HELP
TIPS
CHOICE
ADVICE
ASSISTANCE
SUPPORT
CARERS LANCASHIRE CARERS SUPPORT DIRECTORY Helping you get the best out of your health and social care services Covers services in
Chorley | Preston | South Ribble ISSUE 2 West Lancashire
n c mpass looking towards a brighter future
Tel: 0345 688 7113
Tel: 0345 013 8208 www.ncompassnorthwest.co.uk
Tel: 01254 387444 www.eastlancscarers.org.uk
Tel: 0300 123 6701 www.lancashire.gov.uk
Care and Support in your own home when you need it to enhance your health and wellbeing
A Specialist Nurse led flexible care and support service to help meet your needs. Our expertise is in the following: Elderly care Palliative care Dementia care High dependency care Mental health conditions Physical disabilities
JANE QUINN Registered General Nurse
If you need support to remain independent in your own home please contact our care team for an informal chat on:
T. 01772 379090
Hospital discharge
or call in: 25 Golden Hill Lane, Leyland, PR25 3NP
Carers breaks & respite
www.holistichealthservices.co.uk
Holistic Health Services makes every effort to select high quality, trained and experienced staff that hold the right values to care for you and your loved ones.
Direct payments and personal health Holistic H CQC o ealth Services budgets verall rating welcomed. Good
Sensory impairment
Contents Carers Lancashire
1-2
Your Right to Social Care
3-4
What is Social Care
5-6
NHS Continuing Healthcare Funding
7-8
Challenging Local Authority and NHS Assessments
9 - 10
Hospital Discharge - Know Your Rights
11 - 12
Health & Wellbeing at Home
13 - 14
First Aid Advice for Carers
15 - 16
How Domiciliary Care Services Can Help
17 - 18
Care Home Fees
19 - 20
Care Providers in Preston
21
Care Providers in South Ribble
23
Care Providers in Chorley
25
Care Providers in West Lancashire
26
Useful Numbers for Support
27 - 28
Disclaimer 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. All signposting services are up to date as of June 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.
A big thank you to all the sponsors.
Another quality publication by Healthcare Publications If you require extra copies of this directory or are interested in advertising in future editions please email Healthcare Publications on admin@healthcarepublications.org or visit www.hcpublications.org
If someone relies on you because they are ill, disabled, have issues with their mental health, drugs or alcohol or are just slowing down with age, you should recognise yourself a carer. The Care Act 2014 makes carer’s assessments more widely available to people in caring roles. Local authorities now have a legal duty to assess any carer who requests one or who appears to need support.
n-compass Carers Services ... work across the county as part of Carers Lancashire providing support and information to Adult Carers (18+) and specialist support to Carers of Adults (16+) with a Mental Health Condition.
n c mpass looking towards a brighter future
Tel: 0345 688 7113
1
Tel: 0345 013 8208 www.ncompassnorthwest.co.uk
Tel: 01254 387444 www.eastlancscarers.org.uk
Tel: 0300 123 6701 www.lancashire.gov.uk
You’re entitled to a free carer’s assessment ... How will an assessment help? As a relative, spouse, partner or friend, you will have a great deal of experience and understanding of the person you care for. A carers’ assessment will identify ways that you can be assisted in your caring role. You may be entitled to a Carer’s Personal Budget to help you to continue in your caring role. Please note this is a local independent budget. It is assessed on an individual basis and is not means-tested.
What support is available? We are available to take your call on 0345 688 7113 Monday - Friday, 8.00am - 6.00pm. We are ready to provide you with information, support and signposting to help you better undertake your caring role. Other support available includes: • Specialist 1-2-1 and group support, including access to Carers, support workers skilled in fields such as Mental Health, Dementia, Black Minority Ethnic and Health • Information and support to have a break including a Volunteer Sitting-In Service • Help in an emergency • Delivery of Carers Assessments, and provision of personal budgets • A quarterly newsletter detailing groups and activities in your area • Grants for Carers groups, activities and courses • Carers Awareness Training for professionals • CHAT (Carers Help and Talk line) - is manned by volunteer Carers who can offer experience and an understanding of the common challenges faced by Carers. Just call 0333 103 9747* (24 hours a day, 7 days a week, 365 days a year). Our Carer Involvement Strategy also provides Carers with a voice in shaping and developing services in the communities they live in. *Please be advised that this service is in development and whilst every effort is made to ensure coverage, it cannot be guaranteed. We welcome any interest in volunteering for this service.
2
Your right to social care Local authorities have a duty to assess anyone who appears to have care and support needs. Your local authority should: • assess your needs and give you advice, whatever your financial circumstances • provide information about services and support options available to you in your area • give you a carer’s assessment if you are an unpaid/family carer The assessment by the local authority is important because it helps them work out what your difficulties are and what services will help you most.
Your care plan should be individual to you, and you should be allowed to have as much involvement in the development of your plan as you wish. Your care plan should help you to: • live independently • have as much control over your life as possible • participate in society on an equal level, with access to employment and a family life • have the best possible quality of life keep as much dignity and respect as possible
Often, only minor assistance is needed – such as meals on wheels and help with washing or dressing, yet these services could make a big difference to your life
Understanding the national eligibility criteria for care and support?
If your local authority decides you are eligible for social care support, they will carry out a financial assessment to determine how much you will need to pay towards your care, if anything.
The eligibility threshold for adults with care and support needs is based on identifying how a person’s needs affect their ability to achieve relevant outcomes, and how this impacts on their wellbeing.
If you are assessed by social services and are found to be eligible for support, the next stage is to draw up a care and support plan, or in the case of a carer with eligible needs, a support plan.
Local authorities must consider whether the person’s needs:
What is a Care Plan?
• make them unable to achieve two or more specified outcomes
A care plan (sometimes called a care and support plan, or support plan if you’re a carer) sets out how your care and support needs will be met. You should be fully involved in the preparation of your care plan, and you and anyone else you request should also get a written copy. The care plan must set out: • the needs identified by the assessment • whether, and to what extent, the needs meet the eligibility criteria • the needs that the authority is going to meet, and how it intends to do so • for a person needing care, for which of the desired outcomes care and support could be relevant •
for a carer, the outcomes the carer wishes to achieve, and their wishes around providing care, work, education and recreation where support could be relevant
• the personal budget • information and advice on what can be done to reduce the needs in question, and to prevent or delay the development of needs in the future
3
• arise from or are related to a physical or mental impairment or illness
• as a result of being unable to meet these outcomes, there is likely to be a significant impact on the adult’s wellbeing An adult’s needs are only eligible where they meet all three of these conditions.
The specified outcomes measured include: • managing and maintaining nutrition, such as being able to prepare and eat food and drink • maintaining personal hygiene, such as being able to wash themselves and their clothes • managing toilet needs • being able to dress appropriately, for example during cold weather • being able to move around the home safely, including accessing the home from outside • keeping the home sufficiently clean and safe
Local authorities do not have responsibility for providing NHS services such as patient transport, but they should consider needs for support when the adult is attending healthcare appointments. The local authority should not refuse to meet eligible needs on the grounds of cost, although if there is more than one option, it is allowed to choose what it believes is the most cost effective one. If your needs do not meet the national eligibility criteria, the local authority still has to give you information and advice on what support might be available in the community to support you
• being able to develop and maintain family or other personal relationships, in order to avoid loneliness or isolation • accessing and engaging in work, training, education or volunteering, including physical access • being able to safely use necessary facilities or services in the local community including public transport and recreational facilities or services • carrying out any caring responsibilities, such as for a child
on i n i t Op name n e i Pat a new has
What's your story?
Share your experiences of UK health and care services, good or bad. We pass your stories to the right people to make a difference.
www.careopinion.org.uk 4
What is social care
Many people’s first impression or thoughts of social care might be a residential care home. In fact, there’s a wide variety of social care services available and most people will be able to have care provided in their home. The kind of social care support you can get depends Help in your home largely on your needs. This means the type of condition you have, or the severity of your disability. For example, if you have trouble walking, you may simply require some equipment to help you remain mobile and independent. But if you develop a condition that seriously affects your mental capacity or your ability to move and look after yourself, you are likely to need a much wider range of social care services. It is worth taking time to think about your specific needs and what you think you might need to help you achieve the best quality of life you can.
Equipment to enhance your independence The ability for you to remain independent sometimes hinges on small factors and tools, such as a jar gripper (to help you remove lids) or ways to raise your seat (so that you can get up more easily). Equipment can also help with weightier issues, for example, hoists to help people with mobility problems get on and off chairs or toilets, or in and out of the bath or bed. The equipment you may be able to access could include monitoring devices that check whether you have left the house if you have a condition, such as dementia, that causes confusion and wandering.
Specialists in General and Complex Care • Personal Care • Support with Meals • Assistance with Medication • Shopping/Trips Out • Household Tasks Assistance • Lifestyle Support • Sitting Service
"Professional, friendly quality care" Tel: 01257 263326 www.watchhomecare.co.uk
Watch Home Care Services Ltd | 2 West Bank | Chorley | Lancashire | PR7 1JF
Watch H ome
CQC o Care Services Ltd verall rating
Good
You may want to have someone who can come to your home and give you the support you need to live your life. This can include help with tasks such as getting dressed, help with using the toilet, washing, preparing and eating food, cleaning and laundry, getting out and about, and taking part in leisure and social activities. Find out more about homecare. If you are unable to manage in your home, even with help and assistance, you may need to consider whether you should move to a care or nursing home. Your local authority will be able to provide you with information and advice on what services are available in your local area.
Community support and activities Some social care services can be provided to help you continue to play an active role in your community and to get out and about and do the things you want to do. For example, you may want to work or to partake in religious or cultural events such as a festival or a sports match. Social care services may be able to support you in a wide range of ways to enable you to continue to do these things, for example a community transport service. Your local authority will be able to provide you with information and advice on what services are available in your local area.
Day centres Day centres provide meals and an opportunity to socialise and do activities that might not be available at home and may provide respite for Family Carers Your local authority will be able to provide you with information and advice on what services are available in your local area.
Adaptations to your home A common way that social care can support ill or disabled people to live independently at home is simple adaptations to the home. If you have difficulty living at home because of your condition, it is often a better option to improve your home than to move somewhere new. For example, depending on your condition, you might be able to get lowered kitchen surfaces and storage, wider doorways to accommodate wheelchairs or walking frames, or improved flooring to prevent trips and falls. Your local authority will be able to provide you with information and advice on what services are available in your local area.
5
Residential care If living at home is no longer a realistic or practical option, you may want to consider residential care. There are many different types of ‘residential care’ – it may mean a permanent move into a care home for older people, or it could be a stay in a home for younger adults with disabilities, or a home for children. Residential care may be privately owned, or run by a charity or the local authority. The main types of residential options are: • Residential care homes • Residential care homes with nursing care • Extra care and sheltered housing • Supported living • Retirement villages Deciding on a long-term stay in residential care is a significant decision financially, practically and emotionally. You will need to think about your own preferences and decide what services will meet your needs now, as well as being flexible enough to take account of your future care needs. It is not always an easy decision. Independent advice can be important in helping you make the right decision, taking into account all the important factors.
Some people may find that an advocacy service can help them exert their rights, particularly if you have a disability and you believe you are treated unfairly. An advocacy service can act as a champion to ensure you get fair and equal treatment and access to services.
Support for carers If you look after a person who is disabled, has a longterm health condition or is elderly and frail, you are a carer. Carers can get help with their caring role, and by enabling the person they care for to get the support they need, they can make their own life easier. For example, it’s important that carers have time for themselves, and one of the best ways to arrange breaks from caring is to ensure that you have had a carer’s assessment. This will help identify how substantial and demanding your caring is and how much support you are likely to need.
Other care support You may also want to think about whether you need healthcare support if you have care needs relating to an ongoing health condition. If this is the case, then it is worth considering whether the NHS can offer any treatment, medical equipment or support that can help you live more fully with your condition
Your local authority will be able to give you details of information services they commission locally. Many local and national charities will also be able to provide information and advice.
Financial support If you are in need of social care you may be able to get information and advice on how to cover the additional living costs you may incur. For example, you may be able to access certain financial benefits for daily living, or be able to access funding from charities to cover the costs of expensive equipment. Your local authority should be able to talk you through some of these money matters as part of your social care assessment.
Information & advisory services and advocacy People who need care may have difficulty in being able to exert their rights, get the services they need and are entitled to, or simply not know or understand what is available to them. Information and advice are often a key part of any care assessment that your local authority undertakes. This information could go a long way to helping you get the support you need. Charities are another great source of social care information – particularly those associated with conditions, such as the Alzheimer’s Society, Mind, or Scope, but also those related to different aspects of care, such as Carers UK or Independent Age.
Individual Support for Individual people Supporting adults and teenagers who have learning disabilities, autism and mental health conditions, to lead the life they would choose for themselves. Carers Breaks & Family Support Community activities Life skills for independent living Support into employment and meaningful day activities A ‘one to one’ service that is tailored to meet your needs Pr If you think we can help, get in touch on
Tel: 01772 333 800 www.integratepreston.org.uk
ovidin individ g ua suppor l since 1 t 983
Non-profit organisation
6
NHS continuing healthcare funding Are you eligible for NHS continuing healthcare funding?
Funding varies by region, so you’ll need to check with your local Clinical Commissioning Group.
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
First of all, you’ll have an initial screening to see if you’re eligible for funding.
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.
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
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.
7
It’s usually carried out in hospital or at home by a nurse, doctor, social worker or other healthcare professional.
If your health, or the health of someone you care for, is getting worse rapidly, ask about a fast track assessment to bypass the initial screening.
The assessment If the initial screening shows that you may be able to get free NHS Continuing Care, you’ll need to have another assessment. Even though the assessment process can be complex, most people and families who’ve been through it say the benefits are worth it. The Assessment team will mark each of your care needs as: priority severe high moderate low If you have at least one priority need or two severe needs, you should qualify for funding. If you have one severe need and a number of other high or moderate needs, you may also be eligible. Circumstances change, so even if you were turned down for funding at first, make sure you have your situation regularly reviewed. Your GP or Local Carers Centre can help you.
What is a personal health budget? Personal health budgets are being introduced by the NHS to help people manage their care in a way that suits them. Since October 2014, adults receiving NHS Continuing Healthcare and children in receipt of continuing care have had a right to have a personal health budget. A personal health budget is an amount of money to support your identified health and wellbeing needs, planned and agreed between you and your local NHS team. The aim is to give people with long-term conditions and disabilities greater choice and control over the healthcare and support they receive.
Key points Personal health budgets should help people get a more personalised service from the NHS. They should not make things worse. You do not have to have a personal health budget if you do not want one. They enable you to have more choice and control over the care you receive. NHS and social care organisations should work in partnership with you and with each other.
IS ANYONE IN YOUR FAMILY PAYING CARE HOME FEES? Are you due a refund? The NHS is responsible for meeting the full cost of care home fees for individuals whose primary need for being in care is because of their health. Needs can be either physical or mental health or a combination of both. Healthcare is provided by the NHS and is FREE and every person is entitled to have their Healthcare needs assessed first.
If you are not able to have a personal health budget, you can still speak to your NHS team about how your needs can be met in another way that is more personal to you.
Personal health budgets for people with learning disabilities Personal health budgets offer a real opportunity to enable people with learning disabilities to live in their own homes or with their families, rather than in institutions. Across England the NHS has already begun to offer personal health budgets and joint health and social care budgets to people with learning disabilities who have complex health needs or challenging behaviour. People with learning disabilities eligible for NHS Continuing Healthcare now have a right to have a personal health budget. Anyone else whose support is funded by the NHS, including those with jointly funded packages could also benefit. From April 2015, all CCGs are being asked to develop plans for a major expansion of personal health budgets, and to ensure that people with learning disabilities are included by April 2016.
Who can make a claim? At Carefees 4U we can help with advice and guidance on patients who are about to be transferred into a care home and require a current assessment. Our service also includes acting on behalf of living patients who have been wrongly assessed and are currently paying for care fees. We can reclaim care fees already paid for living and deceased patients dating back to April 2012.
Call for your free assessment
01254 404566 No Win No Fee
Email: info@carefees4u.co.uk
carefees
Visit our website: www.carefees4u.co.uk Suite 105 Business First | Davyfield Road | Blackburn | Lancashire | BB12QY 8
Challenging local authority & NHS assessments If you or your relative are unhappy with a decision made by the local authority or NHS relating to their care needs, you may decide to challenge the decision.
Challenging a local authority decision If you, or your relative, have had a care assessment, financial assessment or carer’s assessment and are unhappy with: its content the way it was conducted or the outcomes Your relative has not seen the assessment or has not had a chance to comment or sign. The assessment didn’t cover all of your relative’s needs. There should be a record of all presenting needs, not just those classed as ‘eligible’. Your relative is unhappy with the decision following a financial assessment and can’t afford what the council is asking for. The local authority didn’t offer any feasible options for meeting non-eligible needs. Local authorities are supposed to signpost people to other services that could meet non-eligible needs. You don’t agree with the judgements about which needs were ‘eligible’. You don’t agree with the way your relative’s needs are described. The assessment failed to offer clear outcomes (the difference the service is meant to make to your relative’s life) or the outcomes are not appropriate or not of your choice. The choice of service suggested by the care plan won’t meet your relative’s eligible needs/won’t deliver the intended outcome. The amount of service offered will not meet your relative’s eligible needs. There have been unacceptable delays in carrying out the assessment or making decisions. Poor customer service or rude staff.
Understanding the national eligibility criteria for care and support? The eligibility threshold for adults with care and support needs is based on identifying how a person’s needs affect their ability to achieve relevant outcomes, and how this impacts on their wellbeing. Local authorities must consider whether the person’s needs: • arise from or are related to a physical or mental impairment or illness • make them unable to achieve two or more specified outcomes • as a result of being unable to meet these outcomes, there is likely to be a significant impact on the adult’s wellbeing 9
An adult’s needs are only eligible where they meet all three of these conditions. The specified outcomes measured include: • managing and maintaining nutrition, such as being able to prepare and eat food and drink • maintaining personal hygiene, such as being able to wash themselves and their clothes • managing toilet needs • being able to dress appropriately, for example during cold weather • being able to move around the home safely, including accessing the home from outside • keeping the home sufficiently clean and safe • being able to develop and maintain family or other personal relationships, in order to avoid loneliness or isolation • accessing and engaging in work, training, education or volunteering, including physical access • being able to safely use necessary facilities or services in the local community including public transport and recreational facilities or services • carrying out any caring responsibilities, such as for a child
How to make a complaint If you want to challenge a local authority decision, you should first complain to the relevant local authority itself. All councils are legally obliged to have a formal complaints procedure in place. They should publish information to make it clear to users that they are entitled to a review; explain how to request a review; and explain how to make a complaint. This information should be available on all local authority websites and given to you or your relative at the time of the assessment. If you are not satisfied with the local authority’s response and you believe the fault is down to a service or administrative error, your final option is to take the matter to an ombudsman. Once the ombudsman has decided whether it can legally deal with your complaint, it will then have up to 12 months to provide you with a resolution. For further information contact: Tel: 0300 061 0614 8:30am - 5:00pm - Monday to Friday www.lgo.org.uk
Following an NHS assessment for continuing healthcare or NHS-funded nursing care, you or your relative might be dissatisfied with the result. Reasons for being unhappy with a decision might be because: the NHS decides not to proceed with a full assessment of your relative’s eligibility for NHS continuing healthcare or NHS-funded nursing care after a full assessment, the NHS says that your relative doesn’t qualify for care, but you think that they should you have concerns about the process used to reach the decision If the assessment has taken place: 1. Ask to see it and ask for an explanation as to the criteria on which the decision was based. 2. If you can’t resolve the issue with the Clinical Commissioning Group, you need to escalate your challenge by requesting a referral to an Independent Review Panel (IRP), arranged by NHS England. 3. If you are still dissatisfied with the decision of the IRP, then you should be given information on how to refer your relative’s case to the Parliamentary and Health Service Ombudsman, who make final decisions on complaints about the NHS in England, including where there is a dispute about what happened.
Making a complaint to the NHS If you are unhappy with the decision not to offer a full assessment to your relative, or feel the outcome of an assessment is not right, you can ask the Clinical Commissioning Group (CCG) - who decide who is eligible for NHS continuing healthcare - to reconsider its decision. You will need to write to the CCG within six month of receiving the assessment. Helpline: 0345 015 4033 8.30am - 5.30pm Monday to Friday www.ombudsman.org.uk We make final decisions on complaints that have not been resolved by the NHS in England and UK government departments and other public organisations. We do this fairly and without taking sides. Our service is free.
Need help to have your voice heard? Do you have a health or social care issue/problem?
Free Confiden tial Indepen dent
Do you find it difficult to speak up in meetings and appointments? Is it sometimes hard to understand the things that are being said to you? If so, Advocacy Focus is a local charity that can work for you. We offer a FREE, confidential service and can help you to speak up, understand your rights and be involved in decisions about your life. We can also help get your voice heard if you are a carer. Visit our website for more info:
www.advocacyfocus.org.uk
"A big thank you to my Advocate for being approachable, reliable and keeping things confidential." You can refer yourself to our service, or ring and ask more questions. Or someone else can do this on your behalf if you ask them to.
TEL: 0300 323 0965 TEXT: 07886 744 634
Email: admin@advocacyfocus.org.uk 10
Hospital discharge - Know your rights ...
If you go into hospital, you may be worried about whether you’ll cope when you leave.
You shouldn’t be discharged from hospital until: You are medically fit (this can only be decided by the consultant or someone the consultant has said can make the decision on their behalf ).
the name of the person who is co-ordinating the care plan
You have had an assessment to look at the support you need to be discharged safely.
information about any charges that will need to be paid (if applicable)
You have been given a written care plan that sets out the support you’ll get to meet your assessed needs.
What might be in a care plan?
The support described in your care plan has been put in place and it’s safe for you to be discharged. A hospital’s discharge policy should state how patients and carers are involved in discharge planning. If you have limited capacity to make your own decision, the Mental Capacity Act will apply. It is worth thinking about appointing a deputy or enacting a welfare power of attorney before you go into hospital. If you’re due to go into hospital in a planned way, such as for an operation, planning for what happens afterwards should happen before you ever arrive at the hospital. For unplanned admissions, such as if you’ve had a fall and hurt yourself, discharge planning should begin on the day you’re admitted to hospital. If you are likely to have ongoing health and social care needs when you leave hospital, the assessment may be carried out by a multi-disciplinary team of health or social care professionals. Depending on your needs, the multi-disciplinary team could include a social worker, physiotherapist, occupational therapist, speech therapist, mental health nurse or dietitian.
who to contact if there’s an emergency or if things don’t work as they should
The types of support in someone’s care plan will depend on their assessed needs and preferences. A care plan could include: Community care services from the local authority, such as reablement services. An assessment for these must be arranged if it seems that you may need them. NHS continuing healthcare. NHS funded nursing care. Intermediate care This is short-term care that’s provided free of charge for people who no longer need to be in hospital but may need extra support to help them recover. It lasts for a maximum of six weeks and can be provided in someone’s home or in a residential setting. Other NHS services, such as rehabilitation or palliative care. Equipment such as wheelchairs, specialist beds, or aids and adaptations for daily living. Support from voluntary agencies Some organisations such as Age UK and the Red Cross provide “home from hospital” services that can help with household tasks or shopping while you settle back home.
You should be fully involved in the assessment process, and your views should be listened to. With your permission, any family carers will also be kept informed and given the opportunity to contribute
When you are discharged from hospital
A care plan will be drawn up, detailing the health and social care support for you, and you should be fully involved.
transport is arranged to get you home
The care plan should include details of: the treatment and support you will get when you’re discharged
your GP is notified in writing
who will be responsible for providing support, and how to contact them
you’ve been trained how to use any equipment, aids or adaptations needed
when, and how often, support will be provided how the support will be monitored and reviewed
11
On the day of discharge, the person co-ordinating the discharge should make sure that you (and a carer if you have one) have a copy of the care plan. any carers will be available if needed you have any medication or other supplies you’ll need
you have appropriate clothes to wear you have money and keys for your home If you are being discharged to a care home, the care home should also be told the date and time of your discharge, and have a copy of the care plan.
Carers’ involvement in hospital discharge If someone you know is in hospital and about to be discharged, you should not be put under pressure to accept a caring role or take on more than you’re already doing if you are already their carer.
The home you move into must meet your assessed needs. If your needs are complex or you need specific care related to your disability, illness or age, this might take some time. Pressure should not be put on you to make your decision quickly.
Consent to treatment Doctors must seek and obtain your consent to carry out a test or treatment before it takes place. So you can make an informed decision, they should clearly explain any proposed examination, treatment or investigation, including the risks and benefits.
You should be given adequate time to consider whether or not this is what you want or are able to do. If necessary, you should ask for other arrangements to be made while you are reaching a decision
The right to refuse treatment
Residential care, nursing homes and hospital
Welfare benefits while in hospital
In some circumstances, people may have to move to a home directly from hospital. On discharge from hospital, you have the right to choose the residential care or nursing home that best meets your needs. You cannot be moved directly into a home against your will.
You have the right to refuse treatment, even if others consider your decision unwise, as long as you understand the consequences of your decision Your State Pension doesn’t change, no matter how long you are in hospital. If you receive Attendance Allowance (AA), Disability Living Allowance (DLA) or Personal Independence Payment (PIP), you should notify the Department for Work and Pensions as these benefits will be suspended after you have spent 28 days in hospital.
Help to keep you safe, secure, warm & independent at home Preston Care & Repair is a local, charitable organisation that provides practical help and independent advice to enable people to stay safe, secure, warm and independent at home. Our range of services include: • Handyperson & Minor Works Service - to help with small repairs, DIY and minor adaptations to your home. • Healthy Home Assessment - tailored to your needs and your home, our Trusted Assessors provide a comprehensive assessment and personalised advice to help identify and remove risks and hazards around the home. • Advice & Information Service - independent, expert advice and support to help you make the right housing choices based on your needs. • Disabled Facilities Grants & Major Adaptations - we can help you every step of the way, providing independent advice and technical expertise to ensure home adaptations meet your needs and expectations. • Hospital Discharge Support - practical help to ensure a safe return home from hospital.
Offering impartial advice and practical help
• Dementia Support Service - our services and support tailored specifically for people living with Dementia.
Contact us today to talk through how we can help you or your loved ones to feel safe and independent at home:
Call: 01772 204096 www.carerepair.org Email: info@carerepair.org | Find us on facebook: /prestoncarerepair 12
Health & wellbeing at home
There are lots of things you can do to live in as safe an environment as possible. Daylight and fresh air are essential to health and wellbeing. If you or the person you care for finds it difficult, or impossible, to go outside regularly, open a window for one or two hours a day which will help to recycle the air inside the home. This should only be done if it does not significantly lower the temperature inside.
Lighting Many accidents can be avoided simply by having clearly-lit rooms and spaces. The right lighting can also make a dramatic difference to comfort and emotional wellbeing. Wall-mounted, battery-operated lights can be a good (and cheaper) alternative to installing new electrical wiring. These come in a variety of styles and are operated by switch, pull cord or even movement sensors.
Heating Thermometers can help to ensure that rooms do not fall below a certain temperature. For living rooms, the recommended temperature is between 18 and 21°C. For other rooms, the recommended temperature is not less than 16°C.
Furniture Consider re-positioning furniture – or taking away unimportant furniture – if this will make it easier to enter, exit or move around certain rooms. This may be particularly sensible if a walking aid is being used. Remove any rugs or replace any carpet that could prevent the safe use of walking aids, or which could potentially cause falls.
Use assistive technologies There are many electronic products and systems that use technology to promote health and wellbeing in the home, by monitoring activity, managing risks, increasing security, helping the person you care for manage the important tasks within their daily lives, and bringing support more quickly when things go wrong.
Telecare Telecare systems can be linked to a call centre or to a mobile phone of a carer. Call centres are by far the most common option for home users of telecare, their primary advantage being that a call centre is staffed 24 hours a day, 365 days a year. Carers who have asked for an assessment should always be made aware of the benefits of telecare. To find local providers of Telecare visit: www.housingcare.org
13
Take extra care in the kitchen The mixture of water, hot surfaces, flexible cables and electricity can be very dangerous. If appliances such as fridges, dishwashers and washing machines are fitted under worktops, getting to sockets may be difficult. Ideally, these appliances should be controlled by a switched fuse connection unit mounted above the worktop where you can reach it easily. More than half of all accidental house fires start in the kitchen. Government statistics show that the largest number of accidental reported fires caused by electricity in the home is due to people misusing electrical cooking appliances, including microwaves. • Check your plug sockets are not overloaded with too many electrical appliances as this can lead to overheating • Avoid storing objects on top of appliances like the microwave, which can block ventilation • Never try to get toast that is stuck out of a toaster while it is plugged in, and especially not with a metal knife as there are often live parts inside
Free fire safety check Fire is one of the biggest risks when it comes to safety in the home. Most Fire and Rescue departments in the UK offer Free Home Fire Safety Checks, you may also be eligible to have free smoke alarms fitted in your home. Contact Lancashire Fire & Rescue for further information Tel: 0800 1691125.
Disabled Facilities Grant If you or the person you care for has a chronic illness or other form of disability a DFG could be available to people who need to make changes to their home. It could be used to fund work such as: • widening doorways • installing a stair lift • converting a downstairs room to a toilet or bathroom • fitting hand rails • making outside steps easier to use or installing ramps • adapting heating or lighting controls to make them easier to use The DFG is available to people renting a property, as well as homeowners. A family member, landlord or Home Improvement Agency can apply for a DFG on the disabled person’s behalf. If alterations cost less than £1,000, your local authority will often provide and fit these free of charge.
14
First Aid Advice for Carers
If you look after someone with an illness or a disability, it is essential that you have the knowledge and skills that put you in control if an emergency strikes.
Burns & scalds If someone has a burn or scald: • cool the burn as quickly as possible with cool running water for at least 20 minutes, or until the pain is relieved • call 999 or seek medical help, if needed • while cooling the burn, carefully remove any clothing or jewellery, unless it’s attached to the skin • if you’re cooling a large burnt area, particularly in babies, children and elderly people, be aware that it may cause hypothermia (it may be necessary to stop cooling the burn to avoid hypothermia) • cover the burn loosely with cling film; if cling film isn’t available, use a clean, dry dressing or non-fluffy material; don’t wrap the burn tightly, because swelling may lead to further injury • don’t apply creams, lotions or sprays to the burn
Choking The information below is for choking in adults and children over one year old.
Mild choking If the airway is only partly blocked, the person will usually be able to speak, cry, cough or breathe. In situations like this, a person will usually be able to clear the blockage themselves. • encourage the person to cough to try to clear the blockage • ask them to try to spit out the object if it’s in their mouth • don’t put your fingers in their mouth to help them because they may accidentally bite you
Severe choking Stand behind the person and slightly to one side. Support their chest with one hand. Lean the person forward so that the object blocking their airway will come out of their mouth, rather than moving further down. • Give up to five sharp blows between the person’s shoulder blades with the heel of your hand (the heel is between the palm of your hand and your wrist). • Check if the blockage has cleared. • If not, give up to five abdominal thrusts. Abdominal thrusts shouldn’t be used on babies under one year old, pregnant women or obese people. • Stand behind the person who is choking. • Place your arms around their waist and bend them well forward. • Clench one fist and place it just above the person’s belly button. • Place your other hand on top of your fist and pull sharply inwards and upwards. • Repeat this up to five times. 15
The aim is to get the obstruction out with each chest thrust, rather than necessarily doing all five. If the obstruction doesn’t clear after three cycles of back blows and chest thrusts, dial 999 to ask for an ambulance, and continue until help arrives. The person choking should always be seen by a healthcare professional afterwards to check for any injuries or small pieces of the obstruction that remain.
Heart attack Symptoms of a heart attack include: Chest pain – the pain is usually located in the centre or left side of the chest and can feel like a sensation of pressure, tightness or squeezing. Pain in other parts of the body – it can feel as if the pain is travelling from the chest down one or both arms, or into the jaw, neck, back or abdomen (tummy) • Sit the person down make them comfortable and call 999 • If they’re conscious, reassure them and ask them to take a 300mg aspirin tablet to chew slowly (unless you know they shouldn’t take aspirin – for example, if they’re under 16 or allergic to it). • If the person has any medication for angina, such as a spray or tablets, help them to take it. Monitor their vital signs, such as breathing, until help arrives. • If the person deteriorates and becomes unconscious, open their airway, check their breathing and, if necessary, start CPR. Re-alert the emergency services that the casualty is now in cardiac arrest.
Stroke The FAST guide is the most important thing to remember when dealing with people who have had a stroke. The earlier they receive treatment, the better. Call for emergency medical help straight away. The main stroke symptoms can be remembered with the word F.A.S.T. • Face – the face may have dropped on one side, the person may not be able to smile, or their mouth or eye may have drooped. • Arms – the person with suspected stroke may not be able to lift both arms and keep them there because of weakness or numbness in one arm. • Speech – their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake. • Time – it’s time to dial 999 immediately if you notice any of these signs or symptoms. It’s important for everyone to be aware of these signs and symptoms, particularly if you live with or care for somebody in a high-risk group, such as someone who is elderly or has diabetes or high blood pressure.
The recovery position
Moving & handling
If a person is unconscious but is breathing and has no other life-threatening conditions, they should be placed in the recovery position. This will keep their airway clear and open. It also ensures that any vomit or fluid won’t cause them to choke • with the person lying on their back, kneel on the floor at their side • place the arm nearest you at a right angle to their body with their hand upwards, towards the head • tuck their other hand under the side of their head, so that the back of their hand is touching their cheek • bend the knee farthest from you to a right angle • carefully roll the person onto their side by pulling on the bent knee • the top arm should be supporting the head and the bottom arm will stop you rolling them too far • open their airway by gently tilting their head back and lifting their chin, and check that nothing is blocking their airway • stay with the person and monitor their condition until help arrives
The most common injuries carers experience are back injuries. Injuring your back will limit your movement and your ability to care for someone. It could take a long time for you to recover. Lifting someone incorrectly can also damage fragile skin, cause shoulder and neck injuries, increase existing breathing difficulties, or cause bruising or cuts. It’s essential that you know about safe moving and handling so you don’t hurt yourself or them.
Spinal injury If you think a person may have a spinal injury, don’t attempt to move them until the emergency services reach you. Take care not to move their neck.
For example, you may find that you need to help an ill or disabled person in the following areas: Getting in or out of bed, bathing or showering, using the toilet, turning over in bed, sitting up in bed, sitting in a chair, standing, walking, getting in and out of a car.
FurtherTraining Whether you are a paid carer or an unpaid volunteer friend or relative, it is important that you are working to high standards and in compliance with current legislation. Your local authority has an obligation to help carers avoid health and safety risks. Sometimes they may run training courses on manual handling and other subjects, and may provide you with equipment to make caring for someone safer and easier. If your local authority doesn’t offer such courses, ask for a direct payment so you can pay for a course of your choice with a local Training Provider.
倀漀瀀甀氀愀爀 䌀漀甀爀猀攀猀 䔀瘀攀爀礀 䴀漀渀琀栀 䰀愀渀挀愀猀栀椀爀攀ᤠ猀 䰀攀愀搀椀渀最 倀爀漀瘀椀搀攀爀 漀昀 吀爀愀椀渀椀渀最 䌀漀甀爀猀攀猀 昀漀爀 䌀愀爀攀爀猀 愀渀搀 倀爀漀昀攀猀猀椀漀渀愀氀猀
䰀伀圀 䌀伀匀吀
一伀 䴀䤀一䤀䴀唀䴀 一唀䴀䈀䔀刀匀
刀䄀一䜀䔀 伀䘀 䰀伀䌀䄀吀䤀伀一匀
䌀伀唀刀匀䔀 吀䤀吀䰀䔀
䐀唀刀䄀吀䤀伀一
䴀漀瘀椀渀最 ☀ 䠀愀渀搀氀椀渀最
䘀唀䰀䰀 䐀䄀夀
ꌀ㈀㤀瀀瀀
䘀椀爀攀 匀愀昀攀琀礀
䠀䄀䰀䘀 䐀䄀夀
ꌀ㈀㐀瀀瀀
䴀攀搀椀挀愀琀椀漀渀
䘀唀䰀䰀 䐀䄀夀
ꌀ㈀㤀瀀瀀
䘀椀爀猀琀 䄀椀搀
䘀唀䰀䰀 䐀䄀夀
ꌀ㈀㤀瀀瀀
䤀渀昀攀挀琀椀漀渀 䌀漀渀琀爀漀氀
䠀䄀䰀䘀 䐀䄀夀
ꌀ㈀㐀瀀瀀
䘀漀漀搀 䠀礀最椀攀渀攀
䠀䄀䰀䘀 䐀䄀夀
ꌀ㈀㐀瀀瀀
匀愀昀攀最甀愀爀搀椀渀最
䠀䄀䰀䘀 䐀䄀夀
ꌀ㈀㐀瀀瀀
吀漀 搀椀猀挀甀猀猀 礀漀甀爀 爀攀焀甀椀爀攀洀攀渀琀猀 愀渀搀 昀漀爀 洀漀爀攀 椀渀昀漀爀洀愀琀椀漀渀 瀀氀攀愀猀攀 挀漀渀琀愀挀琀 甀猀㨀
䐀攀洀攀渀琀椀愀
䠀䄀䰀䘀 䐀䄀夀
ꌀ㈀㐀瀀瀀
㈀㔀㜀 ㈀㌀㌀㐀㔀
䌀漀洀瀀氀攀琀攀 椀渀昀漀爀洀愀琀椀漀渀 漀渀 愀氀氀 漀昀 漀甀爀 䌀漀甀爀猀攀猀 挀愀渀 戀攀 昀漀甀渀搀 漀渀 漀甀爀 眀攀戀猀椀琀攀
䰀漀眀 挀漀猀琀 愀渀搀 昀甀氀氀礀 昀甀渀搀攀搀 栀椀最栀 焀甀愀氀椀琀礀 琀爀愀椀渀椀渀最 愀琀 礀漀甀爀 眀漀爀欀瀀氀愀挀攀Ⰰ 栀漀洀攀 漀爀 漀渀攀 漀昀 漀甀爀 瘀攀渀甀攀猀
椀渀昀漀䀀挀愀爀攀ⴀ昀甀氀氀礀琀爀愀椀渀攀搀⸀挀漀⸀甀欀
倀刀䤀䌀䔀匀 䘀刀伀䴀
眀 眀 眀⸀挀愀爀攀ⴀ 昀甀氀氀礀琀爀愀椀渀攀搀⸀挀漀⸀甀欀 䌀愀爀攀ⴀ䘀唀䰀䰀夀 吀刀䄀䤀一䔀䐀 簀 䜀爀漀甀渀搀 䘀氀漀漀爀 簀 嘀愀渀琀愀最攀 䠀漀甀猀攀 簀 䌀栀漀爀氀攀礀 簀 倀刀㜀 㘀吀䈀
16
How domiciliary care services can help Domiciliary care services provide careworkers or personal assistants who can visit your relative at home to help with a wide range of jobs, including: getting out of bed in the morning washing dressing maintaining personal appearance, such as brushing your relative’s hair help and support with toileting, helping using continence aids preparing meals and drinks help with eating and drinking picking up prescriptions giving, or prompting to take, prescribed medication health-related tasks, as agreed with medical practitioners or community nursing nurses nursing care from a registered nurse shopping (either with, or on behalf of, your relative) collecting pensions helping with money, managing and paying bills getting out of the house and meeting friends supervision and companionship getting settled for the evening and going to bed. cleaning: regular kitchen or bathroom cleaning or one-off spring cleans, vacuuming the home or cleaning floors, tidying and dusting doing the washing-up laundry dog-walking gardening general home maintenance. Assistance can make a huge difference, not only to the life of your loved one, but also to you as a carer. The level of support and care in the home that each person needs will vary. Your relative might need assistance with some, or all, of the above tasks; they might need care for only one hour a week, a couple of hours a day, or to have a full-time or live-in careworker.
17
Home care services can be used temporarily – for example, while your relative recovers from an illness or operation – or long term. One of the benefits of home care services is their flexibility, which allows your relative to choose the right level of help and support for them. Local authorities have an obligation to provide some services, including personal care or preparing meals for those who have no other way of getting a meal, but they are unlikely, in most cases, to provide help with household tasks except where it is part of a more complex care arrangement. If your relative needs help with cleaning and gardening, or personal assistance to help with shopping and paying bills, it is likely that they will have to look elsewhere, although local authorities can be helpful in providing advice and information.
When to consider domiciliary care Your relative might want to consider domiciliary care, either through a home care agency or home help services, if: they are finding it difficult to cope with daily routines, such as washing, dressing or getting out and about they prefer not to move into sheltered housing or a care home their property still meets their needs and is suitable and safe for them to live in (or can be adapted to suit). Your relative’s need for help might come suddenly, as a result of an illness or fall, or their situation may have been changing gradually over time. Whatever the reason, if your relative is considering care at home, the first step is to get a free needs assessment from the social services department of your local authority. Even if your relative plans to arrange or pay for home care services themselves, a needs assessment is really important. It gives a professional assessment of the type of care and support needed, and can make you aware of a range of options you may not have known were available.
Capital limits for care at home Not everyone is eligible for local authority funding, but many people will be able to get some kind of financial support. It all depends on the amount of capital (savings and assets) your relative has, as well as their income. If your relative lives in England and has capital of less than £14,250 (2017-18), they will be entitled to maximum support.
National guidance called the Care and Support Statutory Guidance helps councils work out how much to charge for home care services. Councils must follow the fairer charging policy, but they still have quite a lot of flexibility in what they charge and prices can vary across the UK. Charges, however, should not take your relative’s income below the level of the Pension Guarantee Credit entitlement plus a 25% ‘buffer’. This means that in 2017-18 no one should have less than £194.50 per week to live on (for couples this is £296.94 per week)
If your relative has between £14,250 and £23,250 in capital, they have to contribute towards the cost of their care at home. They will have to pay £1 for every £250 of their savings between £14,250 and £23,250. This is known as ‘tariff income’. If your relative has capital of more than £23,250, they will need to use that capital to pay the full cost of their care.
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.
If your relative has less than £23,250 in capital, but a weekly income that is considered to be high enough to cover the cost of their care, they will be liable to pay all of their fees.
A cost-effective alternative to Residential Care
ices re Serv g a C l l e Holyw rall ratin ove CQC
Good
However good a residential or nursing home is, home is where your belongings, treasures, pets and memories are. Contact the Holywell live-in carer team on... Preston
01772 930323
Morecambe
01524 418090
www.holywell.care info@holywell.care
Care it's at the heart of everything we do at
LIVE IN CARERS By choosing a Holywell live-in carer ... You get to stay in your own home. You retain any support or social contact you enjoy with friends, family and neighbours. You’ll stay close to what’s familiar to you. You and your family retain full control over the care and support you receive. 18
Care Home Fees In 2016, the average weekly cost of a room in a residential home in the UK was £600, and a room in a nursing home costed £726. However, these are only average figures, so you or your relative could be looking at considerably higher figures depending on where you live. Lancashire Average cost of nursing care in Lancashire per week £623.00 Average cost of residential care in Lancashire per week £539.00
How much might a self-funder pay in care home fees? Armed with these average weekly figures, it’s easy to see that someone who is paying all their own fees will quickly start amassing a sizeable bill. If your Father lives in Lancashire and he is moving into a residential care home, the chances are he will be paying around £28,000 in fees each year. If he lives in Kent and is moving into a nursing home, the fees are likely to be closer to £47,000 each year. Then take into account that the average length of time that older people stay in a care home is a little over two-and-a-half years and the potential bill for funding for care in old age averages at £116,675.
THE GRANGE RESIDENTIAL CARE HOME EMD
Specialists in Dementia Residential Care Being a relatively small home allows us to provide individual personal care to a high standard We welcome you to The Grange to learn more about the accommodation on offer.
01257 241 133 www.thegrangeresthome.co.uk
Residential & nursing care for young adults with complex needs
Learning Disabilities • Acquired Brain Injury • Korsakoff Syndrome Progressive degenerative conditions including: Multiple Sclerosis • Huntington’s Disease • Parkinson’s Disease Cerebral Palsy • Stroke • Sanfilippo Syndrome Respite Rooms Available
Gamull Lane | Ribbleton | Preston | PR2 6TQ 01772 379393 info@holywell.care 19
If your relative’s total savings and assets is: Less than £14,250 (2017-18) they will be entitled to maximum support from the local authority, although your relative will have to contribute to the care costs from their income, which includes any pension(s). More than £14,250, but less than £23,250 the local authority will partially pay their care home fees and your relative will need to pay the rest on a sliding scale. This is known as the ‘tariff income’. More than £23,250 your relative will be fully responsible for paying their care bills. The level of your relative’s eligible needs will also determine how much the council will pay for their care. This is called the personal budget and the local authority must inform your relative how much this is.
Third-party top-up fees The ‘top up’ is the difference between the amount a council pays a care home and the chosen care home’s fee. Instances when this might happen are if your relative:
wants to live in a more expensive area to be closer to family or friends and this wasn’t identified in the needs assessment
Care it's at the heart of everything we do at Holywell Bridgeway
www.holywell.care
In order to establish if a person is eligible for financial support to pay for a care home, the local authority must first carry out a needs assessment. If your relative owns his or her home, its value is likely to be taken into consideration for the means test unless a spouse, civil partner or partner is living in the home. The result of the assessment determines how much the local authority will pay for care to meet those defined eligible needs.
would prefer to live in a room in a recommended care home or another care home that costs more than the council is prepared to pay
Committed to quality ...
BRIDGEWAY
Local authority-funded care
Brideway Care Home CQC overa ll rating
Good
was self-funding but is now eligible for local authority funding and wants to stay in the same home, which isn’t contracted to the council. A person cannot be forced to pay a third-party top-up and your local council should not request that a top-up payment is made if no other care home can be found that will meet your relative’s care needs for a lower cost.
When should your relative consider a care home? A recent significant deterioration, caused by an illness or a fall, in their physical health or mobility. A significant deterioration in their mental health, such as advancing dementia, which limits their ability to stay safely in their own home.
The money must be repaid within 56 days if you sell your home or you leave the care home. If you die, the money must be repaid within 90 days of your death. If there is a problem repaying the amount, you or the executor of your will should contact the local authority as soon as possible.
Loneliness, isolation or depression.
The local authority will charge an administrative fee to cover the costs of setting up the deferred payment. You may have to pay valuation costs on the property.
If your relative needs nursing care
What your choices are
If your relative is unable to leave his or her bed, or has any sort of medical condition or illness that requires frequent medical attention, their options are more limited. Long-term nursing care is not provided in sheltered housing or through care at home services, so it’s likely that, if your relative needs medical care, they will need to look for a nursing home.
A list of all care providers (with a rating of good or above) within your locality can be found on the following pages. Every care provider in England must be registered with the national regulatory body Care Quality Commission (CQC).
Loss of help that a partner, relative or neighbour previously provided.
Deferred payment agreements for long-term care If most of your money is tied up in your property and you have very little savings, your local authority may offer you the option of delaying payments so you don’t have to sell your home immediately to pay for long-term care. This is known as a deferred payment agreement.
How do deferred payment agreements work? The local authority will assess your income and capital to see how much you can afford to pay towards your care. They will then make up the shortfall of the money you need to fund the costs. You will sign a legal agreement with the council, saying that the money will be repaid when your home is sold. The council usually ensures that the money you owe in care fees will be repaid by putting a legal charge on your property. It does this by contacting the Land Registry to place the charge. The charge is removed when the outstanding debt is repaid. You can’t usually use more than 90% of the value of your home to pay for fees. This is to leave you or the executor of your will with enough money to cover the sale costs and to make sure the council gets their money back if house prices fall. You can usually only apply to join a deferred payment scheme after you have been in a residential home for 12 weeks or more. Short term stays in care aren’t covered.
They inspect each service 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 care providers within your locality visit: www.cqc.org.uk
The Adelphi Residential Care Home
A warm and welcoming atmosphere for the Elderly Residents and their families can enjoy the peace of mind that having skilled and efficient carers on hand around the clock can offer, at the same time as benefitting from an environment that promotes personal interests and a good social atmosphere.
Homely, Rustic & Welcoming
What we offer: • Respite & shorts stays • Single & companion rooms available • Close to Astley Park • Secure, peaceful & quiet
Care as it should be
Quality Care
Please call in for an informal chat or visit and look round with no obligations
Call 01257 271361 We'd love to hear from you!
35 Queen's Road | Chorley | Lancashire | PR7 1LA 20
Care at Home Carestaff Northwest GOOD 73 Pope Lane, Penwortham, Preston PR1 9BY T. 01772 752100 Carewatch GOOD 7 Riversway Business Village, Preston PR2 2YP 01772 766540 Caritas Care Limited GOOD 218 Tulketh Road, Ashton, Preston PR2 1ES T. 01772 732313 Central Lancs Age Concern GOOD Arkwright House, Stoneygate Preston PR1 3XT T. 01772 552850 Creative Support GOOD Ribbleton Avenue, Ribbleton, Preston PR2 6RW T. 01772 798785 Holywell Domiciliary Care GOOD 293 New Hall Lane, Preston PR1 5XE T. 01772 930323 Home Instead Senior Care GOOD 6 Fishergate Court, Preston PR1 8QF T. 01772 724111 HomeCare GOOD Derby House, Lytham Road, Fulwood, Preston PR2 8JE T. 01772 722985 MasterStaff Healthcare GOOD Unit 9, Navigation BV, Preston PR2 2YP T. 01772 720040 Priory Homecare Limited GOOD Garstang Road, St Michaels, Preston PR3 0TD T. 01995 679662 Right at Home GOOD 110 Liverpool Old Road, Walmer Bridge PR4 5GE T. 01772 619106
Nursing Homes
Residential
Alston View GOOD Fell Brow, Longridge, Preston PR3 3NT T. 01772 782010
185 Watling St Road GOOD 185 Watling St Road, Fulwood, Preston PR2 8AE T. 01772 700371
Banksfield Nursing Home GOOD 20 Banksfield Avenue, Fulwood, Preston PR2 3RN T. 01772 733001
Belmont GOOD Inglewhite Road, Longridge, Preston PR3 2DB T. 01772 782031
Bridgeway Care Home GOOD Gamull Lane, Ribbleton, Preston PR2 6TQ T. 01772 796048
Bethany House GOOD Gamull Lane, Ribbleton, Preston PR2 6TQ T. 01772 792226
Crystal Hall GOOD Whittingham, Preston PR3 2JE T. 01772 861034
Carleton House GOOD 31 Lower Bank Lane, Preston PR2 8NS T. 01772 469111
Jeanne Jugan Residence GOOD 228 Garstang Road, Preston PR2 9RB T. 01772 717454
Lady Elsie Finney House GOOD Cottam Avenue, Cottam, Preston PR2 3XH T. 01772 721072
Moor Park House Limited GOOD 81-83 Garstang Road, Preston PR1 1LD T. 01772 886785
L’Arche Preston Moor Fold GOOD 3 Moor Park Avenue, Preston PR1 6AS T. 01772 251113
Sherwood Court GOOD Sherwood Way, Fulwood, Preston PR2 9GA T. 01772 715508
Longridge Hall & Lodge GOOD 4 Barnacre Road, Longridge, Preston PR3 2PD T. 01772 786106
Walton House Nursing Home GOOD 188 Chorley Road, Walton-Le-Dale, Preston PR5 4PD T. 01772 628514
Mansard House GOOD 28 Watling Street Road, Fulwood, Preston PR2 8DY T. 01772 774219 Meadowfield House GOOD Meadowfield, Fulwood, Preston PR2 9NX T. 01772 864881
Residential Oxford House GOOD 258 Garstang Road, Fulwood, Preston PR2 9QB T. 01772 713503 Penwortham Grange/Lodge GOOD Martinfield Road, Penwortham, Preston PR1 9HL T. 01772 748576 Preston Short Break Services GOOD 50 Larches Avenue, Ashton, Preston PR2 1LN T. 0845 0530000 Ravenscroft Rest Home Ltd GOOD Liverpool Road, Longton, Preston PR4 5HA T. 01772 614516 Sherwood Lodge GOOD Sherwood Way, Fulwood, Preston PR2 9GA T. 01772 715077 The Brambles Rest Home GOOD Park Avenue, New Longton, Preston PR4 4AY T. 01772 614533 The Brooklands GOOD 6 Blackbull Lane, Fulwood, Preston PR2 3PU T. 01772 719078 The Knowle Care Home GOOD 5-7 Egerton Road, Ashton, Preston PR2 1AJ T. 01772 727485 The Oaks GOOD 91 Hennel Lane, Walton-le-Dale, Preston PR5 4LE T. 01772 324515
PRESTON
Notice: Always read the most recent CQC inspection report. Ratings are updated regularly. All care providers listed are rated good or higher on CQC. Data correct at time of print date. 21
"Delivering outstanding nursing, care and support to local communities in Preston, Leyland and Chorley" What we do ... (and we do it really well) Elderly & Dementia Care Carers Breaks & Family Support Emergency Cover including Hospital Discharge NHS Continuing Healthcare Domestic & Housekeeping
Our Friendly Team are here to help
Call us 7 days a week on 01772 367656 Email: kpprestonrm@kareplus.co.uk www.kareplus.co.uk/preston Kare Plus Preston | Fishergate House | 16 Waltons Parade | Preston PR1 8QT
Quality Care and Companionship in the comfort of your own home Our wide range of services, along with our commitment to making a difference every day, ensures peace of mind for our clients and their families. Choose us to make a difference to you or your loved ones every day by calling
01772 619106
Email: hilary.hampton@rightathomeuk.com
www.rightathome.co.uk/preston Preston & South Ribble
ÂŽ
THE CARING COMPANY
Quality Care in Your Home
Companionship including light housekeeping, meal preparation, transport and errands. Personal Care including washing, dressing, continence care and medication reminders. Managed Live In 24 hour care as an alternative to a Care Home Hospital to Home support when you are leaving hospital including post-operative support. Specialist Care including dementia Respite Breaks are an opportunity for carers to take a holiday or simply spend some time looking after their own needs, safe in the knowledge that their loved one is receiving the very best care. Rig (Preston ht At Home CQC o & South Ribble) ve
rall rat i
Good
ng
22
Care at Home
Nursing Homes
Residential
Residential
Barnardo’s Include Me 2 GOOD 453 Leyland Road, Lostock Hall PR5 5SB T. 01772 629470
Brookhaven GOOD Gough Lane, Bamber Bridge PR5 6AQ T. 01772 646650
Chestnut Grove Rest Home OUTSTANDING Todd Lane S, Lostock Hall PR5 5XE T. 01772 337061
Hennel Lane GOOD 99 Hennel Lane, Lostock Hall PR5 5UL T. 01772 620587
Community Care Team Ltd GOOD Leyland BP, Centurion Way, Leyland PR25 3GR T. 01772 433423
Croston Park Nursing Home GOOD Town Road, Croston, Leyland PR26 9RA T. 01772 601431
Bannister Farm Cottage GOOD 220 Longmeanygate, Midge Hall, Leyland PR26 7TB T. 01772 458990
Jah-Jireh Charity Homes GOOD 7 Beechfield Court, Leyland PR25 3SA T. 01772 633380
Clarriots Care GOOD Ribble House, Meanygate, Bamber Bridge PR5 6UP T. 01772 627049
Meadow Bank Care Home GOOD Meadow Lane, Bamber Bridge PR5 8LN T. 01772 626363
Beechdale GOOD 302 Golden Hill Lane, Leyland PR25 2YH T. 01772 452924
Long Lane Farm GOOD Kellet Lane, Bamber Bridge PR5 6AN T. 01772 335372
Withy Grove House GOOD Poplar Grove, Bamber Bridge PR5 6RE T. 01772 337105
Broadfield House GOOD Broadfield Drive, Leyland PR25 1NB T. 01772 422111
Lostock Grove Rest Home GOOD Slater Lane, Leyland PR25 1TN T. 01772 454714
Brookside Residential GOOD 722 Preston Road, Bamber Bridge PR5 8JP T. 01772 330794
Lynbrook GOOD 106 Todd Lane North, Lostock Hall PR5 5UQ T. 01772 323695
Calvert House GOOD Mill Lane, Leyland PR25 1HY T. 01772 459978
Reiver House GOOD 303 Leyland Lane, Leyland PR25 1HY T. 01772 432080
Cuerden Grange GOOD 414 Station Road, Bamber Bridge PR5 6JN T. 01772 629532
The Bungalow GOOD 47 Todd Lane North, Lostock Hall PR5 5UR T. 01772 696961
Dixons Farm GOOD Wigan Road, Bamber Bridge PR5 6AS T. 01772 626916
The Spinney GOOD Gough Lane, Bamber Bridge PR5 6AQ T. 01772 629131
Ginger Homecare Limited GOOD U7, Clifton Parade, Bristol Ave, Farington, Leyland PR25 4YU T. 01772 463097 HF Trust - Lancashire DCA GOOD U3, South Preston BP, Cuerden Way, Bamber Bridge PR5 6BL T. 01772 629862 Holistic Health Services GOOD 25 Golden Hill Lane, Leyland PR25 3NP T. 01772 379090 Housing & Care 21 –Preston GOOD U11 & 12, South Preston BP, Cuerden Way, Bamber Bridge PR5 6BL T. 01772 754442 Preston & South Ribble Domiciliary Service GOOD West Paddock, Leyland PR25 1HR T. 01772 423611 Walton Homecare GOOD 206 Station Road, Bamber Bridge PR5 6TQ T. 01772 330975
Fernleigh House GOOD 1 Fernleigh, Leyland PR26 7AW T. 01772 451099
SOUTH RIBBLE Notice: Always read the most recent CQC inspection report. Ratings are updated regularly. All care providers listed are rated good or higher on CQC. Data correct at time of print date. 23
Specialists in providing you and your family with safe, effective and friendly 'person centered' care and support, in the comfort of your own home.
Individually tailored Nurse-Led Care • • • •
Personal Care Palliative Care Domestic Assistance Over Night Stays
• • • •
Complex Cases Dementia Care Companionship Live in Service
Michelle Richardson
Practicing NMC Registered Nurse
Whatever your needs are ... our care team is here to help
Tel: 01772 911 288
Email: lancashire-south@clarriots.co.uk
www.clarriotshomecare.co.uk/lancashire-south
Clarriots Care (Lancashire South)
CQC overall rating
Good
Established over 25 years ago using only highly trained local carers. Private care or via LCC Direct Payments.
Elderly Care
Dementia Care Palliative Care
Call 01772 433423 to find out more about our outstanding service
www.communitycareteam.co.uk 24
Care at Home
Nursing Homes
Residential
Residential
Chorley Domiciliary Service GOOD 41a St Thomas’s Road, Chorley PR7 1JE T. 01772 314855
Gillibrand Hall GOOD Folly Wood Drive, Chorley PR7 2FW T. 01257 270586
Balshaw Respite Service GOOD Balshaw Avenue, Euxton, Chorley PR7 6HY T. 01257 234999
Rowandale GOOD Back Lane, Clayton Le Woods Chorley PR6 7EU T. 01772 620739
Creative Support - Chorley GOOD 41 St. Thomas’s Road, Chorley PR7 1JE T. 01257 272210
Marley Court GOOD Bolton Road, Heath Charnock Chorley PR7 4A T. 01257 226700
Chorley Lodge GOOD Botony Brow, Chorley PR6 0JW T. 01257 268139
The Gables Care Home GOOD 25 Southport Road, Chorley PR7 1LF T. 01257 271299
Home Help & Footcare Service GOOD 61-63 St Thomas’s Road, Chorley PR7 1JE T. 03003 031234
Hollydale GOOD Back Lane, Clayton Le Woods Chorley PR6 7EU T. 01772 337701
Veedale GOOD Back Lane, Clayton Le Woods Chorley PR6 7EU T. 01772 334182
Lancashire Dom Care Service GOOD Lisieux Hall, Dawson Lane, Chorley PR6 7DX T. 01257 266311
Old Mill House GOOD Pall Mall, Chorley PR7 3LT T. 01257 274678
Westwood Residential GOOD 29-31 Southport Road Chorley PR7 1LF T. 01257 264626
Lifeways Community Care GOOD Mitchell House, King Street, Chorley PR7 3AN T. 01257 246444 Lifeways Paragon Limited GOOD Mitchell House, King Street, Chorley PR7 3AN T. 01257 246400 Link-Ability GOOD Conway House, Ackhurst BP. Foxhole Rd, Chorley PR7 1NY T. 01257 241899 Mrs & Mr Bellis GOOD 1 Arkwright Suite, Coppull BP. Mill Lane, Coppull, PR7 5BW T. 01257 795778 SureCare GOOD 19-21 Halliwell Street, Chorley PR7 2AL T. 01257 220319 Watch Home Care Services GOOD Smith Cottage, 2 West Bank, Chorley PR7 1JF T. 01257 263326
CHORLEY Notice: Always read the most recent CQC inspection report. Ratings are updated regularly. All care providers listed are rated good or higher on CQC. Data correct at time of print date. 25
Care at Home
Nursing Homes
Residential
Residential
Home Instead Senior Care OUTSTANDING Eden House, 34 Heskin Lane, Ormskirk L39 1LR T. 01695 589071
Beaufort Care Home GOOD High Lane, Burscough Ormskirk L40 7SN T. 01704 897766
Arranmore Park Rest Home GOOD 100 Square Lane, Burscough, Ormskirk L40 7RQ T. 01704 895887
Park Grove GOOD 2-4 Liverpool Road North, Burscough, Ormskirk L40 5TP T. 01704 893750
Clear Care Limited GOOD 4 City Studios, Hall Lane, Mawdesley, Ormskirk L40 2QY T. 01704 823462
Brandreth Lodge GOOD Stoney Lane, Parbold WN8 7AF T. 01257 464434
Aughton Park GOOD Aughton Park Drive, Aughton, Ormskirk L39 5QE T. 01695 576996
ShawCare@HighWray GOOD 15 Formby Lane, Aughton, Ormskirk L39 7HG T. 01695 421420
Crossroads Care GOOD 213 Malthouse BC, Southport Rd, Ormskirk L39 1QR T. 01695 576967
Silver Birch Lodge GOOD Bold Lane, Aughton, Ormskirk L39 6SH T. 01695 424259
Beacon View GOOD Kiln Lane, Skelmersdale WN8 8PW T. 01695 725682
Stocks Hall Residential GOOD 76a Nursery Avenue, Ormskirk L39 2DZ T. 01695 579842
Next Stage “A Way Forward” GOOD 213 Malthouse BC, Southport Rd, Ormskirk L39 1QR T. 01695 581738
Springfield Court GOOD 33 Springfield Road, Aughton, Ormskirk L39 6ST T. 01695 424344
Cardinal Heenan House GOOD School Lane, Roby Mill WN8 0QR T. 01695 622885
Northwest Domiciliary Agency GOOD 10 Forge Close, Westhead, Ormskirk L40 6HP T. 01695 573059
Stocks Hall Nursing Home GOOD 50C Whitemoss Road, Skelmersdale WN8 8BL T. 01695 555234
Courtfield Lodge GOOD 81A Marians Drive, Ormskirk L39 1LG T. 01695 570581
West Lancashire Short Break Services GOOD 7 School Lane, Skelmersdale WN8 8EH T. 0845 0530000
PCS (Personal Care Services) GOOD Maple View, White Moss BP, Skelmersdale WN8 9TG T. 01695 553930
Stocks Hall Nursing Home GOOD 251 Liverpool Road South. Ormskirk L40 7RE T. 01704 895667
Hillcroft Residential Care GOOD 16-18 Long Lane, Aughton, Ormskirk L39 5AT T. 01695 422407
Stocks Home Care Services GOOD 86 Sandy Lane, Skelmersdale WN8 8LQ T. 01695 722211
The Spinney Nursing Home GOOD 16 College Road, Upholland, Skelmersdale WN8 0PY T. 01695 632771
WEST LANCASHIRE Notice: Always read the most recent CQC inspection report. Ratings are updated regularly. All care providers listed are rated good or higher on CQC. Data correct at time of print date. 26
Useful numbers for support in your area WELFARE RIGHTS
n c mpass looking towards a brighter future
Free and confidential advice to make sure that you are claiming all of the benefits you are entitled to. Tel: 0300 123 6739 www.lancashire.gov.uk
Providing support in the provision of advocacy, carers, well-being, and young people’s support. Tel: 0345 013 8208 www.ncompassnorthwest.co.uk
Lancashire Young carers: Supporting those who look after an adult family member who has a serious illness or disability. Tel: 01772 641002 www.barnardos.org.uk/lancashire-young-carers
Free, confidential, impartial advice. Telephone Advice line: 03444 111 444 www.citizensadvice.org.uk.org.uk
Lancashire Helping you lead a happier and healthier life. Tel: 03450 138208 www.lancswellbeing.co.uk
Have your say on health and social care in Lancashire. Tel: 015242 39100 www.healthwatchlancashire.co.uk
Services to older people in Lancashire. Tel: 0300 303 1234 www.ageuk.org.uk/lancashire
Age Concern Central Lancashire, delivering services to older people. Tel: 01772 552850 www.55plus.org.uk/ageconcern
Free, confidential, impartial advice. National Dementia Helpline: 0300 222 1122 www.alzheimers.org.uk
Promotes the views and needs of people with mental health problems. Tel: 0300 123 3393
We’re here for people living with any terminal illness, and their families. Tel: 0800 090 2309 www.mariecurie.org.uk 27
www.mind.org.uk
Monday–Friday 9.00am–8.00m For confidential cancer information and support. Tel: 0808 808 00 00 www.macmillan.org.uk
Useful numbers for support in your area
carefees Support and advice for people living with mental ilness. Tel: 0300 5000 927 (Mon-Fri, 9.30am-4pm) www.rethink.org
Care Fees 4U provide a range of specialist services in relation to issues surrounding care home and nursing home fees. Tel: 01254 404566 wwww.carefees4u.co.uk
Confidential support for people experiencing feelings of distress or despair. Tel: 116 123 (24-hour free helpline) www.samaritans.org
Holistic Health Services, a Specialist Nurse led flexible care and support services to help meet your needs. Tel: 01772 379090 www.holistichealthservices.co.uk
The UK's largest disability campaigning organisation. Office Number: 020 7250 8181 www.radar.org.uk
Lancashire's leading provider of training courses for carers and professionals. Tel: 01257 233145 www.care-fullytrained.co.uk
Formerlye 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
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
For impartial, confidential advice and support on autism for anyone affected by, or researching autism. Tel: 0808 800 4104 www.autism.org.uk
Mencap is a UK charity for people with a learning disability. We support their families and carers. Tel: 0808 808 1111
Supporting people with sight loss Tel: 0303 123 9999
Helping People with Down's Syndrome to live a full and rewarding life. Tel: 0333 1212 300 www.downs-syndrome.org.uk
www.rnib.org.uk
www.mencap.org.uk
28
Home Inste ad Preston & S Senior Care outh Ribble CQC over all rating
Good
What people say about us ...
Specialist in providing people with care and support in their own homes in Preston & South Ribble 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 • Companionship • Carers Breaks
• Dementia Care • Personal Care • Overnight care
Call us today on 01772 724111 www.homeinstead.co.uk/prestonandsouthribble
I have been with Home Instead over a year now, they are the only people that have kept their promise. I have the same team of carers all the time, they are punctual friendly and helpful. I have had other companies in the past but they just messed me about these are so much better. Mrs K Ashton
We have tried working with different agencies in the past and had poor results. I now have a regular person who visits at the right time, is friendly chatty and supportive, it makes the world of difference having that certainty, we have found a good service at last. Mr B Fulwood
A huge thank you to all the staff at Home Instead Preston for the care given to my mother at such a difficult time. The consideration and help given was second to none. A wonderful Service. Thank you once again from myself and my Mother.
THE QUEEN'S AWARDS FOR ENTERPRISE: INNOVATION 2016
C Bullough