Healthwatch Bolton 2017

YOUR FREE GUIDE TO HEALTH & SOCIAL CARE

Please take one ...

ISSUE 3

Bolton

Health & Social Care Signposting Directory

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

www.healthwatchbolton.co.uk

Bolton

Warm Friendly Caring Bolton's new adult social care company, Bolton Cares, is now the largest provider of adult social care services in the area.

Bolton Cares is a not-for-profit company that is owned by Bolton Council and accountable to local people. The Company provides a wide range of high quality care and support to help local people live better lives. Our Services include: • Day care for older adults, adults with a disability and those with more complex needs • Supported living services to help people with learing disabilities and mental health problems live indepedently • Short break care • Extra care housing services • A shared lives service

Contents Healthwatch Bolton - Get Involved

1-2

Our Work - How we make a difference

3-4

A - Z Social Care Jargon

5 - 10

Local Contacts Bolton

11 - 12

GPs & GP Surgeries in Bolton

13 - 14

Pharmacies in Bolton

15 - 16

Dentists & Opticians in Bolton

17 - 18

Informations or Families - Bolton Council

19 - 20

Adults Social Care Matters - Bolton Council

21 - 22

Safety Advice to Help Independent Living - Bolton Council

23 - 24

Support for Carers - Bolton Council

25 - 26

Learning Disabilities - NHS Annual Health Check

27 - 28

Ambition for Ageing Update

29

Creating Dementia Friendly Communities - Bolton Council

31

NHS Continuing Healthcare Funding

32

Understanding Personal Budgets

33 - 34

Putting Your Affairs in Order

35 - 36

Choosing the Right Home Care Agency

37 - 38

Care in Your Own Home in Bolton

39 - 40

Choosing the Right Care Home

41 - 42

Residential Homes in Bolton

43 - 44

Nursing Homes in Bolton Useful Numbers for Support in Bolton

45 47 - 48

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

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 Healthwatch Bolton nor Healthcare Publications can be held responsible for any errors or omissions.

All signposting services are up to date as of February 2017.

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 Healthwatch Bolton 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

Healthwatch Bolton Information and Signposting Service

We are commited to improving experience of local health and care services.

Healthwatch Bolton also runs an information and advice service. People can contact us for clear, straightforward, up to date information and independent advice about health and social care services.

For example: • What local services are available to support you • How to register with a GP • Advice on costs of NHS dentistry

What is Healthwatch Bolton?

Healthwatch is the independent consumer champion for health and social care in Bolton. Our job is to represent the interests of all Bolton residents who use health and social care services.

Healthwatch Bolton brings together public engagement, community research and health and social care advice services together. We create evidence and insight and represent patients interests at a wide variety of forums.

Healthwatch Bolton is a registered charity no: 1157070

What powers does Healthwatch have?

• Healthwatch Bolton has a seat on the local Health and Wellbeing Board – the body that oversees health and social care in the country – and therefore can influence how services are set up and commissioned.

• We have statutory powers to enter and view health and social care services using our trained volunteers who undertake the role of Authorised visitor.

• How to get an assessment for a care package • What to do if you get a letter that you don’t understand • How to get a referral for treatment • How to make a complaint We do not investigate individual complaints but can advise you how to raise your issue with services either formally or informally.

Have Your Say Supporting and encouraging you to ‘have your say’ and ensuring that every voice counts are fundamental to the work of Healthwatch Bolton.

We strive to ensure your views are put in front of decision makers and your ideas about how to improve services are listened to and acted on.

We’re here, so come and talk to us. By sharing your experiences we can make your voice count.

What does Healthwatch Bolton do?

• Gathers the views and experiences of people within Bolton, about their health and social care priorities • Will produce reports which influence the way services are designed and delivered throughout Bolton • Provides information, advice and signposting about local services • Passes information, issues and concerns to health and social care regulatory bodies and escalate recommendations to Healthwatch England.

Healthwatch Bolton wants to hear from you, you can ...

Attend one of our events Post a comment on our website: www.healthwatchbolton.co.uk Follow us on Twitter: @HWBolton Like us on Facebook at: Healthwatch Bolton Contact us by telephone: 01204 394603

What matters is making your voice count and your local health and social care services are guided and shaped by your feedback.

1

Get Involved Have your say ...

Giving feedback takes minutes, but the impact could last a lifetime.

Healthwatch Bolton would like to know what health and social care issues are important to you, your family and friends.

Tell us what you would like Healthwatch Bolton to do for you: 1. Are you happy with the Health and Social Care you are receiving?

2. Do you have a relative or friend living in a care home?

Are you/they happy with the care they receive? Please tell us of your positive or negative experiences.

3. Can you get an appointment with your GP (doctor) when you need to?

4. Have you had to stay in hospital recently, if so, what was it like?

5. Do you or a relative suffer from a long-term illness: are you/they happy with the help and support you/they receive?

6. Do you know what services are available and how to choose the right one, when you need urgent care?

Your feedback is important, this helps us to represent your views and decide where to concentrate our engagement and research activities.

Frequently Asked Questions Healthwatch Bolton is the local consumer champion for health and social care. Here are just some of your frequently asked questions, to see more please visit our website: www.healthwatchbolton.co.uk Is Healthwatch Bolton part of the NHS? No each local Healthwatch is part of its local community and works in partnership with other local organisations.

What is Healthwatch Bolton and Healthwatch England?

Healthwatch Bolton is a local independent champion for consumers and users of health and social care in England.

Healthwatch England provides leadership, support and advice to the wider Healthwatch network which is made up of 152 local Healthwatch organisations of which Healthwatch Bolton is one.

Healthwatch Bolton has powers to ensure the consumers’ voice is heard by those who make the decisions. We tell NHS commissioners, NHS providers, and local authorities in England about our findings.

Healthwatch England and Healthwatch Bolton can also ask the health and social care regulator, the Care Quality Commission, to take action when we have special concerns.

What does Healthwatch Bolton do?

Healthwatch Bolton gathers evidence to identify national consumer trends and issues in health and social care. It uses this evidence to influence national and local policy.

Why was Healthwatch England and Healthwatch Bolton set up?

Healthwatch was set up to make sure the views and experiences of consumers across the country are heard clearly by those who plan and run health and social care services.

By making sure the consumer’s voice is heard we can help make services better.

What power does Healthwatch have to improve poor practice?

Healthwatch does not have direct power to change practice. The organisation gathers and presents evidence of shortfalls and issues in health and social care services to regulators, other arms-length bodies, and government departments. They are obliged to respond to us and we will always make that response public.

By law the organisations who plan, run and regulate health and social care services have to listen to what we have to say. When we’re made aware of failing services, we will report them to key national organisations, including the Care Quality Commission and central government. They must submit a public response to our concerns.

2

Our work - how we make a difference Healthwatch Bolton has been involved in numerous pieces of work across the health and social care economy.

Our job has been to find out what really matters to you about your local health and care services.

We base all our work on the views and feedback that you give us directly.

We have thousands of comments about experiences of health and care in Bolton and we use your comments to further our research and to provide valuable service user feedback to the people making the decisions about your health and care services.

Some examples of our work are as follows:

Providing evidence for Care Quality Commission (CQC) Inspections Whenever there is to be a major inspection in Bolton for example for the Bolton hospital NHS Foundation Trust, we ask you for your views about the services provided and your experiences. We then directly feed this information back to the CQC so they can tailor their inspection to the areas of most concern.

Home Care Services We collected your views and experiences of home care services in Bolton. This work highlighted a number of concerns and issues; you told us that sometimes home care services are not always working very well for people and we wanted to ensure that the Local Authority were aware of your concerns. We produced a report from this work and this was shared widely with the Local Authority and care providers.

Bolton Local Authority were in the final stages of retendering Home Care provision and we wanted to bring some service user experience to inform this process, in particular the quality monitoring and incentives processes which we understand to be integral to the newly tendered service framework.

You have the right to be involved in decisions that affect your life and those affecting services in your local community.

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We are aware that there is interest at both local and Greater Manchester levels in a complete overhaul/ transformation of home care services. Therefore this report will provide food for thought in any deliberations on this subject as well as act as a spring board to wider service user engagement.

Mens’ Health and Wellbeing We wanted to find out what men felt about their health and care and their interactions with health and care services.

We spoke to men from a variety of different backgrounds and ages and asked whether or not their health and care needs were being met, whether they felt listened to, living a healthy life and what makes them happy.

The report provides valuable information and service user feedback for various health and care services to be mindful of.

Working with Young People We visited a school in Bolton and asked classes of Year 7 pupils about their thoughts on their emotional wellbeing.

The good emotional health and wellbeing of children and young people is vital both to children and young people themselves and society as a whole. Being emotionally healthy is an important end in itself but also linked to a range of positive outcomes later on in life.

The early identification of children suffering with poor emotional wellbeing is vital to ensure that they receive the appropriate help as soon as possible. Our work with these young people has fed into the Child and Adolescent Mental Health Service (CAMHS) service redesign work in Bolton.

All these reports and many others are available on our website: www.healthwatchbolton.co.uk/reports

You have the right to choose from a range of high quality services, products and providers within health and social care.

Greater Manchester Devolution and Greater Manchester Health and Social Care Partnership Healthy Lifestyles – Taking Charge We have worked closely with our colleagues at Bolton CVS to undertake some engagement work looking at what keeps people healthy in Bolton. This engagement work directly feeds into the work being done across Greater Manchester to help shape heath and care services under the devolution agenda.

• We continue to monitor and play a part in the developments around devolution across Greater Manchester.

We now have a Greater Manchester Healthwatch Liaison office based in Manchester.

The Liaison office is the primary link between the Greater Manchester Health and Social Care Partnership and Greater Manchester Healthwatch Network, championing the voice of patients, service users, carers and the public in the Greater Manchester Health and Social Care Partnership – particularly promoting engagement with ‘seldom heard’ groups.

It will also advise the Greater Manchester Health and Social Care Partnership communications and engagement function, drawing on the experience of local Healthwatch organisations and their knowledge of local communities.

Our volunteers help us with everything from being Trustees to helping with our engagement work.

We've spent many hours listening to your views and collecting comments from our public forums and events.

We provide straightforward and up-to-date information regarding your rights and choices in health and social care.

We've visited care homes in the Bolton area, looking at what it feels like to live there.

We’ve helped local people with enquiries, signposting them and giving information.

You have the right to live in an environment that promotes positive health and wellbeing.

Our reports have tackled issues such as home care and pharmacy services.

4

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

Acute Care

Autistic Spectrum Disorder

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.

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 Placement Scheme 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.

Barred List

Adult Social Care

Behaviour Disorders

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.

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.

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.

Assisted Living 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.

5

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.

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 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.

Care Quality Commission (CQC)

Clinical Commissioning Group (CCG)

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.

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.

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.

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

Cognitive Behavioural Therapy 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.

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.

Putting YOU at the Heart of our Care Dignity in Life is a national social care non-profit organisation, which provides personal care and support to thousands of people in need

/Dignity In Life

T. 01204 275 013 • www.dignitlyinlife.org

Email us: info@dignity-in-life.co.uk Dignity in Life Foundation | All Souls | Astley Street | Bolton | BL1 8EY 6

A-Z Social Care Jargon Buster Court of Protection

Disabled Facilities Grant (DFG)

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.

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.

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.

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.

Delayed Discharge 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.

Deprivation of Assets 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.

Deprivation of Liberty Safeguards 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.

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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.

Disclosure & Barring Service (DBS) 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.

Eligible Care and Support Needs 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.

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.

Health and Wellbeing Board

Mental Capacity Act

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.

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.

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.

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

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.

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.

Intermediate Care

Neglect

Integrated 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.

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.

Joint Assessment

Occupational Therapist

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.

Long-term Condition 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.

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.

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A-Z Social Care Jargon Buster Palliative Care

Rights

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.

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.

Personal Assistant

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.

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.

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.

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.

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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.

Substance Misuse

Virtual Budget

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.

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.

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.

Brightening Lives Building Futures

Adults & Children's Short Breaks Domiciliary Care & Adult Services Therapeutic Health & Wellbeing Services Birtenshaw School Birtenshaw College Children's Homes

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.

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

Birtenshaw is a charity established in 1956 that provides a unique range of services for disabled people.

Our vision is to 'Brighten Lives and Build Futures' in Bolton, across the North West and beyond.

If you have any questions or would like to know more, please get in touch.

Tel: 01204 304 230 E: enquiries@birtenshaw.org.uk

Birtenshaw Head Office | Darwen Road | Bolton | BL7 9AB

www.birtenshaw.org.uk 10

Hospital Services The Accident and Emergency (A&E) department or Emergency Department at hospital is for major, life-threatening illnesses and injuries.

Major A&E departments offer access 24 hours a day, 365 days a year, although not every hospital has an A&E department.

A&E departments assess and treat patients with serious injuries or illnesses.

Generally, you should visit A&E or call 999 for lifethreatening emergencies, such as: • Loss of consciousness • Acute confused state and fits that are not stopping • Persistent, severe chest pain • Breathing difficulties • Severe bleeding that cannot be stopped If you require emergency treatment call 999 or visit the emergency department immediately at: Royal Bolton Hospital Minerva Road, Farnworth, Bolton BL4 0JR Tel: 01204 390300 Main reception for Adult Emergency Department Tel: 01204 390415 Main reception for Children’s Emergency Department Beaumont Hospital Chorley New Road, Lostock, Bolton BL6 4LA BMI The Beaumont Hospital NHS funded patients, and patients who wish to pay for their own treatment.

Chorley New Road, Lostock, Bolton BL6 4LA Tel: 01204 404404 www.bmihealthcare.co.uk Bolton Hospice Providing specialist care and support for the people of Bolton who have life-limiting illnesses, and their families.

Queens Park Street, Off Chorley New Road, Bolton BL1 4QT Tel: 01204 663 066 www.boltonhospice.org.uk

11

Community Based Mental health services If you feel that you may have a mental health issue the first point of contact should be your GP. They will then refer you to the relevant service for your needs.

Mental Health Independent Support Team (MhIST) Hanover House, Hanover Street, Bolton BL1 4TG Tel: 01204 527200 E-mail: info@mhist.co.uk www.mhist.co.uk The Sanctuary Providing 24hr support to adults who are experiencing anxiety, panic attacks, depression, suicidal thoughts or are in crisis. 8pm to 6am Tel: 0300 303 0581 www.selfhelpservices.org.uk/the-sanctuary/ Bolton Child and Adolescent Mental Health Services (CAMHS) Help for children and young people, usually between the ages of 5 and 18 who live in Bolton.

Tel: 01204 390659 The Bolton Mental Health A to Z Directory www.boltonmentalhealth.org.uk

Sexual health services Our sexual and reproductive health service provides diagnosis and treatment of sexually transmitted infections and complications including HIV. Bolton Centre for Sexual and Reproductive Health Royal Bolton Hospital, Minerva Rd, Bolton BL4 0JR Tel: 01204 390771 Monday - Friday the walk-in clinic is available from 9am - 11.30am. Doors open for registration at 8:30am but patients will be seen from 9am.

Help with alcohol and drug problems Bolton has a number of services which help support individuals experiencing problems as a result of their drug and/or alcohol use. Family members and friends of people who use drugs and/or alcohol can also receive support, either in their own right or alongside the support offered to their loved one.

Bolton Integrated Drug & Alcohol Services (BiDAS) 69-73 Manchester Road, Bolton BL2 1ES Tel: 01204 557977 Email: info@boltondrinkanddrugs.org Website: www.boltondrinkanddrugs.org

Raising a Concern

Help or Advice

Domestic Violence

Citizens Advice Bolton

Domestic violence can happen to a man or a woman and can be physical, sexual, psychological or financial abuse. If you are in immediate danger, phone 999, or get someone else to phone. If the situation is not an emergency, but you still need the police, call 101.

Phone the National Domestic Violence Helpline 24 hours a day on 0808 2000 247 Childline - For children in trouble or danger.

Tel: 0800 1111 (24 hours) Victim and Witness Support Tel: 01204 399736 (10am-4pm, Monday-Friday) Women’s Domestic Violence Helpline (Manchester) Tel: 0161 736 7525 (10am-4pm, Monday-Friday)

The Bolton Citizens Advice Bureau (CAB) provides free, confidential, impartial and independent advice and information.

Tel: 0300 330 1153 Monday to Friday 10am – 4pm (Calls charged at local rate) www.boltoncab.co.uk

Safeguarding Adults If you are concerned that an adult at risk is, or could be, being abused contact the local authority and tell them you have a safeguarding concern.

Bolton Council Helpline: 01204 333333 Email: safeguardingadults@bolton.gov.uk Any urgent/emergency concern outside of the above hours contact Out of Hours Duty Team.

Tel: 01204 337777

Safeguarding Children Board Bolton Safeguarding Children Board (BSCB) is the partnership responsible for making sure that children and young people in Bolton are safe.

Tel: 01204 337479 Email: boltonsafeguardingchildren@bolton. gov.uk www.boltonsafeguardingchildren.org.uk

Anti-social Behaviour

Bolton's Money Skills Service Provides free information, money guidance and training to give people the money skills, knowledge and confidence to help them take control of their finances and improve their money management skills.

For Money Advice and Debt Guidance Tel: 01204 33 2916 For Money Skills Group Training Sessions Tel: 01204 33 1968 www.boltonsmoneyskills.org.uk

Bolton Trading Standards

Bolton Trading Standards are at the front line of consumer and business protection.

Consumer Advice Centre: Tel: 01204 336593 Email: trading.standards@bolton.gov.uk www.uktradingstandards.co.uk/boltontrading-standards/

Housing Ombudsman Service Independent service to deal with disputes between landlords and tenants in England.

Tel: 0300 111 3000 (Open Monday to Friday from 9.15am to 5.15pm) Email : info@housing-ombudsman.org.uk www.housing-ombudsman.org.uk

Energy Ombudsman

Bolton Council Community Safety Services Anti-social behaviour includes all sorts of behaviour which might intimidate you or spoil your quality of life.

Tel: 01204 331342 Email: asbreporting@bolton.gov.uk www.bolton.gov.uk

If you have an unresolved complaint about a gas or electricity company, the energy ombudsman can help.

Tel: 0330 440 1624 (Mon to Fri 9am to 5pm, Sat 9am to 1pm) Email: osenquiries@os-energy.org

Bullying & Harassment

National Debtline

If you wish to make a complaint about a child being bullied at school, you should contact the headteacher at the school concerned.

Behaviour Support Service The North Campus, Smithills Dean Road, BL1 6JT Tel: 01204 338133 www.bolton.gov.uk

A debt advice charity, with experts who care. Free help and advice on dealing with your debt.

For free debt advice Tel: 0808 808 4000 (Mon to Fri 9am to 8pm, Sat 9.30am to 1pm) www.nationaldebtline.org

www.ombudsman-services.org

12

GPs & GP Surgeries

13

GPs & GP Surgeries

Dr Loomba Ashburner Street, Bolton BL1 1SQ T. 01204 462660

Astley Dale Surgery Waters Meeting HC, Waters Meet Rd, Bolton BL1 8TU T. 01204 463444

Dr Lyon & Partners Lever Chambers HC, Ashburner Street, Bolton BL1 1SQ T. 01204 462630

Crompton View Surgery Crompton Health Centre, 501 Crompton Way, Bolton BL1 8UP T. 01204 463090

Bolton General Practice Marsden House, Marsden Road, Bolton BL1 2AY T. 01204 521000

Dr Kirby & Partners Crompton Health Centre, 501 Crompton Way, Bolton BL1 8UP T. 01204 463111

Dr Hendy & Dr Rizwan Lindfield Drive, Halliwell, Bolton BL1 3RG T. 01204 523642

Dr A M Zarrouk 65 Bradford Street, Bolton BL2 1HT T. 01204 521061

Drs Jeyam & Jesudas Lindfield Drive, Halliwell, Bolton BL1 3RG T. 01204 523813

Tonge Moor Health Centre Thicketford Road, Bolton BL2 2LW T. 01204 462500

Drs Uddin, Anwar & Munawar Halliwell Surgery, Lindfield Drive, Halliwell, Bolton BL1 3RG T. 01204 523716

Harwood Medical Centre Hough Fold Way, Bolton BL2 3HQ T. 01204 300033

Drs Karim & James-Authe 44-46 Wyresdale Road, Heaton, Bolton BL1 4DN T. 01204 494133

Dr Lowe & Partners Tonge Fold Health Centre, Hilton Street, Bolton BL2 6DY T. 01204 521574

Dalefield Surgery Avondale Health Centre, Avondale Street, Bolton BL1 4JP T. 01204 462880

Alastair Ross Medical Practice Breightmet HC, Breightmet Fold Lane, Bolton BL2 6NT T. 01204 463800

Heaton Medical Centre 2 Lucy Street, Bolton BL1 5PU T. 01204 843677

Dr T Lynch & Partners Breightmet HC, Breightmet Fold Lane, Bolton BL2 6NT T. 01204 463777

Spring House Surgery 555 Chorley Old Road, Bolton BL1 6AF T. 01204 848411

Dr A Shri-Kant & Partner Spring View MC, Mytham Road, Little Lever, Bolton BL3 1HQ T. 01204 578128

Cornerstone Surgery 469-471 Chorley Old Road, Bolton BL1 6AH T. 01204 325125

Little Lever Surgery Little Lever Health Centre, Mytham Road, Bolton BL3 1JF T. 01204 463444

Mandalay Medical Centre 933 Blackburn Road, Bolton BL1 7LR T. 01204 309206

Drs S & M Parikh & Dr C Hallikeri Mytham Road, Little Lever, Bolton BL3 1JF T. 01204 462640

Drs Karim & James-Authe 575-577 Halliwell Road, Bolton BL1 8BZ T. 01204 841154

Dr P K Jain & Dr T Subramanian Little Lever HC, Mytham Road, Little Lever, Bolton BL3 1JF T. 01204 462988

Burnside Surgery Waters Meeting Road, Bolton BL1 8TT T. 01204 462930

Southbrook Surgery Southbrook Grove, Walker Avenue, Bolton BL3 2DN T. 01204 363600

Dr N Sidda Waters Meeting Road, Bolton BL1 8TT T. 01204 462966

Dr SMH Naqvi 46 Greenland Road, Bolton BL3 2EG T. 01204 383052

GPs & GP Surgeries

GPs & GP Surgeries

Beehive Surgery 108 Crescent Road, Great Lever, Bolton BL3 2JR T. 01204 550100

Dr Loomba Rupert Street, Bolton BL3 6RN T. 01204 521552

Shanti Medical Centre 160 St Helens Road, Bolton BL3 3PH T. 01204 665354

Dr Newgrosh Great Lever One, Great Lever HC, Rupert St, Bolton BL3 6RN T. 01204 526955

Dr Kumar 279-283 St Helens Road, Bolton BL3 3QB T. 01204 62233

Swan Lane Medical Centre Swan Lane, Bolton BL3 6TL T. 01204 661600

Garnet Fold Practice 374-376 St Helens Road, Bolton BL3 3RR T. 01204 665588

Dr Silvert and Partners 235 Highfield Road, Farnworth, Bolton BL4 0NX T. 01204 573445

Dr Selvarajan Deane Clinic, One Stop HC, Horsfield Street, Bolton BL3 4LU T. 01204 64089

Dr Wall & Partners Kearsley MC, Jackson Street, Kearsley, Bolton BL4 8EP T. 01204 462200

Ladybridge Surgery Bolton Community Practice, 10-12 Broadgate, Bolton BL3 4PZ T. 01204 463444

Dr Agarwal & Partners Farnworth HC, Frederick Street, Farnworth, Bolton BL4 9AH T. 01204 795170

Deane Surgery 155-157 Deane Road, Bolton BL3 5AH T. 01204 525526

Dr Barua Frederick Street, Farnworth, Bolton BL4 9AH T. 01204 463100

3D Medical Centre 200 Deane Road, Bolton BL3 5DP T. 01204 463246

Stonehill Medical Centre Piggott Street, Farnworth, Bolton BL4 9QZ T. 01204 573445

Dr Dakshina-Murthi Pikes Lane Centre, Deane Road, Deane, Bolton BL3 5HP T. 01204 463646

Dr Liversedge & Partners Darwen Road, Bromley Cross, Bolton BL7 9RG T. 01204 463232

Al-Fal Medical Group Deane Road, Bolton BL3 5HP T. 01204 463330

The Surgery, Egerton / Dunscar Darwen Road, Bromley Cross, Bolton BL7 9RG T. 01204 462233

Dr Counsell and Partners The Pikes Lane Centre, 226-244 Deane Rd, Bolton BL3 5HP T. 01204 463636

GP Out of Hours - Bolton

The Olive Family Practice The Pikes Lane Centre, Deane Rd, Bolton BL3 5HP T. 01204 462299 Orient House Medical Centre 216 Wigan Road, Bolton BL3 5QE T. 01204 462198 Bolton Medical Centre 21 Rupert Street, Great Lever, Bolton BL3 6PY T. 01204 463900 Great Lever Practice 21 Rupert Street, Great Lever, Bolton BL3 6PY T. 01204 462390

Bolton GP Out of Hours is a community based service which delivers urgent care that you would normally get from your GP but in the out of hours period when your GP surgery is closed.

The GP out of hours service can be contacted by phoning your own GP surgery and following the instructions on the answering machine, a trained clinician will advise on the appropriate action to take.

The service is operational from 6.30pm - 8.00am Monday to Friday, all weekend from 6.30pm on Fridays until 8.00am Monday and Bank Holidays.

Waters Meeting Health Centre Navigation Park, Waters Meeting Road, Bolton, BL1 8TT

14

Pharmacies Boots 12-15 The Gates, Mealhouse Lane, Bolton BL1 1DF T. 01204 528266 Newport Pharmacy 65 Newport Street, Bolton BL1 1NE T. 01204 521418 Lever Pharmacy Ashburner Street, Bolton BL1 1SQ T. 01204 409669 Boots Market Place Shopping Centre, Market Street, Bolton BL1 2AL T. 01204 524133 Marsden Road Pharmacy Unit 6, Marsden House, Marsden Road, Bolton BL1 2AY T. 01204 520546 Howards Chemist 188-190 Chorley Old Road, Bolton BL1 3BG T. 01204 840925 Halliwell Midnight Pharmacy 34a Halliwell Road, Bolton BL1 3QS T. 01204 548854 Cohen's Chemist Lindfield Drive, Bolton BL1 3RG T. 01204 526852 Landmark Pharmacy 12 Chorley New Road, Bolton BL1 4AP T. 01204 529111 Pharmavon Ltd Avondale Street, Bolton BL1 4JP T. 01204 843140 Kamsons Pharmacy 2 Lucy Street, Heaton, Bolton BL1 5PU T. 01204 840583 Mossbank Pharmacy 833 Moss Bank Way, Bolton BL1 5SN T. 01204 848888 Noble & Peacock 556 Chorley Old Road, Bolton BL1 6AB T. 01204 843088 Lee's Pharmacy 133 Bennetts Lane, Bolton BL1 6JE T. 01204 841369 Lloyds Pharmacy 576-578 Blackburn Road, Bolton BL1 7AL T. 01204 301049 Haslam's Pharmacy 432 Halliwell Road, Bolton BL1 8AN T. 01204 840979 Asda Stores Ltd Moss Bank Way, Bolton BL1 8QG T. 01204 602010 Cohens Chemist Waters Meeting Road, Bolton BL1 8SW T. 01204 523148 Cohens Chemist Crompton Way, Bolton BL1 8UP T. 01204 600730 15

Pharmacies Nash Pharmacy Ltd 63 Castle Street, Bolton BL2 1AD T. 01204 363030 Cohens Chemist 395 Tonge Moor Road, Bolton BL2 2JS T. 1204 594294 Cohens Chemist 49 Thicketford Road, Bolton BL2 2LS T. 01204 386667 Cohens Chemist 8 The Hillock, Harwood, Bolton BL2 3HP T. 01204 302694 Harwood Pharmacy Hough Fold Way, Harwood, Bolton BL2 3HQ T. 01204 304433 www.Pharmaease.com 1st Floor, 145 Lea Gate, Bolton BL2 4BQ T. 01204 305453 Cohens Chemist 31 Kentmere Road, Breightmet, Bolton BL2 5JG T. 01204 375455 Frank Gatley Ltd 24 Tonge Old Road , Bolton BL2 6BH T. 01204 533937 Cohens Chemist Breightmet Fold Lane, Bolton BL2 6NT T. 01204 388710 Maxwell's Chemist 830 Bury Road, Bolton BL2 6PA T. 1204 526828 Cohens Chemist 1 Market Street, Little Lever, Bolton BL3 1HH T. 01204 575189 Cohens Chemist Mytham Road, Little Lever, Bolton BL3 1HQ T. 01204 577547 Well 118 High Street, Little Lever, Bolton BL3 1LR T. 01204 578202 A1 Pharmacy 491 Radcliffe Road, Darcy Lever, Bolton BL3 1SX T. 01204 363400 Lloyds Pharmacy 281 Rishton Lane, Great Leaver, Bolton BL3 2EH T. 01204 522997 Cohens Chemist 171 Crescent Road, Great Lever, Bolton BL3 2JS T. 01204 524739 Asda Pharmacy Manchester Road, Bolton BL3 2QS T. 01204 374710 Asif Iqbal Pharmacy Ltd 70 St Helens Road, Bolton BL3 3NP T. 01204 62289 Shanti Pharmacy 160 St Helens Road, Bolton BL3 3PH T. 01204 63303

Pharmacies Sykes Chemist 328 St.Helens Road, Bolton BL3 3RP T. 01204 61677 Deane Pharmacy Horsefield Street, Deane, Bolton BL3 4LU T. 01204 662151 Ladybridge Pharmacy 6 Broadgate, Ladybridge, Bolton BL3 4PZ T. 01204 61888 Ukpharmacylive.Co.Uk 150 Deane Road, Bolton BL3 5DL T. 0845 2452450 S & S Dispensing Chemist 226 Deane Road, Bolton BL3 5DP T. 01204 396707 Lloyds Pharmacy Resource Centre, Deane Road, Bolton BL3 5HP T. 01204 528283 Boots 311 Wigan Road, Bolton BL3 5QU T. 01204 62458 Sainsbury's Pharmacy Trinity Street, Bolton BL3 6DH T. 01204 394780 Boots Trinity St, Bolton BL3 6DH T. 01204 523689 Rigbys Chemist 284 Derby Street, Bolton BL3 6LF T. 01204 525642 Derby Street Pharmacy 317-319 Derby Street, Bolton BL3 6LH T. 01204 392222 Lloyds Pharmacy Rupert Street, Great Lever, Bolton BL3 6RN T. 01204 398089 Highfield Pharmacy 241 Highfield Road, Farnworth Bolton BL4 0NX T. 01204 573375 Manor Pharmacy 28-30 Egerton Street, Farnworth, Bolton BL4 7LE T. 1204 572005 Well Farnworth Frederick Street, Farnworth, Bolton BL4 9AH T. 01204 793488 Cohens Chemist 193-195 Bolton Road, Kearsley, Bolton BL4 9BX T. 01204 573557 Market Pharmacy 34 Brackley Street, Farnworth, Bolton BL4 9DR T. 01204 571124 Asda Pharmacy Brackley Street, Farnworth, Bolton BL4 9DT T. 01204 709809 Tesco Instore Pharmacy Long Causeway, Farnworth, Bolton BL4 9LS T. 0345 6757267

Pharmacies Stonehill Pharmacy Piggott Street, Farnworth, Bolton BL4 9QJ T. 01204 791972 Newbrook Pharmacy 56 Newbrook Road, Over Hulton, Bolton BL5 1ER T. 01204 656798 Manor Pharmacy 9 Hindley Road, Westhoughton, Bolton BL5 2JU T. 01942 843748 Rowlands Pharmacy 44 Market Street, Westhoughton, Bolton BL5 3AN T. 01942 812182 Rigby & Higginson Pharmacy 140 Church Street, Westhoughton, Bolton BL5 3SX T. 01942 813104 Rowlands Pharmacy Captain Lees Road, Westhoughton, Bolton BL5 3UB T. 01942 840979 Cohens Direct Lynstock Way, Bolton BL6 4SA T. 01204 473120 Wa Salter (Chemists) Ltd 28 Blackhorse Street, Blackrod, Bolton BL6 5EW T. 01204 468143 Rowlands Pharmacy 228 Chorley New Road, Horwich, Bolton BL6 5NP T. 01204 697221 Kildonan Pharmacy Kildonan House, Ramsbottom Rd, Horwich, Bolton BL6 5NW T. 01204 460011 Ashton's Pharmacy Unit 14D Blackrod Ind Est, Scot Ln, Blackrod, Bolton BL6 5SL T. 01204 292091 Asda Pharmacy Middlebrook R/Park, The Linkway, Hornwich, Bolton BL6 6JA T. 01204 699337 Boots Middlebrook Drive, Lostock, Bolton BL6 6JA T. 01204 469831 Tesco Stores Limited Mansell Way, Horwich, Bolton BL6 6JS T. 0345 6779372 Hootons Pharmacy 119 Lee Lane, Horwich, Bolton BL6 7AR T. 01204 697390 Rowlands Pharmacy 51-53 Lee Lane, Horwich, Bolton BL6 7AX T. 01204 468296 Geloo Brothers Ltd 365 Bolton Road, Edgworth, Bolton BL7 0AZ T. 01204 852011 Cohens Chemist Darwen Road, Bolton BL7 9RG T. 01204 302137

16

Dentists Silverwell Dental Practice Ltd. 18 Silverwell Street, Bolton BL1 1PP T. 01204 387122

Synergy Dental Clinic 48 Higher Swan Lane, Bolton BL3 3AT T. 01204 657513

Emergency Dental Service Ashburner Street, Bolton BL1 1SQ T. 01204 463222

Mr A.M. Entwistle and Associates 272 St Helens Road, Bolton BL3 3PZ T. 01204 61935

The Smile Clinic Marsden House, Marsden Road, Bolton BL1 2JT T. 01204 398393

Ravat and Ray Dental Care Rumworth House, 512 Wigan Rd, Deane, Bolton BL3 4QW T. 01204 850285

Mr R A Heywood & Associate 6 Vernon Street, Bolton BL1 2PP T. 01204 527769

Ravat and Ray Dental Care Bolton One, Moor Ln, Bolton BL3 5BN T. 01204 521523

Oasis Dental Care 40 Chorley New Road, Bolton BL1 4AP T. 01204 521734

Freshdental 48 Wigan Road, Bolton BL3 5PZ T. 01204 64028

Oasis Dental Care Bolton 530 Chorley New Road, Bolton, BL1 6AB T. 01204 843196

Haslam Park Dental Practice 208 Wigan Road, Bolton BL3 5QE T. 01204 654141

Sharples Dental Practice 757 Blackburn Road, Sharples, Bolton BL1 7JJ T. 01204 306010

Derby Street Dentist Ltd 288 Derby Street, Bolton BL3 6LF T. 01204 366954

Mr A G Bennison & Associates 403/405 Halliwell Road, Bolton BL1 8DE T. 01204 491946

Highfield Dental Practice Ltd 38-40 Highfield Road, Farnworth, Bolton BL4 0AD T. 01204 705363

Synergy Dental Clinic 274 Blackburn Road, Bolton BL1 8DT T. 01204 522090

Mr A D Read & Mr J D Read 20 Bolton Road, Farnworth, Bolton BL4 7JW T. 01204 573100

Mr D M Harper & Associates 32 Bradford Street, Bolton BL2 1JJ T. 01204 521140

Kearsley Dental Care 25 Bolton Road, Kearsley, Bolton BL4 8DB T. 01204 573573

Mydentist 513 Tonge Moor Road, Bolton BL2 3BG T. 01204 596500

Daylesford & Associates Ltd. 1 Bolton Road, Bolton BL4 8DB T. 01204 707773

Harwood Dental Care 21 Longsight, Bolton BL2 3HS T. 01204 304568

Mydentist 53 Park Road, Westhoughton, Bolton BL5 3BX T. 01942 812239

372 Dental 372 Bury Road, Bolton BL2 6DD T. 01204 522581

Mydentist 60 Church Street, Westhoughton, Bolton BL5 3RS T. 01942 815769

794 Bury Road Ltd. 794 Bury Road, Bolton BL2 6PA T. 01204 524046

The Smile Clinic 37 Victoria Road, Horwich, Bolton BL6 5ND T. 01204 468019

The Dental Care Centre 75 Market Street, Little Lever, Bolton BL3 1HH T. 01204 796795

Mr AJ Highton & Mr SJ Bate 19-21 Winter Hey Lane, Horwich, Bolton BL6 7AD T. 01204 468210

Little Lever Dental Practice 100 High Street, Little Lever, Bolton BL3 1LR T. 01204 574908

Bromley Cross Dental Practice 227-229 Darwen Road, Bromley Cross, Bolton BL7 9BS T. 01204 308488

Bolton Orthodontic Centre 464 Manchester Road, Bolton BL3 2NU T. 01204 382242 17

Dentists

Opticians One Vision Opticians 22 Mealhouse Lane, Bolton BL1 1DD T. 01204 384305 Boots The Gates, Meal House , Bolton BL1 1DF T. 01204 363555 Eyewear Brands 15 Deansgate, Bolton BL1 1HH T. 01204 520055 Bolton Eye Clinic Morrisons, Blackhorse Street, Bolton BL1 1PQ T. 01204 772550 Specsavers Opticians 27 - 29 Victoria Square, Bolton BL1 1RJ T. 01204 521122 The Spectacle Centre Ashburner Street, Bolton BL1 1TQ T. 01204 366003 Vision Express 23-29 Upper Mall, Bolton BL1 2AL T. 01204 532323 Scrivens Opticians & Hearing Care 18 Knowsley Street, Bolton BL1 2AP T. 01204 523531 I & M Eyecare 232 Chorley Old Road, Bolton BL1 3BW T. 01204 849595 Andrew Fletcher Opticians 13 Chorley New Road, Bolton BL1 4QR T. 01204 520921 J Bowden Ltd 552 Chorley Old Road, Bolton BL1 6AB T. 01204 846219 Univision Eye Centre 341 Halliwell Rd, Bolton BL1 8DF T. 01204 849900 The Eye People 179 Blackburn Road, Bolton BL1 8HE T. 01204 557300 I Care at Home 4a Caroline House, 125 Bradshawgate, Bolton BL2 1BJ T. 0800 2461462 The Eyeworks 53 Thicketford Road, Bolton BL2 2LS T. 01204 559056 Greenhalgh Opticians 834 Bury Road, Bolton BL2 6PA T. 01204 370760 J M Bluston Opticians 38 Market Street, Little Lever, Bolton BL3 1HN T. 01204 575441 J W Caldicott 50 St. Helens Road , Bolton BL3 3NH T. 01204 61954 Eyesite Express 22 St Helens Road, Deane, Bolton BL3 3NH T. 01204 650102

Opticians Shanti Eyecare 160 St Helens Rd, Bolton BL3 3PH T. 01204 666213 Deane Clinic Opticians Horsfield Street, Deane, Bolton BL3 4LU T. 01204 64089 Sensory Care 75 Junction Road, Bolton BL3 4NF T. 0161 7279900 Deane Eye Clinic 222 Deane Rd, Deane, Bolton BL3 5DP T. 01204 524785 J E Rainford Ltd 325 Wigan Road, Deane, Bolton BL3 5QH T. 01204 653649 Cloughs Opticians 140 Newport Street, Bolton BL3 6AB T. 01204 523594 Eyezone 378 Derby Street, Bolton BL3 6LS T. 01204 654400 Martin Berry Ltd 116 Market Street, Farnworth , Bolton BL4 9AE T. 01204 572838 Revolution Optical Ltd 26 Higher Market Street, Farnworth, Bolton BL4 9DJ T. 01204 570800 Optical Direct Ltd Brackley Street, Farnworth, Bolton BL4 9DR T. 01204 707470 Spurretts Opticians 21 Brackley Street, Farnworth, Bolton BL4 9DS T. 01204 706971 Spectacle Services Opticians 10 Marsden Street, Westhoughton, Bolton BL5 3AQ T. 01942 843888 Asda Vision Centre The Linkway, Middlebrook, Horwich, Bolton BL6 6HQ T. 01204 676812 Boots The Linkway, Horwich, Bolton BL6 6JA T. 01204 669012 Tesco Opticians Mansell Way, Horwich, Bolton BL6 6JS T. 01204 517638 Justin Kellett Opticians 22 Winter Hey Lane, Horwich , Bolton BL6 7AA T. 01204 691888 D G Optical 33 Lee Lane, Bolton BL6 7AX T. 01204 694901 Bromley Cross Opticians 494 Darwen Rd, Bolton BL7 9DX T. 01204 771818

18

Information for families Bolton Families Information Service provides free information, impartial advice and guidance on a wide range of local and national services for children and young people (aged 0-19) and their families.

We can provide information on ...

• Childminders • Children’s Centres • Disability Services • Early education • Financial help for families • Health issues • Holiday play schemes • Nurseries • Out of school activities • Parent and toddler groups • Play and activities • Pre-school groups/playgroups • Schools • SEND Local offer • Special needs • Sport and leisure activities • Voluntary organisations

Brokerage Service Bolton Families Information Service (FIS) provides a brokerage service to help families who are having difficulty finding a childcare or early education place or who need additional support to access childcare facilities. The brokerage service also supports families of children with disabilities to access short break services e.g. leisure activities.

If you feel your family would benefit from this service please telephone 01204 338756.

Working with Children If you want to become a childminder or set up other registered childcare provision we can provide information on how to register with Ofsted (Office for Standards in Education) and Childminding Agencies.

We can also refer you to Early Years Officers who can assist you with pre-registration advice and support.

Children’s Centres Bolton’s Children’s Centres bring together services for children under five and their families, enabling them to access a range of services and information.

The centres aim to improve outcomes for all children.

They are friendly and supportive places where families can meet professionals and access all the services a young family needs.

For information on services for children, young people and families contact: Bolton Families Information Service One Stop Shop Town Hall, Bolton BL1 1RU Tel: 01204 332170 Email: families@bolton.gov.uk Websites www.bolton.gov.uk/fis www.mylifeinbolton.org.uk Or call into your local Children’s Centre.

Bolton Council welcomes feedback on its services.

Please contact us if you wish to comment.

Bolton Council has a complaints procedure which is available on request.

19

Did you know that your child may be eligible for 15 hours of free childcare a week?

Good quality childcare helps your child learn and can really help your family by: • Providing your child with lots of fun, exciting and challenging activities

Who is eligible?

Some 2 year olds may be eligible if: • You are in receipt of certain benefits • You have an income below £16,190 per year • They have an Education, Health Care Plan (EHC) or Statement of Special Educational Needs (SEN) • They are looked after by the local authority • They attract Disability Living Allowance (DLA)

• Supporting your child’s development

• You receive universal credit

• Allowing your child to build relationships with other children and adults

All 3 and 4 year olds are entitled to a free early education place.

• Preparing your child for school

What do I need to do?

• Giving you the time to spend with younger children, to get back in to work or to go to college

For more information on free childcare places, to find out whether you are eligible, or to find out about local childcare providers:

• Having opportunities to meet other parents and families

• Visit your local children’s centre

How much time can my child have free?

• Up to 15 hours each week • 38 weeks a year in school term times only or • Up to a maximum of 570 hours spread over more weeks of the year; for example 11.4 hours for 50 weeks You will need to check with your chosen provider what flexibility they are able to offer.

• Visit your chosen childcare provider For 2 year old funding you will need to provide some information for an eligibility check.

For 3 and 4 year old places parents just need to visit their chosen provider to register.

For more information: Email: families@bolton.gov.uk Tel: 01204 332170 Online: www.bolton.gov.uk/freechildcare

This place should be completely free regardless of how much money a family has, whether they work or how much they earn.

Where are free places available?

The free places are only available in school nurseries and settings that are registered by Ofsted and included in Children’s Services’ list of eligible providers.

There are various locations a child can attend to access their free place.

These are often called ‘settings’ or ‘childcare providers’ and include: • Playgroups/preschools • Private day nurseries • Local Education Authority (LEA) nursery classes or nursery schools • Independent schools • Childminders who are approved to provide free entitlement.

www.bolton.gov.uk 20

Adult Social Care Matters We want you to have a good experience of our services and be happy to recommend them to your friends and family. Your feedback is a really important way of us making sure that you are receiving the support that you need.

You don’t have to wait to receive an Adult Social Care or Carers Survey to tell us what you think!

Tell us what you think ...

Why not tell us about your experience and help us improve what we do so we can provide you and others with a better service.

You can leave feedback about any of our services by: • Giving feedback to any of our team members • Filling in a user satisfaction survey or comment card that our teams give out throughout the year • Completing the “Tell us what you think?” leaflet Completing an online form at www.bolton.gov.uk • Writing to us:

We will: • Listen to what you have to say • Learn from what you have told us • Improve our service as a result To help us deliver outstanding services, please tell us what you think - whether it is a compliment, comment or complaint.

Each year local authorities carry out the Adult Social Care Survey.

People who receive certain services from the Council are randomly selected to receive a survey which we use to manage local services, and which the Government use as a measure of how well we are performing.

The survey looks at different elements of adult social care including your overall satisfaction with services, how safe the services have made people feel and whether enough information and advice was available when needed. Adult Social Care Surveys are usually sent out between January and March.

Quality Assurance and Improvement Team Children’s and Adult Services Bolton Metropolitan Borough Council 1st Floor Town Hall Victoria Square Bolton, BL1 1RU

• Email: the Quality Assurance and Improvement Team via quality@bolton.gov.uk

Need Information or Advice?

We all need information, advice or guidance at some point in our lives.

Having the right information or the right advice can help you take control of your life and make choices to ensure that you, your family, or the person you care for, can live life well and access support when needed.

But knowing where to turn, where you can find the answer to your question and trusting the information found is not always easy.

Accessing good quality information and advice can be the most effective way of reducing, delaying or preventing the need for health and social care services.

Similarly, known carers of adults may also be invited to take part in the Carers Survey, which takes place every two years. This survey asks for your views on the services received by the person you care for, and also on your experience of being a carer.

www.bolton.gov.uk 21

When do people need information and advice?

People often look for information at ‘crisis’ points in their life e.g. when an elderly relative is no longer able to cope at home on their own, when they are due to return to work after maternity leave and can’t afford childcare costs or when a carer needs an urgent short break.

Whilst we know that most people will access information at crisis points, it’s also really important to make sure that information and advice is accessible for anyone who: • is currently accessing some support services but whose needs may change • has had a change in circumstances and is unsure about what they need to do or where they can access support

My Life in Bolton Bolton’s online website offers a virtual one stop shop for all Bolton residents. It brings together details of local services available with information to help you understand eligibility criteria and how to access services.

Simply visit www.mylifeinbolton.org.uk and select one of the relevant tabs or search for the service you’re looking for in the search box.

The site is constantly reviewed and updated to ensure the information is up to date and of good quality.

We’re always looking for feedback so tell us what you think by using the feedback function on the website.

• carries out formal or informal caring duties and may support others to live independently • wants information to plan for their future

"All the local info I need is in one place!"

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Safety Advice to Help Independent Living Advice and support can often help people live independently in their own home. Here are some tips to help keep yourself, and those you care for, safe.

Stay Warm ...

Check Your Home is Safe...

It is important to stay warm and well when it is cold as not doing so can affect your health, especially if you have a long term condition. Here are some top tips to help you when it’s cold.

 Keep a look out - get things fixed that could cause you to get hurt eg. frayed carpets, trailing cables or leaves on your doorstep.

 Use a room thermometer - keep your living room at 21⁰C and other rooms at 18⁰C for a healthy home.  Stock up on tinned and frozen food so that you don’t have to go out too much when it’s cold or icy.  When it’s cold have a least one hot meal a day and plenty of hot drinks.  Check if you are eligible for the winter fuel payment, cold weather payment and/or the warm homes discount.  Look after yourself and check on vulnerable neighbours and make sure they’re safe.  Layer your clothing and wear shoes with a good grip if you need to go outside.  Keep a mixture of sand and shale handy for steps and paths in icy and snowy weather.

 Light up - try to avoid walking around in the dark when you can’t see what is around you.  Floors and stairs - keep walkways clear of clutter, have cables fixed tightly to walls and have hand rails securely fitted to walls. You may also want to consider whether you need non-slip mats under rugs.  Use steps, not chairs - when you need to reach to high shelves or to change a light bulb, or see if someone else can help you.  Pets - think about attaching a bell to your pet’s collar to help you know where they are when you are both moving around.

Think about others who may need help

Help to Prevent Falls...

You may care for family members or speak to a neighbour once in a while, have a think about hazards they may face when undertaking day to day tasks and where you might be able to support them to stay safe – through doing something yourself or finding support for them. Some simple things to think about are:

Taking some simple steps can reduce the chances of falls and help to keep you independent at home.

 How do they get to and from appointments eg eyetests, doctors?

Take care of yourself:

 Is anyone checking for / reducing hazards in and around their home eg sweeping leaves from walk ways?

If you would like any further advice on how to stay warm and well this winter call Bolton Care and Repair on 01204 328178.

 Keep active - this will help to improve your balance. You can find activities in your local area by visiting www.mylifeinbolton.org.uk.  Think about your footwear - shoes and slippers that fit well will help you to stay upright and move around more confidently (avoid high heels, thick soles and sandals).  Talk to your doctor or pharmacist about your medication - if you believe that your medication is affecting your balance.  Eat healthily - foods rich in vitamin D and calcium (like dairy products and canned fish) can help keep your bones strong.  Have ear and eye checks - being able to hear and see what is happening around you can help you to adapt to different situations.

 Are there any tasks that they do which puts them at risk but that you could support? eg. putting their bin out or walking to shops when the ground is wet or icy?

Asking for help ....

Keeping warm and taking steps to prevent falls are really important but it is also important for you to ask for help when you need it.

If you, or people that you look after, need support to live at home, you can contact Access Bolton on 01204 338027 or visit www.mylifeinbolton.org.uk for information on how you can access support or request an assessment.

 Tell your doctor, care worker or family if you have had a fall - to help put things in place to reduce the risk of you having another fall.

www.bolton.gov.uk 23

Do you own your own home?

Are you over 60 or in receipt of PIP? Did you know that we offer a Handyperson scheme to ďŹ x those niggling repairs, to advise on energy saving and to help you maintain your home?

Tel: 01204 328178 or Email: boltoncareandrepair@boltonathome.org.uk

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Support for Carer’s What is a Carer?

A carer is anyone who cares, unpaid, for a friend or family member who due to illness, disability, a mental health problem or an addiction cannot cope without their support.

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.

What is a carer’s assessment, a carer’s personal budget and am I eligible?

A carer’s assessment is a discussion between you and a trained person either from the council or another organisation that the council works with.

The assessment will consider the impact the care and support you provide is having on your own wellbeing, as well as important aspects of the rest of your life, including the things you want to achieve day-to-day.

It must also consider other important issues, such as whether you are able or willing to carry on caring, whether you work or want to work, and whether you want to study or do more socially.

Anyone who is a carer living in Bolton or caring for someone in Bolton is eligible for an assessment even if the person they care for does not have eligible needs.

There is a national eligibility criteria and your carers assessment will help identify if you are eligible.

If you have eligible needs, there will be an amount of money for you to spend to help you meet your goals.

These goals will be agreed as part of a support plan that you will develop with the assessor.

This allocated budget can be taken as a direct payment (cash into your account) or through a commissioned service.

Usually this is taken in the form of a one-off payment but the person undertaking the assessment will discuss this further with you.

The assessment is about your needs and therefore you should: • have a reasonably detailed discussion about all the matters relevant to you • have the assessment in private if you want to, at a convenient time and place for you • get relevant information, including about welfare benefits you could claim and details of other services • have a chance to identify the outcomes that you want; any services should be appropriate for you and meet your needs • be given flexibility and innovation in identifying services that may meet your needs • have an opportunity to give feedback about the assessment

What services are available for carers?

There are lots of support groups in Bolton who can offer support to carers, including Bolton Carers Support, Bolton Dementia Support, Age UK Bolton and Greater Manchester West NHS Foundation Trust amongst others.

Bolton Council funds some support organisations to offer support to carers. Support can be in many forms and may include: • Information and advice • Advocacy • Activities • Training • Peer Support Groups As a carer, it is important that you access the support that you need to look after yourself and the person that you care for.

You can find details of support for carers in Bolton via www.mylifeinbolton.org.uk or by visiting your local library or UCAN Centre.

www.bolton.gov.uk 25

Bolton Carers Support

Supporting you ... because we care

Do you help a family member, friend or neighbour who ...

 is frail

 has a disability  has a chronic illness  has a mental illness  has a substance misuse problem with drugs or alcohol

rer a C a e r a u o y Then port p

and su lp e h to re e h re a We Carers in Bolton.

ur own! o y n o t o n e 'r You

We offer:

 Information and advice about

services and your rights as a carer  Short breaks and social activities  Benefits advice to make sure you are claiming what you’re entitled to  Support groups for carers  Training for carers  Free newsletter and factsheets

Speak to your GP ...

As well as registering with us, it’s important to let your GP know that you are a carer as they can offer you an annual health check to help maintain your own health.

You’ll also then be notified for a free flu jab.

www.boltoncarersupport.org.uk Thicketford Centre | Thicketford Road | Tonge Moor | Bolton | BL2 2LW

Bolton Carers Support Helpline

Information, e advice and OpeHneinlpgliTnim es Monday 10a support m – 4pm Tuesday 10a m – 4pm Wednesday 5 days a 2pm – 4pm Thursday 10 am – 4pm week Frida

Call 01204 363056

y 10am – 1p

m

All calls treated in confidence

Many carers feel guilty about asking for or wanting help.

Please don’t ... we are here to suppor t you… the carer!

01204 363056 Registered Charity Number 1082166 26

Learning disabilities - NHS annual health check 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.

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

•

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

During the health check, the GP or practice nurse will carry out the following for the patient:

Getting a learning disability diagnosis

• a general physical examination, including checking their weight, heart rate, blood pressure and taking blood and urine samples

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

• assessing the patient’s behaviour, including asking questions about their lifestyle, and mental health

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

• 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 •

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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.

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.

Your life your support specialises in support for people with learning disabilities and those with physical disabilities.

Your Life Your Support provides services for people with...

Learning Disabilities Your Life Your Su

pport

CQC overa Domiciliary | Supported Living ll rating Good Respite & Short Breaks 7th Feb 2017 Complex Health Needs | Community Support Individual Services | Domestic Services

Tel: 01204 653295

www.yourlifeyoursupport.co.uk

ASD Individuals with Physical Disabilities Older People

People with Challenging Behaviours Communication Impairments and many more.

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Ambition for ageing update Ambition for Ageing started in November 2016. The programme is delivered across Greater Manchester and funded by the Big Lottery, aiming to better connect those over 50 and create age friendly communities. A partnership of Bolton CVS, Age UK and Bolton at Home deliver the project in Bolton, in the Tonge with the Haulgh, Crompton and Halliwell areas.

All Souls - New project receiving investment

It’s been a very busy year for Ambition for Ageing in Bolton. Since starting the project in November 2016 we have held 3 launch events, delivered numerous coffee mornings, established our Advisory Group of older people, recruited over 20 regular volunteers and have distributed over 40 investments. the money older people have distributed has enabled new activities to be developed and existing activities to be improved. Projects funded include sharing skills of older people to train hairdressers and a gardening project to make people’s gardens more accessible and low maintenance alongside many more We have also supported older volunteers to design and deliver our first Age Friendly Business session at Asda. Our Project Officer, Yasmin Holgeth, has been finding out what already exists in the community for older people, and working with groups of people and providers to develop ideas for new activities and services.

How Can You Get Involved?

Another successful Coffee Morning

Become a volunteer for the programme – there are many volunteer roles, from helping to run a coffee morning, getting people involved, talking to older people about what they need, helping with office work or making decisions on how and where the money is spent.

Volunteer training is offered and expenses paid. We are particularly keen to hear from people over 50 living in the 3 areas.

Develop a new idea & apply for a pot of money We have up to £2,000 available for project ideas designed with older people. Anyone can apply. We welcome applications from businesses too, if you are a business – why not get talking to your older customers and find out how you could make their experience more age friendly.

Age Friendly Businesses Pilot Take part in our free short session discussing how your services can be more age friendly and receive an age friendly business certificate.

‘Men in Sheds’

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For more information about the project and how to get involved you can visit the Bolton CVS website www.boltoncvs.org.uk or contact Yasmin Holgeth Tel: 01204 701525 Email: yasminholgeth@ageukbolton.org.uk

Our 330 volunteers play a vital role in our work and in helping us to deliver all of our services.

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Creating dementia friendly communities

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.

Dementia awareness 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. Common signs of dementia are confusion, forgetfulness, struggling to find words and repetitiveness. This can make everyday situations stressful. A person with dementia may need extra assistance to help them use your services or help them with everyday things.

Speak clearly

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

• Use simple, short sentences and avoid direct questions.

• 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.

Show respect and patience • Adapt what you are saying if the person with dementia does not understand. Don’t rush, and try to go at their pace.

Listen •

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 • 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 •

•

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.

www.bolton.gov.uk 31

NHS continuing healthcare funding Are you eligible for NHS continuing healthcare funding?

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

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

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

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.

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.

Funding varies by region, so you’ll need to check with your local Clinical Commissioning Group. www.boltonccg.nhs.uk Tel: 01204 462000 32

Understanding personal health budgets

Personal health budgets are one way to give people with long term health conditions and disabilities more choice and control over the money spent on meeting their health and wellbeing needs.

A personal health budget is an amount of money to support the identified healthcare and wellbeing needs of an individual, which is planned and agreed between the individual, or their representative, and the local clinical commissioning group (CCG).

Adults who are eligible for NHS Continuing Healthcare and children in receipt of continuing care have had a right to have a personal health budget since October 2014.

What is the aim of a personal health budget?

The aim of a personal health budget is to give the individual more choice and control over the money spent on meeting their health care and wellbeing needs. This means that they select treatments and services that meets their needs in a way that is most appropriate for them.

The vision for personal health budgets is to enable people with long term conditions and disabilities to have greater choice, flexibility and control over the health care and support they receive. Personal health budgets are one way of helping people to be more involved in discussions and decisions about their care.

Key points: • Personal health budgets should help people who may not always get the best out of the NHS to get a better service, not make things worse.

• People should have as much control over decisions as they want.

• NHS and social care organisations should work in partnership with the individual and with each other.

• If someone is not able to have a personal health budget, they can still speak to their local CCG about how their needs can be met in another way that better suits their needs.

What can a personal health budget be spent on?

Everyone with a personal health budget can get support to think though how they would like to use their budget to meet their health and wellbeing needs.

It is the responsibility of your CCG to advise people, and recommend a range of organisations who can offer local support. This is often described as brokerage.

A personal health budget can be spent on any care or services that are set out in the care and support plan that has been put together with the NHS team or voluntary organisation working with the person – and this needs to be agreed by the CCG (clinical commissioning group).

There are things that it would not be right for the Government to fund such as alcohol, tobacco, gambling or debt repayment, or anything that is illegal.

A personal health budget cannot be used to buy emergency care – for example if someone in receipt of a personal health budget had an accident, they would go to A&E like everyone else – they would not use their personal health budget to arrange for it to be x-rayed, set or plastered.

A personal health budget also can not buy primary care services such as seeing a GP or dental treatment. Other services recommended by a GP, like physiotherapy, could be included.

Here are some ideas how you could spend your personal health budget: • A personal assistant to help you with your daily life, or getting out and about. This means you can choose people you like, who have the right skills to give you the support you want. (If you want to employ your own staff you have to take your personal health budget as a direct payment for healthcare.

This means the money is paid direct to you and you are responsible for recruiting and paying staff, as well as accounting for how you have spent the money.)

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• Special equipment or changes to your home; that help you do everyday tasks.

• Having a holiday or short break to give you and your carer some ‘time off’.

• Activities that help you be a part of the community and help your physical and mental health, like taking an art class or joining a gym, or buying a bike.

Or you could buy the things you need to do this, like buying the canvasses, paints and brushes.

• Paying for help that makes your life better and easier.

Like employing a handy person for odd jobs at home, or household tasks that are tiring, like cleaning or gardening.

• Paying someone to help you do things for yourself, like taking you shopping, or helping you do your cleaning or gardening.

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.

We offer a truly personalised Home Care service, tailoring it specifically to each individual’s needs and wishes.

From a few hours a day, up to 24 hours 7 days a week, we provide a full care service to match the needs of the individual.

Our Services include: • Elderly Care Home Inste • Dementia Care ad Bolton CQC overa • Companionship ll rating • Personal Care Good 15th Decemb • Carers Breaks er 2016 • Overnight care

People with learning disabilities eligible for NHS Continuing Healthcare now have a right to have a personal health budget.

If your request for a personal health budget is turned down, you should be told why.

If you wish to appeal, your local CCG should explain what to do. If you’re still not happy you can use the NHS complaints procedure

Contact details If you would like to talk to someone about Personal health budgets, please get in touch: Adults with Continuing Healthcare Tel: 01204 462 293 Email: bolccg.adminchc@nhs.net Children with Continuing Care Tel: 01204 462 293 Email: bolccg.adminchc@nhs.net Special Educational Needs and Disabilities (SEND) Tel: 01204 462293 Email: bolccg.adminchc@nhs.net Transforming Care Programme (Learning Disabilities) Tel: 01204 337 866

HOMECARE THAT'S GOOD ENOUGH FOR THE QUEEN! We are delighted to receive the Queen's Award for Innovation in recognition of our quality care

THE QUEEN'S AWARDS FOR ENTERPRISE: INNOVATION 2016

Call us today on

01204 565065 www.homeinstead.co.uk/bolton 34

Putting your affairs in order

It’s essential to plan for how your money should be handled in the event of an illness or death.

Good planning will help make sure you or your family are ready to meet any of the costs that might arise. It will also allow you provide for your loved ones and ease the burden on them.

Make a will If you haven’t already got a will now is the time to make one. If you want to make sure that your money and your belongings – your assets – go to the people or charities you want then you need to make this clear in a will. If you don’t the law will decide who they go to – and this might not be who you want it to be.

Your will tells people who you want to be your executor – the person who sorts out your money and your will after you die. You can choose more than one person to be your executor, but ideally not more than four.

Professional executors like solicitors or accountants will charge for their services.

If you have children under 18, your will also says who should be legally responsible for looking after them if you die.

There are two types of Lasting Power of Attorney Property and Financial Affairs Lasting Power of Attorney: this covers things such as managing day-today finances, debts, benefits (such as the attendance allowance and personal independent payments (PIP)), buying or selling property. It needs to be put in place and registered while the donor has mental capacity and it can be used both before and after the donor has lost capacity.

Health and Welfare Lasting Power of Attorney: this covers issues such as NHS treatment, care and housing.

Again, it needs to be put in place and registered while the donor has mental capacity but it can only be used after the donor has lost mental capacity

Who to choose as your attorney

If you die without having made a will – referred to as dying ‘intestate’ – the law specifies how your money will be divided. This means that your assets won’t necessarily be passed on in the way that you’d prefer.

Most people appoint their husband, wife, partner, other family member or a close friend as their attorney. It must be someone you trust completely.

If you want to decide who gets what, you need to draw up a will. It’s possible to write one yourself, but even small technical mistakes can make a will invalid so it’s generally a good idea to get help from a solicitor or professional will writer.

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

It’s important to note that if you have married since making a will, then your marriage is likely to have invalidated the will.

Lasting Power of Attorney Nobody wants to think about a time in their future when they won’t be able to make their own decisions.

It can also be a difficult subject to bring up with an older relative, but it’s something that everyone should think about. If things aren’t set up properly in advance of when they are needed, it can lead to all sorts of complications. Thankfully there are procedures in place to protect individuals and make it easier to deal with things, should the need arise.

A Power of attorney (POA) allows you to choose someone else to deal with third parties on your behalf, for example banks or the local council. Certain types of powers of attorney go further, allowing you to choose someone else to make decisions on your behalf, should you not be able to do so in the future.

35

Setting up a power of attorney

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.

Independent financial advice If you or a relative is faced with funding residential care, it would be beneficial to seek independent financial advice. The Society of Later Life Advisers (SOLLA) provides specialist advice for older people looking to fund care.

In 2014-2015, the average weekly cost of a place in a residential home in England was around £587, and a place in a nursing home cost around £790. But these are only average figures, so you or your relative could be looking at considerably higher figures An independent financial adviser (IFA) will review your relative’s financial situation to help them meet care costs and plan for the future. They can make sure that money is being invested wisely, advise on the best way to deal with property and also advise on the availability of immediate need care fee payment plans.

Where to find a specialist care fees adviser 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 You can also visit the Society of Later Life Advisers (SOLLA) website: www.societyoflaterlifeadvisers.co.uk/ SOLLA advisers undertake extra training and professional development before becoming full members.

Paying for a funeral in advance Funerals can be expensive, but as decisions are often made under emotional stress and with an imminent deadline, this isn’t the best of circumstances for family to be shopping around.

Paying for a funeral in advance will spare relatives from facing the cost of your funeral, and will specify how you want things to be done, and what you would like to take place at your own funeral

LEGACY ESTATES Experts in Wills, Probate, Property Advice, Power of Attorney ... and much more Call today

01204 481 029 or 07999 414503

and receive a FREE half hour consultation from one of our dedicated team

www.legacyestates.me.uk

How does a funeral plan work and how much does it cost?

At its simplest, a funeral plan allows you to pay upfront for your funeral so your relatives don’t have to cover the costs themselves - although they are allowed to pay for your funeral using money from your estate as soon as you die (and it’s not subject to inheritance tax).

You can buy a funeral plan from either a funeral-plan provider or directly from a funeral director. You have the choice of either paying a lump sum or monthly instalments, usually over one to ten years. One-off payments usually range between £3,000 and £5,000.

What’s included in a funeral plan?

A funeral plan will not include everything you need for a funeral. Exactly what is covered will vary from provider to provider.

Funeral plans may cover viewings of the deceased, a limousine procession and a church service, but burial plots are often left out. Other costs, not traditionally met by a funeral director, are also not included, such as the cost of flowers. In addition, some costs may not be met fully, and your family may have to pay the rest. For example, many providers only contribute towards the cost of cremation or burial. As always, check the details to make sure you know exactly what you are buying.

There may be a time in your life when you have to think about the consequences of becoming seriously ill or disabled These documents are essential: A current, valid will Lasting Power of Attorney for Health & Welfare

Expert advice fr om a local law firm

Lasting Power of Attorney for Property & Financial Affairs

Setting up an LPA can give you peace of mind that someone you trust will be able to make decisions for you if the need arises Legacy Estates guarantee peace of mind for both you and the people you care for most.

Our aim is to provide you with the best possible advice in a caring and respectful manner 36

Choosing the right home care agency 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.

Everyone has a right to expect certain standards in their care. Your care services should help keep you safe and well, but also treat you with dignity and respect.

The law states you should always be able to express a choice in who provides your care.

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?

About your needs • 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.

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

37

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.

At Your Choice Homecare we understand how important it is that you are able to stay in your own home

We are here to help you do just that

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.

Please call us on 01204 382789

Email: info@yourchoicehomecare.co.uk

www.yourchoicehomecare.co.uk

We specialise in the following care: • • • • • • • •

Dementia Care Learning & Physical Disabilities Mental Health Complex Health Needs Older People Palliative Care Long Term Conditions Sensory Loss

We offer the following: • • • • • •

Personal Care Medication Administration Food Preparation Shopping & Light Domestic Duties Hospital Visits Social Inclusion & Activities

Your Cho ic CQC o e Homecare verall rating

Good

6th Augu

st 2015

Independence is a vital part of your dignity, sometimes, as life goes on, it's possible to feel isolated in your own home. That's why at Your Choice Homecare we can tailor your care to meet all of your individual needs.

Your Choice Homecare there when it matters

38

Care in your own home Always read the most recent inspection report for the home.

You can ask the home for it, or you can look for it on the regulator’s website.

Care homes are regulated and inspected by the Care Quality Commission in England.

Homecare Agencies

39

Address

Area

Postcode

Telephone

Care in your own home Always read the most recent inspection report for the home.

You can ask the home for it, or you can look for it on the regulator’s website.

Care homes are regulated and inspected by the Care Quality Commission in England.

Supported Living

Address

Area

Postcode

Telephone

Children 0-18

Address

Area

Postcode

Telephone

Supported Housing

Address

Area

Postcode

Telephone

Data correct with CQC

Trusted care for you and your loved ones Information • Advice • Support

www. carers.org | Email: bolton@gmcarerstrust.org.uk | Tel: 01204 365025 Carers Trust Bolton | Thicketford Centre | Thicketford Road | Bolton | BL2 2LW 40

Choosing the right care home 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.

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.  A room of their own room: your relative can usually personalise this with their own furniture, pictures and ornaments.  Meals: regular meals provided and nutritional needs met.  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.

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

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.

 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.

The Cinnamon Trust

SPECIALIST CHARITY FOR OLDER PEOPLE AND THEIR PETS

Tel: 01736 757 900 • www.cinnamon.org.uk

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Planning ahead for respite care 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

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.

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.

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Residential Homes Always read the most recent inspection report for the home.

You can ask the home for it, or you can look for it on the regulator’s website.

Care homes are regulated and inspected by the Care Quality Commission in England.

Old Age • Dementia • Alzheimers Residential Homes

Address

Area

Postcode

Telephone

Area

Postcode

Telephone

Learning Disability • Mental Health • Adults 18-65 Residential Homes

Address

Data correct with CQC 43

Residential Homes Always read the most recent inspection report for the home.

You can ask the home for it, or you can look for it on the regulator’s website.

Care homes are regulated and inspected by the Care Quality Commission in England.

Physical Disability • Impairment Residential Homes

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Area

Postcode

Telephone

Sensory Impairment Residential Homes

Eating Disorders • Substance Abuse Residential Homes

Address

Data correct with CQC 44

Nursing Homes Old Age • Dementia • Alzheimers Nursing Homes

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Address

Area

Postcode

Telephone

Area

Postcode

Telephone

Physical Disability • Impairment Nursing Homes

Sensory Impairment Nursing Homes

Learning Disability • Mental Health • Adults 18-65 Nursing Homes

Address

Data correct with CQC

Elderly Accommodation Counsel

Provides lists of care homes in different areas of the country and offers free housing advice.

Tel: 0800 377 7070 • www.housingcare.org 45

Welcome to The Bakewells Care Home

"Residential Care as it should be"

The Bakewells is situated in the quiet residential area of Ladybridge and is set in extensive private grounds and landscaped gardens.

We pride ourselves on the level of support and warmth our team offers and, from the moment you enter, you will find a friendly and welcoming environment.

The Bakew ells is the fi Bolton to h rst home in ave been ra te

What we offer:

Outstan

ding

d

by the

for its effec Short Term • Long Term tive of care ness Day & Respite Care Available

Whichever type of care is required, you can be sure it will always be of the highest standard.

Contact our care team for an informal chat or to arrange a visit.

www.morgancare.co.uk

We believe that you should not only expect the highest standards of care, but also the best quality of life. You will be treated as an individual who wishes to live life to the full.

For more information please call

01204 655 772

Email: enquiries@morgancare.co.uk 102 Junction Road | Deane | Bolton | BL3 4NE

Sunny Bank PRS

Psychiatric Rehabilitation Service

Specialists in Mental Health for: Residential • Daycare Outs tand ing Supported Accommodation CQC over all

T. 01204 883621

ratin g

Sunn y 24th A Bank ug 201 6

www.sunnybankprs.co.uk 46

Useful numbers for support in your area Provides information and advice on council services for residents, businesses and visitors to the town.

Tel: 01204 333333 www.bolton.gov.uk

Help and support for carers in Bolton.

Tel: 01204 363056 Email boltoncarers@btconnect.com www.boltoncarersupport.org.uk

Bolton Providing young people with a safe haven to spend their free time.

Tel: 01204 540100 www.boltonladsandgirlsclub.co.uk

Have your say on health and social care in Bolton.

Tel: 01204 394603 www.healthwatchbolton.co.uk

Free, confidential, impartial advice.

Telephone Advice line: 0300 330 1153 www.boltoncab.co.uk

One of the area's most significant, dynamic and highly regarded charities working with and for older people.

Tel: 01204 38241 www.ageuk.org.uk/bolton

We provide specialist care and support for the people of Bolton who have life-limiting illnesses, and their families.

Tel: 01204 663 066 www.boltonhospice.org.uk

Working together to develop a diverse, strong and effective voluntary and community sector in Bolton.

Tel: 01204 546010

www.boltoncvs.org.uk

Bolton Dementia Support To promote and protect the good health of people living with dementia and their carers.

Tel: 01204 386696 www.boltondementiasupport.btck.co.uk

Free, confidential, impartial advice.

National Dementia Helpline: 0300 222 11 22 www.alzheimers.org.uk

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

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

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

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

47

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 48