Social Care and Support for Adults The Somerset Directory 2016/17
Sunset at Berrow
The comprehensive guide to choosing and paying for care and support Community support • care at home • care homes • specialist care For adults of working age, older people who have disabilities, mental health conditions, a sensory loss or general frailty.
Publications
Also available electronically at www.carechoices.co.uk and in spoken word through Browsealoud In association with www.carechoices.co.uk www.somerset.gov.uk Untitled-1 1 19/04/2016 10:55 Contents Welcome from Somerset County Council 4 How can Somerset County Council help you? 45-47 Regions covered by this Directory 4 Needs assessments 45 How can this Directory help? 5 Care eligibility 46 What is the difference between care and support? 5 Reablement 46 Where do I start? 5-8 Occupational therapy assessment 47 Help and advice 6 Paying for care 47-53 Independent advice and support 6 Financial eligibility 47 Wellbeing 7 Paying for home care 48 Writing your support plan 8 Paying for care homes 50 Help for carers 9-11 Third party payments 50 Compass Carers – the carers’ support service for What happens to your home? 51 Somerset 9 Running out of money 51 Carers’ assessments 9 NHS Continuing Healthcare 52 Carers’ information, support and counselling 10 Support for people who lack capacity 52 Health and wellbeing 11-13 Specialist care 53-55 Staying safe from falls 12 Dementia care 53 The Silver Line 13 Residential dementia care checklist 54 Mental health 55 Support in the community 13-23 Learning disability 55 The ‘Somerset You Can Do’ Service 13 Physical disability 55 Somerset Active Living 13 Coping with a sensory loss 55 Home Improvement Agencies 14 Leaving hospital 15 Essential information 56-60 Day time care and support 16 This Directory’s free helpline 56 Making life easier in your home 16 How solicitors can help 56 Transport and travel 22 Staying safe 57 Community support services 23 Safeguarding vulnerable adults 57 Making a complaint 59 Care and support at home 23-33 The Registered Care Providers Association Ltd 60 Home care 23 Live-in care 25 Other initiatives 60-61 Home care agency checklist 27 ‘Tell Us Once’ service 60 Home care providers 29 NHS 111 61 Healthwatch Somerset 61 Housing with support, or care and support 38-39 Sheltered and retirement housing 38 Useful local and national contacts 62-67 Extra Care housing 38 Care homes listings (see map on page 4) 68-85 Pathways 38 Index 86-90 Care homes 39-44 Types of home 39 All the listings in this publication of care homes, care homes with nursing and home care providers are supplied by Checking quality 41 the Care Quality Commission (CQC) and neither Somerset Choosing a care home 41 County Council nor Care Choices can be held liable for Care homes checklist 43 any errors or omissions. The information contained in this Directory was correct at the time of going to print. The inclusion of advertisements for homes and agencies To obtain extra copies of this Directory, free of in this Directory does not act as an endorsement or charge, call us on 0300 123 2224. recommendation by Somerset County Council.
This Directory is available electronically at www.carechoices.co.uk. Alternative formats There is also a Browsealoud option for those requiring the information in the spoken word.
Visit www.carechoices.co.uk for further assistance with your search for care 3 Welcome from Somerset County Council
Welcome to the 2016/17 edition of the Somerset We work closely with colleagues in our health Care and Support Directory. I hope you will find services, registered care providers and the Care it valuable, if you want to know more about what Quality Commission (the independent health and support or care is available for yourself, or for a social care regulator) to raise the standards of care relative or friend. If you pay for your care and support and support in Somerset. If you would like to tell us services yourself or if the local authority contributes about your experience of using any of the services towards the cost (see page 47), this Directory will listed in this Directory, please phone us on: help you to find the care and support you need, that 0300 123 2224. suits your circumstances. National and local policies about social care change Somerset County Council is committed to helping every year, so please double check with us, or talk people maintain their independence and quality of with an independent financial adviser before making life, where possible in their own home. As you know, any decisions that have financial implications for you local authorities such as ours continue to be under or your family. significant financial pressures, yet we still wish to assist people in achieving their ambitions. Making You can contact us on: 0300 123 2224 for sure that the most vulnerable members of our information, advice and support or visit: communities are safe and well cared for still remains www.somersetchoices.org.uk/ If it is appropriate, this Council’s highest priority. We know that deciding we can refer you to our own social care staff or the what care and support is best for you or someone right partner organisation. you care for can be difficult.
Stephen T Chandler One in ten people in the UK cares for friends or family Director of Adult Social Services members. We support unpaid carers in various ways, Lead Commissioner Adults and Health for example by providing training, links to support Customer Contact: 0300 123 2224 groups and by contributing towards short breaks Email: [email protected] (often called respite). Please see page 9 for more Web: www.somerset.gov.uk information about carer support.
Regions covered by this Directory
West Somerset
Care homes 68 BATH AND Care homes with nursing 68 NORTH SOMERSET NORTH EAST SOMERSET
Taunton Deane Cheddar Care homes 69 Burnham- Frome on-Sea Wells Shepton Care homes with nursing 71 Minehead Glastonbury Mallet Watchet Sedgemoor Bridgwater Street Care homes 73 Dulverton Care homes with nursing 77 Wincanton Wiveliscombe Taunton Somerton South Somerset Wellington Care homes 78 Yeovil Care homes with nursing 81 DEVON Ilminster Crewkerne DORSET Chard Mendip Care homes 82 Care homes with nursing 85
4 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care How can this Directory help?
The first thing many people want to know is ‘Can the Council help me pay for care’? As a general rule, if you have over £23,250 in savings, no we can’t; if you have less than this and you meet the national eligibility criteria for care, we may be able to. This is explained in much more detail starting on page 47.
We know that many people and their carers, perhaps with a little support, can successfully live at home and enjoy their life to the full, often without help from the Council.
Our key principles are that we want people to remain in control of their lives, to remain independent and to have the opportunity to make their own choices about their care and support arrangements.
Many people, who in the past may have had a doesn’t list all the community support available in package of care to support them, with a little Somerset, but it may provide you with ideas, so that imagination, can often find other, more flexible when you develop your support plan you can also and suitable ways to access help. This Directory research and find out what else is available locally. covers some of these things, called ‘support in the community’, before moving onto the more well- Although we have laid out the Directory in a way to known services, such as home care and care homes. make it easy to follow, the things you need may be These services too, are developing more ways to be built up from each section, so that you end up with flexible and tailored to what you need. The Directory support that is tailored to you.
What is the difference between care and support?
In this Directory, ‘care’ is used to describe any service shopping and attending community groups. Of course, that helps you with your personal care, for example, some people need a mixture of both of these things. helping you to get up, washed and dressed in the morning. It may be that you arrange what you need yourself, or that you ask us to help you. The important thing is ‘Support’ is anything provided to you that doesn’t that you have the right information to make your own include personal care, for example, domestic cleaning, choices. Where do I start?
The information in this Directory is designed so that you there is a blank ‘support plan’ that you can complete if can find solutions for yourself, if you wish to, or you can you wish. Firstly, write down the things you are finding ask us for help and advice if you need it. difficult to do, then, by reading the Directory you can start to come up with solutions that you can write in the The best way to identify what care and support you boxes: things you can do for yourself, things you can ask need is by writing a list of the things you are finding others to help you with, or things you would like to talk more difficult to do. To help you do this, on page 8 to us about.
Visit www.carechoices.co.uk for further assistance with your search for care 5 Help and advice
If you need help and advice about support that is available to help you remain independent, or advice about care services or support for carers, this Directory is for you.
There is a wide range of services available to people across the county. Many of these can help make life easier and support you to stay healthy, active and independent.
For further information or advice about these services, we recommend that you look on our information and or you can phone us on: 0300 123 2224 for services website: www.somersetchoices.org.uk information or to request an assessment of your needs. Phone lines are open from 8am to 6pm You can also visit our website: www.somerset.gov.uk Monday to Friday, and from 9am to 4pm on Saturdays.
Independent advice and support
Advocacy If we think you would benefit from the support that We understand that you may be making important an advocate can provide and you have no one else changes to the way you live and need all the best available to you who can do this, such as a family information and help to ensure the decisions you make member of friend, we will ask an advocate to become are right for you. involved.
Advocacy is when someone helps another person to In Somerset, our independent advocacy service is understand something and to be heard. provided by SWAN advocacy. Understanding the care and support system can Swan Advocacy often be daunting, especially if you have no one to Somerset office, Hi-point, talk things through with. An advocate may be able to Thomas Street, Taunton TA2 6HB explain how some of the complex processes work and Phone: 0333 344 7928 what the possibilities are for you. Email: [email protected] Web: www.somerset-ias.org.uk An advocate can help you tell other people what your needs or wishes are. They will support you to speak for yourself whenever possible, but they can speak for you Independent financial advice if you want them to. Although we have lots of information available to help you, we always recommend that you talk to someone completely independent about money matters, particularly if you are thinking of moving into a care home, and especially if you own a property.
Remember, any financial adviser who recommends investing your money against specific financial products must be regulated by the Financial Conduct Authority (FCA). Visit: www.fca.org.uk for more information.
6 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Independent advice and support continued
There are many organisations that you can speak to and talk things through with.
The Money Advice Service offers information on paying for care or the option to speak to an online adviser. You can phone them on: 0800 138 7777 or visit: www.moneyadviceservice.org.uk
The Society of Later Life Advisers can help you find advice on how to make financial plans for care in your old age. You can phone them on: 0333 202 0454, or use the website: www.societyoflaterlifeadvisers. Carers UK has a website resource of advice for carers. co.uk to search for a regulated financial adviser in your Visit: www.carersuk.org or phone them on: area. 0808 808 7777.
Find Me Good Care is a website of the Social Care The Care Act 2014 Institute for Excellence. It has advice on all aspects of New legislation for social care was introduced in April planning and funding social care. Visit: 2015. The Care Act has revised some areas of social www.scie.org.uk/findmegoodcare care, making them clearer, and has introduced new requirements. Age UK has a good website with advice for older people and those planning for their later years. Visit: If you would like to find out more, please look on: www.ageuk.org.uk or phone them on: www.gov.uk and search ‘Care Act’ for some useful 0800 169 6565. factsheets.
Wellbeing
A major element of the Care Act is wellbeing. If you contact us, we must have your wellbeing at the heart of everything we do, whether you are talking with a call adviser, with a social worker about your care needs or when we help you to write your care and support plan.
What is wellbeing? ‘Wellbeing’ is a broad concept; it relates to a person’s: • personal dignity (including being treated with respect); • physical and mental health, and emotional wellbeing; • protection from abuse and neglect; • control over day-to-day life (including how care and support is provided); • suitability of living accommodation; and • participation in work, education, training or • contribution to society. recreation; • social and economic wellbeing; For more information on health and wellbeing see • domestic, family and personal life; page 11.
Visit www.carechoices.co.uk for further assistance with your search for care 7 Writing your support plan
By completing your support plan you may find it helps to identify what you need. Then, browsing this Directory as well as researching what’s available where you live, may help you find solutions. It is very similar to what we would use during an assessment. Obviously, you may prefer to miss this section and just read on.
1. In this section, list the things you are finding more 2. In this section, write down the things you may difficult to do, or feel you would like more support already have in place to help you, or other to do. This could be one thing, or lots of things – solutions that you could arrange for yourself. try to list all the things that are important to you.
3. In this section, write down the help and support 4. In this section, write down the things that you that you think others could provide for you, for think the council could help you with. example, a friend or family member, or your
local community group.
If there is something you’ve written down that you can’t find a solution for, please contact us on: 0300 123 2224.
8 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Help for carers
According to Carers UK, one in ten people in the Who is a carer? UK cares for friends or family members. We are A carer is somebody who provides necessary support committed to supporting carers who carry out a to a family member, partner or friend who needs valuable role to the person they care for. It is estimated help because of their age, physical or mental illness, there are over 50,000 carers in Somerset. Many do not or disability. This would not usually include someone realise that they are a carer, or think of themselves as a paid or employed to carry out that role, or someone carer, and do not know that there is a range of services who is a volunteer. and information available to them.
Compass Carers – the carers’ support service for Somerset
Somerset County Council and the Somerset Clinical and Support’. Commissioning Group jointly fund a support service with Compass Disability Services, a Somerset based The volunteers can provide the emotional and user-led organisation, to deliver a countywide practical support that most carers need to keep them support service for carers. This service is called going. Every carer is an individual. This service will Compass Carers. The service is for carers of all ages listen to the carer and help them identify the things who care for people with any condition. It doesn’t that are important to them and how to achieve matter how long they spend in their caring role. those things. Whether it is to do with family, finances, The aim of the service is to support carers, to offer employment, isolation or having a break, they can individual support so that they can maintain their work with carers to help find solutions. caring role and also have a life outside of caring. Unpaid carers can contact Compass Carers for: Compass Carers has experienced staff, including: • emotional support; • office-based staff who co-ordinate the team and • information in various formats to suit their needs; man the advice/information/support phone line; • advice on how to get help or information; • carers’ Support Workers who liaise with GP • access to local carers’ support groups; or surgeries; and • someone to come to visit them. • carers’ champions who liaise with, and help establish, carer support groups and who visit carers Phone: 01823 255911, Monday to Friday, 9am to to help establish and monitor a support plan. 5pm; there is also an out-of-hours answerphone. Email: [email protected] The service also recruits and trains volunteers who Web: www.compasscarers.org.uk provide a telephone support service called ‘Talk
Carers’ assessments
All carers are entitled to an assessment, even if the assessment, ask your social care worker or phone us person they look after doesn’t have help or funding on: 0300 123 2224. from us. The assessment will find out if, through the provision of additional care and support, it will help When a carer contacts us, we will first talk with them the carer in their caring role. We may pay for some to understand their situation. We may suggest they support if the carer is eligible. talk with Compass Carers, or we may be able to give them some advice and information straight How does my carer apply for a carer’s away over the phone. This may be followed up by a assessment? member of the social care team arranging to meet If you would like more information, or to arrange an with the carer and, if they wish, the person they
Visit www.carechoices.co.uk for further assistance with your search for care 9 Carers’ assessments continued care for, to give the carer more advice. This is called What if the carer is not eligible? a ‘needs assessment’. If a carer’s assessment shows If a carer is not eligible for services, we can still provide that support for either the carer or the person they information and advice and put them in touch with care for is needed, then we will tell the carer how to other carer support organisations, such as Compass arrange this, or help to arrange this if they would like Carers. You can find information about other support us to. available on our website: www.somerset.gov.uk/ carers or by phoning us on: 0300 123 2224. Do carers have to be assessed? Carers do not have to have a carer’s assessment. The How will a carer know if they are eligible? person they care for, following their own assessment, The Care Act says carers may be eligible for help if: will still receive our support if they are eligible. • their need for support results from providing necessary care for an adult; and What happens next? • they need support to achieve outcomes in one or Carers who provide regular and substantial care to more areas of life listed below: a relative or friend, and are not paid for it, may be • carrying out any caring responsibilities the carer eligible to support from us. If we can help, we will has for a child; write a care and support plan for the carer, or, if they • providing support to other people to whom the prefer, a joint support plan for both them and the carer provides care; person they care for, taking into account their needs • maintaining a habitable home environment; as a carer. • managing and maintaining nutrition; • developing and maintaining family or other The care and support plan explains what support will personal relationships; be arranged and who will provide it. If a carer’s needs • engaging in work, training, education or are eligible, we may provide them with a personal volunteering; budget. They can decide to either have the money • making use of necessary facilities or services in the so they can buy the support themselves, or we can local community; work with the carer to arrange the support they • engaging in recreational activities; and choose. Alternatively, we may increase the personal • failure to achieve these outcomes would result in a budget of the person they care for to provide significant impact on the carer’s wellbeing (please replacement care. see the definition of wellbeing on page 17).
Carers’ information, support and counselling
Carers’ information with the caring situation, for example, basic first On the carers’ page of our website: www.somerset. aid, maintaining personal wellbeing, and other gov.uk/carers there is a list of information sheets. They opportunities that offer personal development. Phone can be viewed online, saved or printed. They help to us on: 0300 123 2224 to find out more. explain who a carer is and some of the things carers might have to deal with in their caring role, as well as Supporting someone with a mental health condition giving advice about what support is available and the Carers’ Assessment Workers are based in community services we can provide for carers in Somerset. If you mental health teams. They specialise in assessing the would like us to send you copies of these publications, needs of carers who care for someone with mental please phone us on: 0300 123 2224. health issues and can advise carers about: • inpatient services; Opportunities for carers • outpatient services; There are many learning and training opportunities • day services; available to carers. These can be designed to help • residential care and short breaks; and
10 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Carers’ information, support and counselling continued
• contacting social workers and community psychiatric Residential short breaks make it possible for the person nurses. being cared for to spend time away in a care home.
Carers’ champions We also have a ‘Take a Break’ scheme. Following an A member of staff in most GP surgeries in Somerset assessment, instead of a carer having their breaks has been appointed as a carers’ champion. They can arranged in advance, the carer can contact us to register people as carers on the Carers’ Register. This arrange their break when they need it. will alert a GP that the person is a carer when they attend an appointment and may also help carers to There may be a charge for some of the short break access preferential appointment times and carer health services. A social care worker will be able to provide checks. The carers’ champion can provide information more information, or you can phone us on: about where to go to find out more about carers’ 0300 123 2224. services. Young carers Breaks for carers We have Young Carers Co-ordinators who: There are different ways of getting a break from caring, • identify and support young people (18 years old and anything from a few hours to a few weeks depending younger) with caring responsibilities in their family; on what is right for the carer and the person they care • promote recognition and awareness of their needs for. and achievements; and • work alongside other agencies to develop schemes Home care services may be able to provide carers and and services which support young carers. the person they care for with support at home to help with personal care and essential tasks. See page 29 for They provide information, advice and support, including: a list of agencies. • answering questions and giving advice; • carrying out an assessment of young carers’ needs; Short breaks can be arranged to help meet a carer’s • speaking up for young carers so that ideas and needs needs, as well as those of the person they care for, as are heard; part of an agreed care and support plan. • introducing young carers to one another; and • organising groups and activities for fun and having a The sitting service can help a carer take a short break break away from home. with peace of mind. This service provides fully-trained staff who can go into a carer’s home or take the person You can find out more about the Young Carers being cared for out, and is not part of the Care at Home Co-ordinators by phoning: 0300 123 2224. Service. Health and wellbeing Factors which influence our health and wellbeing are mental health. For example, you can reduce your risk often diverse and our physical and emotional health of long-term health conditions, such heart disease, are closely linked. As we get older we recognise how strokes, cancer or diabetes by making healthier important it is to make sure we can access support choices. for emotional and mental wellbeing as well as physical health issues to help us enjoy life in our later Things that can influence health and wellbeing years. include: • spotting signs and symptoms of illnesses; We can all make small changes to our diet and • staying active; lifestyle which will help improve our physical and • keeping a healthy weight;
Visit www.carechoices.co.uk for further assistance with your search for care 11 Health and wellbeing continued
• getting out and about; across Somerset, including activities for people who • spending time with others; are less mobile. • keeping your mind stimulated; • staying warm; Some of us may become concerned about our • having an adequate level of income; memory as we get older and may notice our memory • having a healthy diet; and is less reliable. This doesn’t always mean we have • staying safe from falls. dementia, there can be other reasons such as stress and some health conditions which effect memory. Information on all of these is available on the If you are concerned about your memory or the Somerset Choices website: www.somersetchoices. memory of someone you are close to, there is lots of org.uk and services are in place across Somerset to information and support available. To start with, visit help address needs you might have, phone us on: your GP to discuss your concerns. If you are diagnosed 0300 123 2224 for details. with dementia, the Dementia Somerset website: www.dementiasomerset.org.uk provides useful We know that keeping active as we get older is really information and details of various services, including important for our physical and mental health, so visit those from Alzheimer’s Society in Somerset, as well as the Zing website: www.zingsomerset.co.uk which support for carers. Remember, it is possible to live well has lots of information about activity opportunities with dementia. See page 53 for more information.
Staying safe from falls
Staying steady on our feet becomes more important the main source of vitamin D. If you are concerned, as we get older, and staying physically active can help talk to your GP, you may benefit from a medicine to reduce our risk of falls. make your bones stronger.
As part of ageing, you may develop health conditions Other factors, such as wearing badly fitting or worn that can lead to you being at risk of falls. Muscles shoes, foot problems and things in the home such as can become weaker and eyesight and hearing may loose rugs, trailing wires and other trip hazards can all decline; we may also lose confidence, which affects make falls more likely. how active we are. We may suffer from chronic illnesses and have to take medication which can If you are worried about your balance or have had contribute to the risk of falling. Also, our bones a fall, speak to us, your GP or one of the Somerset become weaker and we can develop osteoporosis Partnership rehabilitation teams, so the reasons for (where our bones become more fragile). To keep your fall can be identified. This might include a falls bones strong, include lots of calcium and vitamin D assessment and recommendation to attend a Balance in your diet and aim to have 15 minutes of sun a day and Safety class at your local community hospital. on your skin during the summer months, without If you are unable to get to your local community sunscreen and taking care not to burn, as sunlight is hospital, a physiotherapist may be able to set up an activity plan with you at home. Also consider a community alarm (Lifeline), see page 17.
If you do fall and break a bone, you may find that you won’t be able to cope with living in your own home. It makes sense to do all you can to reduce your risk now. We really want people in Somerset to stay as well and independent as possible so that you enjoy life in your later years.
12 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care The Silver Line
The Silver Line is the only free confidential helpline • offer regular befriending calls; and providing information, friendship and advice to older • protect and support those who are suffering abuse people, open 24-hours a day, every day of the year. and neglect.
Specially trained helpline staff can: Tel: 0800 470 8090 • offer information, friendship and advice; Web: www.thesilverline.org.uk • link callers to local groups and services; Support in the community
There are lots of things going on in your local • organisations that can help you with some domestic community that could help you to remain living tasks, such as cleaning, shopping, gardening, or independently in your own home. These include: simple repairs to your property. • various groups that meet to provide companionship; they may even arrange for someone to collect you to These are simple but important things that can help take you to group meetings; you feel safe and give you peace of mind. • pubs that provide meals, usually at great value; • befriending schemes, where volunteers can come You can also look on our information and services and visit you at home or accompany you if you website to explore lots more community support would like to go out; and available in your area: www.somersetchoices.org.uk
The ‘Somerset You Can Do’ Service
The ‘Somerset You Can Do’ Service is supported by • give you information about equipment you could Somerset County Council. If you would like to find out hire or buy to help you live independently at home. about what community support is available in your area, you can contact the free information service, As well as the information service, ‘Somerset You Can which can: Do’ also provides a volunteering service that supports • put you in touch with organisations and groups in and recruits people who want to volunteer to support your community that are there to help you; others. There is also a community development service. • provide you with information on local community This supports groups and organisations to become organisations you might like to join; established and helps to improve the community • help you to get the information you need if you have support they offer by making it more accessible. sensory loss or other disabilities; • help you with your skills, development and learning; Tel: 01278 664180, Monday to Thursday, 10am to • put you in touch with Village Agents, who are 4pm, and Friday, 10am to 1pm recruited by the Community Council for Somerset to Text: 07770 465433 provide people in Somerset’s rural communities with Email: [email protected] easier access to information services; Web: www.somersetyoucando.org • tell you about getting practical help at home; and
Somerset Active Living
There is a thriving Active Living network with over people to come together, enjoy the company of 120 community groups, clubs and organisations others and develop new friendships and social across Somerset. They offer the opportunity for circles. >>
Visit www.carechoices.co.uk for further assistance with your search for care 13 Somerset Active Living continued
>> Each centre is unique and offers a varied The Somerset You Can Do service also provides programme of activities to suit most needs, such as support to the Active Living network across light exercise, developing and learning new skills and Somerset. knowledge, access to advice, information on looking after your health and wellbeing whilst having fun at You can also contact Somerset You can Do’s the same time. Older People and Active Living Service Tel: 01278 664180 They run on different days and times of the week, Email: [email protected] some offering lunches. Find a group near you on the Web: www.somersetyoucando.weebly.com/ Somerset Choices website: older-peoples-service-and-active-living www.somersetchoices.org.uk
Home Improvement Agencies (HIAs)
Somerset ‘My Home, My Life’ is a partnership contract between Millbrook Healthcare, which provides a Community Equipment Service (CES), and Aster Living, which provides a HIA Service. This contract is delivered to Somerset residents using a unique joined-up approach to help people live as safely and independently as possible in the home of their choice.
Aster Living is the preferred provider of HIA services for Somerset. They are funded by the Council, the district councils and NHS Somerset to help you arrange a major Handihelp is also available as a home from hospital adaptation to your home if you need it. discharge service if you need minor repairs and adaptations to your home to make sure that your move They can provide technical services, such as drawing back is safe. Some parts of this service may be provided plans and getting quotations for work. They work with at no cost to you. occupational therapists in Adult Social Services and the district councils to make sure the work progresses For more information about the Handihelp service, or to smoothly. They keep lists of reliable contractors, who book an appointment, please phone: 0333 400 8299 or can provide a quality service and make sure that email: [email protected] everything is as it should be when the work is finished. They can help you to complete the works privately if You can look on its website: www.asterliving.co.uk/ you are not eligible for funding under the Disabled adapting-your-home/handihelp or you can get more Facilities Grant (DFG) means test. information by phoning us on: 0300 123 2224.
For more information about the HIA services provided Note: If you are registered disabled with Adult Social by Aster Living, please phone: 0333 400 8299. Care Services, you will be exempt from paying VAT on certain types of works to adapt your home* or on It also provides a subsidised handyperson service called equipment bought specifically to meet your disability ‘Handihelp’ which can help you with small repairs, needs. maintenance and minor adaptations (not funded by us). A charge is made for this service which is subsidised *You should be given a form to claim VAT relief when by the local authority, keeping costs reasonable. The you buy your equipment or adaptations. Information on service will provide a quotation if you ask for one. Staff VAT relief for disabled people can be found at: also carry out free home safety checks when they visit. www.gov.uk/financial-help-disabled/vat-relief
14 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Leaving hospital
If you, your carer, family or hospital staff feel that you this free short-term service. will need extra support when you leave hospital, you can ask us to carry out an assessment while You can contact the Home from Hospital co- you are in hospital or before you go into hospital if ordinator by phoning: 01823 273707 or writing to: you are waiting for an operation. See page 45 for an Home from Hospital, British Red Cross, Red Cross explanation of what an assessment is. House, Livingstone Way, Taunton TA2 6BD
A social care worker will agree a discharge or care For the Medical Equipment Loan Service, please plan with you, which tells you what help and support phone: 01823 273 746. will be arranged for you when you return home. This makes sure that you can leave hospital safely, as soon You can find more information about these services as you no longer need hospital care. Someone from on the Red Cross website: www.redcross.org.uk the local social care team will contact you after you have returned home to check that the care plan is still Aster Home from Hospital service right for you. The help may be increased or reduced Aster also offers a Home from Hospital service. If depending on how you are progressing. The aim is possible, someone will visit you in hospital before you to provide the right short-term help to allow you to go home. But, they can come to see you at your home recover your independence. if you prefer or if there isn’t enough time before you go home. They’ll talk to you and find out what your Red Cross Home from Hospital service needs are and agree with you how they can help. The Home from Hospital service helps many people They can do lots of things to help you, for example: each year to go back home after a stay in hospital. The • get your home ready for when you come back; service can give short-term practical and emotional • arrange for minor house repairs to be done if they’re support to help you get your confidence back and live needed; independently. • give you a Telecare alarm free for up to six weeks; and • provide information and arrange minor adaptations Help can be provided by: to your home to help you, for example, grab rails. • taking you home and helping you to settle in; • assisting you with shopping; For more information about the Home from • collecting prescriptions and pensions; and Hospital service, and their other services, please look • offering companionship. on their website: www.asterliving.co.uk or phone: 0333 400 8299. Trained volunteers from the British Red Cross provide
Day time care and support
Day time care and support can be a made up of a variety carers to have a break. of activities, designed to help people who live in their own home but who need help to get out and about. Check with your local care homes and home care agencies to see if they run this service, or, if you qualify, Activities are often run in the community, from a local your social care worker can book the service for you, or residential or nursing home, to an activity group in you can book it yourself if you have a Direct Payment a local hall or housing scheme. Care and support is (explained on page 48). This service does not include available in a way that encourages and enables people an overnight stay. to remain as independent as possible by helping them to maintain and improve their wellbeing. The Somerset Choices website gives lots of information about what’s going on in your There are many day time activities that can also allow community. Visit: www.somersetchoices.org.uk
Visit www.carechoices.co.uk for further assistance with your search for care 15 Making life easier in your home
Meals Wiltshire Farm Foods there is no charge for this, as There are organisations in Somerset that, for a fee, long as you place the minimum order of ten meals offer a variety of different meals. Often this is by every two weeks. providing you with a frozen meal that you can warm up and eat when you choose. If you need help to get your meal ready or to eat it, this can be arranged after an assessment of your Somerset Community Meals service needs. You may have to pay for this; the amount will Somerset Community Meals service is for older people depend on your circumstances. and people with disabilities who we agree need help to make sure they have regular cooked meals. You can still have frozen meals without being assessed This is provided at a discounted rate from a menu by us. Wiltshire Farm Foods is a private company that by Wiltshire Farm Foods. There are also some more provides a service to many parts of the country. You can expensive meals that you can buy if you want to. buy meals from them privately but this won’t be at a discounted rate. You can find out more about Wiltshire The Meals at Home service delivers frozen meals to Farm Foods by phoning them on: 01225 776793. you every two weeks. The frozen meals must be kept in a freezer and can be reheated in a microwave, oven Equipment or special steamer. This means that you can choose There is a wide range of equipment available that can what you eat and when you eat it and can have a easily be used in the home to make life easier and cooked meal every day. Your dietary, religious or help you remain independent. This could be a stair rail, ethnic needs can be catered for. raised toilet seating, equipment to help in the bath or shower, items to help you prepare and eat food and If you need to borrow any of this equipment from drink, loop systems to support hearing, or magnifiers
developed by the publisher of this Directory
With so many providers to choose from, where do you start? www.carechoices.co.uk can help.
• search care providers quickly and easily • extra information, photos and direct • search by postcode/town and care type website links for hundreds of providers • Information on standards of care • request a brochure • links to the latest inspection reports • checklists to take with you when you visit Alternatively, call our friendly helpline team on 0800 389 2077 to talk to someone directly.
16 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Making life easier in your home continued to support reading. They allow you to continue: • moving around your home; • getting in and out of a chair or bed; • getting in and out of the bath or shower; • preparing food and drinks; • reading bills and correspondence; • reaching the front door; or • carrying out parenting tasks. Sometimes, someone from the occupational therapy There are many other products available to support team may need to come and see you at home to more vulnerable people to live as independently as make sure you get the best advice. They will also need possible at home for longer. The aim is to give people to visit you if you need adaptations to your home. more choice and control over how they live their lives. Please see ‘Home Improvement Agencies’ on page 14. These products are often known as ‘Telecare’. Community Alarm services Telecare can prompt, remind and inform people and In Somerset, Community Alarm services are available their carers about things in daily life which need to through district councils. See page 67 for contact be done, such as taking their medicines on time. It details. They can provide a device that sits between the can alert a family member or carer that a person has phone and its socket point, and an alert button that got out of bed at night and needs assistance. Or it you wear. By pressing the button, an alert is directed to may alert a monitoring centre that something has a call centre that will respond instantly. The centre can happened and appropriate action should be taken. speak to you even if you are not near the phone, but this will only happen when the button is pressed. How to get equipment Equipment for short-term loan is available through If we are supporting you to go home following a the British Red Cross loans service and is ideal if you period in hospital, we will pay for you to use the need some equipment temporarily, for example, while Community Alarm service for up to six weeks. You a disabled relative is on holiday with you or to try will be asked to pay for the service if you want to use out before you buy. You can phone them on: 01823 it for longer than six weeks. The right equipment and 273746 or visit: www.redcross.org.uk for further assistive technology can make all the difference to details. feeling safe and getting your confidence back after an illness or accident. Phone us on: 0300 123 2224 for There is also a website called AskSARA that you can information or to ask for an assessment. We can advise use to see what equipment is available. Visit: you about how to contact these services and also www.asksara.dlf.org.uk send you a leaflet to help you choose.
You can buy some equipment that might help Advice from an independent occupational you from local shops that specialise in disability therapist equipment. There are also some local voluntary If you would like advice from an occupational organisations and private providers that sell therapist, you can visit one of the Independent Living equipment. We can tell you more about this if you Centres, where you will be able to try out equipment contact us. The Somerset Choices website gives lots of and get advice about what to buy. Or, you could ask a information about equipment available locally: private occupational therapist, who can come and see www.somersetchoices.org.uk you in your own home.
If you would like someone from social care to talk to The British Association of Occupational Therapists has you about what could help you, please phone us on: a dedicated list of private occupational therapists. For 0300 123 2224. more information, visit www.cotss-ip.org.uk
Visit www.carechoices.co.uk for further assistance with your search for care 17 Making life easier in your home continued
In the living room
Plug with handle
Easi-reach
B N RO Y
Chair raisers
WHAT IS DIFFICULT FOR YOU? SIMPLE SOLUTIONS COMPLEX SOLUTIONS
GETTING IN AND OUT • Block of foam in chair base • Buy an electric riser chair OF CHAIRS • Buy ready-made chair raisers if your Standing up from sitting is difficult chair is too low • Buy a new chair – get professional help to make sure the height is right • Take regular, gentle exercise
OPENING AND CLOSING • Move any furniture out of the way • Remove the window opener WINDOWS • Install/purchase a fan • Install environmental controls or Can’t reach the windows • Purchase a gadget to open/close window air-conditioning Not secure to leave windows open • Install new windows
CONTROLLING THE HEATING • Change the switches • Move the heating controls Can’t reach the controls for the fire • Fit a timer switch • Install new or additional heating system or heating • Purchase a standalone heater
SWITCHING LIGHTS ON AND OFF • Install a light switch toggle • Move the light switches Can’t reach the switch • Purchase a socket extension • Replace the light switches The switch is difficult to use • Purchase handi-plugs • Install environmental controls
KEEPING WARM • Replace the fire with a heater • Get a grant to insulate your house Insulating your home • Apply for the winter fuel payment • Change to a cheaper heating system Affording the fuel • Use a trolley to safely transport the fuel • Change to an easier-to-use heating system Carrying the fuel
WATCHING TV • Use subtitles • Request an assessment for a hearing aid Hearing the sound of the TV • Purchase wireless headphones • Install a room loop
18 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Making life easier in your home continued
In the bedroom
Pillow raisers Easy grip scissors
M T W T F S S
Bed raisers Pill dispenser
WHAT IS DIFFICULT FOR YOU? SIMPLE SOLUTIONS COMPLEX SOLUTIONS
GETTING IN AND OUT OF BED • Learn new techniques for moving safely • Use a transfer board Standing up from sitting on the bed • Purchase a leg lifter • Install a hospital bed • Raise the bed • Buy an electric adjustable bed • Fit grab rails • Use a mobile hoist or a ceiling track hoist
SITTING UP IN BED, TURNING • Change bedding • Buy a bed cradle/bed ladder OR ROLLING OVER • Learn new techniques for moving safely • Use a bed lever Bed is too soft • Purchase a pillow raiser • Buy a specialised mattress Bedding is too heavy • Change the mattress • Install a drop-down rail Nothing to lean on • Install an over-bed pole
KEEPING WARM IN BED • Buy a heavier duvet Checking the safety of your electric • Buy thermal clothing blanket • Contact an electrician about any electrical blanket safety concerns
GETTING DRESSED • Learn new techniques for dressing • Consider home support Difficult to reach all of your body • Buy simple gadgets: long-handled shoe horn; elastic shoe laces; dressing stick; button hook; stocking aids • Contact n (see key below) regarding an assessment of needs
CUTTING YOUR NAILS • Buy easy grip scissors • See a podiatrist Can’t reach your feet Hard to hold scissors
TAKING YOUR TABLETS • Ask your pharmacist for an easy to • G et a pill dispenser with days and times on Opening bottles open bottle • Get an automatic pill dispenser Remembering to take tablets • Keep a note when you have taken a tablet • Ask someone to prompt you
READING THE TIME • Buy a clock with larger numbers • Buy a clock that ‘speaks’ Seeing the clock to tell the time
Customer Contact: 0300 123 2224
Visit www.carechoices.co.uk for further assistance with your search for care 19 Making life easier in your home continued
In the kitchen
Teapot tipper Large handled cutlery
5
Pan handle holder Liquid level indicator
Perching stool Chopping board with spikes
WHAT IS DIFFICULT FOR YOU? SIMPLE SOLUTIONS COMPLEX SOLUTIONS
REACHING CUPBOARDS • Re-arrange things in cupboards/on • Alter the spring in the door closers Cupboards are too high or low surfaces • Lower or raise the cupboards Cupboards are too deep • Buy an Easi-Reacher or Handi-Reacher Cupboard doors are too heavy
USING TAPS AND SWITCHES • Fit tap turners • Change switches Taps or switches are too awkward • Purchase Handi-Plugs • Raise or reposition taps Can’t reach taps or switches • Fit lever taps or new taps • Alter the kitchen
CUTTING, CHOPPING, • Sit at a table • Use a food processor PREPARING AND COOKING FOOD • Consider kitchen gadgets including: • Purchase a perching/high stool Work surface too high or low knife with a thick handle; chopping • Buy a trolley Hard to grip packets or jars board with spikes; pan handle holder; • Change the height of the work surface Hard to grip a knife teapot tipper; lid gripper • Make space under the work surface for Pans or kettles are too heavy to lift your knees when sitting
MOVING AROUND THE KITCHEN • Re-organise the furniture • Review mobility equipment used Not enough space • Adapt the kitchen • Consider the suitability of the kitchen
EATING AND DRINKING • Use large handled cutlery • Buy a trolley Cutlery is hard to grip • Use a non-slip mat • Consider home support for meal times Food/plate keeps slipping • Use a lightweight insulated cup Can’t carry food to table • Use a cup with two handles Can’t lift cup • Contact n (see key below) regarding an assessment of needs
LAUNDRY AND IRONING • Install a wall-fixed ironing board • Raise/lower the washing machine Washing machine is too high or too low • Change the washing machine or iron Putting up ironing board
Customer Contact: 0300 123 2224
20 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Making life easier in your home continued
In the bathroom
Grab rail Shower board
5
Tap turners Toilet seat and support frame
Long-handled sponges Raised toilet seat
WHAT IS DIFFICULT FOR YOU? SIMPLE SOLUTIONS COMPLEX SOLUTIONS
WASHING HANDS, FACE AND BODY • Install tap turners • Install lever taps or new taps Turning the taps • Purchase a long-handled sponge • Purchase a stool Standing at the basin • Purchase a flannel strap • Raise or lower basin Basin is too low or too high • Contact n (see key below) regarding an • Consider home support Can’t reach all parts of the body assessment of needs
HAVING A BATH • Have a strip wash • Install lever taps or new taps Turning the taps • Purchase a non-slip mat for the bath • Install a bath lift Stepping into the bath • Install tap turners • Use a mobile hoist Risk of slipping in the bath • Buy a long-handled sponge • Use a ceiling track hoist Getting up out of the bath • Use a half-step • Replace the bath with a shower Washing your back • Install grab rails • Convert the bathroom to a wet room • Use a bath board or bath seat • Consider home support
DRYING YOURSELF • Heat the bathroom safely • Change the floor covering Floor is slippery • Use a non-slip mat • Purchase a hot air body dryer Room is too cold • Purchase a towelling gown Difficulty in drying your body
USING THE TOILET • Install a raised toilet seat • Review mobility equipment used Toilet is too high or too low • Use a combined toilet seat and • Adaptation to bathroom Difficult to clean yourself support frame • Consider home support Flush lever is awkward • Install a flush lever extension Toilet is hard to get to • Contact n (see key below) regarding an assessment of needs
CLEANING TEETH • Purchase a toothbrush gripper Gripping the toothbrush • Purchase an electric toothbrush Standing at the basin • Use a stool
HAVING A SHOWER • Have a strip wash • Use a shower board Difficult to stand for long shower • Use non-slip mats • Use a shower chair or stool Shower too high • Purchase a half-step • Replace shower controls Shower controls are awkward • Contact n (see key below) regarding an • Consider home support Shower is slippery assessment of needs
Customer Contact: 0300 123 2224
Visit www.carechoices.co.uk for further assistance with your search for care 21 Transport and travel
There is a wide range of community and accessible transport services available to people living in Somerset whose needs are not met by conventional public transport. These range from the ‘SLINKY’ demand responsive transport service funded by Somerset County Council to community transport and community car schemes. The schemes offer a mix of vehicles from accessible minibuses to cars driven by volunteers, with availability varying depending on where you live. is eligible because of a disability. You can find more information and a copy of the application form by Community Transport and Community Car visiting: www.somerset.gov.uk/concessionary or by Schemes phoning: 0300 123 2224. These provide transport for individuals or groups using a range of vehicles from minibuses with disabled We subsidise some bus services in Somerset. For access to cars driven by volunteers. Charges will vary information about services and timetables, phone depending on which service or scheme is used, with Traveline on: 0871 200 2233. discounts available for concessionary bus pass holders. For details of your local Community Transport or Blue Badges Community Car Scheme, visit: www.somerset.gov. A Blue Badge helps people with severe walking uk/communitytransport or phone: 0300 123 2224. difficulties who travel as drivers or passengers to park close to their destination in on-street parking and SLINKY transport services some car parks. The scheme is also for people who are An accessible, demand responsive, door-to-door bus severely sight impaired. service that can be used for everything from health appointments to shopping trips. A number of SLINKY The charge for a Blue Badge is £10. services operate in different parts of Somerset, all offering free travel to concessionary bus pass holders. You can check your eligibility and apply for a Blue To find out how to contact your local SLINKY service, Badge at: www.gov.uk/apply-blue-badge visit: www.somerset.gov.uk/slinky or phone: 0300 123 2224. We will need information about you to decide whether you are eligible. Concessionary Bus Passes Provide free bus travel, subject to certain time You may need to see one of our occupational restrictions, to anyone of pensionable age, or who therapists so that they can assess the difficulty you have with walking.
Get an online assessment You can get a badge following the assessment if you: • have a permanent disability that means you can’t walk or have considerable difficulty walking; • have a severe disability in both your arms, drive regularly and have considerable difficulty operating parking meters and ticket machines; or • are a child under the age of three who needs medical equipment with you at all times that cannot easily be transported, or if you are affected by unstable medical conditions and may require emergency treatment.
22 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Community support services
Library services Mobile Libraries Somerset libraries offer a range of services, including These support people in isolated communities by reading for everyone, basic computer skills training, providing a selection of books and library resources. free computer use and Wi-Fi in a network of 34 The mobile library will visit a number of communities libraries across the county. Talking books are available during the day, and some stops are linked to local in many libraries and may be accessed free of charge schools. To find out where the mobile library stops, by people who are blind, partially-sighted, dyslexic please go to: www.somerset.gov.uk/libraries-and- or unable to hold printed books. There are special heritage/libraries-facilities/mobile-libraries or collections of books to help manage health and phone Somerset Direct on: 0300 123 2224. wellbeing through recommended self-help books – including dementia, mental health and autism Learning and Training collections. Somerset Skills and Learning provides a wide range of courses for people of all ages, whether you want Library members can also download e-audio books to get a qualification, exercise your mind and body and e-books from: www.librarieswest.org.uk or discover a new pastime. These include everything from Nordic walking and fly fishing, to courses to Libraries host a range of events, from knit and natter, develop caring skills, such as listening and counselling, craft activities and poetry sessions to reading groups and dementia care. and family history events – you can find out more at your local library. For more information, phone: 0330 332 7997 or visit: www.sslcic.co.uk where you can search for courses Home Library Service or download a brochure. Provided by the Royal Voluntary Service (RVS), this is a free service for people who cannot visit a library Somerset Choices themselves or for people in long term care. RVS There are many more community support services volunteers will support you to choose your books and that may be right for you. Obviously, we can’t list them other library resources and deliver these to your home. all in this directory. If you have time, please look on the Somerset Choices website, which is the community Phone: 0300 123 2224 to register for the Home services database for Somerset. It has a simple search Library Service or fill in an application form, which facility to help you as you explore the website. is available from libraries and the Somerset County Visit: www.somersetchoices.org.uk Council website: www.somerset.gov.uk Care and support at home
Home care
Before you decide you need home care you should the right help, many people are able to recover their consider and seek advice about equipment and independence and need no further help. adaptations, see page 16. This may reduce, or even remove your need for home care. If you are frail, have been ill, or have just come out of hospital, the short-term support of a home care Home care services provide help with daily activities, worker could be welcome. Also known as domiciliary such as cleaning and shopping, and personal care, care or care at home, it is available to anyone, but is including getting in and out of bed, washing, dressing particularly aimed at older people or people of any age and using the toilet. For people with additional needs, with a physical or learning disability or a mental health specially trained staff are available. Sometimes, with condition. Home care providers can also help >>
Visit www.carechoices.co.uk for further assistance with your search for care 23 TOTALCARE ARE YOU HAPPY WITH YOUR CARE PROVIDER? Registered with the Care Quality Commission, we offer high quality domiciliary care. Our local team of qualified support workers can assist you to live safely and independently in your own home. The following services are available: • Washing, bathing, showering, • Getting up and going to bed shaving & oral care • Medication/Prescription • Dressing & Undressing Collection • Feeding and Meal Preparation • Night care • Housework, Laundry & Shopping • Accompanied Visits • Sitting and Respite Care • Palliative Care • Toileting • End of Life Care
TOTAL CARE 12 BLAKES ROAD, WEMBDON, BRIDGWATER, SOMERSET TA6 7RS Tel: 01278 424514 or 07743 197798 24totalcare.swThis Directory’s@ helplinebtinternet.com 0800 389 2077 – informationwww.totalcaresouthwest.co.uk on choosing and paying for care
Total Care_2016.indd 1 20/04/2016 15:44 Home care continued
TOTALCARE >> parents and carers of children with disabilities and What if I move home? provide support to your own carer if you have one. If you have a personal budget (see page 48) and you plan to move home, please contact us so that we can Home care can be provided by private or voluntary make sure your care arrangements continue when you ARE YOU HAPPY agencies or individuals. Care workers must be specially move. This could be for you and your carer, if you have trained in areas such as manual handling, first aid and one. food hygiene. They will also have had background WITH YOUR CARE checks with the Disclosure and Barring Service. If you are moving to another local authority area, for example from Somerset to another county, with your Not all agencies provide the same services and permission, we will let your new social services offices PROVIDER? charges vary. Some agencies offer a night-sitting or know. a live-in service and some are also able to provide Registered with the Care Quality Commission, we offer high quality domiciliary registered nurses if needed. They may wish to contact you to talk about your care. Our local team of qualified support workers can assist you to live safely care needs before you move. We will provide them and independently in your own home. All home care organisations that provide personal with your care and financial assessment information, care must register with, and be inspected by, the Care personal budget allocation, and care and support plan Quality Commission (CQC), which makes sure that so that they can make sure the same level of service is The following services are available: quality standards are met by the service and that staff ready for you when you arrive in your new home. • Washing, bathing, showering, • Getting up and going to bed are appropriately trained to do the job. You can ask the CQC for their last inspection report regarding any They will probably contact you soon after you arrive to shaving & oral care • Medication/Prescription agency you are considering. For more information on make sure you are happy with the arrangements and • Dressing & Undressing Collection the CQC see page 41. to see if anything needs to be changed. • Feeding and Meal Preparation • Night care • Housework, Laundry & Shopping • Accompanied Visits Live-in care • Sitting and Respite Care • Palliative Care Moving into residential care, where you have the Not only is 24-hour live-in care available on an ongoing • Toileting • End of Life Care support you need and the companionship of others, is basis for people who need full-time support, it can also the best solution for some people. For others, staying be provided short-term, for example, following a stay in in the family home with its lifetime of memories and hospital or to provide a break for a regular carer. personal possessions is of greater consideration. Organisations that provide live-in care will tailor the Live-in home care is an alternative to residential care. service to suit you, but you need to be clear about what It allows you to retain control of your life and what is they will charge you and it’s a good idea to ask for their happening around you. If you have any pets, they can service user guide. continue to live with you, and family and friends can still visit or stay.
There are many advantages of having one person to look after you too. A live-in carer can get to know your routine and do things the way you like them. As well as helping with personal care and domestic chores, they can assist with transportation and home administration, and you have the reassurance that there is someone TOTAL CARE you can call on at any time of day or night. As carers are often matched to your needs and interests, you 12 BLAKES ROAD, WEMBDON, BRIDGWATER, SOMERSET TA6 7RS also have the opportunity to establish a one-to-one Tel: 01278 424514 or 07743 197798 relationship with them and enjoy their companionship. [email protected] www.totalcaresouthwest.co.uk Visit www.carechoices.co.uk for further assistance with your search for care 25
Total Care_2016.indd 1 20/04/2016 15:44 How can Way Ahead Care help you?
Supporting you to live independently in your own home
We have a vast experience in supporting individuals with little or no mobility, and specialise in designing services for those living with Dementia and Alzheimer’s. Offering a wide range of services from ‘pop in’ or reassurance visits to more structured care provision.
Call us now for a FREE consultation 01823 321123
Or visit our website to learn more about how we can help www.wayaheadcare.co.uk
Homecare Services by your local family run care provider Way Ahead Community Services Ltd is registered with the Care Quality Commission Way Ahead Community Services Ltd, Registered in England - 3116636 26 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Home care agency checklist © 2016 Care Choices Ltd
The things in the list below may be useful to think about when you are considering using the services of a care at home agency.
Agency 1 £ p/h Agency 2 £ p/h Agency 3 £ p/h
How can Agencies If this is a private contract, ask for a copy of the agency’s contract terms and read them carefully with What experience does the agency have with your someone you trust. Get as much help as you can particular needs? Can they supply references for you going over it and ask any questions you may have to check? before signing anything. The Citizens Advice Bureau or Way Ahead Care Age UK could help with this. 1 2 1 3 2 3 help you? How long has the agency been operating? 1 Care workers 2 3 You should expect your personal preferences, dignity and privacy to be respected. Discuss this with the How many carers would the agency assign to care for agency and ask how the most suitable care workers Supporting you to live you and would you see the same one every day? If not, for your particular needs are chosen. Can you talk to how does the staff rota operate and what happens if them before deciding? independently in your your carer goes on holiday or is sick? Will you be told in 1 advance that a different carer will be attending? 2 own home 1 3 2 We have a vast experience in supporting individuals with 3 Care workers should be fully trained or be in ongoing little or no mobility, and specialise in designing services training. Ask the agency about their training policies. How can you contact the agency in an emergency or 1 for those living with Dementia and Alzheimer’s. outside office hours? 2 Offering a wide range of services from ‘pop in’ or 1 3 reassurance visits to more structured care provision. 2 3 You will have a care and support plan prepared by the Call us now for a FREE consultation agency that the care workers will work to. Ask how How hard or easy would it be to make a complaint often this plan will be reviewed by the agency. and how are things then put right? 1 01823 321123 1 2 2 3
Or visit our website to learn more about how we can help 3 Care workers must be checked with the Disclosure Care at home agencies providing personal care must and Barring Service (DBS) and have a criminal records www.wayaheadcare.co.uk be registered and inspected by the Care Quality disclosure – make sure this is the case. Commission. Ask to see a copy of their registration 1 certificate or check that they are listed on the CQC 2 website: www.cqc.org.uk 3 Homecare Services by your local family run care provider Way Ahead Community Services Ltd is registered with the Care Quality Commission Way Ahead Community Services Ltd, Registered in England - 3116636 Visit www.carechoices.co.uk for further assistance with your search for care 27 Untitled-1 1 08/04/2015 08:45
Registered Charity No. 1014697 Live-in Care from £695 per week
Do you need a little extra help at home? Our highly skilled and caring staff provide a personalised service across West Dorset and South Somerset, ensuring you continue to get the most out of life. The alternative to Care Home admission. We work with everyone who requires care and Live-in Care enables anyone with care needs to support in their own home, from young people continue living in their own home with a or adults with disabilities, to older people who round-the-clock care worker. need a helping hand with their daily lives. For more information please visit our website www.care-south.co.uk/homecare or contact us directly ☎ 01460 270500 email: [email protected] 08000 121 247 | www.liveincare.info HOME CARE | ASSISTED LIVING | RESPITE | NURSING | RESIDENTIAL | DEMENTIA Taunton - 01823 729 557
28 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Home care providers
ABLE2ACHIEVE OFFICE RCPA BUTTERFIELDS HOME SERVICES Yeovil Taunton Tel: 01935 429430 LDA Tel: 01823 211112 OP YA AGINCARE UK LTD CAMBIAN LUFTON MANOR COLLEGE Dorset Advert page 28 Yeovil Tel: 01823 729557 OP D PD LDA MH SI YA AD Tel: 01935 403120 LDA YA
ALLIED HEALTHCARE YEOVIL CANDLELIGHT HOMECARE GLASTONBURY Yeovil AREA OFFICE RCPA Glastonbury Advert page 34 Tel: 01935 412907 OP D PD LDA MH YA Tel: 01458 831201 OP D PD LDA MH SI YA AD AMBER HOME CARE LTD CARE SOUTH HOME CARE SERVICES SOMERSET Near Radstock
Tel: 01761 412011 RCPA OP D PD LDA MH SI YA Crewkerne Advert page 28 BARNARDO’S SOMERSET FAMILY LINK Tel: 01460 270500 OP D PD LDA MH SI YA AD Taunton CARE WYVERN Tel: 01823 270938 PD SI Taunton BEAUCHAMP HOUSE HOME CARE Tel: 01823 325554 OP D LDA SI YA AD Taunton Advert page 44 CARROLL’S Tel: 01823 481500 OP D PD SI YA Minehead BLUE MOON CARE LTD Tel: 01643 707370 OP D Taunton Advert pages 36 & 37 CASTLE CARE WESSEX Tel: 01823 289559 YA Frome Tel: 01373 836767 OP BLUEBIRD CARE RCPA Advert page 28 Bridgwater and Burnham CHURCHVIEW CARE SERVICES (MINEHEAD) Tel: 01278 488799 OP D PD LDA SI YA Minehead Chard Tel: 01460 353184 OP D PD LDA SI YA Tel: 01823 339906 LDA Frome Tel: 01373 463838 OP D PD LDA SI YA CHURCHVIEW CARE SERVICES (TAUNTON) Minehead Tel: 01643 459199 OP D PD LDA SI YA Taunton Street & Glastonbury Tel: 01823 339906 LDA Tel: 01458 570015 OP D PD LDA SI YA Taunton Tel: 01823 331194 OP D PD LDA SI YA CL LIFESTYLES HOME CARE SERVICES SOMERSET Wells & Shepton Mallet Taunton Tel: 0845 459 0188 Tel: 01749 372197 OP D PD LDA SI YA OP D PD LDA MH SI YA Wincanton Tel: 01963 476184 OP D PD LDA SI YA CONVIVIUM CARE LIMITED – HOLCOMBE Yeovil Tel: 01935 584184 OP D PD LDA SI YA Holcombe Tel: 01761 239029 BRUNELCARE DOMICILIARY CARE SERVICES OP D SOMERSET RCPA CRIMSON HILL SUPPORT Bridgwater Advert page 35 Bridgwater Tel: 01278 439177 OP D PD MH SI Tel: 01823 255000 OP LDA MH YA
Service User OP Older people (65+) D Dementia PD Physical disability LDA Learning disability, autism Bands MH Mental health SI Sensory impairment YA Younger adults AD People who misuse drugs and alcohol RCPA Member of the Registered Care Providers Association Somerset – see page 60 Advertisers are highlighted
Visit www.carechoices.co.uk for further assistance with your search for care 29 Respect • Commitment • Trust just a call away night or day
We provide personalised care packages to suit your needs
Dedicated, well trained staff deliver care in your own home from half an hour to 24 hours, seven days a week. Family run business with over 25 years experience in providing homecare We can help with anything from cooking meals, help with bathing and dressing and other duties.
www.lifelinehomecare.co.uk [email protected]
Glastonbury Office 01458 832692 Frome Office 01373 823105
30 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Home care providers continued
DRAKES PLACE LIFELINE HOMECARE GLASTONBURY OFFICE Wellington Glastonbury Advert page 30 Tel: 01823 662347 OP PD LDA SI YA Tel: 01458 832692 OP D PD LDA MH SI YA AD
DUNSTER LODGE DOMICILIARY CARE RCPA LIFELINE HOMECARE – FROME Minehead Frome Advert page 30 Tel: 01643 800190 OP PD SI Tel: 01373 823105 OP D PD LDA MH SI YA AD ENABLE SUPPORT SERVICES LIFEWAYS COMMUNITY CARE (TAUNTON) Yeovil Taunton Tel: 01935 577026 OP D PD LDA MH SI AD Tel: 01823 277500 D PD LDA MH SI FLOURISH HOUSE LILY CARING ANGELS LIMITED Wells Chard Tel: 0333 400 8299 OP D PD LDA MH SI YA AD Tel: 01460 929090 OP D PD SI YA G.H. QUALITY CARE LTD – 63 TAUNTON ROAD MANAGED CARE LTD Bridgwater Langport Tel: 01458 253738 Tel: 01278 445068 OP D PD SI YA OP D PD MH SI MENCAP – TAUNTON DEANE SUPPORT SERVICES GATCHELL OAKS CARE (GO CARE) Taunton Taunton Tel: 01823 288061 LDA Tel: 01823 270694 OP PD SI MENCAP – YEOVIL SUPPORT SERVICE HEARTFELT CARE Yeovil Yeovil Tel: 01935 423232 LDA YA Tel: 01935 808413 OP D PD LDA MH SI YA MR FREDERICK JOHN EATON HOME INSTEAD SENIOR CARE Taunton Taunton Tel: 01823 270845 LDA MH Tel: 01823 211121 OP D PD LDA MH SI YA NAS COMMUNITY SERVICES (SOMERSET) HORTON HOUSE Highbridge Ilminster Tel: 01278 760555 LDA Tel: 01275 851049 OP PD LDA MH SI YA NEIGHBOURHOOD CARE HQ HOUSE OF ST MARTIN Burnham-on-Sea Taunton Tel: 01278 320774 OP D PD LDA MH Tel: 01823 275662 OP LDA MH SI YA AD NETHERCLAY HOME CARE KYLEMORE CARE SERVICES LTD RCPA Wellington Advert outside back cover Yeovil Tel: 01823 668400 OP D PD LDA MH SI YA AD Tel: 01935 471751 OP D PD LDA SI YA NEWCROSS HEALTHCARE SOLUTIONS LIMITED LIBERTAS CARE LTD – 3 THE BARLEY YARD (TAUNTON) Crewkerne Taunton Tel: 01460 78726 OP D PD LDA SI YA Tel: 01823 282850 OP D PD LDA MH SI YA AD
Service User OP Older people (65+) D Dementia PD Physical disability LDA Learning disability, autism Bands MH Mental health SI Sensory impairment YA Younger adults AD People who misuse drugs and alcohol RCPA Member of the Registered Care Providers Association Somerset – see page 60 Advertisers are highlighted
Visit www.carechoices.co.uk for further assistance with your search for care 31 Changing lives, Changing communities
Supporting adults with learning disabilities and autism to lead ordinary lives You First Support Service CIC is a Social Enterprise providing innovative domiciliary & supported living solutions for adults with learning disabilities and autism in the South West. We call ourselves You First because you are the most important person to us. We promise to work with you in a way that ensures you are the architect of your own support. You may only want our help on one day with one thing, or you may need to have someone with you all the time. We can provide whatever it is you want and need. We will support you in the way, at the time and with the staff you choose.
T: 01935 848581 – 01458 254260 M: 07436792738 E: [email protected] @YouFirstSupport www.youfirstsupportservices.org.uk The Bagehot Room, The Great Bow Wharf, Bow Street, Langport, Somerset TA12 9PN Home care providers continued
NURSE PLUS AND CARER PLUS UK LTD SOMERSET LD SERVICES 1 Taunton Advert page 37 Frome Tel: 01823 325013 OP D PD LDA MH SI YA AD Tel: 01373 456500 LDA OAKVILLE HOMECARE LTD SOMERSET LD SERVICES 3 Frome Yeovil Tel: 01373 461438 OP YA Tel: 01935 470600 LDA ONE TO ONE HOMECARE LTD SOUTH WEST INDEPENDENCE LTD Wellington CARE AT HOME Bridgwater Tel: 01823 674309 OP D PD LDA MH SI YA AD Tel: 01278 421844 OP D PD LDA MH SI YA PRESTIGE NURSING YEOVIL STERLING CARE PARTNERS LTD Yeovil Yeovil Tel: 01935 433193 OP D PD LDA MH SI YA AD Tel: 07969 460311 OP D PD SI YA QUALITY HOME CARE SERVICES TOTAL CARE Wells Bridgwater Advert page 24 Tel: 01749 673452 OP D PD LDA MH Changing lives, Tel: 01278 424514 OP D PD SI REYNARD CARE & SUPPORT AGENCY, THE VOYAGE (DCA) SOMERSET & DEVON RCPA Minehead Bridgwater Tel: 01643 708529 Changing communities LDA YA Tel: 07964 249148 LDA
RUBY CARE WAY AHEAD CARE – SOMERSET RCPA Taunton Taunton Advert page 26 Tel: 01823 480640 OP D PD LDA SI Tel: 01823 321123 OP D PD LDA MH SI YA AD SELECT HOMECARE DIRECT WEY HOUSE NURSING HOME Supporting adults with learning disabilities Highbridge Advert page 34 Taunton and autism to lead ordinary lives Tel: 01278 795342 D PD LDA MH SI Tel: 01823 337391 D PD MH SI YA AD SOMERSET CARE COMMUNITY Advert page 40 WISTERIA HOUSE RESIDENTIAL HOME – You First Support Service CIC is a Social Enterprise providing innovative domiciliary & supported Mendip SOMERSET living solutions for adults with learning disabilities and autism in the South West. We call ourselves Tel: 01373 473703 OP D PD LDA MH SI YA AD Yeovil You First because you are the most important person to us. We promise to work with you in a Sedgemoor Tel: 01935 822086 OP D way that ensures you are the architect of your own support. You may only want our help on one Tel: 01278 426903 OP D PD LDA MH SI YA AD WOODRIFT day with one thing, or you may need to have someone with you all the time. We can provide Taunton Deane Chard whatever it is you want and need. We will support you in the way, at the time and with the staff Tel: 01823 447120 OP D PD LDA MH SI YA AD Tel: 01460 63918 OP D you choose.
SOMERSET CARE REALISE (SOUTH WEST) YOU FIRST SUPPORT SERVICES CIC RCPA Taunton Advert page 40 Martock Advert page 32 Tel: 01823 447135 T: 01935 848581 – 01458 254260 M: 07436792738 OP D PD LDA MH SI YA AD Tel: 01935 848581 OP D PD LDA MH SI YA E: [email protected] SOMERSET DOMICILIARY AND FLOATING SUPPORT YOUR LIFE (TAUNTON) Minehead Taunton @YouFirstSupport Tel: 01643 708378 LDA Tel: 01823 448150 OP SI www.youfirstsupportservices.org.uk Service User OP Older people (65+) D Dementia PD Physical disability LDA Learning disability, autism The Bagehot Room, The Great Bow Wharf, Bow Street, Langport, Somerset TA12 9PN Bands MH Mental health SI Sensory impairment YA Younger adults AD People who misuse drugs and alcohol RCPA Member of the Registered Care Providers Association Somerset – see page 60 Advertisers are highlighted
Visit www.carechoices.co.uk for further assistance with your search for care 33 Candlelight Care Family-run company supporting the ones you care about. We can help with almost anything! • Personal care • Overnight help • Companionship • Respite breaks for family carers • Home from hospital support • Specialised help for children • Help around the house and families, stroke, dementia • Shopping and meals and end of life. • Live-in Care ‘I feel I just have to write to say that you cannot be praised enough for your kindness, efficiency and just thoroughly good service. In this climate where so often services do not come up to expectation, this exceeded expectation. Thank you all.’ Mrs D & family, Wells
Wells, Shepton Mallet, Evercreech, Glastonbury, Street, Chilcompton, Oakhill areas: 01458 831201 Wincanton, Castle Cary, Yeovil areas: 01935 817688 Bath and NE Somerset, Frome, Beckington, Nunney, Norton St Phillip areas: 01225 776000
Registered with 01458 831201 CQC www.candlelightcare.co.uk
We can offer: n PERSONAL CARE prepare & cook meals, medication prompting
n RESPITE
n DOMESTIC SERVICES shopping, laundry, ironing, help with daily tasks
n TRANSPORT appointments and day trips
n HOLIDAY CARE companionship, holiday assistance
Contact us on: For further information 01278 795342 or 07739 093653 please visit our website at e: [email protected] www.selecthomecaredirect.co.uk
34 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Brunelcare Community Services in Somerset provide care and support to adults in their own homes ButterflyProfessional Care throughout Sedgemoor. Family Values
Concerned a loved one is struggling with daily tasks? We offer a flexible service tailored to suit individual needs, help maintain your independence in your own home and Worried someone you know is not receiving the have a person centred approach treating everyone with support they deserve? dignity and respect. Are you frustrated by inconsistent care provision?
How we can help: Please give us a call and perhaps we can help • Personal care • Assistance with your medication • Domestic • Preparing meals • Shopping • Assistance with paperwork 01373 825951 • Sitting Service (allowing carers to take a break) • Laundry www.butterflyhomehelp.com • Footcare (by trained therapists) • Accompany you to appointments and days out All our staff are fully trained and also vetted by the Disclosure & Barring Service. You or a family member may require care & support during the day, night or at weekends for short or long term assistance. Brunelcare Crypton House, Bristol Road, Bridgwater TA6 4SY Our experienced Care Assistants are on hand to offer support with personal care, getting up and going to bed, palliative care, companion care and Tel: 01278 439177 Web: www.brunelcare.org.uk support and more, for the elderly, people with a learning or physical disability or extra help following an hospital stay. Email: [email protected]
For added peace of mind, we operate an out of office hours on-call service.
For an informal chat call your local office -
Registered with the Care Quality Commission (CQC)
Do you have concerns for a friend,
HUMANICARE neighbour or family member? HUMANICARE Are they in need of, or approaching Quality service by a time when they will need, friendly & dedicated staff a safe pair of hands? helping to maintain your independence. Live-in Care Assisting you 24/7 in your own home, long or short-term.
Humanicare offer a cost effective alternative to • Help with all aspects of Care • Companionship residential services. • Personal hygiene – washing, showering, bathing • Cooking • Medication • Housework • Shopping • Companionship & Sitting • Respite • Accompanying to appointments • Live in Services day/night • Meal Preparation & Cooking Registered with the • Laundry & Ironing Care Quality • Housework & Shopping Commission • Home & Garden Maintenance www.cqc.org.uk • Assistance with paperwork Our Carers are: • Medication/Prescription Collection • Accompanied Visits & Appointments • Disclosure and Barring Service • Reference checked (previously CRB) checked, • Fully trained with • All Staff are CRB/DBS checked inclusive of ISA check appropriate specialist training
T: 0330 123 1423 E: [email protected] Whatever your needs please call or e-mail Tel: 01452 526150 or 0845 1550024 (local rate) www.humanicare.co.uk email: [email protected] www.rojene.co.uk
Visit www.carechoices.co.uk for further assistance with your search for care 35
www.facebook.com/MEUncut16 Housing with support, or care and support
Sheltered and retirement housing
Sheltered and retirement housing is suitable for have a scheme manager or support co-ordinator/ people who can live independently but provides the worker and a community alarm service. There are peace of mind that there are some on-site support often communal facilities, such as a lounge, laundry, services available that can be called on to provide low guest flat and garden. Meals are not normally level support for short- or longer-term needs. provided, but a few schemes include a restaurant and some can arrange hot meals. There are many different types of sheltered schemes and retirement housing, available both to rent and to Private developers also build retirement housing for buy. They are provided by local councils and housing older people, who are usually over 55, to buy or to associations. Schemes usually consist of between 15 rent, or for shared ownership. They set their own entry and 40 dwellings. These may be bed-sit rooms, self- criteria for people with care and support needs. contained flats, bungalows or luxury apartments. The complex is often built around a garden or communal Retirement housing is aimed at people with very facility and is linked to a central control centre for minimal support needs, while sheltered housing is for security. people with a higher level of support needs. Often, people who move into sheltered housing, through Some schemes are simply housing for older people services such as enablement, find they can do things and are linked to a community alarm. Most schemes more easily.
Extra Care housing
Extra Care housing is a form of housing, similar and support needs met by a designated team of care to sheltered schemes, with self-contained and support workers, including a night time, on-site, accommodation together with some communal sleep-in member of staff who can be available in an facilities. emergency.
In an Extra Care scheme, a higher level of care and The complex is often linked to a central control support is available on-site. centre for security and emergencies. There are also communal facilities, such as a lounge, craft and day Extra Care allows you to live in your own self- rooms, laundry, garden and guest rooms and lunch contained accommodation and have regular care time meals are available at most schemes.
Pathways
Housing-related support is now called ‘Pathways’. We live independently. First and foremost, it tries to commission ‘integrated support’ using two Pathways. prevent the need for a young person to step on to the pathway at all, through targeted prevention 1. Somerset Pathways to Independence (P2I) is a measures. multi-agency, integrated housing-related support service for young people aged 16 to 25. It includes The P2I service aims to prevent youth homelessness care leavers who live in, or have a local connection and enable the young people who are with, the Somerset area. The service allows young accommodated to progress from support and people with housing-related needs to progress supervision to independent living by providing: along a pathway of personal goals until they can • targeted prevention and homelessness awareness
38 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Pathways continued
through education, information and advice; and/or to help them retain an existing tenancy; • floating support that includes mediation and support in provider-managed accommodation; reconciliation; and support with resettlement to more sustainable • emergency accommodation; longer-term accommodation. • supported accommodation; • move-on accommodation; and The service is tailored to the individual and focuses • resettlement support. on them getting and keeping somewhere to live. It also helps them integrate into the community, with 2. The Pathways for Adults (P4A) programme support to help them get a sustainable income, purchases a range of support services for single reducing reliance on benefits, and access to education, people experiencing poor mental health who have training and work related activities, including difficulty in getting and keeping a tenancy. Rent volunteering. This service supports people who do not and other housing costs are usually funded through have the resilience or resources, either by themselves, Housing Benefit, while we contribute to the cost of or with their family or community, to overcome support staff that help people develop the skills they problems of exclusion and helps them to find stability. need to get a tenancy and to be able to keep it. The You can find more information and details of services service comprises three elements: outreach support in Somerset at: www.somerset.gov.uk to help prevent people from becoming homeless Care homes
Types of home
Sometimes people decide to move to a care home when Specialised Residential Care homes they are in a crisis and cannot work out how to get the These are residential homes that specialise for people help they need to stay at home. Often, people who are with a high level of dementia but who do not have helped through the crisis can keep living at home with nursing needs. They are a specific type of home only the right support. available in Somerset. What makes them different is that they are provided through a joint venture between Before considering moving into a care home, we the local authority and Somerset Partnership NHS and recommend you talk to us first to make sure that all Social Care Trust through specific contracts. The Trust other options that could help you to remain living employs Specialist Care Development Nurses (SCDNs) independently have been exhausted. If this is the case, who support residents in these specialised care homes moving to a good quality care home may be the best and provide advice and support to the care staff. They option. are involved in discussing the needs of possible new residents and that they meet the criteria for SRC. This Residential care homes (care homes without nursing) makes sure that the chosen home is suitable for them, These provide personal care, such as washing, dressing, and that the overall dependency levels in the home bathing and assistance with toilet needs, if required. They can be managed by the staff who work there. They do not offer nursing care. In some homes, some staff may will agree whether the home is suitable for all new only be ‘on call’ and not ‘on duty’ at night. Homes with residents, but the home will make the final decision fifteen residents or more must have at least one member when they have completed their pre-admission of staff awake on duty at night. Some provide specialist assessment. care for people with mental health difficulties, physical disabilities, learning disabilities or autism. If your needs Care homes with nursing require a qualified nurse, this care will be provided by the These provide nursing care 24-hours a day. Usually, district nursing service. people living in these homes will be very mentally >>
Visit www.carechoices.co.uk for further assistance with your search for care 39 Delivering quality care and support
Carrington House
Somerset Care is a leading not-for-profit organisation “ It is difficult to fully express how delivering quality care and support across Southern grateful we are as a family for all that England. We deliver residential and nursing care across Field House has done for our mum. Somerset in our care homes, as well as supporting adults For what is now approaching four with physical disabilities at our respite centre in Taunton. years, everyone at Field House has shown our mum the utmost kindness We provide care and support to people living and patience. The people who work independently in their own homes; under the name at Field House are blessed with a can ‘Realise’ we also support adults with learning disabilities do approach, the ability to make it all to live independent and fulfilling lives. look so easy and always with a smile. Thank you for everything. Our services include: ” • Residential and nursing care • Care and support in your own home • Realise – support services for adults with learning disabilities • Petals – specialist dementia support • Home from hospital rehabilitation and reablement • Companionship, respite and holiday support • Complex care and clinical services The Halcon Centre
For more information contact us on: 0800 988 4337 or [email protected]
www.somersetcare.co.uk40 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Types of home continued
>> and/or physically frail or immobile, and have health your condition changes. Also, this type of home helps care needs that can only be met by a registered nurse. couples who may have different needs to live together Some offer general nursing care for older people, while in the same home. others specialise in mental health or physical disability. Care homes with nursing are often dual registered Listings of care homes and care homes with nursing to provide both ‘residential’ and ‘nursing’ care. If you begin on page 68 of this Directory. Each listing details choose one of these homes you won’t need to move if what categories of care the home provides.
Checking quality
When considering care services, it’s always a good idea manager and often include experts in their field. The to check a service’s inspection report and rating on the team may also include professional or clinical staff, Care Quality Commission’s comprehensive website: Experts by Experience, people who use services and www.cqc.org.uk carers.
All care providers must be registered under a system Following an inspection, each care home and home which brings adult social care, independent healthcare care agency is given a report of how it rates against and the NHS under a single set of essential standards of national essential standards of quality and safety. The quality and safety. CQC also rates the services as ‘Outstanding’, ‘Good’, ‘Requires Improvement’ and ‘Inadequate’. The Care Quality Commission (CQC) registers, inspects and reviews all adult social care and healthcare services You can see each service’s rating and report on in England in the public, private and voluntary sectors. the CQC website: www.cqc.org.uk or ask the care This includes care homes, care homes with nursing, provider you are considering for a copy of their latest home care agencies and NHS services, amongst others. inspection report.
Inspectors carry out a mixture of announced and For any enquiries, or to register a concern or a unannounced inspections looking at the quality and complaint, phone the CQC on: 03000 616161 or safety of the care provided. They look at whether the email: [email protected] service is safe, effective, caring, responsive to people’s needs and well-led. The Care Quality Commission, Citygate, Gallowgate, Newcastle upon Tyne NE1 4PA Inspection teams are led by an experienced CQC
Choosing a care home
Care homes contracts – independent advice There may be a number of solutions to retaining your We suggest you consult a solicitor before signing any capital while paying for care and various options to contract, to make sure that the terms are fair and you pay for your care. understand your rights and obligations. Which home is right for you? We recommend that you take independent financial To decide which type of home would be right for advice from an organisation like Age UK or a Citizens you, you should ask for a needs assessment. See Advice Bureau. The Law Society has lists of solicitors page 45 for an explanation of what an assessment is. who specialise in advice for older people. See page 63 A social worker will carry out the assessment. Other for contact details. professionals, such as an occupational therapist, a
Visit www.carechoices.co.uk for further assistance with your search for care 41 Choosing a care home continued district nurse or your doctor will also be involved, with Comprehensive lists of care homes and care homes your permission. This will help make sure you choose with nursing begin on page 68 of this directory. the type of home that would best meet your needs. In most cases we will leave it to you, or someone else If you are moving to a care home with financial you have asked to help you, to visit the homes and help from us, you have the right to choose a home decide which one you like best. Your social worker anywhere in England, Scotland or Wales, as long as we can help to arrange visits to homes if you do not have agree that it meets the following requirements: anyone to take you. If you do not want to choose by • the home is suitable for your assessed needs. This yourself, and you have no one else that you would means we must be sure that the home can give like to do it, you can ask your social worker to arrange you the help your assessment shows you need. For a move for you. Please let them know if there is example, a residential care home will not be suitable anything you would like them to take into account, for if you require regular nursing care. If we consider a example the location of the home. home to be unsuitable we will tell you why, and ask you to choose another; Things you need to think about • there is a place available. We may be able to arrange Every home should produce a brochure or service for you to move to another home while you wait users’ guide to tell people about the service it provides for a place to become available in the home of your and the facilities offered to its residents. choice; • the home owner agrees to our usual contract Choosing the right care home is important. If you are conditions. If they do not, you will be asked to able to do so, visit more than one home before you choose again; and make up your mind. You may be able to spend the • the home does not cost more than we usually pay day there, have a meal, talk to people who live in the for the type of care that you need. If you wish to home and meet some of the staff. This will help you move to a care home that charges more than this make up your mind. You may be able to have a trial someone will have to make up the difference – this is stay before you finally decide. called a ‘top-up’ or ‘third party’ payment. See page 50 for more details. You should ask to see the Care Quality Commission report before you visit and think about the things that We can give you details of the homes in Somerset that are important to you and what questions you want will usually meet these four things, and will ask you to to ask. When you visit a home take the care homes view these homes in the first instance. checklist on page 43 with you.
42 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Care homes checklist © 2016 Care Choices Ltd
Some questions to ask when considering a care home.
Home 1 ...... £ ...... p/w
Home 2 ...... £ ...... p/w
Home 3 ...... £ ...... p/w
First impressions 1 2 3 • Is it convenient for shops, public transport, your doctor? • Who owns and runs the home? • Can I bring some of my furniture and other • How many people live there? belongings with me? • Are staff warm, friendly, polite, clean and • Can I bring my pet with me? respectful? • Can I have my own phone? • Do the residents seem happy, active and sociable? Life in the home 1 2 3 • Does the home feel homely and • Are there any rules and restrictions (for welcoming? example, going out, returning)? • Is the home fresh, clean and comfortably • Can you get up and go to bed when you furnished? like? • Is the home near your family and friends? • Are residents involved in decisions on life in Accommodation 1 2 3 the home? • Can you make and take phone calls in • Are bedrooms single or shared? Is there a privacy and comfort? choice? • Is alcohol served or permitted? • Will I have my own bath/shower/toilet? • Are there smoking and non-smoking areas? • Can you decorate and arrange your own room? • What arrangements are there for religious observance (for example, are places of • Can you bring your own furniture and worship nearby/ Is there a prayer room)? television? • Can you handle your own money? • Is there a call system for emergencies? • Does a hairdresser/chiropodist visit? • Can you control the heating in your room? • Are there arrangements for visiting opticians and dentists? • Can you lock your room or is there a secure place for valuables? • Can I keep the doctor I have now? If not, what choice of doctor do I have? • Is there a separate dining room? Bar? • Does the home provide its own transport? • Are there both adapted showers and baths? • Do staff have appropriate language skills/ knowledge? • Does the home have the right adaptations and equipment to meet your needs? • Are the staff formally trained? • Are all areas safe and accessible (for • Is there an adequate number of staff day example, for wheelchair users)? and night? • Is there adequate provision for sight or • Can you go out when you choose? hearing difficulties? • Are visitors welcome at all times? Can they • Are the grounds/gardens attractive and/ stay overnight? Can I entertain them in or quiet? private? Continued on page 44 >>
Visit www.carechoices.co.uk for further assistance with your search for care 43 Care homes checklist continued © 2016 Care Choices Ltd
• Can visitors join you at meals? Is there a • Under what circumstances will the fees charge? change? • How much choice do you get about • Can you retain your own room if you are meals? away? • Is the food varied and interesting? Can you • Can you have a short-stay or trial period? look at a menu? • Will you be given a statement of terms on • Can the home cater for your dietary needs? admission? • Can you have snacks or drinks any time? In • Are all procedures clearly spelt-out? your room? • Can you continue to pursue your hobbies? Notes • What activities and entertainment are organised? • Are outings and holidays arranged? At what cost?
Fees and contract terms 1 2 3
• How much are the fees? Do they cover all services available?
• Does the home accept people paid for by the county council?
Hatch Beauchamp | Taunton | TA3 6SG
Compassionate nursing care in charming
surroundings – at a realistic cost Care South is a leading provider of residential and home care Beauchamp House is a Care South Country House home, offering the highest quality nursing across the south of England. care for all levels of need, from short term respite to high dependency and palliative care. Beauchamp House is an elegant Georgian manor which has been tastefully refurbished by Care South in recent years, to provide quality care in a home-from-home atmosphere. To request a brochure, arrange a visit or fi nd out more, contact
www.care-south.co.uk or call Beauchamp House on ☎ 01823 481500 Registered Charity No. 1014697
NURSING | RESIDENTIAL | RESPITE | ASSISTED LIVING | DEMENTIA | HOME CARE
44 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care How can Somerset County Council help you?
Needs assessments
If you contact us, we will first try to provide the come to see you, or the assessment may be carried information you need over the phone. If this isn’t out by phone first and then followed up by a visit up possible, we will ask someone from a social care team to four weeks later, depending on how urgent your to talk with you, and the people who matter to you, situation is. so that we can help you decide what you want to do and how we can help. This process is called a ‘needs If you are in hospital, the nursing staff can arrange for assessment’ and is something everyone is entitled to. a social worker to speak with you, either during your stay in hospital, or once you have returned home. We can assess the needs of adults of working age and older people who have disabilities, mental health Understanding you issues, a sensory loss or general frailty, and can provide A needs assessment is a discussion to make sure that support to people who meet national eligibility we understand you, and are clear about what you criteria. Our aim is to actively promote independence need. It includes finding out: and choice and help people to be self-reliant and live • what difficulties you have; in their own homes for as long as possible. When this • what you can do for yourself; is no longer possible, we can help people choose • what things you cannot manage at all; good-quality supported housing or care homes. • what things you can’t manage now, but with some support may be able to do in the future; Anyone can ask for a needs assessment, regardless of • who helps you now; their financial situation. The assessment and advice • what you think you need or would like to achieve; is free. Some people may have to make a financial and contribution towards any longer-term care and • the best way of meeting your needs. support. For people who can afford to pay, this may be the full cost charged by your chosen provider. With your permission, we will also talk to people closely involved with you, for example, your carer, How to get an assessment family and friends. Other professionals, such as an You, or, if they have your permission, a friend, relative occupational therapist, physiotherapist or district or a health professional like your GP, can ask for an nurse may be included as part of your assessment. assessment by phoning us on: 0300 123 2224. This will make sure you are given the right information to make choices about your future. Local community venues We have several local community venues set up At the end of your assessment we will help you to across Somerset. They allow our staff to be available write your care and support plan. This will list all the in a place local to you and, by appointment, they things you need and who will help you to do them. can meet you and anyone supporting you and start We may provide some of this support, if you are your needs assessment. eligible.
What happens? All the information you provide will be kept securely. When you contact us, we will ask questions to help us We will share relevant information with professionals understand your situation. If it is agreed we need to like a doctor or nurse unless you ask us not to. see you, we will first offer you an appointment to meet with someone from social care at a local community Throughout your assessment, you can always have venue (see above). If this is not possible, someone may your carer, a relative, an advocate (see page 6) or Visit www.carechoices.co.uk for further assistance with your search for care 45 Needs assessments continued a friend present to support you. See page 52 for What happens after the assessment? information on lack of mental capacity. There are many different ways you can receive help and support. We will discuss the best way of doing The assessment will take account of your religious this with you. If you are eligible for our help towards beliefs and cultural practices. paying for your care and support (see page 47) you may want us to: Your care and support plan • buy services from other organisations for you; or After your needs assessment, we will talk about the • give you (or someone on your behalf) money so that things you would like to achieve to help you be as you can arrange the help for yourself – this is called a independent as possible. These are written into your ‘Direct Payment’ (see page 48). care and support plan. There are also some other options. See page 48 for Most people will be able to meet some of the more on personal budgets. outcomes that are important to them by doing things differently or by getting help from family or If we pay for all or some of your care, we will regularly friends or using services that are available in their local review the help you get. If your eligible needs have community. The plan will list these. If there are still increased, we will consider additional help. Equally, things you are eligible for our support with, that you we will consider changing, reducing or stopping help cannot find any alternative ways of doing, then the from us if you no longer need it or no longer meet the plan will also list any money, services or equipment we eligibility criteria. agree to provide for you.
Care eligibility
The eligibility criteria is based on identifying how personal relationships; your needs affect your wellbeing. If you meet all the • accessing and engaging in work, training, following criteria you are likely to be eligible for care education or volunteering; and support: • making use of necessary facilities or services in the local community including public transport 1. Your care needs are due to a physical or mental and recreational facilities or services; impairment or illness; and • carrying out any caring responsibilities an adult has for a child; and 2. As a result of your care needs, you are unable to achieve two or more of the things in the list below: 3. As a result of not being able to achieve these • managing and maintaining nutrition; things, there is a significant impact on your • maintaining personal hygiene; wellbeing (please see page 7 for a definition of • managing toilet needs; wellbeing). • being appropriately clothed; • being able to make use of your home safely; If you have eligible needs, we will conduct a financial • maintaining a habitable environment; assessment to see what you might need to pay for • developing and maintaining family or other your support.
Reablement
Your assessment may identify that by providing the This could be for people: right level of short-term support you will be able to • with the potential to benefit from an active regain/improve your independence. reablement intervention programme;
46 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Reablement continued
• who are medically well to be discharged from any • whose existing long-term home care packages hospital and need support to maintain or regain could be reduced through a change in approach. their independence; • who can be helped to avoid a hospital admission; Following a short period of reablement, the aim • who can be helped short-term, to prevent or is that you will have been helped to regain your reduce the need for long-term home care and independence and be able to do, or do in a different support; or way, things you were temporarily unable to do.
Occupational therapy assessment
If your assessment shows that you need specialist your finances and you may have to pay towards the equipment, for example, a hoist and sling, or cost of the work. Adaptations that can be considered minor works such as stair rails, then, following an for a Disabled Facilities Grant include: occupational therapy assessment, the team may • widening doorways for wheelchairs; provide the equipment on loan free of charge. Having • bathroom adaptations; the right equipment can often mean you don’t need • fixed overhead hoists; further care and support or it can reduce the amount • lifts – stair lifts or through-floor lifts; and of support you need. • general alterations, including permanent ramps.
The occupational therapist will also be able to give If you are not eligible for a grant, the occupational you some advice and information about the various therapist will give you information and advice so that housing options available to you. This may include you can make you own arrangements to adapt your moving to alternative housing or you may need major home. alterations to your current home, such as putting in a stair lift or wet-room. If you need major alterations, It is important that you do not start any work before the occupational therapy team will ask your district you have received grant approval from your district council to consider you for a Disabled Facilities Grant. council – you will not normally be entitled to any help The district council will ask you for information about for work already undertaken. Paying for care
Financial eligibility
Following your needs assessment, we use national (see page 45). We will normally charge you an rules to work out if you are eligible for us to help pay arrangement fee for this. for any care and support that you need. If you have less than £23,250 in capital and savings, If you are eligible following a care and support we may be able to help you with the cost of your assessment, we will talk with you about your money. care and support (see page 50 for more information about paying for care homes). Depending on your If you have more than £23,250 in savings and situation, you may be required to pay a contribution capital, you are not normally eligible for support towards the cost of your care (see below). with funding your care. You will usually be asked to make your own care arrangements and pay the Working out your contribution full cost of your care but you can ask us to make The person who assesses your care and support the arrangements for you if your needs are eligible needs may ask for someone from the Financial
Visit www.carechoices.co.uk for further assistance with your search for care 47 Financial eligibility continued
Assessment and Benefits (FAB) team to arrange to They will also look at any expenditure relating to an phone or meet you or the person who manages your illness or disability you may have. money. If you don’t agree with the assessment, you can ask They will talk with you in confidence about your for it to be looked at again. income and capital, and complete a benefits check to make sure that you are receiving all the benefits For more information, see our information sheet you are entitled to. They can also help by completing ‘C6: Working out your contribution towards your benefit claim forms, if you would like them to. personal budget’. This is available on the website: www.somerset.gov.uk or from your social care They will work out how much, if anything, you can worker, or by phoning us on: 0300 123 2224. afford to contribute towards your personal budget.
Paying for home care
Personal budgets How is my personal budget calculated? When we complete your care and support plan, the When we talk with you about your care and support things we agree to help you with are worked out as a needs we will also be able to roughly work out how weekly amount of money. This is called your personal much any care and support will cost. This is called your budget. There are several ways you can choose to ‘indicative budget’ and is based on our experience manage your personal budget; you can: of how much it has cost people with similar needs. • receive it as a payment into a bank account (set up Knowing this will help us to start working out your especially for the purpose) so you can arrange and care and support plan. For people moving into a care pay for your own care and support; This is called a home, the personal budget will be set at the agreed Direct Payment (see below); weekly cost of the home. • have a Direct Payment and ask someone you trust to manage it for you (they must be willing to do We then work out how much you should contribute, this); if anything, towards your budget (see page 47). • ask our independent advisory service to manage your Direct Payment for you; Once you have an agreed care and support plan, we • ask us to manage it for you (this is called a Local will be able to see exactly how much it will cost to Authority Managed budget); or buy the things you need each week. We then deduct • choose a mixture of any of these. what you have been assessed to pay to work out what we will contribute. NB: direct payments are not available for people moving into a care home. Our contribution, plus your assessed contribution is your final personal budget.
Direct Payments Direct Payments are paid by the Council to people who have assessed care and support needs so that they can choose, arrange and pay for their own care and support at home (not available for people living in a care home). Direct Payments make it possible to have more choice and control over the type of help and support needed, rather than using our contracted services.
48 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Paying for home care continued
If you qualify for help, the social care worker who completes your needs assessment will explain Direct Payments and how they work and give you information to read. You can then take time to decide what you want you to do. You must want to use the scheme, be able to manage your care and support arrangements and keep information about how the money is used. You can ask someone else to help you manage your Direct Payment for you, such as a friend, family member or volunteer. You may be thinking of employing someone to help you, this means you will take on the responsibility of an employer, so you need to know and understand the rules that employers must follow. There are organisations that can help you with this (see below). • offer a payroll service, if needed; If you use the Direct Payments Scheme you will have • help and explain how to keep financial records to money paid into a separate bank account that is only show what you have spent; and used for your Direct Payment. The money can be • be at the end of a phone if you need advice. used to help you with what you want to achieve. For example, this could be personal care, support to use When you join the scheme, an independent adviser daytime activities or respite care. You can buy help will be able to help you manage the paperwork for from an agency or employ your own carers. a short time until you are confident with it. They will support you through the whole process, from You cannot use your Direct Payment to: deciding whether or not to use Direct Payments to • buy equipment, apart from in exceptional setting up everything to get going. The adviser is circumstances; or there to support you once your arrangements are set • pay for food, gas, electricity or other utilities. up and if you have any problems or concerns about employing your staff. You can receive a Direct Payment as well as benefits. Your Direct Payment will not affect the benefits you If you would like to know more about Direct receive. It is not the same as Direct Payments from the Payments, please read our information sheets ‘C2: Department for Work and Pensions (DWP). Direct Payments: An introduction’ and ‘C3: Direct Payments guidance’ which you can find on our The Direct Payment Advisory Scheme website: www.somerset.gov.uk/ascinfo We have a contract with an independent advisory service, which has specially trained staff available to Alternatively, talk to your social care worker if you have support people who have Direct Payments. Everyone one, or phone us on: 0300 123 2224. new to the scheme should meet, or talk, with one of their experienced advisers. They can: Attendance Allowance • visit you at home to explain the help they can This is a non-means-tested, non-taxable benefit from provide; the DWP paid at the lower rate of £55.10 each week • discuss your responsibilities as a Direct Payment user; for people who need care by day or night, and at • help you set up a Direct Payment bank account; the higher rate of £82.30 each week for people who • help you recruit and employ staff; need care both during the day and night. Everyone • give you health and safety advice; who needs care should claim this benefit. However, • help you set up a system for dealing with tax and if we are helping to pay the cost of your care, this will National Insurance for someone you employ; affect your claim. Visit www.carechoices.co.uk for further assistance with your search for care 49 Paying for care homes
Please read the information on ‘Choosing a care you will be expected to contribute £1 each week for home’ (page 41). There are some additional things you every £250 you have above £14,250, plus an amount need to know if you are moving into a care home. from your income.
The value of your home is included when assessing If you have savings of less than £14,250 you will not your capital unless any of the following people are still have to contribute from your savings but you will have living there: to contribute from your income. • your partner or; • a relative who is over 60 or disabled; or Most people will contribute most of their income and • a child under 16 who you or a former partner will be left with an amount for personal expenses of maintain. £24.90 each week.
Your choice of care home will normally be limited to NHS Nursing Care Contribution those that accept our funding level (see below for our If you need a nursing home, a specially trained nurse normal fee levels). If you choose a more expensive will assess your nursing needs and the NHS will then home, we will expect you to arrange a third party pay the cost of the nursing care part of your fees to to ‘top-up’ the difference (see below). You are not the home. Currently this is a flat rate of £112.00 per allowed to do this yourself if your capital is below week. The NHS does not pay for personal care. £23,250. This is not means-tested and is paid directly to the If you have savings of between £14,250 and £23,250 home.
Fee levels in Somerset from April 2016 The maximum amount we usually pay ranges from To find out more, see our information sheet ‘D2: £367.22 to £467.08 each week for residential care Paying for Residential Care’. This is available on our and £492.16 to £523.20 for nursing care (excluding website: www.somerset.gov.uk/ascinfo or from NHS Nursing Care Contribution, see above), your social worker or by phoning us on: depending on your needs. 0300 123 2224.
Third party payments
If we have suggested care homes that accept our as a charity. Once this person or organisation has been fee levels, but the care home you eventually choose confirmed, they must sign an agreement formalising costs more than the rate we usually pay for a person the arrangement. with your needs, someone will have to make up the difference. This extra payment is often referred to as a Whoever agrees to do this for you, it is important they ‘top-up’ or ‘third party payment’. are made aware that the amount could increase in the future and they must be confident that any increases The law states that you are not allowed to make will be met. If payments stop for any reason, you this additional payment yourself, except in limited should seek help and advice immediately. circumstances. The responsibility for this often falls to a member of your family or a benevolent sponsor such If a top-up stops, we may ask you to move to an alternative home that accepts our fee level.
Because financing care is complicated, we advise you to contact us to ask for specific advice and guidance based on your circumstances and needs.
50 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care What happens to your home?
Twelve-week property disregard of the twelve-week period, so that we have time to set If your former home is included in your financial it up. If we don’t hear from you before the end of the assessment but your other capital and savings total twelve-week period, we will stop paying towards your less than £23,250 and your income is not enough to care after this. You will then become self-funding and meet your care home fees, we may agree to help with will have to pay the full cost of your care direct to the the cost during the first twelve weeks of permanent home. care, providing a social worker agrees that care is needed. If you apply for a Deferred Payment, you, or your representative, must sign our Deferred Payment Deferred Payments Agreement. We will place a legal charge on your After the twelve-week period, you may be entitled to property and will charge interest on the loan. continue to receive financial help from us by asking for a Deferred Payment. You do not have to sell your home if you don’t want to. You may, for example, decide to use rental income If your property is taken into account in your financial to increase the amount that you pay each week. This assessment, you may be eligible to enter into a will reduce the weekly payments made by us and the Deferred Payment Agreement with us. This means we eventual Deferred Payments debt. will continue to pay our contribution after the twelve- week property disregard period ends, as a loan, to be We strongly recommend that you obtain independent repaid later. This allows eligible people who don’t want financial advice if you are considering a Deferred to sell their property and wish to explore other ways Payment. to pay their fees, or who can’t sell it quickly enough, to pay their care fees. The Financial Assessment and For more information about Deferred Payments Benefits officer will discuss this with you. please look on the Somerset County Council website or phone us on: 0300 123 2224. If you ask for a Deferred Payment at a later date, it will start from the date we receive your application and will not be backdated.
There is a standard fee of £500 to cover our administration and legal costs of setting up the Deferred Payment, and interest is compounded daily.
It is very important that you decide whether or not you wish to ask for a Deferred Payment before the end
Running out of money
If your capital is likely to reduce to £23,250, you than this, you must find someone to help pay the must let us know well in advance, as we may be difference – this is called a third party payment. See able to step in to help with your care fees. We page 50 for more information. suggest that you let us know when your capital drops to about £30,000 to give plenty of time to It is important that you understand your rights and put arrangements in place. We will complete a care obligations before moving into a care home. There assessment, discuss your options with you and may are a number of financial products and specialist make a contribution – this is described on page companies who may be able to help. It is important 45. If the home you have chosen charges more to seek advice before making a permanent decision.
Visit www.carechoices.co.uk for further assistance with your search for care 51 NHS Continuing Healthcare
If you are assessed as having a primary healthcare If you wish to apply for Continuing Healthcare need, you may qualify for funding for the full contact: NHS Somerset Continuing Health Care cost of your care home fees, including board and Team, Wynford House, Boundary Way, Lufton accommodation, under the National Framework for Trading Estate, Yeovil, BA22 8HR NHS Continuing Healthcare. This can be delivered in Phone: 01935 384000 any setting.
Support for people who lack capacity
The Mental Capacity Act requires us to assume • LPA for health and welfare; that people have capacity and can make decisions • Property and affairs deputyship under the Court of themselves, unless otherwise established. A person will Protection; be given all possible help to make specific decisions • Health and welfare deputyship under the Court of before being assessed as lacking capacity to make their Protection; or own decisions. This includes what may be considered as • any other person dealing with the person’s affairs an unwise or unusual decision, reflecting that everyone (for example, someone who has been given has their own values and beliefs and preferences which appointee-ship by the DWP for the purpose of benefit may not be the same as those of other people. payments).
If we think a person may lack capacity to make a If none of these is in place, family members or their decision even after being offered practical support, solicitor will be encouraged to apply for a property and a social worker or other suitably qualified person will affairs deputyship through the Court of Protection. carry out a capacity assessment in relation to the specific decision to be made. If there is no one else who can act for the person, we will make an application to the Court of Protection Where it has been assessed that a person lacks capacity and assume the role as their deputy. We will apply to for a particular decision, decisions will be made in be the person’s Corporate Appointee in respect of their best interest. Any restrictions because of this their welfare benefits with the DWP. We will charge an decision will be in the person’s best interest and will be administration fee for this service. proportionate to the likelihood of the person suffering harm as a result of the decision. Until there is an appropriate person appointed and full access to the person’s financial affairs can be obtained, Planning will always continue to involve the person as no financial assessment will take place. far as possible, taking account of their wishes, feelings, values and aspirations as well as their needs and If there is no access to the person’s finances to make wellbeing. care and support payments, we can make these payments as a loan until an appointee/deputy is in They may be supported and represented by family and place and a full financial assessment can be completed. friends. If this is not possible an independent advocate will be appointed. The advocate will represent the The following will apply: person, speak for them and challenge the local • if capital is over £23,250, we will expect the full fee to authority’s decision if necessary. be repaid; • if capital is less than £23,250 we will expect the Financial assessments and charging assessed contribution to be repaid; We will find out if there is an appropriate person to • if benefits became available during the Corporate represent them. This could be through: Appointeeship application period, we will expect • Enduring Power of Attorney (EPA); them to be repaid, backdated to when they became • Lasting Power of Attorney (LPA) for property and affairs; available; and
52 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Support for people who lack capacity continued
• if there is a top-up there must be a relative willing For more information on specialist care, see below and to pay. for information on solicitors, see page 56. Specialist care
Dementia care
The term ‘dementia’ is used to describe a range learning disabilities are a group at particular risk. The of progressive organic brain diseases. It describes prevalence of early onset dementia is higher in men, a collection of symptoms, including a decline in with late onset higher in women. memory, reasoning and communication skills, mood changes and a gradual loss of the skills needed to Dementia services in Somerset carry out daily activities. These include services to support people with early onset dementia, and care homes that offer a type Alzheimer’s disease is the best-known form of of care for people with dementia that is unique dementia and accounts for 62% of dementias in to Somerset called ‘Specialised Residential Care’. England. However, there are over 100 types in total. Somerset also has ‘Dementia Advisers’, who can provide information to people throughout their lives Dementia can affect anyone, irrespective of gender, with dementia. ethnicity or social class. Although dementia is commonly seen as a condition of the elderly, it If you are worried about your memory, you should also affects people under 65, and people with begin by discussing your concerns with your GP. Acer House Enhancing life, excelling in care
Residential, Dementia, and Respite Care Every exquisite detail has been considered at Acer House, with luxury hotel style living, restaurant dining, and an interesting programme of events and activities. Your Well-being is at the heart of all we do, supporting your physical, social, and nutritional needs for a fulfilled life. • Restaurant quality dining with wine in elegant surroundings • Nutritious and balanced menus from our professional kitchens contribute to a healthier lifestyle • Beautifully decorated rooms all have en-suite showers, with some ground floor rooms opening on to the gardens • Freshly baked snacks and beverages available to residents, families and visitors throughout the day • Relaxing aromatherapy suite for beauty treatments and a hair salon • Sunny landscaped gardens with raised beds and patios See our lovely home life at facebook.com/AcerHouseCareHome Call the Acer House Home Manager on 01934 218065 141b Milton Road | Weston-super-Mare | Somerset | BS22 8AA | www.averyhealthcare.co.uk
Visit www.carechoices.co.uk for further assistance with your search for care 53 Residential dementia care checklist © 2016 Care Choices Ltd
Things to look for in care homes specialising in dementia. Please use this in conjunction with the care homes checklist on page 43. Residents 3 Are residents able to compile memory boxes? The best indication of a good home is that the 3 D o staff compile life story books including residents appear happy and responsive. photographs and mementoes? 3 Do they look cared for in their appearance 3 Ar e there rummage boxes around the home to and dress? stimulate residents?
Access Staff If the person with dementia needs, or is likely to It is important to note if staff seem friendly and need, equipment or adaptations, you may want to caring towards residents and if they treat residents check: with respect. 3 There is adequate signage and cues for different 3 D o they have any training and experience in parts of the home, such as dining room and dementia care? bathroom. 3 Will the person with dementia have a member of 3 The home’s policy about locking external doors. staff particularly responsible for their care? Bedrooms 3 Is there a member of staff you can talk to about your You may want to find out if the person with own worries about the person with dementia? dementia can have a single room and whether: Manager/head of home 3 Residents are encouraged to bring in some of A manager who is caring as well as efficient can their own furniture and possessions to increase make all the difference to a home. familiarity. 3 D oes the manager have a knowledge of dementia Activities and can they deal with difficulties that may arise in Residents should be stimulated without feeling an understanding way? stressed. 3 Is there a full assessment at home before a resident 3 Are reminiscence activities available? moves in?
Specialist Homes in Wellington | Plymouth | Bridgwater
An award-winning provider of care in the community, Camelot Care offers exceptional levels of nursing care and the highest possible quality of life for those with mental disorders and people with dementia Providing
Call us today on 01823 666766 for quality more information or visit us online at person-centred www.camelotcare.co.uk care
54 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Mental health
When someone is worried about their mental health Partnership NHS Foundation Trust to provide social they will usually visit their GP, who may refer them to care for adults of working age who have mental Somerset Community RightSteps, or, if they require a health conditions, to help them make the most of specialist mental health service, Somerset Partnership their lives through a recovery-based approach. Staff NHS Foundation Trust. provide support to help manage everyday living, organise activities, employment and training to Somerset Community RightSteps is a free and build self-confidence, and to give encouragement to confidential service to help people in Somerset become part of the local community and be more access appropriate mental health support quickly independent. and easily. Referrals will normally be made by GPs and other health professionals, but if someone There is increased demand for home care for is concerned about their emotional health and people with mental health conditions, arising from wellbeing they can contact the service directly by greater use of supported living instead of care home phoning: 01278 727447. placements. Like other specialist care services, this can be paid for (if the person is assessed as eligible) We have a partnership agreement with Somerset with Direct Payments, discussed on page 48.
Learning disability
In Somerset, we have four Community Teams for people with learning disabilities and their carers who Adults with Learning Disabilities. They are based in live in Somerset. Eligibility is based on an assessment Taunton, Sedgemoor and West Somerset, South of a person’s needs. The teams help people to Somerset and Mendip. The teams have staff from achieve the things they want in their lives, such as both health and social care, and include social better health, finding somewhere to live, finding a workers, nurses, transitions workers, psychologists, job and becoming more independent. psychiatrists, occupational therapists, and speech and language therapists. To arrange to talk with someone in the team nearest you, please phone: 0300 123 2224. They can arrange health and social care support for
Physical disability
Our Physical Disability Service aims to help people we and other organisations can provide a range of aged between 18 and 64 with a physical disability or ways to support you and give you advice to help you sensory impairment to maintain their independence live as independently as possible in your own home. by living in their own homes and communities. Support is also available to help the person who If you have a physical disability or a long-term illness, looks after you.
Coping with a sensory loss
We have lots of information if you or someone you website: www.somerset.gov.uk (search for ‘hearing know has a sensory loss. You can find this on our and sight loss’).
We also have specialist sensory loss workers who can talk with you and give you information and advice. Please phone us on: 0300 123 2224.
Visit www.carechoices.co.uk for further assistance with your search for care 55 Essential information
This Directory’s free helpline
This Directory’s free helpline provides an independent search can then be saved and emailed to others. You information and help service encompassing care can also view an electronic version of this Directory and accommodation. A personalised report can be on the site and have it read to you by using the generated for you, providing details of all home care ‘Browsealoud’ function. providers, care homes or care homes with nursing that meet your criteria. Whatever your care needs, this Directory, the Care Choices helpline and website will be able to point One call to the freephone number: 0800 389 2077 you in the best direction, however you would like care will enable the service to build a profile of exactly information presented. what type of care you’re looking for, while taking into account your personal needs and interests.
The website: www.carechoices.co.uk allows you to search by postcode or region for care homes, care homes with nursing and home care providers that meet your requirements across the country. Your
How solicitors can help
A solicitor can give you impartial advice about your wishes about future medical treatment but wills, making gifts, estate planning and Powers it is not legally binding. You may instead wish to of Attorney. Some can also offer guidance on make a living will, officially known as an ‘advance immediate and long-term care plans, making decision’, setting out treatment that you do not want sure (if applicable) the NHS has made the correct to receive in specified circumstances, which would contribution to your fees. legally have to be followed, even if you die as a result.
Lasting Powers of Attorney (LPAs) allow you to Any proposed gift out of your estate needs careful appoint someone you trust to make decisions about consideration of the benefits, risks and implications, your personal welfare, including healthcare and particularly on any future liability for care costs or tax consent to medical treatment, and/or your property liability. and financial affairs. A LPA is only valid once it is registered with the Office of the Public Guardian. It If you don’t have your own solicitor, ask your family allows for a person of your choice to make decisions or friends for their recommendations. Contact several on your behalf at a time when you may be unable. firms, explain your situation and ask for an estimate of cost and an idea of timescales involved. Many The Court of Protection can issue Orders directing firms will make home visits if necessary and will the management of a person’s property and adapt their communications to meet your needs. It’s financial affairs if they are incapable of managing important to find a solicitor who specialises in this their own affairs, if they do not have a LPA. The area of the law. The Citizens Advice Bureau offers Court procedure is presently very slow and the fees an advice service and will be able to recommend are quite expensive so preparing a LPA is always solicitors in your area. advisable, providing you have somebody sufficiently trustworthy to appoint as your attorney. The Law Society has a list of solicitors who specialise in working with older people. Visit: An ‘advance directive’ allows you to communicate www.lawsociety.org.uk for more details.
56 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Staying safe
We work in partnership with other health and social care providers and the police to protect and safeguard adults. Below are some examples of contacts you may find useful:
Age UK: For information on preventing falls, and for help with making your home safe and secure, phone: 0845 643 4709.
Police Neighbourhood Watch: To contact local co- on: 101. Advice on how to avoid becoming the ordinators phone: 01823 363348 or email: victim of a scam is available at: www.gov.uk search [email protected] for ‘scams’.
Fire Safety: For advice about home safety and to Major Incidents: In an emergency, for example request a free home safety visit, log on to: flooding, we work with other organisations to www.dsfire.gov.uk provide services to respond to major incidents and plan a response in advance. We have produced an Rogue Traders: Our Trading Standards team works ‘Emergency Action Checklist’ for householders with with other organisations to tackle rogue traders. If advice about what to do before, during and after you have any information about rogue traders we emergencies. To request a copy phone: 0845 345 would like to know. You can call the Citizens Advice 9188 or visit our website: www.somerset.gov.uk Consumer Helpline on: 0845 404 0506 or the Police and search for ‘self-help’.
Safeguarding vulnerable adults
In Somerset, we support people to remain the abuse, want to happen next. Our work with you as independent as possible and we promote will focus on what is important to you, what you independence and choice. As well as supporting wish to achieve and in what way we can help to adults of a working age, we support older people keep you safe. There are times when we will need to who have disabilities, mental health needs and share information with partner organisations to help people who have a sensory loss. We have a duty improve your safety and wellbeing. to try to protect adults aged 18 or above who may be at risk of abuse. If an adult is not able to protect ‘Safeguarding is everyone’s business’ themselves from abuse we call this safeguarding. If you are worried about a vulnerable person being Safeguarding means protecting a person’s right to abused or neglected by others, please say something. live safely, free from abuse and neglect. Phone: Report your concerns by phoning: 0300 123 2224. 0300 123 2224. How can I report my suspicions of abuse? How to get help If possible, tell someone you can trust. This could be: • If you, or someone else, are in immediate danger • a family member or friend; please call the emergency services on: 999. • a police officer; • If you or an adult you know may be at risk of abuse • a member of staff; you can phone us on: 0300 123 2224. • a social worker or nurse; • an advocate; Making safeguarding personal to you • someone in your local community, neighbour or To help us respond to your concerns it is important church; or for us to know what you, or the person experiencing • Somerset Direct: 0300 123 2224. >>
Visit www.carechoices.co.uk for further assistance with your search for care 57 Safeguarding vulnerable adults continued
>> What is abuse? Abuse is a violation of a person’s human and civil rights by any other person or people. It can consist of a single act or repeated acts. It can happen anywhere by anyone. There are different types of abuse, some of them are listed here: • Physical abuse – including assault, hitting, slapping, pushing, misuse of medication, imposing restrictions on another person. Examples can be: injuries, bruises, broken bones and burns. or surroundings and includes behaviour such as • Domestic violence – including psychological, hoarding or not getting to medical appointments. physical, sexual, financial, emotional abuse; honour based violence. Who abuses and neglects adults? • Sexual abuse – including rape, indecent exposure, Abuse can be carried out by many different people sexual harassment, inappropriate looking or including: touching, sexual acts to which the adult has not • relatives and family members; consented or was pressured into consenting. • paid staff or professionals; • Psychological abuse – including emotional abuse, • neighbours or local residents; or threats of harm, controlling, intimidation, coercion, • volunteers and strangers. harassment, verbal abuse, cyber bullying, isolation or unreasonable and unjustified withdrawal of services Where does abuse happen? or supportive networks. Examples could include: Abuse can happen in many different settings, for changes in behaviour or mood or unexplained example: withdrawal from normal activities and friends, family • in someone’s own home; or community. • in a care setting – hospital or residential home; or • Financial or material abuse – including theft, fraud, • in a public place. internet scamming, coercion in relation to an adult’s financial affairs or arrangements. Examples could What happens when you tell us? include: bills not being paid; sudden loss of assets, We take your concerns seriously and we will work with friends or family threatening a person to gain access partner organisations to help maintain your safety. We to money. may need to share your information with others if it • Modern slavery – slavery, human trafficking, forced helps to protect adults from harm. You can expect to labour and domestic slavery. be told before your information is shared. • Discriminatory abuse – forms of harassment, because of race, gender and gender identity, age, We are interested to know what is important to you so disability, sexual orientation or religion. when possible we will speak to you, or your advocate, • Organisational abuse – including neglect and to find out more and we will keep you informed about poor care practice within an institution or specific what is happening. care setting such as a hospital or care home or care provided in your own home. If you are concerned about an adult at risk of abuse • Neglect and acts of omission – including ignoring please tell us: medical, emotional or physical care needs, failure to provide access to appropriate health, care and • In an emergency call: 999. support or educational services, the withholding of • In a non-emergency call the police: 101. the necessities of life, such as medication, adequate • Somerset County Council Somerset Direct: nutrition and heating. 0300 123 2224. • Self-neglect – this covers a wide range of behaviour • Somerset County Council Emergency out of hours neglecting to care for one’s personal hygiene, health team: 0300 123 2327.
58 This Directory’s helpline 0800 389 2077 – information on choosing and paying for care Making a complaint
We hope you will be happy with the care and support registered owners of the service. you choose for yourself or someone who matters to you. However, there may be times when you wish to If the care is being provided by an independent raise a concern, make a comment or suggestion, or a agency or organisation, ask to speak to the person who compliment about the support provided. This may be handles their complaints and feedback. They have a about anything, from the way you feel you are treated duty to respond to any complaints made. If you are not by staff to the food you are served. happy with the way your problem has been dealt with, contact the Care Quality Commission (CQC) on: You should feel free to make comments and 03000 616161. suggestions about possible improvements to your surroundings and the services that have been provided. If your concern or complaint is about us or any of our staff members, please contact your social worker (or All care providers are required to have a complaints the service user’s social worker) first. Or, if you are not procedure and are actively encouraged to record sure who to contact, then please contact the Adults feedback received from service users. The best feedback and Health Customer Experience Officer; write to: Floor about a service comes from the people who use it or B2 East, County Hall, Taunton TA1 4DY or phone: have direct experience of it. If you have something you 0300 123 2224. feel should be said, then there are a number of ways you can be heard. You can also, at any time, contact the Local Government Ombudsman who can offer you All care providers should have their own easy to use guidance and support about making a complaint. individual complaints policy. If you are concerned about the care that you, or a friend or relative is receiving, it Local Government Ombudsman makes sense to speak to the manager of the service PO Box 4771, Coventry CV4 0EH about your concerns before you take any further Phone: 0345 015 4033 action. The problem may be resolved quite easily once (Monday to Friday, 8.30am to 5.00pm) they are made aware of it. However, if you need to Email: [email protected] make a formal complaint, you should first contact the