OPTIONS NHS continuing healthcare Leaving hospital What’s next? Who’s eligible? Lincolnshire & North Lincolnshire Autumn 2022A guide to care and independent living
This guide is intended to help you, your carer and your relatives understand how your local health services can help you after discharge from hospital. Also information to help you to live independently or access support and care services in your area. Welcome and Contentsintroduction OCTAGONDESIGN&MARKETINGLTD Lincolnshire Community Health Services NHS Trust – How you can help look after yourself ......... 4-5 Age UK Lincoln & South Lincolnshire Services 18-19 Unite against dementia in Lincolnshire and North & North East Lincolnshire ............................. 20-21 The Care Quality Commission Social Care and GP top tips ............................................................ 16-17 Lincolnshire Community and Voluntary Service – loneliness, living alone and poor social connections are seriously bad for your health 6-7 NHS continuing healthcare................................................................................................................ 8-11 Personal budgets and direct payments 12-15 NHS-funded nursing care 15 To view this guide online as an interactive ebook visit: www.regionalcare.co.uk/options/lincolnshire/autumn2022 Read online Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2022. Rossington Hall, Great North Road, Doncaster, South Yorkshire, DN11 0HR. Telephone: 01302 714528 Options Lincolnshire & North Lincolnshire is published by Octagon Design & Marketing Ltd with editorial contributions from the Lincolnshire Community Health Services NHS Trust, Lincolnshire Community & Voluntary Services, the CQC, Age UK Lincoln & South Lincolnshire, the Alzheimer’s Society and the NHS. 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.
Editorial content supplied by: Lincolnshire Community Health Services NHS Trust
How you can help look after yourself
We are Lincolnshire Community Health Services NHS Trust (LCHS), the primary community healthcare provider in Lincolnshire, delivering community-based services to support people to manage their own health at home and reducing the need for people to go into hospital. We care for thousands of patients every day and we aim to prevent health problems from getting worse, to reduce the need for people to go into hospital.
This help and advice is available at over 11,000 local pharmacies, without an appointment being needed and often they are open in the evenings too. These are the common conditions that people can often manage for themselves: If you feel you illnesses.offormedicinescounterover-the-adviceclinicalprovidepharmaciesyou,tosomeneedadvicehelplocalandarangeminor
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A pharmacist can assess symptoms and consider any long-term conditions, and the medicines that you’re taking, before providing a recommendation. They will either: • support/advise you in your decision to self-care • sell you an over the counter medicine to help relieve symptoms • signpost you to other medical care if you need it, for example your GP
LCHS works closely with other health and social care services to support a shift from care in acute hospitals, into more joined-up care in the community, close to home and to encourage people to help look after Self-carethemselves.isabout keeping fit and healthy, understanding when you can look after yourself, when a pharmacist can help, and when to get advice from your GP or another health professional. If you have a long-term condition, self-care is also about understanding your condition, and how to live with it and still get the most from life. Self-care is important to us all, as prevention of ill health is much better than having to find a cure. We all have things we want to do that are important to us, so why not look at what we can do to keep ourselves healthy? Eating healthy, keeping active and making time to spend with friends and family are three of the most important things you can do to look after yourself. Preventing ill health by choosing the right lifestyle options can improve your physical health, mental wellbeing and self-esteem.
If you feel you need some advice to help you, local pharmacies provide clinical advice and over-thecounter medicines for a range of minor illnesses.
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For details of your nearest pharmacy and opening hours, go to the Find Pharmacy Services pages on the NHS Choices website.
The NHS111 service is staffed by a team of fully trained advisers. They will ask questions about your symptoms so you receive tailored advice.
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situation, the NHS111 team can connect you to a nurse, emergency dentist or a GP and can arrange face-to-face appointments if you need NHS111one.advisers can also assess if you need an ambulance and send one if necessary.
If you do ever need urgent medical help the NHS111 Service is available 24 hours a day, 7 days a week. NHS111 is much more than a helpline – if you're worried about an urgent medical concern, call 111 or visit Depending111.nhs.uk.onyour
• headache • sinusitis • earache • constipation • sprains and strains.
For further details of our organisation and the services we offer go to www.lincolnshirecommunityhealthservices.nhs.uk.
Ask PharmacistYour Prompt, professional health care advice Editorial content supplied by: Lincolnshire Community Health Services NHS Trust
If you’re unsure which conditions you should be managing yourself, or how to manage them, see your pharmacist.
LCHS run a Clinical Assessment Service as part of the local NHS111 service which provides a highly responsive and effective network of services in Lincolnshire for people with urgent but non-life threatening needs. These services are in or as close to people’s homes as possible, minimising disruption and inconvenience for patients and their families, while relieving pressure on A&E services.
If you have difficulties communicating or hearing, you can use the NHS111 service through a mobile phone by calling 18001 111. Just like the phone service, NHS111 online takes you through questions about your symptoms so you receive tailored advice on what to do next and where to go, and if necessary, can arrange for you to speak to a healthcare professional. NHS111 online is conveniently accessed via your smartphone, tablet or computer and is also available 24 hours a day, 7 days a week.
• coughs and colds
Social Prescribing supports those whose health is being affected by loneliness or other social issues by connecting them with activities and organizations in their own community so that they can enjoy today and feel hopeful about tomorrow.
Lincolnshire Community and Voluntary Service is at the frontline of social prescribing in the Boston, South Holland, South Kesteven and East Lindsey areas of Lincolnshire, where we have a growing team of social prescribing link workers who are currently building relationships with GP surgeries to ensure doctors understand the benefits of referring patients to us.
Editorial content supplied by: Lincolnshire Community and Voluntary Service
not always the right service to support people, which is where social prescribing comes in.
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This does not only relate to older people but to everyone over the age of 18 who is considered mildly to moderately frail and/or who is struggling in one way or another to manage some of their social issues.
Social prescribing is person centered.
Loneliness, living alone and poor social connections are seriously bad for your health
With two fifths of older people - about 3.9 million in the UKsaying the television is their main source of company we need to help people avoid ill health by making sure that they can enjoy good social
This means that the social prescribing link workers begin by having a chat about what is important to you. Together you think about what would help you to feel more positive and what support you might need.
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Although self referral is an option with social prescribing, some people’s first contact with one of our link workers could be as a referral from your GP if they believe medicine alone may not be the best solution for the issues you are experiencing.
Social prescribing is based in your own community. Together you think about what would help you to feel need.youwhatpositivemoreandsupportmight
At its most basic a social prescription offers the kind of help that doesn’t come in a tube or bottle.
All that is asked is that social prescribing participants are actively willing to engage in selfcare/self-help activities. The idea behind it is to help you have more control over your own health and find ways to improve how you feel in a way that suits you.
Feeling connected to the place we live and the people around us is good for our health. Our social prescribing link workers will always connect people with local activities and organisations so that they can continue to attend them once our support has ended. Social prescribing respects your lifestyle choices. Our participants choose to get involved in all kinds of activities including craft groups, horse riding, sports, walking, mens sheds, U3A and many more.
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And because it works, social prescribing is happening more and more.
Editorial content supplied by: Lincolnshire Community and Voluntary Service
Retirement Lots of people work towards the goal of retirement, the day when we leave work and don’t have to go back! The promise of carefree days when you can do whatever you wish. However, the reality can be a little different, particularly once the list of jobs has been completed and the lack of routine means that some days feel a little empty.
If you are interested in finding out more about Lincolnshire Community and Voluntary Service’s social prescribing work, email lincolnshirecvs. socialprescribing@nhs.net or call 01205 314479. You can also visit our website at www.lincolnshirecvs.org.uk This means that we will work with you to find the needs.particularforsolutionbestyour
Our link workers are skilled and could recommend lots of alternatives but most important are the choices that support your lifestyle choice. This means that we will work with you to find the best solution for your particular needs. Which may include introducing you to a community group, a new activity or a local club. It could even be legal advice or volunteers to help around the house or just passing on information about available local resources. Whatever it is, studies show that patients with social prescriptions get better and feel better faster than those treated with medicine alone.
Before retiring it’s good to think about how you will use your time, perhaps you could volunteer with a local charity or begin a new hobby. If your job keeps you active think about how you will keep fit once the demands of the job are removed.
You should be fully involved in the assessment process and kept informed, and have your views about your needs and support taken into account. Carers and family members should also be consulted where appropriate.
This is known as NHS continuing healthcare. Where can NHS continuing healthcare be provided? NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your own home or in a care home.
To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a multidisciplinary team). The team will look at all your care needs and relate them to: • what help you need • how complex your needs are • how intense your needs can be • how unpredictable they are, including any risks to your health if the right care is not provided at the right time Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition. If your needs change then your eligibility for NHS continuing healthcare may change.
Information and advice
A decision about eligibility for a full assessment for NHS continuing healthcare should usually be made within 28 days of an initial assessment or request for a full assessment. If you are not eligible for NHS continuing healthcare, you can be referred to your local council who can discuss with you whether you may be eligible for support from them.
The process involved in NHS continuing healthcare assessments can be complex. An organisation called Beacon gives free independent advice on NHS continuing healthcare. Visit the Beacon website or call the free helpline on 0345 548 0300.
Editorial content supplied by: the NHS
Am I eligible for NHS continuing healthcare?
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NHS healthcarecontinuing
If you still have some health needs then the NHS may pay for part of the package of support. This is sometimes known as a “joint package” of care.
NHS continuing healthcare is for adults. Children and young people may receive a “continuing care package” if they have needs arising from disability, accident or illness that cannot be met by existing universal or specialist services alone.
Find out more about the children and young people’s continuing care national framework on GOV.UK
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Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS.
Clinical commissioning groups, known as CCGs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that you may need it.
Editorial content supplied by: the NHS NHS continuing healthcare assessments
Initial assessment for NHS continuing healthcare
Depending on the outcome of the checklist, you’ll either be told that you do not meet the criteria for a full assessment of NHS continuing healthcare and are therefore not eligible, or you’ll be referred for a full assessment of eligibility.
The professional(s) completing the checklist should record in writing the reasons for their decision, and sign and date it. You should be given a copy of the completed checklist.
Being referred for a full assessment does not necessarily mean you’ll be eligible for NHS continuing healthcare. The purpose of the checklist is to enable anyone who might be eligible to have the opportunity for a full assessment.
Full assessment for NHS continuing healthcare
The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you’re being assessed, and be asked for your consent.
You can download a blank copy of the NHS continuing healthcare checklist from GOV.UK
Full assessments for NHS continuing healthcare are undertaken by a multidisciplinary team (MDT) made up of a minimum of 2 professionals from different healthcare professions. The MDT should usually include both health and social care professionals who are already involved in your care. You should be informed who is co-ordinating the NHS continuing healthcare assessment.
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For assessment.needdecideusedwhichassessment,checklistanthere’speople,mostinitialistoifyouafull
For most people, there’s an initial checklist assessment, which is used to decide if you need a full assessment. However, if you need care urgently – for example, if you’re terminally ill – your assessment may be fast-tracked.
NHS continuing healthcare should be provided.
These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”.
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The assessment should take into account your views and the views of any carers you have. You should be given a copy of the decision documents, along with clear reasons for the decision. You can download a blank copy of the NHS continuing healthcare decision support tool from GOV.UK
If your health is deteriorating quickly and you’re nearing the end of your life, you should be considered for the NHS continuing healthcare fast-track pathway, so that an appropriate care and support package can be put in place as soon as possible – usually within 48 hours.
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Fast-track assessment for NHS continuing healthcare
If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs.
Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget.
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The team’s assessment will consider your needs under the following headings: breathing nutrition (food and drink) continence skin (including wounds and ulcers) mobility communication psychological and emotional needs cognition (understanding) behaviour drug therapies and medicine altered states of consciousness other significant care needs
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If you have at least 1 priority need, or severe needs in at least 2 areas, you can usually expect to be eligible for NHS continuing healthcare. You may also be eligible if you have a severe need in 1 area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability. In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether
Care and support planning
If it’s agreed that a care home is the best option for you, there could be more than 1 local care home that’s suitable. Your CCG should work collaboratively with you and the NHS
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NHS continuing healthcare reviews
If you’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within 3 months and thereafter at least annually. This review will consider whether your existing care and support package meets your assessed needs. If your needs have changed, the review will also consider whether you’re still eligible for NHS continuing healthcare.
Refunds for delays in NHS continuing healthcare funding CCGs will normally make a decision about eligibility for NHS continuing healthcare within 28 days of getting a completed checklist or request for a full assessment, unless there are circumstances beyond its control.
If the CCG decides you’re eligible, but takes longer than 28 days to decide this and the delay is unjustifiable, they should refund any care costs from the 29th day until the date of their decision.
Q I have a local authority support package that works well. I’m now eligible for NHS continuing healthcare – will my support package change? If you’re concerned about changes to your care package because of a move to NHS continuing healthcare, your CCG should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with 1 option being a “direct payment for healthcare”.
Q My relative is in a care home and has become eligible for NHS continuing healthcare. The CCG says the fees charged by this care home are more than they would usually pay, and has proposed a move to a different care home. I think a move will have a negative effect on my relative. What can we do? If there’s evidence that a move is likely to have a detrimental effect on your relative’s health or wellbeing, discuss this with the CCG. It will take your concerns into account when considering the most appropriate arrangements.
If the CCG decides to arrange an alternative placement, they should provide a reasonable choice of homes.
Q Is it possible to pay top-up fees for NHS continuing healthcare? No, it is not possible to top up NHS continuing healthcare packages, like you can with local authority care packages. The only way that NHS continuing healthcare packages can be topped up privately is if you pay for additional private services on top of the services you’re assessed as needing from the NHS. These private services should be provided by different staff and preferably in a different setting.
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consider your views when agreeing your care and support package and the setting where it will be provided. However, they can also take other factors into account, such as the cost and value for money of different options.
If you’re not eligible for NHS continuing healthcare If you’re not eligible for NHS continuing healthcare, but you’re assessed as requiring nursing care in a care home (in other words, a care home that’s registered to provide nursing care) you’ll be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care. NHSfunded nursing care is available irrespective of who is funding the rest of the care home fees.
Frequently asked questions about NHS continuing healthcare FAQ’s Editorial content supplied by: the NHS If healthcare.continuingforeligibleyou’rewhetheralsoreviewchanged,needsyourhavethewillconsiderstillNHS
Find out more about NHS continuing healthcare from NHS England
Q Can I refuse an assessment for NHS continuing healthcare? If I refuse, will I be able to get services from my local authority? An assessment for NHS continuing healthcare cannot be carried out without your consent, so it’s possible to refuse. However, if you refuse, although you’ll still be entitled to an assessment by the local authority there’s no guarantee that you’ll be provided with services. There’s a legal limit on the types of services that a local authority can provide. If you refuse to be assessed for NHS continuing healthcare, the CCG should explore your reasons for refusing, and try to address your concerns. If someone lacks the mental capacity to consent to or refuse an assessment, the principles of the Mental Capacity Act will apply and in most circumstances an assessment will be provided in the person’s best interest.
The amount of money in your personal budget is decided by your local council after a needs assessment to work out:
If you’re a carer, you may be entitled to receive a personal budget after having a carer’s assessment to see what might help make your life easier. A carer’s assessment is free and anyone over 18 can ask for one. Choosing how to receive your personal budget You can ask the council to either: • manage your personal budget for you
Carers and personal budgets
What is a personal budget?
If the council manages your money
The money in your personal budget will be spent for you by the council. They will arrange all your care and support based on your agreed care plan.
If your money is paid to another organisation
• speak the same language as you
If you’re a carer, you may entitledbe to receive lifemakemighttoassessmentaafterbudgetpersonalahavingcarer’sseewhathelpyoureasier.
• how much you’re able to afford yourself
• how much it will cost
• are always the same people and available when you need them
For example, you could choose to hire care workers or personal assistants who:
• have experience working with your care needs
• pay the money directly to you or someone you choose – this is known as a direct payment
• are a specific person that has been recommended to you
• what kind of care and support you need
Your personal budget is the amount of money your local council will pay towards any social care and support you need.
• pay the money to another organisation – such as a care provider
• can help you get to shops or social events
Editorial content supplied by: the NHS
The organisation you choose, such as your care provider, will speak to the council and arrange the Sometimespayments.other organisations charge you extra money to arrange payments from the council.
The benefits of direct payments
They still need to check you’re happy with the care they’re arranging for you.
Direct payments give you more flexibility over how your care and support is arranged and provided.
Personal budgets and direct payments
You can also choose a combination of these options. For example, the council could arrange some of your care but send you the rest of the money. This is often called a mixed package or “mix and match”.
You’ll be given a personal budget to spend if your local council decide you’re eligible for help with any social care and support you need. You can request an assessment from the council to establish your needs. The money in your personal budget can be paid to you, to help you make more decisions about how it’s spent. This is known as a direct payment.
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• you’re worried about managing money or the people you employ
• paying it directly into a bank, Post Office, building society or National Savings and Investments account
You can then choose how you spend the money on your own care and support, as long as it matches the care plan you’ve agreed with the council.
You should be offered direct payments as an option after your needs assessment. You can also ask your local council’s social services department about direct payments. How direct payments work
You may decide direct payments are not helpful if:
• you spend a lot of time in hospital
The council might ask you to sign a document called a direct payment agreement. This says:
many ways you could choose to use the money. It’s your choice as long as you’re spending your personal budget on things that meet your agreed care plan.
• you would rather the council arranged your care If you’re not confident about keeping records or managing the people who care for you, your local council should be able to provide support. You could also consider having someone else manage your direct payments, for example a friend or family member. You’ll need to set up a trust for payments that are managed by someone else. The Money Advice Service has information about setting up a trust.
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• sending you a pre-paid card
Most councils will ask for evidence of how you’ve spent your money every 3 months. When to consider other options
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If you choose direct payments, the council will send you the money in your personal budget by either:
Signing a direct payment agreement
How to apply for direct payments
You could also member.oraforpayments,yourelsesomeonehavingconsidermanagedirectexamplefriendfamily
• how the council want you to record your spending –for example, keeping receipts
• a carer
You may need to write down how they will spend the money and which decisions they can make for you.
Read more about employing someone to work in your home on GOV.UK. Disability Rights UK also have more information on getting a personal assistant.
• cost you more money
• speaking to your local council’s social services department
• tax • National Insurance
You can find out about local home care agencies by:
When choosing an agency, decide what sort of service you’re looking for and the tasks you need help with. It’s a good idea to contact more than one agency, as they may offer different types of services.
• remove some of the benefits - such as having the same person provide your care
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• someone else who speaks up for you (an advocate)
This is known as a decision-making agreement.
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If you decide to hire a carer or personal assistant yourself, it’s important to know the responsibilities you’ll have as an employer. Although support from the council should be available, you may need to arrange:
• contacting the UK Homecare Association
If you don’t want to become an employer
Employing your own carer or personal assistant
You could choose to hire care workers through an agency instead. This removes the legal obligations of being an employer, but could:
How to research a care agency
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You could speak to the council and agree for the money to be sent to someone who will spend it for you. For example:
• your responsibilities as an employer - if you’re paying for a care worker
• background checks or references
• pension contributions
If you’re struggling to manage your money
Ask your local council for advice or call the Money Advice Service on 0800 138 7777.
• a friend or family member
If you spend direct payments on something that isn’t agreed in your care plan, the council could take the money back or end the direct payments.
If you want someone else to receive the direct payment
• you’re not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse • you live in a nursing home 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.
• you no longer have nursing needs
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. Find your local CCG. 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.
Who is eligible for NHS-funded nursing care? You may be eligible for NHS-funded nursing care if:
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NHS-funded nursing care is when the NHS pays for the nursing care component of nursing home fees. The NHS pays a flat rate directly to the care home towards the cost of this nursing care.
If you moved into a care home before 1 October 2007, and you were on the previous high band, NHS-funded nursing care is paid at a higher rate. In April 2021, the higher rate was set at £258.08 a week. You’re entitled to continue on this rate unless:
If you’re not eligible for NHS-funded nursing care and you don’t agree with the decision about your eligibility, ask your CCG to review the decision.
• you no longer live in a care home that provides nursing • your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £187.60 a week, or
NHS-funded nursing care
• you become entitled to NHS continuing healthcare instead
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NHS-funded nursing care is paid at the same rate across England. In April 2021, the rate was set at £187.60 a week (standard rate).
Editorial content supplied by: the ThereNHSare also organisations that inspect care agencies to see how well they are doing. The Care Quality Commission (CQC) regulates all health and adult social care in England. You might see a CQC inspection rating when you search online for care home agencies. Their 4 ratings are: • Outstanding • Good • Requires improvement • YouInadequatecouldalso search for care home agencies on the CQC website to see their full reports. Telephone helplines If you would like support to help you manage your personal budget or direct payments, speak to your council or call: • the Disability Rights UK personal budgets helpline on 0330 995 0404 • the Age UK advice line on 0800 055 6112 (for older people) How to complain about personal budgets It’s worth speaking to your council’s social services before making an official complaint to see if they can help. You still have the right to complain if you: • have been told you’re not eligible to receive money towards your care and support • don’t agree with the amount of money in your personal budget You could either: • speak to your social worker about being re-assessed • call your local council social services and request a complaints form Your council should also have a formal complaints procedure on its website. If you’re not happy with the council’s response Contact your Local Government Ombudsman. They investigate all adult social care complaints. • Age UK have a detailed fact sheet on personal budgets and direct payments in social care
The cost of NHS-funded nursing care
• The Money Advice Service has a guide to direct payments
5 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
8 CQC’s ratings will identify services as: Outstanding H Good ● Requires improvement ● Inadequate ●
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.
Social care Top tips
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.
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
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.
4 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?
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.
2 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)?
3 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.
6 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.
7 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.
Here are some tips to help you choose your 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.
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.
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This will help you make informed choices around your care. 9 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.
Telephone: 03000 616161 • Web: www.cqc.org.uk /CareQualityCommission @CareQualityComm The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does the Care Quality Commission endorse any of the products or services. GP Top tips 1 If you are new to an area you can find details of local GP services such as doctors’ practices, out-of-hours services and walk-in centres in our online directory of care services www.cqc.org.uk/content/doctorsgps 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 5 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. 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 3 There are already over 1,000 reports about GP practices published on the CQC website.4 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. 6 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 experience-finderhttp://www.cqc.org.uk/share-your-orcalluson03000616161.
9 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. CQC rates all GPs to help people make choices about where they get treatment. This will be on a four-point scale: Outstanding H Good ● Requires improvement ● Inadequate ●
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Age UK Lincoln & South Lincolnshire Services
Our services offer a comprehensive range of support so that you can be happier in your own home, stay safe and remain independent. We have over 60 years experience of providing a trusted service to older We
We have been working with and campaigning for older people since 1958. We are an independent charity, whose objectives are to help older people who live in Lincoln and South Lincolnshire to maintain their independence, health and wellbeing by providing services that meet individual needs. We recognise that you want a choice in how you are supported and to continue to remain independent in your own home. The following services are designed to offer you support when and where needed to keep your independence. Services to support independence We currently offer a range of health and wellbeing services, which include: Park Street Activity Centre The centre aims to help you feel less socially isolated and to keep you active by providing you with an opportunity to meet friends and participate in various activities Languagelike:classes, dance and exercise, walking football, day trips, parties, events and foot health care. Our Park Street Eatery is open Monday to Friday with a wide range of hot and cold meals and snacks meal.cookedincludingavailable,ahome3course
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Lincolnshire.andinolderserviceaofexperienceoverhave60yearsprovidingtrustedtopeopleLincolnSouth
Boston Activites In Boston we go out in the community at various locations in local villages and offer various activities like: exercise, craft clubs, lunch clubs, day trips, parties and events.
Editorial content supplied by: Age UK Lincoln & South Lincolnshire
Independence At Home
If you feel you are lonely and isolated we can offer a fully trained and police checked telephone or visiting befriender. The service will provide companionship, or give you confidence to join local activities. Information and Advice
A vibrant hub of activity, we welcome approximately 1500 older people through our doors each week. Situated in the centre of Lincoln City we offer support to our visitors who can exercise, make new friends, learn new skills or visit the restaurant for a nutritious meal.
A wide range of laterpeopledesignedhaveandproductsservicesbeenforinlife.
A wide range of products and services have been designed for people in later life. These include: Home insurance, car insurance, motor breakdown, gas and electricity, funeral plan, Will writing. For any further information on these services please contact 01522 696 000
Editorial content supplied by: Age UK Lincoln & South Lincolnshire
Personal Care and Sitting Service – Our care service can include assistance with washing, bathing, dressing, food and drink preparation and medication support. Our sitting service offers an opportunity for your unpaid carer to take a break, attend an appointment or perhaps to run some errands whilst we provide company for you in their absence.
Gardening – All year round garden maintenance, fence/gate repairs and general garden tidying and handyperson services.
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We can also provide help with form completion and submission of applications for Welfare Benefits for people aged 65 or over. For any further information on these services please contact: Lincoln & South Lincolnshire 03455 564 144
The above services are chargeable. Information & Advice Services We can offer office appointments, or home visits to provide you with advice on a range of issues including: Welfare benefits, housing, community care and general health and welfare. We can also provide help with form completion and submission of applications for Welfare Benefits. This is a free service. Products and Services
Helping and supporting you at difficult times Park Street Activity Centre
Befriending Services
If you need further support, you can request a call from our dementia advisers, who should be in touch with you within a week. Our online support includes Talking Point, our online community where you can connect with others in a similar situation, and our Dementia Directory where you can search for local services.
United Against Dementia
Online support Dementia Connect online support is available round the clock through our website. Answer a few simple questions about yourself, or someone you know, to get personalised, relevant information and advice. From guides on dementia to advice on making your home dementia friendly, get the information about the things that matter to you.
Face to face support Where possible, our local dementia support workers can meet you in person to offer further support, advice and information. They will also connect you to other face to face services in your area, including local support groups.
Notes: Dementia Connect phone and online support is available wherever you live. As the service is new, some parts of the service may not be available in your area just yet.
Alzheimer’s Society wants everyone affected by dementia to know that whoever you are, whatever you are going through, you can turn to them for support, help and advice.
Dementia Connect Dementia Connect, from Alzheimer’s Society, is a personalised support service for anyone with dementia, their carers, families and friends. We understand that dementia affects everyone differently. So whether you, a loved one, a friend or neighbour needs dementia support, we’re here for We’llyou.connect you to a whole range of dementia support, by phone, online and face to face. Our highlytrained dementia advisers can help people come to terms with their diagnosis and navigate the complicated maze of health and social care services. It’s free, easy to access, and offers you the support you need. Whether it’s advice on legal documents, help understanding dementia or someone to talk to when things get tough, we’re here to help. We can keep in touch with you to make sure you keep getting the support you need. And because we know it’s never easy to tell your story, you’ll only ever need to tell it to us once. Phone support Our dementia advisers are available to talk to on the phone seven days a week. They will listen and give you the support and advice you need, including connecting you to help in your local area and online. We can offer you the option of regular calls so we can keep in touch, to find out how you are and help when things change.
‘The Dementia Adviser was lovely and full of information. Without Alzheimer’s Society and the Dementia Adviser we’d have nothing. She is a major networker and knows everything and everyone local. I feel in charge and empowered.’ Katherine, living with dementia Support line opening hours* Monday – Wednesday: 9:00am – 8:00pm Thursday – Friday: 9:00am – 5.00pm Saturday – Sunday: 10:00am – 4:00pm *Calls charged at standard local rate.
“Dementia can and does affect so many families, including mine. “My father was diagnosed with vascular dementia and Alzheimer’s disease in the summer of 2012. He passed away in September 2018. “I wanted to do something to help raise awareness of the condition and tackle the stigma associated, so I reached out to Alzheimer’s Society to see if I could help. It gives me an enormous sense of pride being an Ambassador for Alzheimer’s Society and I feel like I’m making a difference. “I have also personally enjoyed taking part in fundraising activities like Cupcake Day and Memory Walk, as there is a real sense of togetherness for a good cause. “For anyone wanting to know how they can help, I’d say get involved. Whatever you can give, be that your time, voice or money, you’ll know you’ve made a difference to the lives of people affected by dementia.” Meera Syal, actor and Alzheimer’s Society Ambassador Get in touch If you are affected by dementia in and would like information and support, contact us: T: 0333 150 3456 W: alzheimers.org.uk/dementiaconnect E: dementia.connect@alzheimers.org.uk
Registered office: 43-44 Crutched Friars, London EC3N 2AE. Registered charity no. 296645. A company limited by guarantee and registered in England no. 2115499
Our dementia support services are made possible thanks to generous donations from the public. However, you don’t have to join an event or seek sponsorship to do this. Simply head to alzheimers.org.uk and donate what you can to unite against dementia.
3) Become a campaigner At Alzheimer’s Society, we work to amplify the voices of people affected by dementia, to create a world where they get the support and care they deserve. We can’t do this alone. Whether you have dementia, you have a personal connection to dementia or you want to stand with those who do. Together we can make a difference, register to become a campaigner at alzheimers.org.uk
1) Fundraising and events From Memory Walk and Cupcake Day to challenging yourself in marathons and treks. There’s plenty of ways you can get involved to help raise money. Search ‘get involved’ on 2)alzheimers.org.ukDonate
How can you support Alzheimer’s Society?
Please contact us on 01427 611231 or email info@foxbyhillcarehome.co.uk Foxby Hill, Gainsborough DN21 1PN NO TOP UP FEE ON SOCIAL SERVICES FUNDED RESIDENTS
The home was originally a rectory, but has now been converted into a care centre. It’s different buildings stand in their own large grounds that residents are able to enjoy whenever our weather permits. Care facilities are effectively divided into two parts, a main house with thirty-one bedrooms, and twenty-eight further bedrooms where accommodation is provided in bungalows. The main house is for our more dependent service users whose needs are more advanced. Our bungalows provide nursing care but also allow for residents to be more independent as they have their own cooking and washing facilities.
A HAPPY HOME We want all our residents to feel part of a warm and caring community. We try hard to create a friendly and relaxed atmosphere at all times. We pride ourselves on getting to know our residents extremely well, learning about their life stories, and all their likes and dislikes, hobbies and interests. We want to make everyone feel special, as we believe care should be as individual as each of our residents are. We hope that you will enjoy a visit to Bassingham Care Centre and we are available at any time to help you with making the right choice for you.
Bassingham Care Centre 2 Lincoln Rd, Bassingham, Lincoln LN5 9HE T: 01522 788215 E: bassingham@my-care.co.uk
Our Care Centre is situated at the heart of the lovely village of Bassingham in rural Lincolnshire. We provide high quality care for adults with dementia as well as caring for a broad range of different needs and medical conditions including diabetes, stroke, mental health care for young and older persons, and end of life care.
EXCELLENT FACILITIES
Beautiful care home with exceptional gardens and homely feel. Excellent reputation. Residential, Dementia, Palliative Care - Long term, Short term, Respite/Reablement and Day Care.
Bassingham nursing & care centre
NO THIRD PARTY TOP UP FEES FOR SOCIAL SERVICES FUNDED RESIDENTS Beautiful home with lovely gardens near the town centre/sea front Excellent reputation, highly motivated and trained staff, various daily activities/hobbies, nutritious home cooked menu with choices Long Term, Short term, Reablement and Respite care, Residential, Physical Disability, Dementia and Palliative care Separate Day Care Centre Please contact 01507 472203 or email info@orchardhousecarehome.co.uk Orchard House Care Centre, Grosvenor Road, Mablethorpe, Lincolnshire LN12 1EL
Designed & Compiled by Octagon Design & Marketing Ltd., Rossington Hall, Great North Road, Doncaster DN11 0HR. Tel: 01302 714528
