Evidence assessment and narrative synthesis of the key characteristics of older people living in Service-Integrated Housing facilities, and their ‘accommodation journey

Thompson, Juliana, Hill, Michael, Bainbridge, Lesley, Cowie, Daniel and Flewers, Emma (2022) Evidence assessment and narrative synthesis of the key characteristics of older people living in Service-Integrated Housing facilities, and their ‘accommodation journey. Housing, Care and Support, 25 (1). pp. 31-45. ISSN 1460-8790

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Official URL: https://doi.org/10.1108/hcs-03-2021-0008


This paper aims to provide an evidence assessment and narrative synthesis of literature regarding the key characteristics of older people living in service-integrated housing (SIH) facilities and their “accommodation journey”.

A rapid evidence assessment was conducted: 22 research publications met the inclusion criteria and were analysed using narrative synthesis.

The quality of studies in this area is low, but consistency across components of the results of studies included in the review is apparent. Results suggest key characteristics of older people that drive moves into SIH are a decline in health, increased dependency, increased health service use and carer burden. Suggested key characteristics of SIH residents are high levels of health problems, dependency and health service use, but high self-reported health and well-being. Results indicate that the key driver for older people leaving SIH is a lack of workforce competency to manage further declines in health and dependency status.

Research limitations/implications
Current policy may not realise or account for the complex health and care needs of SIH residents. Investment into integrated care, robust community health services and workforce development to facilitate a comprehensive assessment approach may be required to support residents to remain in SIH and live well. Further longitudinal studies are required to map the progression of SIH residents’ health status in detail over time to provide an understanding of preventative and enablement support, development of care pathways and workforce planning and development requirements.

This evidence assessment is the first to consider the accommodation journey of older people residing in SIH.

Item Type: Article
Additional Information: Funding information: This study was funded by NHS North of England Commissioning Support (NECS)Unit via Research Capability Funding (RCF) for North East and North Cumbria, UK.The authors would like to thank NECS for their support of this review.
Uncontrolled Keywords: Literature review, Assisted living, Older people, Rapid evidence assessment, Care of older people, Service-integrated housing, Sheltered accommodation
Subjects: B700 Nursing
L900 Others in Social studies
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: John Coen
Date Deposited: 11 Nov 2021 14:58
Last Modified: 03 Mar 2022 13:45
URI: http://nrl.northumbria.ac.uk/id/eprint/47709

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