Options Hull & East Riding - A guide to care and independent living Spring 2018

OPTIONS A guide to care and independent living

Leaving hospital What’s next?

Hull & East Riding Spring 2018

FREE

guide CONTRIBUTORS: Alzheimer's Society City Health Care Partnership CIC NHS Choices

NHS continuing healthcare Who’s eligible?

Healthcare services Choosing the right one

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SOCIAL CARE

tips

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Lees Rest Houses Tel: 01482 354932

2A Lees Rest House, Anlaby Road, Hull HU4 6XA

116 Almshouses for independent living For people aged 60 – 73 • Set in large, spacious grounds, allotments available • Lots of activities, day trips and various social events

GRAHAM & ROSEN S O L I C I T O R S

Specialists in Elderly Care Law Residential Care The process of moving into residential care is a good opportunity to review your Will and prepare Lasting Powers of Attorney. It is also a good time to consider your assessment for the payment of any ongoing care fees and decide whether there are any steps you can take now to reduce the amount of care fees you pay in the future.

Powers of Attorney Lasting Powers of Attorney allow you to appoint people who you trust to make decisions about both your financial affairs and your health and care. It may be that you are physically unable to deal with your finances after you have moved into care or simply do not want the stress of dealing with your affairs whilst in a residential home.

By preparing and registering Lasting Powers of Attorney the people who you trust most can help look after your affairs and make decisions on your behalf if the time comes when you are unable to do so.

Wills Your Will allows you to decide which of your relatives, friends or charities should receive your assets when you pass away. If you pass away without making a Will, you are said to have died intestate and your assets will be distributed in accordance with the strict legal rules of intestacy. You lose all control over who will inherit from your estate and any wishes that you may have expressed during your lifetime may not be followed.

In addition, your Will can also be drafted in such a way as to mitigate your inheritance tax liability and plan for the payment of care fees.

8 Parliament Street HULL HU1 2BB ☎ 01482 323123 2

law@graham-rosen.co.uk www.graham-rosen.co.uk

2-4 George Street COTTINGHAM HU16 5QU 01482 840201 ☎

Contents City Health Care Partnership CIC – Making clinics work better................................................................................................. 4 Engaging and consulting.................................................................................................... 5 Holderness Neighbourhood Care Team.......................................................................... 5-6 Progress and developments............................................................................................. 6-7 Urgent care.......................................................................................................................... 7 NHS continuing healthcare............................................................................................. 10-12 Personalised care............................................................................................................. 12-13 What is NHS-funded nursing care?..................................................................................... 14 Paying for your own care and support.......................................................................... 16-17 Care services in your home............................................................................................. 18-19 Alzheimer’s Society – Support for people living with dementia in Hull and East Riding........................................................................................................ 22-23 The Care Quality Commission Social Care, GP and Mental Health top tips................ 24-26 Useful contacts.................................................................................................................. 27 If you need medical help fast, but it is not life threatening – call 111.......................... 28 The Motability Scheme........................................................................................................ 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.

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To lead and inspire through excellence, compassion and expertise in all that we do...

Making clinics work better After the community services contract was transferred to CHCP CIC on 1 April 2017, we have taken the opportunity to review how much and how often clinics across the East Riding area are used.

We found that whilst many see a lot of patients, with appointments available five days a week, some are less well used and only offer appointments one or two days a week, making them more difficult to staff and more costly to run. For these reasons, we have been looking to bring some services together on fewer sites or, where clinically appropriate, provide support to people in their own homes.

After careful consideration we have relocated the community services clinics at Cottingham and Brough. We are confident this change will mean we can offer a more consistent and reliable service for patients with a wider choice of appointment times, and that isolated community nursing and therapy staff are better supported.

During October, we asked patients who may be affected to tell us their views, helping us to understand the impact of these changes.

Patients at Cottingham Clinic told us they would choose to go to either Hessle Health Centre or Beverley Community Hospital but did say they were concerned about extra travel time and traffic problems. Similarly, patients attending Brough Clinic said they would choose to go to Hessle Health Centre for future appointments but were also concerned about parking. Many patients praised the knowledgeable staff, who will continue to work in community clinics.

Patients whose appointments have already been moved to Hessle Health Centre have said that they are happy with the service there. A small number of patients have been individually assessed as requiring a home visit.

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City Health Care Partnership CIC a co-owned business

Engaging and consulting We are developing a new Health App in collaboration with local award winning app and software development company Sauce. The App is in the early stages of development and is being built with staff and local patients to support the selfmanagement agenda.

Representatives from Wolds View patient participation group joined young people from St Mary’s Health, Medical and Social Care Academy (which takes students from the East Riding) to discuss names, branding and colour schemes as well as what the app will be able to offer.

It will allow patients to access their records, get information about self-care, book appointments and request referrals, among many other things.

It was a lively and interesting discussion; one Wolds View participant even went away and created some designs and branding suggestions in his own time.

We know it’s crucial to get feedback from patients as they will be the ones using the app, so we asked a group of people to come to a session to look at what we’ve done so far.

We are keen to do more patient engagement of this kind and are on the lookout for opportunities to get those who use our services involved in designing and promoting them.

Holderness Neighbourhood Care Team The Holderness Neighbourhood Care Team (NCT) provides a range of community adult nursing and therapy services for ‘housebound’ patients in their homes, including care homes, between 8am and 10pm. We also provide clinics for community nursing care and therapy for those patients who are not housebound at three centres: Rosedale Community Unit in Hedon, Hornsea Cottage Hospital and Withernsea Community Hospital. Our catchment area covers five GP practices and nine care homes. Our team consists of a variety of skills and expertise ranging from more senior nurses, tissue viability nurse, case managers, to other nursing and clinical support staff.

Our therapy staff, likewise, have skills and expertise that range from more senior to middle and lower grade therapists and rehabilitation assistants. This enables us to see patients presenting with various needs and complexities. We work closely with other specialist nursing and rehab services that include palliative care, falls, MSK, heart failure, cardiac rehab and respiratory teams, ensuring that patients have more holistic and joined up care.

The beautiful rural, remote and coastal location of Holderness does have its challenges. Holderness has historically presented a challenge for >> recruitment, across all disciplines and grades.

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This is against a backdrop of an increase both in demand for the service and the complexity of the cases we support. We have more recently responded to the staffing pressures by working in more integrated ways as a wider team across the whole locality. This gives us the flexibility to allocate our resources, based on patient need. We are in the process of upskilling our band 5 nurses (our largest staff resource), to take on the extended role of care co-ordination and case holding with the support of more senior case managers.

however be supported through a system of supervision for all our staff, and providing opportunities for them to meet regularly with their colleagues. We are further using a number of strategies to recruit for key roles in the locality, which includes creating and offering training/ developmental posts. We have recruited into the majority of vacancies and expect to see a positive impact on our capacity as a result.

This will enable timely planning and allocation of work and the appropriate deployment of staff resource. In addition, we have started reviewing the skills and competencies of our nursing staff against a Clinical Skills Passport that is appropriate to their grade. This is aimed at supporting our organisational ambition of providing patients with best possible safe and high quality care.

As a locality, we have embraced CHCP CIC’s strategy of working more closely with our GPs and care homes, to ensure that our patients receive the best possible co-ordinated care. We have rolled out named nurses for all GP practices and care homes, who will be responsible for co-ordinating care for their respective GP and care home population. Our success is largely as a result of a dedicated team that is passionate about providing high quality care for the patients.

With only two bases in the whole locality we are steadily moving towards ‘agile working’, which is based on the concept that work is an activity we do, rather than a place we go to. This will

While there will be challenges in meeting our objectives, we are on course in the locality to ‘lead and inspire through excellence, compassion and expertise in all we do’.

Progres

We are in the process of de network to ensure services pool of volunteers for a var the East Riding.

This will give residents the o to develop new skills, know experience and improve the prospects. We are holding b meetings with the East Ridi Support service to identify t locality; we will also be hold roadshows to keep carers in what support is available in

We are supporting East Yor Transport with marketing, t development to increase th transport options for patien Riding. The transition to a s into our 247111 care coord progressing, as is the develo programmes to support car their roles and in providing centred care to help residen and healthy as possible.

The main East Riding single at Hessle is on track to be c the Care Co-ordination Cen Park. The East Riding Interm Team has already been align making it much simpler for to use one route for all hos irrespective of whether thes or East Riding bed.

All six ‘mini’ single points o been process mapped and a moved over to a virtual sing via 247111 in the New Yea points of access are being ‘ the localities. The Driffield a Community Hospital (ERCH of access have been co-loca 6

City Health Care Partnership CIC a co-owned business

ss and developments

eveloping a volunteer have access to a riety of roles across

opportunity wledge and eir employment bimonthly ing Carers’ the needs of each ding promotional nformed about n their areas.

rkshire Community training and policy he awareness of nts in the East single point of access dination centre is opment of training re co-ordinators in holistic, personnts to be as happy

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of access have are on track to be gle point of access ar; the mini single ‘clustered’ within and East Riding H) mini single points ated and merged

to one base at ERCH, with Market Weighton referrals also to be managed via the ERCH team in the near future, which will streamline and standardise the referral process within this locality.

We have met with local GPs to find out about care home provision in the localities and on the back of these discussions, have aligned named nurses to each care home.

A Hull and East Riding End of Life (EOL) group has been developed and we are reviewing EOL activity and preferred place of care in all localities, while also looking at the roll-out of the Respect Document on 8 January 2018. A workshop has been held with the Community Macmillan Team and organisations they link with, in July, to review what is working well and where improvements can be made. Technology and innovation will play a big part in making our services accessible to patients.

Urgent Care We have recently received the outcome of the Secretary of State’s decision on the CCG’s plans for the future of urgent care services. The Independent Reconfiguration Panel (IRP) agrees that the clinical case for change has been made, based on sound evidence and implementation should proceed.

The introduction of three urgent treatment centres at Beverley, Bridlington and Goole, supported by 8am-8pm provision of bookable urgent appointments in Driffield and Withernsea will provide consistent opening hours, advice, treatment and diagnostics.

The new bed model represents an opportunity to improve on the existing service, offering support to more patients in their own home and facilitating faster discharge from hospital.

We are now working closely with the CCG and our colleagues to agree our mobilisation plans and timescales. Our minor injury services continue to provide excellent care in the meantime.

Our community services colleagues are now able to be fully mobile, using new devices to enable paper-light, remote working. We are looking at the development of Skype meetings, progressing to patient consultations and the roll-out of Telehealth.

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DUNHAM GARDENS, CLARONDALE, SUTTON PARK

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Ashdale Lodge Residential Care Home Offering residential and dementia care At Sanctuary Care we support our residents to live happy and contented lives full of wonderful experiences. Our dedicated and caring team offers care with kindness, providing quality residential and dementia care.

Our welcoming care home includes spacious bedrooms, lounges and a dining area where our residents enjoy delicious home-cooked meals, a hairdressing salon and a large enclosed garden, which features an attractive summer house.

Our dedicated activities leader creates opportunities for our residents to live life to the full, whether supporting them to rekindle a favourite pastime or try something completely new.

THA is a charitable housing association with a sheltered housing scheme on Clarondale, Sutton Park. The self contained flats are designed for those aged 55 plus who wish to live independently.

Close to local amenities the scheme benefits from a full time Manager, 24 hour emergency call cover, guest room and laundry facilities.

For further information please contact the Resident Manager, Mrs E. Pickering, Telephone 01482 825407

We regularly welcome the local community into our home and over the next 12 months we will be hosting specially themed events to celebrate our 20 years delivering care - visit our website for more information.

We look forward to meeting you.

2 Wheeler Street, Anlaby Road, Hull, East Riding of Yorkshire HU3 5QE Tel: 01482 352 938 www.sanctuary-care.co.uk

Goole Hall Care home for the elderly Goole Hall is a beautiful Georgian mansion house, set in its own grounds in a peaceful country side setting.

Providing a high standard of care and accommodation for 28 elderly people We provide dedicated care 24 hours a day for private and funded placements ✱ respite and day care also available ✱ spacious en suite rooms ✱ full social program ✱ all special needs and diets catered for ✱ transport arranged for visitors from local points

Call in anytime to view or call 01405 760099 for our brochure 8

Riverside Care Complex Derwent House and Riverview Lodge Family managed specialist care home located in 7 acres of beautiful countryside just on the outskirts of York. Riverside Care Complex has 63 en-suite rooms offering: • Residential Care • Residential Nursing • Dementia Care • Respite Care Call in to view our impressive facilities (No appointment necessary):

Tel: 01759 388223

We are looking for dedicated compassionate people to join our team. If you think you have what it takes to succeed in a career in care please let us know.

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Beverley Grange Nursing Home

Lockwood Road, Molescroft, Beverley, HU17 9GQ off the A1174 (Beverley Bypass) ★ 64 bedded care home with 11 bungalows to aid independent living ★ Highly trained staff in attendance 24 hours a day ★ Extensive landscaped gardens with purpose built seating & pergola ★ Sitting rooms, lounges & comfy bar area for your use ★ A ll clients have individualised care packages following in-depth assessment by the Matron ★ Activity Officers offering every day changing programmes ★ Full time Qualified Chefs on duty offering varied menu choices ★ Birthdays or Special Events can be catered for on request ★ A ll regular home services can be booked inc: Physiotherapist, Chiropodist & Hairdresser. Daily deliveries of newspapers & magazines ★ N o appointments necessary. Please feel free to come and look round this professional warm & friendly environment ★ All bungalow residents can use all the facilities the care home provides

For further details regarding the home please contact Matron/Manager

01482 679955

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

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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 coordinating 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. >> 11

If you’re not eligible for NHS continuing healthcare If you’re not eligible for NHS continuing healthcare, but you’re assessed as requiring nursing care in a care home (in other words, a care home that’s registered to provide nursing care) you’ll be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. This is known as NHS-funding nursing care and is available irrespective of who is funding the rest of the care home fees.

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

Frequently asked questions about NHS continuing healthcare I have a local authority support package that works well. I’m now eligible for NHS continuing healthcare – will my support package change?

If you’re concerned about changes to your care package because of a move to NHS continuing healthcare, your CCG should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with one option being a “direct payment for healthcare”.

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

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

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

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

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

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

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

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

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

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

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Personalise 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 councilarranged 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.

ed care

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

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

What does personalised support mean for me?

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

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

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

Read more about how to choose care services.

How does personalised care and support work?

You and your social worker or care manager will work together to create a care and support plan. This plan details your care and support needs, and will be used to work out the value of your “personal budget”. Your support plan should consider: • 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 “decisionmaking agreement”. A decision-making agreement should state how they will look after your money and what decisions they can and can’t make on your behalf.

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

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

Checking your care plan is meeting your care 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?

If you’re not eligible for NHS-funded nursing care and you don’t NHS-funded nursing care is care provided by a agree with the decision about your eligibility, you can ask your registered nurse for people who live in a care CCG to review the decision. home. The NHS will pay a flat rate contribution directly to the care home towards the cost of this What is the rate of payment for registered nursing care.

Who is eligible for NHS-funded nursing care?

You may be eligible for NHS-funded nursing care if: • you are not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse • you live in a care home registered to provide nursing care

How will my needs be assessed?

You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHSfunded nursing care.

Most people don’t need a separate assessment for NHS-funded nursing care. However, if you do need an assessment or you haven’t already had one, your clinical commissioning group (CCG) can arrange an assessment for you.

Outcome of the assessment If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided by registered nurses employed by the care home. Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care.

NHS-funded nursing care?

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

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

If you moved into a care home before October 1 2007, and you were on the low or medium bands, you would have been transferred to the standard rate from that date.

If you moved into a care home before October 1 2007, and you were on the high band, NHS-funded nursing care is paid at a higher rate. In April 2017, the higher rate was set at £213.32 a week. You’re entitled to continue on this rate unless: • you no longer have nursing needs • you no longer live in a care home that provides nursing • your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £155.05 a week, or • you become entitled to NHS continuing healthcare instead.

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Eastfield Residential Home Ltd Eastfield is registered for 25 people with enduring mental health problems.

The home is set in grounds of lawns and trees.

The ethos of the home is to encourage people to reach their goals and potential. For some this will be to assist and support their return to independent living-for others it will be to enjoy a safe and secure environment that they can call home.

The staff receive a comprehensive training package which is constantly updated, enabling them to carry out their duties with professionalism and dedication.

This is reflected in the 3 star good rating awarded by the Care Quality Commission.

Wawne Road, Hull, HU7 5YS

Telephone: 01482 838333 14

Churchill House was purchased by Southcrest Care Ltd in October 2016. The home is a 24 bedded home, 22 single rooms and 1 double room.

We have two lounges one of which is a lounge diner. All staff receive regular training to ensure the safety of our service users. We provide care for people with Dementia, Stroke or just general old age. We offer Day Care, Respite as well as Permanent Care. The home has a warm traditional homely feeling.

We provide daily activities and outings throughout the year.

You are always welcome to pop in and have a look around.

Churchill House

745 Holderness Road HU8 9AR

Tel: 01482 709230

Email: lynne-churchillhouse@outlook.com

For quality care call 0800 085 3537

www.eastridingcareservices.co.uk

East Riding Care Services

Welcome to East Riding Care Services A family-run business who operates a group of leading care homes serving the East Riding of Yorkshire.

We provide person-centred care to the highest standards on a private and social funded basis and we specialise in dementia care and complex care needs.

The Old Vicarage Residential Care Home Ltd

Brough Manor Care Home Ltd

Glenfields Care Home Ltd

84 Main Street, Skidby, East Yorkshire, HU16 5TH

33 Station Road, Brough, East Yorkshire, HU15 1DX

7 Montgomery Square, Driffield, East Yorks, YO25 9EX

T: 01482 876 633

T: 01482 668 382

T: 01377 254 042

admin@theoldvicaragech.co.uk

admin@broughmanorch.co.uk

admin@glenfieldsch.co.uk

With a beautiful, secluded garden at the front and open countryside to the rear, residents of the Old Vicarage enjoy a tranquil setting in the heart of picturesque East Yorkshire.

Brough Manor is home to 26 residents who between them have complex care needs ranging from dementia and end of life care to rehabilitation, respite and day care.

The village of Skidby is home to the famous windmill, and within easy reach of the main population centres.

The residents enjoy a bright and spacious dining room and lounge, and other facilities include a lift and a wet room.

Situated in the leafy wolds of Driffield, newly refurbished, ample lounge and dining facilities, overlooking the gardens. A courtyard provides residents with the opportunity to sit outside and tend to the plants and one of the main attractions of the home is the vast back garden, where residents enjoy sitting and walking.

All care homes benefit from good ratings as awarded by the CQC and we have achieved this for every inspection under our management team.

To arrange a visit or to receive further details, please contact the General Manager Laura Harding on (01482) 876633 or 0777 567 4650 email: lauraannharding@gmail.com www.eastridingcareservices.co.uk

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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.

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

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

For more information on how paying for care is changing from 2020, read about the changes in the Care Act.

Ask for help from your local authority It’s worth checking whether you’re eligible for meanstested support from your local authority or other financial support – for example, through a care needs assessment and a financial assessment.

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

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

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

As an alternative, you may be able to enter an “equity release scheme” with a financial organisation. Equity release can pay for the fees from the value of property you own. However, you should consider which of these options best meets your needs, and what the overall costs to you will be.

Before taking such significant financial steps as equity release, you might want to get independent financial advice. You can find information on equity release for care at home from Which? Elderly Care or the Money Advice Service’s equity release information.

If you’re planning ahead, you may consider arranging an investment or insurance plan to fund your care.

Again, it may be worth taking independent advice on financial arrangements before making major changes.

Because of the new rules, there are likely to be more financial products emerging that are designed to help people pay for care.

You may also want to explore whether the NHS would

meet some or all of your care and support costs, or you may have entitlement to benefits that may help you meet costs. Read about other ways of funding care.

Advice on paying for care Even if your local authority is not able to help fund your care, it will be able to make an assessment of your care and support needs. From this, the local authority can provide you with access to a range of information and advice available locally.

You can also get independent advice from: • The Money Advice Service website: offers information on paying for care or the option to speak to an online adviser. You can call the Money Advice Service on 0300 500 5000.

• The Society of Later Life Advisers: the society can also help you find advice on how to make financial plans for care in your old age.

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

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

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

• Which? Elderly Care has a guide to financing care.

Deferred payments if you are unable to pay for care services Care home fees are a big financial commitment, and the decision to go into a care home is often made at a moment of crisis or urgency, such as when being discharged from hospital. This can make finding the money to pay for fees (usually several hundred pounds a week) challenging for people funding their own care.

In particular, if you own property outright but have little in the way of savings, you may be expected to fund your own care but have little immediately available money to pay for it. Some people going to stay in a care home for a long time find that they have no option but to sell their property to pay the care home fees.

Your council may be able to help you if you are at risk of having to sell your home. Where there is a delay in selling the property, or you don’t want to sell the property immediately, you may be eligible to have your care fee payment “deferred”. This is where the local authority helps you to pay your care fees temporarily, and you repay the costs to the local authority at a later date.

If the local authority agrees to the deferred payment and pays the care home fees, it will take payment from the

money raised once the property is sold. This can be: • during your lifetime if you choose to sell your home • once you die, the local authority can be repaid from your estate All councils must offer people the chance to defer payment if they meet a set of eligibility criteria.

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

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

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

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

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

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

Anyone entering into a contract for care services should be given adequate information about the fees. Care providers should supply: • information about the fees charged for various services provided • arrangements for paying the fees • the fees charged for any additional services If your capital falls below the set levels for local authority funding (currently £23,250), you will be eligible for reassessment for help with funding your care.

Editorial content supplied by:

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Care services in If you need help around the home, a good option is to have a care worker come in to your home to help you.

Types of care and support Care and support comes in many forms and has many names used to describe it, including home help, care attendants and “carers” (not to be confused with unpaid family or friends who care for you).

Care and support can suit you if you need: • personal care, such as washing or dressing • housekeeping or domestic work, such as vacuuming • cooking or preparing meals • nursing and health care • companionship Care and support can be very flexible, in order to meet your needs, and the same person or agency may be able to provide some or all of these options for the duration of your care: • long-term 24-hour care • short breaks for an unpaid family carer • emergency care • day care • s essions ranging from 15-minute visits to 24-hour assistance and everything in between If you already know what you want, you can search NHS Choices directories for: • local care and support services and agencies • a list of national care and support organisations • services that can help you stay safe and well in your home on a long-term basis; these services, often known as “supported living services”, can include financial, help with medication, advocacy, social and practical support • a place to live in a family who will care for you, known as “shared lives services” or adult placement services If you believe that you might benefit from some help at home, the first thing to do is to contact your social services department to ask for an assessment of your care and support needs. To contact social services, go to GOV.UK: find your local authority.

If you are eligible for care and support services, the local authority may provide or arrange the help themselves.

Alternatively, you can arrange your own care, funded 18

your home

by the local authority, through direct payments or a personal budget.

If you have chosen direct payments or a personal budget, or you aren’t eligible for local authority help and want to get care privately, you can arrange it in several different ways.

Independent care and support agencies If you use an independent care and support agency, you or the person you’re looking after has to find the care agency and pay them.

The agency will provide a service through a trained team of care workers, which means you may not always have the same person visiting your home, although the agency will do its best to take your choices into account. Independent care and support providers are regulated by the Care Quality Commission (CQC). Care and support agencies must meet CQC’s national minimum standards and regulations in areas such as training and record-keeping. The CQC has the power to inspect agencies and enforce standards.

Care and support agencies must vet care and support workers before engaging them by taking up references and carrying out Disclosure and Barring Service (DBS) checks on potential employees. Care and support agencies can also: • t ake over the burden of being an employer – for example, payroll, training, disciplinary issues and insurance • t rain their care and support workers through national qualifications and service-specific training • r eplace workers when they are ill, on holiday or resign •p ut things right when they go wrong An agency will want to see you and the person you’re looking after so that they can assess your needs. This also means that a joint decision can be made about the most appropriate type of care and support.

You can find out more from the UK Homecare Association.

What are the disadvantages of using a care and support agency?

The main disadvantage is the cost of using an agency. The agency will charge a fee on top of the payment made to the care worker to cover their running costs and profit.

You normally have to make a regular payment to the agency, which includes both the worker’s earnings and the agency’s fee.

Questions to ask when using a care and support agency The fees some agencies charge can be quite high. Before deciding to go ahead with an agency, you should ask questions about the fee and what it covers, including: • Does the agency check references?

• What training and supervision do they provide?

• What is their complaints policy?

•W ho will be responsible for insurance?

• Is there any out-of-hours or emergency contact if needed?

• Will they be able to provide staff if your own care worker is ill or away? (If an agency contracts to provide care every day, it must ensure that it does.)

Hiring a personal assistant You can hire a “personal assistant” to act as a care and support worker for you.

Personal assistants can offer you all that you’ll get from an agency worker, but you’ll also get the continuity, familiarity and ongoing relationship with your assistant.

However, if you employ a personal assistant, you will then have the legal responsibility of an employer. This will include arranging cover for their illness and holidays.

GOV.UK has more information on becoming an employer, while Which? Elderly Care also has advice on employing private individuals.

Care and support from charities Charities such as Age UK and Carers Trust can provide home help and domestic assistance services. The Carers Trust supports carers by giving them a break from their caring responsibilities through care and support services.

Marie Curie Nurses can provide practical and emotional support for people near the end of their lives in their own homes.

Safeguarding vulnerable groups The DBS makes decisions about who is unsuitable to work or volunteer with vulnerable adults or children. It makes this decision based on information held by various agencies and government departments.

The service decides who is unsuitable to work or volunteer with vulnerable adults or children.

If someone who is barred from working with children or vulnerable adults is working, volunteering or trying to work or volunteer with these groups, they are breaking the law.

They could face a fine and up to five years in prison.

Employers must apply for an enhanced DBS check (formerly known as a CRB check) when taking on new employees or

volunteers to work with vulnerable adults or children. This includes a check of the barred lists. If an organisation fails to make the relevant checks, they can be penalised.

If an organisation dismisses an employee or volunteer for harming a child or vulnerable adult, they must tell the DBS. The DBS must also be notified if any employee or volunteer harms a child or vulnerable adult, but isn’t dismissed because they leave voluntarily. If their organisation does not tell DBS, they will be acting illegally.

Questions can be answered by the DBS call centre on 0870 909 0811, or by email.

Employing a care worker on a private basis If you employ a care worker privately, you will not be obliged to use the DBS scheme, but you can use it if you choose to.

You need to ask social services or the police to make the checks on your behalf. The care worker must have already applied to be vetted, and must consent to the check.

If you have concerns about the suitability of someone you employ privately to work with a vulnerable adult or child, you can ask social services to investigate the matter. They can refer the worker to the ISA on your behalf.

Manual handling If you need help to move, or you need someone to lift you (such as getting out of bed or getting on to the toilet), this can put the person doing the lifting at risk of injury.

This “manual handling” can result in back pain and in the most serious cases, permanent disability if not done correctly.

The law says that employers must take reasonable precautions to ensure their employees don’t do any manual handling that carries a risk of them being injured. This applies to you if you directly employ a personal assistant to care for you (but most likely will not if you hire someone through an agency). It is particularly important to consider insurance in this situation. This would cover any risk of the care worker injuring themselves, as well as any risk of them causing an injury.

There are rules around the risk assessments you need to carry out, and the Health and Safety Executive produces advice on safe manual handling.

Editorial content for pages 10-19 & 28-29 supplied by: NHS Choices have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does NHS Choices endorse any of the products or services. All information and figures correct at the time of going to print.

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Support for people living with dementia in Hull and East Riding

If you or someone you know are worried about or affected by dementia, we are here for you.

We have information to help you understand dementia, what to expect, and practical advice and support to help you live as well as possible with the condition.

Our Support Workers offer information and practical guidance to help you understand the condition, cope with day-today challenges and prepare for the future.

Face-to-face, over the phone or in writing they will help you to: ■ remain independent and stay active for as long as possible ■ get the information and advice you need to make informed decisions about your wellbeing ■ find other local services which can help to improve your life.

We offer individual support in a variety of venues across Hull and East Riding and our Support Workers will work with you to support you to understand dementia and provide the information you need. We also offer carers courses in both Hull and East Riding.

If support from others living with dementia is something you feel would be of benefit come along to one of our groups. These are all relaxed informal groups for people living with dementia and those that support them. Come along and have a cup of tea with someone who understands. Our highly skilled staff can give you information and help sign post you to other available support services.

The groups take place at various venues across Hull and East Riding (details below) and new faces are always welcome. You don’t need to stay for the whole session just pop along and see what you think.

In Hull our Memory Cafes are held at the following venues Holderness Road Methodist Church on the first Monday of the month from 1.30pm to 3.30pm.

Age UK, Healthy Living Centre, Hull on the second Monday of the 22

month from 2pm to 4pm Lees Rest Houses on the last Monday of the month from 1.30pm to 3.30pm North Hull Community Centre fortnightly on a Thursday morning from 10am to 12noon Our Singing for the Brain group is held at The Club House Community Centre, Garden Village, Hull fortnightly from 10.30am to 12noon.

In the East Riding our Activity Groups take place at the following venues The Wellbeing Suite, Driffield on the first Wednesday of the month.

Goole Museum on the second Wednesday of the month.

Preston Community Hall on the third Wednesday of the month.

The Community Hall, Market Weighton on the last Wednesday of the month.

Hessle Town Hall on the second Thursday of the month Applegarth Court, Bridlington on the last Thursday of the month Willerby Methodist Church on the first Friday of the month (musical focus) Peter Harrison Rooms, Beverley Minster on the last Friday of the month (musical focus) All of the Activity Groups take place between 1.30pm and 3.30pm with the exception of Bridlington which is 1pm to 3pm and Hessle which is 10.30am to 12.30pm.

For more information on the groups and to confirm dates and times please contact our office on 01482 211255.

Side by Side service Our Side by Side service is also available across Hull and East Riding and enables a person with

dementia to do something they enjoy supported by a volunteer. This can be joining a local club, going to a football match, or just going for a stroll in the park or for a coffee. This extra support can make it easier for people with dementia, who might feel isolated or find it difficult to leave their homes, to do things we take for granted and feel part of their local community. The service is highly flexible and built around the individual and their needs.

To find out more about Side by Side and our other local services please contact us on 01482 211255 or email us at hulleastriding@ alzheimers.org.uk.

We also have a national help line available seven days a week.

Ring 0300 222 11 22 to talk to a trained adviser.

Opening times are: 9am to 8pm Monday to Wednesday 9am to 5pm Thursday and Friday 10am to 4pm Saturday and Sunday.

Talking Point, a helpful online community where anyone who is affected by dementia can receive valuable support is also available.

It’s free, open day or night, and can be accessed online.

On Talking Point you can: ■ ask for advice ■ read other people’s stories ■ offload your concerns about dementia ■ share helpful information.

Simply visit alzheimers.org.uk and click the Talking Point link to find out more.

Whatever your questions about dementia we are here to support you please do get in touch.

For more information

Taking on dementia together

To find out more about our local services please contact us on 01482 211255 or email us at hulleastriding@alzheimers. org.uk.

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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

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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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GP Top tips

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If you are new to an area you can find details of local GP services such as doctors’ practices, out-of-hours services and walkin centres in our online directory of care services www.cqc.org.uk/content/doctorsgps

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You can search any of these services by the name of the service, a place name or your postcode at www.cqc.org.uk

After an inspection, CQC publishes its findings in a report on its website. You can use these reports to check and compare services in your area.

Telephone: 03000 616161 • Web: www.cqc.org.uk

CQC rates all GPs to help people make choices about where they get treatment. This will be on a four-point scale:

Outstanding Good ● Requires improvement ● Inadequate ●

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There are already over 1,000 reports about GP practices published on the CQC website.

Last year, CQC launched its new-style inspection reports for GPs – looking at the five key areas SAFE, EFFECTIVE, CARING, RESPONSIVE and WELL-LED – you can use the reports to compare local GPs and choose services.

You can also use these new style inspection reports to find out more about local services and choose the one that is best for your needs.

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CQC will also look at how specific population groups are treated and give a rating. For instance how well they serve: Mothers, children and young people, vulnerable older people (over 75s) and people with long-term conditions.

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

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

/CareQualityCommission

@CareQualityComm

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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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.

Mental health Top tips

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If you are concerned about your mental health you should first visit your GP.

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Outstanding Good ● Requires improvement ● Inadequate ●

Your GP will assess you and offer appropriate advice or treatment. They can refer you to a psychological treatment service or a specialist mental health service for further advice or treatment.

Mental health services are free on the NHS but you will usually need a GP referral. If you don’t want to go to your GP you may also have the option of self-referral. This means you can go directly to a professional therapist. The NHS Choices website has a searchable directory of services which you can use to find a service near you.

If you are referred to a specialist mental health service, you can ask which other providers offer the same service in your local area and make a choice.

CQC rates mental health providers to help people make choices about where they get treatment.

They will use a four-point scale:

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CQC uses information from the public and holds listening events across the country where people can talk with inspectors about their experience of services.

You can look at our inspection reports and ratings for mental health services or share your experiences of care (good or bad) by visiting www.cqc.org.uk

Telephone: 03000 616161 • Web: www.cqc.org.uk /CareQualityCommission

@CareQualityComm

In April CQC launched its new-style inspection reports for mental health providers – looking at five key areas of Safe, Effective, Caring, Responsive and Well-Led – you can compare reports on CQC’s website to help choose a provider.

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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Useful contacts A

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Action on Elder Abuse 080 880 88141 We work to protect, and prevent the abuse of, vulnerable older adults.

Action on Elder Abuse, PO Box 60001, Streatham SW16 9BY I www.elderabuse.org.uk I enquiries@elderabuse.org.uk

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

Admiral Nursing DIRECT 0800 888 6678 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back.

I www.dementiauk.org I direct@dementiauk.org

Elderly Accommodation Counsel 0800 377 7070 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

Advice Forward Partnership for Hull & East Riding A network of local free and not-for-profit advice providers across the Hull & East Riding community.

I www.adviceforward.org.uk

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

Age UK East Riding 01482 869181 16 North Bar Within Beverley, East Riding of Yorkshire HU17 8AX I www.ageuk.org.uk/eastriding I info@ageukeastriding.org.uk Age UK Hull 01482 324644 Healthy Living Centre, Bradbury House, Porter Street, Hull HU1 2RH I www.ageuk.org.uk/hull I mailbox@ageukhull.org.uk Alzheimer’s Society – Hull and East Riding Service 01482 211255 Suite D, Annie Reed Court, Annie Reed Road, Beverley HU17 0LF Activity Group – Minster Yard North, Beverley HU17 0DP North Hull Memory Cafe – 37th Avenue, Hull HU6 8AU Activity Group – Carr Lane, Willerby, Hull HU10 6JP West Hull Memory Cafe – 1A Lees Rest Houses, Hull HU4 6XA Hull Singing for the Brain – Elm Avenue, Hull HU8 8PZ East Hull Memory Cafe – 327-329 Holderness Road, Hull HU8 8SH Hull Memory Cafe – Bradbury House, Porter Street, Hull HU1 2RH Activity group – South Lane, Hessle HU13 0RR Activity group – Station Road, Market Weighton, Beverley HU17 5NF Activity group – Main Street, Preston, Hull HU12 8UA Activity group – Bridlington Road, Driffield YO25 5JR I hulleastriding@alzheimers.org.uk I www.alzheimers.org.uk Arthritis Care 0808 800 4050 Working with and for all people with arthritis to put them in control of their arthritis and their lives.

Arthritis Care, Saffron House, 6-10 Kirby Street, London EC1N 8TS I www.arthritiscare.org.uk 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 UK – East Riding 01482 396500 Prevents carers from becoming emotionally drained, and from forgetting to take care of themselves.

18 Wednesday Market, Beverly HU17 0DX I www.carersuk.org I ercarers@eastriding.gov.uk Citizens Advice Hull & East Riding 03444 111 444 Hull Office – The Wilson Centre, Alfred Gelder Street, Hull, HU1 2AG Bridlington Office – 5a Prospect Arcade, Prospect Street, YO15 2AL Goole Office – 80 Pasture Road, Goole, DN14 6HD Beverley Office – 100 Lairgate (opp Tiger Inn), Beverley, HU17 8JQ I www.hullandeastridingcab.org.uk/ Cruse Bereavement Care 0808 808 1677 Cruse Bereavement Care is here to support you after the death of someone close.

I www.cruse.org.uk I helpline@cruse.org.uk

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M Mind (National Association for Mental Health) 0300 123 3393 The leading mental health charity in England and Wales. We work to create a better life for everyone with experience of mental distress.

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

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

I www.nos.org.uk NHS 111

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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 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 www.dwp.gov.uk/about-dwp/customerdelivery/thepension-service

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

Every possible care has been taken to ensure that the information given in this publication is correct at the time of going to print. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners.

Octagon Design & Marketing Ltd. ©2018. Hawks Nest Cottage, Great North Road, Bawtry, South Yorkshire, DN10 6AB. Tel: 01302 714528 Options Hull & East Riding is published by Octagon Design & Marketing Ltd with editorial contributions from the City Health Care Partnership CIC, the CQC, Alzheimer’s Society and NHS choices. The editorial contributors have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor do the editorial contributors endorse any of the products or services.

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Content supplied by:

North Ferriby Nursing Home

Ferriby House, 5 High Street, North Ferriby HU14 3JZ

Providing nursing, residential and respite care for the elderly and disabled Please call in for a look around or contact the general manager on

Telphone (01482) 634782 or 631301 www.northferribynursinghome.co.uk

The Motability Scheme The scheme uses some or all of your mobility benefit payments to cover the cost of “contract hire” or “hire purchase” of an appropriate vehicle. You can also pay an extra amount of money if you want a more expensive vehicle.

With hire purchase, the price of the car will be agreed directly with the Motability dealer, and you will own the vehicle outright at the end of the agreement.

With contract hire, you won’t own a vehicle, but you will get a new car every three years, full insurance for the driver and passengers, servicing, maintenance and repairs, vehicle excise duty, replacement tyres and breakdown cover.

Adaptations to the car can be made if needed, although there may be an extra charge for some adaptations. Under the Motability scheme, cars can also be adapted for people in wheelchairs.

If you don’t need or want a car, you can transfer your allowance to lease a scooter or powered wheelchair.

Editorial content supplied by:

DESIGN PRINT SUPPORT

The Motability scheme allows some disabled people getting DLA, PIP or War Pensioners’ Mobility Supplement to obtain a car, powered wheelchair or scooter.

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

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

Ladies Day Care at Holderness House Here at Holderness House we understand the pressures of being a carer and the desire for a much needed break, so we are offering a new service for your relative or friend to join us for the day in the House.

They can join us for breakfast, lunch and dinner and enjoy the company of our lovely residents and be cared for by our dedicated staff. It’s a chance to enjoy a new environment, join in our daily entertainment and make new friends.

Our day care service is from 8am until 8pm at a cost of between £35 and £40 depending on needs.

Included in this cost are breakfast, lunch and dinner, plus refreshments.

Assisted personal care with a bath or shower if required and to join in with our entertainment and have their nails manicured.

There is also the opportunity to have a hair appointment (Wednesdays and Thursdays) at an additional cost of £7.50.

Do come along and visit us and see what our beautiful House has to offer.

To find out more please contact our management team on

Contact and Support

We are here to answer any questions you may have about the Mobility Scheme. You can contact our Customer Services team directly or one of our Scheme partners depending on the nature of your enquiry.

Tel: 0300 456 4566. Opening times: 8am-7pm Monday to Friday, 9am-1pm Saturday. Monday 9am-11am is our busiest period.

01482 702657 to arrange a visit www.holdernesshousetrust.co.uk

You may find it easier to call outside these times.

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

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