Partnership case study: ‘Henry Court’ by Nehemiah

Henry Court is a retirement living scheme managed by Nehemiah UCHA, a small BME association.  In addition to the 38 self-contained flats, Nehemiah works closely within the local area to support our customers, who are older people predominantly from black and minority ethnic backgrounds, to live well, sustain their tenants and live independently for as long as possible.

Our challenge

Many of our tenants are socially isolated, experience challenges properly managing existing medical conditions, and are lonely. Their isolation can lead to increased dependency on health services, including emergency care, and early admissions to residential care.  

Our solution

For us, one size doesn’t fit all. Here is a case study that shows how we delivered a long term solution: Shortly after moving in to Henry Court Mrs McCalla was diagnosed with dementia. As Mrs McCalla was familiar with her surroundings and enjoyed the social activities within Henry Court and the local area, her family wanted her to continue living independently as long as possible. Within the scheme Mrs McCalla was very popular and the peer support she received meant she could continue to attend activities and have her cultural needs met by the meals service provided by a local voluntary agency and the local church community.

To support Mrs McCalla to remain living at Henry Court the scheme manager worked closely with a range of local agencies, co-ordinating the services the agencies delivered to maintain Mrs McCalla’s wellbeing and independence.

Our partners

We offer a wide range of well-being activities, including a culturally sensitive meals service. We have an extensive range of partnerships, and work jointly with local agencies, including GPs, local pharmacies, Community Psychiatric Nurses (CPN) teams, social care, and customers’ families and friends. This collaborative way of working enables the scheme to support independence and reduces unplanned medical interventions and admissions.   

Our role

On one occasion, Mrs McCalla presented as more confused and agitated than normal, so the scheme manager contacted the GP and was advised to send in a water sample to the surgery to confirm if she had a Urinary Tract Infection (UTI).  The Community Psychiatric Nurse was also contacted about the change in behaviour. Liaising with these agencies confirmed that a UTI was present and a medication request was sent to the local pharmacy to be delivered to Mrs McCalla. This prevented Mrs McCalla having to visit the doctors as contact with all agencies was made from the scheme.  This early intervention prevented the situation from deteriorating further, enabling Mrs McCalla to remain at home and recover.

The scheme prevents social isolation and promotes wellbeing. We contribute to keeping older people well, avoiding more costly interventions.

Our contribution to improving health

NHS outcome framework – at a glance:

  1. Preventing people from dying prematurely
    Reducing premature mortality in people with mental illness
  2. Enhancing quality of life for people with long-term conditions
    Ensuring people feel supported to manage their condition
    Improving functional ability in people with long-term conditions
    Reducing time spend in hospital by people with long-term conditions
    Enhancing quality of life for carers
    Enhancing the quality of life for people with mental illness
    Enhancing the quality of life for people with dementia
    Improving quality of life for people with multiple long-term conditions
  3. Helping People to recover from episodes of ill health or following injury
    Helping older people to recover their independence after illness or injury   

Public Health outcomes framework:

Outcome 1 – Increased healthy life expectancies

Outcome 2 – Reduced differences in life expectancy and healthy life expectancy between communities.