainable Most people, whether in private or social housing, have to compromise on some aspect of their ideal home. For people with disabilities, there may equally be trade-offs. For example, there could be a trade off between an excellent location close to family support, or a home which fully meets all Universal Design standards. It would be important that housing officers would engage with prospective tenants with disabilities around such trade offs, rather than rejecting what would be an acceptable option for the individual out of hand because of a more minor breach of technical standards. This means a nuanced and commonsense approach which promotes high standards and does not default to lowquality options for people with disabilities, but at the same time can accept reasonable compromise. Adaptations in private rented accommodation People who live in private rented accommodation with support of rent allowance or the new Housing Assistance Payment may have more flexibility in choosing where they live, and may choose to avoid segregated estates. This flexibility is balanced by a lack of long term security. Security can be critical for prospective tenants with disabilities, especially those with long term disabilities or progressive conditions. They often face difficulties in arranging physical adaptations/retro-fitting of homes. Tenants do not qualify for the current Housing Adaptation Grants, which are reserved for those who own their property. People on lower incomes may find it difficult to fund a deposit required to move to a different property. Landlords may be reluctant to select a person with an obvious disability as a tenant, due to concerns about costs of adaptations or the impact of adaptations on the property itself. Given that the new Housing Assistance Payment will deem recipients to have their housing needs met, it is important that requirements for adaptations/retrofittings are considered as part of this process. 5 National Disability Authority submission on social housing strategy – July 2014 Flexible approach Provisions for housing transfers need to be flexible and to take on board issues relating to disability. For example tenants who have progressive conditions such as multiple sclerosis or motor neurone disease may have changing needs over time, as their condition deteriorates. Options available could include adapting their existing home, or offering a transfer to a more suitable home. A ‘Universal Design’ approach to new housing will minimise difficulties relating to such transfers over time by ensuring that new housing stock is accessible for people regardless of age, size, ability or disability. Individuals with disabilities who have lived in an institution may have more difficulty in readily settling in to a new home and community, and there should be flexibility to consider the offer of a transfer if the first tenancy is not working out even with appropriate supports. Demand Quality demands The Part M building regulations for access to housing for disabled people have been largely untouched for nearly 15 years. The most recent revision to Part M in 2010 focused on non-residential buildings with only a limited upgrade to the requirements applying to dwellings, as it was considered premature at that stage to extensively update the guidance on dwellings prior to the development of the National Housing Strategy for People with a Disability. There is a significant need to improve the standard of housing stock over time to ensure that people with disabilities can independently access and use housing. The National Disability Authority advises that this improvement could best be achieved by setting the new Universal Design Guidelines for homes in Ireland as the mandatory minimum standard for new social housing, and ultimately for all housing. This standard should apply to all ‘new build’ social housing units as soon as possible. The standard should also be the target for all purchases and leases of existing properties, recognising that existing property will rarely meet all aspects of the standard. Work currently being completed by the Housing Agency to assess the costs of the Universal Design approach indications that the incremental costs are largely 6 National Disability Authority submission on social housing strategy – July 2014 insignificant, apart from the need for a minor increase in the footprint of the property. In London, there has been a requirement for all new homes to meet the Lifetime Homes standard since 2004, and for 10% of homes to be designed to be accessible for wheelchair users. Variations on these requirements can be found in various local authorities. In Southwark, 10% of habitable rooms or units of major new residential development are to be designated to be wheelchair accessible. User demand People with disabilities who will need social housing are in a range of different situations at present. Some people are currently living in the community, sometimes in a family home or sometimes living independently. For those living in family homes, there is often a genuine and deep personal need to live independently, just like other adults of similar ages. Crisis situations can arise for adults with disabilities living with elderly parents, when a parent dies or becomes unable to provide support and assistance. Ultimately in some cases, these adults may inherit a share of a family home when a parent dies. Consideration should be given to some form of ‘shared ownership’ solution for such adults where they could become joint owners with the local authority, if they cannot afford full home ownership from such inheritance. Some people with intellectual disabilities or severe physical or sensory disabilities are living in residential institutions. The HSE 2011 report ‘Time to move on from congregated settings’ set out a strategy for moving about 4,000 people from institutions to community settings – ordinary homes in ordinary places. This report has been accepted as Government policy, and the strategy is being implemented under the umbrella of the National Housing Policy for People with a Disability. As children with a disability reach adulthood, some of these will join the group of adults in need of social housing supports. There is will also be additional needs arising out of a greater number of elderly people remaining in their own homes for longer periods. In general, facilitating older people to stay in their own homes allows for more cost-effective care and is generally far more appealing for the people concerned and their families. Improvements in facilities and technology, including telehealth and telecare technologies allow for offsite monitoring and support. This may result in increased demand on social housing, and corresponding reduced demand for residential care. 7 National Disability Authority submission on social housing strategy – July 2014 Delivery mechanisms Housing supply Our observations on delivery mechanisms are largely based on experiences to date with delivery of the National Housing Strategy for People with a Disability. Progress to date with delivery of housing under this strategy has been disappointingly slow. The initial approach of leasing properties was not successful, and budget was switched from leasing to purchasing in the latter end of 2013. While progress has been made in purchasing a much smaller number of properties, the process of purchasing and adapting properties has again been slower than expected. It is important provisions are made for an adequate supply of social housing that will meet the needs of people with disabilities. A number of key requirements come out of the HSE ‘Time to move on from Congregated Settings’ report. This report strongly recommended ‘ordinary homes in ordinary places’ for people with disabilities. People with disabilities should be integrated in their communities, and should be living amongst and with non-disabled people. NDA research shows the quality of life is significantly better where people with disabilities live in ordinary housing which is dispersed through the community, rather than in dedicated housing clusters for people with disabilities. 4 ‘Clustering’ of units, where a number of adjacent houses or apartments are dedicated for people with disabilities should be avoided, as these tend to become mini-institutions.5 It is also important that any group housing units for people with disabilities are designed for no more than four people with disabilities sharing together. In larger properties with more than four people sharing, it is difficult to achieve a homely atmosphere, and mini-institutions will tend to emerge. Research confirms that quality of life is poorer in larger domestic settings. 6 Institutional features such as emergency exit signage and obtrusive safety equipment make it difficult to achieve that homely atmosphere. 4 Mansell J and Beadle-Brown J (2008) Dispersed or clustered housing for disabled adults: a systematic review. Canterbury: Tizard Centre. 5 In Sweden, for example, the practice would be to house people with disabilities throughout an apartment complex rather than in adjacent apartments or on a single floor or block. 6 Tichá, Lakin, Larson et al (2012). Correlates of everyday living choice and supported choice for 8,892 randomly sampled adults with intellectual and developmental disabilities, in 19 States, Journal of intellectual and Developmental Disability, vol 50 no. 6 p 486-504. This extensive study shows significantly poorer outcomes where there are over three people with intellectual disabilities sharing a home together. 8 National Disability Authority submission on social housing strategy – July 2014 Funding models Responsive to housing market conditions It is important that funding models for social housing are responsive to housing market conditions. It would be most unsatisfactory for progress on social housing in general, and progress on moving people from institutions to community settings is delayed or deferred as a result of housing market conditions. While it is not possible to predict the direction or extent of change, it is almost certain that the housing market will be changing over the lifetime of any long term strategy. Contingency plans should be put in place as part of the strategy to deal with rising or falling housing markets and regional variations in housing markets. Reduce retrofitting costs through Universal Design There is currently considerable expenditure involved in adapting properties to accommodate people with disabilities. The Housing Adaptation Grant supports adaptations in private housing. In social housing, many adaptations are carried out as people move from one property to another. A Universal Design approach provides an opportunity to reduce retrofitting costs over time, by designing properties from the outset to meet the needs of as wide an audience as possible regardless of age, size, ability or disability. Capacity issues The new Social Housing Strategy should ensure that the staff involved in delivering the strategy have the skills required to meet the needs of everybody that needs social housing. Technical skills – housing design It would be important that professional staff who are involved in the design or acquisition of social housing would be skilled up in the area of Universal Design, and its application in the built environment. This goes beyond consideration just of ramps and downstairs WCs, to consider needs across the spectrum of disability, age, and ability. Technical guidance on Universal Design in the built environment is set out in ‘Building For Everyone – a Universal Design approach’ www.universaldesign.ie/buildingforeveryone. There is a need to educate and support staff to develop their skills and experience in universal design. This would include architects, engineers, planners, 9 National Disability Authority submission on social housing strategy – July 2014 surveyors and landscape architects in local authorities, Department of the Environment, Community and Local Government and approved housing bodies who are involved in preparing design briefs, approving housing acquisitions and building control functions. Industry bodies such as the Construction Industry Federation of Ireland should also be included under this umbrella of Universal Design up-skilling. The National Disability Authority is currently engaged with the Royal Institute of Architects in Ireland on the development of Continuous Professional Development training courses on Universal Design. In addition to Building for Everyone, the National Disability Authority has a number of other resources nearing completion, that are expected to be available before the end of 2014. These include: Universal Design Guidelines for Homes in Ireland Universal Design Homes for Ireland Cost Assessment Universal Design Homes for people living with Dementia, their families and carers Service delivery Communication with service users will be an essential feature of how the social housing service is delivered. The recently published ‘Easy To Read’ version of the National Housing Strategy for People with a Disability is a very positive example of an effective communication tool for this target audience. Many people with intellectual disabilities, poor literacy or poor language skills will struggle to deal with the current social housing application form, or the legalistic, formal texts often used in response letters to tenants. The strategy should set out a vision of effective communication with service users, through Plain English. The social housing form should be redesigned and improved through a user-centred process so that it becomes simple and intuitive to use. The investment in this redesign will be repaid to reduced time for staff in dealing with queries and corrections to forms. Standard letters sent out to tenants should be redrafted in Plain English, to ensure that they are understood effectively. There may well be opportunities for using technologies such as email, SMS messaging or social media to communicate effectively with tenants. Customer service skills The National Disability Authority also has a number of resources available that will help housing staff to provide high quality services to people with disabilities. These resources include: NDA eLearning module on disability – a short, online training course to help public sector staff to deal with customers with disabilities 10 National Disability Authority submission on social housing strategy – July 2014 NDA Social Housing and Mental Health guidelines – guidance on best ways to support people with Mental Health difficulties seeking social housing Materials on universal design in customer service materials, developed for the energy sector, but much of which is applicable in other service contexts – see http://www.universaldesign.ie/guidelinesampstandards/universaldesignforcusto merenagagementinenergyservices The National Disability Authority plans over the coming months to develop guidelines on dealing with housing needs of people with Autism. Organisational structures Cross-departmental operations and budgeting Housing for people with disabilities is much more than just a roof overhead. Provision of adequate housing services also requires provision of matching support services to ensure that the housing tenancy is sustainable in the long term. Much work has been done on cross-departmental protocols between local authorities and the HSE to ensure that housing and appropriate supports go hand in hand. These protocols will need to be extended and enhanced over time to ensure that people with disabilities get the services they need. Also, provisions for some form of cross-departmental budgeting will be required. There is often a trade-off between the existing health and housing budgets. Changes on one side impact the budget on the other side, and vice versa. There may well be opportunities for overall reductions in public spending through increased housing spend to reduce health spending. Other relevant policies Other key policies that must be considered in the development of the new Social Housing Strategy include: HSE ‘Time to Move on from Congregated Settings’ report from 2011, which sets out a roadmap for about 4,000 people with intellectual disabilities to move from institutions to community housing National Positive Ageing Strategy, which aims to ensure that “that people are enabled to age with confidence, security and dignity in their own homes and communities for as long as possible” and ‘older people [are facilitated] to live in well-maintained, affordable, safe and secure homes which are suitable to their physical and social needs” 11 National Disability Authority submission on social housing strategy – July 2014 The Programme for Government 2011 commitment to “In planning legislation, we will promote and support universal design whereby all environments can be used to the greatest extent possible by all people, regardless of age ability or disability”. The M/420 EU Standardisation mandate by European standards bodies, CEN, CENELEC and ETSI on new European accessibility requirements for public procurement in the built environment. This standard for public procurement is envisaged to be completed and operational by 2015. The new European Directives on public procurement (Directive 2014/24/EU and Directive 2014/25/EU) which states that in all procurement intended for use for persons, except in duly justified cases, contracting authorities should set down technical specifications to take into account accessibility criteria for people with disabilities or design for all users Government Policy on Architecture 2009–2015 Our Sustainable Future, a Framework for Sustainable Development for Ireland, Department of the Environment, Community and Local Government, 2012 12