OPTIONS A guide to care and independent living
Doncaster
Autumn 2018
Leaving hospital What’s next?
NHS continuing healthcare Who’s eligible?
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SOCIAL CARE
tips
Healthcare services
CONTRIBUTORS: Age UK Doncaster Alzheimer’s Society Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust Doncaster Metropolitan Borough Council NHS Choices Rotherham Doncaster and South Humber NHS Foundation Trust
Progressive Supranuclear Palsy Association (PSPA) Our meetings provide a welcoming and friendly place for people affected by PSPA including family and friends. Community nurse will attend. 2018 drop in meetings - all welcome 15th August 2-4pm 10th October 2-4pm 12th December 2-4pm Waverley Community Centre, Church Lane, Warmsworth, Doncaster DN4 0UX
Contents Doncaster Council’s approach to adult social care is changing........................................... 4 What will this mean for you?................................................................................................ 4 Why are we doing this?...................................................................................................... 4-6 The Care Quality Commission Social Care, GP and Mental Health top tips.................... 7-9 Stay well this winter with advice from our winter mascots......................................... 10-11 Welcoming carers................................................................................................................. 12 Keep norovirus out of hospital this winter........................................................................ 13 Wide range of support on offer from Rotherham Doncaster and South Humber NHS Foundation Trust.................................................................... 14-15 NHS continuing healthcare............................................................................................. 18-19 Taking charge of your own personal budget................................................................ 20-21 What is NHS-funded nursing care?..................................................................................... 21 Self funding: paying for your own care and support................................................... 22-23 Care and support: what’s available?.............................................................................. 24-25 Driving and using public transport................................................................................ 26-27 Age UK Doncaster Services............................................................................................. 28-29 Alzheimer’s Society Services in Doncaster..................................................................... 30-31 NHS hospitals and services in Doncaster and the surrounding area................................. 32 Useful contacts..................................................................................................................... 33
Welcome and
introduction
This guide is intended to help you, your carer and your relatives understand how your local health services can help you after discharge from hospital. Also information to help you to live independently or access support and care services in your area.
Rotherham Doncaster and South Humber
NHS Foundation Trust
OCTAGON DESIGN & M A R K E T I NG LT D
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Introduction Doncaster Council’s approach to adult social care is changing. Responding to the growing pressures of rising demand and reduced financial resources, we have developed a new plan of how we will change the way we care and support adults by improving outcomes and choice. Our plan means we will have a health and social care system that delivers value for money, improves access locally to a wider service offer, provides opportunities for people to improve their health, puts people in control of their care and support and protects those who are most vulnerable. People tell us that they want to live independent, healthy and fulfilling lives based on choices that are important to them. People tell us that they want to stay in their own homes and communities for as long as possible. Our new approach will make sure that people have the opportunity to do just that.
What will this mean for you? Together with our partners and communities, we will work with people to help them identify what they can do for themselves, and build on this. Finding new ways for people to seek solutions wherever possible, rather than only with traditional council services, will be at the heart of everything we do.
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housing, and social care providers - to enable groups and people to help each other, providing opportunities for them to gain the skills they need to live independent lives including, where appropriate, help to find or keep work. Supporting people to recover from illness or accidents will be important. Giving older people the tools and support to regain their confidence and physical skills after a fall, for example, is something we are working closely with our NHS colleagues on. If people do need to access help from us directly we are still here for you, but we will provide you with that help in a way that maintains your independence where we can. For example, by accessing a direct payment from us people can have total control over the type of care and support they receive, or it might be we explore using technology to help people stay safe and independent at home.
Why are we doing this?
We will be making information and advice more accessible and relevant to individuals at a local level. A series of hubs will be opened in communities across the borough and will provide a local point of information and advice that will be specific and personal to that relevant area. These hubs will also offer a central point where you can easily access professionals when needed.
There are several reasons why we need to change how we work:
We know that when people feel part of a community they feel less lonely, more able to manage their own needs, and less likely to need social care and health support. We will work differently with partners - including the NHS,
•A n increase of 11.2% people who have a limiting long term illness.
• P eople’s changing expectations about what they need and how they want to live their lives. • T he growing number of older people in Doncaster – by 2020, 60,650 residents will be over 65.
• T he number of people predicted to have dementia will increase by more than 20% by 2020.
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â??I want to live an independent, healthy and fulfilling life based on choices that are important to me.â?ž
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• The availability of new technology that can help us to work more quickly and efficiently.
knowledgeable workforce that works flexibly with a range of partners to provide services.
•C hanges in national social care policy, including the Care Act, the biggest change to social care law in over 60 years.
• Worked jointly with partners to integrate service delivery where appropriate.
By the end of the four year programme of change we will have: • I mplemented and embedded requirements of the new Care Act. • I mplemented a revised customer journey, with clear and accessible information to help people decide how they live their lives; with an embedded community led model to support people •B ecome more efficient in the way we work, making more use of technology to produce better results for people. • S upported new and existing providers of public health and social care to increase the range and quality of services. •D eveloped a confident, skilled and
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• Reviewed our approach to performance and quality management. We are confident the plan we have in place will deliver all of this. We have already seen some great progress over the last few months, with a significant reduction in the number of people in long term care in favour of more suitable options such as supported living or extra care housing schemes. A good example is Spring Lodge, a purpose built supported living accommodation in Askern, where four adults with a range of disabilities are supported by a team of staff who provide flexible care and support to meet each individual’s needs and promote independence. We want to help you to live ‘YOUR LIFE, YOUR WAY’.
The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care. We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one. You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia. We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided. You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care. You can also call us to share an experience of care on 03000 61 61 61. Here are some tips to help you choose your care.
Social care Top tips 1
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The Care Quality Commission (CQC) registers all care homes and home care agencies. You can find out which ones support specific groups of people, such as people with a learning disability or those living with dementia. CQC’s Chief Inspector for Adult Social Care, Andrea Sutcliffe always uses ‘The Mum Test’: is a care home safe, caring, effective, responsive to people’s needs and well-led? In other words, is it good enough for my Mum (or anyone else I love and care for)? Look for care homes and home care agencies where the staff involve people who use services and their families and carers, and treat individuals with compassion, kindness, dignity and respect.
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Whether you are being cared for in your own home or in a residential setting, the staff looking after you need to be skilled, kind and supportive. They should also be capable and confident in dealing with your particular needs. You should always feel that their support is helping you to live the life you want to. A care home will be a home for you or your loved one. Residents should be treated as individuals with their likes and dislikes taken into account. Think about whether a home is close enough to family, friends, and community facilities. Look at how well-led and managed a home is. What does it have in place to ensure that it delivers high quality care? Does it promote meaningful activity and connect the home with the community?
If you or a loved one needs help with day-today care, you can contact your local council’s social services department. They will ‘make an assessment of your needs’ and depending on circumstances, may be able to help you access financial help. For more advice visit Age UK’s website www.ageuk.org.uk/home-and-care.
If you would like to organise your care yourself, you can find a care worker or personal assistant through an agency. Your local social services department should be able to provide details of approved agencies.
CQC’s ratings will identify services as:
Outstanding Good ● Requires improvement ● Inadequate ● This will help you make informed choices around your care.
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Safeguarding adults who receive social care is everybody’s business. If you are concerned about the safety of a loved one receiving care, contact the service provider in the first instance. You can also contact social services at your local council. If you feel a crime has been committed, contact the police. You can share your safeguarding concerns with us on our website or contact our National Customer Services on 03000 616161.
The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services.
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The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care. We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one. You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia. We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided. You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care. You can also call us to share an experience of care on 03000 61 61 61. Here are some tips to help you choose your care.
GP Top tips
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If you are new to an area you can find details of local GP services such as doctors’ practices, out-of-hours services and walkin centres in our online directory of care services www.cqc.org.uk/content/doctorsgps
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You can search any of these services by the name of the service, a place name or your postcode at www.cqc.org.uk
After an inspection, CQC publishes its findings in a report on its website. You can use these reports to check and compare services in your area.
Telephone: 03000 616161 • Web: www.cqc.org.uk
CQC rates all GPs to help people make choices about where they get treatment. This will be on a four-point scale:
Outstanding Good ● Requires improvement ● Inadequate ●
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There are already over 1,000 reports about GP practices published on the CQC website.
Last year, CQC launched its new-style inspection reports for GPs – looking at the five key areas SAFE, EFFECTIVE, CARING, RESPONSIVE and WELL-LED – you can use the reports to compare local GPs and choose services.
You can also use these new style inspection reports to find out more about local services and choose the one that is best for your needs.
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CQC will also look at how specific population groups are treated and give a rating. For instance how well they serve: Mothers, children and young people, vulnerable older people (over 75s) and people with longterm conditions. People will be able to choose a GP service that rates highly on the areas that matter to them.
We welcome your feedback (good and bad) on the services you, or a loved one, receives from your GP. You can share information with us online at http://www.cqc.org.uk/share-yourexperience-finder or call us on 03000 61 61 61.
/CareQualityCommission
@CareQualityComm
The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services.
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Mental health Top tips
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If you are concerned about your mental health you should first visit your GP.
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Outstanding Good ● Requires improvement ● Inadequate ●
Your GP will assess you and offer appropriate advice or treatment. They can refer you to a psychological treatment service or a specialist mental health service for further advice or treatment.
Mental health services are free on the NHS but you will usually need a GP referral. If you don’t want to go to your GP you may also have the option of self-referral. This means you can go directly to a professional therapist. The NHS Choices website has a searchable directory of services which you can use to find a service near you.
If you are referred to a specialist mental health service, you can ask which other providers offer the same service in your local area and make a choice.
CQC rates mental health providers to help people make choices about where they get treatment. They will use a four-point scale:
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CQC uses information from the public and holds listening events across the country where people can talk with inspectors about their experience of services.
You can look at our inspection reports and ratings for mental health services or share your experiences of care (good or bad) by visiting www.cqc.org.uk
Telephone: 03000 616161 • Web: www.cqc.org.uk /CareQualityCommission
@CareQualityComm
In April CQC launched its new-style inspection reports for mental health providers – looking at five key areas of Safe, Effective, Caring, Responsive and Well-Led – you can compare reports on CQC’s website to help choose a provider.
The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services.
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Stay well this winter with advi #SnugShazza It’s getting dark early, it’s cold outside and all I can I think of is my fluffy dressing gown, lashings of hot chocolate and curling up in front of the TV. It can only mean one thing: Winter is here! And with it comes the constant snuggly challenge of keeping warm. Luckily, the shops are more than happy to oblige by filling their windows with reindeer onesies, Christmas jumpers and the latest craze – mermaid blankets! But what do we really need to keep warm… and when? Well, I’m a bit of a wimp when it comes to cold weather and to be fair, we get plenty of it in Doncaster, so I’ve pulled together a bit of a survival guide on keeping warm and well – without having to send your thermostat into overdrive or spending an arm and a leg on the latest all singing and dancing miracle blanket!
So here are my top toasty tips: Room temperature: You’ll find that keeping your home at the right temperature will not only be good for your health but for your pocket too. So, if you have reduced 10
mobility, are 65 or over, or have a health condition such as heart or lung disease, you should heat your home to at least 18C. It’s a good idea to keep your bedroom at this temperature all night if you can. During the day you may prefer your living room to be slightly warmer. If you’re under 65, healthy and active, you can safely have your house cooler than 18C, if you’re comfortable. Hot meals and drinks: Have regular hot meals and drinks to keep your body fuelled up ready to fight the cold weather. Flu Jabs: Don’t forget to take
advantage of free flu jabs if you are in an at risk group, pregnant or over 65. Speak to your GP or pharmacist for more information. It’s also a good idea to make sure you are stocked up with prescribed medications, there’s nothing worse than running out over the bank holiday! Warm clothes: Layer up! Wearing plenty of thin layers does the trick. Make sure you wear comfortable shoes with plenty of grip too – save yourself from those embarrassing (and often painful – I know too well) icy pavements. Keep active: Keeping on the move will help you to keep warm; no need to start running marathons, just moderate exercise will have plenty of benefits. So, wrap up warm, get the kettle on and enquire about that flu jab – let’s not let the cold weather get the better of us!
ice from our winter mascots #JackandJoeFrost Watch out, watch out, Jack Frost is about; he’s after your fingers and toes! Again! Again! My little grandson Joe’s voice was reaching fever pitch now, he was getting so excited. I repeated the rhyme again (for about the tenth time) but faster this time and wiggled my fingers again and pulled another face, which he tried to copy. It was hard for him, trying to wiggle fingers, toes and pull a face all at the same time. Such co-ordination for a two year old is quite difficult however he was giving it his best and I had to laugh. A few seconds later, funny face successfully pulled, he was back. Again! Again! Watch out, watch out, Jack Frost is about; he’s after your fingers and toes I wished I could remember the rest of the rhyme, but was stuck with just the first line, so to keep things interesting I decided to take Joe out into the garden for a proper explore. Come on Joe let’s go out and find Jack Frost shall we?
at him, and I followed Joe, walking tentatively so as not to slip (I had my dodgy hip in mind and didn’t want to end up in the Emergency Department).
It was chilly out so I helped Joe put his wellies on the right feet and his favourite blue bobble hat and mitts on and he helped me with mine (it’s funny how helpful two year olds want to be!) and off we went. It was really cold outside, we’d had a dusting of snow and I realised that Jack Frost was everywhere! He got to my fingers and toes straight away, me being older and more susceptible, but Joe loved the white, glistening ice that covered everything from plant pots to the clothes prop. After a few minutes he got down to the serious business of looking around for Jack Frost himself. I think he expected a small being with wiggly hands and feet (a bit like an ice leprechaun) to jump out
We looked up into the trees, behind the shed and under the plant pots but we couldn’t find Jack anywhere, so we decided to build a snow man instead. Looking at Joe’s glowing cheeks and nose, (and not being able to feel mine) I decided it was time to go back inside and thaw out with a warm drink. “Ok Joe shall we go inside and have a lovely drink and a biscuit? We can look for Jack later.” And so in we went, to warm up and keep old Jack Frost at bay. As the weather turns chilly, either young or old, remember to stay warm, dress appropriately and take care if you’re venturing out. And remember to watch out, Jack Frost is out and about! www.nhs.uk/livewell/ winterhealth/pages/ verycoldweather
Please note Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust does not endorse any of the companies advertised in this guide.
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Welcoming carers We are encouraging carers of frail older patients to visit at a time that suits them, in a bid to improve their wellbeing. As frailty is commonly linked with old age, and as people are now living longer than ever, related hospital admissions are increasing every year. Frail older adults are usually weak and have many complex medical conditions which can often require a stay in hospital. They may also be confused and need assistance in dressing, eating and with their general mobility.
The Trust is creating a friendlier hospital experience for its older patients and their carers and have introduced ‘Carer’s Cards’, part of a national initiative called John’s Campaign, which allows carers of those living with dementia to access wards at all times. Extended to frail older patients who need to spend time in Doncaster Royal Infirmary, Bassetlaw Hospital and Montagu Hospital, the Trust is encouraging their carers to visit outside of normal visiting times. Cindy Storer, Head of Nursing and Quality within the Frailty Care Group, said: “Carers help us to gain a better understanding of our patients’ lives and provide valuable insight into their specific needs. Carers play a crucial role in the wellbeing of some of our patients and this is why we have introduced ‘open visiting’ on our wards, so that they can spend time with their frail older relative or friend at a time that suits them. ”As the population ages, we estimate that around 70 per cent of older people will be affected by dementia at some point in their life. Having carers around often helps calm distressed older patients, reduces the risk of falls and helps us to provide better patientcentred care.”
Cindy Storer, Frailty Care Group Head of Nursing
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In Doncaster alone, around 33,000 people give their time to help others stay well and independent by being their carer.
Keep norovirus out of hospital this winter Staff at Doncaster and Bassetlaw Hospitals are saying ‘no’ to norovirus this winter by urging patients and visitors to stay away if they have symptoms of the illness. Nicknamed the ‘winter vomiting bug’, norovirus becomes more active during the colder months, making its unfortunate victims feel particularly unwell. Spread via contact with contaminated items, it can rapidly infect close-knit areas such as hospitals, schools and nursing homes. That is why hospital staff are reminding anyone who has nausea, vomiting or diarrhoea not to visit hospital until they have been completely symptom-free for at least 48 hours. If they visit before then, it could mean that they unwittingly pass the tricky bug onto hospital patients and staff.
protecting against the virus especially before meals and after visiting the toilet. Following these simple yet very effective steps, can help keep patients safe and norovirus out of hospitals: • Don’t come to hospital if you have signs of a stomach upset • Always wash your hands thoroughly after using the toilet and before handling food • Wait at least 48 hours after being symptom free before visiting hospital.
Dr Kenneth Agwuh, Director of Infection, Prevention & Control at Doncaster and Bassetlaw Hospitals NHS Foundation Trust, said: “The winter months are here again and with them an increase in norovirus. This infection is a very contagious and can infect anyone, and can have extremely worrying consequences for patients already ill in hospital. That’s why it is so important not to visit until you have been symptom-free for at least a couple of days. An outbreak may mean we have to restrict admissions and visitors to wards to contain the virus.” Although very unpleasant, norovirus usually clears up in one or two days and most people can care for themselves with paracetamol and plenty of fluids. Symptoms include the sudden onset of projectile vomiting, watery diarrhoea, and some people may also experience headaches, mild temperature and stomach cramps. Norovirus is very contagious and can be spread through contact with an infected person, by eating or drinking contaminated food or water, or by contact with contaminated surfaces or objects. Washing your hands regularly is very successful in
Dr Kenneth Agwuh, Director of Infection, Prevention & Control
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Rotherham Doncaster and South Humber
NHS Foundation Trust
Wide range of support on offer A Doncaster based health trust may be one of the agencies you are put in touch with for the help and support you need to help you live as independently as possible. Rotherham Doncaster and South Humber NHS Foundation Trust – known as RDaSH for short – provides a diverse range of services across Doncaster. Its head office is based in Balby and services range from memory services, Older People’s Mental Health services, a range of community services, to the hospice, based just off Weston Road. RDaSH has a range of community services to help Doncaster residents to live as independently as possible. These include specialist nurses, ranging from Hepatitis C, Diabetes, Parkinson’s Disease, Respiratory, Multiple Sclerosis and Epilepsy Nurses who you may be put in touch with for support if you have one of those conditions. RDaSH also runs the tissue viability and lymphoedema services in the borough. Other services run by RDaSH include the Doncaster Community Nursing Services, as well as the intermediate care services – which are rehabilitation wards, based at Tickhill Road Hospital – and a specialist falls service, cardiac services and neuro services. Again, you will be put in touch with staff in these services if you need them. Our Community Nursing staff 14
are easy to contact as they have one phone number (01302) 566999. This number has been set up to receive requests for nursing services for patients who are not able to get to their GP surgery and for consultations that are deemed to be needed to be completed in the patient’s home. The service provides access to community nursing services clinical triage, clinical advice and also offers support for professionals wanting to refer patients to our Community Nursing services. It can also be used for self-referral for patients that are currently on the community nurses caseload and can be used by their families/carers. This service is accessible 24 hours, 365 days per year. Meanwhile, St John’s hospice provides day care for residents living with a life limiting condition, as well as an in-patients facility, for those who need care around the clock. Other support on offer includes care in patients’ homes and a day service. There is a Specialist Palliative Care Team on hand seven days a week. The hospice can be contacted for information by ringing the Specialist Palliative Care Team on 01302 566666 Monday to Friday between 8.30am and 6pm, while they can be contacted on Saturdays and Sundays
Photos courtesy of RDaSH communications
between 8.30am and 4.30pm. Nearby is the Living Well Information & Support Service which aims to empower and support the people of Doncaster, by providing quality information and support about cancer to enable residents to make positive changes to their lives to help them live well. Staff can be contacted by emailing stjohnsinfo@rdash.nhs.uk or calling 01302 796853. RDaSH also offers mental health support and patients can contact the Trust on (01302) 566999 to talk to them about their mental health needs. Alternatively anyone needing mental health support or advice can call into the Talking Shop at 63 Hall Gate, Doncaster. The staff allow visitors to browse the full range of information on mental health issues and gain knowledge about the therapies offered by the Trust. Information at the shop includes prevention and self-help literature, the very latest computer-based intervention programmes, as well as an opportunity for a short initial consultation with a health professional if necessary. However, if you or a loved one is experiencing a mental health crisis you should
always ring RDaSH staff immediately on 01302 566999 where someone from the Crisis Team will be on hand to offer support. The Doncaster Older People’s Community Mental Health Services run by RDaSH offer a wide range of services based on the site in Balby. Here RDaSH provides assessment and treatment to older people aged 65 and over with mental health problems, and aged under 65 with a diagnosis of dementia. If you are a patient and need to contact RDaSH please note that the older people’s services work Monday to Friday, between the hours of 8.30am and 5pm. Outside of these hours please contact the Crisis Team on (01302) 798400. The majority of our phone lines are manned 9am5pm Monday to Friday, other than our hospice Specialist Palliative Care Team and our Mental Health Crisis Team, as outlined above. The full range of services on offer by RDaSH can be accessed via this website: www.rdash.nhs.uk or call the health trust’s reception on 01302 796000. For those of you on social media, you can follow RDaSH on Twitter @rdash_nhs or on Facebook by searching RDaSH NHS.
Please note RDaSH does not endorse any of the companies advertised in this guide.
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Quality Care 24 Quality Live-in Care Provision
Introducing NEW innovative live-in care business 30+ years experience in care and management including elderly, physical disabled adults, dementia and palliative care. Person centred approach Ongoing support for clients and carers Experienced, DBS checked staff GIVE US A CHANCE Telephone: 07506 924367 Email: qualitycareuk24@outlook.com Web: www.qualitycare24.com Facebook: @QualityCare24
If you’re looking for a care home in Doncaster, look no further than Dunniwood Lodge. Our dedicated and highlytrained staff will provide the best possible care for your loved one, ensuring that all their specific needs are met. We also provide specialist care for dementia and other illnesses. Dunniwood Lodge Care Home in Doncaster is located in the residential village of Bessacarr, close to the Warren Golf Course. There is ample parking for visitors, meaning that family and friends can drop in at any time. The grounds of the care home feature a beautiful, secure garden with a pond and sunroom. The newly refurbished care home in Doncaster has 42 rooms and several bright and stylish communal rooms, with beautiful high wooden beams. Residents are encouraged to bring items of personal furniture to truly make the space their own. If you would like to have a look round our home please contact the Home Manager
DESIGN PRINT SUPPORT
Joanne Booker on 01302 370457 or email us on manager.dunniwood@astonbrookcare.co.uk
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Options Doncaster is published by Octagon Design and Marketing Ltd with editorial contributions from Doncaster Metropolitan Borough Council, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Rotherham Doncaster and South Humber NHS Foundation Trust, the CQC, Age UK Doncaster, the Alzheimer’s Society and NHS Choices. The editorial contributors have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor do the editorial contributors endorse any of the products or services. Every possible care has been taken to ensure that the information given in this publication is correct at the time of going to print. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2018. Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Telephone: 01302 714528
Wyndthorpe Hall and Gardens Care Home
Situated in the quaint and historic town of Dunsville, in generous private grounds sits Wyndthorpe Hall and Gardens Care Home. Comprising of two buildings, one being a grade two listed 18th century mansion which houses a dome ceiling and has been converted sympathetically. The second being a beautiful red brick purpose-built building with an idyllic walled garden. Both providing a high standard of person centred care in a home from home setting for our clients.
✔ W e offer long term residential, dementia and nursing care. ✔ W e also provide day care and short term/respite stays to give home carers a well-earned break. ✔ A ll meals are home cooked and freshly prepared by our cooks in our 5-star rated kitchen. Daily menu choices are available, and all special diets are catered for. ✔ T here is a hair salon on site which is visited regularly by a professional hairdresser. ✔ C hiropody, eye testing service and other complementary therapies are also available by arrangement. ✔ W e have a full time personal activities leader who provides a varied programme of activities for our clients varying from one to one, group activities, regular outings and frequent fundraising events throughout the year.
Registered Home Manager: Lindsey Simpson
Wyndthorpe Hall and Gardens Care Home, High Street, Dunsville, Doncaster, DN7 4DB 01302 884650 01302 888141 wyndthorpehall.office@gmail.com
Dr Anderson Lodge Dr Anderson Lodge is:
A Care Home with Nursing (Nursing Home) with 60 registered places.
• Older People (Over 65) - 29 Residential & Nursing places Care for elderly frail people who need help with day to day living and also have medical problems which require the attention of trained nursing staff.
• Dementia (Over 65) - 11 Residential places - 20 Nursing places
Care for older people with dementia, including Alzheimer’s disease, who need a secure environment and also have medical problems which require the attention of trained nursing staff. Care for the Elderly Mentally Ill (EMI).
East Lane, Stainforth, Doncaster, South Yorkshire DN7 5DY
Telephone: 01302 350003 17
NHS continuing healthcare Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS. This is known as NHS continuing healthcare.
Where can NHS continuing healthcare be provided? NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your home or in a registered care home.
Am I eligible for NHS continuing healthcare? NHS continuing healthcare is for adults. Children and young people may receive a “continuing care package” if they have needs arising from disability, accident or illness that can’t be met by existing universal or specialist services alone. To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a “multidisciplinary team”). The team will look at all your care needs and relate them to: • what help you need • how complex your needs are • how intense or severe your needs can be • how unpredictable they are, including any risks to your health if the right care isn’t provided at the right time Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition. If your needs change then your eligibility for NHS continuing healthcare may change. You should be fully involved in the assessment process and kept informed, and have your views about your needs and support taken into account. Carers and family members should also be consulted where appropriate. A decision about eligibility should usually be made within 28 days of it being decided that the person needs a full assessment for NHS continuing healthcare. If you aren’t eligible for NHS continuing healthcare, you can be referred to your local authority who can discuss with you whether you may be eligible for support from them. If you still have some health needs then the NHS may pay for part of the package of support. This is sometimes known as a “joint package” of care.
NHS continuing healthcare assessments Clinical commissioning groups, known as CCGs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that you may need it. For most people, there’s an initial checklist assessment, which is used to decide if you need a full assessment. However, if you need care urgently – for example, if you’re terminally ill – your assessment may be fast-tracked.
Initial assessment for NHS continuing healthcare The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you’re being assessed, and be asked for your consent. 18
Depending on the outcome of the checklist, you’ll either be told that you don’t meet the criteria for a full assessment of NHS continuing healthcare and are therefore not eligible, or you’ll be referred for a full assessment of eligibility. Being referred for a full assessment doesn’t necessarily mean you’ll be eligible for NHS continuing healthcare. The purpose of the checklist is to enable anyone who might be eligible to have the opportunity for a full assessment. The professional(s) completing the checklist should record in writing the reasons for their decision, and sign and date it. You should be given a copy of the completed checklist. You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK.
Full assessment for NHS continuing healthcare Full assessments for NHS continuing healthcare are undertaken by a “multidisciplinary team” made up of a minimum of two health or care professionals who are already involved in your care. You should be informed who is co-ordinating the NHS continuing healthcare assessment. The team’s assessment will consider your needs under the following headings: • behaviour • cognition (understanding) • communication • psychological/emotional needs • mobility • nutrition (food and drink) • continence • skin (including wounds and ulcers) • breathing • symptom control through drug therapies and medication • altered states of consciousness • other significant needs These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”. If you have at least one priority need, or severe needs in at least two areas, you should be eligible for NHS continuing healthcare. You may also be eligible if you have a severe need in one area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability. In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether NHS continuing healthcare should be provided. The assessment should take into account your views and the views of any carers you have. You should be given a copy of the decision documents, along with clear reasons for the decision. You can download a blank copy of the NHS continuing healthcare decision support tool.
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Fast-track assessment for NHS continuing healthcare If your health is deteriorating quickly and you’re nearing the end of your life, you should be considered for the NHS continuing healthcare fast track pathway, so that an appropriate care and support package can be put in place as soon as possible – usually within 48 hours. An organisation called Beacon gives free independent advice on NHS continuing healthcare. Visit the Beacon website or call the free helpline on 0345 548 0300.
Care and support planning If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs. Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget. If it’s agreed that a care home is the best option for you, there could be more than one local care home that’s suitable. Your CCG should work collaboratively with you and consider your views when agreeing your care and support package and the setting where it will be provided. However, they can also take other factors into account, such as the cost and value for money of different options.
NHS continuing healthcare reviews If you’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within three months and thereafter at least annually. This review will consider whether your existing care and support package meets your assessed needs. If your needs have changed, the review will also consider whether you’re still eligible for NHS continuing healthcare.
Refunds for delays in NHS continuing healthcare funding CCGs will normally make a decision about eligibility for NHS continuing healthcare within 28 days of getting a completed checklist or request for a full assessment, unless there are circumstances beyond its control. If the CCG decides you’re eligible, but takes longer than 28 days to decide this and the delay is unjustifiable, they should refund any care costs from the 29th day until the date of their decision. If your CCG decided that you weren’t eligible for NHS continuing healthcare, but then revised this decision after a dispute, it should refund your care costs for the period between their original decision and their revised decision.
If you’re not eligible for NHS continuing healthcare If you’re not eligible for NHS continuing healthcare, but you’re assessed as requiring nursing care in a care home (in other words, a care home that’s registered to provide nursing care) you’ll be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. NHS-funded nursing care is available irrespective of who is funding the rest of the care home fees. Read more information from NHS England about NHS continuing healthcare.
Q.
I have a local authority support package that works well. I’m now eligible for NHS continuing healthcare – will my support package change? If you’re concerned about changes to your care package because of a move to NHS continuing healthcare, your CCG should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with one option being a “direct payment for healthcare”.
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Can I refuse an assessment for NHS continuing healthcare? If I refuse, will I be able to get services from my local authority? An assessment for NHS continuing healthcare can’t be carried out without your consent, so it’s possible to refuse. However, if you refuse, although you’ll still be entitled to an assessment by the local authority there’s no guarantee that you’ll be provided with services. There’s a legal limit on the type of services that a local authority can provide. If you refuse to be assessed for NHS continuing healthcare, the CCG should explore your reasons for refusing, and try to address your concerns. If someone lacks the mental capacity to consent to or refuse an assessment, the principles of the Mental Capacity Act will apply and in most circumstances an assessment will be provided in the person’s best interest.
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My relative is in a care home and has become eligible for NHS continuing healthcare. The CCG says the fees charged by this care home are more than they would usually pay, and has proposed a move to a different care home. I think a move will have a negative effect on my relative. What can we do? If there’s evidence that a move is likely to have a detrimental effect on your relative’s health or wellbeing, discuss this with the CCG. It will take your concerns into account when considering the most appropriate arrangements. If the CCG decides to arrange an alternative placement, they should provide a reasonable choice of homes.
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Is it possible to pay top-up fees for NHS continuing healthcare?
No, it isn’t possible to top up NHS continuing healthcare packages, like you can with local authority care packages. The only way that NHS continuing healthcare packages can be topped up privately is if you pay for additional private services on top of the services you get from the NHS. These private services should be provided by different staff and preferably in a different setting. 19
Taking charge of your own personal budget If your local authority agrees to pay for some or all of your home care needs, it must offer you choice and control over how your needs are met. You’ll be given a personal budget, and can choose to receive it as a direct payment.
Read more about how to choose care services.
Personal budgets
Creating your care plan
A personal budget is the amount of money the local authority allocates for your care, based on its assessment of your needs.
You and your social worker or care manager need to work together to create a care plan. This plan details your care and support needs, and can be used to work out the value of your personal budget.
You can be put in charge of this budget either by telling the local authority how you would like it spent, or by the council giving you the money so you can directly pay for your own care (a direct payment). It can also be given to a separate organisation (such as a user-controlled trust) that will spend the money on your care as you see fit, if you prefer. You can choose a combination of the above (for example, a direct payment with some councilarranged care and support), often called a mixed package. Find out how personal budgets work.
Direct payments Direct payments give you the most control over your care. If you’re unhappy with the services you’re getting, you can decide to change who gives you the care services without having to go through the local authority. But you have to be able to account for how you spend the budget. And you have responsibilities as an employer if you hire a personal assistant with your direct payment. The Money Advice Service has a guide to using direct payments.
The pros and cons of taking charge of your personal budget Being in control of your own personal budget means you have to spend some time and effort thinking about your care and support needs and the outcomes you want. There may be extra responsibilities. For example, if you decide to request a direct payment to cover the cost of homecare, you could use the payment to hire an individual, giving you the responsibilities of an employer. 20
Alternatively, you could hire care workers through an agency. This removes the legal obligations of being an employer, but may cost more and may remove some of the benefits of having the same person provide your care.
Your care plan should include: • what’s important to you, including your interests, lifestyle, personal tastes and the people in your life • your hopes for the future, such as whether you’d like to study or take on more hobbies outside the home • what limitations you currently have and how you want to change • what you want to achieve by managing your own support Make sure you include information about how you’ll manage your money and what you’ll spend the money on (including personal assistants, transport, housing adaptations, therapists and respite services). Clarify how you’ll receive your money. If you choose to receive your personal budget as a direct payment, the local authority may pay the money straight into a bank account that you control (you must set up a new bank account to do this) or they may give you a pre-paid card. Alternatively, you may prefer your personal budget to be managed by the local authority or by someone else, such as: • a friend or family member (the local authority must agree to this) • a broker or an independent social worker • your care manager or social worker Discuss these options with your social worker or carer to work out which option is best for you.
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If someone else will be looking after your money, you may need to create a decision-making agreement. This should state how they’ll look after your money and what decisions they can and can’t make on your behalf. The local authority may want to check what you do with your money to make sure you’re spending your budget appropriately, and your care and support needs are being met. You may need to keep receipts (especially for large purchases) so you can show them you have spent your money responsibly. If you choose a direct payment, the council will give you a direct payment agreement that sets out the terms and conditions. If you’re struggling to manage your money, the local authority can advise you on how to make your money work best for you.
Disagreements about care plans and personal budgets
Check your care plan is working Meet with your local authority at least once a year to discuss whether your care plan is working. This is an opportunity to discuss whether your needs are being met in the best way, and it’s also your chance to talk about changes you want to make for the future. You don’t have to wait for a review meeting to change the way you spend your budget. You can change things as you go along. If you want to make a big change, consult your care manager or social worker, who may arrange a review.
If you have been told that you’re not eligible for services or you don’t agree with the amount allocated to you in your personal budget, you can ask for a reassessment.
You can ask for a review meeting about your care plan at any time. To prepare for a review, provide any receipts you have kept since you were awarded a personal budget.
Speak to your social worker or care manager about being reassessed, or phone your local authority social services department and request a complaints form.
If someone is managing your funds for you, get them to join the review meeting.
What is NHS-funded nursing care? NHS-funded nursing care is care provided by a registered nurse for people who live in a care home. The NHS will pay a flat rate contribution directly to the care home towards the cost of this registered nursing care.
Who is eligible for NHS-funded nursing care? You may be eligible for NHS-funded nursing care if: • you are not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse • you live in a care home registered to provide nursing care
How will my needs be assessed? You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHS-funded nursing care. Most people don’t need a separate assessment for NHSfunded nursing care. However, if you do need an assessment or you haven’t already had one, your clinical commissioning group (CCG) can arrange an assessment for you.
Outcome of the assessment If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided by registered nurses employed by the care home. Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care.
If you’re not eligible for NHS-funded nursing care and you don’t agree with the decision about your eligibility, you can ask your CCG to review the decision.
What is the rate of payment for NHS-funded nursing care? NHS-funded nursing care is paid at the same rate across England. In April 2018, the rate was set at £158.16 a week (standard rate). Before October 1 2007, there were three different levels or bands of payment for NHS-funded nursing care – low, medium and high. If you moved into a care home before October 1 2007, and you were on the low or medium bands, you would have been transferred to the standard rate from that date. If you moved into a care home before October 1 2007, and you were on the high band, NHS-funded nursing care is paid at a higher rate. In April 2018, the higher rate was set at £217.59 a week. You’re entitled to continue on this rate unless: • you no longer have nursing needs • you no longer live in a care home that provides nursing • your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £158.16 a week, or • you become entitled to NHS continuing healthcare instead. 21
Self-funding: paying for your own care and supp If you have more than £23,250 in savings (not including the value of your home or your pension), you may have to pay the full cost of your care. This is known as being a self-funder. The number of people paying for their own care is growing. While some people are eligible for funding from their council, many end up paying for all of their care.
Arranging your care as a self funder If you’re paying for your own care, you do not need to have a needs assessment first - you can go directly to a homecare agency or care home and organise it yourself without involving social services. But, it’s a good idea to have a needs assessment before arranging your care. This is because you will then have a clear idea of what your care needs are. You will know, for example, whether you need a professional carer to come in for 2 hours a day or 2 hours a week - and what specifically they should help you with. Ask for a copy of your needs assessment, so you have a record of your assessed needs. Request a needs assessment from your local council’s social services department.
• no, you won’t have to sell your home to pay for help in your own home • yes, you may have to sell your home if you need to move permanently into a care home. Social services works out how much you’re expected to pay towards your care and support through a financial assessment or means test. Your property will not be included in the means test if you’re arranging for help in your home. Your property will usually be included in the means test if you need to move permanently into a care home. Sometimes it won’t be included, for example if it’s still the main home of your partner.
Alternatives to selling your home The main ways to avoid selling your home to pay care home fees are: • releasing money from your home • renting out your home • deferred payments
Once you know what your care needs are you can either:
Releasing money from your home
• organise your care package yourself or
Equity release allows you to release money from your home without selling it.
• ask social services to commission and arrange it on your behalf (this option depends on where you live, some councils do not offer this service)
How much will care cost? Care is expensive and the bills can mount up. Knowing how much you’ll pay and how costs might change will make things less stressful. Homecare Homecare is where a professional carer comes to your home, for example for a couple of hours a day, to help you with tasks like getting washed and dressed, and household chores like preparing meals, cleaning and gardening. The recommended hourly rate is around £18.00, but this will vary according to where you live. Live-in homecare costs from around £650 a week. It can cost as much as £1,600 a week if you have complex needs. Care homes There are 2 types of care home. A residential home offers only personal care. A nursing home offers nursing care as well as personal care. • a room in a residential home costs around £600 a week • a room in a nursing home costs around £840 a week These prices will vary according to where you live and the type of care you need. For example, serious medical conditions like dementia can increase the cost. 22
Will I have to sell my home?
Make sure you get independent financial advice before considering this.
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The Money Advice Service has more information on equity release.
• NHS care such as NHS continuing healthcare, NHS-funded nursing care and care after you’ve been discharged from hospital
Renting out your home
• benefits such as Attendance Allowance. Make sure you’re claiming all the benefits you’re entitled to with this online benefits calculator: https://independentage.entitledto.co.uk/home/start
If you need to fund your care in a care home but don’t want to sell your home, you could consider renting it out and using the income to help pay your care home fees.
• equipment or home adaptations that cost less than £1,000
Deferred payments
If your savings run out
Where there is a delay in selling your property, or if you don’t want to sell it immediately, you may be eligible to have your care fee payment postponed. This is known as deferred payments. It’s where the council temporarily covers the cost of your care and you repay them later.
If your savings fall below £23,250, you might be eligible for council help.
If the local council agrees to the deferred payment and pays your care home fees, it will take payment from the money raised once the property is sold. This can be:
Contact your local council about 3 months before you think your savings will reach this level and ask for a reassessment of your finances and care needs. Councils will only provide funding from the date you contact them for help. So if your capital has already dropped below £23,250 before you contact them, you won’t be reimbursed.
• during your lifetime if you choose to sell your home
Get advice on paying for care
• once you die, in which case the local council can be repaid from your estate
The system of paying for care is complex and every case is different.
A deferred payment scheme is only available if you don’t have enough money to cover your care home fees, and you have less than £23,250 in savings. In these circumstances, the savings don’t include the value of your property, but do include money in bank accounts.
You can get independent advice about paying for care from:
What you may be able to get for free Even if you are a self-funder, you may be eligible for some free care and support regardless of your income, including:
• The Money Advice Service. Call their helpline on 0300 500 5000. • The Society of Later Life Advisers • Age UK • Which? Elderly Care • Independent Age 23
Care and support: what’s available? If you need help around the home, a good option is to have a care worker come into your home to help you. Home care costs around £18 an hour. Depending on your circumstances, this may be funded by your local council or you may have to pay yourself.
Types of care and support Care and support comes in many forms and there are many names used to describe it, including home help, care attendants, and “carers” (not to be confused with unpaid family or friends who care for you). Care and support can suit you if you need: • personal care, such as washing or dressing • housekeeping or domestic work, such as vacuuming • help with cooking or preparing meals • nursing and healthcare • companionship Care and support can be very flexible. The same person or agency may be able to provide some or all of these options for the duration of your care: • long-term 24-hour care • short breaks for an unpaid family carer • emergency care • day care • sessions ranging from 15-minute visits to 24-hour assistance and everything in between If you already know what you want, you can search NHS Choices directories for: • local care and support services and agencies • a list of national care and support organisations • supported living services – these are services that can help you stay safe and well in your home on a long-term basis, including financial help, help with medicines, advocacy, social support and practical support • a place to live with a family who will care for you – this is known as shared lives services or adult placement services
Funding home care If you believe you might benefit from some help at home, the first thing to do is to contact your local authority’s social services department to ask for a care needs assessment. If you’re eligible for care and support services funded by your local council, your local council may provide or arrange the help themselves. Alternatively, you can arrange your own care, funded by the council, through direct payments or a personal budget. If you choose direct payments or a personal budget, or you aren’t eligible for council funding and want to get care privately, you can arrange it in several different ways: • using a care and support agency • hiring a personal assistant • getting care and support from a charity, such as Age UK 24
Independent care and support agencies If you use an independent care and support agency, you or the person looking after you has to find the care agency and pay them. The agency will provide a service through a trained team of care workers, which means you may not always have the same person visiting your home, although the agency will do its best to take your choices into account. Care and support providers are regulated by the Care Quality Commission (CQC). They must meet the CQC’s national minimum standards and regulations in areas such as training and record keeping. The CQC has the power to inspect agencies and enforce standards. Care and support agencies must vet care and support workers before engaging them by taking up references and carrying out Disclosure and Barring Service (DBS) checks on potential employees. Care and support agencies can also: • take over the burden of being an employer – for example, payroll, training, disciplinary issues and insurance
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• train their care and support workers through national qualifications and service-specific training • replace workers when they’re ill, on holiday or resign • put things right when they go wrong An agency will want to see you and the person looking after you so they can assess your needs. This also means you can make a joint decision about the right type of care and support. Find out more from the UK Homecare Association.
How much does a care and support agency cost? Using a care and support agency can be expensive. The agency will charge a fee on top of the payment made to the care worker to cover their running costs and profits. You normally have to make a regular payment to the agency, which includes both the worker’s earnings and the agency’s fee.
Questions to ask when using a care and support agency Before deciding to go ahead with an agency, you should ask questions about the fee and what it covers. These include: • Does the agency check references? • What training and supervision do they provide? • What’s their complaints policy? • Who’s responsible for insurance? • Is there any out-of-hours or emergency contact if needed? • Will they be able to provide staff if your own care worker is ill or away? If an agency is contracted to provide care every day, it must do that.
Hiring a personal assistant Instead of using an agency, you can hire a personal assistant to act as a care and support worker for you. Personal assistants can offer you all that you’ll get from an agency worker, but you’ll also get continuity, familiarity and an ongoing relationship with an assistant. But if you employ a personal assistant, you have the legal responsibility of an employer. This includes arranging cover for their illness and holidays. Which? Elderly Care has advice on employing private individuals. Get more information on becoming an employer.
Care and support from charities Charities such as Age UK and Carers Trust can provide home help. Carers Trust also supports carers by giving them a break from their caring responsibilities through care and support services. Marie Curie Nurses can provide practical and emotional support for people near the end of their lives in their own homes.
Complaining about care and support You have the right to make a complaint about any aspect of care and support. It’s a good idea to ask a care and support agency or charity about their complaints policy before you start to use their carers. Read more about how to make a complaint about the care and support you or someone else is receiving. If you are finding it difficult to make a complaint, find out how an advocate can help you. 25
Driving and using public transport Although mobility problems make it harder to get around, transport has been getting more accessible for disabled and elderly people over the years. You can get help: • using public transport • getting discounts on public transport • from the NHS with travel costs • finding community transport schemes If you have mobility problems and you need a car to get around, you may be able to get help with costs through: • discounted or free road tax • a Blue Badge parking permit • help with the cost of leasing a vehicle through the Motability scheme
Using public transport with a disability All public transport vehicles have to be “accessible” so disabled passengers can use them. Public transport also has to accept guide dogs or assistance dogs. But if you’re using public transport, it’s worth contacting the transport operator before you travel to make sure they’re able to offer the assistance you require. Buses and trains usually have priority seating for older people and people with disabilities. They also usually have space and wide doors for wheelchairs. Some buses, trains and trams are fitted with automatic ramps. The London Underground is being upgraded to improve stepfree access. Staff at Underground stations are also trained to help people move around the underground system – for example, by helping you avoid escalators and calling ahead to arrange for assistance at your destination.
Discounts on public transport for older people and disabled people Older people and people with disabilities can travel free on local buses anywhere in England between 9.30am and 11pm Monday to Friday, and at any time during the weekend and on bank holidays. Some authorities offer free travel for longer, and some allow a companion to travel with the pass holder for free. You may have to apply through your local authority, but in most areas you can apply online for an older person’s bus pass or for a disabled person’s bus pass. If you often travel by train, it’s probably worth getting a Disabled Railcard Card. This gives you a third off the price of rail tickets. Check the criteria to see if you’re eligible. Children aged 5 to 16 with disabilities are eligible for a Disabled Person’s Railcard. This lets an adult to travel with them for a third of the cost of an adult fare, while the child pays the normal child fare. Taxi and private hire companies can provide wheelchairaccessible vehicles if you ask for one when you book a vehicle. Some councils also give free taxi vouchers to people who find it difficult to use public transport because they’re frail or disabled.
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Cars and parking Road tax reductions If you’re disabled or have a serious long-term condition, you might be eligible for a reduction in your road tax, or even be exempt from it altogether. Find out more on GOV.UK about vehicle tax exemption and vehicle tax reduction. Blue Badge disabled parking scheme If you have severe mobility problems that make using public transport difficult, you may be able to get a Blue Badge parking permit for your car. This lets you park closer to places you wish to visit, such as in marked disabled parking bays. You may also be able to: • park for free within certain time limits in some places • park on single and double yellow lines • stay longer in on-street time-limited parking bays Blue Badge schemes are run by councils. Most councils will let you apply for a Blue Badge online. Central London is exempt from the national Blue Badge regulations and the central London boroughs of Kensington and Chelsea, Camden, Westminster and City of London don’t fully operate the Blue Badge scheme. But if you’re exempt from road tax or have a Blue Badge permit, you may be able to get an exemption from paying the central London congestion charge. NHS help with travel and transport costs If you pay to travel to a hospital or other NHS premises for NHS-funded treatment or diagnostic tests, you may be able to claim a refund of reasonable travel costs. Find out more about the Healthcare Travel Costs Scheme and who’s eligible.
Community transport schemes These schemes provide transport to and from hospitals, doctors’ and dentists’ surgeries, and opticians and chiropodists. Many areas offer a free “Dial-a-Ride” service, offering door-to-door transport for people unable to use normal buses. Some schemes require you to register and may charge a fee. Carers may be able to travel with you for an additional charge. Check with your local council whether your area has a community transport scheme. The British Red Cross runs a similar transport service in some areas. Contact your local Red Cross branch for information.
Motability scheme The Motability scheme allows disabled people to use their mobility benefits to lease a car, powered wheelchair or scooter. You can also pay an extra amount of money if you want a more expensive vehicle. The Motability Scheme is open to anyone who gets: • the higher rate mobility component of Disability Living Allowance (DLA) or Personal Independence Payment (PIP) • the War Pensioners’ Mobility Supplement (WPMS) • the enhanced rate mobility component of Armed Forces Independence Payment.
NHS Choices have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does NHS Choices endorse any of the products or services. All information and figures correct at the time of going to print.
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Age UK Doncaster is the leading charity dedicated to improving the health and wellbeing of older people living in the Doncaster area. Since we began in as Age Concern Doncaster it has been our mission to improve the quality of life of older people across the borough and ensuring their voices are heard in all decisions that affect their lives. An important part of our work has been to develop a range of high quality services responding to the needs of older people. Here are some of the services we currently offer.
Help and Support to live at home
or mental disabilities.
Our Home Care service provides personal care to some of Doncaster’s most vulnerable older people. Operating since the early 1980s the service has gained a reputation for providing a reliable, high standard of care. The main areas covered by our Home Care service include Central Doncaster; Town Centre, Balby, Hexthorpe, Cantley, Bessacarr, and reach as far south as Bawtry, Tickhill and Stainton. This service is available to anyone over 50 in the Doncaster area, however we are also able to take on people aged 18 and over who require Home Care and are willing to access the service privately.
Cleaning Services This private Cleaning Service offers domestic cleaning to anyone over the age of 50 living in the Doncaster area. Operating week days (Monday – Friday) this service can undertake a wide range of domestic cleaning tasks from a simple hoover and dust, to a full “Spring-blitz”. All the cleaners employed by Age UK Doncaster have completed an enhanced DBS Check and have been fully trained by Age UK Doncaster regarding confidentiality.
Home and Garden Services
The Home and Garden Service is available to anyone over 50, living in the Doncaster area. This service is able Day Services to undertake domestic DIY jobs and gardening. One Age UK Doncaster’s Day Service has been providing of the main services offered is the supply and fitting of a friendly and safe place for Doncaster’s over 50s to Key Safes. Our Handypersons are also able to undertake meet up and socialise since 1996. Currently there are 11 jobs such as building ramps for mobility scooters and centres running 1 day a week across the Doncaster area. repair loose steps. Most jobs are considered and quoted Each of these centres runs from a community venue, individually, however the service is not able to undertake be it a church hall or community centre, and offers any work that involves electrics or plumbing. transport to and from the centre along with a 2 course Volunteering meal freshly cooked at the centre. Volunteers are central to the work of Age UK Doncaster. The activities available at the centres vary depending We offer a range of opportunities for people looking to on the hobbies and interests of those who attend. volunteer in their local community. The services which The person centred approach means that all the need volunteers are; activities we offer are requested by the people who use the service. • Day Service • Home from Hospital The Day Service is able to accommodate people living with mild dementia and many other physical • Information and Advice
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• Circles Project • Better Supported, Better Connected Project • Dementia Family Support Service We are always looking to recruit more volunteers and appreciate any amount of time people are willing to give. Just a couple of hours a week can make a positive difference and will enhance your life as well as the lives of the people you will be helping. To find out more about how you can get involved please contact the volunteering team on 01302 812345. We look forward to hearing from you!
Training We offer free training to all unpaid and family carers from our main office. Training courses include; • (Basic) Moving and Handling • Health and Safety • Continence • Food Hygiene
This service is time limited to 8-10 weeks. During the 8-10 weeks the service will be reviewed and other appropriate services will be discussed and sign posted.
Home from Hospital The Home from Hospital service is run in partnership with Doncaster Council and Doncaster CCG. The service provides valuable, practical support to people over 18 leaving hospital. The support provided by the service involves shopping, preparing meals, washing pots and laundry, prescription pick up, and aid with compression stockings as well as signposting to other services and provisions available in the Doncaster area. However, this service does not provide personal care. Since its launch in 2014 this volunteer led service has helped over 1000 people avoid readmission to hospital and recover more effectively.
Circles
What do Circles do? Information and Advice Circles aim to reduce social isolation and loneliness among older people (50+) in Doncaster. Circles help The Information and Advice Centre is based on Priory Place in Doncaster Town Centre. This office specialises in people to be happier, healthier and more connected all monetary matters including welfare benefits checks. to their community. Everyone is different and there are many reasons why someone might be feeling lonely. This office is open 9am – 4pm Monday to Friday. That is why it is important for us to understand each Better Supported, Better Connected – person’s individual needs, passions and interests. Re-engaging with the Community Do you want a Circle? We are now offering a fantastic new service Circles is completely flexible and support is fully tailored focussing on supporting and empowering older to each person. We will work with you to decide the people in the Doncaster area to play a full and active purpose of your Circle; we’ve had people explore all role in their community. sorts of things from learning I.T skills, building up It is a Big Lottery funded project aiming to reduce confidence, keeping up with exercise, or simply getting social isolation, depression and loneliness in our older out and about more. Where possible we invite family, Doncaster Community, This will impact positively on friends and neighbours to be part of a Circle. If you their overall wellbeing, both mentally and physically, don’t have family and friends nearby we will work with building up resilience and increasing independence. you to grow your Circle, with the support of a trained We want to get people out of the house regularly by volunteer. Our aim is for you to reconnect or make connecting them with social groups or by re-visiting new connections in your community, which we know activities they once enjoyed. We are looking at improves health and wellbeing. matching people with volunteers where necessary for up to 4 weeks to give encouragement and support
Dementia Family Support Service The aim of this service is to help improve the Wellbeing and Independence of people living with Dementia and to prevent them and their Family Carers from becoming Socially Isolated Dementia Companions offer a companion service to assist service users and their carers to either access local amenities eg shopping trips, coffee in town or anything else that they would like to do or stay at home for a chat, bake, games, crafts, reminisce with photos ect..
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Alzheimer’s Society Services in Doncaster If you think you may have a form of dementia, or are caring for a person who has dementia, there are many ways that Alzheimer’s Society in Doncaster can help. Someone to talk to
Memory Café
You can phone at any time during our opening hours to talk in confidence with a member of our Dementia Support Team. Our team are here to listen when you just feel the need to talk, or to offer information on specific issues.
Anyone who has dementia or is caring for a person with dementia is welcome to attend the monthly Cafés. Each Café is staffed by Alzheimer’s Society workers and volunteers. Staff from partnership agencies including Social Workers, Community Psychiatric Nurses and Occupational Therapists are invited to attend the groups. Please contact us for more information including dates and times.
Support from Dementia Support Workers Our Dementia Support Workers give personalised practical and emotional support to people with dementia and their carers. We are in touch with a wide range of services and other organisations throughout Doncaster and can put you in touch with specialists who can help you if your concerns are outside of our expertise.
Home Visits We can arrange for a Dementia Support Worker to visit you at home and provide information, guidance and support.
Information We have a wide range of booklets and fact sheets which include specific information on different types of dementia, care issues and understanding the needs of the person with dementia.
Singing for the Brain An innovative project providing structured musical stimulation for people with dementia and their carers. Singing is an enjoyable activity and provides a way for people with dementia to express themselves and socialise with others in a fun, supportive group. We have two singing for the brain sessions each month.
Carer’s Information and Support Programme The Carer’s Information Support Programme is a series of workshops for people caring for a family member or friend with dementia. The workshops aim to provide you with information and support on topics such as: ■ what is dementia? ■ how you can support and care for someone with dementia ■ the support services that are available ■ planning for the future
Fundraising As a charity we rely heavily on donations to maintain our levels of service. If you would like to help and are able to make a donation of any amount please contact us at the Mexborough office. All donations will be gratefully received.
Membership All members of Alzheimer’s Society receive a monthly national magazine. The more members we have, the greater our lobbying power. Membership is free to carers and people with dementia. Email: doncaster@alzheimers.org.uk
The Alzheimer’s Society have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Alzheimer’s Society endorse any of the products or services.
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Dementia Friends Programme
Alzheimer’s Society’s Dementia Friends programme is the biggest ever Initiative to change people’s perceptions of dementia to transform the way the nation thinks, ac talks about the condition. Whether you att a face-to-face Information Session or wat the online video, Dementia Friends is abo learning more about dementia and the sm ways you can help. From telling friends ab the Dementia Friends programme to visiti someone you know living with dementia, action counts. So far we have created ove million Dementia Friends who have know and confidence to help people with deme feel understood and included in their com Because, together, we can create demen friendly communities.
How will it work?
We will train and develop a group of volun to spread the word about what dementia and what action individuals can take in the community. We will then ask them to recru Dementia Friends who will then receive a basic information session on dementia an encouraged to take action.
What is a Dementia Friend?
A Dementia Friend learns a little bit more what it is like to live with dementia during Dementia Friends Information Session an turns that understanding into action.
What is a Dementia Friends Champ
Dementia Friends Champions are volunte who run information sessions where they people about being a Dementia Friend in communities. It’s easy to get involved. De Friends Champions will attend a training c receive support as and when they need it be part of a growing network of people cre dementia friendly communities together.
How can I get involved? It’s easy to get involved. Just visit www.dementiafriends.org.uk and book onto a Dementia Friends Information session.
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Taking on dementia together
For information, guidance and support, please call us on 01709 580543. We are open from 9am to 5pm, Monday to Friday Alternatively you could contact us at: Alzheimer’s Society Doncaster and Rotherham, Room G18, Mexborough Business Centre, College Road, Mexborough S64 9JP
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NHS Hospitals and services
in Doncaster and the surrounding area
Doncaster Royal Infirmary Armthorpe Road, Doncaster DN2 5LT Tel: 01302 366666
Montagu Hospital, Adwick Rd, Doncaster S64 OAZ Tel: 01709 585171
Thorne and Moorends
Norton and Askern nd ha n t r u o inf by D a t n S ar B
Adwick le Street and Carcroft
Hatfield
Bentley Sprotbrough
e
idg
R an
Wheatley Hills and Intake
m
Ro
Armthorpe
DONCASTER He
xth
by Bal th o S u
ea
nd
Ba
lby
Tickhill and Wadworth
Alzheimer’s Society Doncaster and Rotherham, Room G18, Mexborough Business Centre, College Road, Mexborough S64 9JP Tel: 01709 580543
The locations on the map indicate where services operate out of.
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Bessacarr
No
Edlington and Warmsworth
Mexborough
Conisbrough
orp
Civic Office, Waterdale, Doncaster, South Yorkshire DN1 3BU Tel: 01302 736000
Finningley
rth
Rossington and Bawtry
Woodfield House, Tickhill Road Site, Weston Road, Balby, Doncaster DN4 8QN Tel: (01302) 796000
Unit 1 Ten Pound Walk, Doncaster, DN4 5HX Tel: 01302 812345
Useful contacts A
I
Action on Elder Abuse 080 880 88141 We work to protect, and prevent the abuse of, vulnerable older adults. Action on Elder Abuse, PO Box 60001, Streatham SW16 9BY I www.elderabuse.org.uk I enquiries@elderabuse.org.uk
Integrated Care Council 01379 678243 The Integrated Care Council (ICC) is a body that brings together British health and social care, public and independent sector organisations that commission or directly provide support for people living at home. I www.integratedcarecouncil.co.uk
Admiral Nurses 0800 888 6678 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back. I www.dementiauk.org I direct@dementiauk.org Age UK Doncaster Unit 1 Ten Pound Walk, Doncaster, DN4 5HX I Admin@AgeUKDoncaster.org.uk I www.ageuk.org.uk/doncaster
01302 812345
Alzheimer’s Society Doncaster 01709 580543 and Rotherham Room G18, Mexborough Business Centre, College Road, Mexborough S64 9JP I doncaster@alzheimers.org.uk I www.alzheimers.org.uk
C Care Quality Commission (CQC) National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA I www.cqc.org.uk I enquiries@cqc.org.uk
03000 616161
Cruse Bereavement Care 0808 808 1677 Cruse Bereavement Care is here to support you after the death of someone close. I www.cruse.org.uk I helpline@cruse.org.uk
D Dial Doncaster 01302 327800 Unit 9, Shaw Wood Business Park, Shaw Wood Way, Doncaster DN2 5TB I advice@dialdoncaster.co.uk I www.dialdoncaster.co.uk
M 0300 123 3393 Mind (National Association for Mental Health) The leading mental health charity in England and Wales. We work to create a better life for everyone with experience of mental distress. I www.mind.org.uk I contact@mind.org.uk
N National Osteoporosis Society Advice, information and support group for people with osteoporosis. I www.nos.org.uk
0845 450 0230
National Rheumatoid 0800 298 7650 Arthritis Society (NRAS) or 0845 458 3969 Provide information, support and advice for people living with Rheumatoid Arthritis. I www.nras.org.uk NHS 111
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North East Doncaster CAB 01302 846745 - Stainforth Methodist Church The Hope Centre Stainforth Methodist Church, Church Road, Stainforth, Doncaster, South Yorkshire DN7 5NS North East Doncaster (Thorne) 0344 499 4137 Citizens Advice Bureau Thorne Office, Marriott House, 5a Browns Lane, Thorne, Doncaster, South Yorkshire DN8 5AF I advicecabthorne@fsmail.net I w ww.citizensadvice.org.uk/northeastdoncastercab
P Parkinson's Disease Society I www.parkinsons.org.uk
0800 800 0303
R
Disability Benefits – for Disability 0845 712 3456 Living Allowance and Attendance Allowance I Textphone: 0845 722 4433 I www.direct.gov.uk/en/Dl1/Directories DG_10011169
Royal Voluntary Service 0845 608 0122 A volunteer organisation that enriches the lives of older people and their families across Britain. We support older people by giving time and practical help to help them get the best from life. Royal Voluntary Service, Cardiff Gate, Beck Court, Cardiff Gate Business Park, Cardiff CF23 8RP I www.royalvoluntaryservice.org.uk
Doncaster Community Equipment Service 0300 100 0243 – NRS Healthcare Unit 16 Delta Court, Sky Business Park, Doncaster DN9 3GN I enquiries@doncaster.nrs-uk.net
Stroke Association 0845 3033 100 Advice and information for stroke patients and their families. I www.stroke.org.uk
Doncaster Partnership for Carers (DPfC) 01302 637566 The Carers House, 2 Regent Terrace, South Parade, Doncaster DN1 2EE I dpfc@doncastercarers.org.uk I www.doncastercarers.org.uk
S
T
E
The Department of Work and Pensions I w ww.dwp.gov.uk The Pension Service 0845 606 0265 I w ww.dwp.gov.uk/about-dwp/customerdelivery/thepension-service
Elderly Accommodation Counsel 0800 377 7070 Elderly Accommodation Counsel (EAC) is a national charity that aims to help older people make informed choices about meeting their housing and care needs. I www.eac.org.uk I info@firststopadvice.org.uk
Voiceability Doncaster 01302 319052 VoiceAbility Doncaster Advocacy Services, Rear Of Carcroft Social Club, Chestnut Avenue, Carcroft, Doncaster, DN6 8AG I doncaster@voiceability.org I Twitter: @AdvocacyDonnie
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ROSE FARM
CARE HOME
Styrrup
Albany House Residential Home for the Elderly including Specialist Dementia Unit Albany House is situated in the centre of Woodlands village, north of Doncaster, within a short walking distance of all amenities and bus route to Doncaster Town Centre. Albany House provides a comfortable environment with 24 hour care from highly skilled and motivated staff. The majority of accommodation is on the ground floor with easy access to secure well tended gardens at the rear. Within Albany House we have a specialist facility: Albany Court, offering quality dementia care.
5 Woodlands Road, Woodlands, Doncaster DN6 7JX Tel: 01302 723203 www.albanycare.co.uk
A Quality Care Home for the Elderly 24 Hour care by our trained staff in a friendly, homely atmosphere in which the resident truly feels “at home” At Rose Farm we offer Residential care in a truly outstanding location. In addition within our ‘Garden Wing’ we cater specifically for Dementia related illnesses, all within a purpose built unit.
15 minutes from Worksop, Retford or Doncaster
Tel: (01302) 744664 www.rosefarmhome.co.uk
Chapel Garth Residential Care Home A 33-bedded EMI Residential Care Home offering a homely environment, combined with the highest standards of care. Our aims and objectives • To provide a friendly residential setting within a care home environment • To provide a quality of life which enables residents to retain their independence, identity and sense of value.
• To provide stimulation and encourage the partaking of activities and social events. • To involve relatives and friends in the day to day affairs of the resident. • To maintain and develop close links with
the community. • To sustain residents’ morale and safeguard individual rights. • To deliver the best possible care to all residents at all times.
Come along and see us anytime for a look round
Tel: 01302 872147
Central Avenue, Bentley, Doncaster • www.bondcare.co.uk 34
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Casson Court Extra Care Living A stylish Extra Care Court, designed to offer and promote independence for people over the age of 55. Casson Court has one and two bedroom apartments available for rent* and two bedroom apartments available for shared ownership*.
*Eligibility criteria and charges and exit fees apply
For more information contact 0345 608 4021 or email sales@housingandcare21.co.uk Casson Court, Church Street, Thorne DN8 5BB
Completing
Winter
2018
Designed & Compiled by Octagon Design and Marketing Ltd., Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Tel: 01302 714528
Key benefits and services: • The privacy and security of your own home • Dedicated Housing and Care Manager • 24 hour emergency alarm • On-site care team offering optional, tailored care and support 24/7 • Communal facilities including a lounge, bistro/café and hair salon • Pet friendly policy