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

OPTIONS Liverpool & Sefton Winter 2018

A guide to care and independent living

CONTRIBUTORS: Age Concern Liverpool & Sefton The Royal Liverpool and Broadgreen University Hospitals NHS Trust NHS Choices Sefton Council

Leaving hospital What’s next?

FREE

guide

Contents

The right place for your care.............................................................................................. 4-5 Leaving hospital.......................................................................................................................5 Your hospital team..................................................................................................................6 The assessment process............................................................................................................6 Therapies..................................................................................................................................6 Dementia Practitioner.............................................................................................................6 Intermediate Care....................................................................................................................7 Intermediate Care – Aiming to get you home.................................................................. 8-9 Intermediate Care at Home: Liverpool Out of Hospitals Service..........................................9 What is the Liverpool Home First service?...........................................................................10 Our commitment to you........................................................................................................12 When you leave hospital.......................................................................................................12 Useful contacts.......................................................................................................................12 Sefton Social care and wellbeing.................................................................................... 14-15 NHS continuing healthcare............................................................................................. 16-18 Personalised care.............................................................................................................. 18-19 What is NHS-funded nursing care?.......................................................................................20 Paying for your own care and support.......................................................................... 21-23 The Friends and Family Test..................................................................................................24

The Care Quality Commission Social Care Top Tips..........................................................25 Going home from hospital? Age Concern Liverpool and Sefton are here to help........................................................................................................... 26-27 NHS Hospitals and services in Liverpool...............................................................................28 Useful Contacts......................................................................................................................29

Welcome and

introduction

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

The Royal Liverpool and Broadgreen University Hospitals NHS Trust

O C T A G O3 N DE S IGN & M A RKETING LTD

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The right place

for your care

Your local hospital in partnership with other hospitals in the region, and your local authorities recognise and support each patient to receive the right treatment, at the right place and by the right professional.

An acute hospital provides consultant led health services within the National Health Service. Acute care is for patients who require emergency, medical or surgical services within a hospital environment. The Royal Liverpool and Broadgreen Hospitals provide care for patients who require this level of care.

Hospitals are the right place to be when you are in need of specific medical or surgical treatment.

However, when your treatment has been completed, it is important that your stay is not delayed for the following reasons: • Beds are needed for people who are very unwell, and who may be waiting in the Accident and Emergency department for a bed to become available.

• People awaiting surgery, both urgent and nonurgent, may have their operations cancelled if a bed is unavailable.

• There is a risk of acquiring infections in hospital, so leaving at the earliest opportunity means this is less likely.

• Some people find it harder to return home the longer they stay in hospital.

It is good practice to start planning for your discharge as soon as you come into hospital or even before you arrive. This means that we can begin to: • Assess what your needs are likely to be when you are ready to leave.

• Involve relevant staff who can help in meeting those needs (e.g. social worker, occupational therapist, physiotherapist, district nurse).

• Make arrangements for equipment or services which need to be in place when you are medically ready to leave.

• Make sure that your carer is given any

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information, help or advice that is needed to aid your recovery.

All staff will work with you and your carer or relatives, as a team, in order to discuss your discharge with you.

We need to discuss any concerns you have at the earliest opportunity, e.g. your safety at home, managing your personal care or domestic arrangements, your ability to move around and any equipment you may need.

You will be given an expected date for discharge based on when it is expected that your treatment will be completed. It is important that everyone involved is aware of this date so that we can all work towards it, and so that the necessary arrangements can be made.

These may include: • Transport home. Patients are normally expected to arrange their own transport.

• Suitable clothing and footwear if you are not already using them in hospital.

• Access to a key to your property.

• Adequate basic food stocks.

• Adequate heating in your home.

• Adequate support for your carer or family members.

We aim for patients to be discharged before 10am but if this is not possible, it is likely that you will move to the Hospitality suite which enables us to prepare the bed for the next patient.

The Hospitality suite is a comfortable and safe place to wait for your transport.

Relatives or carers coming to collect you can meet you in the Lounge or a nurse can escort you to the main reception area.

Finally, we understand that any hospital stay can be stressful and we need to support you and your carer during your time here. You can also help us by moving from hospital when you no longer need our services. We will discuss with you the sort of help you and your carer may need when you return home, to make the transition as easy as possible.

Your Hospital Case Manager is the member of the team who will meet you on the ward and, along with the ward staff will begin planning your discharge from hospital.

For most patients, being discharged from hospital to their home is straightforward.

Some may need information and advice or may need the support of social services.

Some people have ongoing health and social care needs which require a more detailed assessment. Staff from health and social care will work together to plan and deliver services to support such people after discharge.

This guide explains some of these processes and explains the role of the hospital and Social Care team in the hospital discharge process.

Leaving hospital You will be transferred from hospital when your consultant led team decide that you are clinically ready to leave hospital and that you no longer require an acute hospital bed.

For the majority of patients, you will go home from hospital with no additional support required. In some cases you may require some extra support to regain your independence. Your hospital team will help you, your family and carers to access these services if you need them.

Your safe and timely transfer from hospital will also allow new patients who need acute hospital treatment to be admitted without delay.

We fully support your transfer out of hospital for the following reasons: 1. To support you to regain your independence 2. Some people find it harder to return home the longer they stay in hospital 3. Acute beds are needed for people who are very unwell, and delays in transfer may result in patients waiting in the Emergency department for a bed to become available.

4. Although we work hard to ensure the highest standards of care there is a risk of acquiring infections in hospital. Leaving hospital as soon as you are medically fit means this is less likely and reduces the risk of any complication.

Home from Hospital ?

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Your Hospital

Team

A Multi – disciplinary team including your Hospital Case Manager, Consultant team, Matron and ward nurses, Occupational Therapists, Physiotherapists and Social Workers will begin to plan your transfer from hospital as soon as you are admitted.

This team of clinical experts will explain their key roles to you if they are involved in your hospital care.

The assessment Your assessment begins as you are admitted to the ward area and is 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 your Hospital Case Manager, with you and your family / carers. This process of information gathering and clarification of the situation will indicate which members of the multi disciplinary team need to be involved in your assessment.

process

Your Hospital Case Manager will work alongside you to: • Identify your needs • Establish which members of the Multi disciplinary team may need to be involved in your care and assessment • Provide you with information about services that could support you as you are discharged from hospital

Therapies You may be referred to a therapist to assist in planning for your discharge from hospital.

This could be someone from a number of different professions; a dietician, occupational therapist , physiotherapist or a speech and language therapist. They will discuss with you and assess what you are able to do; and what

you might need more help with. They will then discuss with you what treatment, help or support is available to improve your independence. The therapists will discuss with the other members of the hospital team their findings and together with you and your family make a plan for your discharge from hospital.

Dementia practitioner

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During your hospital stay we have a dementia practitioner who is available to provide support for patient’s relatives and carers.

admitted to the hospitals or their carers will also receive information as to relevant advice in order to support them following their hospital stay.

Dementia patients will receive a ‘This Is Me’ document in order to deliver specific care needs along with the opportunity to take part in bedside activities. Every dementia patient

Shaun Lever – Dementia Practitioner, Royal Liverpool and Broadgreen University Hospitals 0151 7062000 bleep 5111; 0151 7064727

Intermediate Care Here in Liverpool, intermediate care can support people as they are discharged from the acute hospital who are not quite ready to return home.

• Over the age of 18

This period of intermediate care can provide rehabilitation from therapy staff or a period of reablement prior to returning home. Your hospital team will work with you to assess your level of need and which intermediate care service which would suit your needs should you require it.

Intermediate care is provided under Health and Social Care joint Commissioning arrangements and is free of charge whilst you are on the intermediate care pathway.

All patients who no longer need acute care but cannot return home and do not require specialist care are eligible for intermediate care if they meet the following criteria:

• Resident of Liverpool or • Registered with a Liverpool GP

People may be eligible for intermediate care following an episode of acute care for a further short period of recovery and or reablement.

This can benefit patients and enables a more accurate assessment of your ongoing care needs prior to returning home or before long term care is considered.

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Intermediate Care

– Aiming to get you home

The aim is to help you to relearn daily living skills so you do not need long-term support or go back into hospital.

• Provides a service to support hospital discharges, admissions and respite specialising in care and support for people with dementia. A new purpose built integral day You need to know what you want to achieve facility has been attached to the main and how this will be done in hospital building and is fully operational. to establish your reasons for going The new build provides into Intermediate Care through Re-ablement carer support, drop-in your multi disciplinary team services help to facilities, café, day support, assessment. First route out ensure people community outreach work, of hospital should always be advocacy, crisis intervention, receive the right your own home. If this is not possible, then the Intermediate level of support at health and well being advice and support.

Care aims to get you home and to eliminate dependency on long term support.

the right time.

Liverpool City Council provides a model of health and social care support through community bed based centres. The model creates a circle of health and social care support for adults.

The Model of care: Each facility supports intensive short-term community bed based services under the umbrella of re-ablement services.

Re-ablement services help to ensure people receive the right level of support at the right time.

We aim to support patients as they are discharged from hospital to reduce the length of time you stay in hospital and can offer a more realistic assessment of your future support needs.

We operate a Multi Disciplinary Team approach which comprises of Social Worker, Community Matron, Therapists, General Practitioner, Access coordinator (social care) and appropriate attendees related to your care programme.

Sedgemoor (30 beds) 41 Sedgemoor Road, Norris Green, Liverpool L11 3BR. Tel: 0151 256 1810

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Venmore (25 beds)

Hartnup Street, Liverpool L5 1UW Tel: 0151 263 2888 • Provides a service to support hospital discharges and admissions for people who have had a stroke. Service delivery is supported by the acute trust through Physiotherapist, Occupational Therapists, Speech and Language specialists and a range of social and health support services for individuals and their carers.

An integral day facility has been commissioned and this will provide a unique opportunity to support people who have poor or limited mobility, are prone to falls.

Granby (30 beds) 50 Selbourne Street, Liverpool L8 1YQ Tel: 0151 233 8631 • Is a specialist intermediate care unit, designed specifically to help you regain mobility and confidence, in order to live independently again. Once admitted to Granby, you will be assessed by a qualified team of a Physiotherapist, Occupational Therapist and Social Worker, who will develop an individual therapy programme specifically to meet your needs. This may involve staff working with

you on a daily basis to complete exercises to improve your mobility and to ensure that all support you may need is in place.

Intermediate Care bed based services provide assessment, care and treatment for you and discuss with you and your family or carer what care and support you need. During your stay, you may move from one part of our service to another depending upon your assessed needs.

This may include transfer to an alternative care setting.

During your admission you will be assessed by our therapy team who will discuss any treatment plans, goals and frequency of interventions with you. Therapy treatment may be delivered on the ward or in the gym and will consist of chair based exercises, walking practice and functional activities, treatments will be carried out by a member

of the multi disciplinary team where it is deemed appropriate to do so. It may be necessary to carry out a home assessment prior to your discharge and if so we will ask you to provide access to your home and ensure that you have appropriate outdoor clothing for the assessment.

If the Multi disciplinary team deems that you are medically fit for discharge but you are not ready for discharge home, you may move to another part of the service dependent upon your assessed needs. This may include transfer to an alternative care setting.

If required you will be assessed by a Social Worker or community care assessor to find out if you require ongoing support at home.

Intermediate

care at home:

Liverpool Out of Hospitals Service Liverpool Out of Hospital Service (LOOHS) is a multidisciplinary team of Health and Social Care professionals including Nurses, Occupational Therapists, Physiotherapists, Podiatrists, Social Workers and Support Workers.

LOOHS supports people and their carers when they are in health and / or social care crisis. The aim is to prevent people from being admitted to hospital if possible, support people to return home after a recent hospital admission, and enable people to live at home rather than in a care home, if they choose.

The rehab and reablement elements of the service aim to enable people to recover from recent loss of function, due to an illness,

or fall, for example. Therapists work in partnership with the local authority to develop a plan of care and rehab to enable people to regain their independence.

LOOHS tends to provide lots of support in the beginning and gradually reduces this support as people become more independent, but identifies that some people will need that care and support for the long term, and arranges that for them.

If you are assessed as requiring support from LOOHS you will be referred by a health or social care professional in the hospital.

Contact details For more information please contact Liverpool Out of Hospitals Services. Tel: 0151 285 3715

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What is Home First?

Home First is a partnership service provided

by Liverpool City Council, the Royal Liverpool and Broadgreen University Hospital, Aintree University Hospital, and Liverpool Community Health Trust.

Home First helps you to return home as soon as possible when you no longer need hospital treatment. The service will try get you back to doing all the things you were able to Every week, do before your the Home First hospital stay.

support team will check how you’re progressing.

Research shows that people are less likely to need long-term care and will stay independent for longer if they are supported to continue their recovery at home instead of staying in hospital.

How does Home First work?

When you are almost ready to be discharged one of the hospital team, such as a physiotherapist or an occupational therapist, will check if Home First is right for you.

If it is, arrangements will be made for you to return home as soon as you are ready, including transport if you are otherwise unable to make the journey.

When you are at home, the Home First support team will help you to get back to doing dayto-day tasks. You will also get support from health staff if you need it.

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As far as possible, we will do our best to provide support at a convenient time for you.

How long does Home First last?

Most people do not need Home First for longer than three weeks and it is not provided for more than six weeks.

Every week, the Home First support team will check how you’re progressing. When you are able to take care of yourself safely the service will end.

What if I still need care?

If it becomes clear whilst you are having Home First that you will need long-term support, your needs will be assessed by a social worker and a care plan will be put in place.

Liverpool City Council’s Help to Live at Home care providers will give this new support.

Will I be charged?

There is no charge for the Home First service.

You may be asked to contribute towards the cost of any Help to Live at Home support you need. To work out your contribution, you will be offered a financial assessment.

The assessment looks at your income and any savings you might have. You will only ever be asked to pay a fair amount that takes into account your income and any savings you might have.

If you refuse to have a financial assessment you will be asked to pay the maximum contribution.

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Our commitment to • Patients should receive the right treatment, at the right place and by the right professional • We place a high priority on keeping your stay in an acute hospital bed to a minimum • Once your consultant led team assesses that you are medically fit for transfer, we will aim to transfer you from hospital on the same day • You will be transferred from the Royal Liverpool and Broadgreen University Hospitals Trust when you are ready to leave hospital as there are more

appropriate services and facilities available to you • We will aim to transfer you from hospital before 10am on your day of transfer and if you require transport, we will arrange this for you • If there is a delay in your transfer, the hospital provides Discharge Suites where you will be looked after until you leave the hospital • The suites are a comfortable area where you can watch television, read papers and be provided with refreshments (Including breakfast and light lunch)

When you leave It is important to know that the majority of patients will be transferred home directly from hospital.

If you no longer require consultant led care and there is a delay in the start of your care package or preferred community based placement, you cannot

you

hospital

choose to remain in an acute hospital bed.

You will be transferred to a bed within a non hospital setting (within 48 hours) whilst this is arranged.

We will only transfer you when the appropriate placement has been identified and confirmed.

Useful contacts; Alzheimer's Society Alzheimer's Society staff and volunteers provide both local information and over 2,000 services across England, Wales and Northern Ireland to people affected by dementia in their communities.

Our local services include day care and home care for people with dementia, as well as support and befriending services to help partners and families cope with the demands of caring. From Alzheimer's Café's and innovative 'singing for the brain' sessions to memory-book projects and group outings, our services provide both practical support and an essential point of human contact.

Glaxo Neurological Centre Norton Street, Liverpool, Merseyside L3 8LR. Tel: 0151 298 2444

PSS Provide information on dementia including news, training, forums, chat rooms, downloads, memory

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games, telephone support, and a dementia café for people with dementia, their carers and health / social care professionals.

18-24 Seel Street, Liverpool, Merseyside L1 4BE. Tel: 0151 702 5555

Age UK Age UK is the UK’s largest charity working with and for older people.

Age UK aims to improve later life for everyone.

We want to make a difference to the lives of older people – here and in more than 40 other countries – by providing information and advice, lifeenhancing services and vital support. We develop products that are specifically designed for people in later life, and fund pioneering research into aspects of getting older. Age UK will campaign.

5 Bold Street L1 4DJ. Tel: 0151 7077020

Orchard Lodge Care Home EXCELLENT CARE 30-32 Gordon Road, Seaforth, Liverpool L21 1DW Telephone: 0151 474 6375

♦ Privacy ♦ Dignity ♦ Individuality ♦ Independence ♦ Freedom of Choice

We are committed to providing the highest standards of care in comfortable, safe and relaxed surroundings.

We aim to meet the personal needs of all of our clients in a way that respects the privacy and dignity of the individual and promotes independence. ♦ 20 Single and 3 Double Bedrooms ♦ Spacious Dining Room and Residents’ Lounge ♦ Conservatory Overlooking Garden ♦ Passenger Lift To All Floors ♦ 24 Hour Dedicated Care Staff ♦ Choice of Own GP ♦ Optional outings, activities, holidays and entertainments For more information or for an informal chat, please call our Registered Manager, who will be happy to answer any questions. 0151 474 6375

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Sefton Social care and wellbeing Most people want to live independently in their own homes for as long as possible. We encourage you to take care of your long term health and wellbeing by supporting and signposting you to a range of activities and events in your local community. These are available through libraries, leisure centres or through the voluntary, faith and community sector.

You can find full details of what is available in your local community through The Sefton Directory www.seftondirectory.com

Adult Social Care If you think you need additional help and support to maintain your independence or are struggling to live at home then you may be entitled to help from adult social care.

Your social care assessment An assessment means collecting information about you and your life and talking with you about the difficulties you have and how they affect your wellbeing. This helps us to understand your situation, what your needs are and how to plan for the future.

Things we will look at during your assessment: •W ho (if anyone) you would like to be involved in your assessment. If you have a carer then we will need to speak to them •W hat you are finding difficult and how this is affecting you in your daily life •Y our daily routine and how you manage •Y our health and how it affects you, including medication, recent visits or contact with GP or hospital • L ooking after yourself (e.g. washing, dressing, meals, shopping, managing your home and finances) • T hings you enjoy doing • T hings that are important to you • S upport already available to you – what’s working

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• • • •

well (e.g. help from family and friends, equipment and aids, paid carers) Anything that has worked well in the past If you are a carer, how your caring role affects you day to day What about things you do well?

What would you like to achieve / do more of?

Who can have an assessment?

Any adult who may have needs for care and support can have an assessment.

Anyone who looks after another adult and may need help to enable them to continue to care can have a Carers Assessment.

What if I don't want an assessment?

You can refuse to have an assessment but we may still need to talk to you if we are concerned about your safety and wellbeing.

We can still give you information and advice about arranging your own support and accessing activities and groups in your community. If you are offered an assessment but refuse this time, you could still change your mind at a later date.

Carers Support You are a carer if you provide regular and substantial unpaid help to someone who is frail or disabled, or mentally or physically ill, and who cannot manage without your support. You may not live in the same house, and you do not have to be related to the person you look after.

Carers are now able to have an assessment. The local authority will assess whether the carer has needs and what those needs may be.

This assessment will consider the impact of caring on the carer.

Anyone wanting help, advice or assistance completing the carers needs assessment should contact Sefton Carers Centre on 0151 288 6060 Find out more here: www.sefton.gov.uk/social-care/ care-and-support-for-adults

Living Well Sefton Public Health teams work to help people in Sefton to be healthy and happier. It's something you can do regardless of your age or your circumstances and it’s our job to help you.

There are parks, healthy places and a long coastline for you to enjoy. If you want to be healthier we can help you with information about how and where you can do it. If you want to start click www.livingwellsefton.org.uk or ring 0300 323 0181.

Living Well Sefton is a FREE service with a focus on supporting people with issues that may be affecting their health and wellbeing. It is collaboration of various Sefton organisations which have the expertise and knowledge to share with you.

As part of the service, there are a number of Living Well Mentors to talk to and they work with you on a one-to-one basis to identify health areas to see where small tweaks can be made but may have a big impact on improving your health.

What Living Well Sefton can offer Physical Activity – Research shows that physical activity can also boost self-esteem, mood, sleep quality and energy, as well as reducing your risk of stress, depression, dementia and Alzheimer’s disease. That is where we can help. Our partners offer sessions, workshops and activities you can join which will not only burn calories they make you feel better because you are meeting different people and being active. From walking groups, walking football and a Steps to Health programme As well as this, our Living Well Mentors can provide in-depth support by working out how physically active you want to be and tailoring a plan just for you.

Stop Smoking - It has been recognised for some time that stopping smoking is the single best thing anyone can do to improve their health because smoking is the biggest cause of preventable death and disease in the country. Smoke free Sefton is an established, nurse-led stop smoking service which can help anyone wanting to quit cigarettes. People are up to four times more likely to stop with this kind of support and they can be reached via our service. Alternatively, the stop smoking team have clinics throughout the borough at different times to be as flexible as possible.

Alcohol - Many people may not realise the amount they drink could be having an adverse affect on their health.

Weight Management - Managing your weight should be done in tandem with regular physical exercise, eating a healthy diet and watching how much you drink. Our Living Well Mentors can help you set goals and give details of other ways you can manage your weight such as joining one of their healthy cooking or weight management courses Mental Wellbeing - Our partners offer a variety of programmes, services and activities to give your wellbeing a boost. They range from: benefits and debt advice, luncheon clubs to provide a place to meet as well as eat, a film club, gardening groups, confidence and assertiveness courses and learn skills to cope with life’s stresses. Think Differently, Cope Differently is a five-week course our partners deliver and it is designed to increase your wellbeing by improving positive thinking, eating more healthy, learning relaxation skills and other ways of coping.

Reporting an adult safeguarding concern Safeguarding is work that helps vulnerable adults to keep their independence, wellbeing and choice and to live a life free from abuse, including neglect.

It is important to understand that Safeguarding is everyone's responsibility, including yours. We all have a role to play in preventing abuse. If you see something, report it as quickly as possible to stop it getting worse.

Are you concerned about adult abuse?

• Do you think a vulnerable adult is being harmed or is at risk of being harmed by someone else or is neglecting themself?

• Are you worried that a vulnerable adult is living in circumstances (at home or in care) where they are being treated badly or neglected?

If you've answered yes to either of these questions, then please call 0345 140 0845 to report your concerns. Don't worry if you are not sure. All reports will be looked into and no action will be taken unless it is needed.

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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.

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

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of support. This is sometimes known as a “joint package” of care.

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

For most people, there is an initial checklist assessment, which is used to decide if you need a full assessment. However, if you need care urgently – for example, if you’re terminally ill – your assessment may be fast-tracked.

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

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

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

The professional(s) completing the checklist should record written reasons for their decision, and sign and date the checklist. You should be given a copy of the completed checklist. You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK. Full assessments for NHS continuing healthcare are undertaken by a “multidisciplinary team” made up of a minimum of two health or care professionals who are already involved in your care. You should be informed who is co-ordinating the NHS continuing healthcare assessment.

The team’s assessment will consider your needs under the following headings: • behaviour • cognition (understanding) • communication • psychological/emotional needs • mobility • nutrition (food and drink)

• continence • skin (including wounds and ulcers) • breathing • 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 NHSfunded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. This is known as NHS-funding nursing care and is available irrespective of who is funding the rest of the care home fees.

NHS England has issued guidance on how people can be compensated following eligibility disputes and delays in receiving NHS continuing healthcare.

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

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healthcare, your CCG should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with one option being a “direct payment for healthcare”.

If you’re still not satisfied, you may want to complain.

Can someone refuse an assessment for NHS continuing healthcare? If they do refuse, will they be able to get services from their local authority?

An assessment for NHS continuing healthcare can’t be carried out without someone’s consent, so it’s possible to refuse. However, if they do refuse, although they’ll still be entitled to an assessment by the local authority there’s no guarantee that they’ll be provided with services. This is because there’s a legal limit on the type of services that a local authority can provide.

If you refuse to be assessed for NHS continuing healthcare, the CCG should explore your reasons for refusing, and try to address your concerns. If someone lacks the mental capacity to consent to or refuse an assessment, the principles of the Mental Capacity Act will apply and in most circumstances an assessment will be provided in the person’s best interest.

My relative is in a care home and has become eligible for NHS continuing healthcare. The CCG says the fees charged by this care home are more than they would usually pay, and has proposed a move to a different care home. I think a move will have a negative effect on my relative. What can we do?

If there’s evidence that a move is likely to have a significantly detrimental effect on your relative’s health or wellbeing, you should discuss this with the CCG who will take your concerns into account when considering the most appropriate arrangements.

If the CCG decides to arrange an alternative placement, they should make efforts to provide a reasonable choice of homes.

Is it possible to pay top-up fees for NHS continuing healthcare?

No, it isn’t possible to top up NHS continuing healthcare packages, like you can with local authority care packages.

The only way that NHS continuing healthcare packages can be topped up privately is if you pay for additional private services on top of the services you get from the NHS. These private services should be provided by different staff and preferably in a different setting.

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Personalised c If your local authority agrees to pay for some or all of your home care needs, it must offer you choice over how to meet your needs – this is known as personalisation of your care and support.

A good assessment of your needs will help you begin to think about the kinds of things you may want to do to meet you care and support needs. Following this, you will be involved in planning out how you would like to meet your needs, and be given a personal budget, and can choose to take a direct payment.

Self-directed support through good planning, personal budgets and direct payments is often called “personalised support” or “personalisation”. It gives you choice and control over how your needs are met, and enables you to do the things you value the most.

Personal budgets A personal budget is the amount of money the local authority allocates for your care, based on its assessment of your needs.

You can be put in charge of this “budget” either by telling the local authority how you would like it spent, or by the council giving you the money so that you can directly pay for your own care (a direct payment).

It could also be given to a separate organisation (such as a user-controlled trust) that will spend the money on your care as you see fit, if you prefer. These are commonly known as Individual Service Funds.

Additionally, you can choose a combination of the above (for example, a direct payment with some council-arranged care and support), often called a mixed package.

Direct payments Direct payments give you the most control over your care, and mean that if you are unhappy with the services you’re getting, you can decide to change who gives you the care services without the process of going through the local authority.

However, with this freedom comes the responsibility of accounting for how the budget is spent to ensure it is meeting your needs, and additional responsibilities if you decide to become an employer and hire a personal assistant with your direct payment.

The Money Advice Service has a guide to using direct payments.

What does personalised support mean for me?

Personalisation means that you will have to spend some time and effort thinking about your care and support needs, the outcomes you wish to achieve, and

care how you may want to meet your needs.

Depending on the choices you make, there may be some additional responsibilities. For example, if you decide to request a direct payment to cover the cost of homecare, you could use the payment to hire an individual, giving you the responsibilities of an employer.

Alternatively, you could hire careworkers through an agency, which removes the legal obligations of being employer, but may potentially add costs and may remove some of the benefits of having the same person provide your care.

Read more about how to choose care services.

How does personalised care and support work?

You and your social worker or care manager will work together to create a care and support plan. This plan details your care and support needs, and will be used to work out the value of your “personal budget”. Your support plan should consider: • 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 Discuss these options with your social worker or carer and consider which option is best for you. If someone else will be looking after your money, you may need to create a “decision-making agreement”. A decision-making

agreement should state how they will look after your money and what decisions they can and can’t make on your behalf.

The local authority may want to check what you do with your money, to make sure you’re spending your budget appropriately and that your care and support needs are being met. You may need to keep receipts where possible (especially for large purchases), so that you can show them you’ve spent your money responsibly. If you choose a direct payment, the council will give you a direct payment agreement that will set out the terms and conditions.

If you’re struggling to manage your money, the local authority should advise you on how to make your money work best for you.

Checking your care plan is meeting your care and support needs You should meet with your local authority at least once a year to discuss whether your care plan is working. This is an opportunity to discuss whether your needs are being met in the best way, and it’s also your chance to talk about changes you want to make for the future.

You don’t have to wait for a review meeting to change the way in which you spend your budget. You can change things as you go along. If you want to make a big change, consult your care manager or social worker, who may arrange a review.

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

Disagreements about care plans and personal budgets If you’ve been informed that you’re not eligible for services, or you don’t agree with the amount allocated to you in your personal budget, you can request a reassessment.

Speak to your social worker or care manager about being reassessed, or phone your local authority social services department and request a complaints form.

Find out how direct payments and personal budgets work.

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What is NHS-funded nursing care?

NHS-funded nursing care is care provided by a registered nurse for people who live in a care home. The NHS will pay a flat rate contribution directly to the care home towards the cost of this registered nursing care.

What is the rate of payment for NHS-funded nursing care?

NHS-funded nursing care is paid at the same rate across England. In April 2017, the rate was set at £155.05 a week (standard rate).

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

Before October 1 2007, there were three different levels or bands of payment for NHS-funded nursing care – low, medium and high.

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.

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.

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 NHSfunded nursing care and you don’t agree with the decision about your eligibility, you can ask your CCG to review the decision.

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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.

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Paying for your own

care and support Many people who use care and support services will pay for all of the costs. This is known as being a “self-funder”.

The cost of your care will vary depending on its type, intensity, specialisation, location and duration.

For example, a place in a residential care home will cost hundreds of pounds a week.

To make decisions that have such major financial implications, you may want to seek independent financial advice and it’s always worth researching the costs of alternatives first. For example, if you are considering a care home place, the cost should be weighed against the cost of care and support that may help you remain in your current home, such as homecare.

How much will care cost?

If you are thinking about your future care needs or are facing immediate decisions about care options, it can be helpful to get an idea how much care can cost.

Inevitably, the price you would pay will depend on your particular circumstances and needs. The costs also vary depending on where you live.

Unfortunately, care homes and homecare agencies tend not to provide this information publicly but you may find it helpful to search for and contact care services in your area to get some idea of likely costs.

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

The cap will not cover your daily living costs. These costs include expenses such as rent, food and utilities and the costs you would face even if you did not have care needs. It is important to note that

daily living costs will be a nationally set figure. This figure will be a “notional” amount rather than the actual costs. This is designed to support consistency and enable people to plan.

To benefit from the cap once it comes in, you will need to contact your local authority to see if your needs are eligible. If you are seen to have eligible care needs, the local authority will open a “care account” for you. This account records your progress (the amount of costs you have incurred) towards the cap.

The cap does not begin until April 2020 and any costs incurred before this will not count towards the cap.

The BBC’s care calculator can estimate how much you may have to pay for care services depending on where you live in England, once the new rules are in place. This will give you an idea of how the cap will work for you, but actual costs will vary to reflect your individual circumstances and needs and how they change over time.

For more information on how paying for care is changing from 2020, read about the changes in the Care Act. Ask for help from your local authority It’s worth checking whether you’re eligible for means-tested support from your local authority or other financial support – for example, through a care needs assessment and a financial assessment.

Few of us will have the income or ready access to the cash to pay for our ongoing care needs, and you may need to look at selling or remortgaging any property you may own. The new Care Act means more people may be able to benefit from “deferred payments”.

Deferred payments can help people avoid being forced to sell their home in a crisis in order to pay for their care by having the council temporarily cover the cost – usually until you sell your property.

Following the Care Act, every local authority in England has to make deferred payment

>>

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agreements available.

You can also get independent advice from:

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.

• T he Money Advice Service website: offers information on paying for care or the option to speak to an online adviser. You can call the Money Advice Service on 0300 500 5000.

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.

• F ind Me Good Care: a website of the Social Care Institute for Excellence. It has advice on all aspects of planning and funding social care.

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.

•A ge UK: has great advice for older people and those planning for their later years.

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.

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• T he 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.

•C arers UK: an excellent resource of advice for carers who need to help someone else.

•W hich? 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: •d uring your lifetime if you choose to sell your home •o nce you die, the local authority can be repaid from your estate All councils must offer people the chance to defer payment if they meet a set of eligibility criteria.

A deferred payment scheme

is only available if you don’t have enough income to cover your care home fees, and you have less in savings than £23,250. In these circumstances, the savings don’t include the value of your property, but does include money in bank accounts.

The local authority will put a “legal charge” (similar to a mortgage) on the property and will then pay the remaining care fees in full. You will then be assessed to see whether they are able to pay a weekly charge to the authority. Your ability to pay is based on your income less a set “disposable income allowance” (currently £144 per week).

Before considering deferred payments, you should look into whether the property will or won’t be counted in how your capital is calculated. For instance, it may be disregarded because your partner still lives there, and if it is a deferred payment agreement wouldn’t be necessary.

It’s wise to get independent financial advice before agreeing to a deferred payment, and it’s worth bearing in mind that choosing deferred payments can impact on some welfare benefits.

Protection for self-funders While you may have the savings in place to afford care services, if you lack the capacity to make the arrangements, the local authority can step in to help.

The local authority can also help people who lack capacity by negotiating fees with a care provider and paying them directly. The local authority will need to be reimbursed.

Anyone entering into a contract for care services should be given adequate information about the fees. Care providers should supply: • i nformation 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.

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.

Editorial content for pages 16-23 supplied by:

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The Friends and Family Test What is the Friends and Family Test?

The NHS wants to ensure that you have the best possible experience of care. The Friends and Family Test is a way of gathering your feedback about this experience and helping to drive improvement in hospital services.

When you receive care as an inpatient or in an Accident and Emergency (A&E) department, you will be given the opportunity to give your feedback by answering a simple question about your experience.

The results will provide a way for you to easily compare NHS hospitals so that you know where you and your family can get the best possible care.

The information will also give the NHS invaluable information on what patients think of services, which can be used to help make improvements if required.

How will it work?

When you are discharged, or within the 48 hours that follow, you will be asked to answer the following question: “How likely are you to recommend our ward/A&E department to friends and family if they needed similar care or treatment?”

You will be invited to respond to the question by choosing one of six options, ranging from ‘extremely likely’ to ‘extremely unlikely’.

It is really important to us that you tell us why you gave your answer, so please answer any follow-up questions.

Your answer will not be traced back to you, and your details will not be passed on to anyone, so please tell us exactly what you think. A member of your family or a friend is welcome to help you give your feedback to the question if you are unable to.

Do you have to respond to the question?

Your feedback is extremely important and will help to continually improve our services however you do not have to respond to the question. You can opt

Where can I get more information?

For more information on the Friends and Family Test, please visit www.nhs.uk/friendsandfamily.

For information about how the test will be carried out in your hospital, please contact its Patient Advice and Liaison Service (PALS).

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out by informing the hospital staff before your discharge. This may take up to 72 hours to set up on the system so you may still receive a text.

You can respond to the text message ‘STOP’.

This will normally ensure you are no longer contacted in this way but if you do experience any problems please contact our customer relations team who will ensure that this is addressed.

You can contact the team on 0151 706 2000 or by email at pals@rlbuht.nhs.uk How will the results be used?

Your hospital will gather the results and analyse them rapidly to see if any action is required. It will publish the results and you will also be able to see results for other hospitals to see how they compare.

Where will the results be published?

The results will be published on the NHS Choices website (www.nhs.uk). Hospitals may also publish their results in their annual reports and quality accounts.

Does this replace the existing compliments or complaints procedure, or other forms of feedback used by the hospital?

No, you can still pass your compliments or complaints to your hospital in the normal way. Hospitals can continue to use existing ways of gathering feedback, in addition to the Friends and Family Test.

The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care.

We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one.

You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia.

We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided.

You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care.

You can also call us to share an experience of care on 03000 61 61 61.

Here are some tips to help you choose your care.

Social care Top tips 1

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The Care Quality Commission (CQC) registers all care homes and home care agencies. You can find out which ones support specific groups of people, such as people with a learning disability or those living with dementia.

CQC’s Chief Inspector for Adult Social Care, Andrea Sutcliffe always uses ‘The Mum Test’: is a care home safe, caring, effective, responsive to people’s needs and well-led? In other words, is it good enough for my Mum (or anyone else I love and care for)?

Look for care homes and home care agencies where the staff involve people who use services and their families and carers, and treat individuals with compassion, kindness, dignity and respect.

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Whether you are being cared for in your own home or in a residential setting, the staff looking after you need to be skilled, kind and supportive.

They should also be capable and confident in dealing with your particular needs. You should always feel that their support is helping you to live the life you want to.

A care home will be a home for you or your loved one. Residents should be treated as individuals with their likes and dislikes taken into account.

Think about whether a home is close enough to family, friends, and community facilities.

Look at how well-led and managed a home is. What does it have in place to ensure that it delivers high quality care? Does it promote meaningful activity and connect the home with the community?

If you or a loved one needs help with day-today care, you can contact your local council’s social services department. They will ‘make an assessment of your needs’ and depending on circumstances, may be able to help you access financial help. For more advice visit Age UK’s website www.ageuk.org.uk /home-and-care.

If you would like to organise your care yourself, you can find a care worker or personal assistant through an agency. Your local social services department should be able to provide details of approved agencies.

CQC’s ratings will identify services as:

Outstanding Good ● Requires improvement ● Inadequate ● This will help you make informed choices around your care. There’s also useful advice on the Social Care Institute for Excellence’s Find me good care website www.scie.org.uk/findmegoodcare/

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Safeguarding adults who receive social care is everybody’s business. If you are concerned about the safety of a loved one receiving care, contact the service provider in the first instance. You can also contact social services at your local council. If you feel a crime has been committed, contact the police.

You can share your safeguarding concerns with us on our website or contact our National Customer Services on 03000 616161.

The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services.

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Going home from hospital?

Age Concern Liverpool & Sefton are here to help When you’re ready to go home, if you are over 50 and a Liverpool or Sefton resident then we are here to help and support you.

Please note that services marked with a ▲ are free of charge.

Help with personal care and daily living tasks After a spell in hospital you may find that the everyday living tasks you used to take for granted are now a bit more challenging. Our Homecare Service can help. It provides everything from cleaning and making meals to personal care.

We can provide support with everyday tasks such as getting up and going to bed, washing, dressing, grooming, cooking a meal, going to the toilet; in fact all of the things we tend to take for granted and need to do every day. We also have a range of daily living aids to help you in your home – please call us for a catalogue. The homecare service can also escort you to follow up appointments or trips out if you are feeling a bit anxious about going out on your own. We can also provide a shopping service if needed.

Information & Advice ▲ Often after a spell in hospital it is more difficult to cope with every day tasks. If you find that this is true, you may qualify for extra financial help. Our team of advisors are there

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to provide expert advice, information and signposting. They also have the ability to answer an extremely wide range of queries; from where can I get a tip-up-kettle to how can I get my house adapted to suit me. Whenever you want to find anything out from a trustworthy source – give us a call.

Many people about sum help emergen now can a pers alar

Products to make life easier When you come out of hospital we can arrange products designed to make it easier for you to get around your home such as

older e worry mmoning in an ncy, so we n arrange sonal rm.

rollators. We are able to arrange stair lifts, which will make all parts of your home accessible again.

a 3 course meal and a friendly atmosphere in a modern, welcoming environment. The Poppy Centre is based in Clubmoor, North Liverpool but is attended by people from all over Liverpool and South Sefton.

Cancer Support ▲ Free practical support for older people who have

Many older people worry about

been recently diagnosed with cancer.

summoning help in an emergency,

Funded by Macmillan Cancer Support

so we now can arrange a personal alarm. If you are in trouble, are feeling unwell or have a fall, you just push the button on a pendant or simple wrist watch type device and

NEW IN 2018 A Dementia Day Care Service opening in Spring 2018. For further information please call 0151 256 2542.

help can be on its way in moments. These alarms are perfect to provide peace of mind both for you and your family; who will know that you can summon help whenever you need it 24/7.

The Poppy Centre When you are settled back at home, if you find that you are bored or lonely and want to get out, make friends and enjoy a wide range of activities then why not try our Poppy Centre. It offers

Services specific to Sefton The Befriending and Reablement Service ▲ can support you to regain daily living skills and re-engage with your local community for up to 6 weeks after discharge from hospital and it can provide ongoing befriending if you would benefit from a regular visitor thereafter.

For further information about our Sefton Services call – 01704 542993 For further information about our Liverpool Services call – 0151 330 5678 27

NHS Hospitals and services

in Liverpool & Sefton

Aintree University Hospital Longmoor Lane Liverpool, Merseyside L9 7AL Tel: 0151 525 5980

SEFTON The Royal Liverpool and Broadgreen University Hospitals

179 Townsend Lane, Clubmoor, Liverpool L13 9DY. Tel: 01704

NHS Trust

Royal Liverpool University Dental Hospital Pembroke Place, Liverpool, Merseyside L3 5PS Tel: 0151 706 5253

542 993 or 0151 330 5678 NORTH LIVERPOOL

CITY CENTRE

The Royal Liverpool and Broadgreen University Hospitals NHS Trust

Royal Liverpool University Hospital Prescot Street, Liverpool L7 8XP Tel: 0151 706 2000

SOUTH LIVERPOOL Liverpool Women’s Hospital Crown Street, Liverpool, Merseyside L8 7SS Tel: 0151 708 9988

The Royal Liverpool and Broadgreen University Hospitals NHS Trust

Spire Liverpool Hospital 57 Greenbank Road Liverpool, Merseyside L18 1HQ Tel: 0151 733 7123

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

Broadgreen Hospital Thomas Drive, Liverpool, Merseyside L14 3LB Tel: 0151 706 2000

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@dementiauk.org Age Concern - Liverpool & Sefton 0151 330 5678

or 01704 542 993 An independent charity whose objective is to make the lives of older people in Liverpool as fulfilling as possible.

179 Townsend Lane, Clubmoor, Liverpool L13 9DY I www.ageconcernliverpool.org.uk I mail@ageconcernliverpoolandsefton.org.uk Alzheimer's Society 0151 298 2444 The UK's leading support and research charity for people with dementia, their families and carers.

Neurosupport Centre, Norton Street, Liverpool, Merseyside L3 8LR I www.alzheimers.org.uk I liverpool@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 I info@arthritiscare.org.uk

C CareAware 0161 707 1107 A one stop shop for free advice on care fee funding for older people.

I www.careaware.co.uk I enquiries@careaware.co.uk 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 4all Liverpool, Knowsley, 0845 601 1990 Sefton & Warrington Looking after a family member or friend? Get in touch for expert advice, information and support.

5 de Hallivand Drive, Liverpool, Merseyside L24 8RN I merseyside@carerstrust4all.org.uk I www.carerstrust4all.org.uk/liverpool-sefton-warrington.html 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 Rights UK Disability Rights UK is the leading charity of its kind in the UK. They are run by and for people with lived experience of disability or health conditions.

Ground Floor, CAN Mezzanine, 49-51 East Road, London N1 6AH I www.disabilityrightsuk.org I enquiries@disabilityrightsuk.org Options Liverpool is published by Octagon Design & Marketing Ltd with editorial contributions from The Royal Liverpool and Broadgreen University Hospitals NHS Trust, the CQC, Age Concern Liverpool & Sefton, Sefton Council and NHS Choices. The editorial contributors and publisher have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the editorial contributors and publisher endorse any of the products or services.

Disability Benefits Helpline – for 0845 712 3456 Disability Living Allowance and Attendance Allowance I Textphone: 0845 722 4433 I 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. I www.eac.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.

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Knowsley Carers Centre 0151 549 1412 143 Bewley Drive, Kirkby, Knowsley L32 9PE I knowsley.carers@btconnect.com I www.knowsleycarers.co.uk

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Liverpool Citizens Advice Bureau 0344 848 7700 2nd Floor, 1 Union Court, Cook Street, Liverpool, L2 4SJ I www.liverpoolcab.org.uk I bureau@liverpoolcab.org

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 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

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

0800 800 0303

R Royal Voluntary Service 0845 608 0122 A volunteer organisation that enriches the lives of older people and their families across Britain. We support older people by giving time and practical help to help them get the best from life.

Royal Voluntary Service, Cardiff Gate, Beck Court, Cardiff Gate Business Park, Cardiff CF23 8RP I www.royalvoluntaryservice.org.uk

S Sefton Council I www.sefton.gov.uk Stroke Association 0845 3033 100 Advice and information for stroke patients and their families.

I www.stroke.org.uk

T The Department of Work and Pensions I www.dwp.gov.uk The Pension Service 0845 606 0265 I w ww.dwp.gov.uk/about-dwp/customerdelivery/the-pension-service Every possible care has been taken to ensure that the information given in this publication is accurate. 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

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100 Sefton Lane, Maghull L31 8BT

Head Office, 1 Alexandra Drive, Bootle, Liverpool L20 0EE mannacareoffice@ gmail.com 0151 281 6470

Providing high quality person centred residential care and supported living for adults (18+) with learning disabilities, autism, mental health needs and sensory impairments in a homely setting.

mannadaycentre@gmail.com 0151 526 6650 Adults (18+) with learning disabilities, autism, mental health needs and sensory impairments.

A wide activity programme is on offer both in the centre and off site, along with life skills and training opportunities such as employability skills and the opportunity for volunteer work placement schemes. A full pick up and drop off service is available in the Sefton area.

Cost ÂŁ43 per day.

Your Number one choice for Mobility & Independent Living Equipment

WE AL

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SERVI PROVIDE & REPCING AIRS

FRE HOME E ASS

ESSME Rise & Recline Chairs - Stairlifts NTS Adjustable Beds - Continence Pro ducts Daily Living Aids - Powered and Ma nual Wheelchairs Scooters - Bathing

LIVERPOOL T: 0151 709 0121 Supporting

Mobility Independent Living Services, Lifehouse, Summers Road, Liverpool L3 4BL

www.disabilitytradingcompany.co.uk 30

Afton Lodge Residential Care Home

Afton Lodge is a tastefully converted property, providing residential care for the elderly.

It provides a homely environment and features a TV lounge and a quiet lounge. There is also an extensive walled garden and patio area with full disabled access.

The home welcomes Service Users funded by Social Services and those who are privately paying clients. This home is inspected and accredited by CQC, in accordance with statutory government regulation. Afton Lodge also currently holds a five star PQR rating, which is an independent quality assurance mark and is also recognised as Investors in People.

Our dedicated staff are headed by a registered manager, who has many years of experience in caring for the elderly. Our managers provide hands-on supervision to maintain our tradition of excellence. All Staff are DBS checked and trained to an appropriate level, many with NVQ qualifications.

Accommodation is fully inclusive of laundry. Our trained chefs prepare a wide range of home cooked food using fresh local produce. The choice is based on traditional recipes and daily alternatives are provided at every meal time. Special diets are also catered for.

Services we offer ❖ Residential and personal care ❖ Dementia ❖ Short and long stay care ❖ Day care ❖ Intermediate care ❖ Re-ablement care ❖ End of life / palliative care ❖ Home care and support ❖ Cohort beds for hospitals Support and facilities ❖ Personal healthcare ❖ Activities ❖ Dining and accommodation ❖ Laundry service ❖ Disabled / wheelchair access ❖ Lifts to all floors ❖ Specialised equipment available for assisted bathing etc. ❖ Car parking available ❖ Special diets available

Health and personal care ❖ GP services available on request ❖ Chiropody visits on a regular basis ❖ Hairdresser visits ❖ Optician and dentists by arrangement Leisure activities ❖ Newspapers and music ❖ Pop quiz ❖ Shopping trips and hairdressing ❖ Karaoke ❖ Bingo and skittles ❖ Cheese and wine tasting ❖ Dominoes ❖ Social events Accommodation ❖ Nurse call in every room ❖ Rooms decorated to a high standard ❖ Double rooms also available ❖ TV in rooms ❖ Internet facility available

Afton Lodge Residential Care Home

DH

9-15 St Catherines Road, Bootle, Liverpool L20 7AL Tel: 0151 922 6183 Email: aftonlodge@regency.care Website: www.regency.care Facebook: www.facebook.com/rhcltd Twitter: @Regency_HC

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Dalemain House

DH

Residential Care Home Cele brating 30 yea rs of Ca re

Gentle care and professionalism

Dalemain House Care Home

Our background

Our approach

There is a lot to consider when choosing a residential care home. Issues such as standard of care, quality of life and peace of mind play a vital role in the decision-making process. At Dalemain House we create a safe and secure environment where our staff are trained in all aspects of care.

Our success is down to our fundamental belief in evidence based person-centred care. We have established a reputation for quality and believe that we can always improve even the highest standards. So we invest heavily in training and developing our staff.

We treat everyone as an individual – with the same courtesy and respect for privacy and dignity. We also recognise that quality of life is as important as quality of care and we ensure that there is a wide range of social and recreational activities for our care home residents to participate in. Above all, we help our residents to live life as independently as possible.

19 Westcliffe Road, Birkdale, Southport PR8 2BL

Tel: 01704 568651

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HOME HELP AND COMPANIONSHIP

We provide care services in the Sefton area including Churchtown, Marshside, High Park, Southport, Kew, Birkdale, Ainsdale,Woodvale, Formby, Freshfield, Hightown and some areas of Banks, Crosby, Maghull and Lydiate.

Professional Care Outreach offers a wide range of services based on our experience.We combine a structured and professional approach and our staff offer a wealth of experience in all levels of care and management.

Tel: 01704 517470

www.outreachcare.co.uk

Cleaning Shopping Service Transport Companionship/Days Out Meal preparation Socialisation/Mental Stimulation

Promoting independent living, well-being and friendship. Offering support for loved ones, a person centred service.

Telephone: 0151 234 1985 (Available 7 days a week) Website: www.bmscompanionship.co.uk Email: enquiries@bmscompanionship.co.uk A FAMILY RUN BUSINESS BASED IN WATERLOO. AVAILABLE ACROSS LIVERPOOL AND SEFTON.

DESIGN PRINT SUPPORT

Outreach has been providing high quality home care in the Southport, Bradford and surrounding areas for over 13 years.We employ local people to meet the needs of local residents.

OCTAGON DE S IG N & M A R K E T I NG LT D

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

ALLCARE COMMUNITY CARE SERVICES CQC overall rating: good

Personal care and support promoting independence in the home.

Respite Services in Southport

The services we offer include:

At AllCare Community Care Services we understand that everyone wants to retain their independence as long as they possibly can, and that your need for home support in Southport changes from month to month.

• Personal care and support

We cover all hours from 24 hour care to a 30 minute visit each week.

From the occasional help with getting to an appointment, through respite services and holiday relief to long term home help in Southport area including Birkdale, Ainsdale and Churchtown, we can help.

Short Breaks or Long-Term Care Whether your permanent carer needs a short break, or you’re looking for long-term care in order to live independently in your own home, our qualified, caring staff can help. Our offices are open from 7am - 11pm, seven days a week, 52 weeks in the year, so there’s always someone to contact in an emergency.

• Escorting to appointments • Sitting Services • Carer Relief • Short Breaks • Shopping and Meal Preparation • Companionship Our services are offered to anyone who needs assistance on a long or short term basis to live independently on their own.

Call us Today If you need personal care in the Southport area, then call us now on 01704 550482 and we’ll be happy to discuss your requirements with you. Alternatively, you can send us an email for an immediate response.

AllCare Community Care Services provide the best in quality personal care and support to promote independence in the home.

1st Floor Crown House, 10-16 Coronation Walk, Southport PR8 1RE

Tel: 01704 550482 Email: pauline.oakden@allcareccs.co.uk www.allcarecommunitycare.co.uk 32

Do YOU look after someone who couldn’t manage without your help?

Sefton Carers Centre provides free advice and guidance, emotional and practical support, training and a range of holistic therapies for unpaid carers living in Sefton.

Anyone could be a carer – a 15-year-old girl looking after a parent with a long term health condition, a 40-year-old man caring for his partner who has terminal cancer or an 80-year-old woman looking after her husband who has Alzheimer’s disease.

To register and access all of our services for free please contact us on 0151 288 6060 or visit www.sefton-carers.org.uk

Sefton Carers Centre

27-37 South Road, Waterloo, L22 5PE Telephone 0151 288 6060

The Life Rooms

23-35 Scarisbrick Avenue, Southport PR8 1NW (By appointment only)

@seftoncarers

seftoncarerscentre 33

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“Homely, caring and person centred with a good reputation.”

Promenade Promenade Care Care Home Home Residential, Respite, Holiday Residential, Respite, Holiday Care and New Care Days Care and New Care Days

Providing excellent standard of care within homely environment. Premier position on Southport’s Promenade overlooking King’s Gardens.

CQCanRegistered – Fully Compliant in allaCare Standards Town centre and its amenities are within easy reach from rear gardens of the home.

A good emphasis on social and recreational activities for those who wish to take part and our own coach ensures frequent trips out.

• Fully trained dedicated staff • Personalised care plans • Home cooked meals • daily choice of menu and diets catered for • 2 lifts • Hair dressing salon • complimentary manicureS, massage ETC • Private visitor room • COFFEE LOUNGE • ACTIVITIES TEAM

Local Funding Accepted

10-12 The Promenade, Southport PR8 1QY (next to Royal Clifton Hotel) For more information, to visit, a brochure or just to chat please call

01704 538553 Fax: 01704 538250 E-mail: info@promenadecarehome.co.uk www.promenadecarehome.co.uk

Awarded -

Gold Good

Good in all care standards

CARE DAYS

NEW and with just a small number of places available, why not try our....

Flexible morning, afternoon & full day sessions

A great opportunity to meet new friends and socialise Fun and laughter throughout our activity sessions Small group activities, quizzes, bingo etc.

Coach trips and outings (weather permitting)

Or something more relaxing Why not try – Indian Head Massage, Soothing Massages, Reflexology or a Pampering Manicure Visiting hairdresser at an additional charge

Refreshments and snacks throughout the day • 2 course choice of lunch menu • 2 course choice of tea menu

£42 Full Day / £21 Half Day

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CHERRY TREE LODGE PRIVATE RETIREMENT HOME

Welcome to Cherry Tree Lodge where our highly experienced, compassionate and motivated caring staff will ensure your stay is comfortable, enjoyable and friendly. At Cherry Tree we ensure the level of service we provide is of the highest quality.

• We can accommodate up to 31 residents in our 29 spacious, well maintained, comfortable bedrooms all with en-suite facilities. (15 with showers).

• Three large double bedrooms are included which, if occupied by a couple, will attract a generous discount.

• Basic hairdressing and Chiropody are included within the room fee.

• Meals are prepared by traditional home cooking methods, using high quality local fresh produce.

• Gordon Ferguson has been the owner, director and registered manager since June 1988. Gordon resides on the premises and has daily contact with residents and staff.

• We never employ agency staff or staff who do not fully understand our elderly residents traditional ways.

• Staff turnover is exceptionally low resulting in a long time served dedicated team.

• Most care staff have a NVQ 3 - NVQ 5.

• We invite anyone, at any time, without appointment to look around our lovely home.

Cherry Tree Lodge, 40-42 Knowsley Road, Southport, PR9 0HW www.cherrytreelodge.co.uk | accounts@cherrytreelodge.co.uk | t: 01704 501 237 | f: 01704 501 237 Designed by: Octagon Design & Marketing Ltd, Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire DN10 6AB. Tel: 01302 714528 Email: info@octagon.org.uk