A guide to older peoples’ services in Warrington

A guide to older peoples’ services in Warrington October 2012

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Introduction Welcome to the guide to older peoples’ services in Warrington 2012.

As our older population continues to grow, we want to ensure that the support is there to help people retain, improve or regain their independence and quality of life.

This guide provides information about care and support services for people over 65 and their carers across Warrington. It provides general information and also details of people and organisations you can contact to get further help and information.

You can find more information about adult social care services in Warrington on our website www.mylifemyway.co.uk. If you would like to speak to someone you can Adult social care is changing in Warrington. also contact our Access Social Care team. We are working together with local people Telephone: 01925 444239 to personalise care and support services, (Monday – Friday, 8.30 am – 5.00pm) helping people to stay independent for In an emergency outside of these hours longer and giving them more choice and control over the services that they use. telephone: 01925 444400 Our thanks go to Octagon Marketing Company Ltd who have produced this directory at no cost to Warrington Borough Council

Contents Healthy ageing

Page 4

Support to live at home

Page 14

Housing

Page 21

Carers

Page 27

Keeping yourself safe from harm

Page 29

Moving home

Page 32

Benefits information

Page 39

Having a voice

Page 40

Residential and nursing homes

Page 42

Additional useful contacts

Page 46

Photos: careimages.com

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Healthy ageing People are living longer and it is therefore important that we look after our health so that we can remain active and healthy and take part in our community for as long as possible.

9. Have your benefit entitlement checked – just to make sure you are receiving all the income you are entitled to 10. Make sure you drink enough fluids (e.g. water, soft drinks) and watch the amount of alcohol you are drinking, because as we get older we become more sensitive to the effect of alcohol

Warrington has a new Healthy Ageing Strategy 2012 – 15 that organisations across the town have signed up to and it contains 11 top tips that can help you to stay healthy and independent as you grow older.

11. Consider how equipment or minor alterations to your property may help you to remain safe and independent at home

1. Flu jabs – the importance of getting the annual flu vaccine

We have picked out 7 tips that are most relevant to the winter months to help you stay healthy and well at this time of year. If you would like more information about any of the top tips contact Age UK on tel: (01925) 639018.

2. Know how to keep your home warm and safe in the winter months 3. Reduce the risk of having a fall and ending up in hospital 4. Know the signs and symptoms of depression and dementia and seek help early

Top tip 1 - Flu vaccination information STAY FLU SAFE, GET THE JAB

5. Make sure you take part in health screening, for example bowel cancer screening, it could save your life

It only takes 30 seconds but it could save you from getting the flu and is time well spent! The flu season is upon us again, and it is very important that you protect yourself against the flu virus every season.

6. Keep your bones healthy by eating a good healthy diet and getting regular but safe exposure to the sun 7. Make sure you are having your medications reviewed regularly by your GP. This could help prevent you from falling and ending up in hospital

The FREE flu vaccination is offered to all people aged 65. For those under 65 there are certain medical conditions that would mean you also require the flu jab, please contact your GP or practice nurse for more information.

8. Keep yourself active and involved in your community – this will help stop isolation and becoming lonely

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What is seasonal flu?

are more susceptible to the effects of seasonal flu. For them it can increase the risk of developing more serious illnesses such as bronchitis and pneumonia, or can make existing conditions worse. In the worst cases, seasonal flu can result in a stay in hospital, or even death.

Seasonal flu occurs every year, usually in the winter. It’s a highly infectious disease caused by a number of flu viruses. As with most seasonal flu vaccines, this year’s vaccine will protect against three types of flu virus.

Is the vaccine the best protection against flu?

How do I know when I’ve got flu? Flu symptoms hit you suddenly and sometimes severely. They usually include fever, chills, headaches and aching muscles, and you can often get a cough and sore throat at the same time. Flu is caused by viruses and not bacteria, so antibiotics won’t treat it.

Yes, the vaccination will help your body to fight flu viruses. Your body starts making antibodies against the viruses about a week to ten days after the injection. Will I get any side effects? There are some fairly common but mild side effects. Some people get a slight temperature and aching muscles for a couple of days afterwards, and your arm may feel a bit sore where you were injected. Any other reactions are very rare.

What harm can seasonal flu do? People sometimes think a bad cold is flu, but having flu can be much worse than a cold and you may need to stay in bed for a few days if you have flu. Some people

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Healthy ageing continued Will the seasonal flu vaccine protect me completely?

stop heat escaping. Your loft, cavity wall, hot/cold water pipes and cylinders can all be insulated and doing this can reduce your heating bills by up to £265 per year!

Most people will be protected against flu by having the vaccination. And while the vaccine does not give 100% protection, if you have the vaccination and still go on to get flu you are much less likely to have serious complications.

The ideal room temperature in your home is 21°C, and should be kept at a regular level. If the temperature of your home is too cold this can increase the risk of developing hypothermia, a heart attack or a stroke. However, if your room is too hot, it can result in difficulty breathing.

How long will I be protected for? The vaccine should provide protection throughout the forthcoming flu season.

For more information about organisations and services that can help you to stay warm, well and safe at home this winter go to the housing section on page 21.

Is there anyone who shouldn’t have the vaccination? Almost everybody can have the vaccine, but you should not be vaccinated if you have had a serious allergy to the vaccine in the past. If you have a serious allergy to hens’ eggs you can still be vaccinated under specialist clinical supervision. If you have a fever, the vaccination may be delayed until you are better.

If you are worried that you will be unable to pay your fuel bills this winter you should have a benefit check to see if you are entitled to any support. For more information contact Age UK on tel: 01925 639018 or the Citizens Advice Bureau (Homelink) on tel: 01925 246978.

So if you are aged over 65 don’t let the flu bug get you this winter, contact your GP or practice nurse now to book your appointment.

Top tip 3 – Reduce the risk of having a fall There is an increased risk of injury from falls in winter because of the colder, icier weather and darker nights. However our muscles can also react more slowly when it is cold, making falls more likely.

Top tip 2 – Know how to keep your home warm and safe in the winter months With the rising costs of gas, electricity, fuel and food we need to look at ways to reduce our energy bills. There are lots of different ways that we can save energy in the home including draught proofing, installing energy saving lightbulbs and not leaving appliances on standby.

Stay snow safe! How to avoid a fall in cold weather: 1. Keep in doors and avoid going out if possible if it is icy outside. Avoid going out early in the morning when it is still dark as you can’t see ice that may be on the ground

Insulating your home is absolutely vital to 6

Top tip 4 – Know the signs and symptoms of depression and dementia

2. If you have a pendant alarm, wear it when in and around the house 3. Wear well fitting shoes with grip if you need to go outside

We all deserve to enjoy life and feel well. But for some of us getting older brings with it challenges such as living with a long-term health condition, caring for a relative, or loss of independence. It’s easy to feel overwhelmed and unable to cope when everyday stresses build up, or when faced with a significant trauma like bereavement.

4. The risk of fall can increase in cold or damp homes. Take regular exercise to strengthen your muscles and improve your balance and keep you warm 5. If you do need to go outside take your walking stick or walking aid to help keep you stable

Ups and downs are a natural part of life and usually don’t last long. Occasionally changes in mood can be a sign of a more serious problem, so it’s important to talk to your GP if you’re having difficulty coping with your feelings or thoughts.

For more information about how you can stay safe in your garden see page 24. Falls emergency grab bag If you are aged 65+ and have a history of falling or have a high risk of falling, be prepared by obtaining a free emergency grab bag. The bag helps you to be prepared in an emergency situation. Telephone the NHS resource department on 01925 843730 for your free emergency grab bag.

Depression and dementia are issues many of us prefer not to think about, but if you’re aware of the signs and symptoms, then it will be easier to recognise when you, or a loved one, might need help and support.

Stay on your feet (for patients aged 65+) The stay on your feet programme aims to improve physical activity, muscle strength, balance, flexibility, posture and prevent falls. It is for people who are able to stand unassisted and walk unaided. It offers a variety of classes at various venues including an 8 week exercise programme which is free of charge. For more information telephone 01925 843715.

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Healthy ageing continued Depression

If you are concerned about your own, or someone else’s mental health then speak to your GP, or contact the GP out of hours service on 01925 650 999.They will be able to discuss with you the range of support and treatments available.

People don’t always realise when they’re depressed, especially if they’ve felt ‘low’ for some time. Below are some of the common signs and symptoms of depression.

• Tiredness

If you, or the person you’re concerned about, is in immediate danger then call 999 and ask for help, or go to a hospital A&E department.

• Loss of appetite

Five Ways to Wellbeing in Winter

Common signs of depression • A persistent feeling of sadness

To encourage people to improve their own wellbeing the Five Ways to Wellbeing have been developed. These are simple everyday things you can do that will help you feel better about yourself.

• Restlessness • Not sleeping well • Sleeping too much • Loss of confidence

Connect - Building connections with other people will mean you can share the good things in life and you’ll get more support in times of need. Visit a friend or neighbour, or if it’s not safe to go outside pick up the phone for a chat.

• Avoiding people • Poor concentration • No longer enjoying things you used to What can help depression?

Be active – Exercise is a really good way to beat the winter blues, so a short walk every day can really lift our mood! However in severe weather conditions, unless we have the right clothing and footwear, it might be risky to pursue outdoor activities. But staying indoors does not mean being inactive! Keep in shape by walking in place, using a stationary bike or working out with a fitness DVD. Please check with your GP before beginning any exercise program.

• Medication such as anti-depressants • Talking therapies such as counselling, support groups • Cognitive Behavioural Therapy encourages you to recognise and change negative thoughts. Your GP will be able to refer you • Social intervention such as self-help groups, social groups, practical help with benefits

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Take notice - Become more aware of the world around you. Look at the differences in the world around you that the winter season brings. Think about small things that you have experienced during the day that have made you feel happy and content. Sitting next to a window and getting as much natural daylight as you can, can also help to lift mood.

Dementia is progressive, which means the symptoms will gradually get worse. How fast it progresses depends on the individual. Each person is unique and will experience dementia in their own way. There are over 100 different types of dementia; the most common types are Alzheimer’s disease, vascular dementia and dementia with Lewy bodies. People who have dementia can often have a good quality of life for a number of years. However, the symptoms generally get progressively more severe with time.

Keep learning - Learning new things can have a positive effect on mood. Reading a new book or learning to cook a new recipe will increase feelings of confidence and can be fun.

Know the signs

Give – if we know that family, friends or neighbours may need a bit of extra help in the winter time, why not arrange to pop round or ring regularly to make sure that they are coping during the bad weather.

An early dementia diagnosis is crucial to enable people to get the right support and treatment needed which can improve a person’s quality of life and help to maintain independence for longer.

Dementia Dementia is a term used to describe the deterioration of the brain function that results in loss of memory, reduced language skills, impaired reasoning and loss of daily living skills.

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Healthy ageing continued Making decisions – who decides when you can’t?

Fortunately, the signs and symptoms of dementia can be spotted early and these include:

The Mental Capacity Act provides a statutory framework to empower and protect vulnerable people who are not able to make their own decisions. People may have difficulties making decisions some or all of the time. This could be because they have mental health problems, dementia, a brain injury or learning difficulty.

• Struggling to remember recent events, although a person can easily recall things that happened in the past • Finding it hard to follow conversations or programmes on TV • Forgetting the names of friends or everyday objects

The Act makes it clear who can make decisions, in which situations and how they should go about this. It also enables people to plan ahead for a time when they may lose the capacity to make decisions in the future. You may wish to make an advance decision to refuse treatment or create a lasting power of attorney.

• Difficulty recalling things that have been heard, seen or read, repeating things or losing the thread of what you are saying • Problems with thinking and reasoning • Feeling anxious, depressed or angry about memory loss If you recognise any of the signs above contact your GP, they are there to help.

More information is available on the council’s website at www.warrington.gov. uk/MCA. You can also visit the website for the Office of the Public Guardian at www.publicguardian.gov.uk or telephone them on 0300 456 0300.

Warrington Alzheimer’s Society dementia advisor/support service can provide information and emotional support at the point of diagnosis and beyond. They also operate a number of dementia cafes across Warrington, so you can chat about any concerns you have regarding your memory or caring role. Telephone: 0151 420 8010, website: www.alzheimers.org.uk

Top tip 6 – Keep bones healthy by eating a good diet Eating properly plays a big part in keeping warm and well. During cold weather, hot meals every day and regular hot drinks will give you extra warmth and energy. If you don’t eat as much as you used to, eat smaller meals more often and supplement them with nutritious snacks, such as fruit, vegetables and wholegrain toast.

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• Drink more milk – this helps to boost your immune system

Top tip 10 – Make sure you drink enough fluids

• Eat more fruit and vegetables – to ensure you get your 5 a day

Dehydration is one of the risk factors that can contribute to falls in older people (see top tip 3 - falls). It can lead to confusion, urinary tract infections and constipation. Dehydration also increases the risk of dizziness and low blood pressure. Ensuring you are well hydrated helps to combat a sudden drop in blood pressure when first standing up when there is a greater risk of falling.

• Have a hearty breakfast – such as porridge which gives you energy and helps you feel fuller for longer • Eat plenty of foods rich in starch and fibre – such as wholegrain bread, rice, pasta, fruit and vegetables

Top tip 7 - Make sure you are having your medication reviewed regularly by your GP In the cold weather it is often too dangerous to go outside in icy conditions, but we still need essential items such as prescriptions. If you have a prescription that needs to be collected but are concerned about tripping or falling in cold weather, there may be the following support: 1. Check with your local pharmacy if they can deliver prescriptions 2. If you have a relative, friend or neighbour ask them to pick the prescription up for you in advance 3. If the weather conditions are dangerous, the council’s severe weather helpline could be activated, telephone: 01925 442244. For more information see page 20.

Tips for staying hydrated: • Try to drink fluids regularly each day • Start the day by drinking a glass of water when you get up in the morning • Keep a check on your urine. As a general guide to hydration, it should be plentiful, pale in colour and odourless Alcohol and older people As we get older, our bodies change and people become more sensitive to the effects of alcohol. You also react more slowly and tend to lose your sense of balance. So, even if you drink the same amount of alcohol, as you get older it is likely to affect you more than younger people.

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Healthy ageing continued The more you drink, the more likely it is that alcohol will harm your health. New research recommends no more than 1.5 units of alcohol a day for those aged 65 and over – the equivalent of just over half a pint of beer or a small glass of wine.

Drinkline - This national alcohol helpline offers confidential help and advice for alcohol related issues; including self-help material and advice on where to go for more help. Telephone (free phone): 0800 9178282 (24 hours a day, 7 days a week)

Alcohol can also add to the effect of some medications, e.g. painkillers or sleeping tablets, and reduce the effect of others, e.g. medication to thin the blood (warfarin) – this can increase the risk of bleeding or developing a clot or blockage in your bloodstream.

Footsteps – This local organisation offers a confidential listening and support service for parents and family members who are concerned about alcohol or drug use in their family. Telephone: 01925 244524 Live At-Ease – readjusting to life outside of the military has a big impact on family life. Live At-Ease gives free, one-to-one support to families with related problems, and acts as a point of contact while ex-service people get the help they need.

Check with your doctor about whether you can drink with your particular health problems or medication. What can I do? If you think that you have an alcohol problem, talk to your GP. If necessary they can arrange for you see a counsellor, or refer you to an NHS alcohol team in your local area.

Telephone: 0808 123 1 123 or www.liveat-ease.org.uk For more general information about alcohol please visit www.nhs.uk/livewell/ alcohol. For information about local services please visit www.warrington.gov. uk/alcohol.

Older people who are military veterans can get priority access to healthcare if their condition is related to their service. GP’s who have this as a special interest can be identified by a badge or poster in their surgery. You can also contact: ADS - This local service offers free, confidential advice, support, information and treatment for adults whose alcohol use is affecting their life. Telephone: 01925 428465

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Support to live at home There are many services available that may help you maximise your independence, enabling you to live safely and comfortably at home. Some of these services, such as equipment and ready meals, can be purchased directly from suppliers and retailers. Alternatively you can contact adult social care so we can assess your needs and identify what services may help you.

• Very specialist or made to measure equipment such as a wheeled commode, shower chair or a hoist may ensure your safety and reduce the risk of injury to carers Equipment to help with managing day to day tasks is now much more widely available both on the high street (e.g. Argos, B&Q or local chemist shops) and in specialist shops (e.g. Miller Care). The Centre for Independent Living (CIL) showroom and the Mobility and Independent Living Store in the Golden Square are both operated by Warrington Disability Partnership and display equipment that you can try before buying. They also operate the local Shopmobility service which is available at Legh Street car park and Warrington market. You can also visit the Disability Information Point at Warrington market for advice and information.

Equipment and adaptations to help you If you are finding it difficult to wash and dress, cook and prepare meals or are struggling to have a shower or bath, there is a variety of equipment available that can help make looking after yourself easier and safer. Examples of equipment you may find useful are:

• A perching stool which enables you to sit up to the sink to have a wash, brush your Warrington Disability Partnership, The Centre for Independent Living, Beaufort teeth, have a shave or comb your hair Street, Warrington, WA5 1BA • A specially designed trolley can assist Telephone: 01925 240064 in transporting items around your home, particularly if you have difficulties with balance when carrying things or if you already use a walking aid • Simple readily available items such as a travel kettle, electric tin opener or jar / bottle opener can make every day domestic tasks easier to manage

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QualitySolicitors

Forshaws Davies Ridgway 21 Palmyra Square, Warrington Telephone: 01925 230000 • Website: www.qualitysolicitors.com/fdr Wills It is essential that you have a valid will in place. In that will you can clearly set out who you want to inherit your property and assets and who you wish to sort matters out on your behalf. You then need to have your will checked every few years or if there is a major change in personal circumstances. Probate and Administration of Estates When someone dies it is necessary for somebody to deal with their “estate”. A person’s estate consists of the money, property and any possessions they had at the time of their death.

Trusts, planning, inheritance tax and long term care When planning for the future it’s important that you carefully consider the implications of choosing trusts and minimising inheritance tax payable on an estate by beneficiaries. You may also have understandable concerns about the possibility of long term care in your later years – and how that may impact on your family finances. Lasting Powers of Attorney A Lasting Power of Attorney (LPA) enables you to choose who you would like to manage your property, financial and general affairs should you become unable to manage them yourself,

ors t i c i l o S Qualitys Davies Forshaw y Ridgwa

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and gives that person the measure of power that you define. Living wills Living Wills are subject to much debate, as a patient’s wishes sometimes conflict with those of the medical profession. We can advise you about the latest legal situations. Wills and Estate Disputes The death of a relative or friend is always a stressful time. The last thing that you should want to worry about is the distribution of the estate but sometimes this can be important if it is believed that the estate distribution is incorrect.

Support to live at home continued Useful technology

Warrington Home Information and Improvement Agency (WHiA) can arrange for grab rails and extra stair rails to be fitted for a small charge. Telephone: 01925 246812

Carecall The council’s social alarm service, Carecall, can help older and vulnerable people to remain living independently and safely in their own homes. It ensures that people are able to get assistance as quickly as possible in case of an emergency at home.

If you are experiencing problems in several areas of daily living, or you feel you need more personal or professional advice, you can contact the Access Social Care team and request an assessment from an occupational therapist or specially trained community care worker. If you meet the council’s eligibility criteria they may recommend equipment or minor property adaptations that will help you manage day to day activities more easily.

The Carecall service is linked to your home through your existing telephone line via a Carecall unit and a lightweight portable trigger worn as a pendant or on your wrist. Pressing the button can raise an alarm anywhere in your house or garden - 24 hours a day, 365 days a year. If needed the Carecall control centre will arrange for someone to come to your home or can contact your family, doctor or emergency services.

Where appropriate they can arrange for equipment to be delivered and fitted in your home on a long-term loan basis or may arrange an adaptation to your property. If equipment or small adaptations do not solve your problems, larger property adaptations may be possible, such as having a stair lift installed. Telephone: 01925 444239

There is an installation fee and then a quarterly monitoring charge for Carecall, which is less than the cost of a daily newspaper. Telecare Telecare is a range of equipment and services that support your safety and independence in your own home. The equipment can sense risks such as smoke, floods and gas leaks, can remind you to take pills and even call for help if you fall. The Carecall control centre can be contacted automatically if any of these problems occur in your home or alarms can go off in the home to notify carers of a problem. You can

Major adaptations Major adaptations could include a stair lift, downstairs living accommodation or alterations to a bathroom or kitchen. Most social landlords will provide minor adaptations for their tenants but may offer rehousing before undertaking any major works. If you own your own home you may be eligible for a grant. For more information see page 26.

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view a range of Telecare equipment at Warrington Disability Partnership Centre for Independent Living (see page 14). For more information about either Carecall or Telecare contact the Access Social Care team. Telephone: 01925 444239, website: www.mylifemyway.co.uk

Food shopping and ready prepared meals

home, whether through sight or hearing loss, physical or learning disabilities, frailty or illness. This may be for a short time, following a period of illness or discharge from hospital, or they may continue to need help long term. The aim of this kind of help is to work with individuals and their families to remain as independent as possible within their own homes.

Many people arrange their own home care and a comprehensive list of local agencies can be provided by adult social care, telephone: 01925 444239 or visit our website: www.mylifemyway. co.uk. If you choose to make your own Most supermarkets now offer a home arrangements through a private home delivery service for all food items and orders can be placed on their websites or care agency please remember to take care to choose one that is registered over the phone. and inspected by the Care Quality There are also several organisations Commission (CQC). Telephone: 03000 that can deliver fresh or frozen ready 616161, website: www.cqc.org.uk prepared meals directly to your home. Alternatively you can contact adult social Most of these organisations cater for a range of dietary and cultural requirements care so we can assess your needs and help you identify what services may including Halal, vegetarian, diabetic and help. The cost of receiving domiciliary soft diet. For more information about care following an assessment of need is these organisations contact the Access subject to the council’s charging policy. Social Care team, telephone: 01925 444239, email: asc@warrington.gov.uk If you find it difficult to get out to the shops or supermarket then there are a range of options available to you to get food delivered to your home.

Support to live at home/ domiciliary care Sometimes support to live at home is called domiciliary care or home care. Some people need assistance with aspects of their personal care or daily living skills to enable them to live at

Neighbourhood and community activities

Neighbourhood working is a key part of promoting wellbeing and maintaining independence for as long as possible. Each neighbourhood area has its own neighbourhood coordinator, community development officers and neighbourhood

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Support to live at home continued wardens who support local voluntary groups and societies to provide a wide range of local activities, such as luncheon clubs and walking groups. Neighbourhood wardens can provide free safe and secure home checks and advise on personal safety equipment. Community development officers can support you if you are interested in volunteering or if you want to join a group or take part in an event.

South area – strongertogethersouth@ warrington.gov.uk, tel: 01925 572072 Central area – strongertogethercentral@ warrington.gov.uk, tel: 01925 241360 West area – strongertogetherwest@ warrington.gov.uk, tel: 01925 638868 The wellbeing mentors can also help you if you want to get out and about more and make a lifestyle change. They offer one to one support for six weeks to help you take up a new activity. Telephone: 01925 815468.

Getting out and about Many of these free activities are provided in local venues and can be a great way of meeting new friends and overcoming isolation. A range of activities are available including camera clubs, friendship groups, craft clubs, exercise classes and bingo.

Public transport and specialist transport for disabled people Concessionary passes If you live in England and are an older person, or an eligible disabled person, you are entitled to a concessionary bus pass allowing free off-peak local bus travel (9.30am until 11.00pm Monday — Friday and all day at weekends and bank holidays) anywhere in England.

Being able to leave your home regularly for a few hours, and enjoy the company of others is really important in preventing social isolation. Council operated day centres, community and structured day care only represents part of what is available more widely in the community.

In addition to the national scheme, local concessionary pass holders are entitled to the following special rates on journeys starting or ending in East and West Cheshire, Halton and Warrington:

There are many examples of social clubs and activities in your local area; the neighbourhood teams can tell you about local activities which may help you meet new friends.

• Monday – Friday before 9.30am: half fare

Contact the teams to find out what’s happening in your area:

• Monday – Friday between 9.30am – midnight: free

East area – dwhite@warrington.gov.uk, tel: 01925 241360

• Saturday, Sunday and bank holiday: free

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Specialist transport for disabled people Dial-a-ride is a local charity providing accessible door-to-door transport for disabled and older people. The service runs a number of minibuses with ramp access and grab handles. Guide or assistance dogs are also welcome. There is a small annual charge and you need to book your journey in advance. Dial-a-ride also offers the same fare concessions as public transport in the Warrington, Halton and Cheshire areas. For more details, telephone: 01925 419988. Accessible taxis A number of taxi services within the Warrington area offer vehicles that are accessible to disabled people. Information on local accessible taxis is available from Contact Warrington, the council’s one stop shop, telephone: 01925 443322 or online at the Warrington Access Guide www.warringtonaccessguide.org.uk

Sight and hearing loss (sensory loss) As part of the ageing process many people experience sight or hearing loss. If you are experiencing hearing difficulties you should initially go to your GP who can refer you to an audiologist if required. If you are experiencing difficulties with your vision you should make an appointment at a local optician, some opticians will offer home visiting services. Many also offer audiology testing as well.

If you are still struggling with your sight or hearing loss then there are a number of specialist services available in Warrington. Warrington Borough Council’s sensory and telecare team provide services for people with sight and/or hearing loss to enable them to live as independently as possible. Following an assessment the team may identify and supply equipment and aids tailored to individual needs. For more information telephone: 01925 444239, email: asc@warrington.gov.uk Other organisations that might be able to help: Warrington Visual Impairment Centre aims to help people come to terms with sight loss. A home visiting service offers ongoing support with the aim of promoting independent living. They offer recreation and social activities, continued support and advice, and a small resource centre with equipment to aid independence. Open Tuesday, Wednesday and Thursday. Fairfield and Howley Neighbourhood Centre, Fairfield Street, Warrington, WA1 3AJ. Telephone: 01925 632700

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Support to live at home continued British Red Cross home from hospital service

Warrington Disability Partnership (WDP) can provide information and equipment for people with a sight and/or hearing loss. General information and advice is available about benefits, employment, direct payments, personalisation, education and training.

This service provides short-term care and support in the home for people after an accident or illness, giving them confidence to continue their daily lives. They offer help with shopping and collecting prescriptions, support for carers and family members, safe and well checks, and help with light household chores. The service is available free of charge to all adults for a six week period.

The Centre for Independent Living, Beaufort Street, Warrington, WA5 1BA Telephone: 01925 240064, website: www.disabilitypartnership.org.uk

Hospital discharge

Telephone: 01925 662668, website: Following on from a stay in hospital some www.redcross.org.uk people may need short term support, this Hospital discharge team can be provided in a number of ways. If you are in hospital, or care for someone Intermediate care in hospital, and think you will need Intermediate care is provided jointly support on discharge you can ask by health and adult social services. It the ward to refer you to the hospital provides a range of re-ablement services discharge team. The team may be able and therapies to people over the age of to provide a social care assessment to eighteen that aim to: identify what services might be able to help when you get home. • help people to remain as independent as possible in the community by providing short-term rehabilitation programmes in order to help people to reach their individual potential and to remain living in their own homes

On discharge from hospital, equipment and wheelchairs can be loaned from Warrington Disability Partnership Centre for Independent Living (see page 14).

and facilitate hospital discharge

If you have poor mobility and are worried about leaving the house when the weather conditions are dangerous the council may be able to help with essential activities such as shopping delivery, prescription and pension collection. The helpline will only be available if the weather is severe and once opened will be publicised. Telephone: 01925 442244

Stay at home and stay safe – • prevent inappropriate hospital admission severe weather helpline • help people to remain as independent as possible and thereby reduce the need for long term care and support • reduce the need for residential and nursing placements For more information telephone: 01925 867905. 20

Housing As we get older, our housing needs change. We may need support to be able to continue to live in our own homes, or we may want to move into housing, more suited to our needs. The UK faces the challenge of providing support for older people both today and in the future; making sure that the right type of housing and support is available for future generations of older people to enable them to be independent, safe and comfortable at home. Housingplus Housingplus is Warrington’s one stop shop for all your housing needs. They can provide general housing advice and information on all aspects of housing including re-housing, downsizing, repairs, handyperson services, disabled facilities grants and energy saving advice for the home. They offer a drop-in service: Monday to Friday, 9am to 5pm.

Staying in your own home Preparing for the future Age proofing your home is the best solution to making your environment safe and practical. Making simple changes gradually, when you can still afford it may ensure that costly repairs and alterations are completed before becoming urgent or hazardous. Plan ahead: • choose items that are efficient, reliable, easy to use/clean/carry and maintain • high level sockets and low level light switches are more convenient • keep decorating simple by choosing wallpaper that can be re-emulsioned • install good lighting; wall lights and lamps make changing light bulbs easier

Address: The Gateway, 85-101 Sankey Street, Warrington WA1 1SR Telephone: 01925 246868, email: housingadvice@warrington.gov.uk

21

Housing continued Keeping warm at home

Home security – increased home security measures include installing a visible intruder alarm or outside security lighting, keeping valuables out of sight, fitting window locks and ensuring that sheds and garages are kept securely locked. Advice and support regarding home security is available from neighbourhood wardens, Cheshire police and local police community support officers.

The Warm Front scheme ends in March 2013 and will be replaced by the Green Deal, a new energy efficiency programme, later this year. The scheme is designed to allow households to install energy efficiency measures at no upfront cost, paying for the work though the savings they make on their future electricity bills. For further information on Green Deal, or for any other energy efficiency advice, visit the Eco Hut at Warrington Retail Market or telephone: 01925 657763 or 248483.

Bogus callers/distraction burglars – may trick their way into a home whilst the householder’s attention is elsewhere. Bogus callers come in all shapes and sizes: men, women and children. They often seem very plausible and genuine, sometimes posing as policemen, council officials or charity workers. Most utility companies have a password scheme, where you will be assigned a password that genuine officials will be able to quote when they call.

Keeping safe at home Fire - Cheshire Fire and Rescue Service provide free home fire safety assessments on request and can also provide free smoke alarms for your home. Special smoke alarms are also available for people with a hearing loss and smoke alarms can be linked to the council’s Carecall social alarm service. Telephone: 01925 411310. You should also take some time to plan an escape route from your home, in the event of a fire this can save valuable time and save lives.

Keep your doors locked at all times, even when at home. Always stop and look to see who is calling before opening the door; fitting a door chain is strongly recommended and you may want to consider fitting a spy hole. Ensure you ask for and double check the caller’s ID. Remember – LOCK, STOP, CHAIN and CHECK.

Carbon monoxide - is a highly poisonous gas that has no colour, taste or smell, making it impossible to detect without an alarm. Installing a carbon monoxide detector, and ensuring boilers, ovens and other appliances are properly fitted and maintained will help to keep you and your home safe.

The Carecall social alarm service (see page 16) offer a ‘bogus caller button’ which can be fitted near to the door. It can be used to summon help or provide verbal support in the event of an unexpected or unwelcome caller. Calls are automatically recorded and if necessary, can be used in evidence. 22

Norton Lodge Privately owed Residential Care Home specialising in Dementia Care n 30 bedrooms 14 are ensuite n Day care available n Own GP if required n 2 large day rooms and a conservatory overlooking our large enclosed garden n Lift and wheelchair access throughout the home n All diets catered for n We pride ourselves in our Home from Home ethos

n

A small family owned nursing home with a twenty year tradition of providing care, comfort and compassion within a safe homely environment, while maintaining dignity and quality of life...

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A past rectory to St Wilfrid’s Church, restored to provide accommodation for nursing care. Set in two acres of land adjacent to Bridgewater Canal in picturesque Grappenhall Village. Experienced qualified staff provide twenty four hour care. Respite and recuperation accommodation and care available. Please get in touch with any questions or queries you may have about The Old Rectory Nursing Home. We will be more than happy to help...

Tel: 01928 714792

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18 Norton Village, Norton, Runcorn WA7 6QA

Care Concepts - Brampton Lodge

Keate

Bridge Lane, Appleton, Warrington, WA4 3AH Tel: 01925 606 780 Brampton Lodge is a state of the art facility designed from the ground up to provide quality care for all service users.

House

• for thirty people with dementia who have residential or nursing needs • for fifteen people with general nursing needs • for fourteen people who are having their needs assessed through intermediate care • Specialist dementia care • End of life care

www.keatehouse.com

• 24 hour elderly residential care • Respite care available • Trained and committed staff on duty at all times • This first class accommodation consists of 46 single en-suite bedrooms, fully furnished with a nurse call system • Situated in Lymm village close to all amenities • Four lounges/dining rooms • Hairdresser, optician, chiropodist, two local doctor’s surgeries and district nurse visits • Large garden and seating area • Varied activities, summer barbecues and tea dances • Own mini bus with weekly outings

We provide long term care in three units:

• Highly trained staff • Single en-suite rooms

For further information please contact Belinda on 01925 606780 or email Belinda@careconcepts.co.uk

CareConcepts Home Care Services in Warrington & Cheshire Do you need care that is easy to access in a flexible way? We provide;

• Personal Care • Shopping • Escort to appointment • Dementia home care

• Domestic duties • Collecting prescriptions • Day / Night Sitting • CQC Registered

For further information please contact Eileen on Tel: 01925 600095 or email Eileen@careconcepts.co.uk

Tel 01925 752 091

Brookfield Road, Lymm Cheshire WA13 OQL 23

Housing continued Nuisance phone calls – the Telephone Preference Service (TPS) is a free, central opt-out register where people can register their wish not to receive sales or marketing calls. It is a legal requirement that organisations (including charities, voluntary organisations and political parties) do not make calls to the numbers registered with TPS. To register telephone: 0845 070 0707.

a charge. The neighbourhood wardens in your area may also provide help in certain circumstances.

Useful technology - Carecall and Telecare The council’s social alarm service, Carecall, can help older and vulnerable people to remain living independently and safely in their own homes. It ensures that people are able to get assistance as quickly as possible in case of an emergency at home. This can also be linked to telecare, equipment that can sense risks such as smoke, floods and gas leaks, can remind you to take pills and even call for help if you fall. For more information see page 16.

iCAN - is the messaging system set up by trading standards for anybody living and working in Warrington who would like to be made aware of the latest consumer protection issues, such as rogue traders, doorstep / car crime and scams. The system shares information quickly and accurately by telephone, text or email. Anyone can become a member of iCan, members will receive a newsletter and more general consumer advice material by post. For information telephone: 01925 443319.

Repairs and home improvements if you are a tenant If you are a tenant of a registered social landlord (sometimes known as RSL or housing associations), most repairs and improvements to your home will be their responsibility and issues should be reported directly to them. If you are a tenant in privately rented accommodation you should also report repairs directly to your landlord. Some RSLs offer specific services to help their older tenants; a handyperson scheme or gardening service, heating or home security advice. Contact your housing provider if you are struggling with the upkeep of your home.

Keeping safe in your garden Simple measures such as improved lighting and maintenance of outdoor walking surfaces, e.g. uneven flags and potholes, can help reduce the risk of outside falls. Slippery paths covered in algae or moss are hazardous, as are overgrowing shrubs and trees and footpaths covered in wet fallen leaves, ice or snow. WHiA handyperson team may be able to assist with a oneoff garden tidy, which is free to older people on certain benefits. A garden maintenance service is also available at

24

Repairs and home improvements if you are a homeowner

• Emergency repairs, from a dripping tap to a new roof

Warrington Home Information and Improvement Agency (WHiA)

• Technical and financial advice

• Funding options WHiA support older and disabled people to keep their homes in good repair, helping • Support through grant application processes with improvements to make sure they remain healthy, warm, safe and secure. • Housing options advice, when moving WHiA have developed a range of services, home is your preferred option some of which are free and some which • 60+ scheme offers financial may carry a small fee. These include: assistance up to the value of £60 for • Handyperson service to do small jobs essential repairs around the home and garden • Small adaptations such as grab rails or WHiA can help with decorating, plumbing and heating, bathroom adaptations and fitting a key safe building works, roofing, electrics, paths, • Free and impartial advice about home fencing and much more. improvements and repairs Telephone: 01925 246812, email: whia@ • Trusted and vetted contractors to carry wha.org.uk, website: www.whia.org.uk or out the work visit The Gateway, 85-101 Sankey Street, • Garden maintenance service Warrington WA1 1SR

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Housing continued Other sources of finance

If you are a home owner and your home is in need of major structural repairs you may be able to apply for financial assistance from Warrington Borough Council. This financial help is discretionary and dependent on funding being available. This is not a grant and the money would have to be paid back if you sold your home. For more information contact private sector housing, telephone: 01925 248483.

Various organisations and employers have benevolent funds available to ex-employees or those who worked in specific trades. If you were in the armed forces grants for repairs and adaptations may also be available from SSAFA (Soldiers, Sailors, Airmen and Families Association), telephone: 01942 679822 or 0161 7284809, or the Royal British Legion, telephone: 020 32072153.

Equipment and minor/major adaptations

Equity release may help older home owners to generate income or a lump sum which could be used to fund improvements to make homes more suitable or comfortable. It is highly recommended that you seek legal and financial advice before pursuing this option, possibly via SOLLA (Society of Later Life Advisers), a not for profit organisation who will direct people to accredited members who are regulated by the financial services authority. Telephone: 0845 3032909, email: admin@societyoflaterlifeadvisers.co.uk.

Equipment or adaptations can make a real difference to your ability to live independently if you are having difficulty managing at home. For more information see page 14.

Disabled facilities grant (DFG) The disabled facilities grant is a mandatory but means tested grant, administered by the council’s private sector housing team. The grant is intended to help older and disabled people to live as comfortably and independently as possible in their own homes through adaptations to their home. The council will need to make an assessment of your needs and of your finances to see if you are eligible for help.

If you are on a low income you may be entitled to claim either housing or council tax benefit, the benefit service will be able to help and advise about this. See page 39 for more information.

WHiA can help you to apply for a DFG, they can also make arrangements for work to be carried out by approved contractors if you are not eligible for a DFG or for those who wish to undertake adaptations privately.

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Carers A carer is someone who, without payment, provides support to a partner, relative or friend who could not manage without his or her help. This could be due to older age, illness, disability or mental health or substance misuse problems. Many of us will be carers at some stage in our lives and it is a role that can be both rewarding and frustrating. Being a carer can affect your physical and mental health and can impact on your own opportunities to work, learn and take part in social activities. There are a range of services, activities and support available for carers in Warrington, including: The carers emergency card

Advice and support on health and well-being Caring can often have a negative impact on a carers physical and emotional health and wellbeing. If you think any aspect of your caring responsibilities is having an impact on your health you should contact your GP. However, other support available includes: • Advice, equipment and support from the council’s occupational therapists around ‘safer handling’ if your caring role involves manual tasks • Wired Adult and Young Carers Service Warrington holds regular events that focus on improving carers emotional wellbeing

• Warrington Borough Council provides This free service lets you record what training to carers on subjects such as action would need to be taken for safer moving and handling, healthy the person you care for should an eating and emergency first aid emergency occur and you were unable to provide support. In case of emergency, a telephone call can be made to Warrington Borough Council to activate your agreed emergency plan (such as contacting a relative for help).

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Carers continued Carers support groups

The carers leisure pass

Caring for someone can be difficult and sometimes very isolating. There are various carers support groups in the Warrington area that can help. These include:

The carers leisure pass provides free access to LiveWire’s six leisure centres, giving carers the opportunity to have some valuable ‘me time’. This could include going to the gym, swimming and fitness classes.

• Wired Adult and Young Carers Service Warrington, tel: 01925 644212 or 0800 7316941

Carers assessments If you are a carer you may be eligible for a carers assessment from adult social care services. To be eligible you must be providing, or intend to provide, regular and substantial unpaid support to someone who cannot manage without your help. A request can be made for a carers assessment even if the cared for person is not receiving social care services.

• The Alzheimer’s Society, tel: 0151 420 8010 • Allen Street support group, for carers who support people experiencing mental distress, tel: 01925 573489 • LGBT carers forum/group Manchester, tel: 0845 3 303030

For more information about services and support for carers, or to request a carers information pack, please contact the Access Social Care team. Telephone: 01925 444239, website: www.mylifemyway.co.uk

• Carers friendship group for carers of people with dementia, tel: 01925 710318 / 820004 / 265686 Useful technology – Carecall and Telecare This is a range of equipment and services that support the person you care for to live safely and independently in their own home and can provide carers with peace of mind. For more information see page 16.

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Keeping yourself safe from harm We all take risks everyday and we can usually manage them very well. Unfortunately some adults are more at risk of neglect or abuse than others. When managing your own care needs or letting new people into your life, it is important to consider possible risks, no matter how small, and to have a plan on how to manage those risks. There are different ways people can be abused or harmed, such as financially, physically, sexually, psychologically, people can also be neglected. Abuse can happen anywhere, even in a person’s own home, nursing home or a hospital. There are four main ways you can reduce the risk of being abused or harmed. These are, knowing your rights, thinking ahead and protecting yourself, being aware of local services, support and information and speaking up if you have concerns. You have a right: • to be safe from abuse • to be treated fairly and with respect • to say what care you do or do not want

Some examples of how you can stay safe and protect yourself are: • Never give your bank details or pin number to anyone • Never sign anything you are not sure about or you don’t understand what it is about • Keep any money or valuables you have at home locked away • Do not isolate yourself, join local groups or activities or seek out support groups • Make sure there is someone you trust who knows your wishes and who you can talk to if you need to • Check the ID badge of people who come to your home. If you are worried do not let people inside your home • If you are suffering from abuse keep notes about what is happening • Make sure you do not rely on one person only to support or care for you. Gather a few people around you to help watch over your safety

• to be given information about your care • to be involved in making decisions about your care and your life

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Keeping yourself safe from harm continued Safeguarding services:

• If you receive care in your own home or you live in a care home and you are worried about any aspect of your care or treatment, please do not stay silent. Make a complaint or speak to someone you trust. If no one visits you, you could talk to a professional or voluntary visitor, for example the chiropodist or hairdresser

Access Social Care team Telephone: 01925 444239 Out of hours: 01925 444400 To use the safeguarding process and obtain support Police Telephone: 101 Out of hours: 01925 652222 In cases of immediate harm or danger call the police straight away on 999

• If you feel uncomfortable with the way someone gives you personal care or the way someone touches you tell someone you trust (this can be your doctor, friend or social worker)

iCAN Telephone: 01925 443319/442647 Become a member of Warrington Consumer Alert Network. It can keep you updated on rogue traders and other local consumer safety issues

• If you are employing a personal assistant make sure you obtain a Criminal Records Bureau check to find out if the person has a criminal record. The council will organise this for you

Remember, abuse is not your fault. If you Care Quality Commission (CQC) are being neglected or abused (or you Telephone: 03000 616161 suspect someone you know may be), please report it to the safeguarding services. Refuge Warrington Independent The safeguarding services are here Domestic Abuse Service to support and protect you, whether Telephone: 01925 243359 social services organise your care or Email: warringtonidvaservice@refuge. you purchase the care yourself. You org.uk will be listened to and taken seriously. Support, information and options to Your views and wishes will be respected women and men who live in Warrington so that wherever possible you are and are at risk from domestic abuse supported to live life your way, with dignity and free from abuse. For further information and guidance please visit the council website at www.warrington.gov.uk/safeguarding

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Equipment that can help you stay safe and independent at home Telecare equipment can sense risks such as smoke, floods and gas leaks, can remind you to take pills and even call for help if you fall. It can be linked to a 24 hour response centre or notify a carer in your own home.

For more information or to access the service telephone 01925 444239

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Moving home Moving home in later life can be quite daunting but may prove a better option if you are struggling with managing your home and garden or are paying expensive bills. Various options may be worth consideration, such as a smaller property, single storey or with essential facilities on one level, fewer steps, on a bus route and so on. If you are a RSL (housing association) tenant you could ask to move to a smaller or previously adapted property which may better suit your long term housing needs.

Housing with care (extra care) Housing with care is similar to sheltered/retirement housing but often offers a greater level of personal care, with up to 24 hour support if required. Housing with care can be an alternative to residential or nursing care and is also known as extra care sheltered housing or very sheltered housing. Ryfields village, for example, provides extra care alongside community facilities and social activities. Residents have the comfort of knowing support is available should their needs change over time.

Sheltered/retirement housing

Supported housing (residential or nursing care)

Sheltered/retirement housing is either purpose built flats or a group of bungalows or flats. Homes are usually only offered to people over the age of 55. In most schemes, a manager can be contacted via an alarm system from the person’s home, to provide help if there is an emergency. If the manager is not on site this often links to a social alarm system, such as Carecall. Some scheme managers may offer additional support including making regular checks on your well-being, liaising with your local doctor and your relatives and managing the day-to-day running of the accommodation. Normally, scheme managers do not provide care services for residents or carry out tasks like shopping or cleaning.

Occasionally complex needs cannot be fully met in standard accommodation. A range of accommodation is available that is specially designed for people with particular care and support needs, whilst ensuring that they can continue to live in their local community. This may include people with complex physical, sensory or mental health needs. Different types of registration Residential care is where a number of people live together looked after by trained staff. Care homes provide 24 hour support to people who can no longer be supported in their own home or in any other setting. They are independently run by a variety of private or not for profit organisations. Care homes can provide different levels of care, this is also known as the residential homes registration, for example:

32

Residential homes Residential homes provide personal care to people in a homely environment. Many of the homes are purpose built to meet the needs of the people they provide care for. All homes have single bedroom accommodation, facilities for making drinks and snacks, and family and friends are welcome to visit. Some also have double rooms for couples. Standard residential care provides accommodation, meals and assistance with personal care whenever the need arises over a 24 hour period. If the person has any nursing needs, assistance may be provided by the district nursing service visiting whenever they are needed. ‘High dependency’ residential care indicates additional moving and handling needs such as requiring a hoist to transfer.

Elderly Mentally Infirm (EMI) residential homes EMI residential homes provide the same service as residential homes but specialise in the needs of people with mental ill health, such as dementia. Nursing homes Nursing homes have qualified nurses to provide care to people with specific nursing care needs, injury or infirmity. It is the availability of full time nursing care which makes them different from residential homes. Elderly Mentally Infirm (EMI) nursing homes EMI nursing home provide the same service as nursing homes but specialise in the needs of people who have more complex mental health problems, such as a progressed dementia.

33

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We have provided advice and assistance to generations of families in the St Helens and Warrington areas. We understand that a change of circumstances, or a proposed move into a care home can be a time of great worry, and we will do all we can to assist you at this time.

Our Services:

We can arrange to see clients in their homes, hospitals, or care or nursing homes, throughout Merseyside and North Cheshire.

•C ourt of Protection (Deputyship) applications

We provide a full range of assistance and advice to help you draw up a Will which provides for your family and loved ones, and which reflects your wishes.

• I nheritance Tax planning advice

• Wills • L asting Powers of Attorney •R egistration of Enduring Powers of Attorney

• Transfers of Equity (home ownership)

• E state Administration – either with or without a Will

ST HELENS: Carlton Chambers, 25 Hardshaw Street WA10 1RP PRESCOT: 2 Derby Street L34 3LJ Fax: 01744 746001 www.ticklehallcross.co.uk

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Moving home continued Paying for residential and nursing Getting advice that’s right for you care if you own a property or land If you have a savings or a property, Will I need to pay for my care in a residential or nursing home? You will usually have to pay something towards your care in a residential or nursing home, for the majority of people this may mean that most of your income will be used to pay the fees. You will not need to pay for the nursing element of any care you receive as this will be paid for by the NHS. What are the fees for and why do they seem so expensive? A home’s fees cover all accommodation costs and utility costs, food, social activities and care costs. There are also national quality standards which can mean homeowners having to spend money to make sure that they meet the standards. What help can I get if I make my own arrangements for residential or nursing care? If you decide to make your own arrangements, you will have to pay all of the home’s fees. If you think that you only have enough money to pay for a residential home for up to three years (at the time of writing this means at least £50,000) it would be advisable to contact adult social care. If you choose a more expensive home than adult social care would normally pay for and your money runs out, you may have to move to a different home if your family cannot pay the additional cost in the future.

it may be that you will need to fund your own care. If so you should seek independent financial advice and always check if the adviser is a member of the Society of Later Life Advisers (SOLLA). They are specialists in the financial needs of older people and have taken steps to become independently accredited which can offer added reassurance. SOLLA members will help you with the practical help and guidance needed to make the right financial choices at the right time about some of the most important financial decisions you may ever make. Telephone: 0843 303 909, website: www.societyoflaterlifeadvisers.co.uk What help can I get from adult social services to pay for my care home fees? Adult social services must have carried out an assessment and arranged for you to be cared for in a care home. The amount of help we can give you depends on your capital (things that you own such as savings, premium bonds and your house) and your income (money you get regularly such as your pension).

35

Moving home continued Rules about capital or savings

Further information about moving into residential or nursing care

If you have more than £23,250 capital, the law says that you can afford to pay all the residential or nursing home fees yourself. If you have under £14,250 capital, then the council will pay all your fees on your behalf. If you have between £14,250 and £23,250 capital, then you would be expected to pay some but not all of the fees.

If you are considering moving into nursing or residential accommodation, it can seem like there is a great deal to think about and it may be quite daunting. Some of the questions you may have thought about could include: • What happens if I own my own home? • How will moving affect my welfare benefits?

Rules about income If you are receiving assistance from the council to pay your care home fees, you will still get a weekly allowance of £22.30, which comes from your welfare benefits. It is money you can spend, as you want - for example on toiletries, newspapers and stamps. It is likely that you will need to use most of the rest of your income to pay the home’s fees. If you have made additional provision for your retirement by a private pension or savings we will disregard a small proportion of it so that you will receive a higher personal allowance while in residential care than someone who has made no extra provision for their retirement.

• What services do my fees pay for? • What happens if I choose a more expensive home than the council would normally pay for? • How will I pay the fees? • What if a person I am helping to go into residential care is unable to manage their own finances? You can find more information on the council’s adult social care website: www.mylifemyway.co.uk or contact the Access Social Care team to speak to someone. Telephone: 01925 444239.

36

Questions to ask when visiting a prospective home (A suggested list of questions to ask and things to look for when choosing a care home) Section 1: Transport, fees and conditions 1.1 Will your family and friends find the home easy to get to?

Yes/No

1.2 How much are the fees?

ÂŁ

1.3 Can you have a short stay in the home to see if you like it?

Yes/No

1.4 Will you be given a written statement for what the home will do for you if you live there?

Yes/No

Section 2: Accommodation 2.1 Are there communal sitting rooms both with and without TV?

Yes/No

2.2 Do you like the furniture and decoration of the home?

Yes/No

2.3 Is there a separate dining room?

Yes/No

2.4 Are doors and corridors wide enough for wheelchairs, right through the home and to the outside?

Yes/No

2.5 Are handrails provided in hallways, corridors and stairs?

Yes/No

2.6 Is a lift or stair lift provided to the upper floors? Could you use it? Yes/No 2.7 Are the bathrooms near to the rooms?

Yes/No

2.8 Are the bathrooms adapted to help people get in and out of the bath?

Yes/No

2.9 Will you have to share a bathroom?

Yes/No

2.10 Are there both showers and baths available for you to choose from?

Yes/No

2.11 Is the call-bell system easy for you to use whenever you might need it?

Yes/No

2.12 Do all residents have a bedside light that is easy to use?

Yes/No

2.13 Can you adjust the heating in the bedroom easily?

Yes/No

2.14 Can you open the window if you want to?

Yes/No

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Moving home continued Section 3: Catering 3.1 What are the mealtimes? o Breakfast o Lunch/Dinner o Dinner/Tea 3.2 What happens if you want a meal or a snack at another time? 3.3 How wide is the choice of menu at each meal? o Set meal o Choice of two meals o Choice of three meals o More than three choices 3.4 Do you like the meals that are on offer?

Yes/No

Section 4: Visitors 4.1 Are your visitors provided with a drink?

Yes/No

4.2 Are your visitors welcome to join you for a meal?

Yes/No

Section 5: Daily living 5.1 Can you choose when you get up and when you go to bed each day?

Yes/No

5.2 What is the variety of activities and outings offered each week?

Yes/No

5.3 Is the home equipped for people who cannot see or hear very well, for example with loop systems and good lighting?

Yes/No

5.4 Do the resident appear active, sociable and happy?

Yes/No

5.5 Will the home charge extra for accompanied visits to the GP or hospital?

Yes/No

5.6 Are the laundry and room cleaning arrangements to your liking?

Yes/No

5.7 Are there smoking and no-smoking areas?

Yes/No

Section 6: Staff 6.1 Are the staff clean, tidy, cheerful and helpful?

Yes/No

6.2 Do people such as chiropodists, hairdressers, opticians and dentists visit the home regularly?

Yes/No

6.3 Is there a residents committee which meets regularly?

Yes/No

6.4 Is there a residents notice board with up to date and interesting information on it?

Yes/No

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Benefits information Attendance allowance This is a tax free benefit for people aged 65 or over who need help with their own personal care because they have a physical disability or mental health difficulty. It is not means tested and is paid at either a lower or a higher rate. To qualify for the higher rate you will need to explain that you have night time care and/or supervision needs. For further information call the benefit enquiry line on freephone 0800 882200, textphone 0800 243355 or visit their website to apply online www.direct.gov.uk

savings of more than £16,000 (unless you are receiving guarantee credit). However, we ignore any savings below £6,000. We also ignore any war pensions or war widows pensions. Housing benefit Housing benefit helps people who live in rented accommodation pay their rent. You can make a claim for housing benefit if: • you pay rent to a housing association - this includes Golden Gates Housing Trust

Pension credit

• you pay rent to a private landlord

If you are over 60 years of age and in receipt of state pension, you may be entitled to receive pension credit on top of your retirement pension and other income. Pension credit has two parts – guarantee credit which tops up pensioners’ income to a guaranteed level and savings credit to reward people who have saved or set up pensions for retirement.

• you pay rent for a mobile home/caravan/ houseboat and or mooring/site fees

For further information call the pension credit application line on freephone 0800 99 1234 or visit their website at www.thepensionservice.gov.uk

There are several ways to make a claim for these benefits:

Warrington Borough Council benefit service If you are on a low income you may be entitled to claim either housing or council tax benefit, the benefit service will be able to help and advise about this. The amount of benefit you get will depend on your income and who lives with you. You cannot get these benefits if you have

• you pay part rent and part mortgage – shared ownership. We can help with the rent. Council tax benefit Council tax benefit helps people on low incomes to pay their council tax bill.

• The easiest way to claim these benefits is to fill our form in online. You can find the form at the residents page of our website www.warrington.gov.uk • You can also collect a form by calling in at Contact Warrington, 26-30 Horsemarket Street or telephone us on (01925) 443210 • Alternatively, if you are aged over 60 you can also apply via the pension service, please telephone 0845 6060265 39

Having a voice Older people’s engagement group

Tell them your views by emailing warringtonlink@theBHA.org.uk or write to them at:

The older people’s engagement group (OPEG) is the umbrella group in Warrington for older people’s resident and community groups, social groups and individuals, regardless of race, religion, gender or sexual orientation, acting as a voice for all older people in neighbourhoods and across the town.

Freepost RRXX-YBKS-TTYA, Warrington LINK BHA, The Gateway, 89 Sankey St, Warrington, WA1 1SR

The LINk also offer a care navigation service, they can give you information and advice about your choices within OPEG works in partnership with the health and social care. Contact them if statutory services and other organisations you need any information or go to one of to empower older people to get involved their drop in sessions - every Thursday and influence the planning and delivery of 4pm-6pm in the Gateway, Sankey Street. services in Warrington. Telephone: 01925 246893 OPEG meet in The Gateway, 85 – 101 Sankey Street, Warrington, WA1 1SR.

Make your experience count Warrington Borough Council is committed to providing high standards of service and we need feedback about our services. You can help us to do this by telling us when we do things well or badly and by suggesting ways to improve services.

If you would like more information telephone: 01925 246966 or email: opegwarrington@googlemail.com Warrington LINk/Healthwatch Local Involvement Network (LINk) / Healthwatch gives you the opportunity to influence your local health and care services. Anyone can get involved, and it has been set up to make sure that people in the area get the health and social services they need.

The best way for us to make improvements is to listen to what you have to say and learn from it. Your comments, good and bad, will be welcomed. Making a complaint if you receive a service arranged by the council

Warrington LINk wants to hear about your experiences of health and social services and your ideas for improvements or changes. The LINk has the power to implement changes in your local services; how they are planned, designed and delivered.

You should start by explaining your concerns to the member of staff with whom you are in direct contact. If that is not possible, or if you are still not happy, you should ask to speak to that person’s

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manager or the quality monitoring officer. Most problems can be sorted out in a straight forward way, through discussion. If you are still not satisfied you may ask for the matter to be investigated as a formal complaint. For this you should contact either the manager of the service or the adult social care quality monitoring officer on telephone: 01925 444400 What can I do if I have arranged my own care? You can contact the Local Government Ombudsman. They will consider all complaints regardless of how the care has been funded. Their job is to investigate complaints in a fair and independent way. In most cases they will only consider a complaint once the care provider has been given a reasonable opportunity to deal with the situation. It is a free service.

Contacting the Care Quality Commission Complaints about services that are registered with the Care Quality Commission (CQC) can be discussed by calling their customer services unit. Services that are registered with the CQC are care homes and agencies that provide care in your own home. For information about registered providers in Warrington contact the CQC customer services unit, telephone: 03000 616161.

If you have any comments about this guide that would help shape and improve future editions please let us know. Email: ServiceSupportAdmin@ warrington.gov.uk Telephone: 01925 444167

Telephone: 0300 061 0614 or 0845 602 1983 Email: advice@lgo.org.uk Fax: 024 7682 0001 Text ‘call back’ to 0762 480 4299

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Residential and nursing homes Name Applecourt Care Home (Leyton Healthcare) Arlington House

BEWSEY HOUSE (Warrington Community Care) Birch Court Nursing and Residential Home (BUPA ANS Care Home) Brampton Lodge (Care Concepts Limited) Brookfield Retirement Home

Callands Care Home (Court Cavendish) Cotebrook House

Address 76 Church Street Warrington WA1 2TH 88 Ackers Road Stockton Heath Warrington WA4 2EA 8 Bewsey Road Warrington WA2 7LW

Telephone/Fax Contact Name Registration Tel: 01925 Angela Moore Care Home 240245 Fax: with Nursing 01925 240123

Egerton Street Howley Warrington WA1 2DF

Tel: 01925 Tracey Scott 573772 Fax: 01925 240158

Care Home with Nursing

Bridge Lane Appleton Warrington WA4 3AH Brookfield Road Lymm Warrington WA13 0PZ Callands Road Callands Warrington WA5 9TS Oughtrington Lane Lymm Cheshire WA13 0QY

Tel: 01925 606780 Fax: 01925 212887

Belinda Marsh

Care Home with Nursing

Tel: 01925 755363 Fax: 01925 753764

Sarah Nolan

Care Home Only

Tel: 01925 244233 Fax: 01925 413433

Hermina Makau

Care Home with Nursing

Tel: 01925 752583 Fax: 01925 753169

Mrs Timms

Care Home Only

Tel: 01925 267576 Fax: 01925 267576

Rose Jewell

Care Home Only

Tel: 01925 414961 Fax: 01925 636924

Susan Brown

Care Home Only

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Name Gainsborough House (London & Manchester Healthcare Ltd) Green Park Care Home (Leyton Healthcare)

Address 8 Gainsborough Road Warrington WA4 6BZ

Southwold Crescent (Off Stocks Lane) Great Sankey Warrington WA5 3JS Heathercroft Longbarn Lane Care Home Woolston (Ashberry Warrington Healthcare) WA1 4QB Heathfield 22 Alexandra Residential Road Home for Grappenhall Elderly Ladies Warrington WA4 2EL Heathside Honiton Way Elderly Penketh Persons Warrington Home WA5 2EY (Warrington Community Living) Heathside Honiton Way Mews Penketh (Warrington Warrington Community WA5 2EY Living) High Peak Main Lane Care Home Kenyon (European Warrington Care) WA3 4AZ

Telephone/Fax Contact Name Registration Tel: 01925 Mary McNeece Nursing Home/ 241479 Fax: EMI Nursing 01925 576962

Tel: 01925 791121 Fax: 01925 791140

Dianne Bailey

Care Home with Nursing

Tel: 01925 813330 Fax: 01925 818278

Diane Hollingsworth

Care Home with Nursing

Tel: 01925 602195 Fax: 01925 211648

Louise Rowley

Care Home Only

Tel: 01925 722109 Fax: 01925 721664

June Gilbody

Care Home Only

Tel: 01925 790596 Fax: 01925 791093

June Gilbody

Care Home Only

Tel: 01925 764081 Fax: 01925 768888

Sharon Brennan

Care Home with Nursing

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Residential and nursing homes continued Name Holcroft Grange Residential Home (CLS Care Services) Keate House

Lodge Lane Nursing Home (Warrington Community Care) Meadow View Care Home (Ashberry Healthcare)

Rosevilla Residential Home

St Mary’s Continuing Care Home (Marantomark Ltd) St Oswald’s Care Home (Four Seasons Healthcare) Summerville Nursing Home (BUPA ANS Homes Ltd)

Address Jackson Avenue Culcheth Warrington WA3 4DZ Brookfield Road Lymm Cheshire WA13 0QL 10A Lodge Lane Bewsey Warrington WA5 0AG Finlay Avenue off Ditchfield Road Penketh Warrington WA5 2PN Penkford Lane Collins Green Burtonwood Warrington WA5 4EE Penny Lane Collins Green Burtonwood Warrington WA5 4DS 12 Golborne Road Winwick Warrington WA2 8SZ Hill Top Road Grappenhall Warrington WA4 2EF

Telephone/Fax Contact Name Registration Tel: 01925 Pauline Shaw Care Home 766488 Fax: Only 01925 766582

Tel: 01925 752091 Fax: 01925 754022

Wendy Johnson

Care Home Only

Tel: 01925 418501 Fax: 01925 638768

Jacqueline Harvey

Care Home with Nursing

Tel: 01925 791180 Fax: 01925 728730

Carol Everton

Care Home with Nursing

Tel: 01925 228637 Fax: 01925 594122

Peter Nesarajah

Care Home Only

Tel: 01925 294850 Fax: 01925 294855

Paul Ikin

Care Home with Nursing

Tel: 01925 656337 Fax: 01925 573113

Yvonne Burutsa

Care Home with Nursing

Tel: 01925 265865 Fax: 01925 212620

Jan O’Hanlon

Care Home with Nursing

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Name Thelwall Grange

Address Weaste Lane Thelwall Warrington WA4 3JJ The Old Church Lane Rectory Grappenhall Private Warrington Nursing Home WA4 3EP The Old Fir Tree Lane Vicarage Private Burtonwood & Residential Warrington Nursing Home WA5 4NN (Camelot Healthcare) Three Bridges Nook Lane Care Home Latchford (Bond Warrington Healthcare) WA4 1NT Three Elms Station Road Residential Penketh Home Warrington (Minster Care) WA5 2UG 27 Victoria Road Waverley Grappenhall House (PAR Warrington Residential WA4 2EN Homes Ltd) Westleigh 109 Walton Road (Warrington Stockton Heath Community Warrington Care) WA4 6NR Westvale Old Hall Road House Old Hall (Barchester Warrington Homes) WA5 9PA Marsden Avenue Westy Hall Latchford (CLS Care Warrington Services) WA4 1UB

Telephone/Fax Contact Name Registration Tel: 01925 Steven Pownall Care Home 756373 Fax: with Nursing 01925 756668 Tel: 01925 604611 Fax: 01925 269000

Miss Valerie Eyes

Care Home with Nursing

Tel: 01925 229944 Fax: 01925 290092

Sue Bellamy

Care Home with Nursing

Tel: 01925 418059 Fax: 01925 414818

Erica Blackburn Care Home with Nursing

Tel: 01925 723274 Fax: 01925 791985

Linda Briscoe

Care Home Only

Tel: 01925 602453 Fax: 01925 210736

Pamela A Roberts

Care Home Only

Tel: 01925 860584 Fax: 01925 213861

Alison Edwards Care Home Only

Tel: 01925 571266 Fax: 01925 413438

Sylvia Sloan

Care Home with Nursing

Tel: 01925 637948 Fax: 01925 651420

Katya Lyon

Care Home Only

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Additional useful contacts Warrington Citizens Advice Bureau The Gateway, 85 - 101 Sankey Street, Warrington, WA1 1SR Tel: 01925 246994

Age UK 716-718 Knutsford Road, Latchford, Warrington, WA4 1JW Tel: 01925 639 018 Web: www.ageuk.org.uk

Birchwood Citizens Advice Bureau 46 Benson Road, Birchwood, Warrington, WA3 7PQ Tel: 01925 824952

Jobcentre Plus Nolan House, 10 Mersey Street, Warrington, WA1 2BL Tel: 0845 604 3719 Web: www.direct.gov.uk

Lymm Citizens Advice Bureau Lymm Library, Davies Way, Lymm, WA13 0QY Tel: 01925 753247

LGBT Warrington Email: info@lgbtwarrington.co.uk Web: www.lgbtwarrington.co.uk Skype number: 0161 408 5428

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