Portsmouth City Council is working on a bold new vision to deliver the care facilities the city needs.
Plans are being put forward to ensure that there are innovative accommodation options to support people with more complex needs in their own communities.
This builds on the work to improve quality and performance throughout adult social care, which has seen an improvement in both council run and private care home provider ratings in the city.
Working as part of Health and Care Portsmouth with the Portsmouth Clinical Commissioning Group and Solent NHS Trust, care homes have also seen improved access to medical support and advice to prevent avoidable hospital admissions.
The council has also undertaken research which showed that Portsmouth's in-house care costs are lower than the majority of local authorities in the area.
A range of accommodation is required in Portsmouth for people with care and support needs, but there are currently limited choices in the city.
The council is looking at options to fill these gaps taking into account the needs of Portsmouth residents, pressures in the health and care system and value for money in the in-house provision.
This will be aided by the construction of extra care for people with dementia, providing greater independence and a new way of living for people with dementia away from residential care.
As well as this the council are increasing use of domiciliary care, which offers greater options for maintaining independence and allows people to continue to live in their own community.
The council has also engaged with providers of domiciliary care to start delivering care differently. Moving away from care that is focused on blocks of time and toward care that is more specific to the person and their needs.
One important element of this work has been to look at the cost of care and whether there are opportunities for taking different, more sustainable approaches to meeting these costs.
As part of this work, a survey was undertaken with providers in autumn 2019 to gather information about the costs of providing care.
Cllr Matthew Winnington, Cabinet Member for Health, Wellbeing and Social Care said: "It is encouraging that our in-house care costs are lower than most local authority comparators, while retaining high standards of care and having signed up to the residential care charter.
"We are also continuing to investigate options to make the best use of our current buildings and meet remaining gaps in care provision in Portsmouth to get the best value for money for the city from its assets , and to provide additional sustainable homes for those who need them.
"It is important for us to continue to look at news ways to ensure that there is good quality accommodation which meets the needs of everyone in our city."