Health and Wellbeing Guide

Age UK North, South & West Dorset's guide to Health & Wellbeing in Later Life. Meals from only £3.25

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‘Excellent’ (As of January 2020) Contents

Contents 3 Welcome to Age UK North, South & West Dorset

5 - 11 Age UK North, South & West Dorset - About our services

12 - 13 Patient choice of GP practice

14 - 15 Your right to social care and support

16 - 18 Planning for your future care needs

19 - 21 Are you a carer?

22 - 23 Choosing care services

24 - 28 Funding care

29 - 33 Care services in your home

34 - 39 Care homes

Disclaimer: Although every effort has been made to ensure that the information in this guide was correct at press time, Age UK North, South & West Dorset and Sure Media Ltd do not assume and hereby disclaim any liability to any party for any loss, damage, or disruption caused by any errors or omissions, whether such errors or omissions result from negligence, accident, or any other cause. Although Age UK North, South & West Dorset & Sure Media Ltd would like to thank the sponsors for their support in this publication, their inclusion within this publication does not imply any recommendation or endorsements as to the goods or services they may supply. Age UK North, South & West Dorset has received no financial payments from any sponsors or supporters in the production of this guide. March 2020. Data source CQC & NHS.

To feature within a publication or for further information please contact: [email protected]

3 Introduction

Introduction from our Chief Executive David Thorp It gives me great pleasure to introduce Age UK North, South & West Dorset’s first guide to Health & Wellbeing in Later Life. One of the challenges faced by people as Age UK North, South and West Dorset has they grow older, is knowing where to turn for been part of the local community helping information and advice on the range of issues older people for over 60 years, with over 100 that might arise. Our aim with this guide is to dedicated staff and over 200 volunteers helping bring all this information together, so you and to deliver services and activities in your local your family can have a useful reference booklet area. that you can pick up as and when you need to. Our dedicated, friendly and experienced teams My focus is helping older people remain are here to help you access our services and independent and live the lives they want, while are available to answer any questions you may providing much needed support to enhance have. We all believe that no one should have their quality of life. no one to turn to. We have a core belief that older people should Whatever the issue, Age UK North, South & have access to the information, advice, support West Dorset is here to help - just get in touch. I and services that will enable them to live hope you find this guide useful. independent lives to the best of their ability, in the best health possible, free from poverty and loneliness. This directory features information about the services that Age UK North, South & West Dorset provides, and how we are working to achieve our aims. This directory has been designed to take you through a number of common considerations and can be kept as a useful reference guide. I want to make Dorset a great place in which to grow older. I am proud to work with our many David Thorp partners – such as local Age Concerns, and I Chief Executive Officer am committed to building further partnerships Age UK North, South & West Dorset with local statutory and voluntary organisations, If you know an older person who may benefit to champion the needs of older people. from the wide range of advocacy, information, Through our work many older people in your support and services on offer – or if you would area are better able to: like to donate or help us fundraise, please contact Age UK on 01305 269444 or visit our • Improve and maintain their independence web site on for longer www.ageuk.org.uk/northsouthwestdorset • Feel less lonely and socially isolated • Improve or maintain their health and Age UK North, South & West Dorset Rowan Cottage, 4 Prince of Wales Road wellbeing Dorchester, Dorset DT1 1PW • Make informed choices and confident decisions [email protected] • Feel more safe and secure www.ageuk.org.uk/northsouthwestdorset • Live well in later life Telephone: 01305 269444 @AgeUkNSWD @AgeUkNSWD ageuk_NSWD 4 Age UK North, South & West Dorset

Knowing where to turn to

Age UK North, South & West Dorset Information and Advice Service Growing older can bring about many changes in our lives, with decisions needing to be made and questions raised that we have never considered before. We may require support as we age, our financial situation may change, and we may find ourselves in a very different place. Similarly, someone who is caring for an older loved one or friend, can be presented with a number of challenges and decisions. Accessing the right information can often be very confusing. Housing - housing options, possible Our Information and Advice Service makes adaptations to help people remain in their own asking for help easy. Our team of highly home and how to get help with heating costs. experienced advisors are available to offer help and advice on a huge range of issues that Social Care - information about statutory and affect older people. non-statutory social care services, eligibility criteria’s, help gaining access to social care Some of the most common concerns we are services and equipment – advice on payments asked for help with include: for care, and support at home or residential Benefits - welfare information including care. support to help people claim benefits - checks Legal - Age UK North, South & West Dorset to ensure people are claiming what they are holds by appointment wills surgeries every entitled to, and information about how to few months. Individuals can come and ask an appeal against decisions regarding benefits. expert questions about Wills, powers of attorney and other legal aspects of home and finances. Bereavement - practical advice like helping with benefits and money and who to contact after someone has died. Age UK North, South & West Dorset offer these services free of charge. Information can be accessed by visiting www.ageuk.org.uk/northsouthwestdorset or call us on 01305 269444

5 Age UK North, South & West Dorset

Reducing Loneliness

Help at Home Do you need a little bit of support to stay independent in your own home? Do you need a companion to support you to attend an appointment? Age UK North, South & West Dorset recognises that a little bit of extra help can go a long way towards helping older people remain independent for longer. Age UK North, South & West Dorset Home Support Service can include: • Domestic cleaning and housework • Food preparation Companionship and Help • Outdoor activity support Age UK North, South & West Dorset Befriending Service • Sitting and companionship As we get older, we may find it difficult to get • Practical support out and about. We may have lost touch with our There are things that can help to maintain our friends and relatives, and we may find ourselves independence, such as socialising and staying feeling lonely. active, but at some point, we may require some This is where Age UK North, South & West additional help around the house. Dorset can step in. If you are over 50 and feeling lonely, we may be able to offer friendship through one of our volunteers. Companionship and Friendship Our Reach Out Service is the perfect opportunity to relax and have a good catch up over a cup of tea with one of our screened and trained volunteers. If you are an older person feeling lonely and isolated, our volunteers will take time to listen and have a friendly chat.

6 Age UK North, South & West Dorset

Staying Independent

Help to remain independent Accepting we need help is not always easy. It doesn’t mean losing independence. Having support when things start to get difficult can enable clients using our service to stay safe, unburden them from difficult tasks and stay in control of their lives. Just a few adjustments to the home environment or some practical support may be all it takes to ensure that all people using our service/s can remain at home for many more happy years. A trusted service All Home Support staff are trained, insured How to access the scheme against breakages and are DBS checked. You can contact us direct without the need for Are you struggling to carry out household a referral - or you can be referred by a family chores? member or a health or social care professional. Having regular practical help around the house Find out more can make a big difference. For more information or a chat about what sort Our Home Support Service can provide a of support you would like please us on cleaning service that can help with all kinds Tel: 01305 269444 of duties from vacuuming to changing Email: [email protected] beds, cleaning and dusting, to laundry and emptying bins, as well as shopping, picking up prescriptions and more. The same person will visit each week and there is always time for a chat. We do not provide: Personal care such as intimate washing and bathing.

7 Age UK North, South & West Dorset

Activities

The tutor may also identify any other services within Age UK North, South & West Dorset, or from other organisations that may benefit the client. Better Balance classes are run across North, South and West Dorset and can be accessed through our telephone number 01305 269444. What should I do if I fall? – NHS advice If you have a fall, it’s important to keep calm. If you’re not hurt and you feel strong enough to get up, don’t get up quickly. Roll on to your hands and knees and look for a stable piece of furniture, such as a chair or Keeping mobile and preventing falls bed. Hold on to the furniture with both hands to support yourself and, when you feel ready, There is a lot you can do to maintain your slowly get up. Sit down and rest for a while mobility and independence as you age. before carrying on with your daily activities. Who is at risk? If you’re hurt or unable to get up, try to get About one third of people over 65 fall each year, someone’s attention by calling out for help, with higher rates for over 75s. banging on the wall or floor, or using your personal alarm (if you have one). If possible, Up to 20 per cent of falls require medical crawl to a telephone and dial 999 to ask for an attention. Half of the falls reported by older ambulance. people follow a trip or an accident. Some 90 per cent of hip fractures are caused by a fall. Try to reach something warm, such as a blanket or dressing gown, to put over you, particularly Exercise is one of the best ways to prevent falls, your legs and feet. Stay as comfortable as as well as making you more confident and able possible and try to change your position at least to enjoy life. once every half an hour or so. Our Better Balance classes are designed to improve confidence, increase stability, improve mobility and balance, strengthen muscles, improve posture, most importantly help prevent falls and lessen the impact a fall can have on the body. Staff are trained in facilitating older persons exercise sessions using a holistic approach. The class content incorporates recognised strengthening and balancing techniques, while being full of fun. The class is kept to a maximum of 14 attendees and each client has an assessment of capability when they join. The class tutor guides each client through the session using a person- centred approach.

8 Age UK North, South & West Dorset

Memory Matters!

Cognitive Stimulation Therapy Session topics may include childhood, food, current affairs and using money; and activities Cognitive Stimulation Therapy (CST) is will be based around each theme, in a fun and a popular and successful way to treat supportive atmosphere. the symptoms of mild to moderate Classes are available throughout Dorset. dementia and is also very enjoyable. Melodies for Memories Our CST sessions are designed to provide a structured programme of activities using visual Melodies for Memories is a longer session that and musical elements that create cognitively uses music and pictures to encourage people stimulating interactions. to sing along. The session is kept to a group of six people to Our memory activity tutors hold sessions enable them to be person centred and focussed throughout North, South & West Dorset. Call us on the varying needs of group members. on 01305 269444 for more details or to book your place. CST is a programme of themed activities, carried out over several weeks in small groups, Community Hubs with each session covering a different topic, Our Community Hubs provide a safe space for designed to improve the mental abilities and older people to spend time with their peers, get memory of someone with dementia. involved, and receive a hot lunch. Evidence suggests that CST can be as This is an opportunity for older people to get beneficial as drug treatments for the symptoms together and take part in a range of activities we of dementia and: provide, such as animal interactions, music and • Is the only non-drug treatment recommended singing, IT classes, and crafts, as well as Better by the National Institute for Clinical Balance, CST and Melodies for Memories. Excellence (NICE) It is also an opportunity for people to access • Is usually carried out over 14 sessions, each our other services such as footcare or benefits lasting around 45 minutes and containing advice. Come along and join us in a safe and structured discussions and group activities caring environment with plenty of opportunities • Led by a trained and experienced staff for support, companionship, fun and a home member cooked two course meal. The Hubs are open between 9.30am and 2.30pm. Contact us on 01305 269444 for an informal chat about the service, or to arrange to come in and have a look around. Unfortunately, we cannot provide transport.

9 Age UK North, South & West Dorset

Keeping Mobile

Toenail Cutting Service Are painful feet making you feel unsteady? As we grow older, something as simple as cutting our own toenails can become difficult and, in some cases, impossible. Healthy, comfortable feet are essential for everyone - especially older people. Long toenails can cause falls and possible hospitalisation as a result.

We have a nail cutting service available to older The foot care assistants will complete an people This service is available in North, South assessment prior to treatment and discuss any & West Dorset for people over the age of 50. of the other services that may be beneficial to Trimmed toenails can help with: them. • Remaining mobile Please contact us on 01305 269444 for further information and to find out which clinic is • Avoiding becoming isolated and housebound nearest to you. • Reducing the likelihood of having a fall • Avoiding the general discomfort which accompanies long toenails The foot care team have completed training in nail cutting with the NHS Podiatry Service.

10 Age UK North, South & West Dorset

Volunteer with us

Volunteering with us can make a Support us difference to the lives of many older We provide companionship, advice and support people in North, South & West Dorset. for the most vulnerable older people in our communities. All funds we raise are used to There are many reasons why it’s great to deliver services for older people across North, volunteer South & West Dorset. • Give something back to the community and make a difference in people’s lives As an independent charity with no Government funding, we rely heavily on the generosity of • Develop new skills or build on existing the public, local business and of course our experience and knowledge volunteers to help to meet the growing demand • Meet and spend time with people for our services. We could not function without our dedicated There are several ways you can get involved team of volunteers who help us deliver vital with Age UK North, South & West Dorset: services to older people in North, South & West • Do you work for a local business who may be Dorset. looking to support a good cause in their local Whatever your age, talents and interests, we’re community? bound to have a volunteering opportunity for • Would you like to organise your own you. fundraising event to raise vital funds for Age Volunteers work across all the vital services UK North, South & West Dorset? we offer. Living in a society with a growing • Would you like to make a regular donation, or population means that there are more people perhaps consider leaving a gift in your will? that we would love to support. Your help can allow us to do that. How to support us Become a regular supporter by giving money How do I get involved? each month or give a one-off donation to Visit our website or call us on 01305 269444 support our cause to combat loneliness and isolation for older people and help them to live well in later life. Donate by post or in person to: Age UK Dorchester Rowan Cottage, 4 Prince of Wales Road Dorchester, Dorset DT1 1PW Leave us a gift in your will or donate to us in memory of your loved one. Organise a fundraising event or take a challenge to raise money. Become a corporate sponsor. Find out more: Visit www.ageuk.org.uk/northsouthwestdorset Call the fundraising team on 01305 269444

11 Patient choice of GP practice

Patient choice of GP practice

Following changes to GP contracts, all GP practices in England will be free to register new patients who live outside their practice boundary area from January 2015. This means that you are able to join practices in more convenient locations, such as a practice near your work. The idea is to provide you with greater choice and to improve the quality of GP services. These new arrangements are voluntary for GP practices.

A good GP practice should provide the started you should ask at the reception desk of following to all patients: your practice. • A professional and helpful team of GPs, Cancelling and missing appointments. practice staff and other Please always try to let the healthcare professionals. Groups can represent GP practice know when • A practice that is accessible patients through collecting you are unable to attend to everyone and provides patient feedback, sharing an appointment. It is your a comfortable and organised best practice by working responsibility as a patient to environment. with other similar groups cancel any appointment you • A flexible and efficient and working with the have made in reasonable time appointment booking system. practices to improve so that another patient can patient services. They also benefit from the appointment • Assurance of systems to help to run courses within slot. monitor and improve the the practice, volunteer safety and quality of care. Making an appointment support services and Be polite to receptionists. They • Appropriate, respectful and awareness events and are busy people who often have legal management of patient provide newsletters and information. to deal with unhappy patients. information directories Being polite to them will • A private consultation room encourage them to help you. that provides reassurance and builds a patient’s confidence and trust. If you have a complaint or concern about your GP or Practice? • Opportunities for patients to get involved and have their say. First raise it with the staff member concerned or the Practice Manager. It may just be an issue Patient involvement groups of poor communication. Ask your practice for a Most GP practices have patient involvement copy of their Complaints process to follow. groups. These groups are made up of If you are not happy with how they respond individual patients who take an active interest to your concerns then you can write to NHS in patient healthcare and are sometimes known England and they will allocate someone to look as Patient Participation or Partnership Groups into your complaint. (PPGs). Write to: NHS England The involvement groups can have many PO Box 16738, Redditch, B97 9PT functions and each group and practice sets its Tel: 0300 311 22 33 own terms of reference. To find out about your Email: [email protected] local patient involvement group or to get one

12 Patient choice of GP practice

GP SURGERIES Postcode Name Address Town/City Phone number BH19 1HB Swanage Medical Practice Station Approach Swanage 01929 422231 BH20 4PG Wareham Surgery Streche Road Wareham 01929 553444 BH20 5HH Corfe Castle Surgery West Street Corfe Castle 01929 480441 BH20 6DR Wool Surgery Meadow Lane Wool Wareham 01929 462376 BH20 7BQ Sandford Surgery 6A Tyneham Close Wareham 01929 554490 BH20 7HB Bere Regis Surgery Manor Farm Road Wareham 01929 471268 DT1 1LD Fordington Surgery 91 High Street Dorchester 01305 250515 DT1 1QR Atrium Health Centre 7 Weymouth Avenue Dorchester 01305 251545 DT1 2EW Queens Avenue Surgery 14 Queens Avenue Dorchester 01305 262886 DT1 2FD The Prince of Wales Surgery 2 Frederick Treves House Dorchester 01305 250989 DT1 2FD Poundbury Doctors Surgery 3 Frederick Treves House Dorchester 01305 251128 DT1 3FD The Poundbury Clinic Middlemarsh Street Dorchester 01305 262626 DT1 3FD The Poundbury Clinic Middlemarsh Street Dorchester 01305 265018 DT1 3GY Armitage House Victor Jackson Avenue Dorchester DT10 1QU The Blackmore Vale Partnership Old Market Hill Sturminster Newton 01258 474500 DT11 0AT Milton Abbas Surgery Catherines Well Blandford Forum 01258 880210 DT11 7BH Whitecliff Surgery White Cliff Mill Street Blandford Forum 01258 452501 DT2 0DB The Tollerford Practice Pound Piece Dorchester 01308 861800 DT2 7JG Cerne Abbas Surgery 51 Long Street Dorchester 01300 341666 DT2 8FY Puddletown Surgery 2A Athelhampton Road Dorchester 01305 848333 DT3 4NS Portesham Surgery Malthouse Meadow Weymouth 01305 871468 DT4 7BY Royal Crescent Surgery 25 Crescent Street Weymouth 01305 774466 DT4 7DW The Bridges Medical Practice 26 Commercial Road Weymouth 01305 774411 DT4 7LE The Dorchester Road Surgery 179 Dorchester Road Weymouth 01305 766472 DT4 9BE Wyke Regis & Lanehouse Medical Practice Portland Road Weymouth 01305 782226 DT4 9BE Wyke Regis Health Centre Portland Road Weymouth 01305 831331 DT4 9QX Cross Road Surgery Cross Road Weymouth 01305 768844 DT5 2BJ Royal Manor Health Care Park Estate Road Portland 01305 820422 DT6 5BN The Bridport Medical Centre West Allington Bridport 01308 421896 DT6 6PE Littlehurst Surgery The Street Bridport 01297 560872 DT7 3HT Kent House Health Centre Silver Street Lyme Regis 01297 443399 DT8 3EQ Barton House Medical Practice Barton House Beaminster 01308 861938 DT9 3DG The Apples Medical Centre East Mill Lane Sherborne 01935 812633 DT9 4DL The Grove Medical Centre Wootton Grove Sherborne 01935 810900 DT9 6LG Yetminster Health Centre Church Street Sherborne 01935 872530 SP7 8DH The Shaftesbury Practice Salisbury Road Shaftesbury 01747 856700 SP8 4XS Gillingham Medical Practice The Barn Surgery Gillingham 01747 824201 SP8 5DF The Silton Surgery Gillingham Road Gillingham 01747 840226 13 Your right to social care

Your right to social care and support

If you think you need social care support, you’ll need to think about what types of support you need – be it homecare workers, equipment or respite breaks. Your first step to getting this sort of help should be to ask your local authority social services department for an assessment of your needs. This assessment will help you decide on the type of services you may want, as well as helping the local authority understand which services you need. Your local authority may be able to offer you some care services for free. It’s worth finding out if you can get free services from your local After this, if you are eligible for care and authority because the cost of buying care support, social services or an independent services is likely to be high if you have long- adviser will work with you to create a care and term care needs, and they could increase as support plan. you get older. If you feel that your needs have changed As part of the CARE ACT Your local authority over time, you can request a review of your now has an obligation to assess anyone who care plan, or a re-assessment if you were not appears to care & support needs. originally eligible for care and support. Contact The authority should: the social care team at your local authority to discuss this. • Make an assessment of your needs regardless of your personal financial Assessing your care and support needs circumstances. If you have care and support needs and find • Provide you with information about services it difficult to look after yourself, your local and options available to you in your area. authority may be able to advise you and provide you with some help. • Offer you a carer’s assessment if you are an unpaid informal/family carer. The best way to get help from your local authority is to ask for a care and support needs The assessment by the local authority is assessment. You can do this by contacting the important because it helps them work out local authority adult social services department. what your difficulties are and what services will help you most. Often, only minor assistance is When you get assessed by the local authority, needed – such as meals on wheels and help as a minimum you may be given information with washing or dressing, yet these services and signposting to other services, and ways could make a big difference to your life. that you might find funding to pay for them. However, if your needs meet the national If your local authority decides you are eligible eligibility criteria, your local authority will have for social care support, they will carry out a to meet these needs. financial assessment to determine how much you will need to pay towards your care, if anything.

14 Your right to social care

Local authorities must consider whether the person’s needs: • arise from or are related to a physical or mental impairment or illness • make them unable to achieve two or more specified outcomes • as a result of being unable to meet these outcomes, there is likely to be a significant impact on the adult’s wellbeing An adult’s needs are only eligible where they meet all three of these conditions. The specified outcomes measured include:

The local authority will involve you throughout • managing and maintaining nutrition, such as the assessment to identify what your needs are being able to prepare and eat food and drink and how these impact on your wellbeing. They • maintaining personal hygiene, such as being will also discuss with you how you wish to live able to wash themselves and their clothes your life and whether there are certain aims you • managing toilet needs would like to achieve but you are unable to do so because of your care and support needs. • being able to dress appropriately, for example during cold weather The assessment will start to consider how your care needs might be met. This could • being able to move around the home safely, include identifying how preventative services including accessing the home from outside like simple aids (such as devices to open jars • keeping the home sufficiently clean and safe and tins more easily), adaptations to your home (such as handrails) or information about • being able to develop and maintain family or support available in the community might meet other personal relationships, in order to avoid your need. It will also identify if you have a loneliness or isolation higher level of need where you may need help • accessing and engaging in work, training, in your own home or care in a care home. education or volunteering, including physical The assessment should be carried out in a way access that ensures your involvement and that takes • being able to safely use necessary facilities the right amount of time to capture all of your or services in the local community including needs. public transport and recreational facilities or If you have a friend or family member looking services after you as an unpaid carer, they can have a • carrying out any caring responsibilities, such carer’s assessment to see if they need support as for a child to carry on their caring role. Local authorities do not have responsibility The local authority must give you a copy of for providing NHS services such as patient your needs assessment or carer’s assessment. transport, but they should consider needs for What are the national eligibility criteria for support when the adult is attending healthcare care and support? appointments. The eligibility threshold for adults with care and support needs is based on identifying how a person’s needs affect their ability to achieve relevant outcomes, and how this impacts on their wellbeing.

15 Planning for your future care needs

Planning for your future care needs There may be times in your life when you think about the consequences of becoming seriously ill or disabled. This may be at a time of ill health or as a result of a life-changing event. It may simply be because you are the sort of person who likes to plan ahead. You may want to take the opportunity to think about what living with a serious illness might mean to you, your partner or your relatives, particularly if you become unable to make decisions for yourself. You may wish to record what your preferences and wishes for future care and treatment might be.

The costs of long-term care How your local authority can help with Care has never been free and everyone should planning your care think about the care they might need in the The Care Act 2014 makes clear that local future. The long-term costs of care can be authorities must provide or arrange services significant, and while none of us like to think that help to prevent people developing that we will become old, ill or disabled, it does care and support needs, or delay people happen. Just like your pension, it is never too deteriorating to the point where they would early to start thinking and planning your care need ongoing care and support. and support needs and their costs. Even if you don’t want or need financial Even if you’re generally fit and healthy and assistance with your care, your local authority of working age, don’t ignore your future can still help you plan your care, so it is worth care. If you’re making long-term financial contacting the adult social services of your arrangements, you may want to take into local council to find out the options available to account the potential costs of your future care you and your family. needs. Local authorities must work with people in their The point at which you may be eligible for areas to provide or arrange services that help financial help from your local authority with your to keep people well and independent. This care costs is being extended. Currently, if you should include identifying the local support have more than £23,250 in assets, such as your and resources already available, and helping home or savings, you will need to meet the full people to access them. They should make cost of your care. clear: • what types of care and support are available – such as specialised dementia care, befriending services, reablement (short-term care time, for example, to get someone safe, happy and able to live independently in their home after they have been discharged from hospital), personal assistance and residential care • the range of care and support services available to local people – in other words, what local providers offer certain types of services

16 Planning for your future care needs

• what process local people need to use to get This encompasses a range of services from care and support that is available generic sources of information and advice, • where local people can find independent such as websites or helplines, to tailored financial advice about care and support and advice relating to specific financial products, help them to access it which can only be provided by a regulated financial advisor. Some of these services may • how people can raise concerns about the charge a fee. safety or wellbeing of someone who has care and support needs The Money Advice Service website has tips on planning ahead for a time when you can’t If you think you need care now, or in the very manage your own finances. near future, the best way to plan your care and find out about your care needs is to ask your Making decisions about your future care local authority for an assessment. needs and wishes The sooner you ask for an assessment, the If you are nearing retirement age, it’s important sooner that plans for your care can be made. that you take account of your likely care needs These plans should include what should be and plan accordingly. You may wish to consider done in the event of an emergency. setting up a Power of Attorney or an advanced decision (living will). Financial planning for future care needs These will help people to take account of your Local authorities have to help people get preferences if you lose the capacity to make independent financial advice, to enable decisions. planning and preparation for future care costs.

Our dedicated and friendly team is here to help you plan for a smarter future… • Will writing • Trusts and probate • Inheritance Tax planning • Lasting Powers of Attorney for Health and/or Financial Matters • Care Home fee planning, and more… • Home visits if required

Contact our team on 01305 771000 for a no-obligation conversation

www.nantes.co.uk

17 Planning for your future care needs

You will also want to ensure that you have A person or their estate usually repays the thought about how you might pay for the care local authority from the sale of their property you need. at a later date. The Care Act 2014 introduces Many of us will put off planning for care and rules that mean councils have to offer deferred support arrangements until the last possible payments to people. moment. Having an urgent need for care and Independent advice on planning your care support after a crisis may mean that we and our If you are making plans for your future care – families feel pressured into making decisions at whatever stage – it is worth getting advice. quickly. You may want to get specific care advice from Under such pressure, asking the right a charity, general advice from Citizens Advice questions, thinking and planning for your future or specialist legal, financial or welfare rights needs – including options for meeting the cost advice. If you have difficulty communicating of care – are vital. It is important that you seek or exerting your rights, you may want to have good advice on these subjects so that you can an advocate to deal with these issues on your consider your best short-term and long-term behalf. Your local authority social services options. department should have information about There are several factors to consider when organisations in your area that help people planning social care. These include: who have social care needs. They may offer an advocacy service. • the type of condition you have, and the best ways for you to stay healthy and independent If you have a specific condition, you may want to get in touch with a national organisation • the type of care you would prefer, and that supports people with this condition. Your whether it would meet your needs GP surgery should have information on the • where you would like to be cared for – in relevant groups and organisations. your own home, in a residential care setting such as a care home, or in the community while you are living at home Free Wills Surgeries • how much your care is likely to cost and Age UK North, South & West Dorset whether you may be entitled to free care or encourages the over 50’s to make use financial help of its free regular wills surgeries held • who you want to care for you, and whether, throughout the county. if you want friends or family to be your The surgeries allow access to an expert carers, they are able and willing to do so who can answer questions about wills, You will need to weigh up the pros and cons of powers of attorney and other legal aspects each care option against these factors. of property and finances. These one-to-one For more information read, “Choosing Care surgeries are by appointment only. Services” (page 22). We work in partnership with local solicitors One of the common decisions people are faced Humphries Kirk, Nantes and Blanchards with is whether they should sell their home to Bailey. pay for their care. This is a free and much needed and If you are thinking about moving into a valuable service to local older people. residential care home and are worried Issues around making a will or power of about meeting the costs, ask your council attorney can be confusing and being able for information about a “deferred payment to talk things through with a solicitor can agreement”. This is an arrangement whereby make all the difference. the person agrees, with their local authority, to To book an appointment, please ring pay some of their care fees at a later date. This Age UK North, South &West Dorset on means they should not be forced to sell their 01305 269444. home during their lifetime to pay for their care.

18 Are you a carer?

Are you a Carer?

Carers’ assessments Eligibility for care and support services What to do when you first become a carer A carer’s assessment looks at the different If you provide care and support to an adult ways caring affects your life, and works out friend or family member, you may be eligible for how you can carry on doing the things that support from your local council. are important to you and your family. It covers your caring role, your feelings about caring, This support could include being offered your physical, mental and emotional health, money to pay for things that make caring and how caring affects your work, leisure, easier. Or the local council might offer practical education, wider family and relationships. support, such as arranging for someone to step in when you need a short break. It could also Your physical, mental and emotional wellbeing put you in touch with local support groups so should be at the heart of this assessment. This you have people to talk to. means that you can tell the council how caring for someone is affecting your life and what you The Care Act 2014 makes carer’s assessments want to be able to do in your day-to-day life. more widely available to people in caring roles. When the assessment is complete, the local Local councils now have a legal duty to assess council will decide whether your needs are any carer who requests one or who appears to “eligible” for support from them. After the need support. assessment, your council will write to you If you are a carer and you need some support, about their decision and give you reasons to get in touch with the council covering the explain what they have decided. area where the person you care for lives. The If you have eligible needs, your council will council will be able to give you information and contact you to discuss what help might be advice about how the assessment will work. available. This will be based on the information A carer’s assessment is a discussion between you gave them during your assessment. you and a trained person either from the If you do not have needs that are eligible, your council or another organisation that the council council will give you information and advice, works. including what local care and support is The assessment will consider the impact available. This could include, for example, help the care and support you provide is having from local voluntary organisations. 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. The assessment could be done face-to-face, over the telephone or online. The council will use the assessment to identify your support needs, and to discuss how these could be met. This might mean that the council will give you help or put you in touch with other organisations, such as local charities, that you can talk to.

19 Are you a carer?

Before your carer’s assessment Carers sometimes take on physical tasks, such If you have arranged to have a carer’s as lifting and carrying, which can cause long- assessment of your needs, give yourself plenty term health problems. Others can find that the of time to think about your role as a carer and stress of the role can lead to depression or other note your thoughts down. You might consider: mental health problems. In some cases, safety can be an issue; for instance, because of the • whether you want to continue being a carer behaviour of the person they look after. • if you were prepared to continue, what During your assessment, explain any mental or changes would make your life easier physical health problems you are experiencing. • if there is any risk that you will not be able to Social services will consider all aspects of your continue as a carer without support health and safety, including caring tasks that • whether you have any physical or mental might put your health or wellbeing at risk. health problems, including stress or Some of the things you might need help with depression, which make your role as a carer include: more difficult • support to ensure you’re able to attend any • whether being a carer affects your medical appointments relationships with other people, including • support if you need to go into hospital for an family and friends operation (including recovery after surgery) • if you are in paid work, whether being a carer that you might have been putting off because causes problems at your work (such as often of your caring commitment. being late) • training for you, such as safely lifting • if you like more time to yourself so that you A carer’s assessment should also look at your can have a rest or enjoy some leisure activity own interests and commitments to see if and • if you like to do some training, voluntary work how they are disrupted by your role as a carer. or paid work If they are disrupted, a social worker could Your decision to be a carer discuss with you whether some support could improve matters for you. When your carer’s assessment is done, no assumptions should be made about your The assessment should look at: willingness to be a carer. This can be a very • marriage or other such relationships sensitive area, because many of us feel that we have a duty to those we care for. We sometimes • friendships and community role rule out other options because we feel we have • paid employment or voluntary work no choice. You have the right to choose: • interests, sport, leisure and hobbies • whether to be a carer at all • time for yourself • how much care you are willing to provide One of the most important parts of your carer’s • the type of care you are willing to provide assessment will be a discussion about your There may be some parts of the role that you wishes concerning paid work, training or leisure find more difficult than others. activities. Take a step back and think about your role as a The local council must consider the support carer. This can be useful in the discussion you you may need if you want to stay in your paid have during a carer’s assessment. You may wish job or return to paid work. They must also to ask in advance for the assessment to happen consider the support you may need if you want in private, so that you can speak freely. to continue or start studying or training. It is vital that it considers whether the role of a carer is affecting your health or safety.

20 Are you a carer?

During and after a carer’s assessment It may be that the best way to meet a carer’s If you are looking after someone, the local needs is to provide care and support directly to council will consider a broad range of issues the person that they care for, for example, by that can affect your ability to provide care as providing replacement care to allow the carer part of their assessment of your needs. to take a break. It is possible to do this as long as the person needing care agrees. When assessing your needs, social services must consider whether your role as a carer Your support plan should consider whether is sustainable. The assessment is about your your situation is likely to change, but you may needs and therefore you should: want to contact social services and ask them to • have a reasonably detailed discussion about reassess you if this happens. all the matters relevant to you Carer's assessments and hospital discharge • have the assessment in private if you want to, You might have a carer's assessment or a at a convenient time and place for you review of your support plan if the person you • get relevant information, including about care for has been in hospital and is being welfare benefits you could claim and details discharged. of other services Carer's assessments and NHS • have a chance to identify the outcomes that continuing care you want; any services should be As well as care and support organised by appropriate for you and meet your needs the council, some people are also eligible to • be given flexibility and innovation in receive help from the NHS. This help may identifying services that may meet your be a nursing service for people who are ill needs or recovering at home after leaving hospital. • have an opportunity to give feedback about It could include things like changing the the assessment dressings on wounds or giving medication. • be told about any charges before services If you are eligible for this kind of help, a health are arranged professional such as your GP or community nurse should be able to tell you. Support planning for carers After your assessment, you and the local In exceptional circumstances, where an council will agree a support plan, which sets adult has a complex medical condition and out how your needs will be met. This might substantial ongoing care needs, the NHS include help with housework, buying a laptop provides a service called NHS continuing to keep in touch with family and friends, or healthcare. NHS continuing healthcare becoming a member of a gym so you can look provides care and support in a person’s home, after their own health. care home or hospice.

21 Choosing care services

Choosing care services

Choosing your care services can be a daunting prospect. There are many care options available, but which kind of support is right for you?

Think about what you get most out of in life. To stay independently at home, you may You may have particular interests that you want need to have care services in the form of to keep up, or you may simply want to spend adaptations to your home (to help with mobility, time with your family or friends. You may have a for example) or perhaps just equipment to help job that you want to keep on doing, or a social you out. activity, sport, religion or a political group that However, your home may not always be the you want to keep up with. best environment if you have care needs. It Your social care support should – as much as may not be safe for you, particularly if you do possible – help you to continue to do these not have a friend or relative around to help (if things, and may help you find new things to do. you live in an isolated rural area, for example). When choosing the type of care, you also need Or you may have particular needs that cannot to think about: be easily met in your home. • location If you do need to move out of your home for care reasons, there is a variety of • services accommodation options that you may want • standards and quality to consider. These include sheltered housing, • price extra care housing and residential care homes or nursing homes. Location of your care If you are thinking about moving, it’s worth Your own home is often the best place for you considering whether it is best to stay in the to get care services. At home is where you area you are in now, which you will be familiar may have family and friends and you’ll be in a with, or whether you should move elsewhere familiar and hopefully safe environment. to be nearer family or friends. You may also You may want to get help at home, perhaps want to think about the location from a practical through having home help come in to help you perspective (whether it’s on a bus route, for with daily tasks. example) or for more personal reasons (such as whether you like the surroundings).

We are the independent regulator of health and social care services in England

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve. www.cqc.org.uk

22 Choosing care services

The kinds of care services on offer When choosing care, you might want to look If you are choosing a care service – particularly out for services that are signed up to the social if it’s an ongoing service such as home care care commitment. Check how well your local or a place in a care home, you should think council social services are performing. about the particular things you want from the The price of your care service (this will often be referred to as your “outcomes”). When choosing social care services, you will have to consider how much the services may Use the services search to find out about cost. The cost of your care may reflect each of the location, services, facilities, staff and the aspects listed above: location, quality and performance of a Care Quality Commission the kinds of services offered. (CQC) registered care home or homecare provider. Your search results should tell you If you have had an assessment from your local whether a service can support you if you have council, you may get services for free. However, particular needs, such as a sensory impairment many people have to pay for their own care or a learning disability. services (self-funders), and even people who have care funded by the local council will need If the service is not registered with the to know about the costs of care if they are CQC, you may have to ask them directly for using a personal budget or a direct payment. information about the services, and you may want to get independent verification, if any is More information available. Your local council may have a list of The Money Advice Service has more local support providers, with information on information on choosing the right sort of care each. services. Standards and quality of care Everyone has a right to expect certain standards in their care. Your care services should help keep you safe and well, but also treat you with dignity and respect. You should always be able to express a choice in your care. Whatever reason you The standards for social care providers, have for needing a such as care homes, are set out by the CQC. little extra support, The CQC’s inspection reports will tell you there’s no reason which services are meeting the minimum why you can’t stay requirements. If you do not think the service is meeting these requirements, you may want to independent in your make a complaint. own home.

Good quality services, in whatever form they Mi-Guardian is a personal take, will treat you as an individual and attend pendant alarm which, when to your personal needs. If you have homecare, pressed or triggered by a fall, connects the user to a UK for instance, the care workers who come into based monitoring team. The your home should listen to your wishes and monitoring team can then contact the user via an intercom or include you and your family in decisions and telephone to make an assessment of the situation and care. determine the best course of action, be that requesting emergency assistance or simply asking friends or family to make contact. FREE Millbrook Healthcare is already helping tens of 8 WEEK thousands of people stay independent in their TRIAL AVAILABLE own home, so why not join them. Call us now: 0800 130 0011 or visit: www.mi-guardian.com

23 Funding care

Funding care Care and support services in England have never been free. Most people have to pay something towards their own care and some will have to pay for all of the costs.

Your local authority (council) may cover some NHS continuing healthcare or all of the cost of care in some circumstances, If the person you care for has very severe and but its help is “means-tested”. This means that complex health needs, they may qualify for who pays depends on what your needs are, NHS continuing healthcare. This is an ongoing how much money you have, and what level and package of care that’s fully funded by the NHS. type of care and support you require. In some areas of the country, you can arrange For most people needing social care services, your NHS Continuing Healthcare using a the first place to start is by asking your local personal health budget – similar to the personal authority for an assessment of your social care budgets for social care outlined above. (care and support) needs. NHS-funded nursing care If the local authority considers that you need You should receive NHS-funded nursing care if: support that it can provide, it may also carry out an assessment of your finances. This • you live in a care home registered to provide assessment will determine whether the local nursing care, and authority will meet all the cost of your care, or • you don’t qualify for NHS continuing whether you will need to contribute towards your healthcare but have been assessed as care cost or whether you will have to meet the needing care from a registered nurse full costs yourself. Find out about support paid The NHS will make a payment directly to the for by your local authority. care home to fund care from registered nurses who are usually Currently, local authorities won’t NHS care could be employed by the care home. provide care services if you have provided in hospital, but more than £23,250 in savings NHS aftercare it could be in someone’s and property (your “capital”). own home or elsewhere People who were previously However, from April 2020, this in the community. detained in hospital under certain threshold will rise alongside the sections of the Mental Health Act introduction of the cap on care will have their aftercare services costs, so more people will be provided for free. eligible for help sooner. Help from charities and funds Alternatives to care funded by the local There are other sources of funding you might authority be able to access to help you with funding NHS care care. Some charities can help with funding The NHS is responsible for funding certain care needs. For example, the Family Fund is a types of healthcare equipment you may need. In government-backed charity that can help with some situations, the NHS is also responsible for grants if you care for a severely disabled child meeting care needs. This is usually when your aged 17 or under. You can get an application need is mainly for healthcare rather than social pack from the Family Fund website. care Get personal advice on care funding NHS care could be provided in hospital, but it The cost of care and support is likely to be a could be in someone’s own home or elsewhere long-term commitment and may be substantial, in the community. particularly if you choose to go into a care home, or if you have care needs at an early age.

24 Funding care

If you or a member of the family need to pay for care at home or in a care home, it’s important Each year, many to understand the alternatives. This makes advice tailored to your individual needs vital. people are told they You can get advice from: have to self-fund their • your local authority – through an assessment of your care and support needs, as well as own long term care. advice on which services are available locally Some self-funding options can be quite • financial advice from a qualified, independent source – there are independent financial straightforward, whilst others are much advisers who specialise in care funding more complicated. As a specialist care fees advice; they are regulated by the Financial adviser I can help you to compare and assess Conduct Authority and must stick to a all your options before deciding which one code of conduct and ethics, and take shared is the right one for you. responsibility for the suitability of any product they recommend • Investment Planning to help pay for care Paying for your own care and support • Long term care annuities Many people who use care and support services will pay for all of the costs. This is • Releasing the equity in your home known as being a “self-funder”. This is a lifetime mortgage or home reversion plan. To understand the features and risks The cost of your care will vary depending on associated with such products please ask for a its type, intensity, specialisation, location and personalised illustration. duration. For example, a place in a residential care home will cost hundreds of pounds a • Safely passing on your wealth week. • Helping to protect your capital To make decisions that have such major • Helping to protect you and your estate financial implications, you may want to seek independent financial advice and it’s always worth researching the costs of alternatives CONTACT first. For example, if you are considering a Tim Gallego care home place, the cost should be weighed Poundbury Wealth Management against the cost of care and support that may Senior Partner Practice of St. James’s Place Wealth Management help you remain in your current home, such as Your local SOLLA Member homecare. to make an appointment How much will care cost? TELEPHONE: If you are thinking about your future care needs or are facing immediate decisions about care 01305 266866 options, it can be helpful to get an idea how www.poundburywealth.co.uk much care can cost. Poundbury Wealth Management LLP Inevitably, the price you would pay will depend Alan Wing House, Holmead Walk, Poundbury, Dorset DT1 3GE on your particular circumstances and needs. The costs also vary depending on where you POUNDBURY live. Unfortunately, care homes and homecare WEALTH MANAGEMENT agencies tend not to provide this information publicly but you may find it helpful to search for and contact care services in your area to get The Partner Practice is an Appointed Representative of and represents only St. James's Place Wealth Management plc (which is authorised and regulated by the Financial Conduct Authority) for the purpose of advising solely on some idea of likely costs. the group's wealth management products and services, more details of which are set out on the group's website www.sjp.co.uk/products. The 'St. James's Place Partnership' and the titles 'Partner' and 'Partner Practice' are marketing terms used to describe St. James's Place representatives.

25 Funding care

The ‘cap on care costs’ The new Care Act 2014 means more people Currently, it is not easy to plan for your future may be able to benefit from “deferred care needs, as it’s hard to estimate how payments”. long you will need care for and how your Deferred payments can help people avoid circumstances may change. From April 2020, a being forced to sell their home in a crisis in “cap” on the costs of meeting your eligible care order to pay for their care by having the council needs (but not accommodation associated temporarily cover the cost – usually until you with care or nursing costs) is being introduced. sell your property. Following the Care Act, The cap means that, once reached, the local every local authority in England has to make authority will take over paying the cost of their deferred payment agreements available. eligible care needs. As an alternative, you may be able to enter The cap will not cover your daily living costs. an “equity release scheme” with a financial These costs include expenses such as rent, organisation. Equity release can pay for the food and utilities and the costs you would fees from the value of property you own. face even if you did not have care needs. It However, you should consider which of these is important to note that daily living costs will options best meets your needs, and what the be a nationally set figure. This figure will be a overall costs to you will be. “notional” amount rather than the actual costs. Before taking such significant financial steps This is designed to support consistency and as equity release, you might want to get enable people to plan. independent financial advice. You can find To benefit from the cap once it comes in, you information on equity release for care at home will need to contact your local authority to see if from Which? Elderly Care or the Money Advice your needs are eligible. If you are seen to have Service’s equity release information. eligible care needs, the local authority will open If you’re planning ahead, you may consider a “care account” for you. This account records arranging an investment or insurance plan to your progress (the amount of costs you have fund your care. Again, it may be worth taking incurred) towards the cap. The cap does not independent advice on financial arrangements begin until April 2020 and any costs incurred before making major changes. Because of the before this will not count towards the cap. new rules, there are likely to be more financial The BBC’s care calculator can estimate how products emerging that are designed to help much you may have to pay for care services people pay for care. depending on where you live in England, once You may also want to explore whether the the new rules are in place. This will give you NHS would meet some or all of your care and an idea of how the cap will work for you, but support costs, or you may have entitlement to actual costs will vary to reflect your individual benefits that may help you meet costs. Read circumstances and needs and how they about other ways of funding care. change over time. Advice on paying for care For more information on how paying for care is Even if your local authority is not able to help changing from 2020, read about the changes in fund your care, it will be able to make an the Care Act. assessment of your care and support needs. Ask for help from your local authority From this, the local authority can provide you with access to a range of information and It’s worth checking whether you’re eligible for advice available locally. means-tested support from your local authority or other financial support – for example, You can also get independent advice from: through a care needs assessment and a • The Money Advice Service website: offers financial assessment. Few of us will have the information on paying for care or the option income or ready access to the cash to pay for to speak to an online adviser. You can call our ongoing care needs, and you may need to the Money Advice Service on 0300 500 5000. look at selling or re-mortgaging any property you may own.

26 Friendly, face to face nancial meeting with your local consultant: If you are a homeowner aged over 55, then equity release could raise tax-free funds from your property. Flexible finance with no evidence of income or affordability required, equity release could fund more or less anything you wish, ensuring you enjoy your re�rement to the full: • Helping family get onto the property ladder• Lifestyle / holidays / new car • Pay off an exis�ng mortgage • Resolu�on of divorce

Today’s equity release products have evolved a great deal, it is therefore important to have a face to face consulta�on. accordingly.

not never

Johanna Kemp CeMAP Sherborne Equity Release, Mortgages, abacus nancialoptions.co.uk Life Assurance 07813 785355 jk@abacusfinancialop�ons.co.uk Ferndown Funding care

All councils must offer people the chance to • The Society of Later Life Advisers: the society defer payment if they meet a set of eligibility can also help you find advice on how to criteria. make financial plans for care in your old age. A deferred payment scheme is only available if • Find Me Good Care: a website of the Social you don’t have enough income to cover your Care Institute for Excellence. It has advice on care home fees, and you have less in savings all aspects of planning and funding social than £23,250. In these circumstances, the care. savings don’t include the value of your property, • Age UK: has great advice for older people and but does include money in bank accounts. The those planning for their later years. local authority will put a “legal charge” (similar • Carers UK: an excellent resource of advice for to a mortgage) on the property and will then carers who need to help someone else. pay the remaining care fees in full. You will then be assessed to see whether they are able • Which? Elderly Care has a guide to financing to pay a weekly charge to the authority. Your care. ability to pay is based on your income less a set Deferred payments if you are unable to pay “disposable income allowance” (currently £144 for care services per week). Care home fees are a big financial commitment, Before considering deferred payments, you and the decision to go into a care home is often should look into whether the property will made at a moment of crisis or urgency, such as or won’t be counted in how your capital is when being discharged from hospital. This can calculated. For instance, it may be disregarded make finding the money to pay for fees (usually because your partner still lives there, and if it several hundred pounds a week) challenging for is a deferred payment agreement wouldn’t be people funding their own care. necessary. In particular, if you own property outright but It’s wise to get independent financial advice have little in the way of savings, you may be before agreeing to a deferred payment, and it’s expected to fund your own care but have little worth bearing in mind that choosing deferred immediately available money to pay for it. Some payments can impact on some welfare benefits. people going to stay in a care home for a long Protection for self-funders time find that they have no option but to sell their property to pay the care home fees. While you may have the savings in place to afford care services, if you lack the capacity to Your council may be able to help you if you make the arrangements, the local authority can are at risk of having to sell your home. Where step in to help. there is a delay in selling the property, or you The local authority can also help people who don’t want to sell the property immediately, you lack capacity by negotiating fees with a care may be eligible to have your care fee payment provider and paying them directly. The local “deferred”. This is where the local authority authority will need to be reimbursed. helps you to pay your care fees temporarily, and you repay the costs to the local authority at a Anyone entering into a contract for care services later date. should be given adequate information about the fees. Care providers should supply: If the local authority agrees to the deferred payment and pays the care home fees, it will • information about the fees charged for various take payment from the money raised once the services provided property is sold. • arrangements for paying the fees This can be: • the fees charged for any additional services • during your lifetime if you choose to sell your If your capital falls below the set levels for local home authority funding (currently £23,250), you will be • once you die, the local authority can be repaid eligible for reassessment for help with funding from your estate your care.

28 Care services in your home

Care services in your home If you need help around the home, a good option is to have a care worker come in to your home to help you.

Types of homecare Homecare can be very flexible, in order to meet Homecare comes in many forms and has many your needs, and the same person or agency names used to describe it, including home may be able to provide some or all of these help, care attendants and “carers” (not to be options for the duration of your care: confused with unpaid family or friends who • long-term 24-hour care care for you). • short breaks for an unpaid family carer Homecare can suit you if you need: • emergency care • personal care, such as washing or dressing • day care • housekeeping or domestic work, such as • sessions ranging from 15-minute visits to 24- vacuuming hour assistance and everything in between • cooking or preparing meals • nursing and health care • companionship

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29 Care services in your home

If you already know what you want, you can • take over the burden of being an employer search NHS Choices directories for: – for example, payroll, training, disciplinary • local homecare services and agencies issues and insurance • a list of national homecare organisations • train their homecare workers through national qualifications and service-specific • services that can help you stay safe and training well in your home on a long-term basis; these services, often known as “supported • replace workers when they are ill, on holiday living services”, can include financial, help or resign with medication, advocacy, social and • put things right when they go wrong practical support An agency will want to see you and the • a place to live in a family who will care for person you’re looking after so that they can you, known as “shared lives services” or assess your needs. This also means that a adult placement services joint decision can be made about the most If you believe that you might benefit from some appropriate type of care and support. You help at home, the first thing to do is to contact can find out more from the UK Homecare your social services department to ask for an Association. assessment of your care and support needs. What are the disadvantages of using a To contact social services, go to GOV.UK: find homecare agency? your local authority. The main disadvantage is the cost of using an If you are eligible for homecare services, the agency. The agency will charge a fee on top of local authority may provide or arrange the help the payment made to the care worker to cover themselves. Alternatively, you can arrange their running costs and profit. You normally your own care, funded by the local authority, have to make a regular payment to the agency, through direct payments or a personal budget. which includes both the worker’s earnings and If you have chosen direct payments or a the agency’s fee. personal budget, or you aren’t eligible for local Questions to ask when using a homecare authority help and want to get care privately, agency you can arrange it in several different ways. The fees some agencies charge can be quite Independent homecare agencies high. Before deciding to go ahead with an If you use an independent homecare agency, agency, you should ask questions about the you or the person you’re looking after has to fee and what it covers, including: find the care agency and pay them. • Does the agency check references? The agency will provide a service through a • What training and supervision do they trained team of care workers, which means you provide? may not always have the same person visiting • What is their complaints policy? your home, although the agency will do its best to take your choices into account. • Who will be responsible for insurance? Independent homecare providers are regulated • Is there any out-of-hours or emergency by the Care Quality Commission (CQC). contact if needed? Homecare agencies must meet CQC’s national • Will they be able to provide staff if your minimum standards and regulations in areas own care worker is ill or away? (If an agency such as training and record-keeping. contracts to provide care every day, it must The CQC has the power to inspect agencies ensure that it does.) and enforce standards. Homecare agencies must vet homecare workers before engaging them by taking up references and carrying out Disclosure and Barring Service (DBS) checks on potential employees. Homecare agencies can also:

30 Care services in your home

Homecare from charities Safeguarding vulnerable groups Charities such as Age UK and Carers Trust can The DBS makes decisions about who is provide home help and domestic assistance unsuitable to work or volunteer with vulnerable services. The Carers Trust supports carers adults or children. It makes this decision based by giving them a break from their caring on information held by various agencies and responsibilities through homecare services. government departments. The service decides Marie Curie Nurses can provide practical and who is unsuitable to work or volunteer with emotional support for people near the end of vulnerable adults or children. their lives in their own homes. If someone who is barred from working with Hiring a personal assistant (P.A.) children or vulnerable adults is working, volunteering or trying to work or volunteer with You can hire a “personal assistant” to act these groups, they are breaking the law. They as a homecare worker for you. Personal could face a fine and up to five years in prison. assistants can offer you all that you’ll get from an agency worker, but you’ll also get the Employers must apply for an enhanced DBS continuity, familiarity and ongoing relationship check (formerly known as a CRB check) when taking on new employees or volunteers to work with your assistant. However, if you employ a with vulnerable adults or children. personal assistant, you will then have the legal responsibility of an employer. This will include This includes a check of the barred lists. If an arranging cover for their illness and holidays. organisation fails to make the relevant checks, they can be penalised. GOV.UK has more information on becoming an employer, while Which? Elderly Care also has advice on employing private individuals.

• We can provide low need care – right up to high need and complex care. • Our trained sta provide award winning, dignied and person centred care. • Our Care Team is Nurse led. • We provide Domiciliary Home Care by the hour with guaranteed time slots. • We are also specialist providers of 24 x hour Live-In Care throughout Dorset, and beyond. • We also provide a freshly cooked Hot Meal Delivery Service in Dorset. O ering a real alternative to a Care Home, we can enable you to remain independent, enjoying the comforts of your own home Visit our website www.stjudescare.co.uk or call us on 01305 779888

31 Care services in your home

HOME CARE AGENCIES Postcode Name Address Town/City Phone number BH19 1AR Care Purbeck 78 Victoria Avenue Swanage 07778 550687 BH19 1BJ Nightingales Home Care 1 Victoria Avenue Industrial Estate Swanage 01929 425285 BH20 4JS Bluebird Care 3 West Street Wareham 01929 500515 BH20 4LR Wareham Care at Home 10a South Street Wareham 01929 556566 DT1 1HY Better Care at Home 18 North Square Dorchester 01305 520590 DT1 1RX Agincare UK 24 Cornwall Road Dorchester 01305 265666 DT1 1UW Everycare 24 High West Street Dorchester 01305 257777 DT1 3AE Apex Prime Care 9 Jubilee Court Dorchester 01305 470020 DT1 3AH Bluebird Care West Dorset 173 Bridport Road Dorchester 01305 236655 DT1 3QY Nurseplus Bridport Road Dorchester 01305 757555 DT1 3SQ iDirect 21 Great Cranford Street Dorchester 01305 259075 DT2 9JN Park House Home Care Park House Dorchester 01305 889027 DT4 0AB St Jude’s Care 2-4 Stavordale Road Weymouth 01305 779888 DT4 0BX CareSupreme 3 Ashton Road Weymouth 01305 542042 DT4 7BS Caremark 15 Jubilee Close Weymouth 01305 858290 DT4 7PY Weymouth - Care at Home 13 Carlton Road North Weymouth 01305 766099 DT4 9DN All About Care Egdon Hall, Lynch Lane Weymouth 01305 261177 DT4 9DW Butterflies In Hampshire Lynch Lane Offices Weymouth 02380 015109 DT5 1BB Agincare UK Weymouth Agincare House Portland 01305 777977 DT5 2DP AA-I-Care 35 Southwell Street Portland 01305 821001 DT6 3JP Agincare UK Bridport Rax Lane Bridport 01308 459777 DT6 3NR Angel Carers 15A South Street Bridport 01308 459204 DT6 5HZ Daley Home Care Pineapple Cottage, Salwayash Bridport 01308 898345 DT8 3AX Altogether Care - Care at Home Lynden Way, The Square Beaminster 01308 863775 DT9 3BA Bramley Home Care Sherborne 73 Cheap Street Sherborne 01935 812776 DT9 4EF Candlelight Homecare Clearbrook House, Bristol Road, Sherborne 01935 817800 SP7 9QJ Bramley Homecare Wincombe Business Park Shaftesbury 01747 855844 SP8 4AB Homestead Care High Street Gillingham 01747 228971 SP8 4FA Wisteria Care Middlefield House, Marlott Road Gillingham 01747 852107 SP8 4RE Mulberry Court. Common Mead Lane Gillingham 01747 822241

32 Care services in your home

If an organisation dismisses an employee or Manual handling volunteer for harming a child or vulnerable If you need help to move, or you need someone adult, they must tell the DBS. to lift you (such as getting out of bed or getting The DBS must also be notified if any employee on to the toilet), this can put the person doing or volunteer harms a child or vulnerable the lifting at risk of injury. adult, but isn’t dismissed because they leave This “manual handling” can result in back pain voluntarily. If their organisation does not tell and in the most serious cases, permanent DBS, they will be acting illegally. Questions can disability if not done correctly. be answered by the DBS call centre on 0870 909 0811. The law says that employers must take reasonable precautions to ensure their Employing a care worker on a private basis employees don’t do any manual handling If you employ a care worker privately, you will that carries a risk of them being injured. This not be obliged to use the DBS scheme, but you applies to you if you directly employ a personal can use it if you choose to. You need to ask assistant to care for you (but most likely will not social services or the police to make the checks if you hire someone through an agency). It is on your behalf. The care worker must have particularly important to consider insurance in already applied to be vetted, and must consent this situation. This would cover any risk of the to the check. If you have concerns about the suitability of someone you employ privately to work with a vulnerable adult or child, you can ask social services to investigate the matter. They can refer the worker to the ISA on your behalf.

Lovely Lunches at Eggardon Country Cooks Home cooked food from the fields of Dorset Lovely Lunches at Eggardon Country Cooks is a home cooked hot food delivery service. We o er a freshly cooked two course meal service between 12 noon and 1.30pm delivering in the Bridport, Beaminster, West Dorset and surrounding rural areas. We deliver freshly cooked food straight to your door from our kitchen at Browns Farm in Nettlecombe from Monday to Friday. We use fresh local produce whenever we can from the elds and seas around Dorset and can cater for all of your dietary needs.

Call us today for a freshly prepared hot meal delivered straight to your door 01308 485115 - after 2.00pm 01308 538879 www.eggardoncountrycooks.co.uk • [email protected]

33 Care Homes

Care homes If you’re looking for a residential care home, there’s a huge variety of options available. There are permanent care homes for older people, homes for younger adults with disabilities, and homes for children. Care homes may be privately owned or run by charities or councils. Some will be small care homes based in home-like domestic dwellings, while others will be based in large communal centres. One of the first options you have to consider when choosing residential care is whether you need the care home to provide nursing care, or just standard personal care.

Consider other options for care first Choice of care home Going into a care home is a major commitment The law says that where the local authority is for your future – it involves changing where funding accommodation, it must allow a person you live and potentially committing to paying entering residential care to choose which care a considerable amount of money for your home they would prefer, within reason. ongoing accommodation and care needs. Social services must first agree the home is Before you opt for a move to a care home, you suitable for your needs and it would not cost should think about other less disruptive – and more than you would normally pay for a home potentially less costly – options, including: that would meet those needs. • home care Local authority help with the cost of residential • help to live independently at home care is means-tested. You are free to make your own arrangements if you can afford the long- You should also consider whether you really term cost. However, it is worth asking the local need the amount of care on offer at a care authority for a financial assessment, because it home, and look at alternatives such as "extra might pay some or all of your care costs. care" housing schemes or warden-controlled sheltered accommodation. These options offer In the financial assessment, the local authority independence with an increased level of care can only take into account income and assets and support. you own. The local authority cannot ask members of your family to pay for the basic cost Personal care or nursing care? of your care. Read more about local authority Care homes for older people may provide funding for care and funding your own care. personal care or nursing care. A care home If you choose a care home that costs more than registered to provide personal care will offer the local authority usually expects to pay for a support, ensuring basic personal needs are person with your needs, you may still be able taken care of. A care home providing personal to live in the care home if a relative or friend is care only can assist you with meals, bathing, willing and able to pay the difference between going to the toilet and taking medication, if you what the local authority pays and the amount need this sort of help. Find care homes without the care home charges – this is known as a nursing. "top-up" fee. Some residents may need nursing care, and However, if their situation changes and they some care homes are registered to provide are no longer able to pay the top-up, the local this. These are often referred to as nursing authority may have no obligation to continue to homes. For example, a care home might fund the more expensive care home place and specialise in certain types of disability or you may have to move out. It is worth thinking conditions such as dementia. Find care homes about this potentially difficult situation when with nursing. deciding on care home options.

34 Care Homes

Do not cancel your tenancy or sell your home Choosing a care home if you're having care until the final decision has been made by provided by the local authority the local authority. The value of your home After a needs assessment from social must not be included in the local authority's services, you will be provided with a care plan, means-testing until 12 weeks after you've which should make clear whether you need confirmed that the care home placement will be residential care and what other options, if any, permanent. might be available and most appropriate based The Care Act 2014 is changing how people on your needs. are able to pay for their own care, introducing Even if you're unlikely to be eligible for financial the right for you to ask for the local authority help with residential care home fees, it could to pay for the cost of your care while you try to still be worth involving social services. The sell your home. This is known as a "deferred needs assessment, and information they payment scheme". provide, are likely to be very helpful in making Choosing a care home if you're funding your decisions about care. own care Tips on choosing a care home If you are funding your own care, you have a • Check the most recent inspection report great deal of options, and you will need to do to see how well the care home is doing and a lot of research on which care home provides if there is anything of concern. You can get the best options for you in terms of its cost, inspection reports by searching for the care location, services, and a host of other potential home on the Care Quality Commission factors. Read on for tips on choosing your care website home.

ACCREDITED PLATINUM

Inspected and rated Good

• Part of the Alexandra Care group of homes. Your choice of care options include: • Situated near to the beautiful Weymouth coastline. • Comfortable accommodation with 24-hour care and • 24-hour care and support for our long stay clients. support within 25 en-suite rooms. • 24-hour care and support for our short stay respite clients. • Communal living areas for everyone to enjoy. • Day care services including social stimulation, activities, lunch • Two passenger lifts give level access to all rooms. and a bath or shower by request for our day visitors.

Tel: 01305 775462 • [email protected] • View our website at www.danmorlodge.com 14, Alexandra Road, Lodmoor Hill, Weymouth DT4 7QH

35 Care Homes

• Consider the location of a care home. Is the • involve residents, carers and their families in care home near family and friends? Are there decision-making shops, leisure or educational facilities in the • support residents in doing things for area? Is the area noisy? themselves and maximising their • Is the care home focused on the residents' independence individual needs, or do they insist that • offer a choice of tasty and nutritious food, residents adapt to their routine? and provide a variety of leisure and social • What arrangements are there for visitors? activities taking residents' needs into account Can residents come and go as they • be a clean, bright and hygienic environment please, as far as it is safe to do so? Are staff that's adapted appropriately for residents, able to help residents to go out? Are outings with single bedrooms available arranged? • respect residents' privacy, modesty, dignity • What involvement would you have in the and choices care home? How would you communicate • be accredited under the Gold Standards with staff? Are there any support groups or Framework for end of life care regular meetings? An unsatisfactory care home might: • If safety and security are issues, what arrangements or supervision can the care • have a code of practice, but not adhere to it home provide? • fail to take into account residents' needs and • Will the care home meet your specific wishes, with most decisions made by staff religious, ethnic, cultural or social needs? • let residents' care plans become out of date, • Will the correct diet be provided? or fail to reflect their needs accurately Will the right language be spoken? Will there • have staff who enter residents' rooms without be opportunities to participate in religious knocking, and talk about residents within activities? Do they allow pets? earshot of other people • When you are choosing accommodation it • deny residents their independence – for may be a lifelong decision, so you may example, by not allowing someone to feed want to think about planning for end of themselves because it "takes too long" life care at the same time. • have staff who don't make an effort to interact • You might also want to check what people with residents and leave them sitting in front who have used the care home say about of the TV all day it from online feedback and review services, • be in a poorly maintained building, with such as those put together on NHS Choices rooms that all look the same and have little Website. choice in furnishings • Ask for a temporary stay in the care home • need cleaning, with shared bathrooms that before you decide. Temporary stays in aren't cleaned regularly care homes can also be arranged If you move into a care home in certain circumstances, such as after a stay When you go into a care home, make sure the in hospital. management and staff of the home know about A good care home will: your condition, disability and other needs. They • offer new residents and their families or may have some of this information already – for carers a guide (in a variety of accessible example, if the local authority has set up the formats) describing what they can expect placement after a care needs assessment. while they're living there Moving home can be unsettling at the best of • have staff who have worked there for a long times, so when you move into a care home, it's time, know the residents well, and are good to have it planned in advance and have friendly, supportive and respectful family or friends around you when you move to • employ well-trained staff, particularly where make you feel more comfortable. specialist care such as dementia nursing is required

36 Caring is at the heart of everything we do...

Providing residential care

The Malthouse, Bay Road, Gillingham, Dorset, SP8 4EW Tel: 01747 822667

They say it takes a special kind of person to professionally care for people on a daily basis: we are delighted that over 3,000 work in our group, providing high quality care to people with a range of needs. With residential, nursing, dementia and specialist care services, our objectives have always been to create homes where people receive the highest standards of care; where dignity is respected; where talents and interests are encouraged; and where life is lived to its fullest potential.

Providing residential care Providing dementia care Providing dementia care

The Old Vicarage, Leigh, Ashley Court, 6-10 St Peters Road, Blandford Grange, Milldown Road, Sherborne, Dorset, DT9 6HL Poole, Dorset, BH14 0PA Blandford Forum, Dorset, DT11 7DE Tel: 01935 873033 Tel: 01202 715902 Tel: 01258 458214

Together we respect, with compassion we care, through commitment we achieve

 HealthcareHomes Blandford Grange, The Malthouse and The Old Vicarage

healthcarehomes.co.uk have been rated Good in all areas by CQC (2019) Good Care Homes

You should also: Standards for care homes are outlined on • contact the benefits office, if you have one the CQC website. These standards are (including disability benefits, as these can be underpinned by regulations governing the affected by care home stays) quality and safety of services. • make sure other services at your previous The regulations are enforceable by law – the address have been notified CQC can enforce fines, public warnings, or • let friends and family know your know even suspend or close a service if they believe contact details and when you might feel up to people's basic rights or safety are at risk. receiving visitors Care home closures Rights of care home residents Care homes will sometimes close. This can The Care Quality Commission (CQC) is the be because the owner decides not to carry regulator of health and adult social care on providing the service in that location (for in England, whether it's provided by the instance, if they retire), or because the home NHS, local authorities, private companies or has been sold or failed to meet legal standards. voluntary organisations. Under existing rules, Proposals to close a care home can obviously independent healthcare and adult social cause great distress. If the care home is services must be registered with the CQC. NHS operated by the local authority, it has to follow providers, such as hospitals and ambulance a consultation process with residents and services, must also be registered. families. The registration of organisations reassures It may be best to get specialist legal advice the public when they receive a care service or in this situation. You can find an appropriate treatment. It also enables the CQC to check solicitor through the Law Society. that organisations are continuing to meet CQC standards.

NURSING HOMES Postcode Name Address Town/City Phone number BH14 0PA Ashley Court 6-10 St Peter’s Road Poole 01202 715902 BH19 3HB The Old Rectory 56 High Street Swanage 01929 425383 BH20 7AJ Pine Martin Grange Sandford Road Wareham 01929 551144 BH21 2DJ The Wimborne Care Home 179-181 Wimborne Road West Wimborne 01202 877614 DT1 1AQ Somerleigh Court Somerleigh Road Dorchester 01305 259882 DT1 1GR Signature House 2 Maumbury Gardens Dorchester 01305 257248 DT1 1PW Belle Rose Nursing Home 12 Prince of Wales Road Dorchester 01305 265787 DT1 2NH Castle View Bridport Road Dorchester 01305 756476 DT10 1BD Newstone House Station Road Sturminster Newton 01258 474530 DT11 7BQ Whitecliffe House White Cliff Mill Street Blandford Forum 01258 450011 DT11 7DE Blandford Grange Care Home Milldown Road Blandford Forum 01258 458214 DT2 7AL Casterbridge Manor Acreman Street Dorchester 01300 341008 DT2 9LG Steepleton Manor Care Home Winterbourne Steepleton Dorchester 01305 889316 DT3 4AJ Fairfield House 41 Putton Lane Chickerell 01305 779933 DT3 4DQ The Queen Charlotte 432 Chickerell Road Weymouth 01305 773128 DT4 7QF Weymouth Care Home 21 Glendinning Avenue Weymouth 01305 784518 DT4 9QX Gracewell of Weymouth Cross Road Weymouth 01305 233300 DT6 3EU St James’ Park Care Home Higher Street Bridport 01308 421174 DT6 6BS Bymead House Axminster Road Charmouth 01297 560620 DT9 3QZ Riverside Nursing Home Westbury Sherborne 01935 812046 DT9 4HG Abbey View Fairfield Sherborne 01935 813222 SP7 8DF The Cedars Nursing Home Angel Lane Shaftesbury 01747 852860 SP8 4RE The Mellowes Care Home Common Mead Lane Gillingham 01747 826677

38 Care Homes

RESIDENTIAL HOMES Postcode Name Address Town/City Phone number BH19 1LS Clifftop Care Home 8 Burlington Road Swanage 01929 422091 BH19 1PQ York House Care Home 8-10 Cauldon Avenue Swanage 01929 425588 BH19 2HR Wordsworth House Care Home Belle Vue Road Swanage 01929 423614 BH20 4HB Anglebury Court 21 Bonnets Lane Wareham 01929 552585 DT1 1ET Culliford House Icen Way Dorchester 01305 266054 DT1 1PP Grassington House 50 Prince Of Wales Road Dorchester 01305 267968 DT1 1PW Montrose Care Home 40 Prince Of Wales Road Dorchester 01305 262274 DT1 1RU Glencairn House 16-17 Cornwall Road Dorchester 01305 268399 DT1 2EN Cheriton Care Home 10 Weymouth Avenue Dorchester 01305 443231 DT10 1DE Nazareth Lodge Penny Street Sturminster Newton 01258 472511 DT10 2LL The Old Rectory High Street Sturminster Newton 01963 362624 DT11 7DE Larks Leas Milldown Road Blandford Forum 01258 452777 DT11 7HS Castleman House Fairfield Bungalows Blandford Forum 01258 452315 DT11 8EY Millbrook House Child Okeford Blandford Forum 01258 860330 DT11 9EB Spetisbury Manor Spetisbury Blandford Forum 01258 857378 DT2 9JN Park House Martinstown Dorchester 01305 889420 DT2 9NW Grove Lodge Hyde Crook Dorchester 01300 320098 DT2 9QL Wolfeton Manor 16 East Hill Dorchester 01305 262340 DT3 5EP Crecy Care Home 45 Spa Road Weymouth 08000 121247 DT3 5HE Rodlands Care Home 4 Ullswater Crescent Weymouth 01305 782736 DT3 5LG Ingleside Residential Care Home 648 Dorchester Road Weymouth 01305 812667 DT3 6HR Bosworth Care Home 6 Southdown Avenue Weymouth 01305 833100 DT4 0QJ Buxton House 423B Radipole Lane Weymouth 01305 760834 DT4 0RX Elsadene 1 Verne Road Weymouth 01305 776613 DT4 7JU Kingsley Court 28 Dorchester Road Weymouth 01305 787811 DT4 7LF Goldcrest 183 Dorchester Road Weymouth 01305 830400 DT4 7LF Trafalgar Care Home 207 Dorchester Road Weymouth 08000 121247 DT4 7LG Primrose Lodge 121-122 Dorchester Road Weymouth 01305 786568 DT4 7PY Friary House 26 Carlton Road North Weymouth 01305 782574 DT4 7QH Danmor Lodge 12-14 Alexandra Road Weymouth 01305 775462 DT4 9QB Legh House 117 Rylands Lane Weymouth 01305 773663 DT4 9QS Chestnuts Residential Home 93b Wyke Road Weymouth 01305 784996 DT6 3BA Coneygar Lodge Coneygar Park Bridport 01308 427365 DT6 3QG Sidney Gale House Flood Lane Bridport 01308 423782 DT6 4EY Harbour House George Street Bridport 01308 423277 DT6 4LB The Hyde Care Home Walditch Bridport 01308 427694 DT6 5BH Drayton House 50 West Allington Bridport 01308 422835 DT7 3ES Shire House Care Home Sidmouth Road Lyme Regis 01297 442483 DT7 3HH Fairfield House Charmouth Road Lyme Regis 01297 443513 DT8 3PX Broadwindsor House Broadwindsor Beaminster 01308 868353 DT9 3AJ Rawleigh House The Avenue Sherborne 01935 816630 DT9 3BZ Eastbury House Long Street Sherborne 01935 812132 DT9 3ED The Hayes Long Street Sherborne 01935 814043 DT9 4HN Garden House Rest Home Priestlands Sherborne 01935 813188 DT9 6HL The Old Vicarage Care Home Leigh Sherborne 01935 873033 SP7 8AX Castle Hill House Bimport Shaftesbury 01747 854699 SP7 8BS St Denis Lodge Salisbury Road Shaftesbury 01747 854596 SP8 4EW The Malthouse Care Home Bay Road Gillingham 01747 822667 SP8 4RE Mulberry Court. Common Mead Lane Gillingham 01747 822241

39 Age UK North, South & West Dorset Rowan Cottage, 4 Prince of Wales Road Dorchester, Dorset DT1 1PW [email protected] www.ageuk.org.uk/northsouthwestdorset Telephone: 01305 269444 @AgeUkNSWD @AgeUkNSWD ageuk_NSWD