North Yorkshire OPTIONS Summer 2022 A guide to care and independent living NHS hospitalLeavinghealthcarecontinuing What’s Healthcarenext?services Choosing the right one Who’s SOCIALeligible?CARE tips 10
Not only will you receive ‘Outstanding’ care for your loved ones but expect the best from all Sova Healthcare employees. We tailor the care package to suit you and your family. Our emphasis is on a holistic approach to care from outstanding care workers who have been vetted thoroughly. We support with personal care, medication, shopping, preparing meals, cleaning and getting out and about. We also offer companionship and support with looking after people who have Dementia or Palliative care. We take away the the stress so you feel more at ease in your own home.
Call us on 01423 813 Groundwww.sovahealthcare.co.ukharrogate@sovahealthcare.co.uk595FloorOffice,20BowerRoad,Harrogate,HG1 5BW Rated ‘Outstanding’ in Caring* *20 November 2019 Established since 2012 with branches throughout yorkshire and the midlands Our Homecare services include: • Specialising in Sleeping & Waking Night Care • Personal Care - from 30 minutes through to complete Live-in Care • Support with Continence Care • Assisting with Medication • Nutritional Care & Meal Preparation • Respite Care • Sitting Service • Companionship • Shopping • Cleaning & Domestic Services • Support with Social Activities Need specialist care? Contact us: 01423 813 595
Sova healthcare is passionate about care in the community and totally committed to delivering high standards of quality care. We have been rated as ‘Outstanding’ in ‘care’ by the Care Quality Commission and have been approved by North Yorkshire Council as an approved provider to serve the local area including Ripon and rural Harrogate. We deliver outstanding homecare services in your home.
Healthcare With You In Mind
We strive to provide what we believe to be a fresh, modern and compassionate approach to home care, domiciliary care, health care and assisted living.
Contents 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 introduction Contents CQC Social Care top tips 26 Providing first class healthcare to our community ....................................................... 20-21 Live independently and well at home .......................................................................... 22-23 Staying safe and independent ...................................................................................... 24-25 CQC GP top tips 27 United Against Dementia .............................................................................................. 28-29 NHS continuing healthcare................................................................................................ 6-9 Personal budgets and direct payments 10-13 NHS-funded nursing care 13 Paying for your own care (self-funding) ....................................................................... 14-15 Help at home from a carer ............................................................................................ 16-19 OCTAGONDESIGN&MARKETINGLTD To view this guide online as an interactive ebook visit: www.regionalcare.co.uk/options/northyorkshire/summer2022 Read online Humber and North Yorkshire Integrated Care Board (ICB)
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.
You should be fully involved in the assessment process and kept informed. Your views about your needs and support should be taken into account and carers and family members should also be consulted where appropriate.
Where can NHS continuing healthcare be provided?
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:
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.
• how unpredictable they are, including any risks to your health if the right care is not provided at the right time
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• how intense your needs can be
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.
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.
NHS healthcarecontinuing
Visit the Beacon website or call the free helpline on 0345 548 0300.
This is known as NHS continuing healthcare.
Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS.
NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your own home or in a care home.
Information and advice
The process involved in NHS continuing healthcare assessments can be complex. An organisation called Beacon gives free independent advice on NHS continuing healthcare.
Am I eligible for NHS continuing healthcare?
• how complex your needs are
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.
• what help you need
Find out more about the children and young people’s continuing care national framework on GOV.UK
Your local NHS must assess you for NHS continuing healthcare if it seems that you may need it (pre 1 July 2022 this was done by Clinical Commissioning Groups, from 1 July 2022 by NHS Humber and North Yorkshire Integrated Care Board).
NHS continuing healthcare assessments
Initial assessment for NHS continuing healthcare
The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you’re being assessed, and what the assessment involves.
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.
Full assessment for NHS continuing healthcare
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.
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 two professionals from different healthcare professions. The MDT should usually include both a health and social care professional.
You should be informed who is co-ordinating the NHS assessment of eligibility.
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 continuing healthcare assessment.
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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.
You can download a blank copy of the NHS continuing healthcare decision support tool from GOV.UK
The team’s
Fast-track assessment for NHS continuing healthcare
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.
If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs.
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In all cases, the overall need, and interactions between needs, will be taken into account, to assess whether continuing healthcare should be provided.
NHS
If it’s agreed that a care home is the best option for you, there could be more than one local care home that’s suitable.
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.
Care and support planning
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
These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”.
Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget.
If the NHS decides to arrange an alternative placement, they should provide a reasonable choice of homes.
FAQ’s
No, it is not possible to top up NHS continuing healthcare packages, like you can with local authority care packages.
If it is decided that you are eligible, but it takes longer than 28 days to decide this and the delay is unjustifiable, any care costs from the 29th day until the date of the decision should be refunded.
Refunds for delays in NHS continuing healthcare funding
If you’re not eligible for NHS continuing healthcare
A decision about eligibility for NHS continuing
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
Q
There is a legal limit to the types of services that a Local Authority can provide. If you have any concerns about being assessed for NHS continuing healthcare, the ICB should explore your reasons for this, and try to address your concerns.
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.
If you’re concerned about changes to your care package because of a move to NHS continuing healthcare, your local NHS should talk to you about ways that it can give you as much choice and control as possible. This could include the use of a personal health budget, with one option being a “direct payment for healthcare”.
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Q
But consent is needed to share personal information collected for, and as part of, assessments (Checklist, Decision Support Tool (inclusive of FNC by default) and Fast Track) with third parties, such as family, friends or representatives, at the beginning of the process.
Find out more about NHS continuing healthcare from NHS England
Q
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Your local NHS should work collaboratively with you and evidence from risk assessments, in deciding whether to 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.
Q
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 NHS. It will take your concerns into account when considering the most appropriate arrangements.
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.
healthcare will normally be made within 28 days of a completed checklist or request for a full assessment, unless there are circumstances beyond its control.
If you’re eligible for NHS continuing healthcare, your needs and support package will normally be reviewed within three 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.
• Care Teams
If someone lacks the mental capacity to consent to sharing of information with third parties (other than Care Teams or Health and Social Care Staff), the principles of the Mental Capacity Act will apply and a best interests decision may be needed.
My relative is in a care home and has become eligible for NHS continuing healthcare. My local NHS 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?
Can I refuse an assessment for NHS continuing healthcare? If I refuse, will I be able to get services from my local authority?
• Health and Social Care Staff
Is it possible to pay top-up fees for NHS continuing healthcare?
I have a local authority support package that works well. I’m now eligible for NHS continuing healthcare – will my support package change?
NHS continuing healthcare reviews
Consent is not needed for completion of assessments (CHC Checklists, Decision Support Tools (inclusive of FNC by default) and Fast Track), or collation and sharing of information with:
If your money is paid to another organisation
• are always the same people and available when you need them
• can help you get to shops or social events
If the council manages your money
• how much it will cost
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.
If you’re a carer, you may entitledbe to receive lifemakemighttoassessmentaafterbudgetpersonalahavingcarer’sseewhathelpyoureasier.
They still need to check you’re happy with the care they’re arranging for you.
What is a personal budget?
Your personal budget is the amount of money your local council will pay towards any social care and support you need.
• what kind of care and support you need
• how much you’re able to afford yourself
A carer’s assessment is free and anyone over 18 can ask for one.
The amount of money in your personal budget is decided by your local council after a needs assessment to work out:
• manage your personal budget for you
You can also choose a combination of these
Personal budgets and direct payments
Choosing how to receive your personal budget
The benefits of direct payments
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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.
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.
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.
Direct payments give you more flexibility over how your care and support is arranged and provided.
• pay the money to another organisation – such as a care provider
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”.
For example, you could choose to hire care workers or personal assistants who:
• have experience working with your care needs
• are a specific person that has been recommended to you
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.
You can ask the council to either:
• speak the same language as you
• pay the money directly to you or someone you choose – this is known as a direct payment
Carers and personal budgets
When to consider other options
• how the council want you to record your spending for example, keeping receipts
The Money Advice Service has information about setting up a trust.
• sending you a pre-paid card
If you choose direct payments, the council will send you the money in your personal budget by either:
• you’re worried about managing money or the people you employ
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.
There are 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 may decide direct payments are not helpful if:
Most councils will ask for evidence of how you’ve spent your money every three months.
You can also ask your local council’s social services department about direct payments.
–
The council might ask you to sign a document called a direct payment agreement. This says:
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 would rather the council arranged your care
You could also
How direct payments work
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• you spend a lot of time in hospital
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.
You should be offered direct payments as an option after your needs assessment.
Signing a direct payment agreement
How to apply for direct payments
• paying it directly into a bank, Post Office, building society or National Savings and Investments account
You can find out about local home care agencies by:
• someone else who speaks up for you (an advocate)
• speaking to your local council’s social services department
Employing your own carer or personal assistant
If you want someone else to receive the direct payment
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.
• background checks or references
• a carer
Disability Rights UK also have more information on getting a personal assistant.
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• a friend or family member
• cost you more money
Ask your local council for advice or call the Money Advice Service on 0800 138 7777.
Read more about employing someone to work in your home on GOV.UK.
Although support from the council should be available, you may need to arrange:
• National Insurance
You could speak to the council and agree for the money to be sent to someone who will spend it for you. For example:
• contacting the UK Homecare Association helpyouandlookingyou’reofwhatdecideanchoosingWhenagency,sortserviceforthetasksneedwith.
If you’re struggling to manage your money
• remove some of the benefits - such as having the same person provide your care
• tax
If you don’t want to become an employer
How to research a care agency
• your responsibilities as an employer - if you’re paying for a care worker
You may need to write down how they will spend the money and which decisions they can make for you.
This is known as a decision-making agreement.
• pension contributions
If you decide to hire a carer or personal assistant yourself, it’s important to know the responsibilities you’ll have as an employer.
You could choose to hire care workers through an agency instead. This removes the legal obligations of being an employer, but could:
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.
There are 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.
NHS-funded nursing care is paid at the same rate across England. In May 2022, the rate was set at £209.19 a week (standard rate) and will be backdated to 1 April 2022.
In May 2022, the higher rate was set at £287.78 a week and will be backdated to 1 April 2022. You’re entitled to continue on this rate unless:
If home.byemployednursesregisteredprovidednursingandwillthenursingNHS-fundedeligibleyou’reforcare,NHSarrangefundcarebythecare
The cost of NHS-funded nursing care
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• the Disability Rights UK personal budgets helpline on 0330 995 0404
You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHS-funded 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.
• The Money Advice Service has a guide to direct payments
Outcome of the assessment
• you become entitled to NHS continuing healthcare instead
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.
You still have the right to complain if you:
• the Age UK advice line on 0800 055 6112 (for older people)
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.
• YouInadequatecouldalso
You could either:
• Age UK have a detailed fact sheet on personal budgets and direct payments in social care
If you’re not eligible for NHS-funded nursing care and you don’t agree with the decision about your eligibility, ask for the decision to be reviewed.
• your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £209.19 a week, or
You may be eligible for NHS-funded nursing care if:
• call your local council social services and request a complaints form
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 local NHS can arrange an assessment for you.
• you’re not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse
How will my needs be assessed?
• you no longer live in a care home that provides nursing
You might see a CQC inspection rating when you search online for care home agencies. Their four ratings are:
• speak to your social worker about being re-assessed
• Requires improvement
NHS-funded nursing care
• Good
• you live in a nursing home
How to complain about personal budgets
HS-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.
• 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
Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care.
• Outstanding
It’s worth speaking to your council’s social services before making an official complaint to see if they can help.
• you no longer have nursing needs
If you would like support to help you manage your personal budget or direct payments, speak to your council or call:
Telephone helplines
search for care home agencies on the CQC website to see their full reports.
Who is eligible for NHS-funded nursing care?
• ask the council to arrange and pay for your care (the council will then bill you, but not all councils offer this service and they may charge a fee)
Benefits can help with care costs
• residential homes have staff that help with everyday tasks such as getting dressed and supply all your meals
Social care can be expensive. Knowing how much you’ll have to pay will help you budget.
The needs assessment is free and anyone can ask for one.
The price will vary according to where you live and the type of care you need.
Paying for carers at home
How much will care cost?
• nursing homes also offer 24-hour nursing care. A room in a care home costs:
You may be eligible for benefits, like Attendance Allowance and Personal Independence Payment (PIP), which aren’t means-tested.
For example, serious health problems like dementia and chronic obstructive pulmonary disease (COPD) can increase the cost.
But there may be other ways to pay care home fees if you don’t want to sell your home straight away.
Even if you choose to pay assessment.aisneed.youwhattoassessmentcanyouryourforcare,councildoancheckcaremightThiscalledneeds
You can use them to pay towards the cost of your care.
Having a carer who lives with you costs from around £650 a week. But it can cost as much as £1,600 a week if you need a lot of care.
Even if you choose to pay for your care, your council can do an assessment to check what care you might need. This is called a needs assessment.
Can I avoid selling my home?
You won’t have to sell your home to pay for help in your own home.
But you may have to sell your home to pay for a care home, unless your partner carries on living in it.
A typical hourly rate for a carer to come to your home is around £20, but this will vary depending on where you live.
- £600 a week in a residential home
You can choose to pay for care yourself if you don’t want a financial assessment.
You will not be entitled to help with the cost of care from your local council if:
You can ask your council for a financial assessment (means test) to check if you qualify for any help with costs.
You can:
Paying for a care home
There are two types of care home:
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Sometimes selling your home to pay care home fees is the best option.
• you own your own property (this only applies if you’re moving into a care home)
Paying for your own care (self-funding)
Find out what care you need
- £840 a week in a nursing home
• arrange and pay for care yourself without involving the council
• you have savings worth more than £23,250
How to arrange your care as a self-funder
For example, it’ll tell you whether you need home help from a paid carer for two hours a day or two hours a week and precisely what they should help you with.
You can rent out your home and use the income to help pay your care home fees.
• the Society of Later Life Advisers (SOLLA) on 0333 2020 454
• PayingForCare, a free information service for older people
Councils provide funding from the date you contact them. You won’t be reimbursed if your savings are less than £23,250 before you contact them.
Telephone help
• the Money Advice Service on freephone 0800 138 7777
The council pays for your care home and you repay it later when you choose to sell your home, or after your death.
If your savings run out
You can get unbiased expert advice from a specialist care fees adviser.
They’ll help you compare all your options before you decide what’s right for you.
Equity release lets you take money that’s tied up in your home without selling it. It’s available if you’re over 55.
Ask your council if you’re eligible for a deferred payment scheme.
• Independent Age: guide to care home fees and your property
Get advice on paying for care from:
What you can get for free
You can get more information from:
• the Money Advice Service: deferred payment schemes
If your savings fall below £23,250, your council might be able to help with the cost of care.
You might be able to get some free help regardless of your income or if you’re paying for your care.
• Independent Age on freephone 0800 319 6789
• small bits of equipment or home adaptations that each cost less than £1,000
Renting out your home
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A deferred payment scheme can be useful if you have savings less than £23,250 and all your money is tied up in your property.
Find a specialist care fees adviser in your area with:
The Money Advice Service has more information on equity release.
Contact your local council about three months before you think your savings will drop to below £23,250 and ask them to reassess your finances.
• Age UK on freephone 0800 169 6565
This can include:
Get expert financial help
Releasing money from your home (equity release)
A deferred payment scheme
• NHS care, such as NHS continuing healthcare, NHSfunded nursing care and care after you have been discharged from hospital reassessask£23,250towillsavingsthinkbefore3councilyourContactlocalaboutmonthsyouyourdropbelowandthemtoyournances.
But you have to pay interest on the money you take out, which can be expensive.
Contact a charity such as the canwhetherUKlocalCrossBritishService,VoluntaryRoyaltheRedoryourAgetoseetheyhelp.
• you can still get about your home and it’s safe for you to live in – or it can be adapted to make it safe
It can be temporary – for example for a few weeks while you recover from an illness. Or it can be long term.
• using the toilet
A carer can visit you at home to help you with all kinds of things including:
• getting out, for example to a lunch club
Home help
16
How can homecare help me?
• you don’t want to move into a care home
Help at home from a paid carer costs around £20 an hour, but it varies according to where you live. Sometimes, the council will contribute to the cost.
You might want to consider care at home if:
This is slightly different to homecare and means dayto-day domestic tasks that you may need a helping hand with such as:
You might also consider home adaptations or household gadgets or equipment to make life easier.
• brushing your hair
• doing the washing up
This type of care is known as homecare or domiciliary care or sometimes home help.
Editorial content supplied by: the NHS
• getting settled in the evening and ready for bed
Having a carer come to visit you in your home can make a huge difference to your life, especially if you have difficulty walking or getting around. It can help you stay living independently in your own home.
• washing and dressing
Help at home from a carer
• getting out of bed in the morning
• preparing meals and drinks
You can arrange your own homecare.
• remembering to take your medicines
• Yougardeningmightwant some home help instead of or as well as Mosthomecare.councils
When should I consider help at home from a paid carer?
• you’re finding it difficult to cope with daily routines, such as washing, dressing and getting out and about
• cleaning (including putting on clean bed sheets)
• collecting prescriptions or your pension
Your local council can arrange homecare for you if you’re eligible for it.
Homecare is very flexible. You might need a carer for only an hour a week or for several hours a day. You might need a live-in carer.
How to get help at home from a paid carer
• doing your shopping
• doing the laundry
don’t provide home help. Contact a charity such as the Royal Voluntary Service, the British Red Cross or your local Age UK to see whether they can help (they may not be free).
Editorial content supplied by: the NHS
Even if you’re intending to make arrangements yourself with an agency or private carer, it’s still a good idea to have a needs assessment as it will help you to explain to the agency or carer what kind of help you need.
If the council is paying for some or all of your homecare, they must give you a care and support plan.
Paying for homecare
You can choose to receive your personal budget as a direct payment each month. This gives you the control to employ someone you know to care for you at home rather than using a homecare agency, though you’ll then have responsibilities as an employer.
If the council is forpayingsome or all of supportcaregivetheyhomecare,yourmustyouaandplan.
Your needs assessment will help the council to decide whether you’re eligible for care.
If you’re eligible, the council may recommend help at home from a paid carer. They will arrange the homecare for you.
If you aren’t eligible for the council to contribute to your homecare costs, you will have to pay for it yourself.
How your council can help
17
If your needs assessment recommends home care, you may get help with the cost from the council.
If you’re not eligible for care, the council must still give you free advice about where you can get help in your community.
If you want the council to help with homecare for you, start by asking them for a needs assessment.
This sets out what your needs are, how they will be met and your personal budget (the amount the council thinks your care should cost).
Depending on your circumstances, your local council may contribute to the cost of homecare or you may have to pay for it yourself.
What you will contribute depends on your income and savings. The council will work this out in a financial assessment.
Benefits that can help you with homecare
How to find a local agency
• ask your council’s social services department for information on the homecare agencies in your area. They may have a directory of homecare agencies on their website
• employ your own carer
What to expect from agency carers
Homecare agency carers should treat you in a respectful and dignified way. For example, they should always:
• bring an identity card
Check if you’re eligible for benefits. Some, such as Attendance Allowance and Personal Independence Payments, aren’t means tested and they can help you meet the costs of homecare.
• search the NHS website for local homecare services and agencies and a list of national homecare organisations and then contact the ones that interest you
There are 4 main ways to do this:
If you’re arranging your own homecare, there are 2 main ways to do this:
• ask the United Kingdom Homecare Association (UKHCA) for a list of approved homecare agencies in your area
Homecare agencies employ trained carers and arrange for them to visit you in your home. You may not always have the same carer visiting your home, though the agency will try to match you with someone suitable.
• contact the Care Quality Commission (CQC). All homecare agencies must register with the CQC. It can give you the latest inspection report on an agency
home.youthemarrangecarerstrainedemployagenciesHomecareandfortovisitinyour 18
• knock and ring the front door bell and announce their arrival before coming into your home
Editorial content supplied by: the NHS
Homecare agencies
It costs around £20 an hour for a carer to come to your home, but this will vary depending on where you live.
How to choose a paid carer
• use a homecare agency
How much do they cost?
to give you a clear price list. They’ll send you a monthly bill for your homecare.
Find out how to apply for:
If you’re paying for yourself, the agency should be able
• benefits for over-65s
• benefits for under-65s
• the charity, Independent Age, has good advice on homecare
• read how to organise homecare from Which? Later Life Care
You have the right to complain if you’re not happy about the help at home you’re receiving. This might be because carers:
• if I’m paying for my own care, do you have a standard contract I can read before signing my own?
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• give you poor care like dressing you wrongly
Further help
• know what to do if you’ve had an accident
If you employ a carer, you have the legal responsibility of an employer. This includes arranging cover for their illness and holidays.
First complain to your local council or, if you’re paying
Instead of using an agency, you can hire your own carer, sometimes called a private carer or personal assistant.
Instead of using assistant.orprivatecalledsometimesowncanagency,anyouhireyourcarer,acarerpersonal
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• what services are charged as extras?
Questions to ask the agency
• if the council is contributing to my care can I see a copy of the contract they’ve signed with the agency?
• know what to do if they can’t get into your home
Employing your own carer
Your local council must provide you with an independent advocate (someone to speak up for you) to help you make a complaint if you need one.
How to complain about homecare
• will the carer agree to visit in a specific time slot? And will they tell me if they’re delayed or running late?
• don’t give your medicines to you properly
Which? Later Life Care has advice on employing a private carer.
• how can I contact your agency during the day, in an emergency or outside office hours?
• leave your home untidy after visits
• have your carers looked after someone with similar needs to mine?
If you’re not happy with the way the council or agency handles your complaint, ask the Local Government & Social Care Ombudsman to investigate further. An ombudsman is an independent person who’s been appointed to look into complaints about organisations.
• keep any entry codes to your house confidential
• know where your keys are kept if they’re not in your home
Here are some questions you may want to ask an agency before employing them:
• the CQC has a good booklet on what to expect from a good homecare agency
• what sort of training do your carers get?
• what charges, if any, will I be expected to pay?
• how will you choose the most suitable carer for me?
for yourself, the agency. The council or agency should have a formal complaints procedure on their website. Try to be specific about what happened and include staff names and dates if you can.
• if you need help with one-off jobs like changing a light bulb or moving furniture, the charity GoodGym has volunteers who will come round to help.
You can also tell the Care Quality Commission (CQC), which checks social care services in England.
• arrive late and leave early
• Age UK has information on all aspects of homecare
FAQ’s
As well as caring for the population in the Harrogate district from our hospitals in Harrogate and Ripon, we also provide care and outreach support through our community services from more than 180 locations across North Yorkshire, and parts of the Leeds area, including the Trust’s hospitals, outpatient clinics and in patient’s homes.
Harrogate and District NHS Foundation Trust (HDFT) delivers a range of acute and community services across a rural and urban footprint serving a population of approximately 900,000 people.
Nobody wants to spend longer than necessary in hospital. The doctors and nurses at HDFT will discuss an expected date of discharge with you in advance so that you can make the necessary arrangements for going home. They will ensure that you have everything you need, you understand the procedure of discharge fully and are aware of any follow-up appointments that may be necessary.
If you them.willyourtakemedicinesneedtohome,doctorprescribe
recuperating in a familiar environment, such as your home, can aid recovery. If you meet the SDS criteria and the ward staff determine that you are well enough to go home, they will refer you to the SDS team.
20 Editorial content supplied by: Harrogate and District NHS Foundation Trust
Providing first class healthcare to our community
We also have a dedicated Supported Discharge Service which provides treatment and rehabilitation to patients in their own home and other care settings in Harrogate and the local community. The team aims to discharge patients, who are medically fit but still requiring support, as soon as possible as we know
Last year, HDFT had around 40,000 emergency department attendances, provided community services to over 400,000 people, undertook 118,000 visits to people’s homes, and delivered over 80,000 virtual outpatient appointments.
Transport home
If you need medicines to take home, your doctor will prescribe them. The medicines will be given to you by your nursing staff together with information about them, including what each medicine is for and any
Being discharged from hospital
You will be required to arrange your own transport home, unless the ward has deemed it necessary that you require an ambulance. However, we can assist with helping you to book transport. Please liaise with the nurse in charge to agree a suitable time for your own transport to collect you so that we can ensure everything is ready.
Discharge Medicines
We are also the largest provider of children’s 0-19 services in England, with responsibility for providing this service in County Durham, Darlington, Gateshead, Middlesbrough, Stockton-on Tees, Sunderland, Northumberland and North Yorkshire.
Harrogate and Rural Alliance (HARA)
21Editorial content supplied by: Harrogate and District NHS Foundation Trust home.treatmentorownleaveareadultsaccessedcanCareCommunityOurservicebebywhounabletotheirhomerequireat
The ARCH Service has rehabilitation at its core, assessing and treating patients in their own homes rather than in a hospital so that they can maintain their independence. Last year the ARCHs team supported over 4,500 patients to be discharged earlier and looked after them in their own homes.
common side effects associated with them. You will have at least two week’s supply to take home, which will give you time to see your GP and arrange to get ongoing supplies of your medicines if you need them.
Our Community Care service can be accessed by adults who are unable to leave their own home or require treatment at home. HDFT’s Community Care Team works closely with a wide variety of organisations including GPs, medical specialists, adult social services, voluntary agencies and residential care homes to provide the right care for those people who need it.
different service providers in the wider public sector, the voluntary sector and independent care provision. At the heart of the Alliance are nearly 300 community health and social care colleagues, who are responsible for providing prevention, care and support services.
Harrogate Health Hub
Community Care – Adult Community Services
The Community Care Teams provide nursing and therapy interventions in a wide variety of conditions and work out of four locations - Knaresborough, Ripon and two teams in Harrogate. Each team covers a specific geographical area providing long and short-term nursing through patient centered care planning, whilst also supporting and managing long term conditions.
ARCH Service
The Harrogate Health Hub website provides information and help regarding a variety of medical conditions and their treatments. Designed by the Physiotherapy Team at HDFT you can find helpful advice about your aches and pains and what you can do to help yourself. From muscular conditions that affect your neck, arms, legs and back; to neuro rehab; women’s and men’s health; and rheumatology, the website is a ‘hub’ of useful information. https://www.harrogatehealthhub.co.uk/
Further information on Harrogate and District NHS Foundation Trust can be found at www.hdft.nhs.uk
Local health and social care partners are working together to improve how community health and social care is provided for adults in the Harrogate district. The Alliance partners work with hundreds of
• money and legal matters.
They do this by taking time to get to know you, your family, friends, carers and your community, so they can help you to build a strong network of support.
Live independentlyand well at home
If so, meet us at Talking Points in Community Hubs across York, or arrange an online video appointment at a given date and time.
• self-funding your care
Local Area Coordinators can support you in many ways. These include:
Do you want to chat with someone who can help you talk through your options, and get tailored advice and support to help you live independently and well in York?
22 Editorial content supplied by: City of York Council
• learning and volunteering
• staying healthy and well
Talking Points
Find the information you need!
• keeping independent at home
You will be able to access information, advice and support from staff as well as find out more about local activities, support and resources.
A directory of wide-ranging information and advice from trusted organisations across York is available at Itwww.LiveWellYork.co.uk.hashelpfulinformation and advice on a broad range of activities which you can save and print out as a booklet. The information includes:
If you are aged 50+ and would either prefer to talk to someone or have someone to put a booklet together for you, please call 01904 634061 (Monday- Friday, 9.30am–3pm). If you are aged under 50, please call Live Well York on 01904 551006 who will be happy to Youhelp.can also get information and advice from Age UK York by calling 01904 634061 (Monday to Friday, 9.30am-3pm) or by firstcall@ageukyork.org.uk.emailing
To arrange an appointment or for more information telephone: 01904 555111 or email: adult. socialsupport@york.gov.uk for further arrangements.
Our Local Area Coordinators work by taking time to listening to people, understanding what they would make their lives better and support them to achieve that.
You can also AgefromandinformationgetadviceUKYork.
Residents have told us that they want to live independently in their own home for as long as possible. Here’s some support to help you do just that.
A specialist team is here to help you stay safe, well, independent and connected to your local community.
• support for carers
• housing options
Stay safe, independent and connected!
The Homeshare service matches older homeowners with younger adults in a homesharing arrangement.
An older person can offer a younger adult a room in their home in exchange for up to 10 hours of support a Theweek.younger
• getting your voice heard about things that are important to you
Looking for support and company in your own home at minimal cost?
To find out more please visit www.york.gov.uk/ HomeshareYork or email homeshareyork@york.gov.uk or call 01904 552898.
• developing relationships and community networks
homesharer could help with practical tasks, like cleaning, shopping or cooking, as well as providing company and a reassuring overnight presence.
To find and contact your Local Area Coordinator, please visit www.york.gov.uk/ CommunityFacilitators, call: 01904 555205 or email: communityhelpers@york.gov.uk.
A monthly contribution is made by the younger person to cover administration and ongoing support.
23Editorial content supplied by: City of York Council
Our tototakingworkCoordinatorsAreaLocalbytimelisteningpeople.
• helping you find volunteering opportunities.
Live independently and well at home
• getting the right help from services
“The next thing I knew I was waking up with wires all over me in a hospital bed with my daughter sitting next to me,” added Colin. “I was told I had a heart attack and because of the prompt action of the emergency services – contacted immediately because of the Ryecare Lifeline Service – I was able to have lifesaving treatment.
When you need help, just press the button and you will be able to talk to someone at our control centre. The button has a 50m range from the Lifeline Unit, so you have access to help at all times, even if you can’t get to the phone.
• Details of at least two emergency contacts such as next of kin, a neighbour or a friend. These will be contacted if an emergency occurs
Apply for a Ryecare Lifeline here or by calling 01653 697737 and we will go through the form with you.
• Live alone and need a bit of extra help
Before you sign up, call us to discuss the different options and the costs on 01653 697737 or email us at Ryecare. There is no obligation, and we will never put you under pressure to sign up if you decide Ryecare is not for you.
• Any relevant medical information
If your family member or friend can’t come to help you, don’t worry. We can send one of our Ryecare team to help you.
The control centre operator will then contact somebody for you, like a family member, a friend of your choice, your doctor or the emergency services –depending on what help you need.
Once you have decided on the support you need, you can make an application to set up your Ryecare Lifeline service. To do this you will need:
Our team.caringtrained,specially-runserviceLifelineRyecareisbyalocal
• Are often targeted by unwanted callers
Colin (90) says he owes his life to Ryecare Lifeline staff after suffering a heart attack in the middle of the Colin,night.has had the Ryecare Lifeline – since June 2008. He wears the Lifeline pendant round his neck all the time and is convinced it saved his life.
“I went to bed as usual and thought I just had a bit of indigestion,” said Colin.
“Not only does the Ryecare Lifeline give me peace of mind but it gives my family peace of mind knowing that in an emergency I can get vital help anytime of the day or night.”
When you sign up, you’re provided with a Ryecare Lifeline Unit that connects to your telephone and to a call button that you wear around your neck or on your wrist. When you are in your home, you must wear the call button at all times.
• Your doctor’s name and address
Ryecare Lifeline is a 24-hour support service that helps you to stay safe and independent in your own home. It’s a service run by a speciallytrained, caring local team provided by Ryedale District Council.
“I was unable to settle because of the pain in the centre of my chest and got up to make a drink to try and make me feel a bit better. Once I got out of bed I got the most terrible pain and pressed the button on my Lifeline before I fell to the floor.
24 Editorial content supplied by: Ryedale District Council
• Are unwell, or disabled
Anyone can sign up for Ryecare, but it is especially helpful if you:
Staying safeand independent
• Are at risk of domestic abuse, racial harassment or burglary
Ryecare Lifeline is a 24-hour support service that helps you to stay safe and independent in your own home. It’s a service run by a specially-trained, caring local team provided by Ryedale District Council.
• Live in an isolated, remote area and want some reassurance
• Have recently left hospital and need extra help in your home
25Editorial content supplied by: Ryedale District Council Once you have decided on supportthe you need, you can make service.LifelineyourtoapplicationansetupRyecare
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CQC’s ratings will identify services as:
Outstanding H Good ● Requires improvement ● Inadequate ●
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.
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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.
10 The
publication
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.
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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?
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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
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.
Social care Top tips
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
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. Care Quality Commission has not vetted the advertisers in this and accepts no liability for work done or goods supplied by any advertiser. Nor does
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.
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.
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)?
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 www.scie.org.uk/findmegoodcare/website
the Care Quality Commission endorse any of the products or services.
Here are some tips to help you choose your care.
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You can search any of these services by the name of the service, a place name or your postcode at www.cqc.org.uk
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CQC rates all GPs to help people make choices about where they get treatment. This will be on a four-point scale: 03000 616161 Web: www.cqc.org.uk
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Outstanding H Good ● Requires improvement ● Inadequate ● 7 Telephone:
The Care Quality Commission is here to make sure health and adult social care services including hospitals, home 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.
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.
5
CQC launched its new-style inspection reports for GPs – looking at the five key areas SAFE, EFFECTIVE, CARING, RESPONSIVE and WELLLED – you can use the reports to compare local GPs and choose services.
There are already over 1,000 reports about GP practices published on the CQC website.
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any advertiser. Nor does the Care Quality Commission endorse any of the products or services.
•
/CareQualityCommission @CareQualityComm
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
and
The Care Quality Commission has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by
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.
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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
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
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.
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.
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.
‘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
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.
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.
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.
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.
Support line opening hours*
Face to face support
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.
United Against Dementia
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.
Monday – Wednesday: 9:00am – 8:00pm
Dementia Connect
Thursday – Friday: 9:00am – 5.00pm
*Calls charged at standard local rate.
Phone support
Online support
Dementia Connect, from Alzheimer’s Society, is a personalised support service for anyone with dementia, their carers, families and friends.
Saturday – Sunday: 10:00am – 4:00pm
“Dementia can and does affect so many families, including mine.
Get in touch
If you are affected by dementia in and would like information and support, contact us:
Meera Syal, actor and Alzheimer’s Society Ambassador
W: alzheimers.org.uk/dementiaconnect
3) Become a campaigner
1) Fundraising and events
E: dementia.connect@alzheimers.org.uk
“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.”
“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.
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
Registered office: 43-44 Crutched Friars, London EC3N 2AE. Registered charity no. 296645. A company limited by guarantee and registered in England no. 2115499
T: 0333 150 3456
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
“My father was diagnosed with vascular dementia and Alzheimer’s disease in the summer of 2012. He passed away in September 2018.
“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.
How can you support Alzheimer’s Society?
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.
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Options North Yorkshire is published by Octagon Design and Marketing Ltd with editorial contributions from Harrogate and District NHS FT, North Yorkshire CCG, City of York Council, Ryedale District Council, the CQC, Alzheimer’s Society and the NHS. The editorial contributors have done or goods supplied by any advertiser. do the editorial contributors any of the products or services.
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For further details please contact our Abbeyfield houses in Thirsk and Northallerton The Abbeyfield (Thirsk & Sowerby) Society Ltd The Limes, Sowerby, Thirsk YO7 1HX 01845 abbeyfield.thirsk@btopenworld.com523450AbbeyfieldNorthallertonCIO Fir Lodge, 82 South Parade, Northallerton DL7 8SJ 01609 779184 / housemanager@abbeyfieldnorthallerton.co.uk772337 SupportedCompanionshipHousing Private en-suite accommodation furnished with own treasured possessions 24 hour call system Intercom door entry system Home cooked meals Laundry facilities Lift to access upper floors Well maintained garden and grounds Comfort of support on timeMakinghandforolderpeople
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