Aids and Adaptations Policy 1. INTRODUCTION 1.1 Isos is committed to providing excellent standards of service to its customers. 1.2 This policy sets out Isos’ policy on Aids and Adaptations. It gives direction on how Isos will effectively deal with requests for adaptations, either directly or in partnership with the appropriate local authority. 2. POLICY STATEMENT 2.1 Aids and adaptations are items of equipment or special fixtures and fittings, which may improve access to a tenant’s home, improve a tenant’s mobility in and around their home, or help with daily living. 2.2 According to the Department of Communities and Local Government (DCLG, 2006. P. 6) “the purpose of an adaptation is to modify disabling environments in order to restore or enable independent living, privacy, confidence and dignity for individuals and their families.” For example this can involve the fitting of an additional rail to help climb the stairs, installing a stair lift or the replacement of a bath with a level access shower. 2.3 This policy directly links to the objectives of the Department of Communities and Local Government (DCLG) and the Department of Health (DoH) of ‘offering everyone the opportunity of a decent home’ and ‘improving people’s health and well-being’. 3. POLICY SCOPE 3.1 The policy covers all property owned by Isos. 3.2 A detailed Aids and Adaptations Procedure supports this policy to ensure a consistent approach is taken. 4. RELATED POLICIES, DOCUMENTS, LEGAL REQUIREMENTS 4.1 In developing this policy, relevant legislative requirements, best practice and related policies have been examined including: Guidance: • Aids and Adaptations Toolkit, HQN, February 2010. • Delivering Housing Adaptations for Disabled People: A Good Practice Guide, Department for Communities and Local Government, June 2006. • Housing Associations and Home Adaptations: Making it work smoothly, Habinteg 2008. 1 Aids and Adaptations Policy • College of Occupational Therapist’s Guide; ‘Minor adaptations without Delay’. Relating to Aids and Adaptation Delivery: • Housing Grants, Construction & Regeneration Act 1996. • NHS & Community Care Act 1990. • Carers (Recognition and Services) Act 1995. • Carers and Disabled Children Act 2000. • Chronically Sick and Disabled Persons Act 1976. • The Community Care (Delayed Discharges etc ) Act 2003 Guidance. Data Protection: • Isos Data Protection Act 1998. • Isos Data Protection Policy. • Isos Data Management Guidelines. Equality Legislation: • Equality Act 2010. Relevant Policy links: • Isos Customer Service Standards. • Isos Complaints, Comments and Compliments Policy. 5. POLICY DETAIL 5.1 In applying this policy Isos seeks to demonstrate a commitment to funding and carrying out adaptations, both independently and in partnership with other agencies to ensure that all of our tenants can maintain their independence in their home. To achieve this we endeavour to: • Help our tenants to enjoy and continue their independence, privacy and dignity by helping them adapt their homes as their needs change. • Ensure that there is a consistent approach to carrying out minor and major adaptations to all of our properties. • We recognise that some existing and new tenants have, or may develop, an impairment that adversely affects their ‘day to day’ life and will require aids and adaptations to their homes as the property no longer meets their needs. 2 Aids and Adaptations Policy 5.2 • We work closely with local authority partners to access the services of Occupational Therapists (OTs) and Disabled Facilities Grants (DFG) where appropriate. • We will encourage tenants to apply for adaptations and seek to provide advice and guidance to tenants when applying for minor and major adaptations. • We will ensure compliance with legislative and regulatory requirements and work, wherever possible within the spirit of the (former) Housing Corporation’s and College of Occupational Therapists’ Guide, ‘Minor Adaptations without Delay.’ • All adapted properties will be recorded on a property database. • We will ensure that properties meet tenant’s needs at the point of letting. • We will actively promote the aids and adaptations service to tenants, for example through regular articles in the tenants’ newsletter, ensuring the tenants’ handbook is available at our offices, on the website, and by providing our staff with the necessary skills and knowledge. • We will liaise with tenants with regard to minor works (and major works if relating to former Castle Morpeth tenants) before the work is done, provide support during the work itself, and provide aftercare when the work is finished. • Wherever possible, the needs of tenants with a disability will be taken into account in Planned Maintenance Programmes and New Housing Developments. • Although there are no requirements for the tenant to have lived in the property for a defined period before an adaptation can be requested, the property must be the tenant’s principal home and not of a temporary nature. Isos will normally only consider a request for aids and adaptations if the disabled person is the tenant, or their partner, or a member of the immediate family, who is permanently resident in the household or would be so if the adaptation was done. 3 Aids and Adaptations Policy 5.3 Isos will automatically give permission for leaseholders to make adaptations to their homes if they can provide a copy of a report and associated recommendation from an occupational therapist (unless the adaptation will have a significant detrimental affect on our assets and/or other tenants or leaseholders). 6. DEFINITIONS OF DISABILITY 6.1 As set out in the Isos’ Single Equality Scheme, we support the Social Model of Disability. This model views disability as being caused by ‘barriers’ or elements of social organisations which take no or little account of people who have impairments. This model makes the important distinction between ‘impairment’ and ‘disability’ and moves away from the view that it is an “individual” problem. 6.2 “A social model approach states that people with impairments are disabled by physical and social barriers. The ‘problem’ of disability results from social structures and attitudes, rather than from a person’s impairment or medical condition.” (Housing Association Guide to Disability Equality Schemes and Action Plans, HABINTEG, 2007) 6.3 The Equality Act replaced most of the Disability Discrimination Act (DDA). However, the Disability Equality Duty in the DDA continues to apply. In the Equality Act 2010, a person has a disability if: • • They have a physical or mental impairment. The impairment has a substantial and long-term adverse effect on their ability to perform normal day-to-day activities. For the purposes of the Act, these words have the following meanings: • • • 'Substantial' means more than minor or trivial 'Long-term' means that the effect of the impairment has lasted or is likely to last for at least twelve months (there are special rules covering recurring or fluctuating conditions). 'Normal day-to-day activities' include everyday things like eating, washing, walking and going shopping. People who have had a disability in the past that meets this definition are also protected by the Act. 6.4 The government has published statutory guidance, to assist adjudicating 4 Aids and Adaptations Policy bodies like courts and tribunals in deciding whether a person is a disabled person. This guidance is called “Guidance on matters to be taken into account in determining questions relating to the definition of disability”. It was published for the purposes of the Disability Discrimination Act, but continues to apply under the Equality Act 2010, where appropriate. 6.5 We further recognise that under the NHS & Community Care Act 1990, The Carers (Recognition and Services) Act 1995, or The Carers and Disabled Children Act 2000, ‘there may be persons who, whilst not meeting the disability definition above, will have identified needs, for whom an adaptation is necessary to be able to live independently in their home’. 7. DEFINITION OF AIDS AND ADAPTATIONS 7.1 Aids (i.e. equipment) are provided by local authorities through their equipment loan service. The service provides equipment on loan to people who are elderly, ill or have a disability. Equipment is offered following an assessment of need which will need to be carried out by a recognised professional (such as an Occupational Therapist/Social Worker/ District Nurse). The type of equipment can vary to aid with stability or to assist with more complex needs. Aids/Equipment; • Ceiling track hoists. • Door entry systems. • Portable powered bath hoists. • Environmental controls. • Induction loops. • Connection to telephone service provider. • Portable hoists. • Shower or commode chairs. • Transfer Boards or mats. • Tap, control or knob turners. • Specialist WC seats. • Specialist furniture. • Removable bath insert. This list is not exhaustive. Isos will not meet the direct costs of the above; however advice and support will be given to tenants to assist them in seeking an assessment from the relevant authority. 7.2 Adaptations are fixed items. For the purpose of this policy there are two 5 Aids and Adaptations Policy categories of adaptations, minor and major. 8. MINOR ADAPTATIONS 8.1 In accordance with the College of Occupational Therapists’ Guide ‘Minor adaptations with out delay’ Isos will provide and fit minor adaptations to our properties. Assessments from an Occupational Therapist may be required. A list of minor adaptations can be found in Appendix 1. Isos defines minor adaptations as a fixture which costs less than £1,000 (plus VAT and installation) this cost will be funded through a dedicated aids and adaptations budget. 8.2 Minor adaptations will normally be fitted without the requirement for an Occupational Therapist assessment. (If the relevant officer, in consultation with the tenant does not consider that a more detailed assessment is required). 8.3 Any works in bathrooms to aid bathing will require an assessment from an Occupational Therapist to ensure that the adaptations are fit for purpose and minimise any risk to the tenant. 8.4 Isos reserves the right to request an Occupational Therapist assessment for minor adaptations including the following ‘non standard items’: Non standard items External hand rails ‘wall to floor’ and ‘floor to floor’. Pole floor to ceiling. Lever taps. Internal thresh. Rehanging internal door. Outer bath handle. Adaptations to external steps. Electric socket if needed for Joint Equipment & Loans Service (JELS) equipment. Wooden plinth. 9. MINOR ADAPTATION TIMESCALES 9.1 We will acknowledge requests for adaptations within 2 working days. 9.2 If further investigation of the request is required e.g. a feasibility study in conjunction with an OT is needed, this investigation will be concluded within 20 working days of the request. 6 Aids and Adaptations Policy 9.3 A tenant/leaseholder will receive the outcome of our decision with 10 working days of the request or feasibility study (whichever is the later). 10. MAJOR ADAPTATIONS 10.1 Where requests fall into the major repairs category (those greater than £1,000), tenants will be advised how to refer their case to the relevant local authority/primary care trust (or equivalent) for assessment for appropriate grants, such as the Disabled Facilities Grant (DFG). It is the responsibility of the relevant local authority and occupational therapist to assess and make any applications for funding on behalf of the tenant. 10.2 Disabled Facilities Grant (DFG) is the main form of assistance available from the Local Authority to allow a disabled person to live independently or to be cared for at home. The grant, which is mandatory, is subject to a test of resources. The legislative provisions are in sections 19 to 24 of the Housing Grants, Construction, and Regeneration Act 1996. 10.3 Following the transfer of housing stock from the former Castle Morpeth Borough Council to Castle Morpeth Housing on 29 October 2007, a stock transfer agreement is in place. DFG is generally available for major adaptations; however under the terms of the Stock Transfer Agreement, Isos will not access DFG until it has expended its own budget. When the budget has been spent then the tenant will be referred to Northumberland County Council for funding through DFG. 10.4 Major adaptations will only be carried out with the approval of the relevant Team Leader (Cat1 & Adaptations). 10.5 A list of major adaptations can be found in Appendix 1. 10.6 We will acknowledge requests for adaptations within 2 working days. 10.7 If further investigation of the request is required e.g. a feasibility study in conjunction with an OT is needed, this investigation will be concluded within 20 working days of the request. 10.8 A tenant/leaseholder will receive the outcome of our decision with 10 working days of the request or feasibility study (whichever is the later). 10.9 Timescales for the completion of major works will vary according to the nature of the adaptation e.g. a shower is easier to fit than a through floor lift. 7 Aids and Adaptations Policy 11. MOBILITY SCOOTERS 11.1 The storage and charging facilities for a resident’s mobility scooter are usually their responsibility. 11.2 We do not usually carry out any adaptations associated with mobility scooters (e.g. ramps, paths or shed bases). 11.3 For health and safety reasons, it is preferred by Isos that tenants of houses or bungalows must store mobility scooters outside, preferably in a shed with a power supply. 11.4 As Isos does not usually pay for adaptations associated with mobility scooters, tenants will be informed of this in our Aids and Adaptations leaflet. 11.5 HOWEVER, WE RECOGNISE THAT DIFFERENT TENANTS HAVE DIFFERENT CIRCUMSTANCES AND DIFFERENT NEEDS. WE WILL LOOK AT EACH REQUEST FOR ADAPTATIONS ASSOCIATED WITH MOBILITY SCOOTERS ON AN INDIVIDUAL BASIS. 12. REHOUSING RESIDENTS 12.1 Where possible we will offer the tenant a move to a more suitable and/or adapted property, that better meets their long term needs and those of their family members. 12.2 To maximise resources, Isos may not support adaptations where appropriate alternative accommodation has been identified. We reserve the right to refuse significant adaptations where reasonable alternative property is available, or likely to become available and where we feel that the proposed works are inappropriate to the property concerned. Tenants will be given the appropriate priority for rehousing. 12.3 Where consent for adaptations are refused the tenant can appeal using our Complaints, Compliments and Comments procedure. 12.4 In order to maximise the use of resources and provide an excellent service to our tenants, we will, where reasonably possible in the lettings process match adapted properties to tenants whose needs require adaptations. 8 Aids and Adaptations Policy 13. MAINTENANCE, REPAIRS AND SERVICE CHARGES 13.1 On the expiry of the warranty Isos will also undertake repairs and maintenance to adaptations installed by the Local Authority which become part of the fixtures and fittings of the property, where this is economically viable to do so. Where a level access shower is fitted into the property then Isos will take full responsibility for the fixture as this becomes a key component of the property. 13.2 The local authority is required to notify Isos of the warranty expiration date to ensure that these items can be included within the planned maintenance plan. 13.3 Where it is not economically viable for Isos to repair the equipment and the adaptation requires replacement (due to condition, age, and serious fault) tenants will be referred to the local authority with a request to fast track their application for DFG grant funding. If the local authority confirm in writing/email that they cannot ‘fast track’ the adaptation then Isos will replace the equipment. 14. LEASEHOLDERS 14.1 We will also accept requests to carry out adaptation works to Leasehold and Shared Ownership homes. We will however recharge the residents for the work. 14.2 Our rechargeable repairs procedures must be followed. 15. PERFORMANCE MONITORING 15.1 The service will be subject to performance monitoring, to assist in the development and review of the service: 1. A database of adapted properties to be maintained by Isos to ensure the best matching of properties on re-let and recycling. 2. Number of minor and major adaptations undertaken by Isos each financial year (recorded by tenant/ area/timescales/ diversity information where collected) to be kept and reported to Board. 3. Customer satisfaction of the service will be monitored by diversity strands. 4. Post inspections will be carried out on major adaptations provided by 9 Aids and Adaptations Policy Isos by the Adaptations Officer or jointly with a Surveyor. 16. FINANCE 16.1 Isos will make available a dedicated budget each year for expenditure on aids and adaptations. Spend against budget will be monitored and the budget reviewed as necessary. 17. CONSULTATION 17.1 We will consult with tenants, staff and relevant agencies as deemed appropriate in the development and review of this policy. 18. REVIEW 18.1 The Business and People Directorate will review all Isos Policies every three years. The review will be brought forward if there are significant changes to best practice, regulatory or legislative requirements. 19. EQUALITY AND DIVERSITY 19.1 Isos will treat everyone fairly, regardless of their race, colour, ethnic or national origins, religion or faith, gender, sexual orientation, disability, HIV status, age, marital status, or any other unjustifiable criteria. 19.2 Isos has an Equality and Diversity Policy which sets out how this will be achieved. 20. RESPONSIBILITY 20.1 The Executive Director, Customers and Communities will be responsible for the overall implementation of this Policy. 20.2 The Executive Director, Customers and Communities will delegate the operational implementation of this policy to the appropriate staff member(s). 21. DATA PROTECTION & DATA SHARING 21.1 Isos has a clear policy on data protection and sharing data with other partners/outside agencies under the requirements of the Data Protection Act, 1998. This is clearly set out in the Isos Data Management Policy. This policy and supporting Data Management Guidelines must be followed throughout the 10 Aids and Adaptations Policy operation of this policy. 21.2 It is the responsibility of the appropriate staff and board members to follow the requirements of the Data Protection Act 1998 and maintain confidentiality as set out within this policy. A breach of confidentiality is a serious offence and in that event, the Isos disciplinary procedures will apply. It is the responsibility of all staff to inform their line manager and the Data Protection Officer when they are made aware of a breach of confidentiality. The manager is responsible for taking appropriate action when made aware of a breach of confidentiality. 21.3 Any records will be stored within the main ICT system in a folder that is only accessible to appropriate staff in accordance with the Data Management Guidelines. APPROVAL PATH: CMT DATE APPROVED BY ISOS CMT: 31 May 2013 EQUALITY IMPACT ASSESSMENT: POLICY REVIEW DATE: May 2016 11
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