Carers Lancashire Blackpool Fylde & Wyre Lancashire North

Health & Social Care Support Directory

SE ...

EA E PL ON KE TA

Carers Lancashire

HELP

TIPS

CHOICE

ADVICE

ASSISTANCE

SUPPORT

Helping you get the best out of your health and social care services Covers services in

Blackpool | Fylde & Wyre | Lancashire North

n c mpass looking towards a brighter future

Tel: 0345 688 7113

Tel: 0345 013 8208 www.ncompassnorthwest.co.uk

Tel: 01254 387444 www.eastlancscarers.org.uk

Tel: 0300 123 6701 www.lancashire.gov.uk

feng shui house care homes

Premier Residential and Dementia Care for the Elderly in Blackpool and Blackburn A warm and comfortable environment awaits each resident, with luxury bedrooms and en-suite facilities providing a satisfying and comfortable lifestyle without all the restrictions you find in other care homes.

• Long or Short Term • Respite Rooms • Day Care

Feng Shui House Blackburn ...

We want you to live your life how you want to live it, and enjoy it to the full

Feng Shu i House CQC o verall rating

Good

5th April

2016

Feng Shui House Blackpool

Feng Shui House Blackburn

01253 342266

01254 433380

661 New South Promenade, Blackpool, Lancashire FY4 1RN www.fengshuihouse.co.uk

548 Preston Old Road, Blackburn, Lancashire BB2 5NL

www.fengshuihouseblackburn.com

Contents Carers Lancashire A - Z Social Care Jargon Buster Lancashire Wellbeing Service Local Contacts - Blackpool GPs & GP Surgeries - Blackpool Pharmacies - Blackpool Dentists & Opticians - Blackpool Local Contacts - Fylde & Wyre GPs, GP Surgeries & Pharmacies - Fylde & Wyre Dentists & Opticians - Fylde & Wyre Local Contacts - North Lancashire GPs, GP Surgeries & Pharmacies - North Lancashire Dentists & Opticians - North Lancashire Social Care & Independent Living Improving Safety & Wellbeing at Home Disability Aids & Equipment Understanding NHS Continuing Healthcare Funding Learning Disabilities - NHS Annual Health Check Taking a Break from Caring Caring for Someone with Challenging Behaviours Planning For Your Future Care Needs Choosing the Right Home Care Agency Choosing the Right Care Home Residential Homes - Blackpool Nursing Homes & Care in Your Own Home - Blackpool Residential Homes - Fylde & Wyre Nursing Homes & Care in Your Own Home - Fylde & Wyre Residential Homes - North Lancashire Nursing Homes & Care in Your Own Home - North Lancashire Useful Numbers for Support

1-2 3-8 9 - 14 11 - 12 12 13 14 15 - 16 17 18 19 - 20 21 22 23 - 24 25 - 26 27 - 28 29 - 30 31 - 32 33 - 34 37 - 38 39 - 40 41 - 42 43 - 44 45 46 47 48 49 50 51 - 52

Disclaimer This Directory has been compiled to signpost primary health and social care providers throughout Lancashire.

Whilst we have taken every care in compiling this publication, the publishers and promoters cannot accept responsibility for any inaccuracies. All listings are supplied via the Care Quality Commission (CQC) and NHS Choices.

Neither Carers Lancashire nor Healthcare Publications can be held responsible for any errors or omissions.

All signposting services are up to date as of October 2016.

This Directory contains advertising from businesses who are offered the opportunity to reach potential customers through inclusion. However, any information provided by a company or organisation does not carry endorsement or approval of any product or service by Carers Lancashire or Healthcare Publications.

Another quality publication by Healthcare Publications If you require extra copies of this directory or are interested in advertising in future editions please email Healthcare Publications on admin@healthcarepublications.org or visit www.hcpublications.org

If someone relies on you because they are ill, disabled, have issues with their mental health, drugs or alcohol or are just slowing down with age, you should recognise yourself a carer.

The Care Act 2014 makes carer’s assessments more widely available to people in caring roles.

Local authorities now have a legal duty to assess any carer who requests one or who appears to need support.

n-compass Carers Services ... work across the county as part of Carers Lancashire providing support and information to Adult Carers (18+) and specialist support to Carers of Adults (16+) with a Mental Health Condition.

n c mpass looking towards a brighter future

Tel: 0345 688 7113

1

Tel: 0345 013 8208 www.ncompassnorthwest.co.uk

Tel: 01254 387444 www.eastlancscarers.org.uk

Tel: 0300 123 6701 www.lancashire.gov.uk

You’re entitled to a free carer’s assessment ...

How will an assessment help?

As a relative, spouse, partner or friend, you will have a great deal of experience and understanding of the person you care for.

A carers’ assessment will identify ways that you can be assisted in your caring role.

You may be entitled to a Carer’s Personal Budget to help you to continue in your caring role. Please note this is a local independent budget. It is assessed on an individual basis and is not means-tested.

What support is available?

We are available to take your call on 0345 688 7113 Monday - Friday, 8.00am - 6.00pm. We are ready to provide you with information, support and signposting to help you better undertake your caring role.

Other support available includes: • Specialist 1-2-1 and group support, including access to Carers, support workers skilled in fields such as Mental Health, Dementia, Black Minority Ethnic and Health • Information and support to have a break including a Volunteer Sitting-In Service • Help in an emergency

The service can be contacted by:

Telephone:

0345 688 7113 General Email: referrals@carerslancashire.net Carers Assessments Email: carerslancashire@carersassessments.co.uk Text: 07866 004 304

Opening Times Telephone: Monday to Friday: 8am - 6pm

• Delivery of Carers Assessments, and provision of personal budgets • A quarterly newsletter detailing groups and activities in your area • Grants for Carers groups, activities and courses • Carers Awareness Training for professionals • CHAT (Carers Help and Talk line) - is manned by volunteer Carers who can offer experience and an understanding of the common challenges faced by Carers. Just call 0333 103 9747* (24 hours a day, 7 days a week, 365 days a year).

Our Carer Involvement Strategy also provides Carers with a voice in shaping and developing services in the communities they live in. *Please be advised that this service is in development and whilst every effort is made to ensure coverage, it cannot be guaranted. We welcome any interest in volunteering for this service.

n c mpass Carers’ Services Part of Carers Lancashire

3 Errigal House, Avroe Crescent, Blackpool Business Park, Blackpool, Lancashire FY4 2DP Tel: 0345 0138 208 Fax: 01253 407 473 Email: admin@ncompassnorthwest.co.uk Facebook: n-compass Carers Service Twitter: @ncompasscarers

www.ncompassnorthwest.co.uk

n-compass is committed to safeguarding and promoting the welfare of children, young people and adults.

2

A-Z Social Care Jargon Buster Some of the most commonly used social care words and phrases and what they mean ...

Acute Care

Assisted Living

Health care that you receive in hospital following an injury, operation or illness. It is different to any care you may receive for an ongoing health condition from your GP, community nurse or other professionals in the community where you live.

Housing for older or disabled people, usually privately owned, where you have your own apartment within a larger development, and support (such as help with meals or laundry) is provided to meet your own particular needs.

Adult Placement Scheme

Autistic Spectrum Disorder

When an adult with a disability or mental health problem lives in an ordinary home with an individual or family who provides them with a place to live and support. It is like a fostering arrangement for adults: adult placement carers must be checked and approved, and the arrangement is monitored by the local council.

People may be placed in someone’s home for a short break or on a permanent basis.

A condition that someone is born with that affects their ability to communicate and interact with the world around them. It is also called autism, and covers a wide range of symptoms. It affects people in different ways, and some individuals need much more help and support than others.

Adult Social Care Care and support for adults who need extra help to manage their lives and be independent - including older people, people with a disability or long-term illness, people with mental health problems, and carers.

Adult social care includes assessment of people’s needs, provision of services or allocation of funds to enable you to purchase your own care and support. It includes residential care, home care, personal assistants, day services, the provision of aids and adaptations and personal budgets.

Advocacy Help to enable you to get the care and support you need that is independent of your local council. An advocate can help you express your needs and wishes, and weigh up and take decisions about the options available to you. They can help you find services, make sure correct procedures are followed and challenge decisions made by councils or other organisations.

The advocate is there to represent your interests, which they can do by supporting you to speak, or by speaking on your behalf. They do not speak for the council or any other organisation. If you wish to speak up for yourself to make your needs and wishes heard, this is known as self-advocacy.

Appropriate Adult Someone over the age of 18 who stays with you if you have a mental health problem or disability, or are perceived as ‘vulnerable’, and are held by the police for any reason. This person, who should not work for the police, is there to support you and help you understand what is happening.

3

Barred List An official list of people who are unsuitable to work or volunteer with children or with adults who may be at risk of harm or abuse, because of their past record.

If you employ someone regularly to provide personal care, you should expect them to have completed a Disclosure and Barring Service (DBS) check, which will show whether they are on the barred list or not.

Behaviour Disorders Health conditions such as attention deficit disorder that may lead to challenging behaviour, as well as to social and emotional problems. People with behaviour disorders may be treated with medicine and/or given psychological support.

Best Interests Other people should act in your ‘best interests’ if you are unable to make a particular decision for yourself (for example, about your health or your finances). The law does not define what ‘best interests’ might be, but gives a list of things that the people around you must consider when they are deciding what is best for you.

These include your wishes, feelings and beliefs, the views of your close family and friends on what you would want, and all your personal circumstances.

Capacity The ability to make your own choices and decisions.

In order to do this, you need to be able to understand and remember information, and communicate clearly - whether verbally or non-verbally - what you have decided. A person may lack capacity because of a mental health problem, dementia or learning disability

Care Plan

Cognitive Behavioural Therapy

A written plan after you have had an assessment, setting out what your care and support needs are, how they will be met (including what you or anyone who cares for you will do) and what services you will receive.

You should have the opportunity to be fully involved in the plan and to say what your own priorities are. If you are in a care home or attend a day service, the plan for your daily care may also be called a care plan.

A type of therapy that can help you manage your problems by changing the way you think and act. It is often used to treat anxiety and depression and can help you think about how your thoughts, beliefs and attitudes may be affecting your feelings and behaviour.

You may see a therapist face-to-face or take a therapy course online.

Care Quality Commission (CQC) An organisation set up by the Government to make sure that all hospitals, care homes, dentists, GPs and home care agencies in England provide care that is safe, caring, effective, responsive and well-led. If you are unhappy with the care or support you receive, you can contact CQC to let them know. Although CQC cannot investigate complaints about an individual person’s treatment or care, it inspects services and will use any information it receives from you to help it decide what to look at during an inspection.

Case Management A way of bringing together services to meet all your different needs if you have an ongoing health condition, and helping you stay independent. If you choose this option, a single, named case manager (sometimes known as a ‘key worker’) will take the lead in coordinating all the care and support provided by different agencies, offer person-centred care and enable you to remain in your own home and out of hospital as much as possible.

Chargeable Services Services that your local council may expect you to pay towards, such as day care or home care.

The law says that the amount the council charges must be reasonable, and councils have to follow guidance from the Government, to make sure that you are not charged more than you can afford to pay. There are some services that the council is not allowed to charge you for, and these are called non-chargeable services.

Clinical Commissioning Group (CCG) A group of GP practices in a particular area that work together to plan and design health services in that area.

Each CCG is given a budget from NHS England to spend on a wide range of services that include hospital care, rehabilitation and community-based.

Your local CCG should work with the council and local community groups to ensure that the needs of local people are being met.

Complex Needs You may have complex needs if you require a high level of support with many aspects of your daily life and rely on a range of health and social care services. This may be because of illness, disability or loss of sight or hearing - or a combination of these. Complex needs may be present from birth, or may develop following illness or injury or as people get older.

Court of Protection An English court that makes decisions about the property, finances, health and welfare of people who lack mental capacity to make decisions for themselves.

The court can appoint a ‘deputy’ to make ongoing decisions on behalf of someone who lacks capacity. It is also able to grant power of attorney.

Cross-border Placement When your local council finds a place for you in a care home in another council area. This may be because you have requested it, in order to be nearer your family or friends, or because there is no suitable place available in a care home in your home area. You should be involved in any decision to move to a new area, and it cannot happen without your agreement. If you move, your council should let the other council know that you are there, and they should agree which council is responsible for your care.

Daily Living Costs An amount you have to pay to cover things like rent, food and bills if you live in a care home. When the cap on care costs is introduced in April 2020, daily living costs will be excluded from your care account.

When you reach the cap and the council is paying for your care and support, you will still be responsible for contributing to your daily living costs.

Day Services Opportunities to do things during the day, while living in your own home. These may include social activities, education, or the opportunity to learn new skills. What your local council offers will vary, depending on what you need and what is available in your area. You may have to pay something towards the cost.

4

A-Z Social Care Jargon Buster Delayed Discharge

Disclosure & Barring Service (DBS)

When you are well enough to leave hospital after an illness or accident, but you have to stay there while the care you need in your own home or in another place is arranged.

A government organisation that checks people’s criminal records, in order to prevent unsuitable people from working with children or adults who may be at risk of harm or abuse.

Deprivation of Assets

Early Intervention

When you deliberately reduce the amount of savings or property you have, in order to qualify for help from your council with paying for care costs or for various benefits. Your council may judge that you have deliberately reduced your assets if it believes that you knew you would probably need care and support.

Action that is taken at an early stage to prevent problems worsening at a later stage. It may apply to children and young people, or to help that is offered to older people or people with disabilities to enable them to stay well and remain independent

Deprivation of Liberty Safeguards

The needs you have for care and support that your council is required by law to meet. Under the Care Act 2014, councils no longer decide for themselves what type of needs they will meet, and now have to follow the new national minimum eligibility threshold. You are likely to have ‘eligible needs’ if you need a lot of help to do things like washing yourself, getting dressed, getting in and out of bed, and keeping your home safe.

Legal protection for people in hospitals or care homes who are unable to make decisions about their own care and support, property or finances. People with mental health conditions, including dementia, may not be allowed to make decisions for themselves, if this is deemed to be in their best interests. The safeguards exist to make sure that people do not lose the right to make their own decisions for the wrong reasons.

Direct Payments Money that is paid to you (or someone acting on your behalf ) on a regular basis by your local council so you can arrange your own support, instead of receiving social care services arranged by the council. Direct payments are available to people who have been assessed as being eligible for council-funded social care. They are not yet available for residential care. This is one type of personal budget.

Disabled Facilities Grant (DFG) A grant you might be able to get from your local council in order to make changes to your home because you have a disability. Changes include things like widening doors, adding ramps or installing a downstairs bathroom. If the person with a disability is an adult, your household income and savings will be looked at, and you may need to pay towards the cost of the work.

If the person is under 18, the family can get a grant without the parents’ income being taken into account.

If you want to apply for a DFG, you should contact your local council

Discharge Planning If you go into hospital, this is the process of planning when you will leave, where you will go, what you are likely to need once you are out of hospital, and how your needs will be met. You should expect discharge planning to begin as soon as you go into hospital. You should also expect to be part of these discussions and to know what is happening.

5

Eligible Care and Support Needs

Extra-care Housing Similar to sheltered housing, but with additional care and support available for people with illnesses or disabilities who wish to have a home of their own.

Extra-care housing may be an option if living alone at home is difficult, but you do not wish to opt for residential care. It allows you to have your own home, either rented or bought, with personal care and domestic help readily available.

Financial Assessment A discussion that your council may have with you to work out how much you can afford to pay towards the care and support you need. It involves looking at your income, savings and individual circumstances. This will take place after an assessment of your care and support needs.

Gateway Worker A mental health worker such as a nurse, social worker, occupational therapist or psychologist, who can help you with problems such as mild depression, anxiety or stress. Gateway workers work closely with GPs and can give you information and advice about support services in your area that may be helpful for you. You may see a gateway worker at your GP surgery or in your own home.

Health and Wellbeing Board

Long-term Condition

Every council area in England has a Health and Wellbeing Board to bring together local GPs, councillors and managers from the NHS and the council. Their job is to plan how to improve people’s health and make health and social care services better in their area.

Members of the public have the chance to be involved in the work of their local Health and Wellbeing Board through your local Healthwatch.

An illness or health condition that you live with, that cannot be cured but can usually be managed with medicines or other treatments. Examples include asthma, diabetes, arthritis, epilepsy and other things.

Holistic Care Care and support that treats you as a whole person and considers all your needs at the same time - physical, psychological, social and spiritual.

Impairment A physical or mental problem, caused by an injury, illness or condition you were born with.

Inappropriate Care Care that is not best for you and does not meet your particular needs, that is not in a place where you need or choose to be.

Integrated Care Joined up, coordinated health and social care that is planned and organised around the needs and preferences of the individual, their carer and family.

This may also involve integration with other services for example housing.

Intermediate Care A wide range of services aimed at keeping you at home rather than in hospital, or helping you to come home early from hospital after illness or injury. It is normally made up of a specific programme of care for a fixed period of time, usually up to six weeks, and is free of charge.

Joint Assessment There are two possible meanings to the term ‘joint assessment’: having the needs of the person who cares for you assessed at the same time as your own needs, or having an assessment carried out by more than one type of care professional at the same time.

Kinship Care When family or friends care for a child on a full-time basis if their parents are unable to do so. This may be for a short period or permanently.

Learning Disability A term that is used to describe a brain impairment that may make it difficult for someone to communicate, to understand new or complex information, or to learn new skills.

The person may need help to manage everyday tasks or live independently. Learning disability starts in childhood and has a lasting effect on a person’s development. It can affect people mildly or severely.

Mental Capacity Act A law that is designed to protect people who are unable to make decisions about their own care and support, property or finances, because of a mental health condition, learning disability, brain injury or illness. ‘Mental capacity’ is the ability to make decisions for yourself. The law says that people may lose the right to make decisions if this is in their best interests.

Deprivation of Liberty Safeguards are included in the law, to make sure that people are treated fairly.

Motability If you receive a mobility allowance from the Government, you can use the payments you receive to hire a car, scooter or powered wheelchair from a specially established charity, Motability. Your mobility allowance payments then go directly from the Government to Motability. The scheme includes the cost of insurance, breakdown assistance and repairs.

You do not own the vehicle, and it is replaced every few years.

National Minimum Eligibility Threshold The level at which your needs reach the point that your council, by law, has to meet them. From April 2015, every council in England will have to offer care and support services to adults who have a lot of care needs.

This replaces the previous situation, where each council made its own decision about what level of need it would meet.

Needs Assessment The process of considering whether you need help or support because of your age, disability or illness.

Anyone who appears to have a need for care or support - regardless of how severe those needs are or how much money they have - is entitled to a needs assessment, which can be arranged by contacting the adult social services department at your local council and requesting it.

Neglect When you are mistreated by not being given the care and support you need, if you are unable to care for yourself. It may include not being given enough food, or the right kind of food, being left without help to wash or change your clothes, or not being helped to see a doctor when you need to.

6

A-Z Social Care Jargon Buster Non-chargeable Services

Primary Care

Care and support services you receive in your home or in your community that the local council does not charge you for.

The law prevents councils from charging for certain things, including assessments and advice about services. On other things (including day care, home care, domestic help and equipment and adaptations), each council makes its own decisions about which services it will charge for and how much the charge will be.

The first point of contact in the health service, usually your GP, practice nurse, local pharmacist, dentist or NHS walk-in centre. Primary care doctors deal with a wide range of health problems.

They treat common illnesses, help you manage longterm conditions and refer you to a specialist doctor when necessary.

Occupational Therapist A professional with specialist training in working with people with different types of disability or mental health needs.

An OT can help you learn new skills or regain lost skills, and can arrange for aids and adaptations you need in your home. Occupational therapists are employed both by the NHS and by local councils.

Outreach Support that you may be offered in your home or community, to help you with a particular condition or course of treatment or to help you take part in activities outside your home.

Palliative Care Care that you receive if you have an advanced, progressive illness for which there is no cure. The aim is to manage pain and other symptoms and to help you have best quality of life you can. It may be provided in your home or in a hospital or hospice.

Personal Assistant Someone you choose and employ to provide the support you need, in the way that suits you best. This may include cooking, cleaning, help with personal care such as washing and dressing, and other things such as getting out and about in your community. Your personal assistant can be paid through direct payments or a personal budget.

Personal Care Help with personal matters such as eating, drinking, washing, going to the toilet, getting up, getting dressed, going to bed, taking medicines and other things.

Personal Health Budget An amount of money to pay for your specific health needs, given to you - or managed for you - by the NHS. It is based on your own individual care plan, which sets out your health goals and how your budget will help you reach them. You can spend it on things like therapies, personal care and equipment. You cannot use it to pay for emergency care or care you usually get from a family doctor. Using a personal health budget is a choice: you do not have to have one unless you want to.

7

Property Disregard When your home does not have to be sold to pay for residential care. This applies if you are in a care home for a short time, and expect to go back to your own home. It also applies if you have moved permanently into a care home, and the house you own is lived in by your partner, a relative who is over 60, or a child under the age of 16 who you are responsible for. There is also a 12-week property disregard, when the council will not charge you - based on the value of your home - for the first 12 weeks that you are in a care home. You would still have to make a contribution to the cost of the care home based on your income or available capital.

Quality of Life Your satisfaction with your life in terms of wellbeing and happiness. The way you define your own quality of life will depend on the things that matter most to you as an individual and make your life enjoyable and meaningful.

The care and support you receive should make a positive difference to your quality of life.

Referral A request for an assessment of a person’s needs, or for support from a social care organisation. A referral to adult social care may be made by your GP, another health professional or anyone else who supports you.

You can also refer yourself, or a member of your family, by contacting the adult social care department at your local council.

Replacement Care Care that replaces the care you normally receive from a regular carer, or would normally give to the person you care for. It may be needed either on a planned basis or in an emergency. Replacement care may be offered by your council, if the person needing care has had an assessment and is entitled to care and support services, or if the carer is entitled to help. Otherwise, you may have to pay for it.

Respite Care A service giving carers a break, by providing short-term care for the person with care needs in their own home or in a residential setting. It can mean a few hours during the day or evening, ‘night sitting’, or a longerterm break. It can also benefit the person with care needs by giving them the chance to try new activities and meet new people.

Rights

Substance Misuse

What you are entitled to receive, and how you should be treated, as a citizen. If you have a disability or mental health problem, are an older person or act as a carer for someone else, you have the right to have your needs assessed by your local council.

You have a right to a service or direct payment if your assessment puts you above the eligibility threshold your council is using. You and your carers have a right to be consulted about your assessment and about any changes in the services you receive.

Regularly consuming quantities of substances such as drugs or alcohol that affect your mental and physical health and your ability to do the things you need to do.

Risk Assessment An assessment of your health, safety, wellbeing and ability to manage your essential daily routines. You might also hear the term risk enablement, which means finding a way of managing any risks effectively so that you can still do the things you want to do.

Safeguarding The process of ensuring that adults at risk are not being abused, neglected or exploited, and ensuring that people who are deemed ‘unsuitable’ do not work with them.

If you believe that you or someone you know is being abused, you should let the adult social care department at your local council know. They should carry out an investigation and put a protection plan in place if abuse is happening. Councils have a duty to work with other organisations to protect adults from abuse and neglect.

Sensory Impairment When one of your senses - sight, hearing, smell, touch, taste - does not work properly. It does not necessarily mean a total loss of one or more of your senses. You may be born with a sensory impairment, or develop it later in life.

Short Breaks When a person with care and support needs spends regular short periods of time away from their main carer, in order to give the carer a break and to give the person with needs a chance to do something different.

These breaks may take place in the person’s own home, in the home of an approved carer or in a place such as a hospice. Councils in England are required to provide short breaks services for children and young people with disabilities.

Signposting Pointing people in the direction of information that they should find useful. Your local council should signpost you towards information about social care and benefits through its helpline or call centre (if it has one), website and through local services such as libraries and health centres.

Third Party Top-up If you are moving into a care home funded by the council, and you want to move into a home that costs more than the council believes is necessary to meet your needs, you will be able to move there if someone (a ‘third party’) agrees to pay the difference. The third party may be a relative, friend or charity, and they will need to have a contract with the council confirming the arrangement.

Transition The process by which young people with health or social care needs move from children’s services to adult services. It should be carefully planned, so that there are no gaps in the care young people receive. Young people and their families should be fully involved in the planning process.

Universal Services Services such as transport, leisure, health and education that should be available to everyone in a local area and are not dependent on assessment or eligibility.

Virtual Budget When your council allocates an amount of money to you as a personal budget, you can take this either as cash through a direct payment or as a virtual budget (also known as a managed budget). If you take it as a virtual budget, the council manages the money for you to arrange the services you choose, and you aren’t responsible for paying directly for the services you receive.

Vulnerable Adult An adult who may need care and support because of their age, disability or illness, and may be unable to protect themselves from harm, neglect or abuse.

Wellbeing Being in a position where you have good physical and mental health, control over your day-to-day life, good relationships, enough money, and the opportunity to take part in the activities that interest you.

Young Carer A young person aged 18 or under who looks after, or helps look after, a family member or friend who has an illness, disability or drug or alcohol problem. They may be responsible for cooking, cleaning, shopping, personal care or emotional support.

Editorial courtesy of Think Local Act Personal www.thinklocalactpersonal.org.uk

8

DO YOU WANT TO

A free service offering

towards a better quality

Activities

Support

Wellbeing

Companionship

Carer Respite

Benefits

Information

Friendship

Confidential support

help

Activities

Planning

Financial

Advice

9

Lancashire Wellbeing Service is here to help people deal with the causes that can affect their health and wellbeing and over 6,000 residents have already benefitted.

We offer a non-clinical service to improve your independence and quality of life.

About the Lancashire Wellbeing Service

We are a free service offering short-term, practical support for Lancashire residents who may be struggling with issues affecting their happiness and health.

Individuals can self-refer or referrals are invited from a wide range of services for people aged 18 and over who have 1 or more of the following underlying issues: • Mild mental health problems (such as low mood, anxiety, stress and mild depression) • Social isolation, loneliness, few or poor social networks • Experiencing difficult circumstances e.g. problems with family, finance, employment • Struggling to cope/feeling overwhelmed • Support in relation to healthy living and developing a healthier lifestyle through understand and adapting behaviour Over a number of sessions one of the service’s Wellbeing Workers will support the individual and encourage them to set realistic, achievable goals and take steps needed to stay well and maintain their independence for a better quality of life.

Referrals can be made by telephone to 03450 138208 (Monday to Friday, 8am - 6pm) on-line: www.lancswellbeing.co.uk or by e-mail to: info@lancswellbeing.co.uk The Lancashire Wellbeing Service has staff based at offices across the County to provide support at a local level however we do not offer a 'drop-in' service.

To contact us by post please write to: Lancashire Wellbeing Service, Erigal House, Unit 3 Avroe Crescent, Blackpool FY4 2DP All enquiries are confidential and will be replied to within 48 hours.

The service is delivered across the County by a consortium of Age Concern Central Lancashire, n-compass and Richmond Fellowship through a team of regionally based Wellbeing Workers and has been commissioned by Lancashire County Council on a 3 year contract from September 2015.

LEAD A HAPPIER, HEALTHIER LIFE?

practical, short-term support of life.

With the support of the Lancashire Wellbeing Service, people across the County are making a real difference to the lifes and that of their families.

"Our aim is to help people lead healthier, longer lives and build personal resilience to cope with life’s challenges."

Here are a few comments from people who have benefitted ...

"I feel my wellbeing worker really cares about me and she has helped me pick myself up and become more resilient. She has moved forward my counselling appointments and I am now working on lifting this depression which I couldn’t have done without her."

"I’ve been so impressed with the helpfulness of my wellbeing worker, her warmth, flexibility and welcoming my daughter in the sessions. I feel much more aware and able to access services I’ve not yet been well enough to access. I’m pleased to of achieved so much following the resources and links. Thank you!"

"Lancashire Wellbeing helped me a great deal giving me a focus to things that might change in my life to improve my wellbeing. Also opened me up to other options and agencies that might be of benefit. Thank you".

"The help that I received off my Wellbeing worker was better than excellent, in many ways it excelled counselling. She was warm, very understanding and helped me look forward to the future. What a lady".

Volunteer for the Lancashire Wellbeing Service If you've ever considered volunteering, now's the time! You'll not only be helping others and supporting your community but there's a real benefit to your health and wellbeing too.

Volunteers develop a more positive outlook on life because they feel a real sense of achievement and take pride in what they've done.

As a volunteer with us you will support a wellbeing worker and along the way see the benefit to your health, self-confidence and learn valuable skills for the future.

We have volunteer vacancies throughout Lancashire so please get in touch today, we'd love to hear from you.

Contact Claire Hewitson, Volunteer Coordinator, for an informal chat on 01772 270721 10

Local Contacts - Blackpool Information about health services in Blackpool, including out of hours and urgent medical treatment, where to go for minor injuries and how to access mental health services.

GP Walk-in centres Dental services Walk-in centres are open 365 days a year from 8am8pm and can treat both registered and non-registered patients without an appointment.

Walk-in centre Blackpool 150 Whitegate Drive, Blackpool FY3 9ES Tel: 01253 953953

Accident & emergency department (A&E) Visiting the accident and emergency department, Blackpool Victoria Hospital, should only be considered in emergencies and life-threatening situations which could include: loss of consciousness, fits, chest pain, breathing difficulties and severe bleeding. If you require emergency treatment call 999 or visit the emergency department immediately.

Blackpool Victoria Hospital Whinney Heys Road, Blackpool FY3 8NR Tel: 01253 300000

Patient Advice and Liaison Services (PALS) The Patient Advice and Liaison Service is a one-stop shop for patients, relatives and carers who require information, support or advice on Health issues across Blackpool.

Victoria Hospital, Whinney Heys Rd, Blackpool FY3 8NR Tel: 01253 655588/89

Blackpool Clinical Commissioning Group Tel: 01253 951200 Email: ccgcomments@blackpool.nhs.uk www.blackpoolccg.nhs.uk

Healthwatch Blackpool Healthwatch Blackpool is a way for people of all ages who use local health and social care services to have a say in how they are planned and run.

Tel: 0300 323 2100 Email: healthwatch@empowermentcharity.org.uk www.healthwatchblackpool.co.uk

Mental health services Blackpool Primary/Intermediate Mental Health Team provide assessment, signposting and treatment for adults with mild to moderate health problems, in partnership with Blackpool Council and other agencies.

You can contact the team on 01253 951225.

There is also a mental health out-of-hours helpline available on Freephone 0800 915 4640. The opening times are: Monday – Friday: 7pm – 11pm, Saturday and Sunday: 12 noon – 12 midnight Blackpool, Fylde and Wyre CAMHS provide a specialist service for children and young people (age 1-16 years) who have moderate to complex mental health problems. Please call 01253 657166.

11

If you require emergency out of hours dental treatment the Dental Access Service can be contacted on Tel: 01253 955200 Out of hours information call 01253 955200 Hours Of Operation: Monday - Friday 9am - 9pm Saturday and Bank Holidays 11am - 6pm Sundays 10am - 3pm

Sexual health services Our team of doctors and nurses provide specialist sexual health services across Blackpool, North Lancashire, Wyre and Fylde.

Whitegate Health Centre 150-158 Whitegate Drive, Blackpool FY3 9ES Tel: 01253 957171 www.bfwh.nhs.uk

Help with alcohol an drug problems Horizon provides free, confidential and non-judgmental alcohol and drugs help, advice and treatment for people living in Blackpool, including those worried about a family member, partner or friend.

Contact Horizon if you are aged 25 years or over Tel: 01253 752100 Email: hello@horizonblackpool.uk 49-55 Cookson Street, Blackpool, FY1 3DR www.horizonblackpool.uk Blackpool Council provides a free substance misuse service called ‘the hub’ for young people aged 24 and under, their families, friends and professionals alike.

They offer advice and information on all substances including alcohol, tobacco and solvents.

Staff are able to meet young people in a wide range of settings all over Blackpool, or alternatively the hub provides weekly drop in sessions for young people.

These take place on Monday, Wednesday, Thursday and Friday from 1.00pm to 4.00pm at the Connect Young Persons Centre 26 Talbot Road, Blackpool FY1 1LF Tel: 01253 476010 Text: 07920 807021 Email: thehub@blackpool.gov.uk

Domestic violence Domestic violence can happen to a man or a woman and can be physical, sexual, psychological or financial abuse. Confidential information is available from National 24 Hour Domestic Abuse helpline Freephone: 0808 2000 247.

If you are being abused and need advice or support contact the Interpersonal Violence & Abuse team Tel: 01253 476203 Email: domesticabuse.team@blackpool.gov.uk

Safeguarding Adults

Alzheimer’s Society Blackpool, Fylde & Wyre

The Safeguarding Adults Board is a group of organisations which meet together to discuss and monitor how to protect vulnerable people with the view to keeping them safe.

Adult Social Care Blackpool Council, PO Box 4, Blackpool, FY1 1NA Tel: 01253 477592 Email: adult.socialcare@blackpool.gov.uk www.blackpool.gov.uk

Alzheimer's Society is the leading care and research charity for people with all forms of dementia, their families and carers.

Blackpool Centre For Independant Living 259 Whitegate Drive, Blackpool FY3 9JL Tel: 01253 696 854 National Dementia Helpline: 0300 222 11 22

Blackpool Safeguarding Children Board

BSCB supports effective implementation of national legislations and guidance to protect and safeguard all children and young people.

Duty and Assessment Team Blackpool Football Stadium Seasiders Way, Blackpool FY1 6JX Tel: 01253 477025 Email: child.protection@blackpool.gov.uk

Citizens Advice Blackpool For over 75 years, Citizens Advice Blackpool has been providing information and advice to the residents of Blackpool.

Tel: 01253 308400 6-10 Whitegate Drive Blackpoole FY3 9AQ Email: advice@blackpoolcab.org.uk www.blackpoolcab.org.uk

Age UK Blackpool & District An independent local charity that has been serving older people and their carers in Blackpool.

89 Abingdon Street, Blackpool FY1 1PP Tel: 01253 622812 www.ageuk.org.uk

Blackpool Carers & Young Carers Centre

Blackpool Carers Centre is an independent, local charity and network partner of Carers Trust. We provide a range of services to support and enhance the lives of unpaid carers of all ages throughout Blackpool and The Fylde Coast.

Office Opening Hours 9.00am-5.00pm Monday to FridayNorman House, Robson Way, Blackpool FY3 7PP Tel: 01253 393748 Text: 07961 586703 Email: admin@blackpoolcarers.org Web: www.blackpoolcarers.org

GPs & GP Surgeries Blackpool GPs & GP Surgeries

Address

Area

Postcode

Telephone

Data correct with Blackpool CCG 12

are cial C ory h & So ct Healt sting Dire en o Darw with Signp

Black

burn

13

He Inv Hea alth olv lth wa ed wa tc Op H tc h p Da ort Kno ave h BlaBlac r un w Y c k C we itie Yo ou kb bu Su are n - Y s H ur R r Sa urn rn w Ph rge Can ou s ealt igh y Ra wit ith h a r D a h Op Den rma ies inI Ge id .. wa ts V te Yo Dar arw t tc olu ur we e tic ti cie B o W h So Righ ian sts in s in lac n th e did Bla ntee Car n G n Co cia t to s in B Bla kb e N .. ck rin e N et u la m l H .W b HS Su m Car Soc Blac ck ckb rn w S? ha urn g u u G Yo ppo nit e? C ial C kbu bur rn w ith Ps t He wit r r n r u a & ie Ch Betw r F t Su s R eati are n w wit ith Dar G lth h in oos ee utur pp eco ng & S ith h D Dar we P Y in n e or g D u Da a w n Ho our g th Ca Car t fo nisin eme ppo rwe rwe en r me Ow e re a e N r C g n n t n in n H Righ t H eed are Men tia F Wha You Bla om t H om s G rs P tal rie t is r ck e om e o Ps lan He nd bu Ch e r a rn oo Ca a C Cho ning lth ly wit sin re ar os fo & h D g t Age e H ing r ar he nc om we Rig y C e n S ht ar afe Ca e r e ty

Pharmacies Blackpool (Late Night Pharmacies in Bold) Pharmacies Address

ht on spotlig re local Your & Social Ca Health s in rwen service urn with Da Blackb

YOUR

Health & Soci al Care

2016/17

FREE

PleaseALTH & SOCIAL CA take o RE ne ...

GUID

E TO HE

Cove

rvice Kingsto s n upo n Hul l

rs se

Suppor t Dire ctory in

2016/1

7

Issue

3

Area Postcode Telephone

Data correct with NHS Choices

Your Local Healthwatch • Your Local CCG • Your Local NHS Trust • Your Local Authority

Healthcare Publications Complimentary Printed, Bespoke Health & Social Care Support Directories

If you require extra copies of this directory or you are interested in advertising in future editions please contact: 0333 444 0214 or email: admin@healthcarepublications.org or visit our website www.hcpublications.org

Dentist

Opticians Address

Address

Healthcare Publications Complimentary Printed, Bespoke Health & Social Care Support Directories

Your Local Healthwatch • Your Local CCG • Your Local NHS Trust • Your Local Authority

If you require extra copies of this directory or you are interested in advertising in future editions please contact: 0333 444 0214 or email: admin@healthcarepublications.org or visit our website www.hcpublications.org

He Inv Hea alth olv lth wa ed wa tc Op H tc h p Da ort Kno ave h BlaBlac r un w Y c k Ca wen itie Yo our kbu bur Su re - Y s H ur Sa rn n w Ph rge Can ou s ealt Righ y Ra wit ith h a r D a h Op Den rma ies inI Ge id .. wa ts V te Yo Dar arw t tc olu ur we e c t ti ie ic B o W h S Rig ian sts s in la n t e d B nte Ca n G n Co ocia ht to s in in B Bla ckb he N id.. lack erin re N et u la m l H .W b HS Su m Car Soc Blac ck ckb rn w S? ha urn g u u G Yo ppo nit e? C ial C kbu bur rn w ith Ps t He wit r n u r & a ie r Ch Betw r Fu t Su s R eati are n w wit ith Dar GP lth h in oos ee tur pp eco ng & S ith h D Dar we Y in n e or g D u Da a w n Ho our g th Ca Car t fo nisin eme ppo rwe rwe en me Ow e re a e N r C g n rt n n in n H Righ t H eed are Men tia F Wha You Bla om t H om s G rs P tal rie t is r ck e om e o Ps lan He nd bu Ch e r a rn oo Ca a C Cho ning lth ly wit sin re ar os fo & h D g t Age e H ing r ar he nc om we Rig y C e n S ht ar afe Ca e ty re

Dentists & Opticians

Blackpool

Blackpool Area Postcode Telephone

Area Postcode Telephone

Data correct with NHS Choices

ht on spotlig re local Your & Social Ca h Healt s in rwen service urn with Da Blackb

YOUR

Health & Soci al Care

2016/17

are cial C ry to h & So Healt sting Direcen o p Darw th gn wi Si ckburn

FREE

PleaseALTH & SOCIAL CA take o RE ne ...

GUID

E TO HE

Cove

rvice Kingsto s n upo n Hul l

rs se

Suppor t Dire ctory in

Bla

2016/1

7

Issue

3

14

Local Contacts - Fylde & Wyre Information about health services in Fylde & Wyre, including out of hours and urgent medical treatment, where to go for minor injuries and how to access mental health services.

Royal Lancaster Infirmary GP Walk-in centres Walk-in centres are open 365 days a year from 8am8pm and can treat both registered and non-registered patients without an appointment.

Walk-in centre Blackpool 150 Whitegate Drive, Blackpool FY3 9ES Tel: 01253 953953 Same Day Health Centre Fleetwood Dock Street, Fleetwood FY7 6HP Make an appointment before attending by calling either the national 111 number or 0300 123 11 44.

Accident & emergency department (A&E) Visiting the accident and emergency department, should only be considered in emergencies and lifethreatening situations which could include: loss of consciousness, fits, chest pain, breathing difficulties and severe bleeding. If you require emergency treatment call 999 or visit the emergency department immediately.

Blackpool Victoria Hospital Whinney Heys Road, Blackpool, FY3 8NR Tel: 01253 300000 Royal Preston Hospital Sharoe Green Lane North, Fulwood, Preston, PR2 9HT Tel: 01772 716565

Ashton Road, Lancaster, LA1 4RP Tel: 01524 65944

Patient Advice and Liaison Services (PALS) The Patient Advice and Liaison Service is a one-stop shop for patients, relatives and carers who require information, support or advice on Health issues across the Fylde & Wyre Victoria Hospital, Whinney Heys Rd, Blackpool FY3 8NR Tel: 01253 655588/89 Clifton Hospital, Pershore Road, Lytham FY8 1PB Tel: 01253 306202 Rossall Hospital, West Way, Fleetwood FY7 8JH Tel: 01253 655140

Fylde & Wyre Clinical Commissioning Group Tel: 01253 956400 Email: enquiries@fyldeandwyreccg.nhs www.fyldeandwyreccg.nhs.uk

Healthwatch Lancashire Healthwatch Lancashire is a way for people of all ages who use local health and social care services to have a say in how they are planned and run.

Tel: 01524 239100 Email: info@healthwatchlancashire.co.uk www.healthwatchlancashire.co.uk

Mental health services Lancashire Care Mental Health Helpline The helpline service is available within Lancashire to anyone concerned about their mental health, or that of someone they know. The trained operators can access an information database to provide you with mental health information, details of local and national support services, or are there simply to listen.You can contact the team on 0500 639 000 (freephone number).

Blackpool, Fylde and Wyre CAMHS provide a specialist service for children and young people (age one to 16 years) who have moderate to complex mental health problems. For more information please call 01253 657166.

Dental services If you need to see a dentist outside of normal dental surgery hours or are not currently registered with a dentist, please contact the Dental Access Service on 01253 306378 or call NHS 111.

Sexual health services Our team of doctors and nurses provide specialist sexual health services across Blackpool, North Lancashire, Wyre and Fylde.

Whitegate Health Centre 150-158 Whitegate Drive, Blackpool FY3 9ES Tel: 01253 957171 www.bfwh.nhs.uk 15

Help with alcohol an drug problems

Inspire North Lancashire is a fully integrated drug and alcohol service. The service provides rapid and open access to assessment and treatment services for people who have problems with drugs and/or alcohol.

Tel: 08458 941 745 www.inspirelancs.org.uk Young Addaction provides friendly and expert advice on drugs and alcohol for young people aged 10 to 17.

Tel: 0808 164 0074 www.youngaddaction.org.uk

Domestic violence Domestic violence can happen to a man or a woman and can be physical, sexual, psychological or financial abuse. Confidential information is available from National 24 Hour Domestic Abuse helpline Freephone: 0808 2000 247.

The Letgo Service provide a range of services to individuals aged 16 and over, experiencing domestic ause, regardless of age, sexual orientation or gender.

Tel: 01524 846058 Email: letgo@impacthousing.org.ukwww. impacthousing.org.uk

Age UK Lancashire An independent local charity that has been serving older people and their carers in Fylde & Wyre.

7 St George’s Rd, Lytham St Annes FY8 2AE Tel: 0300 303 1234 www.ageuk.org.uk

Carers & Young Carers Support n-compass Carers Services work across the county as part of Carers Lancashire providing support and information to Carers.

Tel: 03450 138 208 Email: admin@ncompassnorthwest.co.uk www.ncompassnorthwest.co.uk Barnardo's Lancashire Young Carers Service We support Young Carers under the age of 18 who are significantly affected by caring for someone with a physical disability, mental health problem or/and drug and alcohol problem.

Tel: 0300 123 6701 Email: enquiries@lancashire.gov.uk www.lancashirechildrenstrust.org.uk

Safeguarding Adults The Lancashire Safeguarding Adults Board exists to ensure that all agencies work together to minimise the risk of abuse to vulnerable adults and to protect those subject to abuse.

Adult Social Care Services Telephone 0300 123 6721 www.lancashire.gov.uk

Lancashire Safeguarding Children Board

The Lancashire Safeguarding Children Board has a key role to play in ensuring that Children and Young People in Lancashire are kept safe and that all agencies do what they can to promote their welfare.

Tel: 0300 123 6720 www.lancashiresafeguarding.org.uk/

Citizens Advice Fylde & Wyre For over 75 years, Citizens Advice has been providing information and advice to local residents.

Fylde: Moor Street, Kirkham, Preston PR4 2AU Tel: 0300 330 1166 Wyre: 122 Poulton Rd, Fleetwood FY7 7AR Tel: 0344 245 1294 www.citizensadvice.org.uk

Alzheimer’s Society Blackpool, Fylde & Wyre Alzheimer's Society is the leading care and research charity for people with all forms of dementia, their families and carers.

Blackpool Centre For Independant Living 259 Whitegate Drive, Blackpool FY3 9JL Tel: 01253 696 854 National Dementia Helpline: 0300 222 11 22

John R Gardner HCPC REGISTERED CHIROPODIST/PODIATRIST M.S.S.Ch. | M.B.Ch. A.

Footcare at home at a time convenient to you Ingrowing Toenails | Corns Callus Treatments | Fungal Infections Athletes Foot | Discomfort etc Footcare is important…. Healthy Feet are Happy Feet!

Contact me on: 01253 866696

The Fylde Coasts Specialists in Care at Home for the Elderly • Dementia Care and Mental Health • Hospital Discharge & Rehabilitation • Carers Breaks and Respite • Escorted Outings & Holidays • Companionship and Domestic Services

Tel: 01253 722945 · www.cliftonhcl.co.uk

Registe red a fully c nd omplia nt with C QC

16

GPs, GP Surgeries & Pharmacies Fylde & Wyre GPs & GP Surgeries

Address

Area

Postcode

Telephone

Area

Postcode

Telephone

Fylde & Wyre (Late Night Pharmacies in Bold) Pharmacy

Address

Data correct with NHS Choices 17

Dentists & Opticians Fylde & Wyre Dentist

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Fylde & Wyre Opticians

Fletcher & Jones OPHTHALMIC OPTICIANS

Natio Health S nal ervice and P Eye Exa rivate minatio ns

Telephone: 01772 970255

CAN'T GET TO AN OPTICIANS ... WE'LL COME TO YOU! 18

Local Contacts - Lancashire North Information about health services in Lancashire North, including out of hours and urgent medical treatment, where to go for minor injuries and how to access mental health services.

GP Walk-in centres Patient Advice and Liaison Services (PALS) Walk-in centres are open 365 days a year from 8am8pm and can treat both registered and non-registered patients without an appointment.

Same Day Health Centre Morecambe Hannover Street , Morecambe LA4 5LY Patients should make an appointment at the centre before attending by calling either the national 111 number or 0300 123 11 44.

Accident & emergency department (A&E)

Visiting the accident and emergency department, should only be considered in emergencies and lifethreatening situations which could include: loss of consciousness, fits, chest pain, breathing difficulties and severe bleeding. If you require emergency treatment call 999 or visit the emergency department immediately.

Royal Lancaster Infirmary Ashton Road, Lancaster, LA1 4RP Tel: 01524 65944

SALES • HIRE SERVICE REPAIRS Scooter Mobility Centre

Scooters

fts Stairli d & ie Suppl d t t i F e withink a wee

Powerchairs Wheelchairs Bathlifts

Adjustable Beds Rise & Recline Chairs NHS Prescriptions Accepted

Tel. 01524 411613

"The people to keep YOU mobile"

www.mobilityscootersmorecambe.co.uk 85-87 Euston Road | Morecambe | LA4 5JY 19

The Patient Advice and Liaison Service is a one-stop shop for patients, relatives and carers who require information, support or advice on Health issues.

Royal Lancaster Infirmary, Ashton Rd, Lancaster LA1 4RP Tel: 01524 583554

NHS North Lancashire Clinical Commissioning Group Tel: 01524 519369 Email: mediacsu@nhs.net www.lancashirenorthccg.nhs.uk

Healthwatch Lancashire Healthwatch Lancashire is a way for people of all ages who use local health and social care services to have a say in how they are planned and run.

Tel: 01524 239100 Email: info@healthwatchlancashire.co.uk www.healthwatchlancashire.co.uk

Mental health services Lancashire Care Mental Health Helpline The helpline service is available within Lancashire to anyone concerned about their mental health, or that of someone they know. The trained operators can access an information database to provide you with mental health information, details of local and national support services, or are there simply to listen.You can contact the team on 0500 639 000 (freephone number).

Blackpool, Fylde and Wyre CAMHS provide a specialist service for children and young people (age one to 16 years) who have moderate to complex mental health problems. For more information please call 01253 657166.

Dental services If you need to see a dentist outside of normal dental surgery hours or are not currently registered with a dentist, please contact the Dental Access Service on 01253 306378 or call NHS 111.

Sexual health services Our team of doctors and nurses provide specialist sexual health services across Blackpool, North Lancashire, Wyre and Fylde.

Lancaster & Morecambe - 0845 0590015 www.bfwh.nhs.uk

Help with alcohol an drug problems

Inspire North Lancashire is a fully integrated drug and alcohol service. The service provides rapid and open access to assessment and treatment services for people who have problems with drugs and/or alcohol.

Tel: 08458 941 745 www.inspirelancs.org.uk Young Addaction provides friendly and expert advice on drugs and alcohol for young people aged 10 to 17.

Tel: 0808 164 0074 www.youngaddaction.org.uk

Domestic violence Domestic violence can happen to a man or a woman and can be physical, sexual, psychological or financial abuse. Confidential information is available from National 24 Hour Domestic Abuse helpline Freephone: 0808 2000 247.

The Letgo Service provide a range of services to individuals aged 16 and over, experiencing domestic ause, regardless of age, sexual orientation or gender.

Tel: 01524 846058 Email: letgo@impacthousing.org.ukwww. impacthousing.org.uk

Age UK Lancashire An independent local charity that has been serving older people and their carers in Lancaster.

7-11 Chapel Street, Lancaster LA1 1NZ Tel: 0300 303 1234 www.ageuk.org.uk

Carers & Young Carers Support n-compass Carers Services work across the county as part of Carers Lancashire providing support and information to Carers.

Tel: 03450 138 208 Email: admin@ncompassnorthwest.co.uk www.ncompassnorthwest.co.uk Barnardo's Lancashire Young Carers Service We support Young Carers under the age of 18 who are significantly affected by caring for someone with a physical disability, mental health problem or/and drug and alcohol problem.

Tel: 0300 123 6701 Email: enquiries@lancashire.gov.uk www.lancashirechildrenstrust.org.uk

Safeguarding Adults The Lancashire Safeguarding Adults Board exists to ensure that all agencies work together to minimise the risk of abuse to vulnerable adults and to protect those subject to abuse.

Adult Social Care Services Telephone 0300 123 6721 www.lancashire.gov.uk

More than 20 years of Professional Homecare Services

Lancashire Safeguarding Children Board

The Lancashire Safeguarding Children Board has a key role to play in ensuring that Children and Young People in Lancashire are kept safe and that all agencies do what they can to promote their welfare.

Tel: 0300 123 6720 www.lancashiresafeguarding.org.uk/

Citizens Advice North Lancashire

Citizens Advice North Lancashire offers free, confidential, up to date information and advice to those living, working or studying in Morecambe, Lancaster, Heysham and the surrounding area.

Tel: 0344 4889622 Oban House, 87-89 Queen Street, Morecambe LA4 5EN 87 King Street, Lancaster LA1 1RH Email: enquiries@northlancashirecab.org.uk www.northlancashirecab.org.uk

Alzheimer’s Society Lancaster & Morecambe Alzheimer's Society is the leading care and research charity for people with all forms of dementia, their families and carers.

Alzheimer’s Society Lancaster and Morecambe Ridge Lea, Quernmore Road LA1 3JT Tel: 01524 550415 National Dementia Helpline: 0300 222 11 22

A new approach to Dementia care at home We are proud to offer an enhanced method of healthcare in the home by focusing on diet, stimulation and exercise.

Our holistic approach supports both clients and their families enabling them to remain safe and well at home for as long as possible.

Contact the Health and Wellbeing Team on

01524 823205

Personal care Companion care End of life care Respite care Re-enablement Dementia care To improve quality of life for the people we serve, with a uniquely tailored package of care

Office 4 | Hawthorne House | By Pass Road | Bolton-Le-Sands | Carnforth | LA5 8JD 20

GPs, GP Surgeries & Pharmacies Lancashire North GPs & GP Surgeries

Address

Area

Postcode

Telephone

Area

Postcode

Telephone

Lancashire North (Late Night Pharmacies in Bold) Pharmacy

21

Address

Dentists & Opticians Lancashire North Dentist

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Lancashire North Opticians

Data correct with NHS Choices

NHS dental charges

Mobile Eye Tests

Band 1- Course of treatment £19.70 You may be advised to make another appointment for a separate course of non-urgent treatment.

In this case, you will have to pay a second charge in the relevant treatment band.

If you quality for a free NHS sight test, you may be entitled to NHS-funded mobile services where the ophthalmic practitioner comes to visit you:

Band 2 - Course of treatment £53.90 Band 3 - Course of treatment £233.70

At Home At a Residential or Care Home At a Day Centre Call 111 to find out who provides mobile sight tests in your area 22

Social Care & Independent Living What social care support can I get?

Many people’s first impression or thoughts of social care might be a residential care home. In fact, there’s a wide variety of social care services available and most who need social care support will be able to have care provided in their home.

The kind of social care support that you can get depends largely on your needs.

This means the type of condition you have, or the severity of your disability. For example, if you have a neurological problem that causes you to have trouble walking you may simply require some equipment to help you remain mobile and independent.

However, if you have a significant neurological problem that seriously affects your mental capacity or ability to move and look after yourself, you are likely to need a much wider range of social care services.It is worth taking time to think about your specific needs and what you think you might need to help you achieve the best quality of life you can.

Care and support services might typically include: • equipment • help in your home or in a care home • community support and activities • day centres • home adaptations • residential care • financial support • information and advisory services, and advocacy

Equipment Getting the right equipment can revolutionise your life.

The ability for you to remain independent sometimes hinges on small factors and tools, such as a jar gripper (to help you remove lids) or ways to raise your seat (so that you can get up more easily), which can make all the difference.

However, equipment can also help with weightier issues, for example, hoists to help people with mobility problems get on and off chairs or toilets, or in and out of the bath or bed.

The equipment you may be able to access could include monitoring devices that check whether you have left the house if you have a condition, such as dementia, that causes confusion and wandering.

Help in your home or in a care home

Day Centre Thornton Cleveleys DAY CENTRE FOR ADULTS AND ELDERLY

FREE

Transport We’ll collect your loved one and return them home Monday-Friday from 8.00am - 4.00pm

including Bank Holidays

FREE

Trial Day Including food, refreshments and transport

Are you a carer?

Warren Manor can help you receive the respite you need

We offer: • Person centred care • All aspects of personal care • Highly trained caregivers • Vast choice of daily prepared meals • Flexible care sessions • Daily live entertainment & craft • Our own hairdressing salon • Fully licensed bar and cafe • And much more

DID YOU KNOW Come and take a look around and you can use your PRE PAID RESPITE CARD from Lancashire County Council at Warren Manor Day Centre

23

see for yourself what Warren Manor Day Centre can offer or call for more details

TEL: 01253 868276

Warren Drive | Thornton Cleveleys | FY5 3TG

You may want to have someone who can come to your home and give you the support you need to live your life. This can include help with tasks such as getting dressed, help with using the toilet, washing, preparing and eating food, cleaning and laundry, getting out and about, and taking part in leisure and social activities.

Your local authority will be able to provide you with information and advice on what services are available in your local area.

Community support and activities Some social care services can be provided to help you continue to play an active role in your community and to get out and about and do the things you want to do. For example, you may want to work or to partake in religious or cultural events such as a festival or a sports match. Social care services may be able to support you in a wide range of ways to enable you to continue to do these things, for example a community transport service.

Family Support Families with disabled children may be eligible for Family Support to help you look after your child. This can include day care for children under five, help with parenting such as parenting classes, courses or family support workers, practical home help, and access to a Children’s Centre. Some of these services are available to all families.

Day centres Visiting a day centre can be a good alternative to moving into a care home. Day centres provide an opportunity to socialise and do activities that might not be available at home and may provide respite for family carers.

Adaptations to your home

Independent advocacy ...

Councils must involve you in assessments and in planning and checking your care and support. If you find it very difficult to be involved and there is no-one else to speak for you, they must find you an independent advocate.

Care when you leave hospital ...

If you need care from the council to stay safe when you leave hospital this needs to be ready on time.

Work and having a job ...

Councils must think about education, training and work when they look at the care and support you need.

Moving from children’s services to adults services ...

Before someone is 18, councils need to help them and their carers plan for the future and the support they might need as an adult.

A common way that social care can support ill or disabled people to live independently at home is simple adaptations to the home. If you have difficulty living at home because of your condition, it is often a better option to improve your home than to move somewhere new. For example, depending on your condition, you might be able to get lowered kitchen surfaces and storage, wider doorways to accommodate wheelchairs or walking frames, or improved flooring to prevent trips and falls.

The Care Act

Care & Support for Adults in England Know your rights ...

Well-being ...

Local councils must have services to meet different people’s needs. They must always think about your wellbeing.

Prevention ...

Stopping problems before they start. Local councils must think about services that stop problems before they start, or stop them from getting worse as early as possible.

Information and advice ...

Local councils must have good information to help people choose the right care and support. Councils must give information and advice to everyone who wants it, not just people who have their care and support paid for by the council.

Having all the services people need ...

Local councils must make sure there are lots of different care and support services in their area.

Highfield

Day Centre Blackpool DAY CENTRE FOR ADULTS AND ELDERLY

Are you a carer?

Highfield Day Centre can help you receive the respite you need

FREE

Transport

We offer: • Person centred care • All aspects of personal care • Highly trained caregivers • Vast choice of daily prepared meals • Flexible care sessions • Daily live entertainment & craft • Our own hairdressing salon • Independent family run service • And much more

We’ll collect your loved one and return them home

Come and take a look around and see for yourself what Highfield Day Centre Blackpool can offer or call for more details

DID YOU KNOW

TEL: 01253 476460

Highfield Day Centre | Highfield Road | FY4 3JU

Tuesday-Friday from 8.30am - 4.30pm

FREE

Trial Day Including food, refreshments and transport

you can use your PRE PAID RESPITE CARD from Lancashire County Council at Highfield Day Centre

24

Social Care & Independent Living Improving safety & wellbeing at home There are lots of things you can do to help the person you care for live in as safe an environment as possible.

Daylight and fresh air are essential to health and wellbeing.

If the person you care for finds it difficult, or impossible, to go outside regularly. Open a window for one or two hours a day which will help to recycle the air inside the home. This should only be done if it does not significantly lower the temperature inside.

Heating Thermometers can help to ensure that rooms do not fall below a certain temperature. For living rooms, the recommended temperature is between 18 and 21°C. For other rooms, the recommended temperature is not less than 16°C. Service the gas appliances – fires, ovens, boilers and central heating systems – regularly, employing a professional who has been certified by the Gas Safe Register.

Lighting Many accidents can be avoided simply by having clearly-lit rooms and spaces. The right lighting can also make a dramatic difference to comfort and emotional wellbeing In addition to main lights, consider having lamps within easy reach of frequently-used spaces: for example, next to a favourite reading chair in the living room or on a bedside table. Wall-mounted, batteryoperated lights can be a good (and cheaper) alternative to installing new electrical wiring. These come in a variety of styles and are operated by switch, pull cord or even movement sensors

Furniture Consider re-positioning furniture – or taking away unimportant furniture – if this will make it easier to enter, exit or move around certain rooms. This may be particularly sensible if a walking aid is being used.

Remove any rugs or replace any carpet that could prevent the safe use of walking aids, or which could potentially cause falls.

Sitting comfortably and safely It’s likely that the person you care for is going to be sitting down for increasingly long periods of time, so it might be good to check on the comfort of his or her furniture. Unfortunately, many sofas and armchairs are often the wrong shape for a good sitting position, and people can be uncomfortable for a number of reasons – more often than not because the length and depth of the seat is not correct for them. This may be due to the style of the furniture, such as chairs too narrow or too wide, but it may also be that the furniture is old and the filling in its upholstery has compacted. A ‘wrong’ sitting position can become uncomfortable quite quickly, potentially making it harder to get out of the chair again – for example, if certain joints have become stiff 25

or cramped.

Over time, sitting in the same, wrong, position could lead to more serious physical problems with posture, balance and flexibility.

For the safest ways to get in and out of a chair, remember the following tips: • When sitting down, always feel the chair or seat on the back of your knees before lowering into the seat.

• Reach for the arms and lower yourself down gently and evenly; don’t be tempted to use a walking aid for support.

• To get back up again, wriggle forward so that your feet are directly under or behind your knees.

• Make a wide base with your feet.

• Sometimes, rocking forwards and backwards will help you find the momentum to get up.

• Ensure that you look up, and lead with your head.

• Use the chair arms, and push up evenly with both your arms.

• Give yourself a moment to find your balance before walking away from the chair.

Use Assistive Technologies There are many electronic products and systems that use technology to promote health and wellbeing in the home, by monitoring activity, managing risks, increasing security, helping the person you care for manage the important tasks within their daily lives, and bringing support more quickly when things go wrong.

Telecare Telecare systems can be linked to a call centre or to a mobile phone of a carer. Call centres are by far the most common option for home users of telecare, their primary advantage being that a call centre is staffed 24 hours a day, 365 days a year. Carers who have asked for an assessment should always be made aware of the benefits of telecare

Types of sensors • • • • • • • • • • • • •

Fall detectors Bed or chair occupancy sensors Movement detector Flood detector Property exit sensors Enuresis (incontinence) alert Smoke detector Heat/temperature analyser Gas detector Nocturnal epileptic seizure detector Hypothermia alert Medication dispensers Door opening sensors (to detect someone leaving the property, or a door left open)

Free Home Fire Safety Checks

Checklist to help prevent falls in the home

The Person you care for should be eligible to have free smoke alarms fitted in their home. Contact the local fire department for further information. .

Slippery floors are a safety hazard, so think about installing grab rails and using slip-resistant mats and flooring. If a conventional bath or shower are no longer suitable, there are several different types of bath and walk-in showers to choose from. It’s a good idea to consult an Occupational Therapist (OT) and/or visit a Disabled Living Centre (DLC) before adapting a bathroom to make it safer.

 Make sure any rugs and mats are attached to the floor and are non-slip  Arrange cupboards and shelves so important things are within easy reach  Make sure that any spillages, particularly liquid spillages, are cleaned up as soon as possible  Be aware of the obstacles that unnecessary clutter can cause  Use high-wattage light bulbs and make sure there are replacements available  Take care of their feet, by having their toenails trimmed regularly and wearing well-fitting shoes

Grants for bathroom adaptations

Getting dressed and undressed

If the person you care for has a chronic illness or other form of disability that prevents them from getting into and out of the bath easily – and they intend to live in the current property for the next five years – they may be eligible for a Disabled Facilities Grant (DFG). Its worth looking into as the average cost of a new bathroom suite is around £3,000 but specialist adaptations can increase this amount substantially.

For people with disabilities and issues such as less flexibility in their fingers, everyday tasks such as getting dressed and undressed can become challenging. Many aspects of getting dressed can simply be made easier by choosing certain clothes and footwear. For example, zips and velcro are both easier to fasten than small buttons or shoelaces; easier still are clothes that don’t require fastening

Safety in the bathroom

Blackpool, Flyde & The Wyre

Vitaline Services is always there for you With the aim of supporting independent living Vitaline provides a range of individually designed assistive-technology packages coupled with a personal mobile response to emergency calls.

For further information on the range of services offered by Vitaline, please call 01253 477678 or visit the website www.vitaline.org.uk

At 91 years old I find Vitaline a great comfort while living alone.

It is nice to know there is someone at the other end of the line when I need them.

I have peace of mind knowing I have help if needed.

26

Social Care & Independent Living Disability aids & equipment Get expert advice An occupational therapist or physiotherapist can advise you on whether a particular piece of disability equipment or adaptation is likely to meet your needs.

Many more retailers are now entering the market for disability aids and adaptations. The market is no longer restricted to specialist providers so be careful of buying products online as bigger products like wheelchairs and scooters will need some type of assembly Buying locally can have some advantages. For example, you might not have to pay for delivery and if there’s a problem with the equipment when you get it home, it can be quicker and easier to resolve it face-to-face.

Alongside personal needs, you might want to consider some of the following: • Does the company you are buying from offer an ‘after-sales service’?

• Does the product come with a guarantee?

• Can you get hold of spare parts easily and cheaply?

• Does it need to be serviced regularly? Who will you use to do the work and how much will it cost?

B AY H EALTHCARE L TD Your No. 1 for mobility in North Lancashire

Our fully stocked shop has a host of mobility / disability equipment and daily living aids to view.

• Motability scooters • Powerchairs • Stairlifts supplied & fitted • Rise & recliner chairs • Wheelchairs • Adjustable beds & accessories • Mobility & walking aids • Bathroom adaptions • Hoists & slings • Toileting & personal care We'd love to hear from you!

Call 01524 752563

Does it comply with the necessary British Standards?

If it’s been tested and approved it will have the BSI (British Standards Institute) Kitemark.

What is the company’s returns policy? Do they offer a buy-back guarantee if your needs change?

Don’t forget to claim VAT relief If you have a long-term illness or you’re disabled, you don’t have to pay VAT on equipment designed to help with daily living. The supplier needs to be registered for VAT and you have to sign a form declaring that you have a long-term illness or you’re disabled.

Buying second-hand disability equipment Buying second-hand can be cheaper, but always check that what you are buying is in good working order.

Second-hand items must be accurately described by whoever is selling them, including details of any faults. Some mainstream magazines and several disability organisations publish journals that contain Advertisements for second-hand equipment.

If you are buying second-hand from a private individual, you must make sure that: • the equipment has been regularly maintained; • that you also receive accompanying literature, for example a care manual; • that batteries have been regularly charged (usually once a month is sufficient if the equipment is not being used); and that you receive instructions on how to use the equipment properly and safely. You may also need to find a local company able to service the equipment and carry out future repairs.

Minor adaptations and equipment – what help is available?

Your local authority in England will normally provide you with disability equipment and small adaptations costing less than £1,000 free of charge, as long as you’ve been assessed as needing it and you are eligible

Complaining about care products When you buy something, the law gives you certain rights that protect you if it’s faulty or not fit for purpose – that includes equipment or aids to help with mobility or daily tasks. If your council arranged for and purchased a care product for you, report it to them and they should replace it.

If you bought a care product directly, go back to the retailer to ask for a refund or replacement. If you don’t get a satisfactory result, contact your local Citizens Advice Bureau for help in taking matters further.

Opening Hours Monday-Friday: 7am – 7pm Saturday: 1am – 5pm

or visit our website: www.bayhealthcareltd.co.uk Unit 40 | Galgate Mill | Chapel Lane | Galgate | Lancaster | LA2 0PR 27

•

•

If you bought a product or service with a credit card, and the retailer is being difficult, you may get help from your credit card provider. Contact them directly to see what they can do.

Mobility scooters

Did you Know ...

A mobility scooter is a medical device as well as a lifestyle choice. It’s important to get the right one - for example, with a tiller and controls you can operate if you have arthritic fingers. Otherwise you could waste money or buy a scooter that isn’t the safest or most comfortable. Take advice from a mobility shop or by contacting an occupational therapist before you make a final decision on what to buy.

Choosing a mobility scooter - top five things to consider

The Motability Scheme enables disabled people to lease a new car, mobility scooter or powered wheelchair. You may be eligible to join the Motability Scheme if you get certain disability benefits www.motability.co.uk The Blue Badge Scheme provides a range of parking benefits for disabled people who have difficulty walking. For example, you can park for free in pay-anddisplay bays and also on double and single yellow lines. www.gov.uk/apply-blue-badge Car tax exemption. If you’re getting certain disability benefits you are exempt from paying Vehicle Excise Duty (car tax, or road tax).If you’re on the Motability Scheme you don’t need to do anything. If you own your car you have to apply for the exemption. www.gov.uk/vehicle-exempt-from-vehicle-tax The Disabled Persons Railcard gives you a third off most rail fares. The discount is for two people – so you can save money for a friend or a carer too. You have to buy the railcard but it can pay for itself after just one journey. A Disabled Persons Railcard costs just £20 for a whole year www.disabledpersons-railcard.co.uk

 The types of journeys you plan to make  The types of terrain you’ll cover  Your storage facilities  Your body weight and size  Your budget

Choosing a wheelchair or scooter If you need a wheelchair, the main decisions you’ll have to make about your chair are: • whether it will be self-propelled, pushed by someone else, or electric-powered • for permanent or occasional use • for indoor or outdoor use • whether you need it to go in and out of a car There are pros and cons for each type of chair, so the choice depends on your needs. There are a large variety of wheelchairs and scooters available, so expert independent advice is essential. Some of the things to consider when choosing the right equipment are: Your physical ability - For example, if you’re unable to stand up, a scooter may be difficult to manage. Stability and balance may also affect what you can use.

How the equipment will be used - For example, do you need to get up stairs or through narrow doorways?

Practical considerations - such as access to a power point if the equipment needs to be charged up, or having a secure place to store the equipment when it’s not in use.

NHS wheelchairs The NHS wheelchair service offers assessments to determine what type of wheelchair or mobility equipment you may be entitled to. In most cases, you’ll be referred to the service by a hospital, doctor, consultant or occupational therapist. However, the specific criteria to determine who is eligible are decided locally, and will vary depending on where you live. Many wheelchair services have a waiting list for assessment appointments, so you may have to wait several weeks after referral to have an assessment.

The

Electric Bed Shop Specialising in electric adjustable beds • Traditional retail courtesy • Keen internet prices • Electric adjustable beds, riser-recliner chairs and comfort products.

Beds from • Many sizes and brands £448 • Helpful advice • Problems solved

Please make an nt e appointmour it to vis m showroo

www.electricbedshop.com Unit 8 | Shorebury Point | Amy Johnson Way | Blackpool | Lancashire | FY4 2RF 28

Social Care & Independent Living Understanding NHS continuing healthcare funding

First of all, you’ll have an initial screening to see if you’re eligible for funding.

Are you eligible for NHS continuing healthcare funding?

It’s usually carried out in hospital or at home by a nurse, doctor, social worker or other healthcare professional.

If you have a disability or complex medical problem, you might qualify for free NHS continuing healthcare (CHC). Not many people know about it, so it’s important to find out if you’re eligible and get an assessment If you need a lot of nursing support, the NHS can fund your care for you. NHS continuing healthcare (adults) or NHS continuing care (children) helps you with healthcare needs resulting from disability, accident or illness. If you qualify, it should meet the full cost of your care including care at home, in a nursing home or hospice.

In England, the NHS can arrange care for you or you can choose to receive funding for your care as a direct payment, known as a personal health budget

Who is eligible?

The only sure way to know if you’re eligible is to ask your GP or social worker to arrange an assessment.

There’s no clear-cut list of health conditions or illnesses that qualify for funding.

Most people with long-term care needs don’t qualify for NHS continuing healthcare or NHS continuing care because the assessment is quite strict. Being frail, for example, isn’t enough. But don’t let that put you off.

Free healthcare could be worth thousands of pounds each year, so it’s important to find out where you stand.

What are eligible health needs?  complex medical conditions that need additional care and support  long-term medical conditions  physical or mental disabilities  terminal illnesses  rapidly deteriorating health  mobility problems  behavioural or cognitive disorders

What costs are covered?

NHS continuing healthcare or continuing care covers personal care and healthcare costs, such as paying for specialist therapy or help with bathing or dressing.  It may also include accommodation if your care is provided in a care home, or support for carers if you’re being looked after at home.  If you need nursing care as an adult, you might get NHS funded nursing care. You might get this even if you don’t qualify for NHS continuing healthcare or NHS continuing care.

Funding varies by region, so you’ll need to check with your local Clinical Commissioning Group.

29

They’ll assess your general health and care needs with a simple checklist that will cover:  behaviour  cognition (everyday understanding of what’s going on around you)  communication  psychological and emotional needs  mobility  nutrition (food and drink)  continence  skin (including wounds and ulcers)  breathing  symptom control through drug therapies and medication  altered states of consciousness  other significant care needs If your health, or the health of someone you care for, is getting worse rapidly, ask about a fast track assessment to bypass the initial screening.

The assessment If the initial screening shows that you may be able to get free NHS Continuing Care, you’ll need to have another assessment.

Even though the assessment process can be complex, most people and families who’ve been through it say the benefits are worth it.

The Assessment team will mark each of your care needs as:  priority  severe  high  moderate  low If you have at least one priority need or two severe needs, you should qualify for funding.

If you have one severe need and a number of other high or moderate needs, you may also be eligible.

Circumstances change, so even if you were turned down for funding at first, make sure you have your situation regularly reviewed. Your GP or Local Carers Centre can help you.

What is a personal health budget?

Personal health budgets are being introduced by the NHS to help people manage their care in a way that suits them.

Since October 2014, adults receiving NHS Continuing Healthcare and children in receipt of continuing care have had a right to have a personal health budget.

A personal health budget is an amount of money to support your identified health and wellbeing needs, planned and agreed between you and your local NHS team. The aim is to give people with long-term conditions and disabilities greater choice and control over the healthcare and support they receive.

Key points  Personal health budgets should help people get a more personalised service from the NHS. They should not make things worse.  You do not have to have a personal health budget if you do not want one.  They enable you to have more choice and control over the care you receive.  NHS and social care organisations should work in partnership with you and with each other.

Personal health budgets for people with learning disabilities Personal health budgets offer a real opportunity to enable people with learning disabilities to live in their own homes or with their families, rather than in institutions. Across England the NHS has already begun to offer personal health budgets and joint health and social care budgets to people with learning disabilities who have complex health needs or challenging behaviour.

People with learning disabilities eligible for NHS Continuing Healthcare now have a right to have a personal health budget. Anyone else whose support is funded by the NHS, including those with jointly funded packages could also benefit.

From April 2015, all CCGs are being asked to develop plans for a major expansion of personal health budgets, and to ensure that people with learning disabilities are included by April 2016.

 If you are not able to have a personal health budget, you can still speak to your NHS team about how your needs can be met in another way that is more personal to you.

30

Social Care & Independent Living Learning Disabilities - NHS Annual Health Check

• The Annual Health Check may also be a good opportunity to review any transitional arrangements that takes place when the patient turns 18.

People with learning disabilities often have poorer physical and mental health than other people. This doesn’t need to be the case.

•

The Annual Health Check Scheme is for adults and young people aged 14 or above with learning disabilities who need more health support and who may otherwise have health conditions that go undetected.

People with learning disabilities often have difficulty in recognising illness, communicating their needs and using health services. Research shows that regular health checks for people with learning disabilities often uncover treatable health conditions. Most of these are simple to treat and make the person feel better, while sometimes serious illnesses such as cancer are found at an early stage when they can be treated.

The Annual Health Check is also a chance for the person to get used to going to their GP practice, which reduces their fear of going at other times.

Adults and young people aged 14 or above with learning disabilities who are known to their local authority social services, and who are registered with a GP who knows their medical history, should be invited by their GP practice to come for an Annual Health Check.

The Annual Health Check lets the person with learning disabilities go to their GP practice and have aspects of their health checked. It also allows them to talk about anything that is worrying them.

During the health check, the GP or practice nurse will carry out the following for the patient: • a general physical examination, including checking their weight, heart rate, blood pressure and taking blood and urine samples • assessing the patient’s behaviour, including asking questions about their lifestyle, and mental health • a check for epilepsy • a check on any prescribed medicines the patient is currently taking • a check on whether any chronic illnesses, such as asthma or diabetes, are being well managed • a review of any arrangements with other health professionals, such as physiotherapists or speech therapists •

31

If the person’s learning disability has a specific cause, the GP or practice nurse will often do extra tests for particular health risks. For people with Down’s syndrome, for example, they may do a test to see whether their thyroid is working properly.

The GP or practice nurse will also provide the patient with any relevant health information, such as advice on healthy eating, exercise, contraception or stop smoking support.

People with learning disabilities have lots of different needs. Sometimes these are written down in a health profile or health action plan that the GP or nurse can refer to. Putting “reasonable adjustments” in place can help people to have a successful health check.

Reasonable adjustments mean changing services so they are easier to use.

These adjustments can include: • using pictures, large print, and straightforward language to help explain what is happening • booking longer appointments • scheduling an appointment that starts at the beginning or end of the day, so people don’t have to wait All parts of the health check are voluntary. Anyone who is having the health check, or their carer, can ask the GP or practice nurse for more information about the process. The patient can then give their consent before any tests or procedures are carried out

Getting a learning disability diagnosis Under the Children and Families Act 2014, social services has a duty to assess children in need, including children with disabilities.

The aim is to identify the child’s specific education and healthcare needs and draw up a plan of action for meeting these needs.

If you believe your child has an undiagnosed condition, your GP should be able to help you to get the advice you need Some learning disabilities are discovered at birth, while others are not diagnosed until much later. If your child is diagnosed at or around birth – for example, with Down’s syndrome – their doctors probably won’t be able to tell you exactly how it will affect their development. The extent of your child’s disability will become clearer as they reach the ages when they should be talking, walking or reading.

For children who are not diagnosed at birth, finding out they have a learning disability can take time. The main problem is that learning disabilities are quite hard to diagnose very early in life.

Most learning disabilities are obvious by the age of five.

Intellectual function (also known as cognitive ability) can only be assessed by testing children from the age of five, so most children with these disabilities are only diagnosed when they start school.

Even after a diagnosis is made, it can be hard to tell how it will affect your child in the future. However, your child’s current needs can be assessed to work out what kind of support will help them, and they will be referred to a paediatrician (a specialist in child health).

Learning disabilities A learning disability is a reduced intellectual ability and difficulty with everyday activities – for example household tasks, socialising or managing money – which affects someone for their whole life.

The level of support someone needs depends on the individual. For example, someone with a mild learning disability may only need support with things like getting a job. However, someone with a severe or profound learning disability may need full­time care and support with every aspect of their life – they may also have physical disabilities.

People with certain specific conditions can have a learning disability too. For example, people with Down’s syndrome and some people with autism have a learning disability.

It’s important to remember that with the right support, most people with a learning disability can lead independent lives.

Most adults with a learning disability want to live independently in the community, either by themselves or sharing a home with friends . Their Families and carers share this ambition.

People with a learning disability tend to take longer to learn and may need support to develop new skills, understand complicated information and interact with other people.

• Do you have a learning disability?

Community Based Day Time Activity Service For • Do you live in Blackpool, Fylde or Wyre?

Adults With A Learning • Are you 18 years or older?

Disability Grow in confidence

and independence at the Warren Hub

FREE y

Trial Dfoaod,

Includingnts and e refreshm port s n a tr

We provide a wide range of activities including Football, Circus Skills, Circuit Training, Golf, IT, Music, Arts and Crafts FREE but most of all - a great time!

Transpo To and fro home m

rt

The Warren Hub, Warren Manor Warren Drive, Thornton Cleveleys, FY5 3TG T: 01253 868276 E: sjgiliving@outlook.com www.warrenmanor.co.uk 32

Social Care & Independent Living Taking a break from caring

Planning ahead for respite care

If you provide care for a relative, friend or neighbour, there will be times when you need to take a break: to attend appointments or simply to take time out.

Remember that the need for respite care can occur suddenly, so there won’t always be lots of time to research and make decisions. So, it is worth checking what’s available in the area, before you need help. You might want to make a list of local agencies who can provide care at short notice or local care homes that offer respite care

Being a carer can be very demanding, taking up a lot of emotional and physical energy. Carers often feel worried or guilty about taking time off. But taking breaks from caring is very important, for both the carer and the person being cared for.

It is important not to let your caring role take over your life. Ideally, you should find a balance between caring and looking after yourself, particularly if you have other commitments, such as your own home, family or a job. It is important to look after your own health too.

You will be able to provide better care if you are not exhausted and run down.

For your relative: respite care can also have positive benefits for the person being cared for. In some cases it can provide specialist medical care that you are unable to provide – for example, to help them recover from an operation or illness. Attending a day centre or going on a ‘respite holiday’ can be enjoyable, giving your relative the opportunity to meet new people and take part in different activities.

Checklist for considerations when choosing respite care If you are choosing respite care, there are some things you should do before making a decision on the provider.

Ensure you make decisions jointly: any decisions about respite care should be made with your relative, wherever possible. Talk to them about their preferences and discuss the options. Explain why the respite care is needed and what is involved.

Specific needs: make sure that any day centres or respite care can accommodate your relative’s needs.

For example, if your relative is in a wheelchair, make sure that the chosen day centre is accessible. Or, if your relative has dementia, make sure that any staff employed to take care of them have the necessary experience and training to deal with this.

Consider your relative’s interests: if you are trying to arrange day care or a short break for your relative, talk together about what they would enjoy. Try to match clubs to their hobbies and interests.

DCS Fylde Outstanding Respite Care at Home

Do you need a break from caring for a loved one?

At DCS Fylde Homecare we understand that people need a break from caring for a loved one.

You want your relative’s care to be as good as if you were providing it yourself.

Our care workers are fully trained and we hand pick them because of their passion for caring.

From one visit a week, to five visits a day, we offer a wide-range of care and support services. mited DCS Fylde Li rating ll ra e v CQC o

Good

16

10th June 20

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton

33

Visit potential respite providers: before making any decisions, try to visit the day centres or care homes on your shortlist to get an idea of what they are like.

If possible, take your relative with you and make sure they understand what is going on. If you are arranging emergency respite care, there may not always be time to visit.

Check the room: if you are considering residential respite care, ask to take a look at the particular room your relative might stay in as well as any communal areas.

Background checks: make a background check by checking the Care Quality Commission (or relevant regulatory body in your country) for information about the care provider Meet prospective carers: if possible, try to meet any carers that might provide care while you are away.

Make sure that you and your relative are happy with them

Respite care can have positive benefits for both you and your relative. But there are potential difficulties that need to be considered The benefits of respite care  A well-earned break for carers from the day-to-day responsibilities of caring.  Time for carers to focus on their children, jobs, home and personal health and wellbeing.  A holiday or a trip to a relative’s house can provide a welcome change of scenery for your relative, particularly if they are stuck at home most of the time.  Specialist care can be given to suit your relative’s needs.  Help with funding is available in many cases.  An opportunity to introduce alternative services or carers that may be needed in the future (for example, if the situation deteriorates or an emergency occurs).

The drawbacks of respite care  It can be difficult for carers to admit that they need or want time off.  It might be difficult for some people, particularly those with dementia/Alzheimer’s to deal with changes to routine. In some cases, it might be easier for them to remain at home, with a substitute carer, than to move somewhere else.  There may be additional respite care costs to consider that aren’t covered by local authority funding.  Availability for respite care may be limited in some areas.  There might be waiting lists for respite care.  Care homes may not have space to accommodate short-term stays, particularly at short notice.  Some benefits, such as carer’s allowance may be affected if you take breaks over a certain amount of time.  The person being cared for may reject alternative forms of care.  The person being cared for may become depressed or agitated if not being looked after by their usual carer.

When arranging residential or domiciliary respite care you should be given a contract stating the details of care and any other terms and conditions. This should include information about notice periods, cancellation clauses and (if applicable) bank holiday payments. It is important to read this carefully before signing. If you are not offered a written contract make sure you ask for one.

Financing respite care Local authorities will only pay for respite care for those that they have assessed as needing it. This can be determined by your relative having a needs assessment or you having a carer's assessment.

DCS Fylde Outstanding Respite Care at Home

Do you need a break from caring for a loved one?

At DCS Fylde Homecare we understand that people need a break from caring for a loved one.

You want your relative’s care to be as good as if you were providing it yourself.

Our care workers are fully trained and we hand pick them because of their passion for caring.

From one visit a week, to five visits a day, we offer a wide-range of care and support services.

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

DCS Fyld CQC o e Limited verall rating

Good

10th Jun

e 2016 Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton

34

Social Care & Independent Living Dementia awareness People with dementia can feel vulnerable as their condition progresses and they increasingly rely on other people to do things for them. It is important that people who have dementia feel reassured and supported, while retaining some level of independence.

People with dementia live in your area, probably on your street, possibly amongst your friends and close neighbours. People with dementia may visit your shop, business or workplace.

• Keep choices to a minimum and don’t raise your voice.

• Where possible, talk in a non-distracting place or find a quiet corner.

Think about your body language •

•

People with dementia may find it difficult to understand what is being said, but can be quick to interpret the message on people’s faces and may still be aware of body language.

Make sure you are at the person’s level, use a friendly tone and respect personal space.

Common signs of dementia are confusion, forgetfulness, struggling to find words and repetitiveness. This can make everyday situations stressful.

Show respect and patience

A person with dementia may need extra assistance to help them use your services or help them with everyday things.

Listen

Speak clearly • Speak clearly, calmly and slowly to allow the person time to understand information.

• Use simple, short sentences and avoid direct questions.

• Adapt what you are saying if the person with dementia does not understand.

• Don’t rush, and try to go at their pace.

•

•

Listen carefully to what the person has to say, giving plenty of encouragement, whilst looking out for other clues of what they might be trying to communicate.

Allow them time to find the words to tell you what they want.

Noise • A person with dementia may have difficulty listening if there are a lot of different noises around them.

Lighting

DCS Fylde Outstanding Dementia Care at Home

From one visit a week, to five visits a day, we offer a wide-range of dementia care and support services For those clients with complex needs, medication requirements, physical limitations or the challenge of memory loss and dementia, our expert leaders and frontline workers have the necessary skills and experience to meet changing needs in a safe, respectful and enabling way.

Limited DCS Fylde ll rating ra e CQC ov

Good

10th June

2016

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton

35

• Make sure the lighting is sufficient so the person with dementia can see you and everything around them clearly.

• Turn up the lights or move to a well-lit area.

Finding the way • People with dementia may have forgotten where things are or they may not recognise everyday objects.

• Sometimes people with dementia may forget where they are going or become disorientated.

• They may not be able to follow simple directions and may need you to go with them to where they want to go.

Feeling lost • Sometimes people with dementia may feel lost in familiar places or forget where they live.

Maintaining good health and nutrition • It's important that the person you care for has a healthy, balanced diet and gets some exercise.

• The longer they stay fit and healthy, the better their quality of life will be.

Recognising and finding things •

•

•

People with dementia may have forgotten what they came into the premises or room for.

They may have a list but have problems finding the things they want.

Help them choose the right amount of things, particularly if they seem to be buying an unusually large amount of something.

Making choices •

•

•

While choice is good, for someone with dementia too much choice can be confusing.

Ask what the person would like, e.g. a coffee, and then suggest two or three likely options.

You could describe these options and remember to give a pause between each option to allow them time to think and make a decision.

Whose reality •

•

Past memories can often be stronger than present reality.

The person may be confused and say something that does not makes sense to you.

Being predictable •

•

• Look out for signs that they may need to go to the toilet, such as fidgeting and standing up and down.

• Get adaptations to the toilet if necessary

Helping someone with dementia with their personal hygiene People with dementia can become anxious about certain aspects of personal hygiene and may need help with washing. For example, they may be scared of falling when getting out of the bath, or they may become disorientated in the shower. The person you care for may not want to be left alone or they may resist washing, because they find the lack of privacy undignified and embarrassing

Helping someone with dementia sleep well People with dementia often experience disturbed sleep.

They may wake up during the night or be restless. These problems may get worse as the illness progresses Some medication can cause sleepiness during the day and interfere with sleep at night. Sleeping pills can be used with care in people with dementia. However, “sleep hygiene” measures are best for people with dementia – for example, no naps during the day, regular bedtimes, and avoiding alcohol or caffeine at night.

The person with dementia may be confused if things have been rearranged, or by new people they meet.

Try to keep things the same or offer additional assistance if things have changed.

Every day can be different • For some people with dementia what they can do changes from day to day, so how you help them may need to be different every time.

• Look out for signs and offer to help when needed, bearing in mind the privacy of the person.

Dealing with incontinence in someone with dementia A person with dementia may simply forget to go to the toilet, or may forget where the toilet is. They may also have lost the ability to tell when they need the toilet.

How you can help It’s important to be understanding, retain a sense of humour and remember that it’s not their fault. You may also want to try the following: • Put a sign on the toilet door, such as a photo of the toilet.

• Keep the toilet door open and make sure that the person you care for can access it easily.

• Make sure they can remove their clothes – some people with dementia can struggle with buttons and zips.

DCS Fylde Outstanding Dementia Care at Home

From one visit a week, to five visits a day, we offer a wide-range of dementia care and support services For those clients with complex needs, medication requirements, physical limitations or the challenge of memory loss and dementia, our expert leaders and frontline workers have the necessary skills and experience to meet changing needs in a safe, respectful and enabling way.

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

DCS Fyld CQC o e Limited verall rating

Good

10th Jun

e 2016 Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton

36

Social Care & Independent Living Caring for someone with challenging behaviour A person’s behaviour can be defined as “challenging” if it puts them or those around them (such as their carer) at risk, or leads to a poorer quality of life.

It can also impact on their ability to join in everyday activities. Challenging behaviour can include aggression, self-harm, destructiveness and disruptiveness.

Communication is the main way we interact and express our needs, likes and dislikes. If communication is a problem, it can be very frustrating for the person and may result in challenging behaviour. If this behaviour leads to a desired outcome, it may be repeated again and again.

Challenging behaviour is often seen in people with conditions that affect communication and the brain, such as learning disabilities or dementia.

What can you do to help?

As a carer, try to understand why the person you look after is behaving in this way. For example, they might feel anxious or bored, or in pain.

If you can recognise the early warning signs, you may be able to prevent behavioural outbursts. For example, if being in a large group of people makes the person you care for feel anxious and they become agitated, you could arrange for them to be in a smaller group or have one-to-one support.

Some people find a distraction can focus a person's energies elsewhere and prevent them displaying challenging behaviour.

The person you care for might behave in a challenging way to get your attention. If this is the case, consider not responding directly to their behaviour – although you shouldn't ignore them completely. But if their behaviour puts them or someone else at risk, you'll need to intervene as calmly as possible.

It's important to remember that bad behaviour is not a result of bad parenting. There are, however, a number of things you can do to help, such as being consistent, patient, giving the person you care for regular exercise and remembering that punishment rarely works.

If you care for someone who displays challenging behaviour and you find it difficult to cope, support is available. It is particularly important that you seek support if you are experiencing harm from the person

37

you care for (whether intentional or unintentional).

Many organisations for people with learning disabilities or dementia have strategies for coping with challenging behaviour.

Some of these organisations also provide opportunities for carers to connect with other people in a similar situation – for example, through family linking schemes.

Sharing your experiences – for example, with a local carers' group – can be a good way of getting support.

Caring for someone with autism If you care for someone with autism, your main concern will be how best to support them. However, you will both benefit from getting help for yourself. There’s no denying that looking after someone with autism can be demanding, and it can put considerable strain on relationships.

Autism is an "unseen disability" – it's a condition that can be very disabling, but gives no outward physical signs.

This means that outside the home, parents and carers may have to deal with disapproval from people who don’t understand the way people with autism can act and behave.

This sort of reaction can make both the person with autism and their family carers unwilling to leave the home and it’s an issue that can lead to the whole family becoming socially isolated

Top Tips ...

Behaviour Diaries Completing a behaviour diary, which records what is occurring before, during and after the behaviour, could help you to understand its purpose. It is important to make notes on the environment, including who was there, any change in the environment and how the person was feeling. A diary may be completed over a couple of weeks or longer if needed Consistency Be consistent in your approach to the behaviour, and ask others around the person to use the same consistent approach.

Communication Speak clearly and precisely using short sentences. By limiting your communication, the person is less likely to feel overloaded by information and more likely to be able to process what you say. Support the person to communicate their wants, needs and physical pain or discomfort, eg by using visual supports.

Rewards Using rewards and motivators can help to encourage a particular behaviour. Even if the behaviour or task is very short, if it is followed by lots of praise and a reward, the person can learn that the behaviour is acceptable.

Relaxation Look at anger/emotions management and create opportunities for relaxation. You can do this by, for example, looking at bubble lamps, smelling essential oils, listening to music, massages, or swinging on a swing.

Find local support groups and services listed in our Autism Services Directory: www.autism.org.uk

Challenging behaviour can often be diffused by an activity that releases energy or pent-up anger or anxiety.

This might be punching a punch bag, bouncing on a trampoline or running around the garden.

Its Important to take a break

Help and support for carers There are a number of ways in which you could get some support.

Meet up with other carers, or get support from, a local NAS branch or group, community service or family support service in your area.

Get ideas from other families, and share your tips with them on the Community discussion forum: http://community.autism.org.uk/ Call the NAS Parent to Parent line on: 0808 800 4106 a UK-wide confidential telephone service providing emotional support to parents and carers of children or adults with autism.

Because people with challenging behaviour have complex needs, parents and carers may find it difficult to entrust the person they care for to anyone else.

However, taking a break is really important for your own physical and emotional health.

Friends or family members will usually be willing to give you time off to do the things you enjoy – and they will also be the ones that the person with autism knows and trusts.

routes H E A LT H C A R E

Specialists in Mental Health, Dementia & Complex Care Packages We provide a range of flexible care and long term support services 24 hours a day, 7 days a week throughout Blackpool and Preston.

Tel: 01253 922128

www.routeshealthcare.com 38

Social Care & Independent Living Planning for future care needs

If you think the person’s mental capacity you care for is going to decline, it’s a very good idea to encourage them to make a power of attorney which won’t stop working if they lose mental capacity.

It means they’re still in control, but if they do lose mental capacity someone else will be able to step in.

If the person you want to help has already lost mental capacity, you will need to apply to a court to get the permission to manage their money for them.

Setting up a power of attorney

Types of lasting power of attorney

You can get the forms and guidance you need to create a lasting power of attorney online at: www.gov.uk/government/collections/lasting-powerof-attorney-forms

The big differences between the types of power of attorney are the decisions they cover – financial ones, or ones about your health and welfare.

Setting up a power of attorney is a big step. You should make sure you understand all the implications, and you may want to get advice from a solicitor.

There are two types of lasting power of attorney. You can set up one or both.

Make sure there is a will in place for both yourself and the person you care for

A property and financial affairs lasting power of attorney lets someone manage all your financial affairs – for example, running your bank and savings accounts, managing your tax affairs, and buying and selling investments and property.

Your will tells everyone what should happen to your money, possessions and property after you die (all these things together are called your ‘estate’). If you don’t leave a will, the law decides how your estate is passed on – and this may not be in line with your wishes.

A health and welfare lasting power of attorney lets someone make decisions about your health, care and welfare – for example, what medical treatment you receive and whether you move into a care home.

Your will tells people two very important things: • who should have your money, property and possessions when you die •

Peace of mind for you and your loved ones

who will be in charge of organising your estate and following the instructions you leave in your will – this person is called your ‘executor’, and you can name more than one person if you want to

You can also use your will to tell people about any other wishes you have, like instructions for your burial or cremation. Your executor will do their best to make sure your wishes are followed, as long as they don’t involve breaking the law.

Writing a will is especially important if you have children or other family who depend on you financially, or if you want to leave something to people outside your immediate family

For many people, planning their funeral has become an everyday way of looking at the future, just like making a will.

We believe that the Independent Way funeral plan, which is available only through independent funeral directors such as ourselves, offers you significant advantages over other plans.

Simple Cremation Service £995.00 Traditional Funeral Service £1295.00 Direct Cremation £995.00 Cremation fee, medical fees and church fees to be added if applicable.

funeral service A truly compassionate, caring, dignified and professional service 24 hours a day 365 days a year

01253 853574 7 Bispham Road Thornton-Cleveleys FY5 1DG

www.helenashmorefuneralservice.co.uk 39

If you think the person’s mental capacity you care for is going to decline, it’s a very good idea to encourage them to make a power of attorney which won’t stop working if they lose mental capacity. It means they’re still in control, but if they do lose mental capacity someone else will be able to step in.

Preparing for Residential or Nursing Home Costs Care home fees are a big financial commitment, and the decision to go into a care home is often made at a moment of crisis or urgency, such as when being discharged from hospital.

This can make finding the money to pay for fees (usually several hundred pounds a week) challenging for people funding their own care depending on where in the UK you live, care homes can cost an average of: • £28,500 per year for a residential care home • £37,500 per year if nursing is required.

Remember, you may have to pay extra for things like trips out, hairdressing and some therapies.

• • •

• •

•

your marital status the location of family and friends your assets, in particular shares or other investments liable for Capital Gains Tax your property ownership liabilities that could reduce the value of your assets or your estate your attitude towards risk

Registered Nursing Care Contribution is a tax-free, non-means-tested benefit, paid by the NHS to cover nursing or medical care. It’s paid whether you’re selffinancing your care or your local authority is paying for it.

Where to find a specialist care fees adviser

To be eligible, you must: • need nursing care • stay in a care home or residential home that can provide nursing care

You can also visit the Society of Later Life Advisers (SOLLA) website: www.societyoflaterlifeadvisers.co.uk/

Registered Nursing Care Contribution should still be paid if your stay in the care home is temporary. If you’re staying for six weeks or less, you won’t have to be formally assessed. Instead, your need for nursing care will be based on information provided by the care home or your GP. This can be quite a useful contribution towards costs if you need regular periods of respite care.

You can use The Money Advice Service Retirement Adviser Directory to find a specialist care fees adviser in your area. www.directory.moneyadviceservice.org.uk

SOLLA advisers undertake extra training and professional development before becoming full members.

How to apply for Registered Nursing Care Contribution If your care needs are being assessed by your local authority ask them to assess you for Registered Nursing Care Contribution at the same time or contact your local Clinical Commissioning Group: There are independent financial advisers that focus specifically on care funding advice, often referred to as specialist care fees advisers.

They are regulated by the Financial Conduct Authority (FCA) and must stick to a code of conduct and ethics and take responsibility for the suitability of any product they recommend.

A specialist care fees adviser will go through a factfinding process with you to assess and understand your needs and circumstances.

This will include questions about: • the level of your care needs and the attitude of your family • the care that’s currently available and what care will be required in the future • the potential cost of nursing care or the care home you’ve chosen • current income (including unearned income) and benefits

LEGACY ESTATE PLANNING

The Fylde Coast's The Fylde Coast's Specialist Specialist Advisers on Adviser on Wills, Power of Wills, Power of Attorney Attorney & Asset Protection & Asset Protection Whether you need to make a Single Will or Mirror Wills, a Lasting Power of Attorney or you are worried about Inheritance Tax or Care Home fees, Legacy Estate Planning is an independent Legal Services Company that specialises in providing professional, personable advice that is jargon free.

We will make the experience easy, convenient and affordable by visiting you in the comfort of your own home, at a time to suit you.

Will Writing

Power of Attorney

Probate

For more information call our team today

01772 286 442 or email us

info@legacyep.co.uk

Visit our website: www.legacyep.co.uk 40

Social Care & Independent Living If you find it difficult to carry out personal care routines – such as washing or dressing – home care services can provide the extra support that you need. Home care services (also known as domiciliary care) provide carers or personal assistants who can visit you at home to help with a wide range of tasks About your needs Choosing the right home care agency If you are considering using a home care agency Here is a list of questions you should ask a home care agency; ensure you get all the answers that you need.

About the carers • Will I have a regular carer?

• What will happen if my regular carer is off sick?

• What happens if a carer is unable to get to me because of adverse weather conditions or a traffic accident?

• How many different carers are likely to visit me?

• What sort of training do the carers receive? Do they have an induction period? How often is their training updated?

• What qualifications do they have?

• Will carers keep written records of the care that has been given, and accurate timesheets for me to sign?

• Can copies of the records be sent to me if I want them?

DCS Fylde Outstanding Care at Home Because you and your loved ones deserve the best possible care and support • Personal Care, washing, dressing, bathing...

• Continence promotion and support, with dignity

• Trips out for social events, shopping or to medical appointments • Respite Care

• Hospital Discharge • Full administration of Care medications, not just reminders • Support with meals and drinks

• 24 hour, live-in care

From one visit a week, to five visits a day, we offer a wide-range of care and support services. mited DCS Fylde Li rating ll ra e v CQC o

Good

16

10th June 20

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton

41

• How will you match the most suitable carer to my needs?

• Will you be able to find carer(s) that can visit at the time I need care?

• What happens if a carer and myself are incompatible?

Could a different carer be requested?

• What happens in the event of a medical emergency?

Will the agency carer stay with me until help comes?

Will they notify me of any problems?

• How will carers get into my home if I cannot answer the door? How will that information be kept secure?

About the agency • Do you have a standard contract for work with private clients? Can we see a copy?

• What are your hourly charges? Are there any minimum charges (such as a minimum number of hours per week)?

• What happens on weekends and bank holidays? Is care provided? Is there an additional charge at these times?

• How is payment required – by cheque, direct debit or some other way? How often is payment required?

Monthly or weekly?

• What insurance do you have to protect my home, for example, in the case of damage to property, the carer making a mistake, or the carer having an accident in my home?

• How do you ensure quality of care is maintained?

What are your quality assurance policies and procedures?

• Who should I contact if I have problems with a carer or the service provided?

• Is it possible to try you for a short trial period initially, to see how it works out?

The benefits and drawbacks of home care services The benefits ...

Home comforts: they allow older people to stay in their own homes for longer.

Time: they may prevent, or delay, a move into sheltered housing or a care home.

Stability: your relative can maintain contact with friends and their local community.

Peace of mind: for you, and your family, that your relative is being looked after and is not alone.

Flexibility: home care services are flexible and your relative can have as little, or as much, help as they need.

Care can be tailored to fit their needs.

Agency responsibility: most care is provided by agencies, which means that the agency is responsible for vetting staff and will cover absences if necessary.

Duty of care: local authorities have a duty of care to provide help to those with eligible needs.

Standards: care agencies must be registered with national regulators who check that they are working to set standards and, in England, rate their services.

Cost: receiving care at home might be a lot cheaper than moving into a care home, depending on the amount of care needed.

Pets: if your relative has pets, they can continue to live with them.

The drawbacks ...

Different staff: with an agency, although the aim is usually to provide consistency of care, sometimes different staff may be used in times of staff sickness, holiday or when there is a shortage of careworkers.

Careworkers will try but might not always call at the arranged times (for example, if they have to deal with an emergency at their previous call), which can be particularly difficult if the older person needs to be helped to the toilet.

Many live-in careworkers are specially trained to deal with such conditions as Dementia, Parkinson’s, Stroke, MS or Palliative Care. Some providers also offer live-in nursing staff. For couples, the cost of live-in care can be significantly less than a residential setting and loving partners are able to stay together. In some cases where one has dementia, they are separated in residential settings.

Cost: it isn’t cheap to have live-in carers on call 24 hours a day, although with the introductions of personal budgets and direct payments it can be possible for live-in care to be state-funded, depending on eligibility. Also, live-in care fees can be lower than the price of a residential home. The arrangement can be particularly cost-effective for couples, because they pay once for a live-in carer, and twice over for places in a care home.

Living arrangements: live-in careworkers will require a private room in the house for their own use. From the point of view of your relative, not everyone is comfortable with having a stranger living in their home and there could be tensions about living arrangements, depending on how they work in practice.

Geographical limits: your relative’s choice of care services may be limited by what’s available in their area.

Live-in care Live-in care is an increasingly popular alternative to an elderly relative moving into a care home. It enables them to stay in their own home and meet their changing needs. For some people it offers a way of continuing to live as independently as possible at home in their local community.

Live-in care might suit your relative for a number of reasons including if they need help with: • Companionship • Personal care, such as washing and dressing • Taking medication when other aids aren’t effective • Cooking / Housework • Support to manage the risk of falls and other risks at home • Caring for a pet • Trips out, such as to the doctor or hairdresser • Continuing to enjoy some lifelong passions.

This option is also attractive to people who may become confused by a new environment and find it difficult to adapt to change. This particularly applies to people living with dementia, where continuity, routine and familiar surroundings are very reassuring, important and improve quality of life. Live-in care also provides the supervision that someone living with dementia might need to keep them safe.

DCS Fylde Outstanding Care at Home Because you and your loved ones deserve the best possible care and support • Personal Care, washing, dressing, bathing...

• Continence promotion and support, with dignity

• Trips out for social events, shopping or to medical appointments • Respite Care

• Hospital Discharge • Full administration of Care medications, not just reminders • Support with meals and drinks

• 24 hour, live-in care

From one visit a week, to five visits a day, we offer a wide-range of care and support services.

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

DCS Fyld CQC o e Limited verall rating

Good

10th Jun

e 2016 Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton

42

Social Care & Independent Living Care homes may be arranged through the local authority but many people will want to arrange them independently. It is a good idea to visit several homes before making a choice. Make sure you spend enough time in each home to get a good idea of what it is like.

Choosing the right care home Choosing a care home is one of the most important decisions you’ll ever make. You need to make sure it’s got everything you need, in a place you’ll be happy, at a price you can afford.

When choosing a care home you need to recognise that your care needs are likely to increase over time.

• Make a shortlist of suitable care homes in your area that fall within your budget.

• Request an information pack from the homes on your shortlist.

• Request a copy of their contracts and/or terms and conditions.

• Make sure they have vacancies or establish how long their waiting list is.

• The cost of care varies from region to region – you could save money by relocating.

• Don’t forget to take into account additional costs that may not be covered in your residential fees, such as meals and day trips.

• Check how much notice you need to give if you move out and how much notice you will be given if the home is to close.

• If your funding is local-authority assisted, check that you pay the same rates as self-funders and find out whether a top-up payment is required.

Check the care home’s official inspection report

How much is it going to cost?

Care-home fees vary considerably around the country, but on average you should expect to pay approximately £28,500 a year for a residential care home and £37,500 if nursing care is required.

Your local council may be able to help with costs depending on your circumstances.

Before visiting any care homes in person, you need to be very clear about what it is you’re looking for. Make a checklist of the things that are important to you, along with a list of questions to ask the managers and staff.

Don’t be embarrassed – you’re about to make a lifechanging decision.

Choice of accommodation The law says that where the local authority is funding accommodation it must allow the person entering residential care to choose which care home they would prefer. Social services must first agree that the home is suitable for the person’s needs and that it would not cost more than they would normally pay for a home that would meet those needs. If the person chooses to go into a more expensive home, a relative or friend may be able to ‘top up’ the difference in cost.

Residential care homes provide living accommodation, usually in an en suite room with meals in a dining area and help with personal care, such as washing, dressing and going to the toilet. You may need to move to a care home if you need care throughout the day and night, and if this is impossible to arrange, or afford, at home

The benefits and drawbacks of care homes If your needs can no longer be met at home, there are benefits to moving to a care home. Although there may be downsides too, knowing what to expect can help you make realistic decisions.

The benefits ...  Safety: there is always someone around.  Staff on duty 24/7: in a residential care home, someone is on call at night. In a nursing home, care is provided 24 hours a day.

Fairhaven Care Home

A Haven By The Sea

• Respite Stays including weekends • Panoramic views overlooking Fleetwood’s Promenade

Rossendale NURSING HOME OUTSTANDING NURSE LED MENTAL HEALTH & DEMENTIA CARE FOR THE ELDERLY

DID YOU KNOW

Try our new Day Care Service

you can use your Pre Paid Respite Card from Wyre Borough Council at Fairhaven Care Home

Facilities that are second to none!

www.fairhavenfleetwood.co.uk

43-44 Laidleys Walk | Fleetwood | Lancs | FY7 7JL 43

CQC overall rating

Good

Emergency admissions •

Convalescent, Palliative & Terminal Care •

Tel: 01253 737740

Fairhaven Care Home

13th Jan 2016

Respite stays welcome •

For information or assistance please contact:

Call in and have a chat or speak to our care team on

TEL: 01253 772341

A Tradition of Quality Care

Registered with:

www.rossendalehome.co.uk 96 Woodlands Road | Lytham St. Annes | FY8 1DA

 A room of their own room: your relative can usually personalise this with their own furniture, pictures and ornaments.

 Small living space: your relative won’t be able to take all of their furniture and personal possessions with them.

 Meals: regular meals provided and nutritional needs met.

 Variations in care: all homes have to achieve a minimum standard to ensure they can be registered, but quality of care may vary from home to home.

Doing your research, and asking around for recommendations, should help you avoid the less suitable ones (see Choosing a care home).

 Companionship: opportunity to socialise with others of their own age and take part in organised activities or outings, where available.  Peace of mind for family that a vulnerable older relative is being taken care of and is not living alone.  Supervision of medication.  No worries about household bills or upkeep.  Better living conditions: the physical environment may be better – safe, warm and clean.

The drawbacks ...  Choice: there may be a limited choice of homes with a vacancy for your relative, depending on their circumstances.  Unfamiliar surroundings.  Loneliness and loss of contact with neighbours and old friends.  Emotional effect: families can feel guilty that they are not looking after their relative themselves, even though this may no longer be practical.

 Cost: care homes can be very costly, particularly if you have to fund your own care. If relying on local authority funding, you must be assessed as needing a care home. Sometimes you and the local authority might disagree on what is needed.

What your choices are A list of all nursing and residential care homes within your locality can be found on the following pages.

Every care home in England must be registered with the national regulatory body Care Quality Commission (CQC). They inspect each care home on a regular basis and write an inspection report for you to read. It is advisable to read this report before making a final decision.

To check up-to-date information on the Nursing and Residential care homes within your locality visit: www.cqc.org.uk

 Your relative may feel rejected: it can help if you talk things through beforehand, possibly explaining that you or other family members are unable to give them the care that they need. Regular contact once they’ve moved in will also help.  Loss of independence, although a good home should encourage your relative to be as independent as they can be.  Lack of privacy: this might be difficult for your relative to adjust to.

Watson House

Chaseside CARE HOME DELIVERING THE HIGHEST STANDARD OF RESIDENTIAL DEMENTIA CARE

• • • •

Respite Rooms Available

Overlooking Ashton Gardens Modern and well equipped 20 Rooms with en-suite facilities We welcome you to visit and inspect our facilities

Tel: 01253 724784

St Georges Square | Lytham St Annes | FY8 2NY

NEW Day Care service 7 days a week

Residential Care in a small and homely environment, situated just off the Respite Promenade in Blackpool.

Care by • No Top Up Fees the Seaside • Weekend Breaks

• Emergency Admissions

We pride ourselves on the level of support and warmth our home offers.

For information or assistance please contact:

www.chaseside-care.co.uk

Care Home For the Elderly

Registered with:

Call 01253 341550

50 Station Road | South Shore | Blackpool | FY4 1EU

Friendly and Welcoming

Watson House Rest Home Registered and fully compliant with CQC

23rd Aug 2014

A part of Terebinth Limited

44

Residential Homes Blackpool

Residential Homes

45

Address

Area

Postcode

Telephone

Nursing Homes & Domiciliary Blackpool Nursing Homes

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Blackpool Care at Home

Data correct with CQC

Lowfield House Residential Home

Your ďŹ rst choice for respite care in the Ribble Valley At Lowfield House we understand that people need a break from caring for a loved one.

Affected by dementia?

Our short term care services allow carers the time to recharge their batteries while offering their loved ones a temporary retreat with the peace of mind of 24-hour care.

Call the National Demential Helpline for support and information on

For more information contact:

0300 222 1122

www.alzheimers.org.uk

Respite | Day Care | Convalescence | Residential

Tel: 01200 428514

Lowfield House Limited | Railway View Avenue | Clitheroe | Lancashire | BB7 2HA

Dedicated care for people with dementia

Lowfield Ho

CQC o ve

use Limite

d

rall rati

Good

9th Nov

ng

2013

46

Residential Homes Fylde & Wyre

Residential Homes

Address

Area

Data correct with CQC 47

Postcode

Telephone

Nursing Homes & Domiciliary Fylde & Wyre Nursing Homes

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Fylde & Wyre Care Provider

Data correct with CQC 48

Residential Homes Lancashire North Residential Homes

Address

Area

Data correct with CQC 49

Postcode

Telephone

Nursing Homes & Domiciliary Lancashire North Nursing Homes

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Lancashire North Care Provider

Data correct with CQC 50

Useful numbers for support in your area

n c mpass looking towards a brighter future

Detailed information about the council and its services.

Tel: 0300 123 6701 www.lancashire.gov.uk

Providing support in the provision of advocacy, carers, well-being, and young people’s support.

Tel: 0345 013 8208 www.ncompassnorthwest.co.uk

Lancashire Young carers: Supporting those who look after an adult family member who has a serious illness or disability.

Tel: 01772 641002 www.barnardos.org.uk/lancashire-young-carers

Free, confidential, impartial advice.

Telephone Advice line: 03444 111 444 www.citizensadvice.org.uk.org.uk

Blackpool Have your say on health and social care in Blackpool.

Tel: 0300 323 2100 www.www.healthwatchblackpool.co.uk

Have your say on health and social care in Lancashire.

Tel: 015242 39100 www.healthwatchlancashire.co.uk

Services to older people in Lancashire.

Tel: 0300 303 1234 www.ageuk.org.uk/lancashire

Age Concern Central Lancashire, delivering services to older people.

Tel: 01772 552850 www.55plus.org.uk/ageconcern

Free, confidential, impartial advice.

National Dementia Helpline: 0300 222 1122 www.alzheimers.org.uk

Promotes the views and needs of people with mental health problems.

Tel: 0300 123 3393

We’re here for people living with any terminal illness, and their families.

Tel: 0800 090 2309 www.mariecurie.org.uk 51

Lancashire

www.mind.org.uk

Monday–Friday 9.00am–8.00m For confidential cancer information and support.

Tel: 0808 808 00 00 www.macmillan.org.uk

Support and advice for people living with mental ilness.

Tel: 0300 5000 927 (Mon-Fri, 9.30am-4pm) www.rethink.org

Information on child and adolescent mental health.

Services for parents and professionals.

Tel: Parents' helpline: 0808 802 5544 (Mon-Fri, 9.30am-4pm) wwww.youngminds.org.uk

Confidential support for people experiencing feelings of distress or despair.

Tel: 116 123 (24-hour free helpline) www.samaritans.org

Free counselling service for children & young people until their 19th birthday.

Tel: 0800 1111 www.childline.org.uk

The UK's largest disability campaigning organisation.

Office Number: 020 7250 8181 www.radar.org.uk

Parkinson's is a support and research charity, working to find a cure and improve life for everyone affected by Parkinson's.

Tel: 0808 800 0303 www.parkinsons.org.uk

y Formerl e called th RNID

Provides a range of services for people with a hearing impairment.

Telephone: 0808 808 0123 (freephone) Textphone: 0808 808 9000 (freephone) www.rnid.org.uk

For impartial, confidential advice and support on autism for anyone affected by, or researching autism.

Tel: 0808 800 4104 www.autism.org.uk

Epilepsy Action aims to improve the lives and promote the interests of people living with Epilepsy.

Tel: 0808 800 5050 www.epilepsy.org.uk

Supporting people with sight loss Tel: 0303 123 9999

www.rnib.org.uk

Mencap is a UK charity for people with a learning disability.

We support their families and carers.

Tel: 0808 808 1111

www.mencap.org.uk

Helping People with Down's Syndrome to live a full and rewarding life.

Tel: 0333 1212 300 www.downs-syndrome.org.uk 52

DCS Fylde Outstanding Complex Care at Home Don’t let complex care needs prevent you from living in your own home If you require specialist care and support, DCS Fylde delivers a complex care service to help you with your short-term or long-term needs.

Every care package we provide is unique, which is why we ensure our highly skilled Care Practitioners are trained to meet your individual needs.

From one visit a week, to ďŹ ve visits a day, we offer a wide-range of care and support services.

24 hour care and overnight care services also available.

If you have any questions or would like more information, we'd be happy to help.

01253 732303

www.dcsfylde.co.uk

DCS Fyld CQC o e Limited verall rating

Good

10th Jun

e 2016

Providing Outstanding Care at Home in Lytham St Annes, Warton, Freckleton, Kirkham, Wesham & Clifton