Step Up Step Down Pilot

Ryefields GardenStep up / Step Down Pilot

This pilot is a great example of RBH acting on the vision of people succeeding together to deliver great services and places to live and work and our future purpose  -  how we can work within Rochdale as a trusted partner and a key local anchor institution

In September 2016, working in partnership RBH and Pennine Acute NHS Trust commenced a pilot project to provide a Step Up / Step Down service to help reduce bed blocking because of housing need. The initial pilot project uses three homes in Independent Living schemes across the Borough

Step Down

This is where older people are having to remain in hospital because they are unable to move back into their home because it is unsafe for them to do so. This may be because of the poor condition of their home which may be detrimental to their health, or they need an aid or an adaptation to be installed before they can go home, or because their home is now unsuitable following their hospitalisation.

Through the use of an independent living home which has been furnished and ready for use immediately, the person is able to be discharged from hospital and live comfortably for up to six weeks in RBH Independent Living, until their own home has been made ready for them to return or a new home found.

Step Up

This is where the NHS community health teams have identified a person who may be at risk of needing hospitalisation because of the unsuitability of their home. There may be no medical need however because they are at risk from continuing to live in their home being in hospital may be the only alternative. Through Step Up, RBH can accommodate people in Independent Living whilst their home is made suitable or another home identified.

Delivering Results

The project is now already demonstrating its value with a number of successful case studies already demonstrated:

  • One person returned home after repairs and adaptations were put in place to enable the person to continue to live independently in their home. Traditionally they would have needed to remain in hospital even though there was no medical need until this had been resolved.
  • One person was moved into specialist extra care. This particular person had spent a long time in hospital and was then supported to live independently in Step Down accommodation whilst the application for extra care was progressed.
  • One person was supported to live in independent living Step Down whilst more appropriate accommodation in his community was identified and made ready. He is now living back in his new home in his local community supported with care and support

Margaret Howcroft – RBH scheme manager at Alkrington Court (one of the pilot schemes) recalls one tenant who came from Tudor Court Resource Centre and who was very withdrawn:

"Within a short time in the Step Down home he had made friends at the scheme through getting involved with the activities, and he was able to engage in discussions about history, music and politics. I hope when he leaves Alkrington Court he will continue to make good progress with his health and remembers with fond memories the new friends he has made"

With the Step Down part of the pilot now becoming established RBH and Pennine Acute NHS Trust will now concentrate more on Step Up in the New Year. RBH has now applied to the NHS for further funding to extend the pilot project and develop another three homes within Independent Living from April 2017.

We are now hoping to grow the service over the next 12 months and make step up / step down an integral part of the RBH Independent Living offer in the future.

Your Most Memorable Moments

Five Years And Counting Logo

Getting involved in our celebrations

In April, May and June we'll be sharing with you what we're done to keep the 50 promises we made when we took over ownership of the homes formerly owned by the Council. We’ll post information online and via social media and invite you to send in your ‘Most Memorable Moments’ (your MMMs) of the past five years.

Your most memorable moment might be something that was life changing - like moving into your home or starting work for RBH. It might be something that had a big impact: new kitchen or bathroom or meeting a new neighbour or colleague. It may be something that was difficult: the floods last Christmas spring to mind or an emergency repair. It might be equally be something very simple.

We want to know what stands out in your memory. We want to hear your stories. We will add your MMM comments and photos to each promise to create an online album to share everyone’s experiences. We will showcase the album at our “All Together” Annual Members Meeting on 12 September.

Send your most memorable moments to or using our special online form.

As an added bonus, everyone who submits a memory will be entered into a draw to win £200 in shopping vouchers!