Key Findings Additional Information

The following pages provide the information gathered during the consulation period which supports stategies identifed. The information has been listed under each of the eight themes for the project’s engagement activities. Please note that • only topics with more than a couple of comments were included in the sub-categories or other plus 55 comments. The topics that received 1-2 responses from the community have been excluded from the report due to size restrictions. Regardless of this all comments have been provided to

Council for their reference. • each theme had the sub-categories listed with the most responses first through to the one with the least. It is important to note there may have only been a small number in difference. • some responses cross over into other themes, therefore the reader needs to consider the wider perspective (as categorised into one theme for scoping purposes). The below key and notes provide explanation that will assist with the reader’s understanding of information provision.

Example Description

p Plus 55 community responses are included in this topic. u Unpaid carers’ responses are included in this topic. v Stakeholder responses are included in this topic. Supportive Research Includes direct exerts or paraphrased information from the World Health Organisation (WHO) and the Department of Local Government and Communities (DOLGC) age-friendly research which engaged older people (the term older people were used in these reports to define those over 60 years of age). WHO’s research was attained internationally and includes WA representation. DOLGC’s collective research is a collation 11 metropolitan and 12 non-metropolitan local governments research reports. Information provided is only a sample from these extensive reports (see references for report details*). It is important to note that other research and studies may also provide supportive information with relation to the topics in this report, including those that were not covered in the WHO and DOLGC ‘Supportive Research’. Other Plus 55 Comments Additional comments that have value to the reader but may not be specifically relevant or aligned with any strategy. Also see ‘Note’ below.

Outdoor Spaces and Buildings received 12% of comments overall.

1.1 Public Spaces and Places

Seating: The need for more seating in community places received the highest number of comments for both this theme and sub-category. Seating was required around town (including in shops/businesses); out of town; walk trails and at key locations. Seating with shelter and seating that accommodated specific physical needs was also regarded as important. Some of the current challenges were that seating is not high enough (e.g. for those with hip issues) and difficult to manoeuvre into such as the conjoined wood picnic tables and benches. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Having places to sit and rest if they tire (rest stops) is an important and necessary feature for older people when out and about in the community. Lack of seating is a concern across metropolitan and non-metropolitan Shires for older people.

Parks/Public Open Spaces: There was a mix of comments around parks/public open spaces with some people happy with what existed and others felt there was a need for more and/or improvements of the established ones, including not selling off public spaces for infrastructure developments. Design was crucial to support engagement, usage and value. For example ensuring parks have seating to capitalise on sights/views as well as creating places that are welcoming to diversity and support cross-cultural activities. Responses: p Plus 55 Community u Unpaid Carers Supportive Research WHO Research DOLGC Collective Research One of the most commonly mentioned age-friendly features is green spaces which needs to consider and accommodate shared users including their safety as well as adequate amenities including shelter. Access and safety is crucial for higher quality of life, including amenities, lighting and safety.

Community Facilities: Some people recognised the value of a multipurpose building that would bring a range of community services and resources together in one place. Others felt strongly about retaining the current location of the Senior Citizen’s Centre and Library, situated nearby to a main shopping centre. In addition quality and access of facilities varied across the town geographically and as such some areas needed more focus to ensure the standard was equal/on par to others areas. Nulsen, was noted as such an example. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Having buildings and shops near where older people live ensures easy access to these services and facilities. Some specific locations (public open spaces) caused concern for older people as did safety and the accessibility. Intergeneration meeting places and community centres (as opposed to the traditional senior citizen’s centre) encouraged respect and inclusion as well as more affordable activities that can be enjoyed by everyone.

Public Toilets: There was a need for more public toilets in and around town as it was felt that they were few and far between and access was important, including in the evenings where some were closed. It was also felt that the cemetery toilets required improvements. Outings/activities were planned in accordance to where public toilets were and as such event locations were also limited areas where these were available.

Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Availability of clean, conveniently located, well-signed, handicap accessible toilets are regarded as important. Lack of public toilets raised significant concern.

Beautification: Pride of appearance was important in the presentation of the town and community. It was felt that the industrial area and entrances needed improvements as did some parts of town including recognised ‘unkept’ areas and litter hot spots. Responses: p Plus 55 Community

Supportive Research WHO Research Community cleanliness is an age-friendly feature and when not met can detract from older people’s quality of life. DOLGC Collective Research

Foreshore Development: The foreshore development received many positive comments that identified various aspects of the area and associated amenities ‘as great’ (the exception was parking as noted in ‘Transport’). Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research A communities natural surroundings is seen as an age-friendly feature, in particular green spaces. Older people recognised the value of the natural and man-made assets.

Jetty: The jetty was identified as needing an upgrade as was noted as neglected and with improvements would have greater usage and access to the plus 55 population and community as a whole. Responses: p Plus 55 Community Supportive Research WHO Research DOLGC Collective Research Barriers of physical access can discourage older people from participation. Interaction and community cohesiveness is supported by places where people can walk safety.

1.2 Safety

Based on the feedback people generally felt safe, however vandalism and better lighting in existing spaces required consideration. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Safety and a sense of security (across many of the topics) is a concern for older people regardless of the level of danger. It impacts on their willingness to participate in the community and as such their independence, connections, health and well-being. Going out at night often creates fear as does public areas with lack of lighting or visibility of crime/illegal behaviours. Feeling safe in their surrounds supports quality of life and interaction which in turn leads to enhanced community cohesiveness.

1.3 Other Comments

Other areas that received comments included: Plus 55 Community: Questions relating to the location of children’s playground opposite the Pier hotel and that it was too small, others felt the playground was great; a need for better customer service in shops and concern over the closure of shops (empty shop fronts); café options available on the weekend in particular on the foreshore; retainment of Museum Park; better use required of Visitors Centre; and appreciation of the swimming pool. Stakeholders: Closure of shops a concern due to expensive rents and the new James Street Park opposite the Pier hotel was too small. Supportive Research WHO Research DOLGC Collective Research Good customer service is considered an age-friendly feature. Barriers include long queues/waiting times for service and closure of local shops which can result in further travel and less interaction.

Overall Transport received 20% of comments.

2.1 Public Transport

Public transport received the highest number of comments for this theme. Transport was crucial to providing access to services, facilities and for participation. Challenges included living outside of the central town site; not having a vehicle and/or licence (particularly for those who were older and could no longer drive); having to rely on others to go anywhere; cost of using taxis; costs associated with vehicle ownership and contributes to social isolation (some plus 55 won’t ask for help). A regular public bus service was deemed the answer to this issue however associated operational expenses were significant barriers to progression. The concept had also been trialled several years ago although did not gain user support at the time. Some people felt this was due to lack of awareness and length of trial period. With a community heavily reliant on cars for access, it felt it was important to revisit and support. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Accessible and affordable public transport is a key factor in influencing active ageing as well as the lifestyles of older people. Lack of public transport was a major issue for older people, particularly those without a licence and those who lived in non-metropolitan areas where it did not exist. This was especially relevant to accessing health care, social engagement and getting from one locality/ town to another.

2.2 Parking

Parking Spaces: More and better parking was a requirement. Parking spaces were often too small (in width) and/or awkward to access (in design), in particular within the Woolworths Shopping Centre carpark. There was not enough parking spaces around town in particular on the foreshore and near the hospital, library and Senior Citizen’s Centre. Vans or large vehicle parking was also a problem. Castletown IGA was acknowledged for their wider parking spaces. Parallel Parking: The Foreshore development’s replacement of angle parking with parallel parking received much unfavourable discussion. Not only was there a notable preference for angle parking but it was also felt that the parking spaces were reduced and parking manouvers impacted on the flow of traffic. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Inadequate parking facilities are identified as a barrier to older people including width of carparks (to load wheelchairs), no-drop off/pick-up points and proximity of parking to buildings.

ACROD Parking: There was not enough ACROD parking in town at various locations, in particular at the Woolworths Shopping Centre. In addition monitoring was required as a not all users had an ACROD sticker displayed. Responses: p Plus 55 Community u Unpaid Carers Supportive Research WHO Research DOLGC Collective Research Lack of handicap parking bays is an issue as is the lack of respect by ineligible uses of handicap parking bays.

Time Limits: One hour parking limits zoned in some areas was not long enough and needed to be extended or removed altogether. On the other hand some were grateful that charged parking meters were not in place. Responses: p Plus 55 Community

2.3 Pathways and Roads

Walkways: There were many positive comments about the walkways and there were a number of comments for these to increase in and out of town. It was also noted that walkways (including gravel paths) needed to be kept clear from overgrown plants and litter, plus where possible be protected by shade/shelter. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders

Cycle ways: Also received a similar number of positive comments. Cycle ways were also encouraged to expand in and out of town creating greater bike access and reducing pathway congestion in busier locations. It was noted that cyclists education would be beneficial on cycle ways (e.g. use of bell, speed, shared usage etc.) and roads. Responses: p Plus 55 Community u Unpaid Carers Supportive Research WHO Research DOLGC Collective Research Condition of walkways impacted on an older person’s ability to utilise these, for example issues lay with potential hazards/obstructions, width for wheelchairs, smooth and easy access surfaces, and high curbs. Both walkways and cycles ways support an age friendly community however these are not without hazards such as shared cyclist and pedestrian usage. Inadequate footpaths was a high concern for metropolitan and non-metropolitan areas as was dual use walkways that were shared with cyclists and skateboarders. Taking into account the older person’s capacity to move aside quickly it was felt that it is beneficial to have both walkways and cycle ways to reduce the likelihood of collisions.

Crosswalks and Intersections: Signage and community education to inform both pedestrians and vehicles (including tourists) as to the rules’ at the roundabouts. Currently these caused confusion and users were not clear who had the right of way (for example respondent’s views differed as to what was correct). Lack of crosswalks was a challenge for all ages. Various identified locations need a crosswalk or similar to improve road safety for both pedestrians and road vehicles. Roundabouts (with relation to vehicle congestion) were not always effective however having no traffic lights in Esperance was favoured. Responses: p Plus 55 Community v Stakeholders Cannery Arts Centre: Entry/exit by vehicle was causing a number of problems for those visiting the Centre, due to the frequency and speed of oncoming traffic as well as visibility with the bend in the road. One community group had stopped using the facility for this reason. A crosswalk (as above) was also supported for those accessing Cannery via the beach and vice versa. Responses: p Plus 55 Community Supportive Research WHO Research DOLGC Collective Research Crossing the road safely is a concern, in particular vehicles not following traffic signals and giving way to pedestrians. The volume and speed of vehicles create barriers for older people as pedestrians and drivers. For example ineffective traffic calming devices, inadequate signage that is obscured or poorly positioned, road conditions and the disregard for traffic rules and regulations.

2.4 Mobile Scooters/Wheelchairs

Access: Access for mobility scooters and wheelchairs was required to enter/exit some public, medical, service, retail and government buildings. This also included a need for mobility scooter parking areas. Wheelchair access on walk trails was also encouraged. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Examples of features that support an age-friendly buildings include ramps, wide doorway and passages, rest areas with comfortable seating and elevators. Important for health facilities is barrier-free structures and mobility, as is good building access for people with a disability.

Education: Mobility scooter usage education was noted due to some unsafe user actions (e.g. rules, regulations, right of way, and safety). A mobity scooter licence was suggested as was education to support safer shared usage of roads and paths for all. Responses: p Plus 55 Community v Stakeholders

Supportive Research WHO Research Need for mobile scooter training and community awareness with relation to safety on footpaths and roads. DOLGC Collective Research

2.5 Other Plus 55 Comments

Other areas that received comments included: Plus 55 Community: Uncertainty and expense of air travel. Regional bus services was an alternative however was a long trip (approx 10 hours one way). Many chose to drive to Perth for medical appointments (8 hours one way) returning straight after their appointment, usually a three day turnaround; a number of varied road issues were noted as well as driving behaviour and signage; a few people commented that they were happy with what existed currently. Stakeholders: There was concern regarding air travel including cost/expense, irregularity, unreliability and the future air contract. Cheaper airfares for the plus 55 population was a suggestion; road conditions and speed was also noted. Supportive Research WHO Research DOLGC Collective Research Refer 2.3 ‘Crosswalks & Intersections and Cannery Arts Centre’ Supportive Research’. For those in non-metropolitan areas getting to Perth for a specialist medical care becomes more acute with no or limited transport.

Housing received 10% of comments overall.

3.1 Affordability/Affordable Options

Cost of housing and associated costs such as rent and rates was a notable concern and were now comparable to Perth. There were numerous comments regarding the high or increasing costs and that there was a need for more affordable options to be available, including Homewest options. This was particularly the case for low income earners or those on a single income. There was also a long waiting period for public housing. Some people had moved out of the area as a result of the increasing costs and others who had sold their houses to downsize found they could not afford to buy again. Smaller housing was suggested although options available would need to vary (see 3.2 Options). Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Cost of housing (including rent) is a major factor that influences where older people live and their quality of life. Some older people are living in houses too big for them but cannot afford to move. Lack of low-income housing is a barrier with access to low-cost publichousing an age-friendly advantage. Access to appropriate and affordable housing is a greater concern to older residents in non-metropolitan Western Australia.

3.2 Housing Types

Lifestyle Village/Retirement Estate: There was significant interest for a plus 55 housing area, whether that be a combined facilities and housing lifestyle village or a designated housing area for retirees/plus 55s. Noted considerations included close to the town centre for access purposes; enough land area for boat/caravan storage and to cater for the plus 55 Indigenous community. Those who currently lived in retiree areas, especially near the town centre, were happy with their housing. Responses: p Plus 55 Community Options: Smaller housing lots for plus 55 community, either units or cottage style housing, were suggested. On the other hand some wanted to see a range of housing options available and not to make the assumption that all plus 55’s wanted smaller lots. Again location was important for scooter and access purposes. Responses: p Plus 55 Community Supported Housing: A number of comments recognised the need for various supported housing options including Homecare. Other examples were crisis accommodation, and housing for those with a mental health issue; disability; post-hospital care and for the homeless. Responses: p Plus 55 Community v Stakeholders

Supportive Research WHO Research Range of housing options in the local area to accommodate changing needs is regarded as an important age-friendly feature as is sufficient space and privacy. Older people can be concerned about not being able to find accommodation in their local area and may not have good knowledge about the options available. DOLGC Collective Research Accessible location and close to services is an essential factor for independence and quality of life. Residents taking part in the research enjoyed living in their own neighbourhood. Concern over options available if no longer can remain in own home, e.g. retirement villages, aged-care accommodation and nursing homes. Also concern over limited access to support services to remain in their home (e.g. meals on wheels, cleaning and minor repairs to home). Carers, especially those who were aging, had major concerns about housing availability and lack of-inhome support for their loved ones.

Development and Design: Planning now for future plus 55 housing was deemed important as was securing the land for these developments. Housing design was also relevant to ensure that it was easily adaptable and universal to support changing needs, independence and installation of aid equipment as required. It was suggested to provide incentives to encourage people to build ‘lifespan’ (whole of life) housing. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Housing design can affect the ability to remain in their home and as such various areas need consideration including large enough area/doorways to accommodate a wheelchair, equipped to deal with weather conditions (e.g. air-conditioning/heating) and adaptable features that can be modified for changing needs. Design of individual homes and modifications of dwellings are vital for enabling older people to remain in their homes. Important to better manage the long term planning needed to meet housing needs of older people and help them to remain in their community.

Nursing Home: More rooms/units at the nursing home for both individuals and for couples. There was often a waiting list and in some cases people had to go elsewhere (out of town). Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research A common concern is the lack of adequate and affordable options in the community to care for older people no longer able to live in their own home, with lack of vacancies one of the most frequent complaints. Refer 3.2 ‘Lifestyle Village/Retirement Estate, Options and Supported Housing Supportive Research.’

3.3 Maintenance

Verge Collection: Verge collection would be most beneficial to the plus 55 community in particular where they did not have access to a trailer (or similar), vehicle and/or towbar and could not access the rubbish tip (in turn retaining the rubbish on their property). This would also have potential to reduce untidiness around some housing by having the opportunity to clean up the yards. Responses: p Plus 55 Community v Stakeholders Presentation: The low standard of presentation of some houses/areas (in particular rentals) was deemed unsightly and messy, including overgrown verges and roads. It was noted that an overgrown/untidy front yard was often one of the first signs (in the service industry) of a plus 55 needing home help. Standard of presentation was also linked to safety and as such improvements in this area may also improve a sense of safety. As one person said safety and security is vital for peace of mind. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders

Supportive Research WHO Research Cost and having unknown (potentially non-reputable) maintenance workers in their home can be barriers to home maintenance. Having affordability and dependable workers who are competent in working with older people are important. Public housing and rental accommodation were noted for their problems with maintenance. Feeling safe in the home environment is essential as older people can feel insecure in particular if they live alone. DOLGC Collective Research Important to have access to and affordable maintenance services as this caused concern. Hoped more services would be available when they needed them.

3.4 Other Plus 55 Comments

Other areas that received comments included: Plus 55 Community: Needed more (affordable) rental accommodation; older residents wanting to sell their homes maybe up for significant costs associated with building inspections (prior to sale) resulting in financial hardship; and more information available regards to housing (including Homewest information). Stakeholders: Housing tenants of Homewest needed better consideration with regards to placement in relation to supporting age-friendly Homewest housing. For example a disruptive neighbour in Homewest strata housing could cause stress, fear and insecurity for a plus 55 which in turn impacts on their well-being (e.g. mental health, social engagement and support needs). Supportive Research WHO Research DOLGC Collective Research Refer 3.2 ‘Lifestyle Village/Retirement Estate, Option, Supported Housing and Nursing Home’ Supportive Research and 3.3 Maintenance ‘Verge Collection and Presentation’ Supportive Research. Refer 3.2 ‘Lifestyle Village/Retirement Estate, Options and Supported Housing’ Supportive Research.

Overall Social Participation received 12% of comments.

4.1 Clubs, Groups and Social Activities

Social Engagement: A prominent number of positive comments acknowledged the availability, options and experiences of clubs, groups and social activities in Esperance; with those involved well connected and socially engaged. Some recognised that there were still many plus 55’s not involved but were not sure how to encourage their participation. Some felt there were cliques in groups. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Social participation and social support are strongly connected to good health and well-being throughout life. Various reasons as to why isolated people find it more difficult to associate with others. Actively encouraging participation supports a sense of belonging, value to the community and fosters community integration.

Senior Citizen’s Centre: There were a number of positive statements about the Centre and what activities it had on offer. It was noted that it was important to keep it functioning despite reductions in its funding. Others felt too young and active and therefore did not use the centre, viewing it as a facility for the aged community. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Many people who are involved with groups and clubs for older people are very satisfied with their activities. Older people feel particularly respected and included in seniors clubs. A positive age-friendly feature is a dedicated senior’s centre, older people valuing the opportunity to get together.

Entertainment Options: It was felt that the calibre and quantity of entertainment visiting Esperance had dropped, although the efforts of the organiser was also recognised. There was an interest for 50s/60s, intergenerational, over 55’s specific and local entertainment. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research A variety of both targeted and integrated activities provides a broad and diverse range of choice for more people.

Indigenous Engagement: Apart from the Gumtree Church and the occasional art project there were generally no specific plus 55 activities targeted at the Indigenous community. While clubs, groups and social activities in Esperance were inclusive, there were unintended factors that deterred indigenous engagement. For example cost of participation; barriers relating to transport/access; full time care of grandchildren (and associated impacts such as financial, family support and available time) and/or cultural diversity - socially and in interests/activities. The plus 55 Indigenous community could benefit from targeted social participation that took into account these factors including childcare/free out of school activities and transport to these for children in their care. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Constitution and design of a community can encourage the integration of people from various backgrounds, ages and cultures. Cultural, educational and traditional activities remain important to older people. Reluctance to join associations and clubs can be as a result of not knowing anyone or the activities are not appealing. Refer 4.1 ‘Access/Transport’ Supportive Research and 4.2 ‘Affordability’ Supportive Research.

Plus 55’s Specific activities: In most part it was felt that the over 55’s were well catered for with regards to activities including those outside the Senior Citizen’s Centre. A few felt there needed to be more and some at night; others preferred earlier evening or matinees. There was interest for activities specifically aimed at the 50 to 65 age group, including after-hours activities for those that worked. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Refer 4.1 ‘Senior Citizens Centre’ Supportive Research and ‘Entertainment Options’ Supportive Research.

Awareness and Involvement: Lack of information and promotion meant that many of the plus 55’s were not aware of what was available. This was particular the case of new residents who also sought support to meet people and develop connections. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Older people need to know about activities and opportunities in order to participate. Identified barrier was the lack of or the difficulty in accessing information about events; if information dissemination was lacking it hindered social participation.

Group/Club Management: There were a number of issues relating to club/group management including viability, committee participation, attracting members and underused club facilities. Responses: p Plus 55 Community Access/Transport: Having organised transport to and from events and social activities was the important link for plus 55 engagement. Transport access played a large part in determining whether the plus 55s could or could not be involved/attend and therefore participate. Responses: p Plus 55 Community v Stakeholders

Supportive Research WHO Research While older people may be aware of events and activities for many they were inaccessible. Provision of public, community transport or other transport would improve accessibility. DOLGC Collective Research Lack of transport options was cited as the major obstacle in accessing activities in both metropolitan and non-metropolitan areas.

Carers: Social engagement and connection was important to Carers although respite support was an important factor. Initiatives such as carers and their partner dinner parties were popular for socialisation with the required support. Overnight respite would also be beneficial. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Caregivers, many of whom are older people themselves, are particularly vulnerable to feeling isolated. Social options for older people with a disability, respite and day programs would support both caregivers and those needing care by giving them more opportunity to connect with the community. The range of events, facilities, the timing and cost of events and availability of transport options can all support or hinder the participation of individuals.

4.2 Affordability

The cost of participation could be a deterrent and prohibitive to members of the plus 55 community with regards to joining clubs, participating in workshops/classes and attending facilities such as the swimming pool. The Civic Centre ‘entertainment’ was particular noted as becoming more expensive and too costly to attend (in particular for low income earners). Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Cost of activities is frequently mentioned which can hinder or support attendance; those that are free or at least affordable facilitate participation by older people. Due to high insurance costs not-for-profit organisations are obliged to charge prices for activities which they know may discourage participation. Cost of attending events is a barrier for social participation.

4.3 Isolation/Loneliness

A number of people shared feelings of isolation and loneliness. This was particular the case when they were single (e.g. widow/widower etc). Some wanted to see the initiation of plus 55 singles activities so that they could meet/socialise with others who were on their own. It was also recognised that it was easier to become isolated as they got older, in particular if they were unable to leave their home very much. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Social contacts may have eroded after the death of a spouse and then gradually other family members and friends. Their health may be declining limiting their ability to participate. An identified barrier was lack of confidence in socialising. Also older people who do not participate are likely to be most at risk or suffer from social isolation.

4.4 Other Plus 55 Comments

Other areas that received comments included: Unpaid Carers: Some people were happy in their own space and doing their own thing. They may be inclined to get out and help someone therefore it was important not to create limitations/barriers so they can have the option to engage when they want to.

Respect and Inclusion received 6% of comments overall.

5.1 Respect

Respect: A number of people felt less respected and valued as an ‘older’ person and identified the attitude toward the plus 55’s could be improved with specific relation to empathy, time, compassion and consultation. As people got older that had much less choice and control over their lives, in turn this left them more open to vulnerability or exploitation. Others felt Esperance was an age-friendly community and shared the positives. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Older people generally experienced respect within their community. There were some cases where people had been impatient, rude and criticised older people. Some commercial and professional services are seen as disrespectful and inconsiderate to older people’s needs. Incidents where an older person is ignored or treated without respect can have a serious flow-on effect; for example a negative experience could make the person increasingly wary of engaging with others for fear of a similar experience.

Perception: Generally the plus 55’s felt stereotyped with many not relating to this or associating themselves as a ‘senior’. It was felt that discrimination was supported by media, for example listing an age with an incident. This was not helped by a town street sign displaying ‘Slow Aged’. The perception of this age group could also be an internalised view by those within the age group. Young-minded plus 55s felt being active in mind and body would reduce these personal perspectives and effects. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research As a group there is a perception that older people are demanding and a drain on public resources. Education about aging through age-friendly advertising in the media, advertisements with attractive depictions of aging and presentations of older people in realistic and non-caricatured ways could be beneficial.

5.2 Inclusion

Inclusion: Some of the challenges around inclusion were, as a newcomer to the area; some groups could be ‘clique’; a need for mixing across groups to improve harmony; being a ‘new/young’ community there needed to be more acceptance for the community as its members became older; less inclusion in some geographical locations (e.g. Nulsen) and the need to be more open minded/flexible. Homecare played a significant part in supporting inclusion and without it would result in more exclusion of the plus 55 community. ‘Inclusive’ focused projects supported engagement. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Diversity: Views varied around diversity. Activities and groups were deemed inclusive to all diversities and there was something for everyone, however it was also recognised that some demographics were not represented. Having more intergenerational activities and targeted participation in groups was important to support interest and respect across the age groups. In was also important to support inclusion and understanding of people with a disability or mental illness (etc.) through community interactions and engagement. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Indigenous Inclusion: There was a number of comments around the inclusion of Indigenous people from both the community and stakeholders. Examples included Senior Citizens Centre could aim to target and include elderly Indigenous people in their events; Indigenous plus 55s often had many more barriers for example as carers for family and others in their community; plus they had family around them to prevent loneliness which could have the opposite effect and was very draining. It was unsure how welcomed indigenous 55’s would be and feel in existing clubs as such there was a need for a neutral space/meeting place that supported sense of belonging, connectedness and acceptance as well as breaking down any barriers. Responses: p Plus 55 Community v Stakeholders

Supportive Research WHO Research The extent to which older people participate in social, civic and economic life of their community is also closely linked with their experience of inclusion. DOLGC Collective Research Many felt respected and had plenty of opportunities to be included however they recognised that others not involved in the research may have a different view. Multi-generational opportunities were seen to be important in building tolerance and understanding between the generations and creating a more cohesive community.

Access: Access into buildings and places and transport could be a challenge (e.g. ramps, scooter access, door width, beach etc.), in particular for those with a disability. The plus 55s lives and lifestyle could change quite quickly through an illness or accident and as such it was important that they did not have barriers to engagement. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Refer 2.4 ‘Access’ Supportive Research.

Socio-Economic: There were concerns over the growing gap between the ‘haves’ and ‘have nots’. Also that the person needed to be valued and not their bank account. Responses: p Plus 55 Community Supportive Research WHO Research DOLGC Collective Research Many older people feel excluded from society because of their low income which included those fully or partially dependant on government allowances.

5.3 Other Plus 55 Comments

Other areas that received comments included: Plus 55 Community: Customer service was lacking in some shops/cafes noting a poor attitude in some cases. On the other hand some businesses had gone out of their way to provide assistance. A number of people felt very happy in this area with no issues and acknowledged a friendly community. Supportive Research WHO Research DOLGC Collective Research Refer 1.3 ‘Other Comments’ Supportive Research.

Overall Civic Participation received 11% of comments.

6.1 Volunteering

Volunteers: Many people were actively volunteering and acknowledged the many positives including the associated rewards with this activity including a great way to meet people. The Esperance Volunteer Resource Centre was also noted for the great work they did in coordination, connections and support however was noted that it could do with a boost. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Benefits of volunteering include self-worth, (purpose/ feeling useful) feeling active, maintain their health, social connections rewarding and prevents isolation. Value recognised of well-developed volunteer centres to assist in some places. Sense of feeling valued when volunteering and generally welcomed the opportunities to volunteer in their community to give something back.

Checks and Qualifications: Deterrents to volunteering for some included the requirements of police checks and/or similar, feeling this invaded their privacy or was unnecessary. Others found the proof and/or need for qualifications, experience and/or training off putting and just wanted to volunteer without the fuss. Sometimes the plus 55’s felt not listened to if their knowledge was perceived as ‘out of date’. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Increasing paperwork contributes to the decline of volunteers.

Volunteer Opportunities: Wanted to see more people volunteering (of all ages) to support the continuation of clubs, groups, support, events etc.; more promotion and advertising of the opportunities available; and diverse activity options available (e.g. outdoor volunteering options). Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Concern of decline or change in volunteer sector and that younger people are failing to replace older people. Older people wanted more volunteer opportunities and a greater range of options. They also wanted to find out about the opportunities, specifically those that were most suited to them.

Challenges: Challenges in volunteering included transport access, in particular for a person with a disability; not knowing who they were going to volunteer/work with could be a deterrent; volunteer management within organisation plus volunteer expectations; and not getting involved as do not want to be on the committee. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Older people face problems getting to and from voluntary jobs. Un-reimbursed expenses or liability issues (potentially with the voluntary organisation) impede ability or willingness to volunteer. Issues associated with volunteering which also potentially reduce volunteer rates include transport and fuel costs, and the lack of others willing to step up to replace aging volunteers.

6.2 Employment

Plus 55 Employment: It was difficult to attain employment in the plus 55 age group as there were limited job options as well as feeling discriminated against as younger people were preferred. On occasion they were told to volunteer instead or apply for a pension as finding a job would be difficult. They wanted a greater focus on work ethics, skills and experience by employers plus more availability of casual, part-time and job share positions. Also there was potentially a need to support and build confidence in those seeking employment. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Eager and willing to work and have the experience and qualifications to work, however older people face a variety of barriers to finding work. An identified problem was not having the information and tools to match the skills and needs of older workers with those of employers. Comments made around flexibility from employers in terms of hours and seasonal or temporary employment. Concern was expressed that employment opportunities for older people to engage in paid work were limited and it was often an area of age discrimination. Important that all sectors of the community be vigilant to ensure older people are not discriminated against when seeking work or remaining in work.

Business Development: A number of people wanted to see new business support and encouragement of new industry to town. While this may potentially benefit the whole of the community it could also increase job availability and business ownership for the plus 55 population. Responses: p Plus 55 Community

Supportive Research WHO Research Suggested creating entrepreneurial opportunities for older people as a way for them to make money and participate in the workforce. DOLGC Collective Research

6.3 Education and Training

Specific training and education aimed at the plus 55 population was limited. This was particularly important if they were looking for work. Lifelong learning was to be encouraged as was providing varied formal and informal learning opportunities. The Library was recognised for the interesting training it provided to the plus 55 community. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Some older people feel they lack the job skills (largely surrounding the use of technology) needed to compete in the workforce. Training is seen as a way to enable older people to connect with the workforce and to participate as volunteers.

6.4 Engagement

Engagement and Decision Making: While some people were apathetic in providing input and being engaged, there were also those who wanted to be actively informed, involved and part of planning or decision making processes. It is seen as important to create and support this opportunity for those who are interested for improved outcomes and plus 55 community ownership and representation. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research In general, older people are interested in and willing to participate in civic functions (engagement) however the opportunities may be limited. In addition decisions concerning older people are taken without consulting them. Many local governments reported that older people were pleased to have the opportunity to be consulted by their local government on matters that affected them.

Leadership and Mentoring: Many sought more leadership and mentoring opportunities in particular in community projects and in sharing knowledge, skills, expertise and wisdom to others who would benefit (e.g. local businesses). Responses: p Plus 55 Community Supportive Research WHO Research DOLGC Collective Research Shared experiences involving the loss of leadership responsibilities and others reluctance to listen to advice from older people. Re: Intergenerational opportunities, older people pass on traditional practices and knowledge and experiences, while younger people offer information about newer practices and help older people navigate in a rapidly changing society.

6.5 Other Plus 55 Comments

Other areas that received comments included: Plus 55 Community: Important to value all volunteers and ensure they have positive and connected experience’s; volunteering may lead to employment opportunities; and there are still many employed in this age group.

Communication and Information received 10% of comments overall.

7.1 Communication Methods

Distribution: The plus 55 community accessed information through an extensive range of communication forms with the top two methods being the newspaper and posters/flyers or noticeboards located in key locations. A few people mentioned the rotary signs placed around town and that strategic location of signage/posters was paramount to be effective. The next four were similar in popularity being post/mail, email, community meetings/newsletters and social media. A number of the plus 55 community commented that they did not use technology however the feedback and response suggests that this cannot be assumed for the whole of the plus 55 community. There were a good proportion that favoured this form of communication however similarly there were also those who did not. Other noted methods included word of mouth, radio and via telephone. A number of people felt that there needed to be more promotion and advertising for events and clubs etc. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Expressed central concern is having relevant information that is readily accessible to older people with varying capacities and resources. A frequent barrier is lack of awareness of available information or services, or not knowing how to locate needed information. Without access to timely and accurate information older people can quickly lose their vital connections to community activities. Improvements in communication and information including a variety of strategies to reach all people, dissemination and information areas. Wanted to see improvements in information about events, activities, services and social participation opportunities. In the non-metropolitan areas ‘wordof-mouth’ was cited as being a good transmitter for information.

7.2 Technology and Training

While a number of the plus 55 community did not use or have access to a computer and/or ‘smart’ technology there were also a number who felt it was important to support, utilise and understand. There were two aspects to this response, one being that Esperance take advantage of the advancing technology to grow and improve access in the community, for example health, education and support/carer services. The other angle was having access to support and training in technology (including social media). Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Many older people experience a sense of exclusion because they do not use computers and the internet. Affordable public access to computers for older people in community centres, older people’s clubs, public services and libraries is an important age-friendly feature. Preferably, community training needs to be adapted to individual needs, pace of learning and ideally given by a trusted person. Like other citizens, older people have a personal responsibility to keep abreast of new information by staying involved in community activities and to make an effort to adapt to change and take the risk to learn.

7.3 Internet and Mobile Coverage

Phone and internet coverage across the Shire and in particular areas outside of town (including farming areas) was an issue. It was either slow, intermittent or not at all. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders

7.4 Reliable Information

There were various comments with regards to information that was circulating amongst the community that was not necessarily correct. This in turn often resulted in misunderstandings and/or unnecessary concern/s. The plus 55 community wanted to be informed as well as have improved communications to ascertain accurate information and awareness, in particular where the information was applicable to the Shire of Esperance. Responses: p Plus 55 Community v Stakeholders

Supportive Research WHO Research Getting relevant and timely information is important. A common problem was insufficient up to date information on important matters such as health, legal rights, benefit entitlements, services and community events. DOLGC Collective Research

Overall Community Support and Health Services received 19% of comments.

8.1 Community and Care Services

Community Health Centre: The Community Health Centre was recognised for the various services it had provided but also noted was the diminishing services that had been previously valued and patronised. In particular people would like to see the return of the Women’s Health Clinic. Waiting periods could also be long. Responses: p Plus 55 Community Homecare: Many positive comments were reported of Homecare including the staff and the help provided. On the down side the gap for the service-user to pay was increasing, services declining and the criteria eligibility was becoming more stringent which would not only reduce care services but also services that supported social interaction and engagement. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Consistently recognised was the need for a wide range of home support and care services, almost all wanted services that would allow them to tend to their health and personal care needs in their own homes. Some of the barriers experienced in getting homecare services included a general lack of such services, restrictive eligibility criteria and high costs. Those in rural and regional areas highly valued the Home and Community Care Services (HACC) available to them. Concern that HACC services are already stretched and with an increasing numbers of older people requiring services, this problem may become more acute. Accessing services due to either ineligibility or high costs was a significant concern.

Active Aging: It is important for people of all ages including those in the plus 55 population community to stay active and healthy. Plus 55 women are more likely to be involved in active programs then men, whereby a heart issue or similar may be the motivation for males to become involved in a program. Healthy eating is also important however fresh food is costly which can limit this option. In addition fresh food is not available at ‘food bank’ for those who need support. Important to retain and implement plus 55 programs that support and encourage activity and access to healthy eating options. Responses: v Stakeholders Transition: Can be difficult for plus 55 community to seek and accept they need support and care services. It can be confronting, people do not want to give up independence and/or may not think they need help or want to ask for it. The transition process could be ‘done a lot better’ for all included, including support and initiating low level help earlier on and not waiting for when the person is really struggling to cope. The latter can sometimes result in premature entry to a nursing home which may have been prolonged if they had received help much earlier. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Either there is a lack of or a need for improvement in health promotion and disease prevention including in areas such a preventive screening, physical activity, education on injury prevention and nutritional guidance.

Indigenous Needs: Improved awareness and cultural education to create a better understanding in some of the unique or common challenges faced by plus 55 indigenous population. For example the complexity around family culture, care of extended families and support needs. There would also be value in an Indigenous Community Health Liaison Officer to improve health care and support. Responses: v Stakeholders Intergenerational Carer’s: This was in particular for the plus 55 community who were carers of their children or grandchildren for reasons of necessity (e.g. mental health disability, drug issues etc.). Those in this age group may have trouble relating to their peers who did not have carer responsibilities. Respite and support was crucial for these carers and their health/well-being. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Refer 8.3 ‘Mental Health and Support’ Supportive Research. Needing attention is increasing support for carers in regional WA where respite services are lacking.

Low-Socio Economic: There is an increasing need for foodbank and other support/care services from people who have never required this before, many of which are concerned by this change in their circumstances. Demands on agencies also increase. Experience suggests some plus 55 who are coping with week to week living cannot afford anything out of the ordinary such as health issues and associated costs. Hence they may not act on or choose to seek medical services. This is particularly the case if it means travelling out of town as they have no extra money for accommodation and food etc. Financial counselling was a growing need for the area and not necessarily just for those with a low income. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Healthcare costs are perceived too high everywhere, and the desire for affordable care is constantly expressed. Social services are said to be needed or improved, often to protect and care for older people with low income, e.g. shelter and protection for homeless and destitute people, meal services/ programs and discounts on utilities.

8.2 Health, Medical and Hospital

Specialists and Allied Health Services: There is often a long waiting period to see specialists for medical tests and appointments. Services are reducing and more people are having to travel to Perth to see a specialist. Particular services that needed to develop included Esperance based low cost dental and denture services, surgery and palliative care. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research A frequent issue is the gaps in the provision of medical services and the location of specialist services; for many residents in regional areas these concerns were more keenly felt due to the distances required to travel for medical services, often requiring overnight accommodation in the metropolitan area.

Waiting Periods: Waiting periods to see a doctor (including booking an appointment) as well as at the hospital emergency were long and unsatisfactory. It was felt more doctors were required and for doctors to give more time to patients if and as required. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Government Funding and Policy: A number of issues were recognised around this subject including inability to plan long term due to funding terms and no certainty to continue at end of contract (e.g. political, budget and priority changes). The bureaucratic processes of the aged care and health system were not beneficial and could have a domino effect on services. Criteria’s of plus 55 eligibility to access services and the government’s direction of user pay was very restrictive potentially resulted in not being able to help people that really needed the services. Responses: v Stakeholders

Agencies’s Relations: Interagency relations were in most part working well as a result of regular meetings, communications and partnerships. Working with clinical staff could be improved and understanding that it was a complex area to operate due to uncertainties and changes within the industry. Responses: v Stakeholders Supportive Research WHO Research DOLGC Collective Research Lack of coordination among (community social) services, causing needless complicated application formalities and gaps in services. Better provision and coordination of services will be needed to meet the growing needs of an aging population. This includes the better management of existing services, and creation and authority to allow implementation of more flexible approaches in meeting individuals’ needs.

Parking: Finding parking near the emergency at the hospital was a challenge that needed to be improved as was scooter access into the hospital, easy accessibility of a wheelchair for use during visit and ACROD parking near the physiotherapist. Responses: p Plus 55 Community u Unpaid Carers Staff: Positive comments were made about the staff also recognising the pressures they were under to cope with the conditions and number of people. There was a concern of the high changeover of staff and noted improved work conditions for consideration. Responses: p Plus 55 Community

8.3 Mental Health and Support

Mental Health: Mental Health services were limited in Esperance. Challenges included a need for 24/7 access to services, awareness of services available, stigma around mental health, lack of specialised hospital services and trained staff, respite care needs, support for families members dealing with the situation; people falling through the service gaps and a lack of services in general (with some closing). Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Support: There is a need for more counselling services as there is a shortage. Some felt that there are a lot of good support services available however others were not sure of any support groups available. Specific support needs have been listed under varying titled topics within this theme, however in addition to those include support for the homeless, targeted art-based support activities, 24/7 support services, supported pet care for people who required medical treatment and a better understanding in health professionals of specialised areas such as adults with autism. Responses: p Plus 55 Community u Unpaid Carers v Stakeholders Supportive Research WHO Research DOLGC Collective Research Various specific forms of care for older people emerges as either an asset or a gap including adult day centres, dementia care, respite care and training for caregivers, rehabilitation and palliative care. There is a lack of mental-health counselling services/ programs.

8.4 Out Of Town Medical Needs

Patient Assisted Travel Scheme (PATS): The PATS program created challenges for many including its bureaucratic processes/system; no choice of doctor/specialist (even if the person had been seeing the same specialist for years); difficulties in finding out information; reimbursement delays, additional costs that were also essential but not covered; and covers only patient (required support/assisting person where applicable not covered). Responses: p Plus 55 Community u Unpaid Carers v Stakeholders

Perth-Based Medical Needs: Out of pocket health and medical costs in Perth were expensive (e.g. travel and accommodation). The Perth medical staff and system did not necessarily understand or accommodate the distance challenges and logistics, for example changing appointments at the last moment warranting a longer stay after flights had been booked. A better discharge system was required to improve post health/medical support for regional people. A number of people chose to drive which was approximately 8 hours one way and would do a three day return stint; hence this may not good for their health condition/treatment. Responses: p Plus 55 Community v Stakeholders Supportive Research WHO Research DOLGC Collective Research Refer 8.2 ‘Specialists & Allied Health Services’ Supportive Research

Online Services: An increasing number of services were becoming centralised and/or online with the local access points no longer available. Difficulties arise in that the unique factors, aspects and dynamics of each community are unlikely to be known or are considered in a response, rather a generic approach. Also the plus 55 community are not all confident in technology (e.g. fear of hacking, spam, viruses, loss of privacy etc.) and/ or have the capacity/interest in using. As a result they are unlikely to access online services and as such receive the required support, care or information. Responses: v Stakeholders

8.5 Other Plus 55 Comments

Other areas that received comments included: Plus 55 Community: There was a need for good health and medical information to be available including the scheduled visits of specialists, eligibility and opening times. The Royal Flying Doctor Service was well used. Supportive Research WHO Research DOLGC Collective Research Information about what is available was reported as difficult to locate.