Quarriers Carer Support Service (Moray)
Impact Report 2020-21
We are grateful for everything you are doing - still pitching in to help others. Your care enriches all of our lives.
Contents That was the year that was................................. 3 Identifying support for adults............................ 4 Fun and games with young carers.................... 6 Breaking away from it all.................................... 8 Connecting carers ................................................10 Keeping carers in the know..............................11 Talking shop...........................................................12 Coping with Covid................................................13 A short-term emergency....................................15 Moving forward....................................................17 Notes........................................................................19
Page 2 • Quarriers Carer Support Service (Moray)
That was the year that was! No one could have predicted how 2020/21 would be. The coronavirus pandemic literally shut down the world, placing enormous stress and strain on everyone. Unpaid carers found themselves facing increased demands overnight, with many support services removed from those they care for, and the lockdown restrictions making life even more complicated than usual. Quarriers Carer Support Service (Moray) focused on continuing to provide information and support, achieving a seamless transition from office to home working, and introducing a range of remote supports and activities to stay in touch with carers. • The staff team called registered carers to let them know they weren’t alone, allay fears, and advise that the service was offering business as usual. • We targeted those carers considered to be most vulnerable, offering additional support where possible. • We secured significant additional funding for emergency responses to carers’ need for breaks, financial support, shopping and wellbeing. • We quickly adapted the office to be safe and Covid-compliant.
• We trained all staff in Covid-19 safe practice. • We secured funding to accelerate our IT development plan and equipped workers with the devices and software packages needed to work effectively from home. • We increased the frequency of our e-news bulletins from monthly to weekly Covid-19 updates for everyone with an email address, and posted monthly news-sheet updates to those without. • We moved to greater reliance on IT, doorstep visits, outdoor meetings and walks, and completed Adult Carer Support Plans over the phone or by video call. • We moved our carer support activities online and introduced new creative options to keep carers connected, with learning, social, craft and networking opportunities available. • We increased information flow to and from Health and Social Care Moray, keeping the service and carers updated with developments, and ensuring HSCM was aware of how the pandemic was affecting carers. Read on to discover the impact these changes had on the carers of Moray in 2020/21. Impact Report 2020-21 • Page 3
Support for adults A huge part of our day-to-day work is adult carer support planning. The service has worked closely with Health and Social Care Moray to create an Adult Carer Support Plan (ACSP) providing an overview of a carer’s life and the impact of their caring role. Seeing life in black and white gives carers a better perspective on their situation, rather than reflected through their focus on the person they care for, and allows our team of skilled Family Wellbeing Workers (FWW) to identify supports to improve the carer’s health, wellbeing and life balance. When sent to Community Care, an ACSP enables assessment of a carer’s eligibility for additional supports, including increased care at home or day services for the cared for to give the carer a valuable break, or the payment of SDS to the carer to achieve specific outcomes. The ACSP ensures provision of the right supports to reduce the impact of the caring role on the carer, and help them safely continue to provide the care they want to. During the 2020/21 lockdowns, completing ACSPs was a challenge and many carers preferred to wait and see. The service found alternative ways to complete ACSPs and present accurate evidence of carers’ needs for support. ACSPs were completed over the phone, and there was a greater reliance on online options like Zoom and Teams to interact and gather information. Page 4 • Quarriers Carer Support Service (Moray)
Many carers also began to complete their ACSP alone and send it to the service so a FWW could contact them to discuss the detail and plan support activity. The pandemic created frustrating backlogs in assessing carer eligibility for additional supports, particularly when lack of service availability meant appropriate actions could not be achieved. As carers found themselves caring 24/7, with no break and no other supports available, the benefits of completing an ACSP for no discernible change in circumstances became harder to evidence. FWWs often found themselves in a catch-22 situation, encouraging a carer to focus on how much they needed a break, but not able to guarantee a break was possible. Regular contact with carers saw an increase in emotional support to address mounting mental wellbeing issues. We encouraged carers to stay connected through online activities and group chats. We prioritised emergency planning and placed emphasis on shorter, more regular short breaks that carers could achieve easily at home to increase resilience and reduce stress levels. We also reinstated socially distanced meetings and activities as early and as safely as possible to enable brief social contact and give carers opportunities to get out of the house.
“
1068
I can’t thank you enough for your help and guidance throughout and I’m certain this has had a positive effect on my father’s health as well as peace of mind for all the family.
adult carers supported
”
332
ACSPs offered,
102
completed
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A care package for Dad has been put in place very quickly since you contacted the Access Team. Thanks for your help.
Over
14,000 contacts made
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Thank you for sending all this information on end of life planning and for the interesting talk you did on it.
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Since your intervention a carer package, OT and Carer/Attendance Allowance have all been arranged. I’m very grateful to Quarriers.
”
Impact Report 2020-21 • Page 5
Fun and games with young carers Lockdown in March 2020 presented a particular challenge for young carers. Not only were many in the thick of it at home with an increased caring role, but they were also trying to keep up with schoolwork and friends online, while having a greater awareness of the risks presented to their families due to the pandemic. Within the first fortnight of lockdown, our two Family Wellbeing Workers (FWW) for young carers had contacted every young carer on our database, making sure they were aware the service was still available, checking emergency arrangements at home (particularly those where the young carer was in a single adult household), and confirming access to some kind of digital resource to allow contact with school and others. Each young carer was categorised based on their circumstances, and plans were drawn up to maintain regular contact with those most at risk of disengaging with services or facing other potential risks. FWWs also played a role in ensuring young carers engaged with school during lockdown, and were able to share any concerns about young carers with their schools. This was particularly positive for one young carer when the school took their home situation on board and was able to offer several days a week in school instead of continued learning at home. Page 6 • Quarriers Carer Support Service (Moray)
From April 2020, we created and hosted a series of online and practical challenges as a way of keeping young carers involved. We provided equipment and materials to ensure all who wanted could take part. This programme continued until the schools returned. Additional funding (also mentioned on pages 12-14) enabled the provision of activity packs, IT equipment, crafts/ creative materials and games for use at home. When circumstances allowed, young carers were encouraged to take part in small group activities outdoors - a welcome change from the house or garden. Funding also enabled the organisation of a Moray Mini-fest in place of the Scottish Young Carers Festival, which was cancelled due to Covid. A series of beach games, walks, sand sculpting, bush craft, mountain biking, campfire cooking and rock climbing activities allowed young carers to get a break away and have some fun with their peers. At Halloween and Christmas, craft and activity kits were again sent to every young carer registered with the service. Along with maintaining our quarterly newsletter providing useful links and information, this activity ensured the service stayed in touch with young carers across Moray, and kept them involved throughout lockdown and the various returns to school.
91
young carers supported
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The simple kindnesses shown over the last nine months to us all and especially to my younger son as a young carer have been overwhelming and made us as unpaid carers feel we are not alone.
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36
Young Carers Statements (YCS) offered,
25 completed
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My daughter, who is usually very quiet by nature, was laughing, chatting and giggling on Thursday as she really enjoyed the scavenger hunt. She is really looking forward to the origami animals this week.
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47
activities offered
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She really enjoyed the jewellery course and has been hugely enthusiastic at the idea of doing similar things.
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Your support has made a big difference to my daughter and our family. It’s given her opportunities she would not otherwise have had.
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Now having your support worker in our lives has made all the chaos more bearable because I can speak about how things are living in a noisy, full of life house.
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You’ve given them the chance to do activities and outings, that we cannot do due to their brother being not well, with other people their age, and have fun.
”
Impact Report 2020-21 • Page 7
Breaking away Respite is a vital part of continuing to care, but the lockdowns of the past year have meant some carers have had no break for 12 months, leading to an increase in poor mental health, with many carers disclosing suicidal thoughts and feelings of helplessness.
Carer Respite Awards from £25-£150, identified via Adult Carer Support Plans, enabled carers to try out different solutions to help mitigate the negative effects of caring on health, wellbeing and life balance before they became problematic.
We ran our regular Short Break Creative Break programme until the end of September 2020 giving unpaid carers more opportunity to:
In January 2021, as a direct response to additional pressures created by the pandemic, the Scottish Government provided extra short-term, emergency funding to provide respite. Tight timescales saw the programme delivered electronically in record time, and all breaks were taken locally due to the lockdown restrictions. The case studies on the next page give you an idea of how carers and the people they look after benefitted.
• enjoy a life outside of caring • feel better supported to continue caring • improve wellbeing While some carers managed to get a break away when restrictions eased, they were actively encouraged to purchase items that could be used at home on an ongoing basis to help counteract the negative effects of the pandemic, e.g. media streaming subscriptions or technology that helped them stay connected with friends and family or escape virtually. Additional Winter Isolation Funding provided parent carers, who normally fall outwith Creative Break eligibility, with increased respite opportunities. Young carers also benefitted from Shared Care Scotland Short Break funding.
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I feel physically and mentally better. I have more energy, less anxiety, and cope with being a carer to my son better.
”
A break from caring Adult Short Breaks 55 awards £11,749
Young Carer Short Breaks 15 awards £2,952
128 awards
£23,155
“When I’m struggling, half an hour on my exercise bike makes all the difference.” • wellbeing improved • felt better about • themselves created me time
“I feel happier and less stressed so I can help more.” • fun • more energetic • had time for themselves
Parent Carer Short Breaks 18 awards £4,129
Adult Respite Awards 40 awards £4,325
“Helps reduce any stress levels. Come back from a good walk energised, ready to get on with it.” • found time for themselves • strengthened family connections • recharged batteries
“I’ve been able to take a break from caring because of the funding Quarriers has given me.” • put own needs first • more aware of need to take a break • more aware of how to take a break
Georgie Georgie is a young carer who provides support to her mother. This can often be very stressful and draining, especially when you are young. As Georgie hadn’t had a proper break for well over two years, her FWW suggested she apply for a Creative Break award. This funding would give Georgie something for herself, something to look forward to and something to help reduce the stresses and strains she had been coping with. Georgie spent her Creative Break funding on arts, crafts and relaxation goodies: bath bombs, a snuggle jumper, Lord of the Rings books, Lego, colours and colouring items, art sets and something for her cat because “he is my best friend”. “It gave me more ways to relax and have time to do fun things. I can do mindfulness stuff to help feel better. I feel happier and less stressed so can help more.” Georgie has been able to escape from daily life. She has been able to reduce stress
levels and improve her wellbeing. Her break has also improved her relationship with her mother as they are both more relaxed. Thor the cat really loves his water fountain, although he was scared of it initially and Georgie had to show him how to drink from it! The excitement of having money to spend on herself and the longer-term benefit she will get from her purchases have meant that Georgie’s Creative Break has made a positive difference for both her and her family.
Susan Susan needed to focus on her own health. “Keeping fit has always been important to me and until a year ago, I was a keen runner. It was my me time to get out in the fresh air, on my own. I always felt better after. Unfortunately, just before first lockdown, I injured my knee and had to stop running. I’ve been in a slump ever since.
lockdown were really getting to me so this really helps.” “Fit body, fit mind” seems to be ringing true. Susan is finding that she is not the only one benefitting from her purchase. “I’m feeling a bit more positive than I was before and I think that rubs off on my son whom I care for.” It’s easy to get stuck in a rut caring day in, day out, especially when you’re trying to recover from an injury. This award reinvigorated and re-motivated Susan to take care of herself and put her own needs first. Her wellbeing has improved, she is getting precious me time again, and she now has a way to alleviate those pressures created by lockdown. A better relationship with her son too makes it a win-win from every angle.
“I’m now able to walk more so I decided to use the award to buy myself an Apple watch and I’m hooked! Using the fitness features has really encouraged me to get out for walks and I’ve also been doing some home-based workouts and yoga. I feel so much better - the pressures of Impact Report 2020-21 • Page 9
17
Connecting carers We already know that isolation, lack of peer support, and no time to do anything different are the biggest downsides of caring. Covid compounded those issues. Within the first couple of weeks of lockdown, the service had to come up with a plan that would enable carers to continue interacting with each other. That meant moving our Carer Cafés, learning opportunities and peer support/activity groups online. Realising that not everyone had the skills and/or technology, we sourced additional funding to provide equipment where relevant, and produced learning bytes for everyone who needed help connecting so they could access the full range of activities. To help build carers’ confidence, we provided trial runs and talked them through the process in real time so they could see just how easy it was, and how capable they really were. By encouraging carers to use platforms like Zoom, we indirectly boosted self-esteem and confidence so carers felt comfortable trying other platforms like Messenger and WhatsApp to stay in touch with friends and family. Initially, we provided informal chat sessions for carers to come together and discuss specific subjects like dementia,
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online sessions mental health and funeral planning. We soon expanded the options, and by the end of March 2021, we had delivered 17 online sessions to 63 participants. Live cooking demonstrations on Facebook, personal development sessions, resilience building and essential lifestyle planning all played their part in empowering carers to better cope with a caring role generally, and more specifically with the unprecedented times we all found ourselves in. Between lockdowns we even managed to run our Virtual Dementia Tour, which allowed a small number of carers to experience first-hand what it feels like to live with dementia, enabling them to provide more empathic support. Alongside skills-based sessions, we also ran our Open Doors programme, which focused on keeping carers connected in a relaxed and safe environment where they could switch off and have some fun. The team all got involved in one way or another, and among them delivered quizzes; book and music appreciation discussions; art and craft sessions including weaving and suncatcher/jewellery creation; meditation and mindfulness opportunities; recipe swaps, and an online Christmas party. In total, 142 participants benefited from 54 activities between July 2020 and March 2021.
63
participants
54 open doors activities 142 participants
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The Open Doors Sessions are great. I have always been put off going to the peer support cafés locally as I feel people just go to discuss their problems/caring roles, whereas these sessions take you away from your caring role and give you enjoyment.
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Good to see so much going on in difficult circumstances.
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The Open Doors Session is an excellent idea.
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Keeping carers in the know Making sure carers were kept aware of restrictions and sources of support and information was a key part of our ongoing contact with them in 2020/21. Throughout the period, our information sheets were available from our refreshed website, or by calling or emailing the service. We included regular information and updates about Covid-19 practice and changes relating to availability of PPE and other services. Several carers commented on the usefulness of the information circulated by the service. “Just a line to say a big thanks for all your comms and for keeping in touch with really useful and helpful information. We have used a couple of these links today for our own use. We have also passed on your info to a couple of neighbours who have appreciated it.” “Quarriers has definitely been the best at keeping in touch during the pandemic and providing really useful information through the emails.” Newsletter A previous carers consultation highlighted the possibility of changing distribution of our service newsletter to digital, allowing us to make time and cost savings. The pandemic encouraged us to fast-track that move. Roughly 660 digital newsletters
and approximately 350 hard copies for those without internet access were sent in the usual quarterly circulation. We also increased frequency of our monthly emails to weekly during lockdown and beyond. A move to fortnightly was made as guidance changed, but we resumed weekly distribution after a short while due to changes in circumstances. We also provided monthly printed news sheets updating those without internet on the Covid situation. “The Quarriers Keeping You in the Know emails are super.” Facebook
4000 newsletters distributed 2700 emailed 1300 posted 22,500 e-newsletters sent 2000 Covid news sheets sent
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At the end of 2020/21, our Facebook page had 507 followers, compared to 321 at the same point the previous year. We mainly used Facebook to share Covid-19 specific information, but also to keep carers aware of local developments, and information and events of likely interest. We also ran our first Facebook Live cooking demonstration in conjunction with Vegetarian for Life.
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Love the posts on Facebook!
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The latest Quarriers carers newsletter is now available and is a great read for everyone.
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Very appreciative of the Facebook page. It has lots of really useful information, which I would not have known anything about otherwise. Have been telling other professionals how good it is.
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I would also like to take this opportunity to thank Quarriers for keeping in touch during this difficult year and sending on the many helpful updates. Much appreciated.
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Thank you for keeping us up to date. It can be very confusing at times.
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Impact Report 2020-21 • Page 11
Talking shop Sometimes, talking with one of our staff members is just not enough. In those situations where a carer needs more specific support to work through issues they may face, we are able to refer them to our volunteer counselling programme. Although face-to-face counselling had to stop at lockdown in March 2020, the need for counselling did not disappear. We quickly investigated online options and moved the service to the secure NHS Near Me platform in early summer 2020. This has worked well, with only those carers unable or unwilling to participate in online counselling unable to benefit.
As a result
255
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The counselling has made a massive difference to me, giving me a place to vent, helping me to understand myself and the way I’m reacting. I will now stand up for myself and it has helped me to recognise patterns, how I react to them and see how I can react differently.
”
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Thank you for this supportive help when I felt pretty desperate. I cried after my last session because I felt I’d lost a friendship. I am trying to implement behavioural changes and value myself more.
”
online sessions took place, with
49 carers taking part
Many expressed sincere gratitude for the opportunity.
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The counsellor listened extremely well and remembered from one session to the next the content of our sessions which gave continuity of care in the counselling.
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The counsellor allowed me time to look at myself. She listened. I highly recommend her. She was always attentive.
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With counselling, I found I was a stronger person and able to say no.
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Coping with Covid-19 Our response to Covid-19 was varied, ensuring all carers were still able to access the support needed to help them manage their increased role and its impact on them. We secured significant additional funding enabling a range of support provisions to carers, including: • Forres Rotary Club - Christmas gifts for young carers in the Forres area, and wellbeing packs to Forres young carers • MFR Cash for Kids - £1150 for supermarket vouchers to parent carers/ families of young carers in need • Carers Trust Small Grants Fund - £2500 replaced the annual Scottish Young Carers Festival with other activities • William Grant Foundation - £5000 enabling young carer participation in activities • Tesco Bags of Help - £1500 secured to enable wellbeing packs for carers aged 70+ and parent carers • Additional government funding via Shared Care Scotland to increase opportunities for carers to take breaks from their caring role.
• Quarriers Children’s Fund - £1200 secured for young carers and parent carers, allowing the purchase of mountain bikes, driving lessons and sensory equipment. • Working with our colleagues in Arrows, three-course meals were delivered once a week to adult, parent and young carers and their families in the Elgin area. Six families with children continued to receive meals until the schools returned in August 2020.
• Two adult carers really appreciated their We Care packs, which we nominated them for. • Over £10k of government funding via SCVO improved remote working capability with laptops, printers and other equipment for staff, and enabled increased production and circulation of monthly news sheets for more than 300 carers unable to receive email.
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Thanks for the news sheets. They have kept us up to date re the pandemic phases. We appreciate your concern for people like us who are housebound.
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The service also contributed to practical support for more than 100 carers through the collation of their PPE requests on behalf of the local hub, and circulated information about the carer vaccination programme to all registered carers. With no down-time between office and home-based delivery, our support to carers throughout the Covid-19 period has been significant and constant. Impact Report 2020-21 • Page 13
Coping with Covid-19 (continued) Over
16
families received supermarket vouchers
100
wellbeing packs delivered to carers
allowing them to stay in touch with friends and feel less isolated.
x three-course meals delivered
“I would like to thank you for the weekly three-course meals delivered over the last month or so. They were very nourishing and most appreciated. Before my wife had to go into Anderson’s, we delivered Meals on Wheels for a number of years and I can now see why the recipients looked forward to receiving a cooked meal and a wee chat.”
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struggling to keep up with schoolwork online because their siblings also needed access to the family’s shared devices.
Smartphones for two young carers,
100
“My father said repeatedly that the meals on Thursday were the highlight of the week. The food has been amazing and it’s much appreciated.”
Laptops for six young carers
“Thank you for coordinating this… made me feel very loved” “What a lovely surprise! Things have indeed been tricky so it was lovely to think someone out there is thinking of us.” “The wellbeing pack of goodies was an unexpected treat that brought a huge smile to my face. Quite unashamedly I felt a child-like pleasure taking out each item one by one, knowing they were chosen for me – an unknown and unseen carer - and I am so appreciative of the thoughtfulness behind these gifts that mean more than you may realise.”
13 young carers joining in outdoor activities:
outdoor fun, meet together, catch up, new friendships made, renew contacts “On behalf of Forres Community Council, I would like to thank you for your assistance in helping to find families in need during the Covid crisis living in Forres. We have now dispersed several grants to families living across the town and really hope that it has offered a small amount of relief to them.”
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A short-term emergency In response to the pandemic, the Scottish Government provided a Short-Term Emergency Fund from the end of January until 31 March 2021 to support unpaid carers to take a break from their caring responsibilities and maintain their own wellbeing. The additional £10k received was spilt between short breaks and activities for adults and young carers. £6500 provided an extra 32 carers with a creative break worth on average £200. The beneficiaries included four young carers, one kinship carer and five parent carers. Due to the short-term nature of the project, all awards were processed and allocated within a two-week period, providing carers the optimal timeframe within which to purchase, enjoy and feed back on their award before project close at the end of March.
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It was nice to be recognised and to have money to spend on myself for a change. I’m sleeping much better, my wellbeing has improved.
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Stimulating
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Allows me to do something for myself when I need to.
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My exercise bike takes my mind off problems and gives me a break from thinking about caring.
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Art therapy Twenty-two adult participants used a range of mixed media art materials in a spontaneous, experimental, and playful way, as part of a relaxed social group. During six 90-minute sessions, creations evolved and the world was well and truly put to rights with discussions around mental health, Covid-19 anxieties, worries and hopes, childhood memories, career achievements, responsibilities, family, societal change, politics, health, creativity, friendship, relationships and, most importantly, hopes and dreams.
“ ” Fun
The remaining £3500 went towards activities:
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Inspirational
Therapeutic
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Impact Report 2020-21 • Page 15
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A short-term emergency (continued) Building resilience - group sessions Thirty-four adult participants learned resilience building techniques to help them cope better with life and caring. Topics included how you see yourself, managing emotions in the moment, asking for help, eating to support your body, mediation and breathing techniques. Two sessions were also run for young carers around managing emotions in the moment and the Wim Hof breathing method targeted specifically at young male carers. These sessions benefitted 11 participants. Building resilience - extra support In addition to the group sessions, two young carers were identified as needing extra support and received one-to-one sessions with the facilitator. Young carers were encouraged to discuss issues like anxiety in a safe and secure environment, and these additional sessions helped better prepare them to cope with the rigours of being a young person maturing in today’s society alongside the challenge of being a young carer.
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I feel more relaxed and in control of my emotions.
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Relaxing
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Breathing exercises have been useful to help me control stress and anxiety so I am more able to respond rather than react to difficulties.
Jewellery making
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Six adult carers received jewellery kits. Through four 90-minute sessions, they were then expertly guided by one of our team members via Zoom. This gave them the necessary skills and techniques to make their own charm bracelet in week four. A similar programme was run for six young carers. In addition to learning specific jewellery making techniques, both groups boosted their self-esteem and confidence, felt proud of their creations and generally felt better about themselves. One carer was very proud to be making a bracelet for his wife that she would cherish.
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My daughter really enjoyed the jewellery course and has been hugely enthusiastic at the idea of doing similar things.
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Imaginative
Enjoyable
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Moving forward While 2020/21 will be remembered by many as a year of doom and gloom, we must not lose sight of the positives that have come out of it, both locally and nationally. At a national level, Covid emphasised challenges in the current health and social care system. The Independent Review of Adult Care Review evidenced the need for significant change, and has made recommendations for improvements across all aspects of adult social care. Numerous surveys undertaken throughout the pandemic by various national organisations, with contributions from carers in Moray, have highlighted the specific experiences of carers and made them, and their contribution to society, more visible. The Government has, as a result, pledged more support.
Continuing to build on that development, the team will maintain a mix of home and office working, providing both in-person and online support for carers of all ages. It’s imperative we build on the positive relationships achieved over the past year to support an increased carer voice in Moray for unpaid carers of all ages. 2020/21 showed us that as a team we are proactive, responsive, adaptable and creative. While the service will continue to use those skills to evolve, our ultimate priority for the coming year must be to support the unpaid carers of Moray to recover from the legacy of Covid-19 and the changes it enforced upon them. This will be achieved through the ongoing provision of support to help them manage their caring role and its impact on them. We look forward to the challenge!
At a local level, focus groups carried out by Quarriers with Health and Social Care Moray provided local decision makers with improved awareness of problem areas and potential solutions. As a result, an enhanced programme of support is in development and carers are more aware of their role in influencing policy. Within the Carer Support Service, we have made significant improvements over the past year to smarten our working practice. Impact Report 2020-21 • Page 17
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Notes
Impact Report 2020-21 • Page 19
Quarriers Carer Support Service (Moray) 44 High Street Elgin Moray IV30 1BU Tel: 01343 556031 Email: carersmoray@quarriers.org.uk www.quarriers.org.uk/carersmoray Quarriers is a registered Scottish Charity No SC001960 and is a company limited by guarantee and registered in Scotland No 14361 VAT Registration No 263 5009 75 3306