East riding Health & Social Care Directory 2017 by Healthcare Publications

SE ... EA E PL ON KE TA

East Riding of Yorkshire

Health & Social Care Carers Support Directory ISSUE 3

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

Beverley | Bridlington | Driffield | Goole | Hornsea & Surrounding Areas

If youâ&#x20AC;&#x2122;re affected by dementia or worried about your memory, call our national helpline on 0300 222 1122 email helpline@alzheimers.org.uk www.alzheimers.org.uk/helpline or contact our Hull & East Riding OfďŹ ce on 01482 211255

Contents A - Z Social Care Jargon Buster Local Contacts - East Riding

1-8 9 - 10

GPs & GP Surgeries - East Riding

11 - 12

Pharmacies - East Riding

13 - 14

NHS Continuing Healthcare Funding

15 - 16

Learning Disabilities - NHS Annual Health Check

17 - 18

Disability Aids & Equipment

19 - 20

Dementia Awareness

21 - 22

Putting Your Affairs in Order

23 - 24

Social Care & Independent Living

25 - 26

Choosing the Right Home Care Agency

27 - 28

Choosing the Right Care Home

29 - 30

Residential Homes - East Riding

31 - 32

Nursing Homes - East Riding

33- 34

Useful Numbers for Support

35 - 36

Disclaimer This Directory has been compiled to signpost primary health and social care providers throughout East Riding of Yorkshire. 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 January 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 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

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

Assisted Living

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

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

Adult Placement Scheme

Autistic Spectrum Disorder

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

Adult Social Care Care and support for adults who need extra help to manage their lives and be independent - including older people, people with a disability or long-term illness, people with mental health problems, and carers. Adult social care includes assessment of people’s needs, provision of services or allocation of funds to enable you to purchase your own care and support. It includes residential care, home care, personal assistants, day services, the provision of aids and adaptations and personal budgets.

Advocacy Help to enable you to get the care and support you need that is independent of your local council. An advocate can help you express your needs and wishes, and weigh up and take decisions about the options available to you. They can help you find services, make sure correct procedures are followed and challenge decisions made by councils or other organisations. The advocate is there to represent your interests, which they can do by supporting you to speak, or by speaking on your behalf. They do not speak for the council or any other organisation. If you wish to speak up for yourself to make your needs and wishes heard, this is known as self-advocacy.

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

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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.

Barred List An official list of people who are unsuitable to work or volunteer with children or with adults who may be at risk of harm or abuse, because of their past record. If you employ someone regularly to provide personal care, you should expect them to have completed a Disclosure and Barring Service (DBS) check, which will show whether they are on the barred list or not.

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

Best Interests Other people should act in your ‘best interests’ if you are unable to make a particular decision for yourself (for example, about your health or your finances). The law does not define what ‘best interests’ might be, but gives a list of things that the people around you must consider when they are deciding what is best for you. These include your wishes, feelings and beliefs, the views of your close family and friends on what you would want, and all your personal circumstances.

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

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Care Plan

Cognitive Behavioural Therapy

A written plan after you have had an assessment, setting out what your care and support needs are, how they will be met (including what you or anyone who cares for you will do) and what services you will receive. You should have the opportunity to be fully involved in the plan and to say what your own priorities are. If you are in a care home or attend a day service, the plan for your daily care may also be called a care plan.

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

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

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

Chargeable Services Services that your local council may expect you to pay towards, such as day care or home care. The law says that the amount the council charges must be reasonable, and councils have to follow guidance from the Government, to make sure that you are not charged more than you can afford to pay. There are some services that the council is not allowed to charge you for, and these are called non-chargeable services.

Clinical Commissioning Group (CCG) A group of GP practices in a particular area that work together to plan and design health services in that area. Each CCG is given a budget from NHS England to spend on a wide range of services that include hospital care, rehabilitation and community-based.

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.

Court of Protection An English court that makes decisions about the property, finances, health and welfare of people who lack mental capacity to make decisions for themselves. The court can appoint a ‘deputy’ to make ongoing decisions on behalf of someone who lacks capacity. It is also able to grant power of attorney.

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

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

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

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A-Z Social Care Jargon Buster 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.

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 parentsâ&#x20AC;&#x2122; income being taken into account.

Disclosure & Barring Service (DBS) A government organisation that checks peopleâ&#x20AC;&#x2122;s criminal records, in order to prevent unsuitable people from working with children or adults who may be at risk of harm or abuse.

Early Intervention

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Swan House Day Centre | 23 Victoria Road | Bridlington | East Yorkshire | YO15 2AT

www.swanhouse-bridlington.co.uk 3

Disabled Facilities Grant (DFG)

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.

Full and part time places Baking and living skills Drama music therapy Friendly, safe and fun environment Experienced, fully trained staff Person centred approach

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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.

Discharge Planning

Supporting Adults with learning difficulties at our day centre in Bridlington

To ďŹ nd out more, contact us on

Direct Payments

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

Swan House Day Centre

We offer a variety of activities, including life skills, arts and crafts and days out

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.

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

Eligible Care and Support Needs

Inappropriate Care

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.

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.

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.

Integrated Care Joined up, coordinated health and social care that is planned and organised around the needs and preferences of the individual, their carer and family. This may also involve integration with other services for example housing.

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

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

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

Health and Wellbeing Board 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.

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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.

A-Z Social Care Jargon Buster Kinship Care

Needs Assessment

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.

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.

Learning Disability A term that is used to describe a brain impairment that may make it difficult for someone to communicate, to understand new or complex information, or to learn new skills. The person may need help to manage everyday tasks or live independently. Learning disability starts in childhood and has a lasting effect on a personâ&#x20AC;&#x2122;s development. It can affect people mildly or severely.

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.

Mental Capacity Act A law that is designed to protect people who are unable to make decisions about their own care and support, property or finances, because of a mental health condition, learning disability, brain injury or illness. â&#x20AC;&#x2DC;Mental capacityâ&#x20AC;&#x2122; is the ability to make decisions for yourself. The law says that people may lose the right to make decisions if this is in their best interests. Deprivation of Liberty Safeguards are included in the law, to make sure that people are treated fairly.

Motability If you receive a mobility allowance from the Government, you can use the payments you receive to hire a car, scooter or powered wheelchair from a specially established charity, Motability. Your mobility allowance payments then go directly from the Government to Motability. The scheme includes the cost of insurance, breakdown assistance and repairs. You do not own the vehicle, and it is replaced every few years.

National Minimum Eligibility Threshold The level at which your needs reach the point that your council, by law, has to meet them. From April 2015, every council in England will have to offer care and support services to adults who have a lot of care needs. This replaces the previous situation, where each council made its own decision about what level of need it would meet.

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

Non-chargeable Services Care and support services you receive in your home or in your community that the local council does not charge you for. The law prevents councils from charging for certain things, including assessments and advice about services. On other things (including day care, home care, domestic help and equipment and adaptations), each council makes its own decisions about which services it will charge for and how much the charge will be.

Occupational Therapist A professional with specialist training in working with people with different types of disability or mental health needs. An OT can help you learn new skills or regain lost skills, and can arrange for aids and adaptations you need in your home. Occupational therapists are employed both by the NHS and by local councils.

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

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

Personal Assistant

Primary Care

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.

The first point of contact in the health service, usually your GP, practice nurse, local pharmacist, dentist or NHS walk-in centre. Primary care doctors deal with a wide range of health problems. They treat common illnesses, help you manage longterm conditions and refer you to a specialist doctor when necessary.

Personal Care

Property Disregard

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.

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

Using a personal health budget is a choice: you do not have to have one unless you want to.

Westwood Care Group Dales House

Specialists in Residential care for adults with: Learning and physical disabilities Complex and multiple needs. A safe, relaxed and homely environment. We pride ourselves in building social environments that enable our residents to participate in a social lifestyle and be a valued member of the community. Newly refurbished, our home has all the facilities required to cater for the needs of our residents whilst our dedicated team of highly trained staff ensure their well-being. You can get in touch with the team at Dales House by using any of the contact details below.

Call us on 01482 343601 or 07974 418789

enquiries@westwoodcaregroup.com | www.westwoodcaregroup.com

Dales House CQC overall rating

Good 14th May 2015

Dales House | 304 Cottingham Road | Hull | HU6 8QA 6

A-Z Social Care Jargon Buster Quality of Life

Risk Assessment

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

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.

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

Safeguarding

Referral A request for an assessment of a person’s needs, or for support from a social care organisation. A referral to adult social care may be made by your GP, another health professional or anyone else who supports you. You can also refer yourself, or a member of your family, by contacting the adult social care department at your local council.

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

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

Rights What you are entitled to receive, and how you should be treated, as a citizen. If you have a disability or mental health problem, are an older person or act as a carer for someone else, you have the right to have your needs assessed by your local council. You have a right to a service or direct payment if your assessment puts you above the eligibility threshold your council is using. You and your carers have a right to be consulted about your assessment and about any changes in the services you receive.

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 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.

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

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

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

Virtual Budget When your council allocates an amount of money to you as a personal budget, you can take this either as cash through a direct payment or as a virtual budget (also known as a managed budget). If you take it as

a virtual budget, the council manages the money for you to arrange the services you choose, and you aren’t responsible for paying directly for the services you receive.

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

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

Young Carer A young person aged 18 or under who looks after, or helps look after, a family member or friend who has an illness, disability or drug or alcohol problem. They may be responsible for cooking, cleaning, shopping, personal care or emotional support. Editorial courtesy of Think Local Act Personal www.thinklocalactpersonal.org.uk

The Mental Capacity Act (MCA) Helping people to make decisions

The Mental Capacity Act is an act of law that applies to people who are aged 16 or over. Examples of conditions which may affect someone's ability to make decisions are: Dementia, a learning disability, a brain injury, a mental health condition, a stroke or drug/alcohol problems. When making decisions about a person's care or treatment it is vital that: Friends and family are consulted | The person's own wishes are considered Checks are carried out to see if plans have already been made - for example, are there any legal powers in place.

Search Mental Capacity Act online for more information. 8

Local Contacts - East Riding Information about health services in East Riding including out of hours and urgent medical treatment, where to go for minor injuries and how to access mental health services. Minor Injuries Units East Riding of Yorkshire CCG Throughout East Riding there are a number of minor injury units for less serious injuries, such deep cuts, eye injury, severe sprains, minor head injury, minor burns and scalds and less serious broken bones. Wolds View Primary Care Centre Bridlington and District Hospital (Entrance A), Bessingby Road, Bridlington, YO16 4QP Open 7 days a week, 8am-9pm (inc. Bank Holidays) Tel: 01262 423008 East Riding Community Hospital Swinemoor Lane, Beverley HU17 9PE Open Monday - Friday, 9am - 5pm (Weekends & Bank Holidays - open 9am - 6pm) Tel: 01482 886600 Alfred Bean Hospital Bridlington Road, Driffield YO25 5JR Open 7 days a week, 9am - 6pm (inc. Bank Holidays) Tel: 01377 208733 Goole and District Hospital Woodlands Avenue, East Riding of Yorkshire DN14 6RX Open 7 days a week, 24 hours (inc. Bank Holidays) Tel: 01405 720720 Hornsea Cottage Hospital Eastgate, Hornsea HU18 1LP Open 7 days a week, 9am - 5pm (inc. Bank Holidays) Tel: 01964 533146 Withernsea Community Hospital Queen Street, Withernsea HU19 2QB Open Monday - Friday 9am - 5pm (inc. Bank Holidays) Tel: 01964 614666

Accident & emergency department (A&E) Visiting the accident and emergency department should only be considered in emergencies and lifethreatening situations which could include: loss of consciousness, fits, chest pain, breathing difficulties and severe bleeding. If you require emergency treatment call 999 or visit the emergency department immediately. Hull Royal Infirmary Anlaby Rd, Hull HU3 2JZ Tel: 01482 875875 Scunthorpe General Hospital Cliff Gardens, Scunthorpe, DN15 7BH Tel: 01724 282282 Scarborough General Hospital Woodlands Drive, Scarborough YO12 6QL Tel: 01723 368111 York Hospital Wigginton Road, York YO31 8HE Tel: 01904 631313

Tel: 01482 650700 Email: ERYCCG.ContactUs@nhs.net www.eastridingofyorkshireccg.nhs.uk

Patient Relations Service We welcome feedback, positive or negative, about your experience of local NHS services as this helps us to improve services for patients. Tel: 01482 672047 Email: ERYCCG.ComplaintsAndConcerns@nhs.net Patient Relations, Health House, Grange Park Lane, Willerby, HU10 6DT.

Healthwatch East Riding of Yorkshire Healthwatch East Riding of Yorkshire works to help local people get the best out of their local health and social care services. Tel: 01482 665684 Email: enquiries@healthwatcheastridingofyorkshire.co.uk www.healthwatcheastridingofyorkshire.co.uk

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. You can also contact the Humber Foundation Trust 'single point of access' service which is available for Hull and East Riding residents. Tel: 01482 617560 Email: singlepointofaccess@humber.nhs.uk East Riding of Yorkshire CAMHS provide a specialist service for children and young people (age 1-16 years) who have moderate to complex mental health problems. Please call Tel: 01482 303810.

Dental services Emergency Dental Services (normal working hours). If you have a dental emergency, and do not have a regular dentist, call 01482 335409 for details of Hull dentists accepting emergency appointments or 01482 650700 if you live in the East Riding. Information is also available via NHS Direct - call 0845 46 47 or visit www. nhsdirect.nhs.uk If you require emergency dental treatment the Dental out of hours service can be accessed via NHS 111

Sexual health services Our team of doctors and nurses provide specialist sexual health services across East Riding. If you need to talk to someone about a clinical problem or to book an appointment, please ring 01482 247111. Conifer Sexual & Reproductive Healthcare Services Wilberforce Health Centre, 6-10 Story Street, Hull HU1 3SA www.conifersexhealth.co.uk

Help with alcohol and drug problems

Connect to Support East Riding

If you want to talk to someone because you have a drink or drugs problem you can contact the open access service. Tel: 01482 344690 - Monday to Friday 9am - 5pm http://www2.eastriding.gov.uk/living/health-andwellbeing/drugs-and-alcohol/drugs/ You can also contact the young people’s substance misuse service in the East Riding below, and ask to speak to the drug and alcohol worker for the area in which you live who will be able to help. Telephone: 01482 392200 Email: youth.specialistteam@eastriding.gov.uk

Connect to Support East Riding is a user friendly website which is designed to help people who have care needs to access a range of services and activities, from home care and equipment, to luncheon clubs, reading clubs and befriending schemes. www.connecttosupport.org/eastriding

Domestic violence The Domestic Violence Adult Service offers support to people living with or fleeing from domestic violence and abuse. The service is available to any resident in the East Riding. Call the confidential helpline 01482 396330. The Domestic Violence Children’s Service offers one to one support to children and young people between the ages of 6 to 16 who have experienced domestic abuse and live within the East Riding. If you would like further information please contact one of the children’s team on: 01482 396368. Domestic violence can happen to a man or a woman and can be physical, sexual, psychological or financial abuse. Confidential information is available from National 24 Hour Domestic Abuse helpline Freephone: 0808 2000 247.

Safeguarding Adults East Riding Safeguarding Adults Board is a multiagency organisation responsible for ensuring the protection and safety of the most vulnerable adults in the East Riding. Tel: 01482 396940 Email: safeguardingadultsteam@eastriding.gcsx.gov.uk www.ersab.org.uk

Safeguarding Children Board If you are worried about a child/young person or think that they might be at risk of harm, abuse or neglect, you can contact the Early Help and Safeguarding Hub (EHaSH) to log your concern and receive advice: Tel: (01482) 395500 Email: childrens.socialcare@eastriding.gcsx.gov.uk www.erscb.org.uk

Citizens Advice Hull & East Riding The Hull and East Riding Citizens Advice Bureau (CAB) provides free, confidential, impartial and independent advice and information. Tel: 0300 3300 888 Monday to Friday 9am – 4pm (Calls charged at local rate) Email: e-advice@hull-eastridingcab.org.uk www.hullandeastridingcab.org.uk

Alzheimer’s Society East Riding Alzheimer's Society is the leading care and research charity for people with all forms of dementia, their families and carers. Tel: 01482 211 255 Office Hours: Monday to Friday 9:00 - 5:0 Email: hull&eastridingservice@alzheimers.org.uk www.dementiaeastriding.org.uk National Dementia Helpline: 0300 222 11 22

Age UK East Riding Promoting independent living and active ageing in the East Riding of Yorkshire, local services for local people. Tel: 01482 869181 www.ageuk.org.uk/eastriding

East Riding Carers Support Service The Carers Support Service is available to provide advice, information and services to recognise, value and support carers. Office Opening Hours Monday - Thursday 9.30 am - 4.30pm Friday 9.30 - 4.00 pm. (no appointment necessary) 18 Wednesday Market, Beverley, HU17 0DJ Freephone: 0800 917 6844 or 01482 396500 Email: ERCarers@eastriding.gov.uk http://www2.eastriding.gov.uk/living/care-andsupport-for-adults/carers/support-for-carers/

East Riding Young Carers & Siblings Service Young carers are children and young people (up to the age of 18) whose life is affected by looking after someone with a disability or a long term illness. Further information, advice and support is available from the East Riding young carers and siblings service Children’s Participation and Rights Team Anlaby Children’s Centre, First Lane, Anlaby HU10 6UE Tel: 01482 565560 Further information is also available on the action for children website. www.actionforchildren.org.uk

GPs & GP Surgeries

Address

Area

Postcode

Telephone

Data correct with NHS Choices

Did you know 51.4 million GP consultations are for minor ailments alone which would clear up by themselves, or with a little help from an over-the-counter remedy from a pharmacy, this is 18% of the GP workload nearly half of these consultations are generated by people aged 16 â&#x20AC;&#x201C; 59 years. 11

Did you know

Up to 40,000 GP visits per year are for dandruff. 20,000 go to their local surgery for travel-sickness. 5.2 million with blocked noses.

GPs & GP Surgeries

Address

Area

Postcode

Telephone

Data correct with NHS Choices

Did you know

Two million people who go to A&E could either self-care or have been treated elsewhere in the community. 12% of people admit to having used A&E in the past even when they knew there was nothing seriously wrong with them.

Did you know

The estimated cost of treating people who go to A&E but who could have either self-treated or gone elsewhere is ÂŁ136 million a year. This is the equivalent cost of 6,500 nurses.

Pharmacies

Pharmacy

Address

Area

Postcode

Telephone

Data correct with NHS Choices

THE Health Exchange Foot care you can rely on

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Pharmacies

Pharmacy

Address

Area

Postcode

Telephone

Data correct with NHS Choices

THE Health Exchange Foot care you can rely on

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

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

If you have a disability or complex medical problem, you might qualify for free NHS continuing healthcare (CHC). Not many people know about it, so it’s important to find out if you’re eligible and get an assessment

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 you need a lot of nursing support, the NHS can fund your care for you. NHS continuing healthcare (adults) or NHS continuing care (children) helps you with healthcare needs resulting from disability, accident or illness. If you qualify, it should meet the full cost of your care including care at home, in a nursing home or hospice. In England, the NHS can arrange care for you or you can choose to receive funding for your care as a direct payment, known as a personal health budget

Who is eligible? The only sure way to know if you’re eligible is to ask your GP or social worker to arrange an assessment. There’s no clear-cut list of health conditions or illnesses that qualify for funding. Most people with long-term care needs don’t qualify for NHS continuing healthcare or NHS continuing care because the assessment is quite strict. Being frail, for example, isn’t enough. But don’t let that put you off. Free healthcare could be worth thousands of pounds each year, so it’s important to find out where you stand.

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

What costs are covered? NHS continuing healthcare or continuing care covers personal care and healthcare costs, such as paying for specialist therapy or help with bathing or dressing.  It may also include accommodation if your care is provided in a care home, or support for carers if you’re being looked after at home.  If you need nursing care as an adult, you might get NHS funded nursing care. You might get this even if you don’t qualify for NHS continuing healthcare or NHS continuing care. Funding varies by region, so you’ll need to check with your local Clinical Commissioning Group. First of all, you’ll have an initial screening to see if you’re eligible for funding. 15

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.  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.

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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. NHS East Riding of Yorkshire Clinical Commissioning Group Health House, Grange Park Lane, Willerby, East Yorkshire HU10 6DT Telephone: 01482 650700 Email: ERYCCG.ContactUs@nhs.net www.eastridingofyorkshireccg.nhs.uk

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Short Breaks 16

Social Care & Independent Living People with learning disabilities often have poorer physical and mental health than other people. This doesn’t need to be the case. The Annual Health Check Scheme is for adults and young people aged 14 or above with learning disabilities who need more health support and who may otherwise have health conditions that go undetected. People with learning disabilities often have difficulty in recognising illness, communicating their needs and using health services. Research shows that regular health checks for people with learning disabilities often uncover treatable health conditions. Most of these are simple to treat and make the person feel better, while sometimes serious illnesses such as cancer are found at an early stage when they can be treated. The Annual Health Check is also a chance for the person to get used to going to their GP practice, which reduces their fear of going at other times. Adults and young people aged 14 or above with learning disabilities who are known to their local authority social services, and who are registered with a GP who knows their medical history, should be invited by their GP practice to come for an Annual Health Check. The Annual Health Check lets the person with learning disabilities go to their GP practice and have aspects of their health checked. It also allows them to talk about anything that is worrying them. During the health check, the GP or practice nurse will carry out the following for the patient: • a general physical examination, including checking their weight, heart rate, blood pressure and taking blood and urine samples • assessing the patient’s behaviour, including asking questions about their lifestyle, and mental health • a check for epilepsy • a check on any prescribed medicines the patient is currently taking • a check on whether any chronic illnesses, such as asthma or diabetes, are being well managed • a review of any arrangements with other health professionals, such as physiotherapists or speech therapists •

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

• The 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

Getting a learning disability diagnosis Under the Children and Families Act 2014, social services has a duty to assess children in need, including children with disabilities. The aim is to identify the child’s specific education and healthcare needs and draw up a plan of action for meeting these needs. If you believe your child has an undiagnosed condition, your GP should be able to help you to get the advice you need Some learning disabilities are discovered at birth, while others are not diagnosed until much later. If your child is diagnosed at or around birth – for example, with Down’s syndrome – their doctors probably won’t be able to tell you exactly how it will affect their development. The extent of your child’s disability will become clearer as they reach the ages when they should be talking, walking or reading.

For children who are not diagnosed at birth, finding out they have a learning disability can take time. The main problem is that learning disabilities are quite hard to diagnose very early in life. Most learning disabilities are obvious by the age of five. Intellectual function (also known as cognitive ability) can only be assessed by testing children from the age of five, so most children with these disabilities are only diagnosed when they start school. Even after a diagnosis is made, it can be hard to tell how it will affect your child in the future. However, your child’s current needs can be assessed to work out what kind of support will help them, and they will be referred to a paediatrician (a specialist in child health).

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

The level of support someone needs depends on the individual. For example, someone with a mild learning disability may only need support with things like getting a job. However, someone with a severe or profound learning disability may need fulltime care and support with every aspect of their life – they may also have physical disabilities. People with certain specific conditions can have a learning disability too. For example, people with Down’s syndrome and some people with autism have a learning disability. It’s important to remember that with the right support, most people with a learning disability can lead independent lives. Most adults with a learning disability want to live independently in the community, either by themselves or sharing a home with friends . Their Families and carers share this ambition.

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

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An occupational therapist or physiotherapist can advise you on whether a particular piece of disability equipment or adaptation is likely to meet your needs. Many more retailers are now entering the market for disability aids and adaptations. The market is no longer restricted to specialist providers so be careful of buying products online as bigger products like wheelchairs and scooters will need some type of assembly Buying locally can have some advantages. For example, you might not have to pay for delivery and if there’s a problem with the equipment when you get it home, it can be quicker and easier to resolve it face-to-face. Alongside personal needs, you might want to consider some of the following: • Does the company you are buying from offer an ‘after-sales service’? • Does the product come with a guarantee? • Can you get hold of spare parts easily and cheaply? • Does it need to be serviced regularly? Who will you use to do the work and how much will it cost? • Does it comply with the necessary British Standards? If it’s been tested and approved it will have the BSI (British Standards Institute) Kitemark. • What is the company’s returns policy? Do they offer a

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

Buying second-hand disability equipment Buying second-hand can be cheaper, but always check that what you are buying is in good working order. Second-hand items must be accurately described by whoever is selling them, including details of any faults. Some mainstream magazines and several disability organisations publish journals that contain Advertisements for second-hand equipment. If you are buying second-hand from a private individual, you must make sure that: • the equipment has been regularly maintained; • that you also receive accompanying literature, for example a care manual; • that batteries have been regularly charged (usually once a month is sufficient if the equipment is not being used); and that you receive instructions on how to use the equipment properly and safely. You may also need to find a local company able to service the equipment and carry out future repairs.

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

Mobility scooters A mobility scooter is a medical device as well as a lifestyle choice. It’s important to get the right one - for example, with a tiller and controls you can operate if you have arthritic fingers. Otherwise you could waste money or buy a scooter that isn’t the safest or most comfortable. Take advice from a mobility shop or by contacting an occupational therapist before you make a final decision on what to buy. Choosing a mobility scooter - top five things to consider  The types of journeys you plan to make  The types of terrain you’ll cover  Your storage facilities  Your body weight and size  Your budget

Choosing a wheelchair or scooter If you need a wheelchair, the main decisions you’ll have to make about your chair are: • whether it will be self-propelled, pushed by someone else, or electric-powered

• for permanent or occasional use • for indoor or outdoor use • whether you need it to go in and out of a car There are pros and cons for each type of chair, so the choice depends on your needs. There are a large variety of wheelchairs and scooters available, so expert independent advice is essential. Some of the things to consider when choosing the right equipment are: Your physical ability - For example, if you’re unable to stand up, a scooter may be difficult to manage. Stability and balance may also affect what you can use. How the equipment will be used - For example, do you need to get up stairs or through narrow doorways? Practical considerations - such as access to a power point if the equipment needs to be charged up, or having a secure place to store the equipment when it’s not in use.

NHS wheelchairs

The NHS wheelchair service offers assessments to determine what type of wheelchair or mobility equipment you may be entitled to. In most cases, you’ll be referred to the service by a hospital, doctor, consultant or occupational therapist. However, the specific criteria to determine who is eligible are decided locally, and will vary depending on where you live.

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Many wheelchair services have a waiting list for assessment appointments, so you may have to wait several weeks after referral to have an assessment.

Did you Know ...

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

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Social Care & Independent Living Dementia awareness People with dementia can feel vulnerable as their condition progresses and they increasingly rely on other people to do things for them. It is important that people who have dementia feel reassured and supported, while retaining some level of independence. People with dementia live in your area, probably on your street, possibly amongst your friends and close neighbours. People with dementia may visit your shop, business or workplace. 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.

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• 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 • •

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

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

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

The person with dementia may be confused if things have been rearranged, or by new people they meet. Try to keep things the same or offer additional assistance if things have changed.

Every day can be different • For some people with dementia what they can do changes from day to day, so how you help them may need to be different every time. • Look out for signs and offer to help when needed, bearing in mind the privacy of the person.

Dealing with incontinence in someone with dementia A person with dementia may simply forget to go to the toilet, or may forget where the toilet is. They may also have lost the ability to tell when they need the toilet. How you can help It’s important to be understanding, retain a sense of humour and remember that it’s not their fault. You may also want to try the following: • Put a sign on the toilet door, such as a photo of the toilet. • Keep the toilet door open and make sure that the person you care for can access it easily. • Make sure they can remove their clothes – some people with dementia can struggle with buttons and zips. 22

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

Free and impartial money advice, set up by government Tel: 0300 500 5000

Monday to Friday, 8am to 8pm - Saturday, 9am to 1pm Sunday and Bank Holidays, closed

www.moneyadviceservice.org.uk 23

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.

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

The Society of Later Life Advisers (SOLLA) aims to assist people and their families in finding trusted accredited financial advisers who understand financial needs in later life.

www.societyoflaterlifeadvisers.co.uk

Setting up a power of attorney

Paying for a funeral in advance

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 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.

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.

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 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

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.

A Fletcher & Sons

We are an independent family run business established for over 100 years Our services include: • 24-hour personal service 365 days a year • Private chapels of rest • Fleet of Mercedes funeral cars • Horse-drawn carriages available upon request • Traditional funerals • Home visits available For a personal and professional 24 hour service, please call us today 31 Edinburgh Street | DN14 5EH | Goole

Visit our website: www.bullementfuneral.co.uk

Social Care & Independent Living 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 who need social care support will be able to have care provided in their home. The kind of social care support that you can get depends largely on your needs. This means the type of condition you have, or the severity of your disability. For example, if you have a neurological problem that causes you to have trouble walking you may simply require some equipment to help you remain mobile and independent. However, if you have a significant neurological problem that seriously affects your mental capacity or ability to move and look after yourself, you are likely to need a much wider range of social care services. It is worth taking time to think about your specific needs and what you think you might need to help you achieve the best quality of life you can. Care and support services might typically include: • equipment • help in your home or in a care home • community support and activities • day centres

• • • • • •

home adaptations residential care financial support information and advisory services, and advocacy support for carers other support for care

How do I get Social care? If you have decided that you need social care support, you may want to think about the type of support you require, be it homecare workers, equipment or respite breaks. Your first step should be to ask your local authority social services department for an assessment of you needs. Local authorities have a duty to assess anyone who appears to need the community care services they offer. 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. Each local authority has its own way of working out who is eligible for social care support and what services it can offer.

For more information on how to get your Carer’s assessment ... Contact the Carers Support Service: Tel: 0800 917 6844 (Freephone) Email: ERCarers@eastriding.gov.uk www2.eastriding.gov.uk

Sheltered Housing Sheltered housing is a good option for older people who enjoy independent living but want the reassurance of additional support Schemes usually consist of between 15 and 60 selfcontained homes which may be bedsits (studios), flats, bungalows or luxury apartments. There is a minimum age for residents, usually 60, sometimes 55 and very occasionally 50.

Let us help you to stay independent Whether you’re looking for short Our team are fully or long term support - for yourself trained, experienced or a loved one - we’d like to help. and are all DBS • Personal Care checked. • Meal Preparation • Medical Prompt • Shopping, Domestic, Laundry M: 07951 727550 E: annelsonwishes@gmail.com • Social Visits / Outings • Appointments • Day / Night Sitting

01482 449735

www.wishescareandsupportservices.com 25

This type of housing appeals to people who like living independently but want the reassurance of knowing that assistance is on hand if there is an emergency, or who want the possibility of socialising in a community of people in the same age range.

Reasons to consider sheltered housing  It might be that your current property is simply too big for you now, or that you are having trouble keeping up with maintenance and repairs. Sheltered housing can offer a smaller and easier-to-manage alternative.  Sheltered housing properties are built with older people in mind, and are usually compact and easy to get around. Most have been built (or adapted) to suit people with reduced mobility or disabilities. Features and lifts, can make life easier

 Opportunities to socialise with other residents of a similar age, someone who is feeling lonely in their own home may find lots of different ways to meet with like-minded people.  Sheltered housing can feel more secure than living alone. It can be reassuring to know that other people are around – to talk to, give advice or help with problems. Scheme managers can generally be contacted during the day.  Sheltered housing properties also have alarm systems, giving residents access to help 24 hours a day, seven days a week. If an alarm is activated, calls go through to the scheme manager (if on duty) or a 24-hour call monitoring centre, which will likely alert a nominated relative/friend or the emergency services  Sheltered housing is most suitable for older people who are relatively fit and healthy, as personal or medical care is not usually provided.

Extra care housing Extra care housing (also known as ‘very sheltered housing’, ‘assisted living’ or ‘close care’) is similar to sheltered housing, but there is a higher level of support and help with personal care is available to those who need it.

Supported living Supported living is a concept that was developed as an alternative to institutional care for people with learning disabilities The main principles of supported living are that people with learning disabilities own or rent their home and have control over the support they get, who they live with (if anyone) and how they live their lives. Supported living assumes that all people with learning disabilities, regardless of the level or type of disability, are able to make choices about how to live their lives even if the person does not make choices in conventional ways.

Why choose supported living services? Supported living services may provide a good option in some circumstances – offering flexibility, and perhaps even better value for money than some of the alternatives, whether you fund your own care or receive a personal budget. The first time you hear about supported living services may be during a care needs assessment by social services. They will let you know about supported living services available locally if it seems like they might meet your needs.

This type of housing is therefore attractive for couples with mixed levels of care needs as it can offer independence while also having access to care and respite services. Care staff, sometimes employed by local councils, care agencies or social landlords, can visit residents in their flats to help with getting in/out of bed, washing and dressing. They might also help with cleaning, or provide meals. Care staff are sometimes based onsite but can also be community based, and are typically available 24 hours a day. It is common within extra care housing for all residents to have to pay a minimum contribution towards care services, regardless of whether they require any support themselves. It is therefore advisable to enquire about these charges and the typical costs for higher levels of care, should you need them in the future. For more information on extra care housing schemes contact the Elderly Accommodation Counsel (EAC) Housing Care service to find out if there are schemes in your area - Visit: www.housingcare.org/ or Telephone: 0800 377 7070,

Home Sweet Home Care Agency Don’t let your care needs prevent you from living in your own home If you require specialist care and support, Home Sweet Home Care Agency delivers a bespoke care service to help you with your short-term or long-term needs. Every care package we provide is unique, which is why we ensure our highly skilled Carers are trained to meet your individual needs. From one visit a week, to ﬁve visits a day, we offer a wide-range of care and support services. 24 hour care and overnight care services also available.

Home Home

Care Agency

For more information contact Heather on

01944 758025

or 07967 876132 26

Social Care & Independent Living If you find it difficult to carry out personal care routines – such as washing or dressing – home care services can provide the extra support that you need. Home care services (also known as domiciliary care) provide carers or personal assistants who can visit you at home to help with a wide range of tasks

Choosing the right home care agency If you are considering using a home care agency Here is a list of questions you should ask a home care agency; ensure you get all the answers that you need.

About the carers • Will I have a regular carer? • What will happen if my regular carer is off sick? • What happens if a carer is unable to get to me because of adverse weather conditions or a traffic accident? • How many different carers are likely to visit me? • What sort of training do the carers receive? Do they have an induction period? How often is their training updated? • What qualifications do they have? • Will carers keep written records of the care that has been given, and accurate timesheets for me to sign? • Can copies of the records be sent to me if I want them?

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? 27

• 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.

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.

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.

At Westwood Care 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 We specialise in the following care: • • • • • • • •

Yorkshire Ltd

Learning & Physical Disabilities Mental Health Complex Health Needs Older People Palliative Care Children and their families Long Term Conditions Sensory Loss

We offer the following: • • • • • •

Westwood Care & Support Services

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

We Support stwood Care and Se CQC o rvices Yorkshire Ltd. v

erall ra ting

Good

28th Ma y 2016

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 Westwood Care we can tailor your care to meet all of your individual needs.

Please call us on 01482 629 506

www.westwoodcareandsupportservices.com

Social Care & Independent Living Care homes may be arranged through the local authority but many people will want to arrange them independently. It is a good idea to visit several homes before making a choice. Make sure you spend enough time in each home to get a good idea of what it is like. Choosing the right care home Choosing a care home is one of the most important decisions you’ll ever make. You need to make sure it’s got everything you need, in a place you’ll be happy, at a price you can afford. When choosing a care home you need to recognise that your care needs are likely to increase over time. • Make a shortlist of suitable care homes in your area that fall within your budget. • Request an information pack from the homes on your shortlist.

• Check how much notice you need to give if you move out and how much notice you will be given if the home is to close. • If your funding is local-authority assisted, check that you pay the same rates as self-funders and find out whether a top-up payment is required. Check the care home’s official inspection report

How much is it going to cost?

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

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

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

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

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

Ryehill

COUNTRY LODGE

Quality Care Home & Day Care Centre Set in a beautiful countryside location you can be confident that your loved ones receive all the care that they deserve at Ryehill Country Lodge. As well as permanent 24 hour care we offer a day care service with transport and short time respite care for those who may need a break or company during the day. Our aim is to provide a homely environment, where residents can enjoy the garden, lounge and all communal areas at their leisure, or feel free to retire to their rooms, as and when they wish.

• All Rooms En-suite • In-house Shop with Coffee & Tea Bar • Activities & Regular Days Out For all enquires please contact

Tel: 01964 624245

Ryehill Country Lodge | Pitt Lane | Ryehill | Hull | HU12 9NN

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

Ryehill C o

CQC o untry Lodge verall rating

Good

19th Feb

2016

Before visiting any care homes in person, you need to be very clear about what it is you’re looking for. Make a checklist of the things that are important to you, along with a list of questions to ask the managers and staff. Don’t be embarrassed – you’re about to make a lifechanging decision.

Choice of accommodation The law says that where the local authority is funding accommodation it must allow the person entering residential care to choose which care home they would prefer. Social services must first agree that the home is suitable for the person’s needs and that it would not cost more than they would normally pay for a home that would meet those needs. If the person chooses to go into a more expensive home, a relative or friend may be able to ‘top up’ the difference in cost. Residential care homes provide living accommodation, usually in an en suite room with meals in a dining area and help with personal care, such as washing, dressing and going to the toilet. You may need to move to a care home if you need care throughout the day and night, and if this is impossible to arrange, or afford, at home

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

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

 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

 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.  Your relative may feel rejected: it can help if you talk things through beforehand, possibly explaining that you or other family members are unable to give them the care that they need. Regular contact once they’ve moved in will also help.  Loss of independence, although a good home should encourage your relative to be as independent as they can be.  Lack of privacy: this might be difficult for your relative to adjust to.  Small living space: your relative won’t be able to take all of their furniture and personal possessions with them.

Bluebell House

Residential Home for the elderly

• Furnished to an excellent standard with high quality decor and bedroom furniture • Companion rooms are available • Great day care service Bluebell Residenti al Ho • Respite stays welcome CQC o me Limited verall rating • Emergency admissions Goo

Contact our Care Team on

01482 649234

7th June

2016

for a chat or to arrange a visit www.bluebellhouse408.co.uk • 408 Boothferry Road | Hessle | HU13 0JL 30

Residential homes Residential Homes

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Residential homes Residential Homes

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Nursing homes & Care in your own home Nursing Homes

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Care at Home

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cascade

Residential, Supported Living, Short Breaks and Day Services 01964 613168 www.cascade-care.com

Get the best out of life by calling

231-237 Queens Terrace | Withernsea | East Yorkshire | HU19 2HH

Westwood Care & Support Services

Specialists in supporting people with autism, challenging behaviour and other complex needs

Yorkshire Ltd

We specialise in the following care: • • • •

Learning & Physical Disabilities Mental Health Complex Health Needs Older People

• • • •

Palliative Care Children and their families Long Term Conditions Sensory Loss

Call us on 01482 629 506

www.westwoodcareandsupportservices.com

Nursing Homes

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Care at Home

Address

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Data correct with CQC

Domicilary Care Support that you can rely on We are skilled in providing a high quality service and are trained in: • Protection of Vulnerable Adults • Moving and Handling People • First Aid • Food Hygiene • Health and Safety • DBS Checked Insured

Tel: 01482 242300

Priva Ambulate availabl nce e to t you to ake appoint m on trips ents or out.

www.opelwoodcare.co.uk • Email: info@opelwood.co.uk

Enquire about our 7 days a week day service

Do you need a break from caring for a relative? Residential, Respite & Convalescent Care for the elderly in the heart of the Wolds

Tel: 01377 254496

www.lavendercourt.co.uk 32 - 34 High Street | Nafferton | East Yorkshire | YO25 4JR

Join us at our Lunch Club Lavender Court Residential Home

CQC overall rating

Good 26th May 2015

Useful numbers for support in your area Responsible for commissioning healthcare and wellbeing services for the people in East Riding of Yorkshire. Tel: 01482 393939 www.eastriding.gov.uk

East Riding of Yorkshire

We provide support to children and young people up to 18 years old who have taken on caring responsibilities. Tel: 01482 396 726 www.actionforchildren.org.uk

Have your say on health and social care in East Riding of Yorkshire. Tel: 01482 665684 www.healthwatcheastridingofyorkshire.co.uk

Free, confidential, impartial advice. Telephone Advice line: 01482 224608 www.hullandeastridingcab.org.uk

Services to older people in East Riding of Yorkshire. Age UK East Riding advice hotline: 01482 869181 www.ageuk.org.uk/eastriding

Free, confidential, impartial advice. Hull & East Riding Office: 01482 211255 www.alzheimers.org.uk

Promotes the views and needs of people with mental health problems. Tel: 0300 123 3393

Families Information Service Hub

We provide advice, information and services to recognise, value and support carers. Freephone: 0800 917 6844 or 01482 396500 Email: ERCarers@eastriding.gov.uk

www.mind.org.uk

Free, confidential, advice and support. Tel: 01482 396469 www.fish.eastriding.gov.uk

Penny Brohn Cancer Care - offers complementary support for people living with cancer. National Helpline: 0303 3000 118 www.pennybrohn.org.uk/yorkshire/

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

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 36

Specialists in Mental Health, Dementia & Complex Care Packages We provide a range of flexible care and support services to meet your needs throughout Hull and East Riding Hull Hom Dementia & Elderly Care ecare CQC o verall rating Complex Care Good Adults, Children & Young People Palliative Care Head & Spinal Injury Rehabilitation Home Ventilation & Respiratory Support Renal Care Learning Disabilities Support 24 Hour Live-in Care Sitting Services Including Overnight Support Minimum 4 Hour Call Policy - All Enquiries Welcome

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