Read all the shortlisted entries into this award category, excellence in health and wellbeing, at the Scotland Housing Awards (SHA) 2024 and find out who won the award on the night.
The right to an adequate standard of housing is inextricably linked to the right to the highest attainable standard of health. The right to health is a shared and inclusive right and good quality, sustainable housing is key to fulfilling this for individuals, families and communities.
Tenants Wellbeing Services
Link Housing Association Ltd
LinkLiving
Social housing providers are increasingly offering homes to people with high-levels of need. A greater proportion of people who need additional support to live well in their homes and communities live in this sector compared to other forms of tenure.
Consequently, housing officers regularly identify housing management issues that tenants struggle with which impact on their ability to sustain their tenancies and live a good-life in their community.
Link recognise housing officers don’t have the capacity to provide intensive support that some tenants require to deal with the difficulties they experience, Link Housing Association partnered with LinkLiving to develop two innovative tenancy sustainment services that tenants need to live well in their homes: HoME (Help on Managing Everything) and Building Resilience for Better Homes (BRFBH).
LinkLiving is a trauma-informed Scottish health and wellbeing charity that supports people of all ages to overcome the negative impacts of trauma, mental health, inequality, and isolation.
Our HoME service was born from this understanding and from discussions with experienced housing officers and tenants about what they needed to prevent situations spiralling towards the devastating potential outcome of eviction.
HoME use a trauma-informed approach to support tenants struggling to maintain their tenancies. Following a referral from a housing officer, LinkLiving staff provide needs-led intensive housing management support to tenants, enabling them to better manage and maintain their homes and settle into their communities. The service helps tenants address and resolve their immediate housing crisis and works with them to assess their need for ongoing specialist support.
Main areas of support provided:
Tenants state that the practical support they receive not only teaches them the skills necessary for successful tenancy sustainment, but also gives them the motivation to keep improving once support ends.
Chartered Institute of Housing estimates that around one in three social housing tenants in rent arrears are experiencing mental health difficulties. Poor mental health has a considerable impact on individuals and their families and has been associated with both poverty and social exclusion.
People experiencing difficulties with their mental health often find it impacts how they communicate with others, their levels of motivation and their confidence. This can significantly affect their ability to keep on top of personal administration such as reading correspondence from their landlords, working with others such as their housing officers, or feeling able to keep on top of home management. Additionally, someone who is experiencing anxiety may not feel confident in accessing community resources or building relationships with others, including their neighbours. Their mental health challenges may play out in a range of ways including substance abuse, non-payment of rent, hoarding and anti-social behaviour.
To support tenants with mental health challenges, we introduced an innovative self-help service – Building Resilience for a Better Home.
Delivered remotely through video-calling or telephone, this service enables people to understand and manage their current difficulties using cognitive behavioural therapy-based techniques. Through the provision of nine sessions, tenants are supported to understand how their difficulties started, factors that have contributed to these difficulties continuing and then to develop tools and techniques to better manage their mental health.
Approximately 700 tenants received support since the two services were introduced. Within the last financial year 263 Link tenants were supported to achieve the following outcomes:
The HACT Social Value Bank impact measurement tool have been utilised to evaluate both services. HoME resulted in a measured social and economic value of £608,300, using the categories ‘Relief from Anxiety/Depression’, ‘High-Confidence’ and ‘Feel in Control of Life’.
Using the HACT Social Value Bank’s Mental-Health tool use the WEMWBS questionnaire, BRFBH support resulted in a measure of social and economic value of £384,592.
East Ayrshire Council - Assistance with Utilities
Statement of support
East Ayrshire Council Housing Services showcases partnership-working between housing asset services, neighbourhood housing team and the universal credit support team.
Following a review of procedures late 2023, a working group comprising representatives from each service collaborated to develop and embed a robust method of identifying and monitoring tenanted properties where the gas supply had been capped for safety reasons. The exercise also considered actions identified to prevent and address tenants experiencing self-neglect.
The group refreshed the reporting regime and was enhanced to interrogate data from internal housing systems. This data highlights properties whereby the gas meter is due to be capped.
Daily reports of these properties are generated by housing asset services with an alert added to the tenant’s record. Thereafter neighbourhood coaches seek to engage with the tenant utilising all possible methods, including liaising with support services. This proactive approach ensures that communication between services is consistent to prevent escalation and statutory interventions. Cases are monitored by the neighbourhood manager who can escalate to a dedicated multi-agency forum which includes services and agencies involved in supporting the tenant.
Neighbourhood coaches use a coaching approach to encourage tenants to engage, talk about any concerns and focus on encouraging tenants to identify solutions, focusing on their skills and aspirations. Coaches make use of all resources to help tenants address financial hardship which may impact on their ability to manage utilities including referring to Lemon Aid via Citrus Energy to support people most at risk of experiencing fuel poverty and providing assistance to tenants who are disconnected from their energy supply or on pre-payment meters at risk of disconnection or via an application to the Tenant Support Fund.
The Tenant Support Fund was introduced in June 2023 and aims to mitigate the short to medium term financial challenges being experienced by tenants as a result of the cost of living crisis. It enables the council to prevent homelessness and sustain tenancies by directly reducing, alleviating or paying off rent arrears; providing fuel support and in exceptional circumstances direct financial assistance to tenants. In recognising the significant impact of the cost of living crisis and as part of a broader holistic homelessness prevention approach, the fund is delivered under three key work-streams which include fuel support.
The fund is open to all council tenants experiencing difficulty paying their fuel costs, particularly those with rent arrears who are at risk now or in the near future of losing their home. In supporting those most at risk of experiencing fuel poverty, the fund provides financial assistance to tenants who are disconnected from their energy supply; those using pre-payment meters at risk of disconnection and those living in areas not supplied by the gas network (off grid) who are at risk of disconnection via vouchers issued by Lemon Aid.
A tenant had been living in his tenancy with the gas meter capped since 2022. He was struggling to deal with his gas supplier and as he was confused by the bills he was receiving with increasing debt and went to his mother’s house when he wanted to take a shower or use hot water.
Following notification on the new report from Housing Asset Services, the neighbourhood coach assisted our tenant with contacting the gas supplier himself with all necessary information to hand. The neighbourhood coach was able to support our tenant with a referral to the Tenant Support Fund with assistance provided by Lemon Aid. His meter debt was cleared and he is now up and running with his gas supply and able to choose the tariff most affordable to him.
Outcomes and achievements
East Ayrshire Council's emphasis on maximising tenant income, mitigating self-neglect and improving wellbeing has resulted in a focused approach to tenancy sustainment and homelessness prevention by building lasting relationships with tenants and enhanced joint working with other services.
In the period 2023/24, approximately 270 council properties were affected and since the introduction of the revised procedure and focus on collaboration and communication, the number of properties has decreased to under 200 with the procedure now embedded in the neighbourhood coaches’ tasks.
Since April 2024, neighbourhood coaches have carried out visits to all tenants to provide advice and assistance with a view to identifying any underlying support issues. Over 70 referrals have been made to Lemon Aid to provide direct help to tenants and a total of £20,000 has been awarded via the Tenant Support Fund to address utility debt and enable reconnection, thereby improving health and wellbeing outcomes for our most vulnerable tenants.
Neighbourhood coaches can identify wider challenges including self neglect, enabling support to be provided, including signposting to support services and community resources. Information sessions have been delivered to the East Ayrshire Federation of Tenants and Residents to raise awareness of utility debt and the supports available.
Trust Housing Association - Trust offer In-House Benefits Advice
Statement of support
Trust in-house Benefits Advice Service offer tailored benefits advice to customers and anyone who has been made an offer to live within a Trust home. The service offers clear advice, support, and guidance on the benefits customers are entitled to claim.
Benefits Advice Service main roles include:
Since the introduction of the service in 2007, the Benefits Advice Service has been consistently recognised as being successful and positively viewed by colleagues and customers alike. The need for this vital in-house service has continue to grow, particularly given the challenges around the current cost of living crisis many Trust customers are experiencing.
Throughout 2023/2024 the team was successful in securing over £2.7 million in benefit referrals for customers and have assisted in ensuring customers are receiving every benefit they may be entitled to.
This service not only helps customers claim housing benefit allowances but has also helped customers in their personal circumstances to claim additional benefits such as attendance allowances, council tax reductions, pension credits and adult disability allowance.
The team is now made up of three people (2.5FTE’s) who solved 359 cases last year. Their hard work and dedication continues year-on-year making customers lives better, particularly during the current cost of living challenges many households are facing.
The skilled and committed team have reflected the following “Helping customers secure their entitled benefits is a pleasure. Customers usually come to the benefits team when they are worried or in need of help and the team are able to step in and help their financial situations, taking those worries away. Each case is completely different, and the team are able to make sure that moving into their new home is as seamless as possible.”
Outcomes and achievements
West Dunbartonshire Council - Environmental Sensors
Statement of support
West Dunbartonshire Council deserves this award because our environmental sensors project demonstrates how modern technology can be used to solve long standing problems in social housing.
Damp, mould, and poor air quality are common issues in many homes. These problems not only damage the property but also pose serious health risks to the people living there. High levels of carbon dioxide, for instance, can lead to headaches, poor sleep, and make conditions like asthma worse.
Traditionally, these issues have been addressed only after they become serious enough for residents to notice and report. This reactive approach often means that by the time we respond, the damage is significant, and the residents' health may have already been affected.
To change this, we have implemented a proactive approach whereby we plan to install Aico environmental sensors in all 10,400 of our properties over the next five years, we are currently at over 800 homes connected. These sensors continuously monitor humidity, temperature, and carbon dioxide levels and send real-time data to a dashboard that we can monitor. When the AI trained algorithm detects a potential problem, like high humidity, it alerts us.
This allows us to take steps to investigate, understand and address the issue, be that through repairs or tenant education, before it escalates. By catching these issues early, we can prevent mould from developing and spreading, which helps us avoid costly repairs and, most importantly, protects the health and wellbeing of our residents. Furthermore, the fire alarms are also connected to the gateway, enabling us to monitor battery status remotely and further improving our health and safety compliance.
The gateways and sensors come with a tenant app that provides real-time information about the temperature, humidity, and carbon dioxide levels in the tenants’ home. This app is an essential tool for tenants, allowing them to monitor their living environment and take steps to improve it, such as using fans after showering to reduce humidity. We write to tenants after the sensors have been installed, prompting them to download and use the app and supplying them with information packs about air quality, damp and mould and energy advice. All of which are vital for tenant wellbeing.
Our proactive approach ensures that our homes remain safe, healthy, and comfortable places to live. It also means we can focus our resources where they are most needed, improving the overall efficiency of our work because we are less reactive.
In summary, West Dunbartonshire Council’s project is a practical and innovative way to address common and serious issues in social housing. By using technology to monitor and improve living conditions, we are showing a strong commitment to the well-being of our residents and the sustainability of our housing. Additionally, our success can serve as an example for other housing authorities looking to implement similar solutions, further extending the positive impact of our work.
Outcomes and achievements
The process is to contact the landlord by email and request they submit copies of the Electrical Condition Installation Report and Gas Safety certificates. They are also asked to confirm they have the required smoke, heat and Carbon Monoxide (CO) detection in place. If the landlord still fails to engage, this is followed up by a third party application to the Housing and Property Chamber (HPO), for enforcement action.
Even though this project is not a statutory requirement and the private sector team is very small dealing with a wide remit, it was felt this was a worthwhile and valuable exercise - potentially life saving, that every member of the team has been determined and keen to ensure that this project continues to be resourced.
Outcomes and achievements
As of 31st March 2024, the private sector team have requested submission of certificates regarding 666 properties, of these:
These figures demonstrate 47 per cent of landlords who advise on their registration that they have valid certificates in fact do not hold these.
Outcomes: