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OPTIONS A guide to care and independent living

Rotherham Autumn 2017 | 7th edition

CONTRIBUTORS: Age UK Rotherham Alzheimerâ€™s Society NHS Choices Rotherham Metropolitan Borough Council

www.rotherham.gov.uk

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Contents Our hospital team............................................................................................................................................................4 Do I need to be referred to the Supported discharge team?.........................................................................4 The assessment process................................................................................................................................................4 Getting the most out of your assessment.............................................................................................................5 More about the assessment........................................................................................................................................5 How do we decide what help you receive?............................................................................................................6 Assessments and carers.................................................................................................................................................7 Assistive Technology â€“ What is it ?...........................................................................................................................7 Intermediate care............................................................................................................................................................8 24 hour Care homes........................................................................................................................................................8 Safeguarding adults at risk.......................................................................................................................................8-9 Paying for my care and support.......................................................................................................................... 9-10 Direct payments............................................................................................................................................................. 10 Discharge from Hospital............................................................................................................................................. 11 Problems or queries...................................................................................................................................................... 11 Helping you to connect to the support you need............................................................................................ 11 Other sources of help for when you have left hospital.................................................................................. 12 Rotherham Intermediate Care Centre (RICC)................................................................................................... 13 Paying for care and support...................................................................................................................................... 14 If you need medical help fast, but it is not life threatening - call 111.................................................... 15 NHS continuing healthcare................................................................................................................................ 16-18 What is NHS-funded nursing care?........................................................................................................................ 20 The Motability Scheme............................................................................................................................................... 21 The Care Quality Commission Social Care and GP top tips.................................................................. 22-23 Age UK Rotherham................................................................................................................................................ 24-25 Alzheimerâ€™s Society Services in Rotherham................................................................................................. 26-27 Useful contacts........................................................................................................................................................ 28-29 NHS Hospitals and services in Rotherham.......................................................................................................... 30

Welcome and

introduction

This guide is intended to help you, your carer and relatives understand the process and assessments that may take place while in hospital. Also gives you information to help you live independently and access support services in your area.

Rotherham OCTAGON DES IG N & M ARKE TING LTD

Our hospital team Rotherham Council has a Supported Discharge Pathway Team based in Rotherham Hospital. This team is made up of a team manager, team leader, social workers , well being advisors, Independent living officers and support planners.

Do I need to be referred to the Supported discharge team? Planning for discharge normally begins at the point, or even before, you are admitted to hospital. The discharge process will be coordinated by a member of the nursing team on the ward. Following an initial assessment by nursing and medical staff, you will be referred, with your consent, to the hospital social work team if you appear to have social care needs that require assessment prior

to your discharge. This is done by the ward sending a request for assessment notification (care act 2014) previously this was called a section 2. You can also give your consent to your carer who can ask for you to be referred to the supported discharged pathway team. If you have any queries or want any general advice you can contact a wellbeing advisor on 01709 424650

The assessment process If you agree to an assessment a member of supported discharge pathway team allocated to your particular ward will contact you. The assessment is not a test, but a way of working out what your needs are and which ones might be putting you at risk. The assessment process will start with discussions with the ward staff, with you and your family/ carers. This process of information gathering and clarification of the situation will enable the member of the support discharge pathway team to work alongside you to: â€˘ identify your needs â€˘ establish your eligibility â€˘ give you information about services that could immediately support you to be discharged from hospital or support you in the longer term.

Depending on how complex your care needs are, other specialist assessments may also be required. The referral process and time scales for assessments are outlined in the (care act 2014). The length of time required to complete the process can vary depending on how complex your needs are. In Adult and Housing Services, we aim to do what we can to help people to live independently and safely. We work within resources available to us, and therefore ensure that we prioritise the people who are in greatest need of help. This booklet tells you more about assessments and eligibility criteria. It also tells you about what will happen after you have an assessment. This may be relevant to you if you are an adult, have a physical or sensory disability, have mental health problems, or have a learning disability.

Getting the most out of your assessment You might want to prepare for your assessment by jotting down anything you want to talk through with us. What can you do for yourself? Do you have any family or friends who are able to offer you support and with what? What is difficult for you? What kind of support are you having at the moment? Are some days much easier than others?

If so, why do you think this is? We know that there are some things which can be difficult or stressful to talk about, but please don't be embarrassed. We will understand your feelings and respect them. We can provide access to an advocate to assist you with the process. If your first language is not English, or if you use sign language, we can arrange for an interpreter. Please let us know what you need.

More about the assessment Once the ward has asked for an assessment, one of our staff will come and visit you on the ward. You can have a friend or relative with you at the assessment, if you wish. The assessment is free and will involve discussions about; • What you are able to do for yourself • What you would like to achieve • What type of help you feel is needed

4) How well you are able to involve yourself in family responsibilities, community life, and work or study. We may want to get information from other people, such as the Ward, Doctor, Therapists and family etc. We might share some of the information you give us with other people, but only when it is necessary to help to plan your care, on a 'need to know' basis with your consent.

2) Your health and safety, including any risks to your mental health or wellbeing

On the assessment form we write down everything we discussed and agreed with you during the assessment, and also anything we might have disagreed about. You will get a copy of the completed assessment form to keep this will contain any contact numbers and agreed contingency plans, you may need following your discharge. If you have additional communication needs ie large print we can ensure you get any information from us in the correct format.

3) Your daily routines, such as personal care and domestic chores, and how well you are able to manage them

Following the assessment, we will give you information about support that may be available, and any charges involved.

• What difficulties you are having at the moment • How stressful and urgent you feel your situation is. Some of the questions we may also ask you 1) How much control you have over your own life, and how easy or difficult you find it to make decisions about the way you live

How do we decide what help you receive? National Eligibility Criteria Social care is not free for everyone. We have to balance the needs of adults in Rotherham with the limited amount of money we have. We do this by giving help and support to the people who are most at risk. We use guidance to decide who needs the most help, and what help and support we can give. The guidelines are called ‘Eligibility Criteria’, which were made by the Government. In the ‘Eligibility Criteria’ guidelines the areas of risk are:(a) managing and maintaining nutrition; (b) maintaining personal hygiene; (c) managing toilet needs; (d) being appropriately clothed;

(e) being able to make use of the adult’s home safely; (f) maintaining a habitable home environment; (g) developing and maintaining family or other personal relationships; (h) accessing and engaging in work, training, education or volunteering; (i) making use of necessary facilities or services in the local community including public transport, and recreational facilities or services; and (j) carrying out any caring responsibilities the adult has for a child. Once we have completed you’re assessment together we would look at how we can utilise support from friends and family and local services prior to looking at commissioning council services.

Notes Care Assistance Providers of quality domiciliary care in the community including: • Personal care • Bathing • Shopping trips/activities • Day-to-day needs • Night care We are committed to providing the highest homecare package that is individually tailored to meet our clients’ needs and choices.

Tel: 01709 543361 6

Assessments and carers If you have a carer - a relative or friend who provides you with unpaid support - we may want to talk to them about what support they are able and willing to give. The care Act means carers may also be entitled to support with their caring role. If you have an identified carer, this would also be an appropriate time for them to receive a carer's assessment. Please ask us for more information on this.

Emergency carers scheme This service is free and is for all Adults. If you are faced with an emergency of your own we can help you make the arrangements, so that the person you look after still receives the right level of care. We will discuss with you and record your emergency arrangements. This will include the names

of 2 people if you have them (friends relatives, known to the cared for person) who we can contact If there is an emergency. If there is no one who can assist then we will meet, with as little disruption as possible, the cared for persons needs. We will hold the information about you and the person you care for. This information is completely confidential. you will then be issued with a key ring, phone sticker and a credit card sized card containing our telephone number. These should be carried with you at all times. In the event of an accident or emergency anyone finding the card will be able to contact us. Staff will look up your carers emergency plan and put it into action. If you are interested In joining the scheme, please contact single point of access team on Tel: (01709) 822330.

Assistive Technology â€“ What is it ? Assistive Technology is a range of preventative equipment or sensors which are specifically designed to help reduce the risks of independent living. The sensors are either worn or placed around the home and will self-alert in the event of an incident e.g. in the event of a fall, Epileptic seizure, the person leaving the property at an unusual time of day e.g. during the night, the detection of smoke, fire, gas or floods or even to bogus callers. These sensors link to the Councils Rothercare pendant alarm system which provides an emergency call handling and mobile response service 24 hours per day for 365 days of the year. Some of the equipment can be linked to a Carers pager rather than Rothercare if they live in the same property. We also provide a range preventative equipment which does not require Rothercare or Carers pagers e.g. Automated medication dispensers, clocks

which orientate to the time and day or easy to use telephones as well as bespoke equipment which can improve the individuals independence without the requirement for care interventions. To access Assistive Technology equipment please contact Single Point of Access on 01709 822330 To arrange for the installation of Rothercare please contact: Rothercare 01709 371897

How can I get this equipment? If you have a social work assessment as part of your discharge the allocated worker will be happy to discuss and consider any appropriate assistive technology as part of the assessment. Once you have left the hospital please contact the single point of access team on Tel: 822330 or e-mail assessment.direct@rotherham.gov.uk who are able to discuss and action your request.

Enabling service Enabling is about helping you become more independent and improve your quality of life,it is different to traditional â€˜homecareâ€™ because it focusses on helping you regain your independence doing everyday tasks such as making a meal, getting out of bed, personal care, moving around. We will help you to do these things for yourself rather than someone else doing the tasks for you.

Intermediate care Intermediate Care is the name for support to help you build back your skills and enable you to live at home as independently as possible. In some cases hospital staff may recommend a period of rehabilitation in order to maximise your independence. A member of the Therapy Team

would assess you for this. An intermediate care service may be provided by community health and social care services to support you during this period. This service will not require input from the supported discharge pathway team, the ward will advise you about this service.

24 hour Care homes If it is felt that you can no longer manage at home even with support, the decision may be for you to move to a care home. You and your family will be involved in this decision. The assessment will identify your care needs. This will help you and your family to select a registered care home which will be able to meet your needs. There are 3 categories of care homes. • Residential care – provides accommodation meals care and support throughout the day and night. • Nursing care – offers the same as residential care with the addition of 24 hour care by a qualified nurse. This will require a CHC assessment (see page 14 -16)

• Dementia care or EMI (Elderly Mentally Ill) care – which provide specialist extra care for people often due to dementia or other mental health diagnosis. You and your family have the right to choose the care home you will move to. During the care planning process you should be supported to identify a suitable care home which is registered to meet your needs and has a vacancy. Your social worker/social services officer can help you with this process. However if the home of your choice has no vacancy, you may have to accept a place in an alternative care home until a place in your home of choice is available.

Safeguarding adults at risk The Care Act places a legal requirement on all agencies to make sure that all adults (aged 18 and over) should be able to live without being harmed or at risk of abuse/harm.

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Adults who have care and support needs (visual impairment, hearing impairment, physical disability, physical ill health, learning disability, mental health issue etc) may be less able to protect themselves from harm and may struggle to share their worries.

Harm is defined in the Care Act as

Where a local authority has reasonable cause to suspect that an adult in its area (whether or not ordinarily resident there) – • has needs for care and support (whether or not the authority is meeting any of those needs) AND • is experiencing, or is at risk of, abuse or neglect,

• as a result of those needs is unable to protect himself or herself against the abuse or neglect or the risk of it.

Physical – for example hitting etc Sexual – for example - forcing adults to do sexual acts they don’t want to or can’t consent to (including rape,sexual assaults etc) Financial or Material – for example taking money or anything of value from adults etc Neglect and Acts of Omission – any action that restricts choice, causes ham or isolates people, for example not supporting them to get washed/ dressed etc

Discriminatory – It is a criminal offence to bully someone who has a disability or is “different”, or other associated hate crimes. Psychological or Emotional – for example. Threatening to leave them alone or intimidating them etc. Self Neglect - is any failure of an adult to take care of himself or herself that causes, or is reasonably likely to cause within a short period of time, serious physical, mental or emotional harm or substantial damage to or loss of assets. Domestic Abuse – Any incident of threatening behaviour, violence or abuse (psychological, physical, sexual, financial or emotional) between adults who are or have been intimate partners or family members, regardless of gender or sexuality. Modern Slavery/Human Trafficking – The movement: recruitment, transportation, transfer, harbouring or receipt of people. Organisational Abuse – Organisational abuse can typically occur in a care home, nursing home, acute hospital or in patients home setting. It can

be caused by the regimentation of residents or of the individuals that are supported and the rules and regimes can be oppressive and abusive. Organisational abuse can also be in the forms of lack of choice, lack of privacy, lack of respect or lack of dignity.

What should I do if I think something is wrong? • If you feel a crime has been committed, contact the police on 101, or in an emergency situation, call 999 immediately. • You can share your concerns without giving your name • You can complete an online form at www.rotherham.gov.uk • You can ring Single point of access Team on 01709 822330 • You can Text2Tell on 07748142816 • You can also report concerns about hospitals, home care agencies and care homes to the Care Quality Commission (CQC) on 0300 616161.

Paying for my care and support Social care, unlike health care, is not free for everyone. The financial assessment process helps us work out how much the council can pay towards your care and support needs, and what costs you will be responsible for. If you are an adult with eligible needs and have assets above the capital threshold of £23,250, you will be responsible for meeting the full cost of your care and support. However, if you need help arranging services, we can do this with you and offer you advice and information. If you do not have assets above the capital limit, you may still need to pay towards your care and support depending on your financial circumstances. From April 2016 to April 2017, carers will not be charged for services meeting their eligible support needs. If the person being cared for has agreed to receive care services to meet the needs of their carer, they may need to complete a financial

assessment to determine how much, if anything, they will contribute towards those services.

How we work out what you must pay for your care and support Unless you are a carer, you will need to complete a financial assessment form. This will tell us about your financial situation so that we can work out if you will need to pay and if so, how much you pay towards your care and support services. If it is clear that you have significant financial resources to use to pay for your care and support, and you do not wish to undergo a full financial assessment, we may offer a ‘light touch’ financial assessment. If you do not agree with the light touch assessment, you can ask for a full financial assessment. How much you will pay will depend on whether you are receiving care in a care home, your own home, or another setting.

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In the following circumstances, the value of your main or only home will not be taken into account in the financial assessment:

be taken into account as income. However, any money you receive from employment is not taken into account.

• if you are receiving care in a setting that is not a care home

If you live in a care home, you will contribute most of your income towards the cost of your care home fees. However, you will always have at least £24.90 per week for personal expenses.

• if your stay in a care home is temporary • where you no longer occupy the property (e.g. you live in a care home) but: - your partner continues to live there - or a family member who is over 60 continues to live there - or a family member who is under 60 and incapacitated continues to live there - your child under the age of 18 continues to live there If you have savings between £14,250 and under the self-funding threshold of £23,250 you will be deemed to have an income of £1 per week for every £250 (or part thereof) you have above £14,250. This is called Tariff Income. Any money you receive as regular payments such as state or private pensions and benefits will

If you live in your own home, you will be left with at least the minimum income guarantee amount for your age (equivalent to Income Support or Pension Credit Guarantee Credit) plus a 25% buffer. To find out more about your financial assessment please refer to the following booklets on the Rotherham website: www.rotherham.gov.uk paying_for_care_and_support. These capital thresholds, personal expenses allowances and minimum income levels are subject to change based on annual review and Government policy. We will give you a copy of your financial assessment once it has been completed.

Direct payments Every local council must now offer people who need help to stay in their own home, money instead of arranging services for them. This is called direct payments. These direct payments enable you to choose how you organise the help you need. Giving you money instead of services will give you greater control over your life, because you make the decisions about how your care is provided. The vast majority of people getting care from the council have a right to receive a direct payment. The member of the support discharge pathway team who undertakes your assessment will discuss direct payments with you when they assess your care needs.

Discharge from Hospital Once all assessments are completed the social work staff will discuss with you what help may be available and decide with you how your care needs can best be met. Your discharge should take place in a timely fashion. We will endeavour to give you a copy

of your community care assessment and support plan before leaving hospital. If this is not possible we will give you a discharge letter giving you an overview of your planned care and your community care assessment will follow in the post.

Problems or queries If you have queries or are experiencing difficulties relating to your discharge you can either contact the supported discharge pathway worker working with you or speak to the nurse caring for you on the ward.

to speak to a wellbeing advisor who will assist to resolve any problems or issues which are the responsibility of Social Services.

If a supported discharge pathway worker has not been allocated to you, you can contact the team

You can also contact the Transfer of Care Team on 01709 308415

They can also give further information and contact details you may find helpful. Tel 01709 304650

Helping you to connect to the support you need Rotherham Connect to Support could help you: • Find information and advice about Adult Social Care and signposts to alternative services • Purchase equipment and other goods to help you • Find community groups near you • Find care and service providers • View all the Care Homes in Rotherham Metropolitan Borough Council • Find information about being a carer The website is in addition to the support you will be

given following adult social care assessments and will keep you on the pulse of what’s on in Rotherham. CQC inspection ratings will be displayed for those care and service providers who are regularly assessed. As with the information currently supplied to people, the Council cannot recommend specific providers but does offer information and guidance on the services available. For more information visit www.rotherham.connecttosupport.org

Other sources of help for when you have left hospital Single point of access Team 01709 822330

Age UK – Rotherham 01709 835214 or 01709 786955

www.rotherham.gov.uk

Age UK are an independent charity whose objectives are to make the lives of older people in Rotherham as fulfilling and rewarding as possible.

If you think that you may need help once you have been discharged from hospital you can ask for advice or a care assessment. To make things easier for you we have set up a first point of contact for all our services called Single point of Access team. You can speak to a well being Advisor who will listen to your enquiry, advise and assist to ensure you get the right information or support you need. We can help you with: • Social care assessments • Advice and Information of community services available • Carer's assessments • Emergency carers scheme registration • Safeguarding vulnerable adults • Adaptations within your home • Occupational therapy assessments • Assistive technology • Any other aspect of your social care

Age UK can help you with a variety of day opportunities that are fun and offer companionship when used as part of a care plan can help older people remain healthy and well. Access to community information about housing, benefits, products and services (home insurance, motor insurance etc) www.ageuk.org.uk/Rotherham/How-we-can-help-you/

Carers Corner – 01709 254809 Caring for someone is not always easy which is why the Council and its partners have all come together at 'Carers Corner' to provide you with all the support you need under one roof. At Carers Corner you can get face to face advice - such as how to access benefits or legal advice, along with how to access the Carers Emergency Scheme and Carers Assessments.

Community Occupational Therapist Service – 01709 822330 The Community Occupational Therapy Team helps anyone who is elderly or disabled and is having problems with activities of daily living. You can refer yourself for help, or someone else can contact us on your behalf. All contacts to the Community Occupational Therapy Service are taken by Rothercare Direct. They may be able to respond to your problem at the point of contact or they may pass your request to another agency, such as the Home Improvement Agency. If they are unable to do this, your request will be passed to the Community Occupational Therapy Team.

Physiotherapist Service – Badsley Moor Lane – 01709 422323 We offer a range of treatments including manual therapy, electrotherapy, acupuncture, hydrotherapy, education and self-help programmes, active rehabilitation and chronic pain management. www.rotherhamhospital.nhs.uk/department. aspx?id=198

Rotherham Intermediate Care Centre (RICC) â€“ 01709 514003 The Rotherham Intermediate Care Centre, located on Badsley Moor Lane, is a joint partnership between Rotherham Council and Rotherham Foundation Trust. The centre is set to provide rehabilitation facilities within a day setting for the people of Rotherham. The centre works as an intermediate care hub, bringing together therapists, specialist mental health workers and support workers who are providing services to promote and maximise independence following a patient's recent change in health and change in functional abilities or a worsening of their long-term condition. The service will provide activities which are tailormade to a patient's own interests and abilities in relation to facilitating their community goals.

Paying for care and support What the Council will pay towards care home costs Following your assessment if a decision is made for you to move into residential care you will always have to contribute something towards the cost of your care. Each year, the Council sets a maximum figure that we will pay towards your weekly care home costs. The amounts vary depending on the type of care you receive. The current maximum weekly Council contribution is:

Private care home £401 for residential care £451 for nursing care £419 for residential dementia care £518 for nursing dementia care

Rotherham Council care home £550 for residential care The amount you pay is worked out using a national set of rules. The Council will pay the difference between your contribution and the fee for your place in the home, so long as the home doesn't charge more than we expect to pay. The value of your former home will be included as

part of the financial assessment, however it should be disregarded if your spouse or partner lives there, or another relative lives there who is either over 60 years of age or receiving a disability benefit. Your home is also ignored if you enter a care home for a temporary stay. If your property is taken into account, you will usually have more than the limit for getting local authority assistance. The local authority may assist you under the ‘deferred payments’ scheme agreement. You will always be left with a weekly amount for your own use called a Personal Allowance. This amounts to £24.90 per week. If you need nursing care the NHS will pay a contribution towards your nursing care, which is called Funded Nursing Care or Continuing Healthcare. The NHS will pay this money directly to the care home to cover the costs of providing nursing cover on a 24 hour, 7 days a week basis. If you choose a care home that is more expensive than what the Council will pay, you will need to make arrangements for someone else to pay the difference. This is often called a third party contribution or a top up fee. All figures correct at the time of going to print. ©Rotherham Metropolitan Borough Council

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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. Find out more about the children and young people's continuing care national framework. 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 still 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.

• 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. 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 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.

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.

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.

Fast-track assessment for NHS continuing healthcare

The team's assessment will consider your needs under the following headings: • behaviour • cognition (understanding) • communication • psychological/emotional needs • mobility • nutrition (food and drink) • continence • skin (including wounds and ulcers) • breathing • symptom control through drug therapies and medication • altered states of consciousness • other significant needs These needs are then 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

You can download a blank copy of the NHS continuing healthcare decision support tool.

If someone's condition is deteriorating quickly and they are 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 are 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 are eligible for NHS continuing healthcare,

your needs and support package should normally be reviewed within three months and thereafter at least annually. This review will consider whether your existing care and support package meets your assessed needs. If your needs have changed, the review will also consider whether you are still eligible for NHS continuing healthcare.

Refunds for delays in NHS continuing healthcare funding CCGs should 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 that you are 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 are not eligible for NHS continuing healthcare If you are not eligible for NHS continuing healthcare, but you are assessed as requiring nursing care in a care home (in other words, a care home that is registered to provide nursing care) you will 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 am now eligible for NHS continuing healthcare â€“ will my support package change? If you are 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 is possible to refuse. However, if they do refuse, although they will still be entitled to an assessment by the local authority there is no guarantee that they will be provided with services. This is because there is 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 is 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 is not 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.

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 correct at the time of going to print.

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 NHSfunded 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.

Content 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.

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.

Content 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 on 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.

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.

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 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 ●

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.

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.

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 ● 8

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 longterm conditions. People will be able to choose a GP service that rates highly on the areas that matter to them.

We welcome your feedback (good and bad) on the services you, or a loved one, receives from your GP. You can share information with us online at http://www.cqc.org.uk/share-yourexperience-finder or call us on 03000 61 61 61.

/CareQualityCommission

@CareQualityComm

Age UK – Rotherham 01709 835214 or 01709 786955 Age UK Rotherham became the new name for Age Concern Rotherham in April 2011. We have been working with and campaigning for older people since 1974. We are an independent charity, whose objectives are to help older people who live in Rotherham to maintain their independence, health and well being by providing services that meet individual needs. We recognise that you want a choice in how you are supported, to continue to remain independent in your own home. The following services are designed to offer you support when and where needed to keep your independence.

planning & preparing meals with you, cleaning and laundry tasks, shopping and companionship. There is a charge for this service.

Advice and Information Services – This is a free service We can offer home visits to provide you with advice on a range of issues including: Benefits, housing, community care and general health and welfare. We can also provide: • you to complete forms and make applications

Services to support independence

Insurance products

Our services offer a comprehensive range of support so that you can be happier in your own home, stay safe and remain independent. We have over 20 years experience of providing a trusted service to older people in Rotherham. The team are trained, caring and fully vetted for your safety. Our services include:

Home Insurance – With cover you can rely on Call 01709 910711 Car Insurance – With no upper age limit Call 01709 910711 Motor Breakdown – Cover wherever you are in the UK Call 01709 910711 Travel Insurance – With no upper age limit Call 01709 910711

We currently offer a range of health and wellbeing services, which include: Social Centre The centre aims to help you feel less lonely and to keep you active by providing you with an opportunity to meet people and participate in various activities like: Crafts, gentle exercise, guest speakers and outings. There is a choice of lunchtime menu that will be cooked fresh on site.

A Little Bit Of Help We can provide a helping hand with everyday tasks so you can stay independent for longer. We can help you with getting out and about,

Home, Car and Travel Insurance are provided by Ageas Insurance Limited. Age UK Motor Breakdown is provided by Aria Insurance Services Limited brought to you by Age UK enterprises. Age UK Rotherham Trading Limited is an Appointed Representative of Age UK Enterprises Limited which is authorised and regulated by the Financial Conduct Authority for insurance mediation. ACOEM2793V1AUG17

Befriending We can provide you with a link line telephone support call, which provides a reassuring call to you each morning or when requested. This can be on a permanent or temporary basis if your carer is away. For any further information on these service please contact 01709 786955

Love later life 24

Serving the Older People of Rotherham

Rotherham

Alzheimer’s Society Services in Rotherham

If you think you may have a form of dementia, or are caring for a person who has dementia, there are many ways that Alzheimer’s Society in Rotherham can help. Someone to talk to

You can phone at any time during our opening hours to talk in confidence with a member of our Dementia Support Team. Our team are here to listen when you just feel the need to talk, or to offer information on specific issues.

Support from Dementia Support Workers

Our Dementia Support Workers give personalised practical and emotional support to people with dementia and their carers. We are in touch with a wide range of services and other organisations throughout Rotherham and can put you in touch with specialists who can help you if your concerns are outside of our expertise.

Home Visits

We can arrange for a Dementia Support Worker to visit you at home and provide information, guidance and support.

Information

We have a wide range of booklets and fact sheets which include specific information on different types of dementia, care issues and understanding the needs of the person with dementia.

Singing for the Brain

An innovative project providing structured musical stimulation for people with dementia and their carers. Singing is an enjoyable activity and provides a way for people with dementia to express themselves and socialise with others in a fun, supportive group. Groups run once a month.

Memory Café

Anyone who has dementia or is caring for a person with dementia is welcome to attend the monthly Cafés. Each Café is staffed by Alzheimer’s Society workers and volunteers. Staff from partnership agencies including Social Workers, Community Psychiatric

Nurses and Occupational Therapists are invited to attend the groups. Please contact us for more information including dates and times.

Carer’s Information and Support Programme

The Carer’s Information Support Programme is a series of workshops for people caring for a family member or friend with dementia. The workshops aim to provide you with information and support on topics such as: ■ what is dementia? ■ how you can support and care for someone with dementia ■ the support services that are available ■ planning for the future

Carers Resilience Service

Carers Resilience is a new integrated service: Crossroads Care and Alzheimer’s Society will work together to provide Link Workers for all GP Practices across Rotherham. The service is specifically for carers of people living with dementia in their own homes. It works to build confidence and resilience by offering: a full assessment of the needs of the carers by a Dementia Adviser; fast track to immediate short term in-home respite care where necessary; support for carers for up to one month; signposting on to other services as required.

Fundraising

As a charity we rely heavily on donations to maintain our levels of service. If you would like to help and are able to make a donation of any amount please contact us at the Mexborough office. All donations will be gratefully received.

Membership

All members of Alzheimer’s Society receive a monthly national magazine. The more members we have, the greater our lobbying power. Membership is free to carers and people with dementia. Email: doncaster@alzheimers.org.uk

Dementia Friends Programme

Dementia Friends is a national initiat is being run by the Alzheimer’s Socie funded by the government, and aims improve people's understanding of d and its effects. Through the Dementi Friends programme, we aim to chan way the nation thinks, talks and acts 2020 we want 4 million Dementia Fr there are currently 2 million who hav knowledge and confidence to help p with dementia feel understood and in in their community. Because, togethe can create dementia friendly commu

How will it work?

We will train and develop a group of volunteers to spread the word about dementia is and what action individu take in their community. We will then them to recruit Dementia Friends wh then receive a basic information ses dementia and be encouraged to take

What is a Dementia Friend?

A Dementia Friend learns a little bit m about what it is like to live with deme during a Dementia Friends Informati Session and then turns that understa into action.

What is a Dementia Friends Champion?

Dementia Friends Champions are volunteers who run information sess where they talk to people about bein Dementia Friend in their communitie easy to get involved. Dementia Frien Champions will attend a training cou receive support as and when they ne it and be part of a growing network of people creating dementia friendly communities together.

How can I get involved?

It's easy to get involved. Just visit www.dementiafriends.org.uk and bo onto a Dementia Friends Information session. Alternatively, you can conta your local Alzheimer’s Society office more information.

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What should I do now? For information, guidance and support, please call us on 01709 580543. We are open from 9am to 5pm, Monday to Friday Alternatively you could visit us at: Alzheimerâ€™s Society Doncaster and Rotherham, Room G18, Mexborough Business Centre, College Road, Mexborough S64 9JP

27 27

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 ❙ www.elderabuse.org.uk ❙ enquiries@elderabuse.org.uk Admiral Nursing DIRECT 0800 888 6678 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back. ❙ www.dementiauk.org ❙ direct@dementiauk.org Age UK Rotherham 01709 835 214 An independent charity whose objective is to make the lives of older people in Rotherham as fulfilling as possible. 49-53 St Ann's Road, Rotherham, S65 1PF ❙ http://www.ageuk.org.uk/rotherham Alzheimer's Society 01709 580 543 The UK's leading support and research charity for people with dementia, their families and carers. ❙ www.alzheimers.org.uk ❙ doncaster@alzheimers.org.uk Arthritis Care 020 7380 6500 Working with and for all people with arthritis to put them in control of their arthritis and their lives. Arthritis Care, Floor 4, Linen Court, 10 East Road, London N1 6AD. ❙ info@arthritiscare.org.uk C

CareAware 0161 707 1107 A one stop shop for free advice on care fee funding for older people. ❙ www.careaware.co.uk ❙ enquiries@careaware.co.uk Care Quality Commission (CQC) 03000 616161 National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA ❙ www.cqc.org.uk ❙ enquiries@cqc.org.uk Crossroads Care 01709 360272 If you are a carer, your local Crossroads Care scheme can offer you support. Unit H, The Point, Bradmarsh, Rotherham S60 1BP ❙ www.crossroadsrotherham.co.uk ❙ rotherham@crossroads.org.uk

Carers UK 0808 808 7777 Prevents carers from becoming emotionally drained, and from forgetting to take care of themselves. 20 Great Dover Street, London SE1 4LX ❙ General enquiries: 0207 378 4999 ❙ Advice line: 0808 808 7777 www.carersuk.org ❙ info@carersuk.org Carnson House - Rotherham in recovery - 01709 364804 Cruse Bereavement Care 0844 477 9400 Cruse Bereavement Care is here to support you after the death of someone close. www.cruse.org.uk ❙ helpline@cruse.org.uk D

DIAL 01709 370 138 (Disability Information Advice Line) DIAL Doncaster provide information and advice to disabled people, their family and professionals on all aspects of living with a disability. 21 Barden Crescent, Brinsworth, Rotherham S60 5HR Disability Benefits Helpline – 0845 712 3456 for Disability Living Allowance and Attendance Allowance ❙ Textphone: 0845 722 4433 ❙ www.direct.gov.uk/en/Dl1/Directories DG_10011169 E

Elderly Accommodation Counsel 020 7820 1343 The Counsel's aim is to help older people make informed choices about meeting their housing and care needs. It was founded in 1984 and became registered as a charity in 1985. It is now more commonly known as EAC. ❙ www.eac.org.uk M Mind (National Association 020 8519 2122 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. www.mind.org.uk ❙ contact@mind.org.uk N National Osteoporosis Society Advice, information and support group for people with osteoporosis. ❙ www.nos.org.uk NHS 111

0845 450 0230

111

P Poppy calls - free handyperson service for service veterans

0800 032 0306

Notes

Parkinson's Disease Society 0800 800 0303 ❙ www.parkinsons.org.uk R Rotherham 01709 515680 Citizens Advice Bureau The RAIN Building, Eastwood Lane, Rotherham S65 1EQ ❙ www.rotherhamcab.org.uk/ 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 ❙ www.royalvoluntaryservice.org.uk S Silverline 0800 470 8090 Free helpline for UK older people who would like information advice or a chat to combat loneliness. Shelter 0844 515 2240 National homeless and housing charity South Yorkshire Fire Service Free fire safety check

0114 253 2314

Stroke Association 0845 3033 100 Advice and information for stroke patients and their families. ❙ www.stroke.org.uk T The Department of Work and Pensions ❙ www.dwp.gov.uk The Pension Service 0845 606 0265 ❙ www.dwp.gov.uk/about-dwp/customerdelivery/thepension-service

Y Yorkshire Housing - handy person service

0114 256 4270

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. Octagon Design & Marketing Ltd has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Octagon Design & Marketing Ltd endorse any of the products or services. 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. ©2017. Hawks Nest Cottage, Great North Road, Bawtry, Doncaster DN10 6AB. Tel: 01302 714528 Whilst we have taken every care in compiling this booklet, the publishers and promoters cannot accept responsibility for any inaccuracies. The inclusion of any advertisement in no way endorses the services or products sold.

NHS Hospitals and services in Rotherham

Riverside House, Main Street, Rotherham S60 1AE 01709 382121

Mexborough Business Centre, College Road, Mexborough, South Yorkshire S64 9JP 01709 580543

Wath

Rotherham 49-53 St Ann's Road, Rotherham, S65 1PF 01709 835214

Swinton

Hoober

arsh

Rawm

Silverwood

Wingfield

Keppel

Rotherham E.

Valley

Rotherham W. Brinsworth & Catcliffe

Wickersley

Boston Castle

Hellaby

Maltby

Sitwell Rother Vale

Dinnington

Holderness

Rotherham NHS Foundation Trust

Rotherham General Hospital Moorgate Road, Rotherham, South Yorkshire S60 2UD 01709 820000

Anston & Woodsetts Wales

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

Designed & Published by Octagon Design & Marketing Ltd, Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, DN10 6AB Tel: 01302 714528