Issuu

OPTIONS A guide to care and independent living

Leaving hospital

Cambridgeshire Autumn 2016

What’s next?

NHS continuing healthcare Who’s eligible?

SOCIAL CARE

tips

Healthcare services Choosing the right one

FREE

guide

CONTRIBUTORS: Age UK Cambridgeshire & Peterborough Alzheimer’s Society Cambridgeshire and Peterborough NHS FT NHS Choices

Contents

How do you get help if you or a loved one is struggling with a mental health illness?......................... 4 What to do in a mental health crisis?.................................................................................................. 5 Top tips for looking after your mental health....................................................................................... 6 Integrated community and mental health services............................................................................ 7-8 How to use your health services.......................................................................................................... 9 NHS continuing healthcare................................................................................................................ 14 Assessment for NHS continuing healthcare.................................................................................. 14-15 What is NHS-funded nursing care?............................................................................................... 16-17 Paying for permanent residential care............................................................................................... 18 Paying for temporary care in a care home......................................................................................... 19 Paying for care if you have a partner................................................................................................. 19 Personal budgets and direct payments - more control over your care................................................. 19 Care services in your home.......................................................................................................... 20-21 Age UK Cambridgeshire & Peterborough Services........................................................................ 22-23 Alzheimerâ€™s Society Cambridgeshire............................................................................................. 24-25 The Motability Scheme.......................................................................................................................26 The Care Quality Commission Social Care, GP and Mental Health top tips.....................................27-29 NHS Hospitals and services in Cambridgeshire....................................................................................30 Useful contacts..................................................................................................................................31

WORKING IN PARTNERSHIP

OCTAGON DES IG N & M AR K ET I NG LT D

Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) provides mental health, community, learning disability, substance misuse and social care services across Cambridgeshire and Peterborough along with children’s community services in Peterborough. Every year, one in four of us will experience a mental health illness. The experience will be different for each of us, as will the type of support we need. But what mental health services are there? And how do they fit in with other health and public services? CPFT sees about 100,000 patients a year and employs more than 4,000 staff. We provide services from more than 90 clinical bases across the county – our biggest bases are at Fulbourn in Cambridge and The Cavell Centre in Peterborough. CPFT’s services include: •C hildren’s mental health and community services • Adult mental health services •O lder people’s healthcare and adult community services • Forensic and specialist mental health services • Primary care and liaison psychiatry services • Substance misuse services • Specialist learning disability services • Learning disability services Our core purpose is to provide excellent community and mental health services to people of all ages across Cambridgeshire and Peterborough and beyond this geographical boundary. We also provide some specialist services on a regional and national basis. 4

How do you get help if you or a loved one is struggling with a mental health illness? The help and support you receive will depend on what illness you have. Depression and anxiety are two of the most common mental health illnesses and this can be treated in primary care (your GP). If your illness is more severe, your GP may refer you on to one of CPFT’s mental health services. If you are suffering from anxiety or depression and feel you need help, you can contact our Psychological Wellbeing Service. This service allows patients to refer themselves (or your GP can refer you) and put you in direct contact with mental health professionals. Treatments include individual therapy, guided self-help, group sessions including training in Mindfulness, a range of psychotherapy courses and online options. Early feedback of this service has been extremely positive. Anyone registered with a GP in the Cambridgeshire and Peterborough area can access the Psychological Wellbeing Service by completing an online form that can be found on the Trust’s website www.cpft.nhs.uk/. They will then be contacted by someone from the Trust and talked through the options available to them. Alternatively, the service can be contacted by calling 0300 300 0055. The lines are open from 9am to 5pm, Monday to Friday, excluding Bank Holidays.

What to do in a mental health crisis? You might be in crisis if: •Y ou are thinking of hurting yourself or suicide seems the only option • S omeone you know has made threats to hurt you or someone else. •Y ou are experiencing extreme distress that seems overwhelming. If you believe you or a person you care for is in a mental health crisis and is in immediate need of help, there are several different avenues you can take. If you are already receiving support from mental health services, the first point of contact should be your care co-ordinator. Your care plan will contain information on how to contact them. If they are not available, ask to speak to the clinician on duty. If you are in crisis and need immediate help, then please contact your GP. All GP surgeries have an out-of-hours number that you can

call in an emergency. The out-of-hours doctor may assess the situation over the phone, ask you to attend a clinic/service, or may come out to assess the service user. They will be able to arrange any necessary specialist assessments. CPFT out-of-hours service is a phoneline available for CPFT’s service users who are experiencing a crisis in their mental health. The service is also available for carers who are concerned about the mental health of a service user. The out-of-hours telephone number is 0800 052 2252. This is available Mondays to Fridays from 5pm-8pm; and on Saturdays, Sundays and bank holidays from 8am-8pm. If you are feeling unwell and need a telephone health assessment, please call the NHS 111 service free of charge from any phone by dialling 111. If you are not able to obtain the support you need through the methods above, you can call 999 or go to your nearest A&E department. They will be able to assess your needs and contact mental health services to arrange an assessment or hospitalisation if necessary.

Top tips for looking after your mental health It is important to take care of yourself – both physically and mentally. Below are some tips to help you. •K eep active and get regular exercise – this helps you sleep, concentrate, look and feel better. Regular exercise is good for your mind and body. •D eal with practical problems when they arise – this prevents them from being overwhelming and unmanageable. •B uild and maintain friendships – friends and family give us support and comfort. • Care for and help others – this helps us to feel good about ourselves.

• Recognise the signs of poor mental health and ask for help – ignoring problems only makes them worse. None of us are superhuman. If things get too much, family, friends or health professionals can offer help. • Talk about your feelings – this helps us digest and process what’s going on so that we can begin to find solutions. Bottling up worries just makes things worse. • Accept who you are – this is an important part of valuing and taking care of yourself. • Take time to relax and unwind – this helps our resilience and helps us to get a good night’s sleep. • Do something you’re good at – enjoying yourself can help you fight stress and boost your self-esteem. • Eat and drink healthily – our brains and bodies need a mix of nutrients to stay healthy. A good, balanced diet is good for your physical and mental health. Drinking too much alcohol is not a good way to manage difficult feelings – once the drink wears off you’ll feel worse.

Useful contacts If you would like more information or support with a mental health issue, here are some useful contacts. •C ambridgeshire and Peterborough Psychological Wellbeing Service: 0300 300 0055 •C PFT out-of-hours line for mental health service users: 0800 052 2252 (Mondays to Fridays, from 5pm - 8pm; Saturdays, Sundays and Bank Holidays from 8am to 8pm) • CPFT website: www.cpft.nhs.uk • NHS 111 service: Dial 111 if you urgently need medical help or advice but it’s not a life-threatening situation. • Samaritans: Call 116 123 •M ind infoline: 0300 123 3393 (weekdays 9am - 6pm) • S aneline: 0845 767 8000 (everyday 6pm - 11pm) • Childline: 0800 1111

Integrated community and mental health services The wide range of health and social care services available to help people can sometimes be hard to navigate. Partly because these are provided by lots of different NHS Trusts and organisations, depending on the type of help that people need, such as health, social care and housing. Most people’s first point of contact with the NHS is when they either visit their GP or have to go to hospital if they become very unwell. However, in many ways, the ‘glue’ that holds these services together are the integrated community services provided by Cambridgeshire and Peterborough NHS Foundation Trust (CPFT). These provide care in people’s homes and focus on keeping them out of hospital, or supporting them to return home when they are leave hospital, but need extra support. CPFT brings together community and mental health services for adults and older people in Cambridgeshire and Peterborough. These are organised into 16 neighbourhood teams which are designed to improve joined-up working between primary care, community staff and mental health. This new way of working makes it easier to keep people safe and well in their homes by joining up community resources for over 65 year olds and adults with long term conditions requiring community services (does not include mental health services for people aged 18-64 years old). They work closely with GPs, primary care, social care and the third and independent sector to provide joined-up, responsive, expert care and treatment. They operate between 8am and 8pm, 365 days a year, each covering between three and 13 GP practices and areas where the populations of over-65s is between 5,700 and 14,000. Most referrals into these services come from GPs, hospitals and other health professionals.

The multi-disciplinary teams include: • integrated care workers • district nurses • mental health nurses • community matrons • occupational therapists • physiotherapists • multi-disciplinary team (MDT) co-ordinators • team manager. The Trust also provides a number of specialist services that support the neighbourhood teams with expert assessment, treatment and advice. These include: • Diabetes • Respiratory • Tuberculosis (TB) • Heart Failure • Cardiac rehabilitation • Parkinson’s disease • Multiple sclerosis • CFS / ME • Epilepsy • Tissue viability • Continence • Dietetics • Podiatry • Neuro rehabilitation • Speech and language therapy • JET and out of hours (OOH) services. A great deal of work has therefore taken place over the last couple of years to reconfigure community services to develop multidisciplinary, community health and social care, working with clusters of GP practices in Cambridgeshire and Peterborough. It’s vital we put patients at the centre of services, not only those provided by CPFT, but also hospital and ambulance services, GPs, councils, care homes and the voluntary sector. Only by improving co-ordination, co-location and co-operation between different services

and organisations can we make the best use of limited resources for a rapidly expanding, ageing population. So the next phase is to build on these neighbourhood teams to develop integrated intermediate tier services. Put more simply it aims to fill gaps in existing services by providing joined up health, social care and therapy to people in their own homes. There has also been a lot of work to agree how we best identify and support those who have complex needs and are most at risk of being admitted to hospital. So we’ve been working closely with all these organisations to develop a case management model which means that everyone uses the same criteria to spot those most at risk to ensure they get the help they need, when they need it.

JET extended to more patients A service to reduce unnecessary visits to A&E and hospital admissions has recently been made available to more patients. The Joint Emergency Team (JET) is now for anyone over 50 years old and those with long term conditions who become very unwell. Previously the service was just for people over the age of 65 years old. JET is an urgent community service which operates from 7.30am to 8pm. It comprises a

paramedic or nurse who will visit the person at home within two hours to assess and arrange care for them if they are unwell and need urgent care, but do not need to go hospital. It also links to more services, such as district nurses or occupational therapists.

Contact PALS The Patient Advice and Liaison Service (PALS) provides service users, their carers and families with help, information and support to resolve concerns quickly and efficiently. PALS achieves this by liaising with staff and managers, other PALS services and health-related organisations. We provide information about the Trust’s services and other health-related issues and we act as a gateway to independent advice and advocacy support from local and national sources, including Independent Complaints Advocacy Services. Your feedback is really important to us, and we also like to hear when our services are good. If you would like to compliment any of our staff please contact PALS and we will pass on your comments. Details about PALS information and complaints leaflets in languages including Bengali, Lithuanian, Mandarin, Polish, Russian, Urdu, Portuguese and Slovakian, are available below. If you need information in a language not listed, please contact us. For more information contact: Suzanne Williams – Patient Experience Officer Telephone: 01223 726774 (Office hours Monday to Friday) Freephone: 0800 376 0775 (Office hours Monday to Friday) Confidential email: pals@cpft.nhs.uk Postal address: PALS, Cambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn Hospital, Cambridge, CB21 5EF

More information about CPFT Web: www.cpft.nhs.uk Twitter: @CPFT_NHS Facebook: cpftnhs/ YouTube: CPFTvideo LinkedIn: CPFT

How to use your health services There are a range of healthcare services available to help you find the right expert care to meet your needs. Choosing the service most appropriate to your symptoms means you get the right treatment in the right place.

Choking. Chest pain. Suspected stroke. Blacking out. Severe bleeding.

For symptoms of serious illnesses and major accidents, choose A&E (Accident & Emergency).

Cuts. Sprains. Rashes. Minor fractures.

For trips, falls, skin complaints and minor injuries, choose Walkin Health Centre or Minor Injuries Unit or Urgent Care Centre.

Vomiting. Ear pain. Feeling ill.

For infections and persistent symptoms or if your child has a high temperature, choose your GP.

Diarrhoea. Minor infections. Headache. Bites and stings.

For tummy upsets, insect bites and stings, coughs and colds and travel advice, choose a pharmacist.

Unsure? Confused? Need help?

For absolutely any questions about your health, choose NHS 111 service.

Grazed knee. Sore throat. Cough.

For minor ailments, grazes, bruises and similar problems, choose self-care.

SCOOTER PARAMEDIC Mobile Scooter Technician • Repairs • Call out • Home service visits • Batteries testing/ renewal • Puncture repair • Confidence building • DBS checked • We buy - we sell we part-ex

Telephone:

01354 680662

Trained by

Mob: 07833 281142 scooterparamedic@hotmail.co.uk www.scooterparamedic.co.uk

Woodlands Care Centre 109 BEDS ALL ENSUITE ~ CARER FOR RESIDENTIAL, NURSING, RESIDENTIAL DEMENTIA AND NURSING DEMENTIA

We at the Woodlands are welcoming, warm and friendly and we will make you feel at home. Safe, secure, caring, effective, responsive and well led. Safe without being too restricted. The home interior is colourful, homely and stylish with communal spaces arranged in a way that encourages social activity. The outdoor space is set up for occupation and relaxation. The home is an important part of the broader community and links with the local community. Staff are connected, sensitive and have natural empathy.

Lynda Sampford, Manager Woodlands Care Centre, Hawkins Road, Cambridge CB4 2RD

Tel: 01223 324444 12

Part of the RCH group

NHS

continuing healthcare

NHS continuing healthcare is a free package of care for people who have significant ongoing healthcare needs. It is arranged and funded by the NHS. You can receive NHS continuing healthcare in any setting outside hospital, including in your own home or in a care home. If you receive care in your own home, the NHS will cover the cost of the support you need from health professionals and the cost of personal care which can include help with washing and getting dressed. If you receive NHS continuing healthcare in a care home, the NHS will also pay your care home fees.

Eligibility for NHS continuing healthcare When assessing your eligibility for NHS continuing healthcare, staff must follow certain processes. You must be assessed by a team of healthcare professionals as having a ‘primary health need’ for care. This means that you need care primarily because of your health needs. This is assessed by looking at: • t he type and particular characteristics of your needs • how intense and severe they are • the complexity of your needs •h ow unpredictable your needs are; including any risks to you and others if adequate and timely care is not provided

Eligibility is always based on these needs, rather than any particular diagnosis or condition.

When should I be considered for NHS continuing healthcare? If you have ongoing health needs, there are times when staff should consider whether you may be eligible. These include: • when you are ready to be discharged from hospital and your long-term needs are clear • once a period of intermediate care or rehabilitation following a hospital stay have finished and it’s agreed your condition is unlikely to improve • whenever your health or social care needs are being reviewed as part of a community care assessment • if your physical or mental health deteriorates significantly and your current level of care seems inadequate • when your nursing needs are being reviewed. This should happen annually if you live in a nursing home • if you have a rapidly deteriorating condition and may be approaching the end of your life In these circumstances, your discharge staff, staff co-ordinating your intermediate care, GP or a member of the social work team should raise the issue of NHS continuing healthcare and assess your eligibility. If they don’t, make sure you ask for an assessment.

Assessment for

NHS continuing healthcare You should be fully involved in the

throughout the process.

assessment and have your views taken

Most people will start by completing a checklist. This assesses your needs and indicates whether or not you should

into account. You can ask a relative or carer to help and support you 14

have a full assessment. If you’re referred for a full assessment, evidence will be collected from all relevant health and social care professionals to give a full picture of your physical, mental health and social care needs. Then a team of health and social care professionals involved in your care will look at this evidence and recommend whether or not you’re eligible. You and / or your representative can attend and participate at this meeting.

If you are eligible The team will forward their recommendation to the Clinical Commissioning Group (CCG) that is responsible for funding your care. The CCG will then discuss and agree a care and support package with you. This care and support package will be reviewed after 3 months and then at least every year. If your care needs change, your funding arrangements may also change.

Personal Health Budgets If you’re eligible for NHS continuing healthcare, you have the right to a Personal Health Budget. Personal Health Budgets allow more choice and control over the services and care you receive and can be used to pay for a wider range of items and services, including therapies, personal care and equipment. If you choose this, you will develop a care plan with your NHS team that will meet your personal health and wellbeing needs.

See NHS Choices for more information about Personal Health Budgets.

If you’re not eligible If you’re not eligible for NHS continuing healthcare, you’ll be referred to your local authority to decide whether you’re eligible for help to arrange or pay for care. However, you may be eligible for NHS-funded nursing care.

If you’re not happy with the decision If you’re turned down, you should be sent a letter telling you why. It should also tell you what steps to take and who to contact if you’re unhappy with the decision. • If you weren’t given a full assessment, you can ask the CCG to reconsider your case. If you are still dissatisfied you can use the NHS complaints system to pursue your case. • If you’re not happy after a full assessment, you can ask for the CCG to reconsider its decision. If you are still dissatisfied, you can ask for an independent review of your case. • If you’re not happy with any help you receive from the NHS, you have a right to complain. Details of the complaints procedure are available from the relevant organisation.

Fast Track If you are approaching the end of your life, you may be eligible for ‘fast tracking’ which allows you to bypass the full assessment process mentioned above. You must have a rapidly deteriorating condition that may be entering a terminal phase. If you’re eligible, a care package should be put in place as soon as possible, preferably within 48 hours. Age UK has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Age UK endorse any of the products or services.

Content supplied by:

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

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

How will my needs be assessed? You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHS-funded nursing care. Most people don’t need a separate assessment for NHS-funded nursing care. However, if you do need an assessment or you haven’t already had one, your clinical commissioning group (CCG) can arrange an assessment for you.

Outcome of the assessment If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided by registered nurses employed by the care home. Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care. If you’re not eligible for NHS-funded nursing care and you don’t agree with the decision about your eligibility, you can ask your CCG to review the decision.

What is the rate of payment for NHS-funded nursing care? NHS-funded nursing care is paid at the same rate across England. For 2015/16, the rate is £112.00 a week (standard rate). 16

rsing care?

Notes

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. For 2015/16, the higher rate is £154.14 a week. You’re entitled to continue on this rate unless: • y ou no longer have nursing needs • you no longer live in a care home that provides nursing • y our nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £112.00 a week, or • y ou become entitled to NHS continuing healthcare instead.

Content supplied by:

NHS Choices has 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 figures correct at the time of going to print.

Paying for permanent residential care Lots of people worry about paying for care for themselves or for a loved one. Most people will be expected to pay something towards the costs. If your care is being organised by the local authority, then the main steps of the process are: 1. Your local authority will firstly do a care needs assessment to identify what help you need.

What amount of capital will make me eligible to pay for my care?

2. They will make recommendations about your needs and whether or not you need residential care – this is called a Care Plan.

Amount of your capital, savings and income Over £23,250

3. They will then work out a budget to ensure you get what you need – this is called a Personal Budget.

Between £14,250 and £23,250

4. Then, they will do a means test, also called a financial assessment, to work out how much you should pay towards your care home fees and how much they will cover. If your care is arranged by the NHS or social services, you may not have to pay for some or all of the care. For more information, see our page on NHS continuing healthcare.

What does the means test look at? The means test will look at your capital and income, such as your savings and your property. Certain types of income, such as money from certain benefits and pensions, may not be counted. If you and someone else jointly hold capital, such as a savings account, it’ll be treated as divided equally between the two of you. In some circumstances your home won’t be included in the means test, for example, if your partner still lives there.

What if I give away some of my money? You may be thinking about giving away some of your savings, income or property to avoid higher care costs, and to give something to your relatives or charity, for example. If the council thinks that you have done this to avoid paying care fees they may still assess you as if you still had the money or 18

property that you have given away. This is referred to as deprivation of assets.

Less than £14,250

How much you have to pay You must pay full fees (self-funding) Your fees will be calculated on a sliding scale You won’t have to pay fees

After the means test the local authority should give you a written record of their decision of what you will have to pay and what they will pay, and how they calculated it.

What if I prefer a more expensive care home than the local authority will pay for? If you’d prefer to live in a care home that costs more than the local authority would usually expect to pay, it can arrange this, provided that someone else is willing to meet the difference in cost. This is usually known as a top-up or third-party payment. You could also choose a care home in another area to be closer to family or friends. Find out more about having choice of accommodation.

How do I pay my part of the fees? Generally the local authority will pay the full amount to the home and collect from you the amount that you need to pay. This may be different if you are paying a ‘top-up’ fee.

What if I run out of money? If you are paying fees yourself (called self-funding) and your capital goes down to under £23,250,

the local authority may assist with funding. You should request an assessment a few months before that happens. They should arrange one as soon as possible so you don’t have to use up your capital below that amount.

Paying for temporary care in a care home Local authority charging rules differ when a stay in a care home is temporary, rather than permanent. Some people go into a care home on a temporary basis to give themselves or their carers a break‚ or while they are recuperating from an illness. Others enter a home temporarily for a ‘trial’ period to decide whether they want to live permanently in that home. A more detailed account of the charging rules can be found in our factsheet Paying for temporary care in a care home. This factsheet is aimed at individuals who are aged 60 and over.

Paying for care if you have a partner Being part of a couple can affect a care home resident’s eligibility for local authority assistance with care home fees and both partners’ eligibility for social security benefits during the period in care. We have produced a factsheet that addresses this issue and includes sections on the valuation of jointly owned capital, temporary admissions and where both members of a couple go into a care home. Age UK has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Age UK endorse any of the products or services. All figures correct at the time of going to print.

Content supplied by:

Personal budgets and direct payments - more control over your care Direct payments When your personal budget is paid directly to you this is called a Direct Payment. Direct Payments allow you to arrange your care as you wish. There are rules about what you can and can’t use direct payments for. The money must be used to meet the eligible needs identified in your assessment. You can use direct payments for anything that meets those needs, for example: • employ your own care workers • buy services from a voluntary or private agency • buy equipment or pay for home adaptations • purchase other types of support to meet your assessed needs • get to a café to meet your friends, a place of worship, or other places that are important to you. You can be personal and creative with your budget. For example, if one of your assessed needs is help with shopping, you could pay for someone to help you go shopping yourself rather than just pay someone to do it for you. You can’t use direct payments to: • pay a spouse, civil-partner, live-in partner, or a close relative who lives in the same household as you to care for you (although there may be exceptions to this) • buy services from your local council • pay for permanent care in a care home. You can, however, pay for a short stay of up to four consecutive weeks within any 12-month period if that meets an assessed need. Not everyone will feel comfortable or capable of managing their direct payments themselves, and you don’t have to if you don’t want to. You can always choose the option for the council to arrange care for you, and you can still have a say in what will best meet your needs. 19

Care services in your home 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 •h ousekeeping 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 24hour 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 • s ervices 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

contact your social care department to ask for an assessment of your care and support needs. To contact social care, 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 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: • take over the burden of being an employer – for example, payroll, training, disciplinary issues and insurance

• a place to live in a family who will care for you, known as “shared lives services” or adult placement services

• train their care and support workers through national qualifications and servicespecific training

If you believe that you might benefit from some help at home, the first thing to do is to

• replace workers when they are ill, on holiday or resign

• put 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.

Hiring a personal assistant

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

Employing a care worker on a private basis

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.

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 care 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.

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.

If you have concerns about the suitability of someone you employ privately as a personal assistant, you can ask Adult Social Care to look into the matter.

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

Content supplied by:

Age UK Cambridgeshire & Peterborough Services Age UK Cambridgeshire and Peterborough is your local independent charity working with and for older people across Cambridgeshire and Peterborough. Our objectives are to help older people to maintain their independence, health and well being by providing support and services that meet individual needs. We recognise that you want a choice in how you are supported and we provide a variety of services to help you keep your independence.

Social Support Services We currently offer a range of health and wellbeing services, which include: Day Services: We have 6 social centres located in Cambridge, Huntingdon, March, Chatteris and 2 in Wisbech. The centres aim to help you feel less socially isolated and keep you active by providing an opportunity to meet friends and participate in various activities. A hot meal and beverages are provided. Community Wardens: Our wardens help people to live in their own homes with support. A warden will phone or make a personal visit to you at home and can help with shopping, collect prescriptions, make phone calls on your behalf, help complete forms, liaise with other services. Visiting Scheme: We visit older people in their own homes for one hour per week for company and conversation to help prevent feelings of loneliness. You will be assigned a one to one volunteer to visit you on a regular basis to build friendship and companionship. Volunteering: We have a whole range of volunteering opportunities, from befriending to administration. 22

Our volunteers range in age from 17yrs to 94yrs. Please get in touch to find out more.

Practical Services Our services offer support to help you remain independent and safe in your own home. Information & Advice: We can give advice on a range of issues including; benefits, housing, community care, general health and welfare, completing forms and applications. FREE facts sheets available. Handyperson Service: Our aim is to prevent falls and accidents in the home by offering a free Personal Assessment and Home Safety Check. For a charge we can arrange for aids and adaptations to be installed and small jobs to be carried out. There is no obligation to order work through Age UK. Examples of the types of jobs we can do are: • Installing keysafes • Fitting grab rails • Putting up shelves • Fitting blinds/curtains • Tacking down fraying carpets • Changing lightbulbs • Small repairs (gates; locks; changing fuses etc) Home Help: We can assist with housework including, cleaning, laundry, ironing. Gardening: We can support you with regular garden maintenance to help keep your garden neat and tidy. NB There is a charge for some of our services.

Love later life Insurance, Products and Services Most of us want to remain independent and to keep doing things in life we love most. Age UK Enterprises offers a wide range of products and services for the over 50s. Home Insurance – Cover for Buildings, Contents or both is available with no hidden admin fees and the choice to pay by monthly instalments at no extra cost (0% APR Representative) Car Insurance – Cover with no upper age limit and the choice to pay by monthly instalments at no extra cost (0% APR Representative) Motor Breakdown – Cover wherever you are in the UK including Roadside, Recovery and Home Services^. Travel Insurance – Choice of Single Trip or Annual Multi-trip cover with no upper age limit and cover for existing medical conditions wherever possible*. Funeral Plan – Your family will be spared the worry of having to make all the arrangements, and the financial strain of paying for them will be eased. Acceptance is guaranteed if you are over 50 and there are easy payment options. Personal Alarms – If you want to remain independent and have peace of mind, Personal Alarms is the perfect service for

you. Professional and friendly help in an emergency, any time of the day and night. No obligation home demonstration available upon request or order online and connect the unit yourself with Easy-Connect. Wills and Legal Services – In association with leading law firm Irwin Mitchell, we offer a range of legal services providing advice in relation to Wills, family and relationships, personal injury, buying or selling a home and rights at work. Age UK Home, Car and Travel Insurance are administered by Ageas Retail Limited. Age UK Motor Breakdown Insurance is provided by Intana Assistance. The Age UK Funeral Plan is provided by Dignity. Brought to you by Age UK Enterprises Ltd. Personal Alarms are provided by Aid-Call Limited. ^ Only available in Mainland Great Britain. * Subject to medical screening and acceptance by the underwriters. Personal Alarms are provided by Aid-Call Limited, which is authorised and regulated by the Financial Conduct Authority for Consumer Credit. Financial Services Register number 707455. Age UK Cambridgeshire and Peterborough is an appointed representative of Age UK Enterprises Ltd which is authorised and regulated by the Financial Conduct Authority for insurance mediation. ACOEE2638V3AUG16

To find out more about any of our services – call us on

0300 666 9860

Alzheimer’s Society Cambridgeshire Alzheimer’s Society is the UK’s leading support and research charity for people with dementia, their families and carers. We provide information and a range of support services for people with any form of dementia and their carers throughout Cambridgeshire. Our Dementia Adviser Service offers information about all aspects of living with dementia and supports people to access services. People with dementia and their carers can contact a Dementia Adviser whenever they need further information or support to find other services. Dementia Support Workers offer information and practical guidance to help people understand dementia, cope with day-to-day challenges and prepare for the future. They offer support face to face, over the phone or in writing. The Carer Information and Support Programme (CrISP) is a series of sessions for carers that provide information about dementia and relevant support services. There will also be the opportunity to chat with others in a similar situation. Activity groups give people affected by dementia the opportunity to take part in structured activities. Run by a facilitator, who encourages and supports people to take part, the groups are also a chance to relax and socialise. Dementia Cafés provide information about living with dementia and other services available locally in an informal and comfortable environment. A Dementia Café is also a place to relax, socialise and meet other people with dementia and their carers. Singing for the Brain brings people together in a friendly, fun and social environment. Based around the principles of music therapy, the stimulating sessions include vocal warm-ups and singing a wide variety of familiar and new songs. Dementia Friends Programme is a national initiative being run by the Alzheimer’s Society and aims to improve people’s understanding of dementia and its effects. A Dementia Friend learns a little bit more about what it is like to live with dementia during an hour long information session and then turns that understanding into action. To book your place on a local information session, visit www.dementiafriends.org.uk. Dementia Action Alliance (DAA) is a movement which aims to bring about society-wide response to dementia. It encourages organisations to create a dementia friendly community, whether it be a city, town or village, where people with dementia will feel included and involved, and have choice and control over their day-to-day lives. For more information about joining the DAA, email: dementiaactionalliance@alzheimers.org.uk. Volunteering with the Alzheimer’s Society provides a wealth of benefits including meeting new people and learning new skills. By volunteering, you can get involved in the Society’s wide range of work such as research, campaigning, fundraising and local services. For more information on current volunteering opportunities in Cambridgeshire, email volscambridgeshire@alzheimers.org.uk or visit www.alzheimers.org.uk/volunteer. For more information on any of our activities visit alzheimers.org.uk or call 01954 250322. 24

Dementia Cafés in Cambridgeshire Dementia Café in March Meets on the first Tuesday of the month at St Peter’s Church Hall, 36 High Street, March PE15 9JR from 10am to 12.00noon

Dementia Café in Ramsey Meets on the first Wednesday of the month at the Rainbow Surgery, Stocking Fen Road, Ramsey PE26 1SA from 10 am to 12.00noon.

Dementia Café in North Cambridge (Arbury) Meets on the first Thursday of the month at the Church of the Good Shepherd, Mansel Way, Arbury, Cambridge CB4 2ET.

Dementia Café in St Ives Meets on the third Tuesday of the month at St Ives Free Church (United Reformed), Market Hill, St Ives PE27 5AL from 10am to 12.00noon.

Dementia Café in South Cambridge (Great Shelford) Meets on the third Thursday of the month at the David Rayner Centre, Scotsdales Garden Centre, Great Shelford, Cambridge CB22 5JT from 10am to 12.00noon.

Dementia Café in Ely Meets on the fourth Tuesday of the month at the Cathedral Centre, Palace Green, Ely CB7 4AW 10am to 12.00noon.

Dementia Café in Wisbech Meets on the first Monday of the month (except Bank Holidays) at the Robert Hall Centre, St Augustines Road, Wisbech PE13 3AH from 10am – 12noon. For more information on all our Dementia Cafés in Cambridgeshire, please call our local office on 01954 250322.

The Motability Scheme The Motability scheme allows some disabled people getting DLA, PIP or War Pensioners’ Mobility Supplement to obtain a car, powered wheelchair or scooter. The scheme uses some or all of your mobility benefit payments to cover the cost of “contract hire” or “hire purchase” of an appropriate vehicle. You can also pay an extra amount of money if you want a more expensive vehicle. With hire purchase, the price of the car will be agreed directly with the Motability dealer, and you will own the vehicle outright at the end of the agreement. With contract hire, you won’t own a vehicle, but you will get a new car every three years,

full insurance for the driver and passengers, servicing, maintenance and repairs, vehicle excise duty, replacement tyres and breakdown cover. Adaptations to the car can be made if needed, although there may be an extra charge for some adaptations. Under the Motability scheme, cars can also be adapted for people in wheelchairs. If you don’t need or want a car, you can transfer your allowance to lease a scooter or powered wheelchair.

Content supplied by:

Contact Motability You can get in touch by completing an online form, calling our Customer Services team on the number below, or contacting our Scheme partners directly. Tel: 0300 456 4566 8am-7pm Monday to Friday; 9am-1pm Saturday (Monday 9am-11am is our busiest period. You may find it easier to call outside these times.)

If you have specialist Minicom equipment, call our textphone number on 0300 037 0100 or speak to us through a British Sign Language (BSL) interpreter. 26

The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care. We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one. You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia. We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided. You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care. You can also call us to share an experience of care on 03000 61 61 61. Here are some tips to help you choose your care.

Social care Top tips 1

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.

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/

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.

GP Top tips

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

7 2

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 ●

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.

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

Mental health Top tips

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

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:

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.

29 29

NHS Hospitals and services in Cambridgeshire

Wisbech

Stamford

Peterborough

Downham Market March

Chatteris

2 Victoria Street, Chatteris, Cambridgeshire PE16 6AP 8QD

113A King Street, Rampton, Cambridgeshire CB24 8QD

Ely

Tel: 0300 666 9860

Tel: (01954) 250322

Mildenhall Union House, 37 Union Lane, Chesterton, Cambridge CB4 1PR Tel: (01223) 533300

St Neots

Milton

Cambridge Elizabeth House, Fulbourn Hospital, Fulbourn, Cambridge CB21 5EF

Biggleswade

Haverhill

Tel: (01223) 726789

Saffron Walden

Newmarket

Brookfields Hospital, Mill Road, Cambridge CB1 3DF

Ida Darwin Site, Fulbourn, Cambridge CB1 5EE

Tel: (01223) 723194

Tel: (01223) 726789

Useful contacts A

Action on Elder Abuse 020 8835 9280 We work to protect, and prevent the abuse of, vulnerable older adults. Action on Elder Abuse, PO Box 60001, Streatham SW16 9BY I www.elderabuse.org.uk I enquiries@elderabuse.org.uk

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.

Admiral Nursing DIRECT 0845 257 9406 This helpline has been set up to provide people with an opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. The lines are open on Tuesdays and Thursdays between 11am and 9pm. Callers can leave messages any time and request a call back I direct@fordementia.org.uk Age UK Cambridgeshire & Peterborough 0300 666 9860 2 Victoria Street, Chatteris, Cambs, PE16 6AP I www.ageuk.org.uk/cambridgeshireandpeterborough/ Alzheimer’s Society – Cambridge, Ely 01954 250322 Huntingdon and Fenland 113A King Street, Rampton, Cambridgeshire CB24 8QD I www.alzheimers.org.uk Arthritis - National Rheumatoid 0800 298 7650 Arthritis Society (NRAS) or 0845 458 3969 Provide information, support and advice for people living with Rheumatoid Arthritis. I www.nras.org.uk

C Cambridge & District Citizens Advice 01223 222660 66 Devonshire Road, Cambridge CB1 2BL I www.cambridgecab.org.uk I caba@cambridgecab.org.uk Cambridge Dial-a-Ride 01223 506335 A non-profit organisation which provides local transport services that are safe, affordable, and accessible to community groups and to individuals who have difficulty in accessing public transport. Unit B, Rene Court, 1 Coldhams Road, Cambridge CB1 3EW I www.cambridgedialaride.org.uk I camdar05@hotmail.co.uk 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) National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA I www.cqc.org.uk I enquiries@cqc.org.uk

M Mind (National Association 020 8519 2122 for Mental Health) The leading mental health charity in England and Wales. We work to create a better life for everyone with experience of mental distress. I www.mind.org.uk I contact@mind.org.uk

N National Osteoporosis Society 0845 450 0230 Advice, information and support group for people with osteoporosis. I www.nos.org.uk NHS 111

111

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 w ww.dwp.gov.uk/about-dwp/customerdelivery/thepension-service

03000 616161

Cruse Bereavement Care 0844 477 9400 Cruse Bereavement Care is here to support you after the death of someone close. I www.cruse.org.uk I helpline@cruse.org.uk

D Disability 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

E Elderly Accommodation Counsel 0800 377 7070 A national charity that aims to help older people make informed choices about meeting their housing and care needs. It is now more commonly known as EAC. I www.eac.org.uk I info@firststopadvice.org.uk

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

Every possible care has been taken to ensure that the information given in this publication is correct at the time of going to print. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2016. Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire, DN10 6AB. Telephone: 01302 714528 Options Cambridgeshire is published by Octagon Design and Marketing Ltd with editorial contributions from Cambridgeshire and Peterborough NHS Foundation Trust, the CQC, Age UK, the Alzheimer’s Society and NHS Choices. The editorial contributors have not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor do the editorial contributors endorse any of the products or services.

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