ISSUE 1 | Winter 2014
How am I referred to the social work team? The assessment process
Home Enablement Services
Discharge from Hospital
Contents Page Introduction
4
The Hospital team
4
How can I be referred to the social work team?
5
The assessment process
5
Questions I would like answering
6
NHS Continuing Health Care
7
Hospital rehabilitation
8
Enhanced Assessment Unit
8
Enablement service at home
8
Enablement service in a care home
9
24-hour care homes
9
QEHB Recovery at Home
10
Discharge from hospital
10
Discharge lounge
11
Home from Hospital – Welcome home services Useful contacts Whilst every care has been taken to make sure the information in this publication is up to date it is not intended to be a complete and authoritative statement of the Law on the issues covered. The publishers and the promoters cannot accept responsibility for any loss arising from the use of information contained in this publication. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners.
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UHB NHS Foundation Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does UHB NHS Foundation Trust endorse any of the products or services.
Published by Octagon Design and Marketing Ltd. Š2014. Tel: 01909 478822
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Introduction Hospitals are the right place to be in when you are in need of acute medical or surgical care. However when your treatment has been completed, it is important that your stay is not delayed for any reason. Therefore 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: • Listen to any concerns that you may have at the earliest opportunity • Assess what your needs are likely to be when you are ready to leave • Involve relevant staff who can help in meeting those needs • Give an indication of when you will be ready to leave the hospital • Make arrangements for equipment or services to be ready when you leave the hospital
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The Ridings Care Home
Berwood Court Care Home
Welcome to an exciting care home, designed to accommodate a variety of care needs in a pleasant and homely environment. This purpose built home is divided into independent units that can accommodate service users in either 10, 17 or 27 bed units. Each Unit has light and airy communal dining and sitting rooms providing ample choice for quiet and stimulating areas.
Berwood Court Care Home, located on Cadbury Drive, Castle Vale has established itself in the heart of the community and provides accommodation for 74 service users requiring care for both nursing and residential care needs. All bedrooms are single with en suite facilities and the home boasts 6 spacious lounge and dining rooms. All service users receive thorough assessments both prior to joining us and throughout their stay with us. The home ensures that all individual care plans are thoroughly Person Centered and that family and loved ones are as involved as they wish to be with care planning. Staff enjoy a pro active approach to their development and are supported with their learning needs, enabling all staff to achieve a minimum of NVQ level 2.
T: 0121 748 8770
The home is equipped to enhance the quality of life of people with care needs due to dementia, whatever their age, however severe their symptoms. Specially selected and trained staff ensures care is delivered through care planning involving the service user, relatives and the multi disciplinary team. Some areas of the home provide re-enablement and rehabilitative programs.
T: 0121 749 7887
Call in for a visit; you will be made most welcome...
We understand that some people may not feel confident about returning home after a period of being in hospital and we work closely with Birmingham City Council’s social work teams and other healthcare teams to put in place services that will enable those people to be supported in their discharge. We also know that following a period in hospital people may make decisions about future care needs that they may make differently if they had a longer period to consider this. This booklet will give information about schemes that are in place to assist those people.
The hospital team In the hospital you will find a multidisciplinary team that consists of doctors, nurses, therapists, pharmacists, specialist nurses, social workers and discharge liaison nurses. Some, or all, will be involved in your care.
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Mears is the leading social housing repairs and maintenance provider in the UK and a growing presence in the domiciliary care market. Our purpose is to make a positive difference to the communities we serve by improving homes, improving neighbourhoods and improving lives. The Mears approach is to listen carefully to people’s needs and to always try to find better ways to meet those needs. • Domiciliary care • Personal • Shopping
• Domestic tasks • Companionship • Making people smile
Tel: 0121 7425070
www.mearsgroup.co.uk
Tel: 0121 350 6278 Address: 791 Chester Rd, Erdington Birmingham B24 0BX
Spacious en-suite rooms Full social programme All special needs and diets catered for Seating areas for visitors use Home from home environment Social service & Private clients welcome Visits and tours welcomed at all times Registered Manager - Fiona Gilbert Quality Individual Care In a Homely Environment!
How can I be referred to the social work team? If, following an initial assessment by medical and nursing staff, it is identified that you may have social care needs on discharge, you will, with your consent, be referred to the social work department. The ward will complete a referral called a Section 2 Notification. This will be dealt with by the hospital-based social work team (this is only relevant to Birmingham residents) who will allocate a social worker to you. The social worker will talk with you and those involved in your care to identify the next stage in your discharge process.
The assessment process The assessment process will start with discussions with the nurses looking after you on the ward. These discussions will help clarify which members of the multidisciplinary team need to be involved in your care. We would like to know if you were receiving support from community health and social care services before your admission, or if you are aware of any issues that may impact upon your discharge from hospital.
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Questions I would like answering:
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NHS Continuing Health Care If you have complex ongoing healthcare needs the team involved in your care must first consider whether you would be eligible for NHS Continuing Health Care. If you are entitled to NHS Continuing Health Care the discharge liaison nurses will discuss with you how your ongoing needs and care will be managed. You are welcome to have a family member or friend to be with you during the assessment process.
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What next? Hospital rehabilitation If it is identified that you would benefit from a period of hospital rehabilitation you will be referred to one of the Birmingham community hospitals at West Heath or Moseley.
Enhanced Assessment Unit Following an initial assessment it might be appropriate for you to transfer to the Enhanced Assessment Unit, so that social workers can assess and monitor your needs over a longer period. Many people find that this helps them to gain confidence after a period of ill health, and are therefore able to make informed decisions about their longer term care plan. There are therapists available to assist in the recovery process at the unit. This is available for up to 6 weeks and is free of charge.
Enablement service at home The enablement service is a service designed to support you at home, to enable you to carry out personal care needs and tasks around the home, either on your own or with a small amount of help. The service is available for a period of up to 6 weeks and is free of charge. 14 | Options | Winter 2014
Enablement service in a care home This is a service designed to help you gain confidence in your ability to care for yourself, with the involvement of therapists and care workers, in a care home environment with other people. This is a service that is available for up to 6 weeks and is a free service.
24-hour care homes If it is felt that you can no longer manage at home, even with a large support package, it may be appropriate to move to a residential or nursing care home. If after assessment you are found to be eligible for a placement, you will be assisted to find a care home that can meet your needs. If the care home of your choice does not have an immediate vacancy, you will be asked to accept a place in an alternative care home, until your first choice becomes available.
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This is a team of health care professionals who can continue day-today treatments for patients in their own home. Patients using the service remain under the care of their hospital consultant but instead of being in a hospital bed, receive their dayto-day treatment from a team of healthcare professionals who travel to their home. The team is made up of fully qualified nurses, physiotherapists, occupational therapists and healthcare support workers. Patients suitable for the QEHB@Home service will be clinically well enough to leave the hospital environment but still require further treatment. This service will only be offered by the hospital’s clinical team if it is appropriate for you.
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Discharge from hospital When you are ready to leave the hospital you will be told by the nurses and doctors looking after you. If you require social care, Social Services will be formally notified by the ward sending a Section 5 Notification (Community Care Delayed Discharge Act 2003). They will then put in place whatever arrangements have been agreed with you. If there is any delay in your discharge you will be transferred to an interim care bed, in a care home, whilst arrangements are being made. If you chose not to go to the interim care bed you and your family will need to make arrangements for your immediate discharge. You cannot choose to remain in an acute hospital bed. We aim to discharge people in the morning. We will make sure you have written information and medicines to take with you. If you are being collected we may ask you to wait in the Discharge Lounge, which is a comfortable and safe place to wait. Options | Winter 2014 | 17
Discharge Lounge On the day before your discharge you will be visited by a member of staff from the Discharge Lounge. They will assist you in any way they can to help you home the next day. This will include organising transport for you where necessary, and liaising with pharmacy to ensure your medications are ordered and ready for you the next day. The Discharge Lounge is designed to be a warm, friendly environment where patients who are fit for discharge can wait for their medication, transport or relatives/carers to collect them. It is staffed by registered nurses at all times and refreshments are provided.
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Home from Hospital – Welcome home service The Home from Hospital service is a charitable organisation that can provide support to patients within the first six weeks after they’ve left hospital. They can: • Collect shopping and/or prescriptions • Provide a food parcel on the day of discharge for those who have no-one to shop for them • Visit for a friendly chat • Go to a bank or Post Office • Possibly escort you to hospital, the doctor, the optician or hairdresser • Give benefits advice • Help you sort out bills and other paperwork that may have gathered while you’ve been in hospital • Liaise with a wide range of statutory, voluntary and commercial services on your behalf • Provide respite care for a couple of hours • Arrange for furniture to be moved within the house • Make arrangements for pets to be re-homed or temporarily cared for While they don’t offer personal care, cleaning or laundry services, they can advise on approved services. If you would like to find out more, please call 0121 472 4499.
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Useful contacts Birmingham City Council Access Service: 0121 303 1234 Home From Hospital: 0121 472 4499 Community Links: 0121 675 0911
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Providing Person Centred Care for the Elderly. Currently accommodating for 24 elderly people, extending to 35 in the spring with 11 new en-suite rooms.
Liberty House provides 24 hour care to adults with learning difficulties. We aim to provide our service users with excellent care, delivered by highly qualified staff, in a homely and comfortable setting, ensuring dignity, respect and individuality at all times. We actively demonstrate that we provide the quality care which meets the required standards of The Care Quality Commission. Liberty House Care Home Ltd, 55 Copeley Hill, Erdington, Birmingham, B23 7PHTel:
www.libertyhousecare.co.uk
Tel: 0121 327 0671
Cranmore House Residential Home
107 Sutton Road, Erdington, Birmingham B23 5XB
We have an open door policy, please visit us anytime during the day. Home Manager: Suzanne Middleton
Tel: 0121 373 9784 Placement may be private/ social care funded
Limes Rest Home
D
Dorcas Home Care Limited
Providing a high standard of care and accommodation for 28 elderly people. Placement may be private/social care funded
n Specialist dementia care n Sitting rooms, lounges
Specialise in mental health and learning disabilities
Carers that Care
Fully Compliant
& activities room Home Cooking Visiting physiotherapist, chiropodist & hairdresser n Large Garden n Parking available at rear of home n n
All Birmingham and Walsall council, shopping tasks, personal care. 1 Birmingham Road, Great Barr, Birmingham B43 6NW Tel: 0121 357 5913
OCTAGON DES IGN & M ARKETI NG LT D
To advertise in this publication please call the sales team on 01909 478822
DESIGN PRINT SUPPORT
We are pleased to offer a choice of home cooking, daily activities, visiting chiropodist and hairdresser, together with a homely and friendly atmosphere. All staff trained to NVQ level 2 and 3.
Set in its own stunning grounds, Liberty House was established to help and care for groups that need maximum help and encouragement to reach their full potential and thereby enjoy a quality of life which everyone has the right to enjoy.
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, they 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 written consent of the copyright owners. Octagon Design & Marketing Ltd. Š2014 Britannic Chambers, 8A Carlton Road, Worksop, Nottinghamshire S80 1PH 01909 478822 | www.octagon.org.uk info@octagon.org.uk
Please contact: Home Manager Jennie Roberts tel: 0121 443 1789 75-79 Cartland Road, Stirchley, Birmingham B30 2SD www.limesresthome.com anita@firstcareservices.co.uk
Ashleigh Court Professional 24 hour care. Single rooms with en suite facilities, space for personal items. Excellent home cooking and special diets catered for, You are welcome to come visit out home at any time, If you would like to see a home manager personally then please call to make an appointment, For details please call: T: 0121 420 118 A: 20 Foundation Road, Edgbaston, B17 8NL
UHB NHS Foundation Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does UHB NHS Foundation Trust endorse any of the products or services.
Going home from hospital? Age UK Birmingham are here to help. When you’re ready to go home, if you are over 50 and live in Birmingham we are here to help and support you.
Information and advice Often after a spell in hospital it is more difficult to cope with everyday tasks. If you find this is true you may also qualify for extra financial help. Our team of advisors are there to provide expert advice and information including welfare benefit calculations, and help to complete forms. They can also answer a wide range of queries or refer you to someone who can help you directly. Whenever you want to find anything out from a trustworthy source – give us a call.
Handyfix We offer a Handyfix service that covers the whole city. With one phone call to 0121 437 0033 (extension 1003 during office hours) people over 50 or their 22 | Options | Winter 2014
relatives, friends and carers can book a Handyperson to do those jobs around the house that need fixing. Age UK Birmingham staff will agree whether “Handyfix” can help, what needs doing, how long it’s likely to take and then book a day and time that best suits the customer. All the work will be carried out only by Age UK Birmingham Handyfix’s highly trained, reliable and trustworthy, in-house team of staff.
• Moving bulky items For just £40 customers will get an hour’s worth of work completed around the home. So if the first task is finished quickly then the friendly “Handyfix” staff will be happy to be given some other odd jobs to complete in the hour. The work is tailored exactly to the customer's needs.
Here is a selection of some of the other services we provide: • Day Care • Lunch Clubs with delicious fresh cooked meals For example:
• Wellcheck / Befriending
• Home from hospital improvements • Independent living advice and equipment – disability aids, stair • Personal safety – grab rails etc lifts, pendant alarms, hearing • Disabled adaptations aid batteries, etc • Most basic odd jobs around the • Day Trips, clubs and social house activities • Small repairs to: plastering, • Extend Exercise classes (seated) electrics, carpets, curtain rails, • Toenail Care joinery and plumbing • Tai Chi • Safety – locks, doors, window locks, door chains, key safes
For further information please contact us: Telephone: 0121 437 0033 (General) Telephone: 0121 437 0033 ext 1003 (Handyfix) Telephone: 0121 437 0479 (Information and Advice) Email: Contactus@ageukbirmingham.org.uk Options | Winter 2014 | 23
Alzheimer’s Society Services in Birmingham If you think you may have a form of dementia, or are caring for a person who has dementia, there are many ways that the Alzheimer’s Society in Birmingham can help.
Support from Dementia Support Workers Dementia Support Workers can offer advice on accessing professional help. We are in contact with a wide range of services and other advice centres, so we can put you in touch with specialists who can help you if your concerns are outside of our expertise. We can also refer you, or the person you care for, to services which provide for people with dementia – particularly if you are having trouble accessing this yourself.
Home visits We can arrange for a Dementia Support Worker to visit you in your own home and provide information, advice and support. 24 | Options | Winter 2014
Information We can provide a wide range of advice sheets, which include specific information on different types of dementia, care issues and understanding the needs of the person with dementia.
Dementia Cafés Are places for people with dementia, their families and friends to meet other people in a similar situation for support, information and social interaction.
Singing for the Brain
What should I do now?
Is a service provided by Alzheimer’s Society which uses singing to bring people together in a friendly and stimulating social environment.
For information, advice and support please contact one of our advisors on 0121 706 4052 between 9am and 4.30pm Monday to Friday.
Singing is not only an enjoyable activity – it can also provide a way for people with dementia, along with their carers, to express themselves and socialise with others in a fun and supportive group.
Email: birminghamandsolihull@ alzheimers.org.uk Alternatively you can visit us at: Alzheimer’s Society, Waterside House, 7-9 Olton Wharf, Richmond Road, Olton, Solihull B92 7R.
Dementia Friends Programme Dementia Friends is a national initiative run by the Alzheimer’s Society. Funded by the government, it aims to improve people’s understanding of dementia and its effects. Through the Dementia Friends programme, we aim to change the way the nation thinks, talks and acts to create ‘dementia friendly’ communities. How does it work? A group of volunteers will be trained to spread the word about what dementia is and what action individuals can take in their community, and recruit Dementia Friends.
What is a Dementia Friend? A Dementia Friend learns about what it is like to live with dementia and then turns that understanding into action. What is a Dementia Friends Champion? Dementia Friends Champions are volunteers who, after attending a training course, run information sessions where they talk to people about being a Dementia Friend in their communities. How can I get involved? It’s easy – just log on to www.dementiafriends.org. uk and book on to a Dementia Friends Information session. Alternatively, contact your local Alzheimer’s Society office for more information. Options | Winter 2014 | 25
Multi award winning fee based financial planners and wealth managers.
We look to develop a long term relationship with our clients where we act as a trusted adviser to them and their family. Our advisers are both Certified and Chartered Financial Planners. Samantha Barrett works closely with Symponia focusing on advising of care fee funding solutions. The aim is for all advise to be clear, working with the whole family to make this important financial decision. To discuss your needs further without obligation, please call Samantha Barrett on 07734 462 968 or email: sam@centralcareplanning.co.uk Our main Office Telephone number is: 0845 0066204
www.centralfinancialplanning.co.uk