Healthwatch North lincolnshire 2016/17 by Healthcare Publications

YOUR FREE GUIDE TO HEALTH & SOCIAL CARE 2016/17

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North Lincolnshire

Health & Social Care Signposting Directory

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

www.healthwatchnorthlincolnshire.co.uk

North Lincolnshire

Lindum Court

Providing First Class Residential & Specialist Care for Older People Living with Dementia, Mental Health Conditions, Physical Disability & Sensory Impairment

Lindum Court prides itself on delivering outstanding, person centred care Our professional staff are trained and well qualified to carry out their jobs to an excellent standard. They have a great understanding of the needs of older people and care for them in a warm, friendly and professional manner, 24 hours a day.

Give Yourselves a Much Deserved Break with Our Respite Care Service ... Looking after a relative with dementia requires a big commitment in time and energy. Our respite care and day care service is designed to provide a welcome break for you to recharge your batteries and a great change of scenery for your loved one.

Care provided for challenging behaviour

Telephone Helen on 01427 728507 or email: clare@plenuscare.co.uk

www.lindumcourt.co.uk

To see if Lindum Court is the right home for your loved one, take advantage of a

FREE DAY

Available 7 days a week

The Manor Providing Outstanding Care in a Homely Setting.

Warm and friendly residential care for older people and for those living with dementia Our range of care services include:

• Long-term Care • Respite Care & Convalescence • Day Care Service With a capacity for only 25 residents, The Manor is large enough to provide a stimulating social mix, but avoids the institutional character of larger homes, brilliantly lead by our care manager Helen Logan.

Day Care

Our day care service is adaptable to everyone’s needs and available 7 days a week. A trial session is offered free of charge to see if this is the environment that best suits the individual.

Telephone Helen on 01724 764884 or email: clare@plenuscare.co.uk

To see if The Manor is the Right home for your loved one, take advantage of a

FREE DAY

Available 7 days a week

Contents Healthwatch North Lincolnshire

Get Involved

Healthwatch Advocacy

3-4

Carers Rights & The Care Act

5-6

NHS Hospital Services

7-8

Tell Your GP You Are a Carer

9 - 10

GP, GPs Surgeries & Pharmacies in North Lincolnshire

11 - 12

Dentists & Opticians in North Lincolnshire

13 - 14

A - Z Social Care Jargon

15 - 22

Taking a Break from Caring

23 - 24

Caring for Someone with Dementia

25 - 26

NHS Continuing Healthcare Funding

27 - 28

Planning For Your Future Care Needs

29 - 30

Choosing the Right Home Care Agency

Choosing the Right Care Home

Domiciliary, Nursing & Residential Homes in North Lincolnshire

33 - 34

Information & Support

35 - 36

Disclaimer This Directory has been compiled to signpost primary health and social care providers throughout North Lincolnshire. Whilst we have taken every care in compiling this publication, the publishers and promoters cannot accept responsibility for any inaccuracies. All listings are supplied via the Care Quality Commission (CQC) and NHS Choices. Neither Healthwatch North Lincolnshire nor Healthcare Publications can be held responsible for any errors or omissions. This Directory contains advertising from businesses who are offered the opportunity to reach potential customers through inclusion. However, any information provided by a company or organisation does not carry endorsement or approval of any product or service by Healthwatch North Lincolnshire or Healthcare Publications.

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

Healthwatch North Lincolnshire About Healthwatch North Lincolnshire Healthwatch is the consumer champion for health and social care. It exists in two distinctive forms local Healthwatch, at local level and Healthwatch England, at national level. The aim of Local Healthwatch is to give citizens and communities a stronger voice to influence and challenge how health and social care services are provided locally.

Healthwatch North Lincolnshire has three principle parts: Information and signposting We provide people with, or signpost people to information about local health and social care services and how to access them.

Engagement and outreach We provide a ‘platform’ to enable people to share their views and concerns about their local health and social care services, helping to build a picture of where services are doing well and where they can be improved. We ensure that the views and experiences of patients, carers and other service users are taken into account when services are planned and commissioned.

Independent Complaints Advocacy We provide people with information about what to do when they are unhappy with the service they received. This includes signposting to independent advocacy for NHS complaints. In addition we: • Are able to alert Healthwatch England, or the Care Quality Commission (CQC), where appropriate, to concerns about specific care providers, health or social care matters.

What power does Healthwatch North Lincolnshire have? Healthwatch North Lincolnshire can request information from local organisations, commissioners and providers. They then have 20 working days to return the information requested. The trained members of Healthwatch (staff or volunteers) are authorised to perform ‘Enter and View’. These are powers to go to a service unannounced or announced and have a look at the work/standards in that practice. Healthwatch North Lincolnshire has worked very hard to create partnerships and collaborative relationships with local services and providers, in order to discuss issues openly and effectively. Once local people bring up an issue, it will be addressed by Healthwatch and the service provider/organisation together. Twenty working days is given to the organisation to respond as to how they will resolve the issue and improve. A report is then produced by Healthwatch and made public. The report will include recommendations both from the public involved in Healthwatch and the steps taken by the organisation concerned. Service providers as well as health and social care organisations have a duty to the public to listen to issues that are brought forward and respond to/act upon them.

Whatever your skills or experience, as long as you are passionate about improving health services in North Lincolnshire we want to hear from you

Why not come and join us as a Healthwatch North Lincolnshire volunteer? Healthwatch North Lincolnshire is keen to recruit volunteers who want to make a real difference in the way that local health and social care services are run. No qualifications are needed to become a volunteer with HWNL just an interest in your local health and social care services and a desire to ensure the voice of local people is heard.

Here are some of the areas that volunteers can get involved in: • Publicising Healthwatch North Lincolnshire and collecting the public’s view through talking with people to help get the message across. • Represent Healthwatch North Lincolnshire at information sessions and events. • Visiting health and social care premises to gather information about the experiences of service users.

Enter and View Representatives

Healthwatch North Lincolnshire Volunteers undergo a recruitment and training programme to ensure that they are able to understand fully the rationale and requirements of the procedure. To conduct Enter and View Healthwatch North Lincolnshire volunteers must be authorised and trained. Healthwatch North Lincolnshire will deliver to the Healthwatch England National Framework. All Enter and View representatives will have satisfactorily undergone a Disclosure and Barring Service (DBS) check. Healthwatch North Lincolnshire have implemented a rigorous selection process which requires all members who wish to carry out Enter and View duties to complete the relevant training which covers the legislation and the code of conduct behind enter and view, personal conduct and communication skills, evidence gathering and reporting, diversity awareness and safeguarding responsibilities. If you are interested in becoming involved as a volunteer with Healthwatch North Lincolnshire then contact us:

FREEPOST RTEX-LRCT-GTXZ Healthwatch North Lincolnshire Suite 36 & 37, Normanby Gateway, Lysaghts Way, Scunthorpe, North Lincolnshire DN15 9YG Contact us by: TELEPHONE Office 01724 844986 NHS Complaints Advocacy 0808 802 3000 EMAIL enquiries@healthwatchnorthlincolnshire.co.uk

Healthwatch North Lincolnshire (HWNL) are able under the provisions of the The Health and Social Care Act 2012 to undertake ‘Enter and View’ visits to premises which deliver health and social care services and are in receipt of public funds.

TWITTER @HealthwatchNL

Enter and View is one of the tools available to Healthwatch to find out people’s experiences of health and social care. Enter and view is not an inspection but instead involves authorised representatives entering settings where health and social care services are conducted, talking to patients, their families/carers and also staff in order to find out their views and experiences and to observe how well services are being delivered.

Or visit our website at www.healthwatchnorthlincolnshire.co.uk

FACEBOOK www.facebook.com/Healthwatch NorthLincolnshire

Healthwatch Advocacy Healthwatch Advocacy helps people to make their NHS complaints We can help if you feel you have not had the service you expect from the National Health Service (NHS) and want to complain. When your health care is provided by the NHS you are allowed to make a complaint using the NHS complaints process. An NHS complaint might include something that happened during care or treatment at: • the hospital • your General Practitioner (GP) • the dentist • the pharmacist • the optician • an NHS funded care home

What is Healthwatch Advocacy? Healthwatch Advocacy is the Independent Complaints Advocacy service. Healthwatch Advocacy provides practical support and information to people who want to make an NHS complaint. This might mean giving information so you can pursue a complaint by yourself or giving you the support of an experienced worker who can help you to make your complaint. In this area Healthwatch Advocacy is provided by the Carers Federation. We have directly supported over 27,000 people to make an NHS complaint in the last 5 years.

How does Advocacy work? Healthwatch uses advocacy to help people make their complaint. Advocacy is a system that uses experienced workers to help people speak up for themselves and represent their own thoughts and feelings when things are difficult. Our specially trained and experienced staff are known as Advocates. Because advocacy is about helping people to speak up for themselves, a Healthwatch Advocate will not tell you what to do or act on the wishes of others. Our Advocates are qualified and have many years of experience working within the NHS complaints process.

What does a Healthwatch Advocate do to help? Healthwatch Advocates will help you explore your options at every stage of your complaint and can give you information that can help you to decide what to do. Healthwatch Advocates work with you so that you feel confident to make a complaint. Throughout the complaints process an Advocate might also do some or all of the following: • help you to compile all the issues you wish to raise in your complaint • help you to write letters to the right people • prepare you for meetings and go to these with you • answer questions to help you make decisions • give you the opportunity to speak confidentially to someone who is independent of the NHS • where possible we will meet you face-to-face to discuss your complaint • provide you with information about how the NHS complaints process works • help you to monitor the progress of your complaint with the organisation or individual responsible • help you to understand what you can expect to achieve from the NHS complaints process • put you in touch with other people or services that might be able to help you

What if I only need information? Not everyone needs the support of an Advocate to make their complaint. For example, some people just want to know how the complaint system works or know who they should send a letter of complaint to. Everyone who contacts Healthwatch Advocacy for help with an NHS complaint is entitled to receive a free Self Help Information Pack. The Self Help Information Pack includes: • a detailed booklet on how the complaints system works • information on how to access your medical records • guidance on how to put together your complaint letter • a leaflet containing useful addresses (including the General Medical Council and the Health Service Ombudsman) This may be enough to make a complaint yourself. Anybody who starts a complaint by themselves is entitled to contact Healthwatch Advocacy at any stage in the process for more information or to request the support of an Advocate.

Can I complain on behalf of somebody else like a child, friend or relative? You can complain on behalf of a child under 18 years if they are unable to make the complaint themselves. The organisation you are complaining to must be confident the child cannot complain themselves before they consider the complaint. You can also make a complaint on behalf of a friend or relative but they will need to agree to this in writing. If you want to complain on behalf of someone who lacks mental capacity then it is usual that the organisation you are complaining to will check the patient’s mental capacity before responding.

Meeting your needs Healthwatch Advocacy can adapt the way we communicate with you depending upon your needs. This might include any of the following: • using an interpreter or translator • using alternative formats for written correspondence including larger prints, audio or braille • using British Sign Language (BSL) interpreters • We can also try and accommodate other languages if requested. If you have particular needs, please let us know what these are and we will do our best to meet them.

What next? You can get in touch: • if you want more information • if you want a Self Help Information Pack to help you make a complaint, or • if you want an Advocate to help you make an NHS complaint

When are we open? Monday – Thursday 9am - 5pm Friday 9am - 4.30pm Contact us Email: nlica@carersfederation.co.uk or visit: www.carersfederation.co.uk/icanl Tel: 0808 802 3000

North Lincolnshire Independent Complaints Advocacy Suite 36 & 37, Normanby Gateway, Lysaghts Way, Scunthorpe, North Lincolnshire DN15 9YG

Carers rights & the Care Act There are 6.5 million carers in the UK which is one in 10 of the population. Ask for a Carers’ assessment The Care Act 2014 makes carer’s assessments more widely available to people in caring roles Local authorities now have a legal duty to assess any carer who requests one or who appears to need support If you provide care and support to an adult friend or family member, you may be eligible for support from your local council. This support could include being offered money to pay for things that make caring easier. Or the local authority might offer practical support, such as arranging for someone to step in when you need a short break. It could also put you in touch with local support groups so you have people to talk to. A carer’s assessment is a discussion between you and a trained person either from the council or an organisation working on behalf of the council. The assessment will consider the impact the care and support you provide is having on your own wellbeing, as well as important aspects of the rest of your life, including the things you want to achieve day-to-day. It must also consider other important issues, such as whether you are able or willing to carry on caring, whether you work or want to work, and whether you want to study or do more socially.

Are you a Carer? If you are looking after an ill, disabled or frail elderly relative or friend, you should recognise yourself as a carer. Carers can get a range of support from social care, and can be vital for helping arrange social care support for the person they care for. There are charities that support particular groups of carers, including sibling carers and young carers.

If you want to talk to someone about how to get support as a carer call the

Carers Direct helpline on

0300 123 1053

In April 2015, the Care Act 2014 and the Children and Families Act 2014 came into force, and have strengthened the rights of carers in the social care system. As a carer, you no longer have to request an assessment – social services should offer you one if you appear to have or will have needs for support. There are also new national rules for deciding who is eligible for care and support.

A carer’s assessment looks at the different ways caring affects your life, and works out how you can carry on doing the things that are important to you and your family. It covers your caring role, your feelings about caring, your physical, mental and emotional health, and how caring affects your work, leisure, education, wider family and relationships. Your physical, mental and emotional wellbeing should be at the heart of this assessment. This means that you can tell the council how caring for someone is affecting your life and what you want to be able to do in your day-to-day life. A carer’s assessment should also look at your own interests and commitments to see if and how they are disrupted by your role as a carer. One of the most important parts of your carer’s assessment will be a discussion about your wishes concerning going to work, training or leisure activities.

Your decision to be a carer When your carer’s assessment is done, no assumptions should be made about your willingness to be a carer. This can be a very sensitive area, because many of us feel that we have a duty to those we care for. We sometimes rule out other options because we feel we have no choice. You have the right to choose: • whether to be a carer at all • how much care you are willing to provide • the type of care you are willing to provide When assessing your needs, social services must consider whether your role as a carer is sustainable. The assessment is about your needs and therefore you should: • have a reasonably detailed discussion about all the matters relevant to you • have the assessment in private if you want to, at a convenient time and place for you • get relevant information, including about welfare benefits you could claim and details of other services • have a chance to identify the outcomes that you want; any services should be appropriate for you and meet your needs • be given flexibility and innovation in identifying services that may meet your needs • have an opportunity to give feedback about the assessment

A young carer is someone aged 18 or under who helps look after a relative who has a condition, such as a disability, illness, mental health condition, or a drug or alcohol problem Most young carers look after one of their parents or care for a brother or sister. They do extra jobs in and around the home, such as cooking, cleaning, or helping someone to get dressed and move around. Some children give a lot of physical help to a brother or sister who is disabled or ill. Along with doing things to help your brother or sister, you may also be giving emotional support to both your sibling and your parents.

Your choices about caring Some people start caring at a very young age and don’t really realise they are carers. Other young people become carers overnight. If someone in your family needs to be looked after, you may really want to help them. But young carers shouldn’t do the same things as adult carers, nor should they be spending a lot of their time caring for someone, as this can get in the way of them doing well at school and doing the same kinds of things as other children or young people. It’s important you decide how much and what type of care you’re willing or able to give, or whether you should be a carer at all. You need to decide whether you’re the right person to offer the care that the person you look after needs. All disabled adults are entitled to support from their local authority, depending on their needs, so they should not have to rely on their children to care for them. It’s important for social services to ensure the whole family feels supported and comfortable with your role.

Young carers’ rights As from April 2015 a social worker from your local authority must visit to carry out a “young carers needs assessment” to decide what kind of help you and your family might need if you or your parents request this. If the local authority has already carried out one of these assessments before, they must carry out another one if you or your parents feel that your needs or circumstances have changed. A young carer’s needs assessment must decide whether it is appropriate for you to care for someone else – and this includes taking into account whether you want to be a carer. The local authority must also look at your education, training, leisure opportunities and your views about your future. When assessing a young carer they must always ask about your wishes and involve you, your parents and anyone else you or your parents want to be involved. All these people should receive a written record of the assessment. This should include whether the local authority thinks you need support, whether their services could provide you with that support, and whether they will give you that support.

It should also explain what you can do if you or your parents disagree with the assessment. Provided that you both agree, the local authority can assess both your needs as a young carer and the needs of the person you care for, at the same time. If you’re 16 or over, and you’re not in full-time education you may be eligible for help finding work as well as help with your family’s finances, for instance through benefits such as Carer’s Allowance. Your assessment is the best place to find out about what is available in your situation.

Request your Young Carer’s assessment

Contact the Young Carers Support Service at North Lincolnshire Council - Tel: 01724 407988 Email: youngcarers@northlincs.gov.uk http://www.northlincs.gov.uk/people-health-andcare/carer-support/young-carers/

Request your Carer’s assessment

Contact the Adult Social Care Team at North Lincolnshire Council - Tel: 01724 298393 Email: familycarerteam@northlincs.gov.uk http://www.northlincs.gov.uk/people-health-and-care/ carer-support/support-for-carers/ Alternatively, if the person you care for is being assessed by a social care practitioner, speak to them about how you can have your needs assessed and they will be able to offer you information and advice about this.

Carers UK Adviceline You can talk to us five days a week, no matter where you are in the UK or how complex your query is. We do benefits checks and advise on financial and practical matters related to caring.

We provide information and advice on: > > > > >

benefits and tax credits carers employment rights carers’ assessments the services available for carers how to complain effectively and challenge decisions

Our listening service is there for you to talk through your caring situation with a trained volunteer who understands what you are going through.*

Carers UK Adviceline

Open Monday to Friday, 10am to 4pm. Listening service available Mondays and Tuesdays, from 9am to 7pm.*

0808 808 7777

advice@carersuk.org @carersuk

/carersuk

carersuk.org 6

NHS Hospital services Hospital services fall under secondary care and with the exception of emergency care you’ll need a referral to access treatment. In England, hospital services are commissioned by clinical commissioning groups (CCGs). Hospitals themselves are mostly managed by NHS trusts, which ensure high-quality care is provided and that money is spent efficiently

Choosing a hospital or consultant If you are referred to a specialist, you have the right to choose which hospital or clinic to go to for your inpatient /outpatient appointments. You are also able to choose which consultant-led team will be in charge of your treatment, as long as that team provides the treatment you require. Therefore, if you wish to be treated by a particular consultant for a procedure, you can choose to have your inpatient/outpatient appointments at the hospital where the consultant works, and to be treated by that consultant’s team – but this doesn’t necessarily mean you’ll be seen by the consultant themselves. This choice is a legal right, if you are not offered a choice at the point of referral, ask your doctor why and say that you wish to go through your options. If you are still not offered, or refused, a choice, contact your local CCG. If you still don’t get a choice, you can complain to the Parliamentary and Health Service Ombudsman. You do not have a legal right to choice if: • you need urgent or emergency treatment • you are serving in the armed forces • you are accessing maternity services • you are detained under the Mental Health Act • you are detained in or on temporary release from prison, in court, an immigration removal centre, or a secure children’s home • if you are referred to high security psychiatric services or drug and alcohol misuse services provided by local authorities

GP Referrals Access to NHS specialist treatment is via your GP and is based on need. You will need to see your GP if you wish to be referred to a specialist in a particular field If you ask your GP to refer you to a specialist, they will probably suggest that you try various tests or treatment options first to see whether your condition improves. You cannot usually self-refer to an NHS specialist, except when accessing sexual health clinics or treatment in an accident and emergency (A&E) department. A specialist will only see you with a referral letter from your GP. The letter will give the specialist essential background information. If you wish to see a private specialist, you are still advised to get a referral letter from your GP. However, if you see a private specialist without a GP referral, your GP is not obliged to accept the specialist’s recommendations.

NHS Waiting Times Emergency treatment If you have chest pains and heart disease is suspected, you should be seen at a specialist (or rapid access) chest pain clinic within two weeks of being referred. Cancer When cancer is suspected, you have the right to be seen by a specialist within two weeks from your referral date. Most people referred like this don’t have cancer, but it’s important to see a specialist as soon as possible, so that a cancer diagnosis can be confirmed or excluded. Non-emergency treatment For non-urgent matters, you have the right to start treatment within 18 weeks from the date your GP, dentist or other healthcare professional refers you (unless you want to wait longer or waiting longer is clinically right for you). As well as deciding what health services a local community needs and providing funding for them, your local clinical commissioning group (CCG) is responsible for deciding whether or not which treatments are available on the NHS. If you think that you would benefit from a certain treatment, contact your GP or local CCG to check if it’s available on the NHS in your area.

Consent to treatment For some procedures, including operations, you will be asked to sign a consent form. It’s up to you whether you give your consent for a treatment. So you can make an informed decision, you should ask as much about the treatment as possible before giving your consent Consent to treatment is the principle that a person must give permission before they receive any type of medical treatment, test or examination For consent to be valid, it must be voluntary and informed, and the person consenting must have the capacity to make the decision. These terms are explained below: Voluntary – the decision to either consent or not to consent to treatment must be made by the person themselves, and must not be influenced by pressure from medical staff, friends or family. Informed – the person must be given all of the information in terms of what the treatment involves, including the benefits and risks, whether there are reasonable alternative treatments and what will happen if treatment doesn’t go ahead. Capacity – the person must be capable of giving consent, which means they understand the information given to them, and they can use it to make an informed decision.

If the assessment determines you’ll need little or no care, this is called a minimal discharge. But if you need more specialised care after you leave hospital, your discharge or transfer procedure is referred to as a complex discharge. If you need this type of care, you’ll receive a care plan detailing your health and social care needs. You should be fully involved in this process. A care plan should include details of: • the treatment and support you’ll get when you’re discharged • who will be responsible for providing support, and how to contact them • when, and how often, support will be provided • how the support will be monitored and reviewed • the name of the person co-ordinating the care plan • who to contact if there’s an emergency or things don’t work as they should • information about any charges that will need to be paid (if applicable) You’ll also be given a letter for your GP, providing information about your treatment and future care needs. Give this letter to your GP as soon as possible.

If an adult has the capacity to make a voluntary and informed decision to consent to or refuse a particular treatment, their decision must be respected. This is still the case even if refusing treatment would result in their death, or the death of their unborn child. If a person doesn’t have the capacity to make a decision about their treatment, the healthcare professionals treating them can go ahead and give treatment if they believe it’s in the person’s best interests. However, the clinicians must take reasonable steps to seek advice from the patient’s friends or relatives before making these decisions

Being discharged from hospital Once you are admitted to hospital, your treatment plan, including details for discharge or transfer, is developed and discussed with you. A discharge assessment will determine whether you need more care after you leave the hospital. You should be fully involved in the assessment process. With your permission, family or carers will also be kept informed and given the opportunity to contribute. If you need help putting your views across, an independent advocate may be able to help.

Tell your GP you are a carer If they know you are a carer they will be able to offer advice and support. Your GP practice can help you by providing information and advice on:

• A referral or ongoing treatment process that is clear and well managed.

• any medical conditions including treatments for the person you care for. This may help you feel more confident in your caring role

• Access to a wide range of healthcare services to help address local health needs and inequalities.

• services provided by the NHS such as continence services and patient transport to hospital appointments • carrying out home visits to you or the person you care for if your caring responsibilities make it difficult to attend appointments at the surgery • arranging appointments for both you and the person you care for at the same time to avoid having to visit the surgery twice • arranging for repeat prescriptions to be delivered to your local pharmacy to save you picking them up • providing supporting letters and information to enable you and the person you care for to access services and welfare benefits. Carers of people with serious/chronic health conditions or who are frail may also qualify for an annual flu vaccination. Your GP will also be aware of your caring responsibilities should you need treatment or hospitalisation.

Changing a GP You can change your GP at any time you wish without having to give a reason. If you tell your local Clinical Commissioning Group (CCG) that you want to change your GP, they must give you details of how to do so and provide you with a list of alternative GPs.

A good GP practice should provide the following to all patients: • A professional and helpful team of GPs, practice staff and other healthcare professionals. • A practice that is accessible to everyone and provides a comfortable and organised environment. • A flexible and efficient appointment booking system. • Assurance of systems to monitor and improve the safety and quality of care. • Appropriate, respectful and legal management of patient information. • A private consultation room that provides reassurance and builds a patient’s confidence and trust. 9

• An open and welcoming patient feedback policy with services continually improved or enhanced as a result of the feedback given. • Opportunities for patients to get involved and have their say.

Cancelling and missing appointments Please always try to let the GP practice know when you are unable to attend an appointment. It is your responsibility as a patient to cancel any appointment you have made in reasonable time so that another patient can benefit from the appointment slot.

Making an appointment Be polite to receptionists. They are busy people who often have to deal with unhappy patients. Being polite to them will encourage them to help you.

Managing medicines - tips for carers Managing medicines for someone you look after can be a challenge, particularly if they are taking several different types. Although the person you care for may appreciate your support with their medicines, bear in mind that they have a right to confidentiality. It’s up to them to decide how much of their health and medicines information is available to you as their carer If the person you care for has a complicated medication regime with different pills taken at different times of the day, you can ask your pharmacist to provide them in dosette boxes. These are plastic boxes with small compartments that show clearly which pills need to be taken at what time of day. Instructions for when and how to give medication should be clear. If you are experiencing any problems, ask a doctor, nurse or pharmacist to explain. It’s important to give medicines at the recommended time of day. Not doing this can make them less effective. You also need to know whether or not the medicines should be taken with food or in between meals.

Ask for a medicines use review

Medicines safety for carers

If the person you are caring for is taking more than one medicine and has a long-term condition, such as arthritis or diabetes, they should be able to get a free medicines use review with their pharmacist

There are a number of things you and the person you’re looking after can do to make taking medicines safer: • Be aware over-the-counter medication shouldn’t be taken with prescribed medicines unless a doctor or pharmacist has confirmed it’s safe to do so. • Be aware that if a dose of the medicine is missed, it may not be safe to take a larger amount later on. • Return any surplus medicines to the pharmacist for safe disposal. • Never give medication to someone without their consent or try to force them to take it. People have the right to refuse medication. It’s not safe to crush tablets, or open capsules and mix them with food or drink

Keeping medicines organised Make sure medicines are all kept in one place in the home, preferably in a cupboard or drawer that can be locked. This is particularly important if children live in or visit the house. You’ll also need to ensure repeat prescriptions are dispensed in time so the person you’re looking after doesn’t run out of medication. If you find you are spending a lot of time fetching prescriptions from the GP and picking up medicines from the pharmacy, ask the GP surgery if they can send prescriptions directly to the pharmacy. Some pharmacists also offer home delivery services for people who find it difficult to get out of the house.

Don’t forget most pharmacies offer a wide range of services including: • Stop smoking service • Weight management • Blood pressure checks • Flu vaccination service • Medicine check ups • Alcohol advice service • Sexual health advice

GPs & GP Surgeries

Address

Area

Information provided by Healthwatch North Lincolnshire

Postcode

Telephone

Pharmacies

Pharmacy / Chemist

Address

Area

Postcode

Telephone

Information provided by Healthwatch North Lincolnshire

Dentists & Opticians How to find an NHS dentist

Why are eye tests important?

Everyone should be able to access good-quality NHS dental services.

A sight test is a vital health check for your eyes that can pick up early signs of eye conditions before you’re aware of any symptoms – many of which can be treated if found early enough.

There is no need to register with a dentist in the same way as with a GP because you are not bound to a catchment area. Simply find a dental practice that’s convenient for you, whether it’s near your home or work, and phone them to see if any appointments are available. Be aware that not all dental practices will have the capacity to take on new NHS patients all the time and you may have to join a waiting list or contact multiple practices before you find a NHS dentist with capacity to accept new patients. You should also be aware that even if you filled in a registration form at your first visit to the practice, so that the dentist can add you to their patient database, that does not mean that you have guaranteed access to a new NHS dental appointment in the future. If the dentist’s quota for NHS patients has been reached by the time you contact the practice you may not be offered an NHS appointment. In that case you can either choose to be seen privately, join a waiting list or look for a different dentist who is taking on new NHS patients.

NHS-funded mobile eye tests If you qualify for a free NHS sight test, you may be entitled to NHS-funded mobile services where the ophthalmic practitioner comes to visit you where you live if you’re unable to leave home unaccompanied because of physical or mental illness or disability Call 111 to find out who provides mobile sight tests in your area

Eye problems as you get older As you get older, you become more likely to get certain eye problems: Difficulty reading. Eye muscles start to weaken from the age of 45. It’s a natural ageing process of the eye that happens to us all. By the time you’re 60, you’ll probably need separate reading glasses or an addition to your prescription lenses (bifocals or varifocals).

Dental emergency and out-of-hours care

Floaters. These tiny specks or spots that float across your vision are normally harmless. If they persist, see an optician as they may be a sign of an underlying health condition.

If you require urgent treatment, please contact your usual dental practice as they may be able to see you or direct you to an urgent care dental service.

Cataracts. Easily detected in an eye test, this gradual clouding of the eye’s lens is extremely common in over60s. A simple operation can restore sight.

If you do not have a regular dentist, contact NHS 111 for advice on where you can get urgent care.

Glaucoma. This is related to an increase in pressure in the eye that leads to damage of the optic nerve, which connects the eye to the brain. Left untreated, glaucoma leads to tunnel vision and, ultimately, blindness. However, if it’s detected early enough, these complications can usually be avoided with eye drops.

Emergency dental treatment will deal with the problem at hand and the fee for the treatment is currently Band 1- Course of treatment £19.70. You may be advised to make another appointment for a separate course of non-urgent treatment. In this case, you will have to pay a second charge in the relevant treatment band. Band 2 - Course of treatment £53.90 Band 3 - Course of treatment £233.70

Macular degeneration. This is a disease of the retina caused by ageing. The retina is the nerve tissue lining the back of your eye. There are two types of macular degeneration. The first type, called dry macular degeneration, gets worse very slowly. The other type gets worse very quickly. This needs to be seen as an emergency in a hospital eye unit for prompt treatment.

Lincoln & Lindsey Blind Society SERVING VISUALLY IMPAIRED PEOPLE SINCE 1921

Tel: 01507 605604 • Email: info@ llbs.co.uk • Web: www.llbs.co.uk 13

Dentists & Opticians Dentists

Address

Area

Postcode

Telephone

Opticians

Address

Area

Postcode

Telephone

Information provided by Healthwatch North Lincolnshire

Peebles & Wayte OPHTHALMIC OPTICIANS

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

Telephone: 01724 843528 www.peeblesandwayte.co.uk

2 Robert Street | Scunthorpe | North Lincolnshire | DN15 6NG

FAMILY FRIENDLY OPTICAL CARE IN A RELAXED ATMOSPHERE 14

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

Autistic Spectrum Disorder

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

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

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

Barred List

Adult Social Care

Behaviour Disorders

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

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

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

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

Assisted Living Housing for older or disabled people, usually privately owned, where you have your own apartment within a larger development, and support (such as help with meals or laundry) is provided to meet your own particular needs. 15

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

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

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

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

Care Quality Commission (CQC)

Chargeable Services

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.

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

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.

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

Clinical Commissioning Group (CCG) A group of GP practices in a particular area that work together to plan and design health services in that area. Each CCG is given a budget from NHS England to spend on a wide range of services that include hospital care, rehabilitation and community-based. Your local CCG should work with the council and local community groups to ensure that the needs of local people are being met.

Cognitive Behavioural Therapy A type of therapy that can help you manage your problems by changing the way you think and act. It is often used to treat anxiety and depression and can help you think about how your thoughts, beliefs and attitudes may be affecting your feelings and behaviour. You may see a therapist face-to-face or take a therapy course online.

A-Z Social Care Jargon Buster Complex Needs

Deprivation of Liberty Safeguards

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.

Legal protection for people in hospitals or care homes who are unable to make decisions about their own care and support, property or finances.

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

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

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

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

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. 17

People with mental health conditions, including dementia, may not be allowed to make decisions for themselves, if this is deemed to be in their best interests. The safeguards exist to make sure that people do not lose the right to make their own decisions for the wrong reasons.

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

Disabled Facilities Grant (DFG) A grant you might be able to get from your local council in order to make changes to your home because you have a disability. Changes include things like widening doors, adding ramps or installing a downstairs bathroom. If the person with a disability is an adult, your household income and savings will be looked at, and you may need to pay towards the cost of the work. If the person is under 18, the family can get a grant without the parents’ income being taken into account. If you want to apply for a DFG, you should contact your local council

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

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

Early Intervention 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

Gateway Worker

The needs you have for care and support that your council is required by law to meet.

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.

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

Extra-care Housing Similar to sheltered housing, but with additional care and support available for people with illnesses or disabilities who wish to have a home of their own. Extra-care housing may be an option if living alone at home is difficult, but you do not wish to opt for residential care. It allows you to have your own home, either rented or bought, with personal care and domestic help readily available.

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

Health and Wellbeing Board 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.

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.

The Care Act

Care & Support for Adults in England

Know your rights ...

Well-being ...

Independent advocacy ...

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

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

Prevention ...

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

Information and advice ...

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

Having all the services people need ...

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

Care when you leave hospital ...

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

Work and having a job ...

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

Moving from Children’s Services to Adults Services ...

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

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

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

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

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

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

Learning Disability

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

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

Needs Assessment The process of considering whether you need help or support because of your age, disability or illness. Anyone who appears to have a need for care or support - regardless of how severe those needs are or how much money they have - is entitled to a needs assessment, which can be arranged by contacting the adult social services department at your local council and requesting it.

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

Neglect

Long-term Condition

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.

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. ‘Mental capacity’ is the ability to make decisions for yourself. The law says that people may lose the right to make decisions if this is in their best interests.

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

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

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

Personal Health Budget

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.

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

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

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

Primary Care 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 long-term conditions and refer you to a specialist doctor when necessary.

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

A-Z Social Care Jargon Buster Property Disregard

Respite Care

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.

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.

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

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

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

Caring for the important people in life

We provide high quality support services to adults and children with disabilities who either contact us direct or are referred to us by professionals involved with them. 21

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.

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

Safeguarding The process of ensuring that adults at risk are not being abused, neglected or exploited, and ensuring that people who are deemed ‘unsuitable’ do not work with them. If you believe that you or someone you know is being abused, you should let the adult social care department at your local council know. They should carry out an investigation and put a protection plan in place if abuse is happening. Councils have a duty to work with other organisations to protect adults from abuse and neglect.

Sensory Impairment

Transition

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.

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.

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.

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.

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

Specialists in Care & Support of Adults & Children • Acquired Brain Injury • Frail Elderly • Learning Disability • Complex Health Needs

• Physical Disability • Personal Care • Long Term Conditions • Domestic Support

Call us on 01724 270083 or visit www.atcsnursing.co.uk 22

Taking a break from caring If you provide care for a relative, friend or neighbour, there will be times when you need to take a break: to attend appointments or simply to take time out. Being a carer can be very demanding, taking up a lot of emotional and physical energy. Carers often feel worried or guilty about taking time off. But taking breaks from caring is very important, for both the carer and the person being cared for. It is important not to let your caring role take over your life. Ideally, you should find a balance between caring and looking after yourself, particularly if you have other commitments, such as your own home, family or a job. It is important to look after your own health too. You will be able to provide better care if you are not exhausted and run down. For your relative: respite care can also have positive benefits for the person being cared for. In some cases it can provide specialist medical care that you are unable to provide – for example, to help them recover from an operation or illness. Attending a day centre or going on a ‘respite holiday’ can be enjoyable, giving your relative the opportunity to meet new people and take part in different activities.

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

Checklist for considerations when choosing respite care If you are choosing respite care, there are some things you should do before making a decision on the provider. Ensure you make decisions jointly: any decisions about respite care should be made with your relative, wherever possible. Talk to them about their preferences and discuss the options. Explain why the respite care is needed and what is involved. Specific needs: make sure that any day centres or respite care can accommodate your relative’s needs. For example, if your relative is in a wheelchair, make sure that the chosen day centre is accessible. Or, if your relative has dementia, make sure that any staff employed to take care of them have the necessary experience and training to deal with this. Consider your relative’s interests: if you are trying to arrange day care or a short break for your relative, talk together about what they would enjoy. Try to match clubs to their hobbies and interests. 23

Visit potential respite providers: before making any decisions, try to visit the day centres or care homes on your shortlist to get an idea of what they are like. If possible, take your relative with you and make sure they understand what is going on. If you are arranging emergency respite care, there may not always be time to visit. Check the room: if you are considering residential respite care, ask to take a look at the particular room your relative might stay in as well as any communal areas. Background checks: make a background check by checking the Care Quality Commission (or relevant regulatory body in your country) for information about the care provider Meet prospective carers: if possible, try to meet any carers that might provide care while you are away. Make sure that you and your relative are happy with them Respite care can have positive benefits for both you and your relative. But there are potential difficulties that need to be considered The benefits of respite care  A well-earned break for carers from the day-to-day responsibilities of caring.  Time for carers to focus on their children, jobs, home and personal health and wellbeing.  A holiday or a trip to a relative’s house can provide a welcome change of scenery for your relative, particularly if they are stuck at home most of the time.  Specialist care can be given to suit your relative’s needs.  Help with funding is available in many cases.  An opportunity to introduce alternative services or carers that may be needed in the future (for example, if the situation deteriorates or an emergency occurs).

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

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

Financing respite care Local authorities will only pay for respite care for those that they have assessed as needing it. This can be determined by your relative having a needs assessment or you having a carer's assessment. Contact the Adult Social Care Team at North Lincolnshire Council - Tel: 01724 298393 Email: familycarerteam@northlincs.gov.uk http://www.northlincs.gov.uk/people-health-and-care/ carer-support/support-for-carers/

Caring for someone with dementia 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.

Speak clearly • Speak clearly, calmly and slowly to allow the person time to understand information. • Use simple, short sentences and avoid direct questions. • Keep choices to a minimum and don’t raise your voice. • Where possible, talk in a non-distracting place or find a quiet corner.

Think about your body language • •

People with dementia may find it difficult to understand what is being said, but can be quick to interpret the message on people’s faces and may still be aware of body language. Make sure you are at the person’s level, use a friendly tone and respect personal space.

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

Listen • •

Listen carefully to what the person has to say, giving plenty of encouragement, whilst looking out for other clues of what they might be trying to communicate. Allow them time to find the words to tell you what they want.

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

Lighting • Make sure the lighting is sufficient so the person with dementia can see you and everything around them clearly. • Turn up the lights or move to a well-lit area. 25

Finding the way • People with dementia may have forgotten where things are or they may not recognise everyday objects. • Sometimes people with dementia may forget where they are going or become disorientated. • They may not be able to follow simple directions and may need you to go with them to where they want to go.

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

Maintaining good health and nutrition • It's important that the person you care for has a healthy, balanced diet and gets some exercise. • The longer they stay fit and healthy, the better their quality of life will be.

Recognising and finding things • • •

People with dementia may have forgotten what they came into the premises or room for. They may have a list but have problems finding the things they want. Help them choose the right amount of things, particularly if they seem to be buying an unusually large amount of something.

Making choices • • •

While choice is good, for someone with dementia too much choice can be confusing. Ask what the person would like, e.g. a coffee, and then suggest two or three likely options. You could describe these options and remember to give a pause between each option to allow them time to think and make a decision.

Whose reality • •

Past memories can often be stronger than present reality. The person may be confused and say something that does not makes sense to you.

Being predictable • •

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

Every day can be different

Helping someone with dementia with their personal hygiene

• 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 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. • 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

BLENHEIM CARE CENTRE

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.

Nursing Care for the Elderly and Young Adults with physical disabilities

Blenheim Care Centre is dedicated to providing you and your loved ones with the care and support to enable a full and active life as possible. • Caring and Friendly Staff • Personalised care for every resident • Fresh and Varied Meals • Tastefully decorated surroundings • Stimulating daily activities • Day Care to suit individual needs

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BLENHEIM CARE CENTRE 26

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

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

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

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

If you need a lot of nursing support, the NHS can fund your care for you. NHS continuing healthcare (adults) or NHS continuing care (children) helps you with healthcare needs resulting from disability, accident or illness. If you qualify, it should meet the full cost of your care including care at home, in a nursing home or hospice. 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.

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

The assessment If the initial screening shows that you may be able to get free NHS Continuing Care, you’ll need to have another assessment. Even though the assessment process can be complex, most people and families who’ve been through it say the benefits are worth it. The Assessment team will mark each of your care needs as:  priority  severe  high  moderate  low If you have at least one priority need or two severe needs, you should qualify for funding. If you have one severe need and a number of other high or moderate needs, you may also be eligible. Circumstances change, so even if you were turned down for funding at first, make sure you have your situation regularly reviewed. Your GP or Local Carers Centre can help you.

What is a personal health budget? Personal health budgets are being introduced by the NHS to help people manage their care in a way that suits them. Since October 2014, adults receiving NHS Continuing Healthcare and children in receipt of continuing care have had a right to have a personal health budget. A personal health budget is an amount of money to support your identified health and wellbeing needs, planned and agreed between you and your local NHS team. The aim is to give people with long-term conditions and disabilities greater choice and control over the healthcare and support they receive.

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

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

Personal health budgets for people with learning disabilities Personal health budgets offer a real opportunity to enable people with learning disabilities to live in their own homes or with their families, rather than in institutions. Across England the NHS has already begun to offer personal health budgets and joint health and social care budgets to people with learning disabilities who have complex health needs or challenging behaviour. People with learning disabilities eligible for NHS Continuing Healthcare now have a right to have a personal health budget. Anyone else whose support is funded by the NHS, including those with jointly funded packages could also benefit. From April 2015, all CCGs are being asked to develop plans for a major expansion of personal health budgets, and to ensure that people with learning disabilities are included by April 2016.

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If you want the very best care for yourself or your loved one, phone Barbara Bussey and DISCOVER What makes our 5 Star Care Unique! on 01427 616950 or visit our website www.grosvenorcare.co.uk

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Grosvenor House Care | East Stockwith | Gainsborough | Lincs | DN21 3DL 28

Planning for future care needs If you think the person’s mental capacity you care for is going to decline, it’s a very good idea to encourage them to make a power of attorney which won’t stop working if they lose mental capacity. It means they’re still in control, but if they do lose mental capacity someone else will be able to step in. Types of lasting power of attorney The big differences between the types of power of attorney are the decisions they cover – financial ones, or ones about your health and welfare. There are two types of lasting power of attorney. You can set up one or both. A property and financial affairs lasting power of attorney lets someone manage all your financial affairs – for example, running your bank and savings accounts, managing your tax affairs, and buying and selling investments and property. A health and welfare lasting power of attorney lets someone make decisions about your health, care and welfare – for example, what medical treatment you receive and whether you move into a care home. If the person you want to help has already lost mental capacity, you will need to apply to a court to get the permission to manage their money for them.

Setting up a power of attorney 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.

Make sure there is a will in place for both yourself and the person you care for Your will tells everyone what should happen to your money, possessions and property after you die (all these things together are called your ‘estate’). If you don’t leave a will, the law decides how your estate is passed on – and this may not be in line with your wishes. Your will tells people two very important things: • who should have your money, property and possessions when you die •

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

You can also use your will to tell people about any other wishes you have, like instructions for your burial or cremation. Your executor will do their best to make sure your wishes are followed, as long as they don’t involve breaking the law. 29

Writing a will is especially important if you have children or other family who depend on you financially, or if you want to leave something to people outside your immediate family If you think the person’s mental capacity you care for is going to decline, it’s a very good idea to encourage them to make a power of attorney which won’t stop working if they lose mental capacity. It means they’re still in control, but if they do lose mental capacity someone else will be able to step in.

Preparing for Residential or Nursing Home Costs Care home fees are a big financial commitment, and the decision to go into a care home is often made at a moment of crisis or urgency, such as when being discharged from hospital. This can make finding the money to pay for fees (usually several hundred pounds a week) challenging for people funding their own care depending on where in the UK you live, care homes can cost an average of: • £28,500 per year for a residential care home • £37,500 per year if nursing is required. Remember, you may have to pay extra for things like trips out, hairdressing and some therapies. Registered Nursing Care Contribution is a tax-free, non-means-tested benefit, paid by the NHS to cover nursing or medical care. It’s paid whether you’re selffinancing your care or your local authority is paying for it. To be eligible, you must: • need nursing care • stay in a care home or residential home that can provide nursing care Registered Nursing Care Contribution should still be paid if your stay in the care home is temporary. If you’re staying for six weeks or less, you won’t have to be formally assessed. Instead, your need for nursing care will be based on information provided by the care home or your GP. This can be quite a useful contribution towards costs if you need regular periods of respite care.

How to apply for Registered Nursing Care Contribution If your care needs are being assessed by your local authority ask them to assess you for Registered Nursing Care Contribution at the same time or contact your local Clinical Commissioning Group: North Lincolnshire CCG - Tel: 01652 251000 There are independent financial advisers that focus specifically on care funding advice, often referred to as specialist care fees advisers. They are regulated by the Financial Conduct Authority (FCA) and must stick to a code of conduct and ethics and take responsibility for the suitability of any product they recommend. A specialist care fees adviser will go through a factfinding process with you to assess and understand your needs and circumstances.

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.

Why you should use a member of SOLLA? The Society of Later Life Advisers* (SOLLA), operates a rigorous accreditation process where individual advisers, achieve Later Life Adviser Accreditation and become registered members. This requires them to not only hold appropriate financial/tax planning, equity release and long term care qualifications regulated by the Financial Conduct Authority, but they must also be able to demonstrate and evidence a practical application of their skills and knowledge. John Varley, Managing Director of financial planning experts Later Life Solutions states, “Only a member of SOLLA can truly call themselves a specialist in this area of financial advice. But note that not all SOLLA members are fully independent. Some will represent a company whose advice is restricted. It is vital to identify this important distinction in making your choice of adviser”. *www.societyoflaterlifeadvisers.co.uk

The Experts in Paying For Care Call now for a free initial consultation

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Head Office: 26 South Saint Mary’s Gate, Grimsby, NE Lincs, DN31 1LW. Later Life Solutions is a division of FB Wealth Management Limited which is authorised and regulated by the Financial Conduct Authority

Choosing the right home care agency If you find it difficult to carry out personal care routines – such as washing or dressing – home care services can provide the extra support that you need. Home care services (also known as domiciliary care) provide carers or personal assistants who can visit you at home to help with a wide range of tasks 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 my relative until help comes? Will they notify me of any problems? How will carers get into my home if I cannot answer the door? How will that information be kept secure?

About the agency • Do you have a standard contract for work with private clients? Can we see a copy? • What are your hourly charges? Are there any minimum charges (such as a minimum number of hours per week)? • What happens on weekends and bank holidays? Is care provided? Is there an additional charge at these times? • How is payment required – by cheque, direct debit or some other way? How often is payment required? Monthly or weekly? • What insurance do you have to protect my home, for example, in the case of damage to property, the carer making a mistake, or the carer having an accident in my home? • How do you ensure quality of care is maintained? What are your quality assurance policies and procedures? • Who should I contact if I have problems with a carer or the service provided? • Is it possible to try you for a short trial period initially, to see how it works out?

Care Home & Home Care CQC Ratings By law, all care homes and home care agencies have to display the ratings the (CQC) Care Quality Commission gives them. They must display them in the places that people who use their services can easily see them. They must also show their ratings on their website, if they have one. • Outstanding: The service is performing exceptionally well. • Good: The service is performing well and meeting our expectations. • Requires improvement: The service isn’t performing as well as it should and we have told the service how it must improve. • Inadequate: The service is performing badly and we’ve taken action against the person or organisation that runs it. Read their latest report: www.cqc.org.uk/content/findservices-your-local-authority-area 31

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

Choice of accommodation

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.

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.

When choosing a care home you need to recognise that your care needs are likely to increase over time. Choosing a care home • Make a shortlist of suitable care homes in your area that fall within your budget. • Request an information pack from the homes on your shortlist. • Request a copy of their contracts and/or terms and conditions. • Make sure they have vacancies or establish how long their waiting list is. • The cost of care varies from region to region – you could save money by relocating. • Don’t forget to take into account additional costs that may not be covered in your residential fees, such as meals and day trips.

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

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

How much is it going to cost? Care-home fees vary considerably around the country, but on average you should expect to pay approximately £28,500 a year for a residential care home and £37,500 if nursing care is required. Your local council may be able to help with costs depending on your circumstances. Before visiting any care homes in person, you need to be very clear about what it is you’re looking for. Make a checklist of the things that are important to you, along with a list of questions to ask the managers and staff. Don’t be embarrassed – you’re about to make a lifechanging decision.

Domiciliary, Nursing & Residential Homes Care Provider

Address

Area

Postcode

Telephone

Nursing Homes

Address

Area

Postcode

Telephone

Information provided by Healthwatch North Lincolnshire

Know Your Rights If you have been assessed by the local authority as needing care at home services and qualify for funding they must offer you direct payments as an option. Direct Payments allow you to choose what support you get and who provides it.

www.northlincs.gov.uk

Providing information and support to people with dementia and their carers/families across North Lincolnshire Unit 21, Dunlop Way, Queensway Industrial Estate, Scunthorpe, Lincolnshire DN16 3RN Tel: 01724 848594

www.alzheimers.org.uk

Domiciliary, Nursing & Residential Homes Residential Homes

Address

Area

Postcode

Telephone

Information provided by Healthwatch North Lincolnshire

Lindum Court for Outstanding Dementia Care in a Homely Setting

Dementia â&#x20AC;˘ Mental Health Conditions Physical Disability Sensory Impairment

The Manor

Providing First Class Residential and Specialist Care

Long-term Care Respite Care & Convalescence Day Care Service

Telephone Helen on 01427 728507 www.lindumcourt.co.uk

Telephone Helen on 01724 764884 www.manorcarehome.co.uk

Information & support AGE UK

Barton Office Telephone 01652 636208 Scunthorpe Office Telephone: 01724 849819 www.ageuk.org.uk/northlincolnshire

Alzheimer’s Society

T: 01724 848594 www.alzheimers.org.uk/scunthorpe

Arthritis Care

For more information contact Margaret on 01724 782238 or 01724 735262.

Blue Door

The Blue Door, a charity which helps victims of abuse and sexual violence. T: 0800 197 4787

Scunthorpe and District Citizens Advice Bureau Telephone: 01724 870941 CAB offices also in Ashby, Barton, Brigg, Crowle, Westcliffe and Winterton www.scunthorpecab.org.uk

Carer’s Federation

www.carersfederation.co.uk/ Carer’s federation provide the Independent Complaints Advocacy service which is part of HealthWatch North Lincolnshire. If you are considering making a complaint about a NHS service the number to contact is free-phone 0808 802 3000.

Carers Support

www.carerssupportcentre.com The Carers’ Support Centre is here to help support Carers in North Lincolnshire. Telephone: 01652 650585 (Main Office) or 01652 601973 (Ideal Community Care Solutions [Home Care]) E-mail: info@carerssupportcentre.com

Cloverleaf

Offer independent, one-to-one advocacy support for people with mental health needs Tel: 01724 854952 Email: northlincs@cloverleaf-advocacy.co.uk

Connect to support North Lincolnshire

A website resource providing information about care and support to live independently or find care services. www.connecttosupport.org/northlincs

Crosby Community Association

Offering a range of advice and information for the local community. Telephone: 01724 330022. E: reception@crosbycom.org.uk

Cruse Bereavement

Cruse Bereavement Care is here to support people after the death of someone close. Face-to-face and group support is delivered by trained bereavement support volunteers. T: 01724 281178

Empathy

Support for families, friends, partners and carers of drug and alcohol users. Offers direct access, counselling, one to one, weekly group sessions, outreach, mediation and signposting. Tel: 01724 488535 24 hour helpline 07592 395127 Email: empathy.nthlincs@gmail.com www.empathysupport.co.uk

Food Banks

Scunthorpe Scunthorpe Baptist Church: Ashby Road, Scunthorpe, DN16 1NR Mon: 1.00 pm to 2.30 pm Thu: 1.00 pm to 2.30 pm For enquiries please contact foodbank@scunthorpebaptist.co.uk 01724 848388 Barton Trinity Methodist Church, Holydyke, Barton (Vestry Lane Entrance) Further details about volunteering, donating or needing help from Margaret Siddall (Secretary) 01652 632512 Open to voucher holders only every Tuesday and Friday 2pm to 4pm

Information & support Foresight

Scunthorpe & District MIND

The Forge

Scunthorpe & Glanford Remedial Swimming Club

A day centre offering care services for adults with learning disabilities. For further information and details of charges contact 01724 271381 The Forge Project are passionate about reducing the impact of poverty and homelessness in Scunthorpe and the surrounding areas. Telephone: 01724 276742 E-mail talktous@theforgeproject.co.uk

Tel: 01724 279500 Email: info@sdmind.org.uk www.sdmind.co.uk

Lindsey Blind Society

Sessions at the Scunthorpe PODs on Thursdays at 6pm-7pm and Ancholme Leisure Centre (Brigg) on Fridays at 6pm-7pm. For more details please contact Christine on 01724 346410 or Fran on 01652 651034 or turn up on the night before 6pm. Non-swimmers welcome. Group do easy exercises in the water.

Lindsey Lodge Hospice

Leading the way to a better quality of life for everyone affected by severe mental illness. Email info@rethink.org Telephone: 0300 5000 927 www.rethink.org

Aim is to enhance the quality of life for blind, partially sighted and visually impaired people whatever their age or personal circumstances in life. Tel: 01507 605604 - Email: info@llbs.co.uk T: 01724 270835 Our general email is enquiries@lindseylodgehospice.org.uk

Macmillan

Telephone: 01724 387878 The national Macmillan Support Line is 0808 808 00 00 (Freephone number), or visit www.macmillan.org.uk

Macmillan Therapy Team

This local project provides community Occupational Therapy & Physiotherapy to individuals with life limiting conditions. Call 01724 290620 Email: nlg.SCMacmillanSurvivorshipTherapy@nhs.net

Magic Moments

A registered charity founded in 2002 providing support for children with autism and Aspergerâ&#x20AC;&#x2122;s syndrome. Telephone: 01724 848683. Email: MM4AK@hotmail.com www.magicmoments4autistickids.org.uk

Mencap

www.mencap.org.uk Local Scunthorpe branch contact: Telephone: 01724 735 251

Rethink

Sounds Right

Working with people with hearing loss. Run regular Sign Language Training. Voicemail / Fax: 01724 851501 Email: secretary@sounds-right.org.uk

Samaritans

National helpline: 08457 909090 Local office 01724 860000 Email: jo@samaritans.org www.samaritans.org/branches/samaritansscunthorpe-branch

Stroke Association

Information, practical advice and emotional support. Contact Sally Darley Email: sally.darley@stroke.org.uk Telephone: 017224 850813

Talking Newspaper

Providing local talking newspapers to blind and partially sighted people in Boston and the surrounding areas. To provide local newspapers on tape and cd to those who are visually impaired. Telephone: 01724 840211

The Huntercombe Centre Redbourne

Specialist Care Home with Nursing For men with learning disabilities, mental health disorders and complex needs

Believing and achieving together

• Residential Care • Respite Care • Horticultural Therapy Day Care

The Hun tercom Redbournbe Centre e

CQC o verall rating

Good

11th Nov

2015

Tel. 01652 648 581 • www.huntercombe.com High Street | Redbourne | Gainsborough | North Lincolnshire | DN21 4QU