Issuu

OPTIONS A guide to care and independent living

Leaving hospital What’s next?

NHS continuing healthcare Who’s eligible?

SOCIAL CARE

tips

Healthcare services Choosing the right one

Bassetlaw

Spring 2018

FREE

guide CONTRIBUTORS: Age UK Doncaster and Bassetlaw Teaching Hospitals NHS FT Nottinghamshire County Council Nottinghamshire Healthcare NHS FT

Highly trained staff providing domiciliary care to individuals in their own homes, as well as staff to local care homes

Tel: 01909 479222

www.firstcareltd.co.uk Suite 12, Enterprise House, Carlton Road Worksop

To find out more about MHA’s Live at Home Schemes or to become a volunteer contact: WorksopLive at Home 64 Dadley Road, Carlton In Lindrick, Worksop Tel: 01909 732488 Email: worksop.liveathome@btinternet.com Find us on Facebook @Worksop Live at home

We offer: • Day trips •G ames group and activities group • Lunch clubs • Befriending • Transport provided

DESIGN PRINT SUPPORT

Worksop and District Live at Home Scheme was set up by a group of local people in 1994. We aim to provide emotional and practical support to older people (over 60) living in their own homes independently. We currently have 15 volunteers, our scheme is aimed at reducing isolation and loneliness to the people living in Worksop and surrounding areas.

OCTAGON DES IG N & M ARKET ING LT D

To advertise in this publication please call the sales team on 01302 714528 Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire DN10 6AB 01302 714528 | www.octagon.org.uk | info@octagon.org.uk

Contents Where can you get support?.............................................................................................. 4-5 Care and support assessment................................................................................................ 6 Staying safe and well at home........................................................................................... 7-8 Somewhere to live................................................................................................................. 9 Stay well this winter with advice from our winter mascots......................................... 10-11 Welcoming carers................................................................................................................. 12 Keep norovirus out of hospital this winter........................................................................ 13 Mental Health Services for Older People Partnership Working with Nottinghamshire Fire and Rescue Service To Improve Lives of Older Adults.............. 14-15 The Care Quality Commission Social Care top tips............................................................. 16 The Motability Scheme........................................................................................................ 17 NHS continuing healthcare............................................................................................. 18-20 Personalised care............................................................................................................. 20-21 What is NHS-funded nursing care?..................................................................................... 22 If you need medical help fast, but it is not life threatening â€“ call 111............................. 23 Paying for your own care and support.......................................................................... 24-25 Age UK Nottingham and Nottinghamshireâ€™s services available in Bassetlaw............. 26-27 Useful contacts..................................................................................................................... 28 NHS hospitals and services in Bassetlaw............................................................................. 29

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.

OCTAGON DESIGN & M ARKETING LTD

Where can you get support? As you get older, or if you have had an illness or operation, you may find that you are struggling with some of the daily tasks you used to do easily – like dressing, washing or getting out and about. This section gives you an idea of the range of support that is available in Nottinghamshire to help you stay living independently at home.

Nottinghamshire Help Yourself

Connect service

The first place to look is www.nottshelpyourself. org.uk which brings together a range of care and support providers with information about activities, events and groups all in one place. We have also made some short films that explain how to contact us and where to access information and advice: www.nottinghamshire.gov.uk/ adultsocialcare If you don’t have a computer, you can visit your local library where staff can help you find the information you need. Or you can phone Nottinghamshire County Council on 0300 500 80 80 where our advisors can guide you through the options.

If you have lost a loved one or your health is deteriorating, you may find that you are struggling with daily life or feeling lonely. The Connect service can help you by finding information about local services, activities and opportunities. If needed, Connect staff can work with you around money issues, housing problems, health management and other things. This short-term support will be tailored to your needs and will focus on achieving what you want in a way that suits you.

There are local services which aim to help keep you independent, which anyone can access at any time, without the need for any type of assessment. These services are detailed next.

If you, or someone you know, might benefit from the advice and support of Connect, phone NCHA on 0115 844 3541. Or visit http://www. personalisedsupport.co.uk/Bassetlaw-Connect

Handy Person’s Adaptations Service The Handy Persons Adaptation Service provides the help and support you may need to keep safe and secure in your home with low-cost but high-quality essential adaptations and small practical jobs. The service is available to Nottinghamshire residents aged 60 or over or who have a disability. The work is carried out by professional traders who have been approved by ‘Checkatrade’ in partnership with our Trading Standards Service. The traders will carry out small jobs or minor adaptations to your home to reduce the risk of a fall or help you remain living independently. Jobs range from fitting grab rails or half steps, to changing light bulbs and putting up shelves. Often very small jobs such as fixing loose carpets can prevent a fall and avoid a lot of unnecessary distress. There is a nominal £15 fee for some works and you can have up to four hours of handyperson work. For more information about the service or to access the scheme, please contact us on: 0300 500 80 80 or email: enquiries@nottscc.gov.uk

Short term support in your own home (known as reablement) If you are struggling with everyday tasks at home (e.g. getting dressed or washed) or if you have had an accident or illness, Nottinghamshire County Council’s reablement team may be able to help you to regain skills and confidence so you can live as independently as possible. Reablement is a period of free short-term support and our team of staff can help you by: • suggesting different ways of doing things • offering small items of equipment to make tasks easier • telling you about other kinds of help you could get and different ways you can pay for it. For more information visit: www.nottinghamshire.gov.uk/adultsocialcare or phone: 0300 500 80 80.

Meals at home service County Enterprise Foods is an award-winning service run by Nottinghamshire County Council. It delivers delicious, great value, hot and frozen meals to homes across Nottinghamshire. The helpful and friendly delivery team go the extra mile for customers, for example, plating your meal or bringing in the post. They provide free ‘safe and well’ checks when they visit and will call someone if you need help. The service also offers “home from hospital” hampers. When you return from a stay in hospital, the last thing you need to worry about is shopping. Simply choose from the list of

competitively priced, useful food items (e.g. tea, milk, butter) and they will be delivered to your home, along with your meal. Delivery is free. For more information please contact the team on: 01623 490015, visit: www.countyenterprisefoods.co.uk or email: county.enterprisefoods@nottscc.gov.uk

Occupational therapy equipment There are some simple and inexpensive pieces of equipment available to help make life a bit easier at home. We have created a series of videos to show you what is available to help you with simple tasks like cooking, washing, and getting in and out of bed. For more information visit www.nottinghamshire.gov.uk/equipment or phone 0300 500 80 80.

Carers Hub We pay the Carers Trust East Midlands to run the Nottinghamshire Carers Hub to provide support to carers. This includes free advice, information and support to all carers. The Carers Trust may be able to help you in a number of ways, for example telephone or face-to-face advice, information about local support groups, where you can meet other carers, and information about events and training courses. For more information, please contact the Carers Trust on: 0115 8248824, email: hello@carerstrustem.org >> or visit: www.carerstrustem.org The inclusion of advertisements for homes and agencies in this magazine does not act as an endorsement or recommendation by Nottinghamshire County Council.

Care and support assessment First, look at the information on pages 4 and 5 (where can I get support). There are a number of services available to help you which are listed on www.nottshelpyourself.org.uk We have also given details of some services you can get without having any type of assessment. If, after exploring these options, you feel you may need more support, then you might need to have a Care and Support Assessment. This will allow you to explain the things you are finding hard to achieve and we will discuss with you how we might be able to help you. The aim of the assessment will always be to help you regain or maintain a level of independence. We will carry out the assessment in the most proportionate way depending on your needs, this could be over the telephone or at one of our clinics. If other methods are not suitable, we will arrange to complete your assessment in your own home.

• c onsider with you how other people around you can help (for example, family members, other friends and local organisations)

We follow the Care and Support (Eligibility Criteria) Regulations 2014, issued under the Care Act 2014, when deciding who is eligible to receive community care support funded by the Council. The regulations are there to ensure that all councils make decisions about who gets help in a similar way.

We will talk to you about how you wish to arrange the support that best meets your needs and we will record this information in your Care and Support Plan.

If you are eligible for support we will: • encourage you to find solutions to your problems, if possible, by providing you with information and advice

•p rovide help for as long as it is needed to enable you to become, and stay, as independent as possible in your own home • t alk to you about whether you would like to have your personal budget as a cash payment paid to you (called a direct payment) so that you can buy your own care •m eet your eligible needs in the most cost effective way.

If you need a personal budget to pay for your care and support options, we will confirm this with you once your support plan has been agreed. Most people are required to contribute towards the cost of their care and support where they can. For more information phone 0300 500 80 80.

Staying safe and well at home If you are assessed as being eligible for services from Nottinghamshire County Council, there are a number of options to help you stay safe and well at home.

Assistive technology Sensors around the home can automatically detect falls, fires, flooding, extreme temperatures, bed wetting and epileptic seizures, and can also tell if you have left your home at night-time, which can be useful if you have dementia. If the sensors are triggered, an alert is either sent to a carer in your home or, alternatively, can be sent (via a special box attached to your phone line) to trained operators at a 24-hour monitoring centre. If you have problems with your memory, other assistive technology can be used to prompt you to do daily living tasks, such as reminding you to take your medication. If you have dementia it is sometimes difficult for other people to know how well you are managing at home. As part of your assessment for long term support, the County Council may use activity sensors around the home to detect your

movements (there are no cameras). Information from the activity monitors can help professionals and families to better understand how your dementia is affecting your independence and ensures that the most appropriate care is provided to help you stay in your own home. For more information visit: www.nottinghamshire.gov.uk/adultsocialcare or phone: 0300 500 80 80.

Assessment beds If you have been in hospital following illness or an operation and are now well enough to leave, you may still need some extra time to recover before you can return home. So you may be offered a temporary stay in a residential home or assessment flat. Sometimes people are offered a temporary stay whilst other long-term services are being organised to support you at home (e.g. home care). During your stay, you will receive help with dressing, washing and any other tasks youâ€™re struggling with. We will help you adapt if you have lost any skills following your illness or operation.

The inclusion of advertisements for homes and agencies in this magazine does not act as an endorsement or recommendation by Nottinghamshire County Council.

As your strength comes back, we will gradually reduce the level of support until you are ready to return home. If you are unable to return home we will work with you to consider other options, such as going to live in extra care or residential care.

Intermediate care Similar to assessment beds, intermediate care also supports you following illness or an operation, but this short term service is provided jointly with health. A multi-disciplinary team, including therapy, nursing and social care staff, will work with you to help you rehabilitate.

Support at home Home care staff can help support you with daily activities such as getting in and out of bed, getting dressed and going to the toilet. On top of this, they may also help with daily living or domestic tasks like laundry, shopping and some meal preparation. The aim of support in your own home is to increase or maintain your independence. The amount of support you require may reduce over time as you regain your ability to do things for yourself. We will work with you to review the level of support you need over time to stay independent in your own home. If you have been ill or have just come out of hospital you may benefit from short-term home care support (see short term support in your own home – reablement on page 5). If you have been assessed as being eligible for support, the amount of care you receive weekly will depend on your needs. Phone: 0300 500 80 80 for more information about home care and the assessment process.

Support for carers Caring for someone may have an effect on you, for example your health, work, social life, finance, education, family and personal life. It is important that you know what help is available to help you balance your caring life with a ‘life of your own’. To find out how to get a carers’ assessment, and for information about support, including personal budgets and short breaks, visit www.nottinghamshire.gov.uk/ adultsocialcare or phone 0300 500 80 80. 8

Some If you have already tried the options listed in this section but are still struggling to live independently at home, there are other solutions before you consider residential care. Try contacting your local district or borough council to see if there is any support they can offer you. We also have other options including:

The inclusion of advertisements for homes and agencies in this magazine does not act as an endorsement or recommendation by Nottinghamshire County Council.

ewhere to live well as offering a range of flexible services and facilities on site that you could use, including communal areas. For more information visit www.nottinghamshire.gov.uk/ extracare or phone 0300 500 80 80.

Residential care

Shared Lives Shared Lives is a scheme where carers are trained to look after older people, people with physical disabilities, learning disabilities or mental health needs. The support is mainly provided in the carerâ€™s home. If you are eligible and Shared Lives is suitable for your needs, we will try to match you with a carer. Contact us on: 0300 500 80 80 or visit: www.nottinghamshire.gov.uk/sharedlives to find out more.

Extra care housing Extra care housing is high-quality accommodation where you can live as independently as possible, with the reassurance that care staff are on-site 24-hours a day, seven days a week. Extra care housing is an extension to traditional supported housing and each extra care scheme is different. However, each provides you with your own front door, as

If you are considering moving into residential care as a way to meet your needs, you will need to have a Care and Support Assessment, which will determine the level of your needs and if you are eligible for social care support. This is strongly advised, even if you are funding the cost of your own care for two reasons. Firstly, it will ensure that you have taken advantage of the expertise of the Council who will be able to provide information and advice and possibly suggest alternative ways to meet your needs (which have been outlined on pages 4 to 9). Secondly, if you are moving into a care home and funding your own care and your assets fall below the threshold of ÂŁ23,250, you need to be aware that the Council will not automatically fund the cost of the care home you are living in. In this situation the Council will undertake a Care and Support assessment and may not fund your care if you do not have assessed eligible needs. Or if you have assessed eligible needs, they may offer you a Personal Budget that is less than the care home. If you are considering residential care for yourself or a family member, please contact the County Council on 0300 500 80 80 who will be happy to assist. It is also important that you plan financially for your future, with independent financial advice. This is available from Age UK: www.ageuk.org.uk/notts or 0115 859 9209. This support will help provide you with peace of mind about your options should you need support in the future.

Poppy Fields Extra Care Scheme in Mansfield 9

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.

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

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

Mental Health Services for Older Partnership Working with Nottingh Rescue Service To Improve Lives o The Nottinghamshire Fire and Rescue Service has identified that older adults are more likely to be impacted adversely by fire and have developed CHARLIE P which highlights those people most at risk. The CHARLIE P risk factors are also relevant for Occupational Therapists when working in older adult community mental health settings, due to an Occupational Therapistâ€™s ability to consider all aspects of a person from a holistic point of view. Nottinghamshire Healthcare and the Fire Service are therefore often involved in trying to support the same groups of people - so it is better for us to work together to get the best outcomes for patients and their carers. We have been doing this in a number of ways across Nottinghamshire Healthcare but this article will focus particularly on the partnership between Mental Health Services for Older People (MHSOP) and Nottinghamshire Fire and Rescue Service (NFRS). Since 2011, the Occupational Therapists within MHSOP have been working increasingly closely with NFRS. We started talking about cases and our involvement in educating each other on our roles. The NFRS are experts on fires and our staff benefitted learning about fire, its causes, how it spreads, and some technology and practical solutions, such as alarms and fire resistant bedding. The NFRS are not experts in health and required our support in developing these skills. We advised the NFRS how to simplify some of its literature so it was more accessible and helped them develop stickers to prompt people to turn off switches. We additionally had joint student placements with the NFRS so student Occupational Therapists in their final year would spend half of their time with the Persons at Risk team in the NFRS, and 14

CHARLIE P Care and Support Needs Hoarding Alcohol/Drugs Reduced Mobility Lives Alone Inappropriate Use of Smoking Elderly and Electric Use* P revious Signs of Near Miss Fires *Electric use refers to the unsafe overloading of electrical sockets and poor wiring or cables, which could potentially increase the risk of electrical fires

half their time with specialist Occupational Therapists in MHSOP. The Persons at Risk team are a small specialist team who risk assess and support the most vulnerable people. The input of Occupational Therapists and Occupational Therapy students led the NFRS to become more person centred in their approach and to help them to work for the best solution for the individual, rather than just eliminating the fire risk.

People hamshire Fire and of Older Adults

Nottinghamshire Healthcare NHS Foundation Trust

An example of this type of approach has been when a lady was having a number of fires whilst cooking. The previous approach by the NFRS may have been to remove the cooker but now they are starting to look at the situation from the individualâ€™s point of view and different ways of managing risk. Working with the Occupational Therapists the NFRS noticed that the reason for the fires was that the lady could not stand for long and would sit in the lounge away from the kitchen and get distracted - forgetting the cooking until the alarm went off. So the Occupational Therapist simply reorganised the kitchen, and put a chair/stool in there with a written prompt to remind the lady to stay with the cooking, which could help prevent future fires and allow the lady to be independent, rather than relying on a care package. The Occupational Therapists and their students have encouraged the Persons at Risk team in NFRS to consider the individual and their abilities and needs, in addition to the activities that a person needs and wants to do and the environment that these activities take place in. We have just had a new set of students start working with the NFRS for their 10 week placement and will be having a trial period of an Occupational Therapist working within the NFRS to develop their skills. Occupational Therapists are based in the MHSOP community teams and inpatient areas throughout Nottinghamshire and Nottingham City. Referrals from the public can be made online by visiting the NFRS website (www.notts-fire.gov.uk) and then clicking on Home Safety, or by telephoning 0800 0223235.

For further information please contact Lyndsay Beck at Nottinghamshire Healthcare, 0115 969 1300 ext. 13829

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

10 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.

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 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 supplied by:

Contact and Support

We are here to answer any questions you may have about the Motability 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. 17

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 •h ow 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. 18

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)

than one local care home that is suitable.

• continence

• symptom control through drug therapies and medication

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.

• altered states of consciousness

NHS continuing healthcare reviews

• other significant needs

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.

• skin (including wounds and ulcers) • breathing

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 •h ow 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.

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.

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.

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.

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.

If you’re not eligible for NHS continuing healthcare

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 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

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. 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 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 >> 19

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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Personalised care If your local authority agrees to pay for some or all of your home care needs, it must offer you choice over how to meet your needs – this is known as personalisation of your care and support. A good assessment of your needs will help you begin to think about the kinds of things you may want to do to meet you care and support needs. Following this, you will be involved in planning out how you would like to meet your needs, and be given a personal budget, and can choose to take a direct payment. Self-directed support through good planning, personal budgets and direct payments is often called “personalised support” or “personalisation”. It gives you choice and control over how your needs are met, and enables you to do the things you value the most.

Personal budgets A personal budget is the amount of money the local authority allocates for your care, based on its assessment of your needs. 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 that you can directly pay for your own care (a direct payment). It could 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. These are commonly known as Individual Service Funds. Additionally, you can choose a combination of the above (for example, a direct payment with some council-arranged care and support), often called a mixed package.

Direct payments Direct payments give you the most control over your care, and mean that if you are unhappy with the services you’re getting, you can decide to change who gives you the care services without the process of going through the local authority. However, with this freedom comes the responsibility of accounting for how the budget is spent to ensure it is meeting your needs, and additional responsibilities if you decide to become an employer and hire a personal assistant with your direct payment. The Money Advice Service has a guide to using direct payments.

What does personalised support mean for me? Personalisation means that you will have to spend some time and effort thinking about your care and support needs, the outcomes you wish to achieve, and how you may want to meet your needs. Depending on the choices you make, there may be some additional 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. Alternatively, you could hire careworkers through an agency, which removes the legal obligations of being employer, but may potentially add costs and may remove some of the benefits of having the same person provide your care. Read more about how to choose care services.

How does personalised care and support work? You and your social worker or care manager will work together to create a care and support plan. This plan details your care and support needs, and will be used to work out the value of your “personal budget”. Your support plan should consider: •w hat’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 Ensure that 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). You will need to clarify how you will manage 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, independent social worker or an advocate

• your care manager or social worker Discuss these options with your social worker or carer and consider which option is best for you. If someone else will be looking after your money, you may need to create a “decision-making agreement”. A decision-making agreement should state how they will 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 that your care and support needs are being met. You may need to keep receipts where possible (especially for large purchases), so that you can show them you’ve spent your money responsibly. If you choose a direct payment, the council will give you a direct payment agreement that will set out the terms and conditions. If you’re struggling to manage your money, the local authority should advise you on how to make your money work best for you.

Checking your care plan is meeting your care and support needs You should 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 in which 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. You can ask for a review meeting about your care plan at any time. To prepare for a review, you should provide any receipts you’ve kept since you were awarded a personal budget. If someone is managing your funds for you, get them to join the review meeting.

Disagreements about care plans and personal budgets If you’ve been informed that you’re not eligible for services, or you don’t agree with the amount allocated to you in your personal budget, you can request a reassessment. Speak to your social worker or care manager about being reassessed, or phone your local authority social services department and request a complaints form. Find out how direct payments and personal budgets work. Editorial content supplied by:

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. 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 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, NHS-funded 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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Paying for your

own care and support

Many people who use care and support services will pay for all of the costs. This is known as being a “self-funder”. The cost of your care will vary depending on its type, intensity, specialisation, location and duration. For example, a place in a residential care home will cost hundreds of pounds a week. To make decisions that have such major financial implications, you may want to seek independent financial advice and it’s always worth researching the costs of alternatives first. For example, if you are considering a care home place, the cost should be weighed against the cost of care and support that may help you remain in your current home, such as homecare.

How much will care cost? If you are thinking about your future care needs or are facing immediate decisions about care options, it can be helpful to get an idea how much care can cost. Inevitably, the price you would pay will depend on your particular circumstances and needs. The costs also vary depending on where you live. Unfortunately, care homes and homecare agencies tend not to provide this information publicly but you may find it helpful to search for and contact care services in your area to get some idea of likely costs.

The ‘cap on care costs’ Currently, it is not easy to plan for your future care needs, as it’s hard to estimate how long you will need care for and how your circumstances may change. From April 2020, a “cap” on the costs of meeting your eligible care needs (but not accommodation associated with care or nursing costs) is being introduced. The cap means that, once reached, the local authority will take over paying the cost of their eligible care needs.

The cap will not cover your daily living costs. These costs include expenses such as rent, food and utilities and the costs you would face even if you did not have care needs. It is important to note that daily living costs will be a nationally set figure. This figure will be a “notional” amount rather than the actual costs. This is designed to support consistency and enable people to plan. To benefit from the cap once it comes in, you will need to contact your local authority to see if your needs are eligible. If you are seen to have eligible care needs, the local authority will open a “care account” for you. This account records your progress (the amount of costs you have incurred) towards the cap. The cap does not begin until April 2020 and any costs incurred before this will not count towards the cap. The BBC’s care calculator can estimate how much you may have to pay for care services depending on where you live in England, once the new rules are in place. This will give you an idea of how the cap will work for you, but actual costs will vary to reflect your individual circumstances and needs and how they change over time. For more information on how paying for care is changing from 2020, read about the changes in the Care Act.

Ask for help from your local authority It’s worth checking whether you’re eligible for means-tested support from your local authority or other financial support – for example, through a care needs assessment and a financial assessment. Few of us will have the income or ready access to the cash to pay for our ongoing care needs, and you may need to look at selling or remortgaging any property you may own. The new Care Act means more people may be able to benefit from “deferred payments”. Deferred payments can help people avoid being forced to sell their home in a crisis in order to pay for their care by having the council temporarily cover the cost – usually until you sell your property. Following the Care Act, every local authority in England has to make deferred payment agreements available. As an alternative, you may be able to enter an “equity release scheme” with a financial organisation. Equity release can pay for the fees from the value of property you own. However, you should consider which of these options best meets your needs, and what the overall costs to you will be. Before taking such significant financial steps as equity release, you might want to get independent financial advice. You can find information on equity release for care at home from Which? Elderly Care or the

Money Advice Service’s equity release information. If you’re planning ahead, you may consider arranging an investment or insurance plan to fund your care. Again, it may be worth taking independent advice on financial arrangements before making major changes. Because of the new rules, there are likely to be more financial products emerging that are designed to help people pay for care. You may also want to explore whether the NHS would meet some or all of your care and support costs, or you may have entitlement to benefits that may help you meet costs. Read about other ways of funding care.

Advice on paying for care Even if your local authority is not able to help fund your care, it will be able to make an assessment of your care and support needs. From this, the local authority can provide you with access to a range of information and advice available locally. You can also get independent advice from: • T he Money Advice Service website: offers information on paying for care or the option to speak to an online adviser. You can call the Money Advice Service on 0300 500 5000. • The Society of Later Life Advisers: the society can also help you find advice on how to make financial plans for care in your old age. • Find Me Good Care: a website of the Social Care Institute for Excellence. It has advice on all aspects of planning and funding social care. • Age UK: has great advice for older people and those planning for their later years. • Carers UK: an excellent resource of advice for carers who need to help someone else. • Which? Elderly Care has a guide to financing care.

Deferred payments if you are unable to pay for care services Care home fees are a big financial commitment, and the decision to go into a care home is often made at a moment of crisis or urgency, such as when being discharged from hospital. This can make finding the money to pay for fees (usually several hundred pounds a week) challenging for people funding their own care. In particular, if you own property outright but have little in the way of savings, you may be expected to fund your own care but have little immediately available money to pay for it. Some people going to stay in a care home for a long time find that they have no option but to sell their property to pay the care home fees. Your council may be able to help you if you are at risk of having to sell your home. Where there is a delay in selling the property, or you don’t want to sell the property immediately, you may be eligible to have your care fee payment “deferred”. This is where the local authority helps you to pay

your care fees temporarily, and you repay the costs to the local authority at a later date. If the local authority agrees to the deferred payment and pays the care home fees, it will take payment from the money raised once the property is sold. This can be: • during your lifetime if you choose to sell your home •o nce you die, the local authority can be repaid from your estate All councils must offer people the chance to defer payment if they meet a set of eligibility criteria. A deferred payment scheme is only available if you don’t have enough income to cover your care home fees, and you have less in savings than £23,250. In these circumstances, the savings don’t include the value of your property, but does include money in bank accounts. The local authority will put a “legal charge” (similar to a mortgage) on the property and will then pay the remaining care fees in full. You will then be assessed to see whether they are able to pay a weekly charge to the authority. Your ability to pay is based on your income less a set “disposable income allowance” (currently £144 per week). Before considering deferred payments, you should look into whether the property will or won’t be counted in how your capital is calculated. For instance, it may be disregarded because your partner still lives there, and if it is a deferred payment agreement wouldn’t be necessary. It’s wise to get independent financial advice before agreeing to a deferred payment, and it’s worth bearing in mind that choosing deferred payments can impact on some welfare benefits.

Protection for self-funders While you may have the savings in place to afford care services, if you lack the capacity to make the arrangements, the local authority can step in to help. The local authority can also help people who lack capacity by negotiating fees with a care provider and paying them directly. The local authority will need to be reimbursed. Anyone entering into a contract for care services should be given adequate information about the fees. Care providers should supply: • information about the fees charged for various services provided • arrangements for paying the fees • the fees charged for any additional services If your capital falls below the set levels for local authority funding (currently £23,250), you will be eligible for reassessment for help with funding your care. Editorial content for pages 17-25 supplied by: 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.

Useful contacts A

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 (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.

0800 888 6678 Admiral Nursing DIRECT 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. I www.dementiauk.org I direct@dementiauk.org

Mind (National Association 0300 123 3393 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

Age UK Nottingham 0115 844 0011 & Nottinghamshire Bradbury House 12 Shakespeare Street, Nottingham NG1 4FQ Northern office: 26-28 Regent Street, Mansfield, Nottinghamshire NG18 1SS I info@ageuknotts.org.uk I www.ageuknotts.org.uk Arthritis - 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

B Bassetlaw Citizens Advice 0844 856 3411 Central Avenue, Worksop, Nottinghamshire, S80 1EJ I www.bassetlawcab.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 Carers Trust Areas covered: Mansfield, Ashfield, Bassetlaw, Newark and Sherwood. Nottinghamshire Intake Business Centre, Kirkland Avenue NG18 5QP I admin.nncrossroads@ntlbusiness.com

01623 658535

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 Disability Benefits â€“ for Disability Living 0845 712 3456 Allowance and Attendance Allowance I Textphone: 0845 722 4433 I www.direct.gov.uk/en/Dl1/Directories DG_10011169

E 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 28

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

0845 450 0230

NHS 111

111

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

0800 800 0303

R 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

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

T The Department of Work and Pensions I www.dwp.gov.uk The Pension Service 0845 606 0265 I w ww.dwp.gov.uk/about-dwp/customerdelivery/ the-pension-service

OCTAGON DESIGN & M A RKETING LTD

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. ÂŠ2018. Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Telephone: 01302 714528 Options Bassetlaw is published by Octagon Design and Marketing Ltd with editorial contributions from Nottinghamshire County Council, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Nottinghamshire Healthcare 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.

NHS Hospitals and

services in Bassetlaw Harworth Bircotes

Misterton Everton c Be

Carlton Forest House/ West House,

Clayworth

Ranskill

m ha ng

Blyth

Carlton Forest, Hundred Acre Lane, Carlton in Lindrick, Nr Worksop, Notts, S81 0TS Tel: 01909 533533

Bassetlaw Hospital

Sutton

Carlton

Blyth Road, Worksop, Nottinghamshire S81 0BD. Tel: 01909 500990

Sturton

RETFORD

WORKSOP Welbeck

Retford Hospital

North Road, Retford, Nottinghamshire

Rampton DN22 7XF. Tel: 01777 274400

East Markham Tuxford and Trent

Queenâ€™s Buildings,

17B The Square, Retford, Nottinghamshire, DN22 6DB Tel: 01909 533533

Potter Street, Worksop, Nottinghamshire, S80 2AH Tel: 01909 533533

For details of our adult social care services available in the Bassetlaw area, see pages 4 - 9 or phone 0300 500 80 80. For details of some of our community services in Bassetlaw see pages 14-15 or phone 0115 969 1300. For details of our services available in the Bassetlaw area, see pages 24 and 25 or phone 0115 844 0011. 29

Notes We provide residential as well as dementia care Visit: www.carehomewoodlands.com Email: info@carehomewoodlands.com

DESIGN PRINT SUPPORT

Located on Woodsetts Road North Anston, Woodlands care home provides high quality residential and dementia care for older people.

OCTAGON DE S IGN & M A RKE T I NG LT D

VICTORIA CARE HOME

Registered with the Care Quality Commission

Victoria Care Home is registered to provide nursing and residential care for 93 service users. The homely environment is divided into small units each offering specialist care for a variety of care needs including Dementia and general frailty. Victoria Care home is ideally located within Worksop town centre providing ease of access for all. Each person at Victoria care home is recognised as a unique individual and we work closely as a team to meet everyoneâ€™s needs. We strive to ensure a relaxed, homely atmosphere, where all are respected and cared for. Call in for a cup of tea and a chat, you will be made most welcome. Memorial Avenue, Worksop, Nottinghamshire, S80 2BJ

01909 476416

Welcome to our homes... Our care homes have built up excellent reputations within their local communities with the vast majority of our new residents coming through recommendations from others. This has been established through our commitment to the on-going provision of dedicated quality care delivered within a high quality, yet homely environment.

• You are reading this because you are thinking about finding a care home for a loved one or even yourself • You’re trying to ensure you are making the right decision to find the best possible care for your family member • Are you unsure what funding you are entitled to, how to work through all the paperwork? It can be a very challenging process - We will help and advise you. Let our management team offer professional support and guidance from people who genuinely care.

56 Three Tuns Rd, Eastwood, Nottingham NG16 3EJ T: 01773 712017 E: ashtoncourt@my-care.co.uk

Manorfields

47 Farley Rd, Derby DE23 6BW T 01332 346248 E manorfields@my-care.co.uk

Normanton Lodge

75 Mansfield Rd, South Normanton, Alfreton DE55 2EF T 01773 811453 E info@my-care.co.uk

Peacemills

132 Perry Road, Sherwood, Nottingham NG5 3AH T: 0115 9602 539 E: peacemills@btconnect.com

Edward House

175 Nottingham Road, Eastwood NG16 3GS T: 01773 531591 E: edwardhouse@my-care.co.uk

Moriah House

Deep Furrow Avenue, Carlton, Nottingham NG4 1RS T: 0115 9110 078 E: moriahhouse@my-care.co.uk

Orchard House

46 Easthorpe Street, Ruddington, Nottingham NG11 6LA T: 0115 9217 610 E: orchardhouse@my-care.co.uk

St. Peters

15 Vicarage Lane, Ruddington, Nottingham NG11 6HB T: 0115 9844 608 E: stpeters@my-care.co.uk

www.my-care.co.uk

Assisted Living Apartments & Residential Home Willow Tree House

3 Sutton Road, Mansfield, Nottinghamshire NG18 5ET T: 01623 471300 E: willowtree@my-care.co.uk

Nursing & Residential Homes Balmore Country House

245-247 Loughborough Road, Ruddington, Nottingham NG11 6NY T: 0115 9213 006 E: balmorehouse@my-care.co.uk

Bramcote Hills

36 Sandringham Drive, Bramcote, Nottingham NG9 3EJ T: 0115 922 1414 E: bramcotehills@gmail.com

Designed and compiled by Octagon Design and Marketing Ltd., Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Tel: 01302 714528

We welcome visitors into our homes and encourage family members and friends to get involved in their loved-ones care and become part of the care home’s life. Those looking for a care home are welcome to visit at any time, an appointment is not always necessary.