Options Nottinghamshire - A guide to care and independent living Winter 2018

OPTIONS A guide to care and independent living

Leaving hospital

Nottinghamshire

Winter 2018

FREE

guide

What’s next?

NHS continuing healthcare Who’s eligible?

10

SOCIAL CARE

tips

Healthcare services Choosing the right one

CONTRIBUTORS: Age UK Alzheimer’s Society NHS Choices Nottinghamshire County Council Nottinghamshire Healthcare NHS FT

Are you lonely?

What is the Jigsaw Befriending Scheme?

We offer friendship and support to isolated older people (over the age of 60) in the Mansfield and Ashfield areas.

By matching our befrienders to those in need we hope to help reduce social isolation and loneliness and provide a friendship that will build over time.

You qualify to receive a Befriender if: • you live alone • are not able to get out • have little or no family support • would like more company

If you’re interested in receiving a Befriender or to become a Befriending Volunteer call Jigsaw’s Befriending Coordinator, Cate on 01623 415974 Email: Cate.bones@jigsawsupportscheme.org.uk Website: www.jigsawsupportscheme.org.uk

Building on People`s Strengths Creative Care provides high quality residential care and support for people with an Autistic Spectrum Disorder and additional severe and complex needs.

We offer more than a high quality environment in which our service users can maximise their individual potential – we provide a home, with a family of expert staff to support them every day.

Across our eight Nottinghamshire based Homes, the fundamental principle that underpins everything we do is a Positive Behavioural Management approach to care planning. Positive reinforcement, praise and more positive reinforcement are the ingredients we feel are essential in creating a recipe for successfully managing behaviour. This approach focuses on the positive aspects of people`s behaviour as opposed to being trapped within a cycle of problem solving. Our many successes in adopting this approach are well documented.

At Creative Care we believe that our service users are individuals and as such all packages of care are tailored specifically around the needs of each person to meet their current and future needs.

The environment we provide comprises 5 building blocks: • Structure, routine, boundaries and consistency • Positive Reinforcement • Extending options through creative / flexible programmes • Enhancing communication • A calming environment All of which create stability for our service users

To find out more about how we can help you, or those around you, please call us on 01623 600822 Alternatively you can call Andrew Sharp on 07483 948528 Creative Care: Head Office: The i Centre, Oakham Business Park, Hamilton Way, Mansfield, Nottingham, NG18 5BR Email: enquiries@creativecare.org.uk

www.creativecare.org.uk 2

Contents

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 Mental Health Services for Older People Partnership Working with Nottinghamshire Fire and Rescue Service To Improve Lives of Older Adults.............. 10-11 If you need medical help fast, but it is not life threatening – call 111............................. 14 NHS continuing healthcare............................................................................................. 16-18 Personalised care............................................................................................................. 18-19 What is NHS-funded nursing care?..................................................................................... 20 The Motability Scheme........................................................................................................ 21 Paying for your own care and support.......................................................................... 22-23 Age UK Nottingham & Nottinghamshire’s Services...................................................... 24-25 Alzheimer’s Society Services in Nottinghamshire.......................................................... 26-27 The Care Quality Commission Social Care top tips............................................................. 30 NHS hospitals and services in Nottinghamshire................................................................. 31 Useful contacts................................................................................................................ 32-33

Welcome and

introduction

This guide is intended to help you, your carer and your relatives understand how your local health services can help you after discharge from hospital. Also information to help you to live independently or access support and care services in your area.

Nottinghamshire Healthcare NHS Foundation Trust

Nottingham & Nottinghamshire

OCTAGON DESIG N & M A R K E T I NG LT D

3

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 shortterm 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 Metropolitan on 0115 939 5406.

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

4

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

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.

5

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

6

•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 you’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.

7

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 carer’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 in 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

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 Therapist’s ability to consider all aspects of a person from a holistic point of view.

Nottinghamshire Healthcare NHS Foundation Trust 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 10

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 individual’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 for 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 on-line by visiting 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, 0115 969 1300 ext. 13829

11

CQC Registered

Elmbank Care Home 35 Robinson Road, Mapperley, Nottingham NG3 6BB • 24 hour nursing care • Quality dementia care • Palliative care • Highly qualified & experienced staff • Single rooms, some en-suite • Extensive activities programme • Traditional style cooking with varied menu, special diets catered for

• Secluded gardens with patio & sensory garden • Warm homely environment • Visiting hairdressers, chiropodist, dentist, reflexologist and clergy • Passenger lift and nurse call

For further information please contact the Manager Isabel Mantle.

Tel: 0115 962 1262 Fax: 0115 952 3726 Email: isabel.mantle@redwoodcare.co.uk

South Moor Care Home Ltd

South Moor Road, Walkeringham, Doncaster, South Yorkshire DN10 4LD

Tel: 01427 891 204 • Fax: 01427 891 204 Email: southmoorlodge@jasminehealthcare.co.uk

OCTAGON

DESIGN PRINT SUPPORT

Are you considering your long term care options or feeling alone at home on your own?

Then why not give us a call or pop in to see what we offer.

We are situated in a lovely rural village with a lot of outdoor space including a sensory garden and a stunning courtyard.

We have very caring staff to meet your personal needs and enable you to stay as independent as possible, we have kitchen staff who provide a lovely choice of meals to meet your nutritional needs along with an activity co-ordinator who will keep your body and mind active.

For further details and to discuss your requirements please call Andrea Goacher on 01427 891204

DE S IG N & M A R K E T ING LTD

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

We offer care, support and exceptional accommodation for people with residential or dementia needs.

Our aim is for you to live life to the full through dignity, teamwork & passion.

Please enquire for day care, respite or permanent accommodation to The Manager Margaret Hemstock Racecourse Road, Southwell, Nottingham NG25 0TX

Email:manager@southwellcourt.co.uk

Tel 01636 815599 www.seelyhirsthouse.co.uk Company No. 9415269

12

Registered Charity No. 1160704

www.southwellcourt.co.uk www.facebook.com/SouthwellCourt

Living a full and dignified life

Mum’s happy she found a place she could call home.

Companionship was top of my mum’s list when she felt a care home was the next step in her life. With friendship came confidence, happiness and a sense of wellbeing. In fact Mum felt completely at home.

Which home did she choose? Runwood.

They offered all the care she needed and the independence she loved – and when Mum’s happy, we’re happy too.

Runwood are here to do what we do best – care.

“Our philosophy is that we are privileged to be allowed into the lives of older people we care for”

Runwood Homes offer good quality care at a fair price ❙ Bramwell, Bramcote. Tel: 01159 677571 ❙ Braywood Gardens, Carlton. Tel: 01159 381300 ❙ Jubilee Court, Hucknall. Tel: 01159 834630 ❙ Leawood Manor, West Bridgford. Tel: 01159 234985 ❙ Maun View, Mansfield. Tel: 01623 423125 ❙ Westwood, Worksop. Tel: 01909 533690

Freephone:

0800 412 5660

❙ Bracebridge Court, Atherstone. Tel: 01827 712895 ❙ Low Furlong, Shipston on Stour. Tel: 01608 662005 ❙ Orchard Blythe, Coleshill. Tel: 01675 467027 ❙ Park View, Warwick. Tel: 01926 493883 ❙ The Lawns, Leamington. Tel: 01926 425072 ❙ Lower Meadow, Stratford-on-Avon. Tel: 01789 268522

or visit:

www.runwoodhomes.co.uk 13

Advertorial

Why choose Runwood Homes?

Leading the way in Care for older people across the United Kingdom As one of the UK’s reputable companies in the Healthcare sector, we pride ourselves on delivering good quality care at a fair price from our dedicated and highly trained staff teams. We specialise in the provision of Residential, Nursing, Dementia and in some homes we offer Reablement and Respite Care (subject to availability).

Caring and Friendly Staff Team Our staff are selected not only for their experience and qualifications but also for their caring approach. Our aim is to ensure that our homes create an environment which really does feel like home, where friends and family are always welcome. We believe in “Dignity for Everyone, Every Day” and value the people we look after. We promise to provide a quality of life and sense of wellbeing and truly care for our residents.

At Runwood Homes, we celebrate individuality and are passionate about not only providing good quality care, but the care that is right for you. Our excellent staff will work with you and your family to ensure that the care we give fulfils your needs and wishes, and each resident will receive a tailored care plan. We are flexible to your needs and offer a range of care and specialist services tailored to meet each individual.

How Can We Help?

Our Managers are always happy to discuss your requirements and arrange a visit or to meet you in your own home to offer support and advice. We also provide an online contact form on our website www.runwoodhomes.co.uk and will reply to your enquiry as soon as possible.

Notes

14

DESIGN PRINT SUPPORT

What Kind of Care Is Right For You?

OCTAGON DE S IG N & M A R K E TI NG LTD

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

SALE NOW ON

Beds • Chairs • Power Chairs Stair Lifts • Scooters • Servicing Warranty • Insurance Drop into our Warehouse and try our wide range of products both new and pre-owned ALTERNATIVELY Let us come to you in the comfort and privacy of your own home Either way we will match the perfect product to your needs FREE NO OBLIGATION ASSESSMENTS

Brailsford House

CARE AS IT SHOULD BE Come and have a look around our family owned care home.

•W inner of North East INT Home of the Year 2017

We pride ourselves on providing excellent care within this homely setting.

•L ong/Short Term Respite Care and Day Care • Good CQC Rated

Let our home become yours.

Brailsford House Residential Home www.brailsfordhouse.co.uk

1 Main Street, Harworth DN11 8LE

Tel: 01302 742 156 15 15

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

Where can NHS continuing healthcare be provided?

NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your home or in a registered care home.

Eligibility for NHS continuing healthcare NHS continuing healthcare is for adults. Children and young people may receive a “continuing care package” if they have needs arising from disability, accident or illness that can’t be met by existing universal or specialist services alone.

To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a “multidisciplinary team”) as having a “primary health need”. Whether or not someone has a primary health need is assessed by looking at all their care needs and relating them to: • what help is needed • how complex these needs are • how intense or severe these needs can be • how unpredictable they are, including any risks to the person’s health if the right care isn’t provided at the right time Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition. If your needs change then your eligibility for NHS continuing healthcare may change.

You should be fully involved in the assessment process and kept informed, and have your views about your needs and support taken into account. Carers and family members should also be consulted where appropriate.

A decision about eligibility should usually be made within 28 days of it being decided that the person needs a full assessment for NHS continuing healthcare.

If you aren’t eligible for NHS continuing healthcare, you can be referred to your local authority who can discuss with you whether you may be eligible for support from them. If you still have some health needs then the NHS may pay for part of the package of support. This is sometimes known as a “joint package” of care.

NHS continuing healthcare assessments Clinical commissioning groups, known as CCGs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that 16

you may need it.

For most people, there is an initial checklist assessment, which is used to decide if you need a full assessment.

However, if you need care urgently – for example, if you’re terminally ill – your assessment may be fast-tracked.

Initial assessment for NHS continuing healthcare The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you’re being assessed, and be asked for your consent.

Depending on the outcome of the checklist, you will either be told that you don’t meet the criteria for a full assessment of NHS continuing healthcare and are therefore not eligible, or you will be referred for a full assessment of eligibility.

Being referred for a full assessment doesn’t necessarily mean that you will be eligible for NHS continuing healthcare. The purpose of the checklist is to enable anyone who might be eligible to have the opportunity for a full assessment.

The professional(s) completing the checklist should record written reasons for their decision, and sign and date the checklist.

You should be given a copy of the completed checklist. You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK. Full assessments for NHS continuing healthcare are undertaken by a “multidisciplinary team” made up of a minimum of two health or care professionals who are already involved in your care.

You should be informed who is co-ordinating the NHS continuing

healthcare assessment.

The team’s assessment will consider your needs under the following headings: • behaviour • cognition (understanding) • communication • psychological/emotional needs • mobility • nutrition (food and drink) • continence • skin (including wounds and ulcers) • breathing • symptom control through drug therapies and medication • altered states of consciousness • other significant needs These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”.

The multidisciplinary team will consider: • what help is needed • how complex these needs are • how intense or severe these needs can be • how unpredictable they are, including any risks to the person’s health if the right care isn’t provided at the right time If you have at least one priority need, or severe needs in at least two areas, you should be eligible for NHS continuing healthcare. You may also be eligible if you have a severe need in one area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability.

In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether NHS continuing healthcare should be provided.

The assessment should take into account your views and the views of any carers you have. You should be given a copy of the decision documents, along with clear reasons for the decision.

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

Fast-track assessment for NHS continuing healthcare If someone’s condition is deteriorating

quickly and they’re nearing the end of their life, they should be considered for the NHS continuing healthcare fast track pathway, so that an appropriate care and support package can be put in place as soon as possible – usually within 48 hours.

Care and support planning If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs.

Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget. If it is agreed that a care home is the best option for you, there could be more than one local care home that is suitable.

Your CCG should work collaboratively with you and consider your views when agreeing your care and support package and the setting where it will be provided. However, they can also take other factors into account, such as the cost and value for money of different options.

NHS continuing healthcare reviews If you’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within 3 months and thereafter at least annually. This review will consider whether your existing care and support package meets your assessed needs. If your needs have changed, the review will also consider whether you’re still eligible for NHS continuing healthcare.

Refunds for delays in NHS continuing healthcare funding CCGs will normally make a decision about eligibility for NHS continuing healthcare within 28 days of getting a completed checklist or request for a full assessment, unless there are circumstances beyond its control.

If the CCG decides you’re eligible, but takes longer than 28 days to decide this and the delay is unjustifiable, they should refund any care costs from the 29th day until the date of their decision.

If your CCG decided that you weren’t eligible for NHS continuing healthcare, but then revised this decision after a dispute, it should refund your care costs for the period between their original decision and their revised decision.

If you’re not eligible for NHS continuing healthcare If you’re not eligible for NHS continuing healthcare, but you’re assessed as requiring nursing care in a care home (in other words, a care home that’s registered to provide nursing care) you’ll be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the >> 17

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 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.

Content supplied by:

18

Personalised

If your local authority agrees to pay for some or 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.

d care

r all of your home care needs, it must offer you choice over how to meet your needs – this is known as personalisation of 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.

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 “decisionmaking 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 How does personalised care and support work? and support needs

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: • what’s important to you, including your interests, lifestyle, personal tastes and the people in your life • your hopes for the future, such as whether you’d like to study or take on more hobbies outside the home • what limitations you currently have and how you want to change • what you want to achieve by managing your own support 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

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.

Content supplied by:

19

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.

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:

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.

• you no longer have nursing needs

Outcome of the assessment

• y ou become entitled to NHS continuing healthcare instead.

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, 20

• y ou no longer live in a care home that provides nursing • y our 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

Content supplied by:

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 of your enquiry.

Tel: 0300 456 4566 8am-7pm Monday to Friday, 9am-1pm Saturday.

Monday 9am-11am is our busiest period. You may find it easier to call outside these times.

If you have specialist Minicom equipment, call our textphone number on 0300 037 0100 or speak to us through a British Sign Language (BSL) interpreter for deaf customers who have an enquiry about the Motability Scheme.

21

Paying for your own 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.

22

care and support

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 meanstested 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: • The 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 • once 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 16-23 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.

23

24

25

Dementia Friends Programme Dementia Friends is a national initiative run by the Alzheimer’s Society. Funded by the government, it aims to improve people’s understanding of dementia and its effects.

Through the Dementia Friends programme, we aim to change the way the nation thinks, talks and acts to create ‘dementia friendly’ communities.

How does it work?

A group of volunteers will be trained to spread the word about what dementia is and what action individuals can take in their community, and recruit Dementia Friends.

What is a Dementia Friend?

A Dementia Friend learns about what it is like to live with dementia and then turns that understanding into action.

What is a Dementia Friends Champion?

Dementia Friends Champions are volunteers who, after attending a training course, run information sessions where they talk to people about being a Dementia Friend in their communities.

How can I get involved?

It’s easy – just log on to www.dementiafriends.org.uk and book on to a Dementia Friends Information session. Alternatively, contact your local Alzheimer’s Society office for more information.

The Alzheimer’s Society have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Alzheimer’s Society endorse any of the products or services.

26

Taking o dement togethe

on tia er

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

Support from Dementia Support Workers Dementia Support Workers can offer advice on accessing professional help.

We are in contact with a wide range of services and other advice centres, so we can put you in touch with specialists who can help you if your concerns are outside of our expertise. We can also refer you, or the person you care for, to services which provide for people with dementia – particularly if you are having trouble accessing this yourself.

Home visits We can arrange for a Dementia Support Worker to visit you in your own home and provide information, advice and support.

Dementia Cafés Are places for people with dementia, their families and friends to meet other people in a similar situation for support, information and social interaction.

Singing for the Brain Is a service provided by Alzheimer’s Society which uses singing to bring people together in a friendly and stimulating social environment.

Singing is not only an enjoyable activity – it can also provide a way for people with dementia, along with their carers, to express themselves and socialise with others in a fun and supportive group.

Information

Carer Information and Support Programme (CrISP)

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

A series of workshops for people caring for a family member or friend with dementia. Workshops are run throughout the year in the Nottinghamshire area.

Booking is essential.

What should I do now?

For information, advice and support please contact one of our advisors on 01623 429419.

Alternatively you can visit us at: Alzheimer’s Society, 36 Wood Street, Mansfield, Nottinghamshire NG18 1QA.

27

28

29

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

2

3

4

5

6

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.

7

8

9

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/

10

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.

30

NHS Hospitals and services

in Nottinghamshire

Misterton Nottingham & Nottinghamshire

Northern office, 26-28 Regent Street, Mansfield, Nottinghamshire NG18 1SS Tel: 0115 844 0011

Blyth

Civic Centre, Chesterfield Road South, Mansfield, Nottinghamshire NG19 7BH Tel: 01623 463463

Retford

WORKSOP 36 Wood Street, Mansfield, Nottinghamshire NG18 1QA Tel: 01623 429419

Meadow House

Littleworth, Mansfield, Nottingham NG18 2TB Tel: 01623 433433

Tuxford Ollerton

Sir John Robinson Way

Arnold, Nottingham NG5 6DB Tel: 0115 8546000

MANSFIELD

Kelham Hall, Newark, Nottinghamshire NG23 5QX Tel: 01636 650000

Sutton-inAshfield

KIRKBY IN ASHFIELD Southwell

Nottinghamshire Healthcare NHS Foundation Trust

Mental Health Services for Older People (MHSOP) within Nottingham City Hospital: Hucknall Rd, Nottingham NG5 1PB Tel: 0115 876 0100

NEWARK-ON-TRENT

Hucknall Nottinghamshire Healthcare NHS Foundation Trust

Duncan Macmillan House Nottingham & Nottinghamshire

NOTTINGHAM Bingham

Bradbury House, 12 Shakespeare Street, Nottingham NG1 4FQ Tel: 0115 844 0011

Beeston

Porchester Road, Nottingham NG3 6AA Tel: 0115 969 1300

West Bridgford

Trent Bridge House Nottingham University Hospitals NHS Trust

Age UK Notts’ Service within Queen’s Medical Centre: Derby Road, Nottingham NG7 2UH Tel: 0115 924 9924

County Hall

West Bridgford, Nottingham NG2 7QP Tel: 0115 9823823

Fox Road, West Bridgford, Nottingham NG2 6BJ Tel: 0115 9823823

31

Useful contacts A Action on Elder Abuse 020 8835 9280 We work to protect, and prevent the abuse of, vulnerable older adults.

Action on Elder Abuse, PO Box 60001, Streatham SW16 9BY I www.elderabuse.org.uk I enquiries@elderabuse.org.uk Admiral Nursing DIRECT 0845 257 9406 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back.

I direct@fordementia.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 Alzheimer’s Society 01623 429419 Mansfield & Ashfield District Office, 36 Wood Street, Mansfield, Nottinghamshire NG18 1QA I admin@alzheimers.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 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 01623 658535 Areas covered: Mansfield, Ashfield, Bassetlaw, Newark and Sherwood, Nottinghamshire Intake Business Centre, Kirkland Avenue NG18 5QP I admin.nncrossroads@ntlbusiness.com 32

Citizens Advice Nottingham 0844 848 7997 & District 32-36 Carrington Street, Nottingham NG1 7FG I www.nottinghamcab.org.uk Cruse Bereavement Care 0844 477 9400 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 Nottinghamshire 01623 625 891 Disability information and advice service.

Unit 15, Botany Park, Botany Avenue, Mansfield, NG18 5NF I advice@disabilitynottinghamshire.org.uk Disability Benefits – for 0845 712 3456 Disability Living Allowance and Attendance Allowance I Textphone: 0845 722 4433 I w ww.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.

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

M Mind (National Association 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.

I www.mind.org.uk I contact@mind.org.uk

N National Osteoporosis Society 0845 450 0230 Advice, information and support group for people with osteoporosis.

I www.nos.org.uk NHS 111 P Parkinson's Disease Society I www.parkinsons.org.uk

Notes

111 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 Advice and information for stroke patients and their families.

I www.stroke.org.uk

0845 3033 100

T The Department of Work and Pensions I www.dwp.gov.uk The Pension Service 0845 606 0265 I www.dwp.gov.uk/about-dwp/customerdelivery/ the-pension-service Options Nottinghamshire is published by Octagon Design and Marketing Ltd with editorial contributions from Nottinghamshire County Council, Nottinghamshire Healthcare NHS Foundation Trust, the CQC, Age UK, the Alzheimer’s Society and NHS Choices. The editorial contributors have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor do the editorial contributors endorse any of the products or services.

OCTAGON DE SIG N & M ARKE T ING LT D

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. Š2018.

Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Telephone: 01302 714528

33

Eastgate Care Our priorities are quality care and comfort for all residents • All our homes offer Nursing, Convalescence, Respite, Dementia, Personal/Residential care services and have modern facilities • Our spacious en-suite rooms are tastefully decorated and furnished to a very high standard • We have fully qualified nursing staff, with 24 hour care and specialist nurse call systems • The comfortable welcoming lounges overlook well-tended gardens or a picturesque waterway • We host regular visits from local GP’s, chiropodist, optician, dentist, physiotherapist, hairdresser and religious ministers • Our meals are home cooked and we cater for special diets • Dedicated Activities Co-ordinators & regularly organised trips and outings

ALEXANDRA HOUSE Eastwood, Notts NG16 3GP

BELLE VUE LODGE MELBOURNE HOUSE Mapperley, Notts NG3 5FS Aspley, Notts NG8 5RU

PARK HOUSE Bulwell, Notts NG6 8SB

‘The care my husband is receiving has been an enormous comfort, as I found it very difficult to accept he had to go into a nursing home. The carers are excellent - caring, patient and kind to the residents & relatives, as too are the cleaners and laundry staff. The lounges are nicely decorated, the corridors are also cheerful and ‘themed’ and there is always music playing, the home is clean, warm and welcoming.’ Relative Mary H As recommended on carehome.co.uk

Eastgate Care - An established local company providing care for over 25 years

Canal Vue at Awsworth Road, Ilkeston, Derbys DE7 8JF

Call to arrange a visit, all homes Tel: 0115 979 1234 email: enquiries@eastgatecare.co.uk

Full details at: www.eastgatecare.co.uk The White Swan, Head Office & Training Centre, Nottingham NG6 0GD 34

Quality Care within a “Home from Home” Environment

The Troc Residential Care Home 32 Beds offering Dementia Care

As we begin to inevitably age, we may find we need a little extra help. No one likes to think about putting a family member into care, but for some of us it’s just not possible to provide the right care at home.

With an unsurpassed reputation within the local community, The Troc Care Home is situated on the outskirts of the historic market town of Newark, with easy access to the A1. Registered for 32 residents, The Troc offers a warm, family-friendly environment, ensuring each resident has companionship and stimulation in a homely and relaxed atmosphere, without loss of dignity or independence.

Every bedroom is fitted with a residents call system. Residents are encouraged to ‘personalise’ their room and are able to bring small items of favourite furniture with them to The Troc. As well as the dining room, residents have the choice of three sitting rooms, the largest of which opens onto the south-facing patio and garden. Weekly sessions of movement to music help keep residents active and mobile and from time to time, visiting groups provide entertainment.

For further information, please visit

www.thetroc.co.uk

Alternatively, to enquire about vacancies, please call 01636 671342

The Services We Offer We pride ourselves taking a person centred approach to the care we provide. This means that each resident is respected as an individual and treated with dignity and all our residents have a named key worker and their own Personal Care Plan. We work hard to encourage our carers and families to be creative in developing ideas to enhance the lives of our residents.

Strawberry Fields carers enjoy spending time with and learning each resident’s life history, the more we know about a resident the more we can understand an individual’s behaviour. This in turn helps us to work more closely with a resident, helping them to overcome their frustrations at sometimes not being able to express themselves as they would wish.

People with dementia need more care and more patience and more understanding, we know this and our carers pride themselves on being experts in this type of care.

Fees The fees charged are dependent on the type of care package and needs of the individual Service User.

Depending on the personal financial situation, a Service User can either pay the fees privately or receive benefits arranged by Social Services and/or the Primary Care Trust.

Contact Person: Cara Salmon Contact Details: Tel. 01636 700770 • Fax. 01636 610319 Email. admin@strawberryfieldscarehome.com Strawberry Fields, Strawberry Hall Lane, Newark, Notts NG24 2EP

Loxley Lodge CARE HOM E

Welcome to Loxley Lodge Care Home We hope that your admission to Loxley Lodge feels warm and welcoming and that you feel as special to us as you do to your Family. Your rights to privacy, dignity and freedom of choice will be respected at all times by all staff. All that remains is to wish you a happy and comfortable stay at Loxley Lodge.

Our Philosophy of Care The Staff will work as a family with hands on team spirit ethos.

We actively promote a happy working and living environment which is both professional, courteous and fun.

Maintaining your individuality is at the centre of everything we do. We want you to enjoy life at Loxley Lodge as much as we enjoy working here.

We welcome any prospective service users to spend a day with us and experience our facilities. Please call the Manager – Heather King for further information.

Loxley Lodge Care Home, School Street, Kirkby in Ashfield, Nottinghamshire, NG17 7BT Tel: 01623 757475

35

Ashton Court

Balmore Country House

Bramcote Hills

Edward House

Moriah House

Orchard House

Peacemills

St. Peters

Willow Tree House

56 Three Tuns Rd, Eastwood, Nottingham NG16 3EJ T: 01773 712017 E: ashtoncourt@my-care.co.uk 175 Nottingham Road, Eastwood NG16 3GS T: 01773 531591 E: edwardhouse@my-care.co.uk 132 Perry Road, Sherwood, Nottingham NG5 3AH T: 0115 9602 539 E: peacemills@btconnect.com

245-247 Loughborough Road, Ruddington, Nottingham NG11 6NY T: 0115 9213 006 E: balmorehouse@my-care.co.uk Deep Furrow Avenue, Carlton, Nottingham NG4 1RS T: 0115 9110 078 E: moriahhouse@my-care.co.uk 15 Vicarage Lane, Ruddington, Nottingham NG11 6HB T: 0115 9844 608 E: stpeters@my-care.co.uk

36 Sandringham Drive, Bramcote, Nottingham NG9 3EJ T: 0115 922 1414 E: bramcotehills@gmail.com 46 Easthorpe Street, Ruddington, Nottingham NG11 6LA T: 0115 9217 610 E: orchardhouse@my-care.co.uk 3 Sutton Road, Mansfield, Nottinghamshire NG18 5ET T: 01623 471300

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

Contact us now...