Issuu

OPTIONS A guide to care and independent living

Sheffield Winter 2018

FREE

guide

SOCIAL CARE

tips

Leaving hospital What’s next?

NHS continuing healthcare

Who’s eligible?

Healthcare services Choosing the right one

CONTRIBUTORS: Age UK Sheffield NHS Choices Sheffield City Council Sheffield Teaching Hospitals NHS Foundation Trust

Contents Sheffield City Council - Where to get support.................................................................. 4-7 Being discharged from Hospital – what happens........................................................... 8-10 NHS continuing healthcare............................................................................................. 11-14 What is NHS funded nursing care....................................................................................... 15 The Care Quality Commission Social Care and GP top tips........................................... 18-19 Feeling unwell? Choose the right service........................................................................... 20 The Motability Scheme........................................................................................................ 21 Age UK Sheffield – Whether you need information, advice, someone to speak up for you, or high quality services, just ask us for help.................................................... 22-23 NHS Hospitals and services in Sheffield.............................................................................. 24 Useful contacts..................................................................................................................... 25

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.

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield

OCTAGON DES IG N & M A R KE T I NG LT D

Where to get support As you get older, or if you’ve had an illness or operation, you may find that you’re struggling with some of the daily tasks you used to do easily – like dressing, washing or getting out and about. This guide has lots of great advice on the support that’s available in Sheffield to help you stay healthy, and to live independently at home. And if you need a little extra help while you get better, or long term support, there’s advice on other options like moving to be nearer a relative, living in sheltered accommodation or extra care housing, and living in a care home.

Sheffield Directory The first place to look is www.sheffielddirectory.org.uk. This is a website full of really useful information about activities, events and groups in Sheffield. It’s the best source of advice on what you can do yourself, and how to get help from your community. And you’ll find many local services which aim to keep you independent, which anyone can access at any time, without the need for any type of assessment. We’ve included some of the most popular services and solutions below – but you’ll find many more options in the Adult section of Sheffield Directory: www.sheffielddirectory.org.uk/adults.

Keeping healthy and well If you’re looking to improve your health and wellbeing there’s something in Sheffield for you. Local and national NHS websites give advice you can follow to help you: • Rest and sleep better at night • Eat a balanced diet, with lots of fruit and vegetables • Be more active – safe exercise to keep you physically and mentally healthy. To get started check out the NHS Choices website: www.nhs.uk, or find details of local health services and advice: www.sheffieldccg.nhs.uk. Other local services to consider: Get help to stop smoking: www.yorkshiresmokefree.nhs.uk. Call 0800 612 0011. Find out about schemes like ‘Your Shape’ and ‘Fit Fans’ – aimed at helping you keep a healthy weight: www.whyweightsheffield.co.uk. Call (0114) 321 1253. 4

Get support to reduce your drinking from START (the Sheffield Treatment and Recovery Team: https://shsc.nhs. uk/service/sheffield-alcohol-services. Call 0845 345 1549. Get advice on coping with low mood, depression, anxiety and stress from the IAPT Team (Improving Access to Psychological Therapies): www.iaptsheffield.shsc.nhs.uk. Call (0114) 226 4380. Get solutions on loneliness, feeling isolated and socialising from the Age Better in Sheffield website: www.agebettersheffield.co.uk. Call (0114) 2900 250.

Staying active and things to do It can make a big difference to how you feel when you have a busy social life and stay active. Regular exercise is important, but you also stay active by visiting people, taking part in your community or volunteering. Sheffield Directory lists hundreds of activities, classes and things to do: www.sheffielddirectory.org.uk/thingstodo. Or get motivated to get moving at www.movemoresheffield.com – which has a free mobile phone app you can download to keep you on track. Discover the wide variety of projects and causes you can support by volunteering. Visit the Volunteer Centre website: www.sheffieldvolunteercentre.org.uk or call them on (0114) 253 6649.

Getting out and about Being able to get out and about means you can stay connected with friends and family, be independent and take part in

your community and the city. Find tips to make travelling around Sheffield easier and cheaper: www.sheffielddirectory.org.uk/transport. Get discounted travel from Travel South Yorkshire and help to plan your journeys: www.travelsouthyorkshire.com. Learn about community transport help like the Shopper Bus Service, Community Car Scheme, Cityride Door-toDoor and the Mobility for Leisure Service. All available from Sheffield Community Transport: www.sheffieldct.co.uk. Call (0114) 276 6148.

Support in your home Most of us want to live independently in our own home for as long as possible, but from time to time we may need some support and assistance. A low-cost piece of equipment, or the help of a local group or service, can make all the difference.

How to get started… Check out the equipment showroom on Sheffield Directory for lots of options to make daily living easier from getting around to cooking and washing. Go: www.sheffielddirectory.org.uk/showroom. Get peace of mind for you or someone you love from the City Wide Care Alarms Service. They can visit you at home to show how the equipment works – at no charge and no pressure to buy. The simple equipment makes it easy to raise the alarm if you fall or get into difficulty, and they can help with other problems like taking your medicines regularly. Full details: www.sheffield.gov.uk/carealarms. Call (0114) 242 0351. Find help with cleaning and shopping, handypersons and gardeners: www.sheffielddirectory/helpinthehome. Find other trades like plumbers, carpenters and electricians that hold the government backed TrustMark from the website: www.trustmark.org.uk. Make things easier for a bit by having your meals delivered. As well as a huge range of ready-meals available from your local supermarkets you can get delivered with your shopping, there are specialist companies that can deliver frozen meals: •O akhouse Foods. Web: www.oakhousefoods.co.uk. Call 0333 370 6700. •R oyal Voluntary Service. Web: www.royalvoluntaryservices.org.uk. Call 0845 600 0122. •W iltshire Farm Foods. Web: www.wilshirefarmfoods. com. Call 0800 077 3100. Or have a regular hot meal delivered to your home from Park Care Meals. Web: www.parkcaremeals.co.uk. Call (01709) 378 100.

Short term support in your home (also called reablement) If you find you’re struggling with everyday tasks at home like getting dressed or washed, or you’re still recovering from an operation or illness, our First Contact Team may be able to help you regain skills and confidence so you can live as independently as possible. The team can help for a short period of time by: • suggesting different ways to do things. • offering small items of equipment to make tasks easier. • telling you about other kinds of help you could get, and different ways to pay for it. 5

If you need long term support, the team will also talk to you about having an assessment of your needs. If you have eligible care and support needs we will help you to plan the support you need to live as independently as possible. This is called a Support Plan. Unlike NHS health services, adult social care is not free. Most people pay for some or all of their support. If you need long term care and support, we’ll talk to you about your finances and work out what you can afford to pay towards the costs of your care and support, and what, if anything, we’ll contribute. Your Support Plan can include equipment and services like home support, to help you to continue to live at home and regain your independence. The amount of support you need may reduce over time as you regain your ability to do things for yourself. We will work with you to review the amount of support you need over time to stay independent in your home. If you’re leaving hospital the ward staff will contact the

First Contact Team. To contact the team direct visit the First Point Reception at Howden House in the city centre. Or call the team on (0114) 273 4567, then press 5, or email adultaccess@sheffield.gcsx.gov.uk.

Moving home If you need more support than we can provide in your home, we will talk to you about your options. Living closer to a relative or friend. The Sheffield Property Shop website explains how you can swap properties with another tenant – either to live closer to someone who help you or live in a more suitable home. Find out more: www.sheffieldpropertyshop.org.uk, call (0114) 293 0000. For options outside Sheffield try www.swapandmove.co.uk. Medical priority housing. Our Health and Housing Team can help if you’re having problems moving around your home because of a health condition or disability. They can also help if you, or your carer, need to move closer, to

make it easier for them to care for you. You can apply for this support using the form on the council website: www.sheffield.gov.uk or call the team on (0114) 273 5522. Sheltered housing. These housing schemes provide homes you can rent. You can be as independent as possible, while enjoying communal facilities like a laundry, kitchen, lounge and garden. Most schemes have a warden you can contact for help, and a link to the City Wide Care Alarms service for peace of mind. Often schemes arrange regular outings and activities. There are 30 schemes in Sheffield – for details visit: www.sheffieldpropertyshop. org.uk or call (0114) 293 0000. Extra care housing. These schemes are similar to sheltered housing, with homes you can buy with communal facilities, staff on site and support so you can live independently. There are five schemes in Sheffield – for more details visit www.sheffield.gov.uk/ extracarehousing or call the Older Persons Independent Living Service on (0114) 293 0000. Residential care. There are now lots of services and support that can help you to keep independent and delay having to move into a care home. We’ve described many of these services in this guide, but if there’s something else you need to help you stay in your home please do get in touch with our First Contact Team. Often they can tell you about new ways to solve your problems that mean you can maintain your independence. If you need care and support that can only be provided in residential care you need to plan carefully how you will move into the care home, and how you will pay for the costs of your place in the home. You’ll find details about all the homes in Sheffield on our directory: www.sheffielddirectory.org.uk/carehomes. Each home has details of the quality of the care they provide, their location and the types of care they provide. Take time to decide where you will live. If possible visit a number of homes in the area. Ask each home about the daily routine, and the times that meals are served, bedtime and when relatives can visit you. Check when the residents get to talk to the management about the quality of care (usually called the resident’s committee), and when the home’s menu and activities are reviewed. You can get a useful checklist of how to help you compare different homes from our website: www.sheffielddirectory.org.uk/ carehomes. The checklist can help you to remember what questions to ask each home, to check the quality of their care and choose the home you want to live in. Unlike NHS healthcare, residential care is not free. If you

need help from Sheffield City Council to arrange or pay for your care we will talk to you about the problems you are having. If we agree that you need residential or nursing care, we’ll talk to you about your finances. This is called a financial assessment. Most people pay for some or all of their care and support in a home. We’ll ask you about your income, including any benefits, pensions or earnings, and any savings or investments you have (often called your capital). We’ll use this information and national rules based on the Care Act 2014 to work out what you can afford to pay and what, if anything, we’ll contribute towards the cost of your care. If you choose not to tell us about your finances, you will have to pay the total cost of your care. If you have capital over £23,250 you must pay the total cost of your care. If you have capital of £14,250 to £23,250 your capital and income are used to work out what you will pay for your care. If your capital is less than £14,250 your income is used to work out what you will pay for your care. We won’t ask you to pay more towards the cost of your care than your financial assessment shows you can afford. We can provide more information and answer any questions you have during the financial assessment. You can also find more details about paying for your care and support in our factsheet. Download a copy from the Council website: www.sheffield.gov.uk/factsheets. It’s important you get good and impartial financial information and advice, so you have a better understanding of how your resources can be used more flexibly to fund a wider range of care options. The Money Advice Service can provide free, impartial and independent financial information and advice about choosing the right care services and paying for the cost of care. Visit their website at www.moneyadviceservice. org.uk, or call them on 0300 500 500. You can also get a factsheet with lots of advice on managing your finances from the Sheffield City Council website: www.sheffield. gov.uk/factsheets. However, choosing how to pay for your long-term care is a big decision. You should speak to a Regulated Financial Adviser before deciding which option is best for you. A Financial Adviser will be able to discuss how you can help make your money last and let you know about financial products specifically designed to help with paying care costs. There’s a list of Regulated Financial Advisers on the Financial Conduct Authority website: www.fca.org.uk. 7

Being discharged from Hospital â€“ what happens Hospital is the right place to be when you need specific hospital treatment, however once that treatment is complete research suggests that you will do better at home or another place where care can be given which is not a hospital. So once hospital treatments are completed getting you back home quickly is important. Most patients who leave hospital are able to return home with little or no support. Others may need help for a short time until they get back to normal, or may need help on a long term basis.

Planning your discharge with you When you arrive at hospital, we will already be making plans for your discharge. It is important that we work together to plan for you leaving hospital. Ward staff will do their best to keep you informed about your care during your stay and this includes providing you with a date for when you should be well enough to go home. Our aim is to give patients a planned date of discharge as soon as possible. This enables your relatives or carers to plan the best way to get you home on your day of discharge. 8

If required, we will involve a physiotherapist, occupational therapist, social worker, or any other appropriate professional agency in planning your discharge from hospital. You will not be expected to leave hospital or be transferred to other care until you are medically fit to do so. In the majority of cases people return to their own home and require no further support to be able to continue independent living. Where a person does need some temporary health or social care support at home, such as community nurse visit or help with daily tasks, or you need support in an interim care bed, a member of the care team will talk to you about your needs and arrange for assessments to take place. These assessments are likely to take place out of hospital either once you are at home or another appropriate care location.

Sheffield Teaching Hospitals NHS Foundation Trust

The three routes out of hospital are shown below: ✚

Usual Place of Residence

Hospital

Somewhere else for Assessment

How you can help us

Home for Assessment o voluntary services

• By sharing any concerns you have as early as possible when you come into hospital in preparation for you leaving.

o private paid help

• By letting staff know straight away if there are any sudden or unexpected changes in your home circumstances or plans for leaving hospital.

o any other person or service.

• By giving us the information we need to arrange the correct level of support for you. • By supporting the plan of care that was agreed with you and the multi-disciplinary team at the time of your assessment.

Getting the right information to plan for your safe discharge We will start collecting information as soon as you are admitted to hospital. If you have been given a planned date to come into hospital this may have already started. • What type of house you live in? • Who you live with and do you have any long term illness or condition? • Did you manage to look after yourself at home before you came into hospital or have you been receiving any help from: o your family or friends o social services (social workers, social care managers, home carers, day or respite care etc)

o dietician o district nurse We collect this information to determine which members of the multidisciplinary team will need to be involved in your care and the level of assessment needed to plan for you leaving hospital. Most people who come into hospital return to their own home. Some people who return home may need extra support from social services, a community nursing team or a therapy team. We will talk about this with you. Some people may need rehabilitation to help them get better. Rehabilitation is an activity which helps you to recover and keep as much of your independence as possible. We will talk to you about the best place for you to do your rehabilitation if you need this. For some people assessing and planning what longer term support is required takes a bit longer. If this happens to you, don’t worry. Normally you will be transferred to another care setting. This will only be short term until your care needs are known and the team in the interim care setting will discuss your options and arrangements to be discharged, hopefully this will be to your home. However, if moving to a long term care home is required the team will discuss this with you and your family and make 9

Sheffield Teaching Hospitals NHS Foundation Trust

arrangements for the necessary assessments by social care and/ or NHS Continuing Health Care. Sometimes people are not able to return to their own home because they need special care, medicines or

equipment. If this happens to you, we will put together a special care plan with you. We will also let you know about your rights for an assessment for NHS Continuing Health Care.

On the day of your discharge Discharge lounge When you are ready to be discharged from hospital, you may be asked to wait in the Discharge Lounge for your transportation to take you home or to your discharge destination. The lounge is staffed by nurses and helps to ensure beds are available for new patients needing admission. Hot and cold drinks and snacks are provided. Please ask Discharge Lounge staff if you need to use the telephone or if you are worried about anything.

Medication When it is time for you to go home, pharmacy staff will make sure that the appropriate medication you need is provided before you leave the hospital. The nurse will talk to you and your relatives or carer about how you take your medicines once you get home. If you have any questions or worries about this, please speak to a nurse. Once you are back at home you, your relative or carer will need to make sure that you get your medicines from your GP surgery before your supply runs out. If you have any health problems at home you will need to make arrangements to see your GP.

Transport home We expect you to arrange your own transport home and ask that this be made as early in the day as possible. If you have any problems getting home please tell us as soon as possible so we can help you to make different plans.

Follow-up services, treatment and appointments Before you leave hospital you will be given information about any follow-up treatment that you may need and this could include: • An outpatient appointment • Information about medication you are to continue to take • Information about follow-up care by the district nurse • A summary of your stay in hospital will be forwarded to your GP • Names and telephone numbers of who to contact should you require help or advice after you leave hospital. 10

NHS continuing healthcare NHS continuing healthcare, also known as “fully funded NHS care”, is free care outside of hospital that is arranged and funded by the NHS. This means that you will receive care and support to meet your assessed needs at no cost to you.

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.

Eligibility 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”) as having a “primary health need”. Whether or not someone has a primary health need is assessed by looking at all their care needs and relating them to: • what help is needed • how complex these needs are • how intense or severe these needs can be • how unpredictable they are, including any risks to the person’s 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 is 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. Depending on the outcome of the checklist, you will 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 will be referred for a full assessment of eligibility. Being referred for a full assessment doesn’t necessarily mean that you will 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 written reasons for their decision, and sign and date the checklist. 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 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 11

• 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”. The multidisciplinary team will consider: • what help is needed • how complex these needs are • how intense or severe these needs can be • how unpredictable they are, including any risks to the person’s health if the right care isn’t provided at the right time 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.

Fast-track assessment for NHS continuing healthcare If someone’s condition is deteriorating quickly and they’re nearing the end of their life, they 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 12

soon as possible – usually within 48 hours.

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 is agreed that a care home is the best option for you, there could be more than one local care home that is 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 3 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 >>

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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 NHSfunded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. This is known as NHS-funding nursing care and is available irrespective of who is funding the rest of the care home fees. NHS England has issued guidance on how people can be compensated following eligibility disputes and delays in receiving NHS continuing healthcare.

Frequently asked questions about NHS continuing healthcare I have a local authority support package that works

...Creating communities and improving quality of life

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”. If you’re still not satisfied, you may want to complain. Can someone refuse an assessment for NHS continuing healthcare? If they do refuse, will they be able to get services from their local authority? An assessment for NHS continuing healthcare can’t be carried out without someone’s consent, so it’s possible to refuse. However, if they do refuse, although they’ll still be entitled to an assessment by the local authority there’s no guarantee that they’ll be provided with services. This is because 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. 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 significantly detrimental effect on your relative’s health or wellbeing, you should discuss this with the CCG who will take your concerns into account when considering the most appropriate arrangements. If the CCG decides to arrange an alternative placement, they should make efforts to provide a reasonable choice of homes. 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.

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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 NHS-funded 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.

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 2017, the rate was set at £155.05 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, NHSfunded nursing care is paid at a higher rate. In April 2017, the higher rate was set at £213.32 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 £155.05 a week, or • you become entitled to NHS continuing healthcare instead.

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If you’re not eligible for NHS-funded nursing care and you don’t agree 15

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relationships

Some activities we can support with are: • Bowling • Physical Classes • Swimming • Supporting to take Medication • Leisure • Shopping • Socialising • Healthy Choices • Personal Care • Befriending

Tel: 0114 2467607 mobile: 07590 830616 E-mail: stevejen@talktalk.net 17

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

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.

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. There’s also useful advice on the Social Care Institute for Excellence’s Find me good care website www.scie.org.uk/findmegoodcare/

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.

GP Top tips

If you are new to an area you can find details of local GP services such as doctors’ practices, out-of-hours services and walk-in centres in our online directory of care services www.cqc. org.uk/content/doctorsgps

7 2

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 ●

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.

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 long-term 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 Motability Scheme The Motability scheme allows some disabled people getting DLA, PIP or War Pensioners’ Mobility Supplement to obtain a car, powered wheelchair or scooter. The scheme uses some or all of your mobility benefit payments to cover the cost of “contract hire” or “hire purchase” of an appropriate vehicle. You can also pay an extra amount of money if you want a more expensive vehicle. With hire purchase, the price of the car will be agreed directly with the Motability dealer, and you will own the vehicle outright at the end of the agreement. With contract hire, you won’t own a vehicle, but you will get a new car every three years, full insurance 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.

for the driver and passengers, servicing, maintenance and repairs, vehicle excise duty, replacement tyres and breakdown cover. Adaptations to the car can be made if needed, although there may be an extra charge for some adaptations. Under the Motability scheme, cars can also be adapted for people in wheelchairs. If you don’t need or want a car, you can transfer your allowance to lease a scooter or powered wheelchair.

Editorial content for pages 11-15 and 21 supplied by:

Contact and Support We are here to answer any questions you may have about the Mobility Scheme. You can contact our Customer Services team directly or one of our Scheme partners depending on the nature of your enquiry. Tel: 0300 456 4566. Opening times: 8am-7pm Monday to Friday, 9am-1pm Saturday. Monday 9am-11am is our busiest period. You may find it easier to call outside these times. If you have specialist Minicom equipment, call our textphone number on 0300 037 0100 or speak to us through a British Sign Language (BSL) interpreter for Deaf customers who have an enquiry about the Motability Scheme. 21

Sheffield

If someone in your household is over-50, or if you’re a carer or family member of an older person in Sheffield, then Age UK Sheffield can help you. We’re a local charity that is dedicated to supporting older people in Sheffield to live the happiest, most independent later lives they can. Whether you need information, advice, someone to speak up for you, or high quality services, just ask us for help. You can call us in office hours on (0114) 250 2850 or visit our walk-in service from Monday to Thursday, 10.30-3.30, at the Fire Service HQ, next to Decathlon, across the road from the Moor Market. In 2016/17, we supported 4,000 over-50s in Sheffield with recorded case work, many of whom were living with long-term health conditions. Our services are accredited for quality, delivered by carefully chosen and highly-trained staff.

Information and Advice (I&A) Do you know all the benefits you could be claiming? As people’s circumstances change, they may become eligible for additional support, such as Carer’s Allowance or Attendance Allowance. Around 70% of enquiries to our I&A service are for benefits checks. We will ask you some questions about your circumstances and give advice on whether we think you could get some

extra help – and we’ll also help you to complete the complex forms. In 2016/17 we helped older people in Sheffield to claim £2.6 million in benefits that they were entitled to, but hadn’t previously been claiming. In some cases this amounted to over £200 extra per week. We can provide advice on almost any older person’s issue, including care options, legal and consumer issues, and we have achieved the national Advice Quality Standard, which included a “mystery shopper” check. Our I&A service is free (supported by Westfield Health and the Henry Smith Charity). Just call us, and we’ll do what we can to help.

Independent Living Co-ordination (ILC) As you get older, or your circumstances change, you might need a little extra support to help you to regain the independence you once had. Maybe you can’t do everything you’d like to after a recent hospital stay? Or maybe you’re finding it harder to get out and meet friends? Our ILC service is a three-month package of support in which we will help you and your family members to achieve your independence needs – whether that be aids and adaptations to your home, increased benefits where eligible, or connecting you up to local activities and transport. Our ILC service is free, supported by the Big Lottery Fund, Weston Park Cancer Charity, NHS Sheffield Clinical Commissioning Group and the Ministry of Defence. It is targeted at people who can’t make it in to our office, people who have long-term health conditions, people living with and beyond cancer, and armed forces/Territorial Army veterans. You don’t need to be referred to our ILC service. Just call us, tell us your needs, and if we think you need our ILC service, we’ll provide it to you, free of charge.

At Home with Age UK Sheffield Do you need a little extra help around the home to put your loved ones’ minds at ease? As we get older, we can’t always keep on top of some simple tasks around the home. Our “At Home” service provide a flexible personal assistant to help you with the things you need. One week it may be doing your shopping, or taking you to the supermarket. Another is maybe helping with sort your mail and bills, or a little cleaning. Maybe you’d like to be taken out to visit a friend, or just have a chat over a cup of tea? Our “At Home” service always begins with a free initial assessment and care plan, and a benefits check. It’s a paid-for service, at £21 per hour – a small price to pay for the peace of mind that a family member is living well. Over the years, our hundreds of customers have told us they like it that: • We provide a full hour’s service, and don’t take time off for travelling • We aim to provide the same support worker every time, as often as we can • As a charity, we don’t make a profit. Any small surplus goes back into providing free services for older people in Sheffield For more information on our “At Home” service, and a free initial assessment, care plan and benefits check, call (0114) 250 2850 now.

Wellbeing Centre If your loved one is living with memory loss and dementia, and would benefit from a high quality day service with singing, dancing, arts, laughter, and husky dogs, our Wellbeing Centre is for you. It’s in the Centre in the Park, Norfolk Park, and places are available Monday to Friday, 10.00-3.30. The Wellbeing Centre is also a paid-for service, at £48 per day plus lunch. You must see it to believe it – call us now to arrange a free introductory visit and benefits check. Whatever your older person’s needs, information, advice, services, or a quote for insurance or a funeral plan, if you live in Sheffield, we’re here for you. Call us on (0114) 250 2850 or drop-in to our new office at the Fire Service HQ. 23

NHS Hospitals and services in Sheffield

Bamforth Building, 110 Burton Street, Sheffield S6 2HH Tel: 0114 276 8414

Stocksbridge & Upper Don

Sheffield Teaching Hospitals NHS Foundation Trust

Northern General Hospital Herries Road, Sheffield S5 7AU Tel: 0114 243 4343

West Ecclesfield East Ecclesfield

Sheffield Teaching Hospitals

Shiregreen & Brightside

Southey

Firth Park Stannington Hillsborough

Sheffield Teaching Hospitals NHS Foundation Trust

Burngreave Darnall

Walkley

Weston Park Hospital, Whitham Road, Sheffield S10 2SJ Tel: 0114 226 5000

City

Crookes & Crosspool

Manor Castle

Broomhill & Sharrow Vale Fulwood

Nether Edge & Sharrow Ecclesall

Park & Arbourthorne Richmond

Sheffield Teaching Hospitals NHS Foundation Trust

Graves Park

Jessop Wing, Tree Root Walk, Sheffield S10 2SF Tel: 0114 271 1900

Dore & Totley

NHS Foundation Trust

Charles Clifford Dental Hospital, Wellesley Road, Sheffield S10 2SZ Tel: 0114 271 7800

Gleadless Valley

Beauchief & Greenhill

Birley

Woodhouse Beighton

Mosborough

Sheffield Sheffield Teaching Hospitals NHS Foundation Trust

Royal Hallamshire Hospital Glossop Road, Sheffield S10 2JF. Tel: 0114 271 1900

South Yorkshire Fire & Rescue, 197 Eyre St, Sheffield S1 3FG Tel: 0114 250 2850

Howden House, 1 Union Street, Sheffield S1 2SH Tel: 0114 273 4567

The locations on the map indicate where services operate out of.

Useful contacts A

Action on Elder Abuse 020 8835 9280 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

National Osteoporosis Society 0845 450 0230 Advice, information and support group for people with osteoporosis. I www.nos.org.uk

Admiral Nursing DIRECT 0845 257 9406 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 direct@dementiauk.org

NHS 111 111 A 24 hour service to get medical help when it’s not a 999 emergency and if you’re not sure whether to visit A&E. Calls are free from landlines and mobiles.

Age UK Sheffield 0114 250 2850 South Yorkshire Fire & Rescue, 197 Eyre St, Sheffield S1 3FG I www.ageuk.org.uk/sheffield/ I enquiries@ageuksheffield.org.uk

Sheffield Carers Centre 0114 272 8362 Ground Floor East, Concept House, 5 Young Street, Sheffield, S1 4UP

Alzheimer’s Society 0114 276 8414 Bamforth Building, 110 Burton St, Sheffield S6 2HH I www.alzheimers.org.uk Arthritis - National Rheumatoid Arthritis 0800 298 7650 Society (NRAS) or 0845 458 3969 Provide information, support and advice for people living with Rheumatoid Arthritis. I www.nras.org.uk

C Care Quality Commission (CQC) 03000 616161 National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA I www.cqc.org.uk I enquiries@cqc.org.uk Crimestoppers 0800 555 111 Give information about any crime without giving your name or details Cruse Bereavement Care - Sheffield Branch 0114 249 3328 10 Carver St, Sheffield S1 4FS I www.cruse.org.uk/sheffield-branch I sheffield@cruse.org.uk

D Disability Sheffield 0114 253 6750 The Circle, 33 Rockingham Lane, Sheffield S1 4FW I info@disabilitysheffield.org.uk I www.disabilitysheffield.org.uk Disability Benefits – for Disability Living Allowance 0845 712 3456 and Attendance Allowance I Textphone: 0845 722 4433 I w ww.direct.gov.uk/en/Dl1/Directories DG_10011169 Domestic Violence

0808 200 0247

E Electricity Northern Power Grid

0800 375675

Elderly Accommodation Counsel 0800 377 7070 A national charity that aims to help older people make informed choices about meeting their housing and care needs. It is now more commonly known as EAC. I www.eac.org.uk I info@firststopadvice.org.uk Emergency services: ambulance, fire and police

999

101 a 24 hour number to contact the police about community safety issues including anti- social behaviour and non-emergency crimes.

I Integrated Care Council 01379 678243 (Formerly the National Homecare Council) The Integrated Care Council is a body which brings together British public and independent sector organisations who commission or directly provide support for people living at home.

M Mind (National Association for Mental Health) 020 8519 2122 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

National Debtline National Gas Emergency Service

0808 808 4000 0800 111 999

National Rail Enquiries

Samaritans

03457 484950

(Freephone) 116 123

Sheffield Citizens Advice Bureau The Circle, 33 Rockingham Lane, Sheffield, S1 4FW

03444 113 111

Sheffield City Council

0114 273 4567

Sheffield MENCAP 0114 276 7757 Norfolk Lodge, Park Grange Rd, Sheffield S2 3QF I www.sheffieldmencap.org.uk I mencapoffice@sheffieldmencap.org.uk Sheffield MIND 0114 258 4489 110 Sharrow Ln, Sheffield S11 8AL I www.sheffieldmind.co.uk I info@sheffieldmind.co.uk Shelter

0344 515 1515

Stroke Association 0845 3033 100 Advice and information for stroke patients and their families. I www.stroke.org.uk

P Parkinson's Disease Society I www.parkinsons.org.uk

0800 800 0303

R Rape Crisis

0808 802 0013

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

T The Department of Work and Pensions I www.dwp.gov.uk The Pension Service 0845 606 0265 I www.dwp.gov.uk/about-dwp/customerdelivery/the-pension-service Travelline (bus/tram/train)

0871 2002233

V Victim Support

0300 200 1976

Y Yorkshire Water

0345 124 2424

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. Tel: 01302 714528 Options Sheffield is published by Octagon Design and Marketing Ltd with editorial contributions from Sheffield City Council, Sheffield Teaching Hospitals NHS Foundation Trust, the CQC, Age UK 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.

Angel The Helping

Care and support for the elderly or housebound.

Assuring you of a friendly, personal service

24 years’ experience working for the Council Care Team.

SHOPPING DELIVERY SERVICE Orders personally collected, delivered and put away for you SITTING SERVICE If your partner or relative needs someone with them whilst you go out, I will sit with them ESCORTED TRIPS OUT I will take and assist you to go shopping or to go on social trips out. Also escort you to go to appointments e.g. hospital etc. • Befriending • CRB checked • Fully insured • References available

Call Karen on: 0114 233 7608 or 07960 595873 thehelpingangel@co.uk

Thames Homecare Service provides quality home care services to people living across Sheffield, London boroughs and Merseyside. We enable our service users to access the expert care they need, whilst continuing to live in homes that they know and love. Our care workers provide expert support for a broad range of service users. Our services can be commissioned through local authorities, Direct payments as well as by privately funded individuals. Thames Homecare Service currently provides quality support to hundreds of local people each year. Our services can be commissioned through local authorities as well as by privately funded individuals. Our aim is to deliver care which improves the lives of our service users and treating them, and their families, with respect, dignity and compassion. We believe that our service should not only be in line with the Care Act 2014, but should deliver excellence and enable people to live their lives safely and well.

Tel: 0114 321 6488

www.thameshomecare.co.uk 26

Are you in need of a little help and support within your own home? The older we get the more help we need to enable us to live a more independent life For many people, the question of carer services at home does not arise until, there is a need! Most of us think that the choice is either living without help in our familiar surroundings or going into a nursing home. Serenta HomeCare stops all that. We offer a realistic alternative to allow people to stay at home, with familiar friends, relatives and possessions around them. With no upheaval, no stress and no trouble we are proud to provide • Personal Care • Meal Preparation • Medication • Domestic • Sitting Service • Social and Leisure activities • CQC Approved

Serenta HomeCare Ltd. 134 Archer Road, Sheffield S8 0JZ



Information from the Care Quality Commission Serenta HomeCare Ltd is regulated by CQC to provide care at Serenta HomeCare Ltd Our last check showed This service was meeting all CQC national Standards ✔ See full report (or tell us your experience) Checking national standards in hospitals, care homes & care services.

Serenta HomeCare are always recruiting, if interested please contact on the details below

To find out more call 0114 258 10 93 or email info@serentahomecare.co.uk

Luxury Homes, Personalised Care, Peace of Mind At The Green we pride ourselves on providing the greatest level of personalised care. We do this within luxury purposebuilt homes that were designed solely with the resident and their family’s needs in mind. We would like to tell you more, so please get in touch by phone or via our website or visit us anytime and we can show you around personally.

• Dementia, Nursing, Residential & Respite Care • Quality Premium Award - Derbyshire County Council

The Green, 45 The Green, Hasland, S41 0LW T: 01246 556321 E: eluned@thegreencaregroup.com

The Green, 2 Green Lane, Dronfield, S18 2LZ T: 01246 291515 E: martha@thegreencaregroup.com

The Callywhite, Callywhite Lane, Dronfield, S18 2XD T: 01246 291515 E: martha@thegreencaregroup.com

www.thegreencaregroup.com

The Care Homes… ROSEBERRY CARE CENTRES

Where people matter Chapel Lodge 105 Station Road, Chapel Town, Sheffield, South Yorkshire S35 2XF Telephone: 0114 257 8727 Fax: 0114 257 8728 Email: admin.chapellodge@roseberrycarecentres.co.uk

Haythorne Place 77 Shiregreen Lane, Shiregreen, Sheffield, South Yorkshire S5 6AB Telephone: 0114 242 1814 Fax: 0114 231 7780 Email: admin.haythorneplace@roseberrycarecentres.co.uk

Moorend Place 34 Commonside, Walkley, Sheffield, South Yorkshire S10 1GE Telephone: 0114 268 0001 Fax: 0114 268 4056 Email: admin.moorendplace@roseberrycarecentres.co.uk

Norbury Court Devon Road, Off Barnsley Road, Sheffield, South Yorkshire S4 7AJ Telephone: 0114 280 0990 Fax: 0114 261 0329 Email: admin.norbury@roseberrycarecentres.co.uk Looking for a care home for yourself or a loved one can be a daunting affair. You need to be assured that the home you choose has consistently high standards, backed up by an experienced and supportive team of highly qualified carers and support staff. Roseberry Care Centres offer a choice of residential and residential with nursing care homes in the Sheffield area. Many of our homes offer specialist dementia care. Our friendly team of dedicated managers and carers have a wealth of experience coupled with a genuine desire to provide the very highest levels of service to those in our care.

“We’re ready to help today” 30

Asbestos-Related Disease Specialist Solicitors in Sheffield A diagnosis of asbestos-related disease can be a terrible shock to anyone affected. A disease caused by exposure to asbestos often comes out of the blue many years after somebody came into contact with asbestos. An asbestos-related disease can be life changing. We have many years of experience of advising sufferers of asbestos-related diseases including mesothelioma, asbestos-related lung cancer, asbestosis, diffuse pleural thickening and pleural plaques. We appreciate the need for prompt and practical advice and action on your behalf. We only work for claimants. We will do our best to help you to provide for your, and your family’s, future financial security. If you ask us to represent you: • Your case will be dealt with by a qualified solicitor with many years of experience of representing people in asbestos disease cases. • We will let you know at the outset what is involved and how long it might take. • We will make ourselves available to you to answer any queries you might have. • We will ensure that you receive the maximum amount of compensation that you are entitled to as quickly as possible. • We will keep you informed about the progress of your claim. If necessary, we will visit you at home. Give us a call, we will be happy to discuss your case.

Tel: 0114 266 8118

11 Westbourne Road, Sheffield S10 2QQ david.cass@hemingwaylaw.co.uk

asbestosclaimslawyers at Hemingways Solicitors Limited

www.asbestosclaimslawyers.org

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