Guide to later life in North Yorkshire & Darlington Jo Denison Photography
Helping older people to Love Later Life
Contents
Contents
4 Age UK North Yorkshire & Darlington - Introduction
5 - 9 Age UK North Yorkshire & Darlington - Our services
10 - 12 Staying physically active
13 Keeping mobile and preventing falls
14 - 16 Volunteering may boost mental wellbeing in older adults
17 - 18 Your right to social care and support
19 - 21 Planning for your future care needs
22 - 23 Choosing care services
24 - 27 Funding care
28 - 32 Care services in your home
33 - 39 Care homes
Disclaimer: Although every effort has been made to ensure that the information in this guide was correct at press time, Age UK North Yorkshire & Darlington and Sure Media Ltd do not assume and hereby disclaim any liability to any party for any loss, damage, or disruption caused by any errors or omissions, whether such errors or omissions result from negligence, accident, or any other cause. Although Age UK North Yorkshire & Darlington & Sure Media Ltd would like to thank the sponsors for their support in this publication, their inclusion within this publication does not imply any recommendation or endorsements as to the goods or services they may supply. Age UK North Yorkshire & Darlington has received no financial payments from any sponsors or supporters in the production of this guide. December 2020. Data source CQC & NHS.
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3 Introduction
Introduction Welcome to the first edition of our information guide about the services we offer to help you live well in later life. It’s been a challenging year for us all and we As your local Age UK, we are here to help know there’s never been a more important you live as well as possible in your later years time to look after the loved ones in our and enjoy the company and friendship of our community. organisation. This new guide is designed to make sure you I hope you enjoy our new guide and you find all and family are aware of the wide range of the information you need to hand. services we offer in an area stretching across North Yorkshire and Darlington. Warm wishes, Helen Age UK North Yorkshire & Darlington is your local independent charity that works in partnership with Age UK nationally, and we offer support and advice to older people in Darlington, Hambleton, Harrogate & District, Richmondshire and South Craven. Together with our community partners, we offer impartial information and advice, telephone befriending and vital support services, fun activities and hot meals that can be delivered to your door. Our friendly team of staff and volunteers are on hand to talk to Age UK North Yorkshire you, to welcome you back to our centres and & Darlington to help you find the services and support you need. Head Office: Bradbury House, Beaumont Street West, Darlington DL1 5SX 01325 362832 [email protected] www.ageuknyd.org.uk
4 Age UK North Yorkshire & Darlington
Age UK North Yorkshire & Darlington Our Care Services Our service can help with: • Assistance with bathing and showering • Help getting out of bed and getting undressed/dressed • Meal preparation • Escort service to appointments • Shopping service • Light housework & household tasks • Laundry & ironing • Support with medication This service is currently only available in We believe putting people first delivers the Darlington and is priced at £17 per hour. best quality care. This is why you and your loved ones are at the heart of everything that People using our care services can be confident we do. that our care staff are trained to a high standard. All care support workers undertake We recognise that everyone is an individual an enhanced disclosure and barring service with their own unique set of care needs, which check and we obtain two recent references to is why we work as a partnership with you and ensure our customers safety. All of our care your loved ones to create a tailored package support workers complete the Care Certificate of support to ensure that all of your needs Standards within the first twelve weeks of are met. Care at Home is available to anyone employment. who requires assistance in their own home. Our services are tailor-made to meet our We provide additional training for our customer’s needs and are regulated by the team to ensure individual needs are met, Care Quality Commission (CQC). Our staff are including: recruited for their desire to support people to • Safeguarding adults at risk remain independent at home. They are trained to a high standard in providing care and a full • First Aid background check is completed. • Infection control We believe that the only way to give the best • Dignity & respect quality of care is to allow our care team the • Continence management time to support people to be independent. This is beneficial for both the person receiving • Medication awareness support and the carers, who always have time • Dementia Friends to chat and give the best possible service. To enquire please call 01325 362832
Jo Denison Photography 5 Age UK North Yorkshire & Darlington
Age UK North Yorkshire & Darlington Meals at Home Service • Fish cake with new potatoes, peas and sweetcorn smothered in parsley sauce with Bread and butter pudding and custard • Roast chicken, stuffing served with new potatoes with seasonal potatoes with Sticky toffee pudding and custard How much does the service cost? Our meals cost £6.50 each which includes all delivery costs, we can take cash on delivery or we can set up a monthly payment by bank transfer or by credit or debit card through an email link. Payments can be made by yourself or someone else, such as a family member New for 2020 is our Hot Meals Service, acting on your behalf. launched at the start of the Coronavirus Do I need to order a meal everyday? pandemic in April to ensure that all older people were able to access at least one hot, No, as a customer you have complete choice nutritious meal a day. over when you receive your meals. We are very flexible and will take bookings and This lunchtime meal is designed to be a cancellations up to 11am on the day that the balanced and nutritious two course meal with meal is coming. (please note that we can’t take traditional fayre. bookings on the weekend but do have a duty The meals come delivered hot and ready to manager on call to deal with any problems). eat in a foil tray to ensure that they keep hot Where are the meals available? and are well presented when reaching you. The round foils can even be used as a plate to save The meals are available in the following washing up! Our in house 5 star hygiene rated areas: kitchens can cater for most common allergies • Darlington Borough and meals. • Richmond and the surrounding villages The service will be delivered to your home by trained staff and volunteers who are trained • Northallerton and the surrounding villages in handling your food hygienically. We keep all • Skipton and South Craven staff and volunteers up to date with the latest (Monday to Friday only) best practice surrounding infection control and How do I order? food hygiene. Sample Menu: Call 01325 741492 for Darlington, Northallerton and Richmond or 01756 • Sausage and mash with Yorkshire pudding 529654 for Skipton between 9am-4pm and seasonal vegetables Monday to Friday, or email catering@ with Syrup sponge and custard ageuknyd.org.uk • Cottage pie and vegetables with Chocolate sponge and custard
6 Age UK North Yorkshire & Darlington
Age UK North Yorkshire & Darlington Good Friends Service Good Friends is a program that helps people who are 18+ in the local community who are John and Maggie’s Story feeling lonely or isolated. Maggie is a dedicated volunteer Good The aim of the program is to ensure everyone Friend for Age UK North Yorkshire and has a network of support around them to stay Darlington, and John calls her his “guardian well and independent. angel”. Our Good Friend’s service and volunteers can “She’s an absolute godsend,” says John, help people who: whose sight is severely impaired due to macular degeneration. “I honestly don’t • Would like a friendly face to talk to over a cup know what I’d do without her – life would be of tea or a weekly chat over the telephone very lonely.” • Would like support to attend community Maggie, a retired primary school teacher, activities started volunteering for Age UK a year • Would like support with light households ago after picking up a leaflet in Richmond tasks and assistance with shopping Town Hall, appealing for people to befriend veterans. Our volunteers are friendly and willing to help out but are unable to help with personal care “After retiring from teaching, I had time on or provide a sitting service. my hands, and I’d always said I’d do some volunteering,” she recalls. “My dad and The Good Friends team work alongside grandad both served in the Green Howards, other voluntary organisations to provide so I felt I’d at least have something to talk support when needed. The team can also about with veterans.” provide support in other areas of life such as general advice around benefits and housing, After contacting Age UK, she began as a information about activities in your area, and telephone befriender, having regular chats signposting to other services. with John. To access the Good Friends service call “We just clicked, and it grew from there,” 01325 362832 between 9am-4pm Monday to says Maggie, who lives in Richmond. Friday, or email [email protected] After the telephone calls Maggie has visited For more information please go to www. John, at his home in Catterick Village, twice goodfriends.org.uk a week: on Saturdays, she delivers John’s Age UK hot meal from the Meals at Home Service. On Tuesday’s, when it’s allowed by local restrictions, she goes round to keep him company and to make sure he’s coping. Depending on how he’s feeling, they meet at his sheltered accommodation, or at a café in the village. “Befriending isn’t a chore – you make real, lasting friends, and that’s what John and I have become,” says Maggie.
7 Age UK North Yorkshire & Darlington
Age UK North Yorkshire & Darlington Handyman Services Digital Support and Activities Our Health and Wellbeing team can support you to access a wide range of local services, online activities and support you to contact your loved ones digitally. As new ways of communicating develop, we can help you wade through the jargon and gain confidence in new technology. Whether you want to look for recipes, find an online support group or connect with distant family we can support you every step of the way. If you’ve never previously tried to access the Age UK North Yorkshire & Darlington’s has internet and want to try it out before you recently relaunched the handyman service, invest in expensive equipment or sign up to a providing friendly and cost-effective support long term internet contract, we have a lending for those little maintenance jobs around the library of tablet computers ready to go with a house. Starting at only £10 per half hour*, this mobile internet service so that you can “give it provides a value for money service. a go” for free. Our friendly team of volunteers *any required materials provided by Age UK North will help you get started without baffling you Yorkshire & Darlington are charged at cost with tech speak. Our Handyman can help with: We can also offer advice on how to browse safely and securely and avoid the scammers. • Fitting energy saving devices to your home For more information about our digital • Minor repairs (non-electrical) support services contact Kathryn MacColl on • Changing light bulbs 01325 362832 • Fitting handrails When available due to local restrictions we also offer a wide range of activities and support • Touching up paintwork groups for all abilities ranging from Arts and • Fitting key safes Crafts, Veterans Support, Dance and Exercise • Putting up shelves Classes to support groups for common health problems like Strokes or COPD. • Assembling flat pack furniture Our Health and Wellbeing Co-ordinator has • Gardening, weeding, planting, mowing the a wide knowledge of available groups in the lawn area and can support you to find the group or If you have a query and wonder if our activity that suits your needs and abilities. Handyman can help, please phone 01325 Contact Thea Fulton on 07483 058831 to 362832 discuss your needs.
8 Age UK North Yorkshire & Darlington
Age UK North Yorkshire & Darlington Information & Advice Service Our Information & Advice service can help Theresa was anxious about a number of things; individuals their friends, relatives and carers the pressures of living alone, maintenance of with a range of issues. the property, bills, problems with her energy The service is free, and provides impartial company and feeling isolated. and quality assured advice on a wide range of When we visited Theresa in her home, we subjects including: discovered she was unable to get out unaided • General Benefits Checks and her only outdoor experience is to hospital appointments, where ambulance staff were • Attendance Allowance required to carry her downstairs in a secure • Switching from Disability Living Allowance to chair. During the visit, Theresa also expressed Personal Independence Plans her wish to go into a care home. • Support concerning Welfare Rights, Housing Theresa is unable to bath or shower and & Consumer Rights struggles to wash down. Fortunately extended family help with shopping and visits. The service helps older people, their friends, relatives and carers within Hambleton, We contacted Social Services on Theresa’s Richmondshire, South Craven and the behalf who visited her and completed a needs Boroughs of Darlington and Harrogate to assessment which resulted in extra support tackle a wide range of issues including General from Social Services including help with Benefit checks, Attendance Allowance, the personal care. A housing application form was switch from Disability Living Allowance to also completed and Theresa confirmed her Personal Independence Plans, Welfare Rights, wish to go into a care home. Housing, Consumer, Community Care Services During the home visit we completed an and other general issues. Attendance Allowance application form and Theresa was Anxious ... Mrs T was awarded the higher rate of £82.30 per week (with £300 back dated payment). She Theresa’s son, who lives in Scotland and is very now also receives a premium on her Pension unwell himself, contacted us to see if we could Credit as well as help with housing costs. We help his mother who lives alone on the third also contacted Theresa’s energy supplier and floor of an apartment building. agreed a more reasonable level of fuel debt payments for her. Sometime later, Theresa contacted us again as she needed help as Darlington Borough Council wanted sight of her birth certificate as proof of ID. As she is housebound, we arranged to pick this up, take to DBC and then return it to her. We are continuing to support Theresa until such time as DBC have found her a suitable care home or sheltered accommodation. We have also referred her to our Befriending and Good Friends scheme. Consultations are by appointment and can be booked on 01325 357345
9 Staying physically active
Staying physically active Keeping physically active improves your health and quality of life, and can also help you to live longer. It’s never too late to start doing some exercise.
Health benefits • osteoporosis, leading to fractures (half the Physical activity means anything from everyday number of hip fractures could be avoided tasks, like cleaning the house, heavy gardening with regular physical activity) or walking the dog. Or specific exercise like • obesity and related health problems keep fit, swimming, golf, football, gym-based Getting started activity or tennis. The best type of activity is one If you haven’t done any exercise for years - and that makes you feel slightly warmer it’s estimated that four out of 10 and breathe a bit heavier, getting people over 50 do little or no your heart and pulse pumping There is no reason exercise - then start gently and faster than usual. to give up a sport or build up gradually. Some of the benefits of exercise you enjoy just If you’re exercising for the first keeping active include: because you are getting time or are unsure if you should • a reduced risk of developing a older. You should aim to try a particular activity, talk to life-threatening disease your GP. do at least 30 minutes • a greater likelihood of of moderate physical Experts recommend thirty maintaining or reaching a minutes of moderate exercise a activity five or more healthy weight day at least five times a week. • a greater sense of well-being times a week. It can be all in one half-hour, or • improved sleep and increased split into three periods of ten day-time vitality minutes or in smaller bouts of • stay independent activity throughout your day. • have a healthy heart A good starting point may be to begin with a short five-minute brisk walk in your local park. • reduce falls Then build up gradually, increasing slowly to • keep up with children you know the full 30 minutes over a number of weeks. • meet people and share the company of Walking is great for your health. There are others walking groups open to different ages around • feel happier and keep your brain sharp the country. • age better Age guidelines If you stay physically active, you’re also likely There is no reason to give up a sport or to stay independent longer. Exercise can make exercise you enjoy just because you are getting you stronger. You’ll feel more confident and older. You should aim to do at least 30 minutes involved in life. of moderate physical activity five or more times a week. Even if you haven’t been particularly Remember, before beginning a new exercise athletic at a younger age, there are many regime, it’s a good idea to talk to your doctor benefits of improved fitness as you get older. first. Your GP is also a good place to start to Remember to keep moving and retain your learn about exercise for your health. mobility and flexibility through daily activity as The risks of physical inactivity Inactivity puts well. you at greater risk of: If you’re in your 80s or 90s, regular, gentle • heart disease exercise can help retain muscle strength and • some cancers improve mobility. Through daily activity you can • diabetes retain mobility and flexibility.
10 Staying physically active
Remember: • routine activities like carrying the washing or shopping can help improve muscle strength • regular walking can improve your health • go at your own pace • listen to your body • Little and often, preferably in short periods of at least 10 minutes - all the little periods of activity add up Physical activity guidelines for older adults How much physical activity do older adults aged 65 and over need to do to keep Daily activities healthy? It’s easy to boost your physical activity without To stay healthy or to improve health, older making huge changes to your lifestyle. You can adults need to do two types of physical activity begin by incorporating it into your everyday life each week: aerobic and strength exercises. with little effort or planning. You can: Guidelines for older adults aged 65 and over • walk upstairs - don’t use the lift or escalator Older adults aged 65 or older, who are generally • get off the bus or train a stop or two earlier to fit and have no health conditions that limit their walk home or to work mobility, should try to be active daily and should • spend more time enjoying active interests, do: like gardening or golf • At least 150 minutes of moderate aerobic • leave the car at home more activity such as cycling or walking every week, and strength exercises on two or more • clean the car by hand days a week that work all the major muscles • vacuum the house (legs, hips, back, abdomen, chest, shoulders • use email less and walk to talk to people in and arms). your office • 75 minutes of vigorous aerobic activity such • play movement games with children you as running or a game of singles tennis every know – children can always come up with week, and strength exercises on two or more great ideas days a week that work all the major muscles • take a walk with friends rather than sitting (legs, hips, back, abdomen, chest, shoulders with them for a chat and arms). • move around the house, for example every OR time you make a cup of tea, walk up the • A mix of moderate and vigorous aerobic stairs while the kettle boils or the activity every week. For example, two 30 tea brews minute runs, plus 30 minutes of fast walking, Organised activities equates to 150 minutes of moderate aerobic activity, and strength exercises on two There are lots of other ways to stay fit. You or more days a week that work all the major could take up a weekly Tai Chi class, play muscles (legs, hips, back, abdomen, chest, bowls, go swimming, ramble or cycle. shoulders and arms). In some areas, your local council might offer A rule of thumb is that one minute of vigorous free or cut-price gym-based exercise at the local activity provides the same health benefits as sports or leisure centre. two minutes of moderate activity. How much activity is enough? You should also try to break up long periods of Try to be active for 2 hours each week and do sitting with light activity, as sedentary behaviour activities to improve muscle strength at least is now considered an independent risk factor twice a week.” A little activity every day (a ‘daily for ill health, no matter how much exercise you dose’) can make a big difference. do. Find out why sitting is bad for your health. Older adults at risk of falls, such as people with weak legs, poor balance and some medical 11 Staying physically active
conditions, should do exercises to improve give similar health benefits to 150 minutes of balance and co-ordination on at least two days moderate activity. a week. Examples include yoga, tai chi and What activities strengthen muscles? dancing. Muscle strength is necessary for: What counts as moderate aerobic activity? • all daily movement Examples of activities that require moderate • building and maintaining strong bones effort for most people include: • regulating blood sugar and blood pressure • walking • maintaining a healthy weight • water aerobics Muscle-strengthening exercises are counted • ballroom and line dancing in repetitions and sets. A repetition is one • riding a bike on level ground or with few hills complete movement of an activity, like a bicep • playing doubles tennis curl or a sit-up. A set is a group of repetitions. • pushing a lawn mower For each strength exercise, try to do: • canoeing • at least one set • volleyball • eight to 12 repetitions in each set Try the aerobic video workouts in the NHS To gain health benefits from strength exercises, Fitness Studio. you should do them to the point where you find Moderate activity will raise your heart rate and it hard to complete another repetition. make you breathe faster and feel warmer. One There are many ways you can strengthen way to tell if you’re exercising at a moderate your muscles, whether at home or in the gym. level is if you can still talk, but you can’t sing the Examples of muscle-strengthening activities words to a song. include: Daily chores such as shopping, cooking or • carrying or moving heavy loads, such as housework don’t count towards your 150 groceries minutes, because the effort isn’t enough to • activities that involve stepping and jumping, raise your heart rate, but they are important such as dancing nonetheless, as they break up periods of sitting. • heavy gardening, such as digging or What counts as vigorous aerobic activity? shovelling There is good evidence that vigorous activity • exercises that use your body weight for can bring health benefits over and above that of resistance, such as push-ups or sit-ups moderate activity. • yoga Examples of activities that may require vigorous • lifting weights effort for most people include: You can do activities that strengthen your • jogging or running muscles on the same day or on different days as • aerobics your aerobic activity – whatever’s best for you. • swimming Muscle-strengthening exercises are not an • riding a bike fast or on hills aerobic activity, so you’ll need to do them in • tennis addition to your 150 minutes of aerobic activity. • football Some vigorous activities count as both an • hiking uphill aerobic activity and a muscle-strengthening activity. • energetic dancing Examples include: • martial arts • circuit training • aerobics Try the aerobic workout videos in the NHS Fitness Studio. • running • football Vigorous activity makes you breathe hard and • rugby • netball fast. If you’re working at this level, you won’t • hockey be able to say more than a few words without It is always best to discuss your options with pausing for breath. your GP or health profession when planning to In general, 75 minutes of vigorous activity can engage in any exercise regime.
12 Keeping mobile
Keeping mobile and preventing falls
There’s a lot you can do to maintain your mobility and independence as you age. You can take steps to improve safety and prevent falls.
Who is at risk? Some organisations, for example, your local Council, Housing association or a local private About one third of people over 65 fall each community alarm provider may offer a 24-hour year, with higher rates for over 75s. community alarm service. Up to 20 per cent of falls require medical The service provides help and reassurance in attention. Falls make up half of the hospital an emergency to people who are elderly and at admissions for accidental injury, especially hip risk of falls. You can keep your alarm with you fractures. at all times as a pendant around your neck or Half of the falls reported by older people follow on your wrist. a trip or an accident. Some 90 per If you fall you press the button cent of hip fractures are caused Exercise is one of the on the pendant to activate a by a fall. best ways to prevent separate alarm unit. This alarm Around 50 per cent of falls are falls, as well as making unit has a powerful microphone preventable. you more confident and and loud speaker, letting you talk Assessing your level of risk able to enjoy life. to a member of staff who will get help. There are things to look out for that can help you, your family or You might also consider the option of carers know whether you are at risk of having a sheltered housing, where you maintain your fall. To find out what the risks are, you can ask independence but have background support for a falls risk assessment at your GP’s surgery when you need it. or at a specialist clinic. Keeping yourself steady The falls assessment aims to discover anything that might cause you to fall and highlights To stay firmly on your feet, a few simple specific things that can be done to help. changes - like making sure stairs are kept clear and well lit - can make all the difference and Following the assessment, the doctor or nurse keep you mobile. will prepare a plan for you to help reduce your risk of falling in future. What to do if you have a fall You should ask your GP for more information if Try not to panic, but get help by making a noise you think you need an assessment. like banging or shouting, using your personal alarm or dialling 999. Make your home safer • make sure you keep warm, even just by There are changes you can make at home that tensing your arm and leg muscles will help you to prevent falls, like installing hand rails to keep you steady in the bathroom or out • wrap yourself with anything warm to hand in the garden. Afterwards, it’s important to tell your doctor what’s happened - that way you can receive the correct medical assistance.
13 Volunteering
Volunteering may boost mental wellbeing in older adults
“Giving up time for charity work found to boost The demand for volunteers remains high and mental wellbeing as people get older,” the there is always somebody you can help or Mail Online reports. A new UK-based study something you can do to make the world a found that volunteering was associated with better place. Read more about options for increased mental wellbeing; but mainly in volunteering, whatever your age. adults aged between 40 and 70. Where did the story come Researchers used data from the Researchers used from? British Household Panel Survey, data from the British The study was carried out by which is an ongoing survey Household Panel three researchers from the designed to track social and Survey, which is University of Southampton and public health trends. an ongoing survey University of Birmingham, and Researchers found that, designed to track was funded by the Economic generally, people’s health social and public health and Social Research Council, the Office for the Third Sector, and mental wellbeing score trends. got worse as they got older. and the Barrow Cadbury However, when people got over Trust through the Third Sector the age of 40-45, while scores Research Centre. generally continued to get worse The study was published in the peer-reviewed for those who never volunteered, they got BMJ Open journal, which as the name better for those who did any volunteering. suggests, is openly available for access to all. The study’s main limitation is that this can’t The media generally takes quite a simplistic prove cause and effect, or tell the direction of view on these findings which do not prove the relationship. People who volunteer may that volunteering boosts wellbeing. The Mail have better health scores because those includes messages such as “if you want to who feel healthy, active and in a good state get the most out of charity work wait until of wellbeing are more likely to go out and you are at least 40”, “younger people view volunteer to help others than those who feel helping others as a duty and a chore” and “as in poor health. It’s not necessarily the case people get older, volunteering really boosts that the reverse is true; that volunteering has their mental wellbeing” – not one of which is caused the good health state. demonstrated by the findings of this study. It could be that the association works both Similarly, The Daily Telegraph reports that ways – better wellbeing probably makes you “Volunteering is not beneficial until you hit more inclined to help others, and helping 40, study finds.” The implication that you others probably boosts your sense of should only do charitable work if you are wellbeing. guaranteed to benefit from it seems a little, well, uncharitable.
14 Volunteering
What kind of research was this? Researchers adjusted for potential confounding This was a cohort study based on data factors including income, marital status, collected during the British Household educational level and social group. Panel Survey which aimed to see whether What were the basic results? volunteering was associated with mental After excluding those with missing exposure wellbeing among British people across the or outcome data, the researchers had data for course of life. 66,343 people (47% male). Previous research has suggested that freely Most people (80%) did not do any volunteer giving to benefit another person, group or work each survey year. About a quarter of organisation can boost a person’s self-rated those aged 60-74 volunteered compared with health, though most studies have looked at 17% in the youngest 15-29 age group. Also, older adults. This study aimed to see whether it more women (22%) volunteered than men affects all age groups. (19.5%). What did the research involve? Those who did any volunteering had slightly The British Household Panel Survey started better (lower) GHQ scores than those who in 1991, selecting a nationally representative did none (10.7 vs. 11.4). Scores were lowest sample of 5,000 households. Those aged 15 among those who frequently volunteered. or over were interviewed annually until 2008. When looking at the interaction between The study captures 18 waves of data covering volunteering, GHQ score and age, they found various age groups followed up over time. that generally, regardless of volunteer status, all The survey collected data on various areas people’s GHQ score got worse (higher) as they of the participants’ life, including occupation, aged. However, when you got above the age education, health, household consumption, of 40-45, scores generally continued to rise for and social life. Information on volunteering those who never volunteered, but went down was collected in alternative years starting from again for all those who volunteered – rarely, wave 6 (1996). This was assessed by asking if infrequently or frequently. people “do unpaid voluntary work”. How did the researchers interpret the Response categories were: results? • at least once a week The researchers conclude: “volunteering may • once a month be more meaningful for mental well-being at • several times a year some points of time in the life course”. • once a year or less Conclusion • never This research doesn’t prove that volunteering will improve your sense of health and For the purpose of this analysis the researchers wellbeing. combined groups 2 and 3 to give four overall groups – frequent, infrequent, rare or never. The study does have several strengths in that it is a high quality nationally representative survey The outcome of interest was the General Health that collected regular and comprehensive data Questionnaire (GHQ) response, which includes for a large number of UK citizens. 12 questions covering happiness, mental distress (anguish or depression) and well-being to give a total score of between 0 and 36. The lower the GHQ score, the better a person’s health is judged to be.
15 Volunteering
However, the main limitation is that it’s unable Additionally, while this study has data for more to prove cause and effect, or suggest the than 66,000 people, this still only represents direction of the relationship. Those who two-thirds of those taking part in the surveys, volunteered had better (lower) GHQ scores the rest had incomplete data. Those with than those who didn’t – and this was most missing data tended to be younger, female, of marked in middle aged to older adults. But this lower education and occupational level. The may mean that those who feel healthy, active researchers say that GHQ scores did not differ and in a good state of wellbeing are more likely between drop-outs and those analysed, but the to go out and volunteer to help others than full data-set may still have had some difference. those who feel in poor health. Not necessarily The relationship between a person’s self- the reverse, that volunteering has caused the rated health and wellbeing and whether or good health state. not they volunteer is likely to be a complex The score difference was also marginal – on relationship influenced by many other factors average 11.4 for those who never volunteered and personal characteristics. It most probably compared with 10.7 for those who did. How works both ways – better wellbeing probably much of a meaningful difference this small makes you more inclined to help others, and difference would make to the person’s helping others probably boosts your sense of everyday life is not possible to say. These wellbeing. are also of course subjective scores – not You can register to become a volunteer via confirmed diagnoses of depression. our website www.ageuknyd.org.uk/ When looking at the volunteer work, the survey or by contacting us on 01325 362832 or did not prompt respondents with examples email: [email protected] of what might be meant by “unpaid voluntary work”. Neither did it look into the types of work they did. Therefore, it isn’t certain that this is a reliable estimate of the frequency of volunteering in Britain.
16 Your right to social care
Your right to social care and support
If you think you need social care support, you’ll need to think about what types of support you need – be it homecare workers, equipment or respite breaks. Your first step to getting this sort of help should be to ask your local authority social services department for an assessment of your needs. This assessment will help you decide on the type of services you may want, as well as helping the local authority understand which services you need. Your local authority may be able to offer you some care services for free. It’s worth finding out if you can get free services from your local After this, if you are eligible for care and authority because the cost of buying care support, social services or an independent services is likely to be high if you have long- adviser will work with you to create a care and term care needs, and they could increase as support plan. you get older. If you feel that your needs have changed As part of the CARE ACT your local authority over time, you can request a review of your now has an obligation to assess anyone who care plan, or a re-assessment if you were not appears to require care & support needs. originally eligible for care and support. Contact The authority should: the social care team at your local authority to discuss this. • Make an assessment of your needs regardless of your personal financial Assessing your care and support needs circumstances. If you have care and support needs and find • Provide you with information about services it difficult to look after yourself, your local and options available to you in your area. authority may be able to advise you and provide you with some help. • Offer you a carer’s assessment if you are an unpaid informal/family carer. The best way to get help from your local authority is to ask for a care and support needs The assessment by the local authority is assessment. You can do this by contacting the important because it helps them work out local authority adult social services department. what your difficulties are and what services will help you most. Often, only minor assistance is When you get assessed by the local authority, needed – such as meals on wheels and help as a minimum you may be given information with washing or dressing, yet these services and signposting to other services, and ways could make a big difference to your life. that you might find funding to pay for them. However, if your needs meet the national If your local authority decides you are eligible eligibility criteria, your local authority will have for social care support, they will carry out a to meet these needs. financial assessment to determine how much you will need to pay towards your care, if anything.
17 Your right to social care
Local authorities must consider whether the person’s needs: • arise from or are related to a physical or mental impairment or illness • make them unable to achieve two or more specified outcomes • as a result of being unable to meet these outcomes, there is likely to be a significant impact on the adult’s wellbeing An adult’s needs are only eligible where they meet all three of these conditions. The specified outcomes measured include: The local authority will involve you throughout the assessment to identify what your needs are • managing and maintaining nutrition, such as and how these impact on your wellbeing. They being able to prepare and eat food and drink will also discuss with you how you wish to live • maintaining personal hygiene, such as being your life and whether there are certain aims you able to wash themselves and their clothes would like to achieve but you are unable to do • managing toilet needs so because of your care and support needs. • being able to dress appropriately, for The assessment will start to consider how example during cold weather your care needs might be met. This could include identifying how preventative services • being able to move around the home safely, like simple aids (such as devices to open jars including accessing the home from outside and tins more easily), adaptations to your • keeping the home sufficiently clean and safe home (such as handrails) or information about support available in the community might meet • being able to develop and maintain family or your need. It will also identify if you have a other personal relationships, in order to avoid higher level of need where you may need help loneliness or isolation in your own home or care in a care home. • accessing and engaging in work, training, The assessment should be carried out in a way education or volunteering, including physical that ensures your involvement and that takes access the right amount of time to capture all of your • being able to safely use necessary facilities needs. or services in the local community including If you have a friend or family member looking public transport and recreational facilities or after you as an unpaid carer, they can have a services carer’s assessment to see if they need support • carrying out any caring responsibilities, such to carry on their caring role. as for a child The local authority must give you a copy of Local authorities do not have responsibility your needs assessment or carer’s assessment. for providing NHS services such as patient What are the national eligibility criteria for transport, but they should consider needs for care and support? support when the adult is attending healthcare appointments. The eligibility threshold for adults with care and support needs is based on identifying how a person’s needs affect their ability to achieve relevant outcomes, and how this impacts on their wellbeing.
18 Planning for your future care needs
Planning for your future care needs
There may be times in your life when you think about the consequences of becoming seriously ill or disabled. This may be at a time of ill health or as a result of a life-changing event. It may simply be because you are the sort of person who likes to plan ahead. You may want to take the opportunity to think about what living with a serious illness might mean to you, your partner or your relatives, particularly if you become unable to make decisions for yourself. You may wish to record what your preferences and wishes for future care and treatment might be.
The costs of long-term care if you have more than £23,250 in assets, such Care has never been free and everyone should as your home or savings, you will need to meet think about the care they might need in the the full cost of your care. future. The long-term costs of care can be How your local authority can help with significant, and while none of us like to think planning your care that we will become old, ill or disabled, it does The Care Act 2014 makes clear that local happen. Just like your pension, it is never too authorities must provide or arrange services early to start thinking and planning your care that help to prevent people developing and support needs and their costs. care and support needs, or delay people Even if you’re generally fit and healthy and deteriorating to the point where they would of working age, don’t ignore your future need ongoing care and support. care. If you’re making long-term financial Even if you don’t want or need financial arrangements, you may want to take into assistance with your care, your local authority account the potential costs of your future care can still help you plan your care, so it is worth needs. contacting the adult social services of your The point at which you may be eligible for local council to find out the options available to financial help from your local authority with you and your family. your care costs is being extended. Currently, Local authorities must work with people in their areas to provide or arrange services that help to keep people well and independent. This should include identifying the local support and resources already available, and helping people to access them. They should make clear: • what types of care and support are available – such as specialised dementia care, befriending services, reablement (short-term care time, for example, to get someone safe, happy and able to live independently in their home after they have been discharged from hospital), personal assistance and residential care
19 Planning for your future care needs
• the range of care and support services There are several factors to consider when available to local people – in other planning social care. These include: words, what local providers offer certain • the type of condition you have, and the best types of services ways for you to stay healthy and independent • what process local people need to use to get • the type of care you would prefer, and care and support that is available whether it would meet your needs Financial planning for future care needs • where you would like to be cared for – in Local authorities have to help people get your own home, in a residential care setting independent financial advice, to enable such as a care home, or in the community planning and preparation for future care costs. while you are living at home This encompasses a range of services from • where local people can find independent generic sources of information and advice, financial advice about care and support and such as websites or helplines, to tailored help them to access it advice relating to specific financial products, which can only be provided by a regulated financial advisor. Some of these services may charge a fee. The Money Advice Service website has tips on planning ahead for a time when you can’t manage your own finances. Making decisions about your future care needs and wishes If you are nearing retirement age, it’s important that you take account of your likely care needs and plan accordingly. You may wish to consider setting up a Power of Attorney or an advanced decision (living will). These will help people to take account of your preferences if you lose the capacity to make decisions. You will also want to ensure that you have thought about how you might pay for the care you need. Many of us will put off planning for care and support arrangements until the last possible moment. Having an urgent need for care and support after a crisis may mean that we and our families feel pressured into making decisions quickly. Under such pressure, asking the right questions, thinking and planning for your future needs – including options for meeting the cost of care – are vital. It is important that you seek good advice on these subjects so that you can consider your best short-term and long-term options.
20 Planning for your future care needs
This is an arrangement whereby the person agrees, with their local authority, to pay some of their care fees at a later date. This means If you have a specific condition, they should not be forced to sell their home you may want to get in touch during their lifetime to pay for their care. with a national organisation A person or their estate usually repays the that supports people with this local authority from the sale of their property condition. Your GP surgery at a later date. The Care Act 2014 introduces rules that mean councils have to offer deferred should have information payments to people. on the relevant groups and Independent advice on planning your care organisations. If you are making plans for your future care – at whatever stage – it is worth getting advice. You may want to get specific care advice from • how people can raise concerns about the a charity, general advice from Citizens Advice safety or wellbeing of someone who has care or specialist legal, financial or welfare rights and support needs advice. If you have difficulty communicating If you think you need care now, or in the very or exerting your rights, you may want to have near future, the best way to plan your care and an advocate to deal with these issues on your find out about your care needs is to ask your behalf. local authority for an assessment. Your local authority social services department The sooner you ask for an assessment, the should have information about organisations sooner that plans for your care can be made. in your area that help people who have social These plans should include what should be care needs. They may offer an advocacy done in the event of an emergency. service. • how much your care is likely to cost and whether you may be entitled to free care or financial help • who you want to care for you, and whether, if you want friends or family to be your carers, they are able and willing to do so You will need to weigh up the pros and cons of each care option against these factors. For more information read, “Choosing Care Services” (page 22). One of the common decisions people are faced with is whether they should sell their home to pay for their care. If you are thinking about moving into a residential care home and are worried about meeting the costs, ask your council for information about a “deferred payment agreement”.
21 Choosing care services
Choosing care services
Choosing your care services can be a daunting prospect. There are many care options available, but which kind of support is right for you?
Think about what you get most out of in life. If you do need to move out of your home You may have particular interests that you want for care reasons, there is a variety of to keep up, or you may simply want to spend accommodation options that you may want time with your family or friends. You may have a to consider. These include sheltered housing, job that you want to keep on doing, or a social extra care housing and residential care homes activity, sport, religion or a political group that or nursing homes. you want to keep up with. If you are thinking about moving, it’s worth Your social care support should – as much as considering whether it is best to stay in the possible – help you to continue to do these area you are in now, which you will be familiar things, and may help you find new things to do. with, or whether you should move elsewhere When choosing the type of care, you also need to be nearer family or friends. You may also to think about: want to think about the location from a practical perspective (whether it’s on a bus route, for • location example) or for more personal reasons (such • services as whether you like the surroundings). • standards and quality The kinds of care services on offer • price If you are choosing a care service – particularly if it’s an ongoing service such as home care Location of your care or a place in a care home, you should think Your own home is often the best place for you about the particular things you want from the to get care services. At home is where you service (this will often be referred to as your may have family and friends and you’ll be in a “outcomes”). familiar and hopefully safe environment. For more information visit: You may want to get help at home, perhaps www.cqc.org.uk. through having home help come in to help you Use the services search to find out about with daily tasks. the location, services, facilities, staff and To stay independently at home, you may performance of a Care Quality Commission need to have care services in the form of (CQC) registered care home or homecare adaptations to your home (to help with mobility, provider. for example) or perhaps just equipment to help Your search results should tell you whether a you out. service can support you if you have particular However, your home may not always be the needs, such as a sensory impairment or a best environment if you have care needs. It learning disability. may not be safe for you, particularly if you do If the service is not registered with the not have a friend or relative around to help (if CQC, you may have to ask them directly for you live in an isolated rural area, for example). information about the services, and you may Or you may have particular needs that cannot want to get independent verification, if any is be easily met in your home. available. Your local council may have a list of local support providers, with information on each.
22 Choosing care services
Standards and quality of care When choosing care, you might want to look Everyone has a right to expect certain out for services that are signed up to the social standards in their care. Your care services care commitment. Check how well your local should help keep you safe and well, but also council social services are performing. treat you with dignity and respect. You should The price of your care always be able to express a choice in your When choosing social care services, you will care. have to consider how much the services may The standards for social care providers, cost. The cost of your care may reflect each of such as care homes, are set out by the CQC. the aspects listed above: location, quality and The CQC’s inspection reports will tell you the kinds of services offered. which services are meeting the minimum If you have had an assessment from your local requirements. If you do not think the service is council, you may get services for free. However, meeting these requirements, you may want to many people have to pay for their own care make a complaint. services (self-funders), and even people who Good quality services, in whatever form they have care funded by the local council will need take, will treat you as an individual and attend to know about the costs of care if they are to your personal needs. If you have homecare, using a personal budget or a direct payment. for instance, the care workers who come into More information your home should listen to your wishes and include you and your family in decisions and The Money Advice Service has more care. information on choosing the right sort of care services.
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23 Funding care
Funding care Care and support services in England have never been free. Most people have to pay something towards their own care and some will have to pay for all of the costs.
Your local authority (council) may cover some NHS continuing healthcare or all of the cost of care in some circumstances, If the person you care for has very severe and but its help is “means-tested”. This means that complex health needs, they may qualify for who pays depends on what your needs are, NHS continuing healthcare. This is an ongoing how much money you have, and what level and package of care that’s fully funded by the NHS. type of care and support you require. In some areas of the country, you can arrange For most people needing social care services, your NHS continuing healthcare using a the first place to start is by asking your local personal health budget – similar to the personal authority for an assessment of your social care budgets for social care outlined above. (care and support) needs. NHS-funded nursing care If the local authority considers that you need support that it can provide, it may also carry You should receive NHS-funded nursing care if: out an assessment of your finances. This • you live in a care home registered to provide assessment will determine whether the local nursing care, and authority will meet all the cost of your care, or whether you will need to contribute towards your • you don’t qualify for NHS continuing care cost or whether you will have to meet the healthcare but have been assessed as full costs yourself. Find out about needing care from a registered nurse support paid for by your local The NHS will make a payment authority. NHS care could be directly to the care home to fund Currently, local authorities won’t provided in hospital, but care from registered nurses who provide care services if you have it could be in someone’s are usually employed by the care more than £23,250 in savings own home or elsewhere home. and property (your “capital”). in the community. NHS aftercare However, from April 2020, this People who were previously threshold will rise alongside the detained in hospital under certain introduction of the cap on care sections of the Mental Health Act will costs, so more people will be eligible for help have their aftercare services provided for free. sooner. Help from charities and funds Alternatives to care funded by the local authority There are other sources of funding you might be able to access to help you with funding NHS care care. Some charities can help with funding The NHS is responsible for funding certain care needs. For example, the Family Fund is a types of healthcare equipment you may need. In government-backed charity that can help with some situations, the NHS is also responsible for grants if you care for a severely disabled child meeting care needs. This is usually when your aged 17 or under. You can get an application need is mainly for healthcare rather than social pack from the Family Fund website. care www.familyfund.org.uk NHS care could be provided in hospital, but it could be in someone’s own home or elsewhere in the community.
24 Funding care
Get personal advice on care funding For example, if you are considering a care The cost of care and support is likely to be a home place, the cost should be weighed long-term commitment and may be substantial, against the cost of care and support that may particularly if you choose to go into a care help you remain in your current home, such as home, or if you have care needs at an early age. homecare. If you or a member of the family need to pay for How much will care cost? care at home or in a care home, it’s important If you are thinking about your future care needs to understand the alternatives. This makes or are facing immediate decisions about care advice tailored to your individual needs vital. options, it can be helpful to get an idea how You can get advice from: much care can cost. • your local authority – through an assessment Inevitably, the price you would pay will depend of your care and support needs, as well as on your particular circumstances and needs. advice on which services are available locally The costs also vary depending on where you • financial advice from a qualified, independent live. Unfortunately, care homes and homecare source – there are independent financial agencies tend not to provide this information advisers who specialise in care funding publicly but you may find it helpful to search for advice; they are regulated by the Financial and contact care services in your area to get Conduct Authority and must stick to a some idea of likely costs. code of conduct and ethics, and take shared Ask for help from your local authority responsibility for the suitability of any product they recommend It’s worth checking whether you’re eligible for means-tested support from your local authority Paying for your own care and support or other financial support – for example, Many people who use care and support through a care needs assessment and a services will pay for all of the costs. This is financial assessment. known as being a “self-funder”. Few of us will have the income or ready access The cost of your care will vary depending on to the cash to pay for our ongoing care needs, its type, intensity, specialisation, location and and you may need to look at selling or re- duration. For example, a place in a residential mortgaging any property you may own. The care home will cost hundreds of pounds a new Care Act 2014 means more people may week. be able to benefit from “deferred payments”. To make decisions that have such major Deferred payments can help people avoid financial implications, you may want to seek being forced to sell their home in a crisis in independent financial advice and it’s always order to pay for their care by having the council worth researching the costs of alternatives first. temporarily cover the cost – usually until you sell your property.
25 Funding care
You may also want to explore whether the NHS would meet some or all of your care and support costs, or you may have entitlement to benefits that may help you meet costs. Read about other ways of funding care. Advice on paying for care Even if your local authority is not able to help fund your care, it will be able to make an assessment of your care and support needs. From this, the local authority can provide you with access to a range of information and advice available locally. You can also get independent advice from: • The Money Advice Service website: offers information on paying for care or the option to speak to an online adviser. You can call the Money Advice Service on 0300 500 5000. • The Society of Later Life Advisers: the society can also help you find advice on how to make financial plans for care in your old age. • Find Me Good Care: a website of the Social Care Institute for Excellence. It has advice on all aspects of planning and funding social care. Following the Care Act, every local authority • Age UK: has great advice for older in England has to make deferred payment people and those planning for their later agreements available. years. • Carers UK: an excellent resource of advice for As an alternative, you may be able to enter carers who need to help someone else. an “equity release scheme” with a financial organisation. Equity release can pay for the • Which? Elderly Care has a guide to financing fees from the value of property you own. care. However, you should consider which of these Deferred payments if you are unable to pay options best meets your needs, and what the for care services overall costs to you will be. Before taking such Care home fees are a big financial commitment, significant financial steps as equity release, you and the decision to go into a care home is often might want to get independent financial advice. made at a moment of crisis or urgency, such as You can find information on equity release when being discharged from hospital. This can for care at home from Which? Elderly Care make finding the money to pay for fees (usually or the Money Advice Service’s equity release several hundred pounds a week) challenging for information. people funding their own care. If you’re planning ahead, you may consider In particular, if you own property outright but arranging an investment or insurance plan to have little in the way of savings, you may be fund your care. Again, it may be worth taking expected to fund your own care but have little independent advice on financial arrangements immediately available money to pay for it. Some before making major changes. Because of the people going to stay in a care home for a long new rules, there are likely to be more financial time find that they have no option but to sell their products emerging that are designed to help property to pay the care home fees. people pay for care.
26 Funding care
Your council may be able to help you if you are at risk of having to sell your home. Where there is a delay in selling the property, or you don’t want to sell the property immediately, you may be eligible to have your care fee payment “deferred”. This is where the local authority helps you to pay your care fees temporarily, and you repay the costs to the local authority at a later date. If the local authority agrees to the deferred payment and pays the care home fees, it will take payment from the money raised once the property is sold. This can be: • during your lifetime if you choose to sell your home • once you die, the local authority can be repaid from your estate All councils must offer people the chance to defer payment if they meet a set of eligibility criteria. A deferred payment scheme is only available if you don’t have enough income to cover your care home fees, and you have less in savings than £23,250. In these circumstances, the savings don’t include the value of your property, but does include money in bank accounts. Protection for self-funders The local authority will put a “legal charge” (similar to a mortgage) on the property and will While you may have the savings in place to then pay the remaining care fees in full. You will afford care services, if you lack the capacity to then be assessed to see whether they are able make the arrangements, the local authority can to pay a weekly charge to the authority. Your step in to help. ability to pay is based on your income less a set The local authority can also help people who “disposable income allowance. lack capacity by negotiating fees with a care Before considering deferred payments, you provider and paying them directly. The local should look into whether the property will authority will need to be reimbursed. or won’t be counted in how your capital is Anyone entering into a contract for care services calculated. For instance, it may be disregarded should be given adequate information about the because your partner still lives there, and if it fees. Care providers should supply: is a deferred payment agreement wouldn’t be • information about the fees charged for various necessary. It’s wise to get independent financial services provided advice before agreeing to a deferred payment, • arrangements for paying the fees and it’s worth bearing in mind that choosing deferred payments can impact on some welfare • the fees charged for any additional services benefits. If your capital falls below the set levels for local authority funding (currently £23,250), you will be eligible for reassessment for help with funding your care.
27 Care services in your home
Care services in your home If you need help around the home, a good option is to have a care worker come in to your home to help you. Types of homecare • services that can help you stay safe and Homecare comes in many forms and has many well in your home on a long-term basis; names used to describe it, including home these services, often known as “supported help, care attendants and “carers” (not to be living services”, can include financial, help confused with unpaid family or friends who with medication, advocacy, social and care for you). practical support Homecare can suit you if you need: • a place to live in a family who will care for • personal care, such as washing or dressing you, known as “shared lives services” or adult placement services • housekeeping or domestic work, such as vacuuming If you believe that you might benefit from some help at home, the first thing to do is to contact • cooking or preparing meals your social services department to ask for an • nursing and health care assessment of your care and support needs. • companionship To contact social services, go to GOV.UK: find Homecare can be very flexible, in order to meet your local authority. your needs, and the same person or agency If you are eligible for homecare services, the may be able to provide some or all of these local authority may provide or arrange the help options for the duration of your care: themselves. Alternatively, you can arrange • long-term 24-hour care your own care, funded by the local authority, • short breaks for an unpaid family carer through direct payments or a personal budget. • emergency care If you have chosen direct payments or a • day care personal budget, or you aren’t eligible for local authority help and want to get care privately, • sessions ranging from 15-minute visits to 24- you can arrange it in several different ways. hour assistance and everything in between Independent homecare agencies If you already know what you want, you can search NHS Choices directories for: If you use an independent homecare agency, you or the person you’re looking after has to • local homecare services and agencies find the care agency and pay them. • a list of national homecare organisations The agency will provide a service through a trained team of care workers, which means you may not always have the same person visiting your home, although the agency will do its best to take your choices into account. Independent Care in your home, homecare providers are regulated by the just as you like it. They’re like our Care Quality Commission (CQC). Homecare “other family. You may need an extra pair of hands, or you may have complex needs that agencies must meet CQC’s national minimum ” require dedicated care. standards and regulations in areas such as Our well-trusted care service ranges training and record-keeping. The CQC has from a 30-minute visit through to full Live-in care. Call our friendly team now. the power to inspect agencies and enforce standards. Bluebird Care Harrogate 01423 529573 Homecare agencies must vet homecare bluebirdcare.co.uk/harrogate workers before engaging them by taking up references and carrying out Disclosure and Barring Service (DBS) checks on potential employees.
28 Care services in your home
Homecare agencies can also: You normally have to make a regular payment • take over the burden of being an employer to the agency, which includes both the worker’s – for example, payroll, training, disciplinary earnings and the agency’s fee. issues and insurance Questions to ask when using a homecare • train their homecare workers through agency national qualifications and service-specific The fees some agencies charge can be quite training high. Before deciding to go ahead with an • replace workers when they are ill, on holiday agency, you should ask questions about the or resign fee and what it covers, including: • put things right when they go wrong • Does the agency check references? An agency will want to see you and the • What training and supervision do they person you’re looking after so that they can provide? assess your needs. This also means that a • What is their complaints policy? joint decision can be made about the most • Who will be responsible for insurance? appropriate type of care and support. You • Is there any out-of-hours or emergency can find out more from the UK Homecare contact if needed? Association. • Will they be able to provide staff if your What are the disadvantages of using a own care worker is ill or away? (If an agency homecare agency? contracts to provide care every day, it must The main disadvantage is the cost of using an ensure that it does.) agency. The agency will charge a fee on top of the payment made to the care worker to cover their running costs and profit.
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29 Care services in your home
Hiring a personal assistant (P.A.) Safeguarding vulnerable groups You can hire a “personal assistant” to act The DBS makes decisions about who is as a homecare worker for you. Personal unsuitable to work or volunteer with vulnerable assistants can offer you all that you’ll get adults or children. It makes this decision based from an agency worker, but you’ll also get the on information held by various agencies and continuity, familiarity and ongoing relationship government departments. The service decides with your assistant. However, if you employ a who is unsuitable to work or volunteer with personal assistant, you will then have the legal vulnerable adults or children. responsibility of an employer. This will include If someone who is barred from working with arranging cover for their illness and holidays. children or vulnerable adults is working, GOV.UK has more information on becoming an volunteering or trying to work or volunteer with employer, while Which? Elderly Care also has these groups, they are breaking the law. They advice on employing private individuals. could face a fine and up to five years in prison. Homecare from charities Employers must apply for an enhanced DBS Charities such as Age UK and Carers Trust can check (formerly known as a CRB check) when provide home help and domestic assistance taking on new employees or volunteers to work services. The Carers Trust supports carers with vulnerable adults or children. This includes by giving them a break from their caring a check of the barred lists. If an organisation responsibilities through homecare services. fails to make the relevant checks, they can be Marie Curie Nurses can provide practical and penalised. emotional support for people near the end of their lives in their own homes.
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At The Avalon Group we have more than 20 years’ experience providing bespoke, An experienced, trained and From a half hour pop-in to 24 person-centred care. From social activities to home modifications, let us be there for highly motivated team of hours per day, tailoring a you. carers can assist you with: package of care and • Domestic duties companionship to meet your Get in touch with our team of specialised support workers and find out how we can • Activities of daily living individual needs. help you live your life, your way. • Rising and retiring Security, Con dentiality We look forward to meeting you. • Escorting to appointments and Personal Safety are a • Dressing/Undressing priority with this service. Northallerton Teesside All our sta • Meal preparation have been checked by the T: 01609 783883 T: 01642 633556 • Sitting service Vetting & Barring T. 01423 560 903 Service Email: [email protected] E: [email protected] • Shopping and errands 66 King Edwards Drive | Harrogate | HG1 4HN W: www.avalongroup.org.uk www.harrogatehomecare.co.uk © The Avalon Group. All rights reserved. Registered Charity No: 1048236
30 Care services in your home
If an organisation dismisses an employee or Manual handling volunteer for harming a child or vulnerable If you need help to move, or you need adult, they must tell the DBS. The DBS must someone to lift you (such as getting out of also be notified if any employee or volunteer bed or getting on to the toilet), this can put the harms a child or vulnerable adult, but isn’t person doing the lifting at risk of injury. dismissed because they leave voluntarily. This “manual handling” can result in back pain If their organisation does not tell DBS, they will and in the most serious cases, permanent be acting illegally. Questions can be answered disability if not done correctly. The law says that by the DBS call centre on 0870 909 0811. employers must take reasonable precautions Employing a care worker on a private basis to ensure their employees don’t do any manual If you employ a care worker privately, you will handling that carries a risk of them being not be obliged to use the DBS scheme, but injured. This applies to you if you directly you can use it if you choose to. You need to employ a personal assistant to care for you ask social services or the police to make the (but most likely will not if you hire someone checks on your behalf. The care worker must through an agency). It is particularly important have already applied to be vetted, and must to consider insurance in this situation. This consent to the check. If you have concerns would cover any risk of the care worker injuring about the suitability of someone you employ themselves, as well as any risk of them causing privately to work with a vulnerable adult or an injury. child, you can ask social services to investigate the matter. They can refer the worker to the ISA on your behalf.
Sova ALL YOUR CARE NEEDS AT ® ONE AFFORDABLE PRICE Healthcare HOME CARE SERVICES INCLUDE: Healthcare with you in mind Personal Care• 24 hour Live-in Care Homecare Provider & Sleep-in & Wake-in Service Nursing Agency Toileting & Continence Care Sova Healthcare Harrogate will ensure Assisting with Medication you have a bespoke package of care Meal Preparation & Feeding tailored for you or your loved ones to suit you. We listen and act on Respite Care • Sit-in Care what you say to give you Learning Disabilities • Complex Care Needs ‘Outstanding’ in Care Challenging Behaviour All our health care workers Companionship • Escort Services are fully vetted and trained to a high standard. Befriending • Shopping Light Cleaning & Domestic Services Please call us or visit our website for more information about how we can help 01423 813595 E. [email protected] • www.sovahealthcare.co.uk 20 Bower Road | Harrogate | HG1 5BW
31 Care services in your home
HOME CARE AGENCIES Postcode Name Address Town/City Phone number BD23 1PQ On The Spot Homecare Service 11 Water Street Skipton 01756 703715 BD23 1QU Skipton Care at Home Woodlands Drive Skipton 01756 791860 BD23 1TB Just Ask Domestic Services The Sidings Business Park Skipton 01756 792834 BD23 3LN Dignicare Stirton Lane, Stirton Skipton 01756 380552 BD23 5LU Dales Community Care Limited Wood Lane, Skipton 01756 753303 BD24 9BP Ribble Care Limited Kirkgate Depot Settle 01729 822511 BD24 9EX Continued Care from Oakville Ltd High Street Settle 01729 810600 DL1 1GY Careline Homecare Valley Street North Darlington 01325 480631 DL1 1GY Firstpoint Homecare Valley Street North Darlington 01325 290008 DL1 1GY My Homecare Valley Street North Darlington 01325 480700 DL1 1QL Springfield Healthcare Chesnut Street Darlington 01325 353997 DL1 1RW Home Instead Senior Care Lingfield Point Darlington 01325 467833 DL1 4WD Care Matters 3 Pioneer Court Darlington 01325 482075 DL1 5SX Age UK North Yorkshire & Darlington Beaumont Street West Darlington 01325 362832 DL10 5LQ Easby Healthcare Sedbury Hall Richmond 01748 352124 DL10 5NY Castle Care Melsonby Richmond 01833 690415 DL3 6JX DBC In House Home Care Gladstone Street Darlington 01325 406111 DL3 8LH Ascot Care Agency Salutation Road Darlington 01325 384383 DL6 2NQ Rainbow Outreach and Healthcare Darlington Road Northallerton 08006 895132 DL6 2NQ Helping Hand Homecare Darlington Road Northallerton 07507 259565 DL6 2NQ Blossom Home Care Ltd 6 County Business Park Northallerton 01609 751644 DL7 8DW Avalon N 277 High Street Northallerton 01609 783883 DL7 9QJ Bluebird Care Ainderby Steeple Northallerton 01845 440271 DL8 1AF Castle Home Care 23 / 25 North End Bedale 01748 883344 HG1 4DP Avalon 6 Grove Park Court Harrogate 01423 530053 HG1 4DP Continued Care from Oakville Grove Park Terrace Harrogate 01423 871003 HG1 4ED Harrogate Home Support Bogs Lane Starbeck 01423 814548 HG1 4HN Harrogate Homecare 66 King Edwards Drive Harrogate 01423 560903 HG1 5BW Sova Healthcare 20 Bower Road Harrogate 01423 813595 HG1 5JS Bluebird Care 7 Alexandra Road Harrogate 01423 529573 HG1 5LX Deeper Care Queensway Harrogate 07825 959758 HG1 5RR TuVida East Parade Harrogate 01423 522371 HG2 7DZ Greenfield Court HNHA 164 Station View Harrogate 01423 880487 HG2 8ER St Margarets Homecare Harrogate Hammerain House Harrogate 01423 876397 HG3 2XA Radfield Home Care Hookstone Avenue Harrogate 07504 300185 HG3 2XA Care Designed For You Hartwith Way Harrogate 01423 206868 HG3 3BA Home Instead Senior Care Station Yard, Ripley Harrogate 01423 774490 HG3 3JN Carefound Home Care Oakwood Park Harrogate 01423 774070 HG4 1BD Ripon and District Homecare 24 High Skellgate Ripon 01765 609712 HG4 4PF Jane Caress Ltd Leyburn Road Ripon 01677 460051 HG5 0SL Springfield Healthcare Halfpenny Lane Knaresborough 01423 868330 LS24 9AL Guardian Care & Support 4-6 Bridge Street Tadcaster 01937 833514 LS25 6PJ Meadow Lodge Home Care Lincoln Way Sherburn in Elmet 01977 689011 YO51 9AA Elderflower Homecare Richmond House, Horsefair Boroughbridge 01423 324325 YO7 3BX Care Services Thirsk York Road Thirsk 07587 091422 32 Care Homes
Care homes If you’re looking for a residential care home, there’s a huge variety of options available. There are permanent care homes for older people, homes for younger adults with disabilities, and homes for children. Care homes may be privately owned or run by charities or councils. Some will be small care homes based in home-like domestic dwellings, while others will be based in large communal centres. One of the first options you have to consider when choosing residential care is whether you need the care home to provide nursing care, or just standard personal care.
Consider other options for care first You should also consider whether you really Going into a care home is a major commitment need the amount of care on offer at a care for your future – it involves changing where home, and look at alternatives such as "extra you live and potentially committing to paying a care" housing schemes or warden-controlled considerable amount of money for your ongoing sheltered accommodation. These options offer accommodation and care needs. independence with an increased level of care and support. Before you opt for a move to a care home, you should think about other less disruptive – and Personal care or nursing care? potentially less costly – options, including: Care homes for older people may provide • home care personal care or nursing care. A care home • help to live independently at home registered to provide personal care will offer support, ensuring basic personal needs are taken care of.
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A care home providing personal care only can until 12 weeks after you've confirmed that the assist you with meals, bathing, going to the toilet care home placement will be permanent. and taking medication, if you need this sort of The Care Act 2014 is changing how people help. Find care homes without nursing. are able to pay for their own care, introducing Some residents may need nursing care, and the right for you to ask for the local authority some care homes are registered to provide this. to pay for the cost of your care while you try to These are often referred to as nursing homes. sell your home. This is known as a "deferred For example, a care home might specialise in payment scheme". certain types of disability or conditions such as dementia. Find care homes with nursing. Choosing a care home if you're funding your own care Choice of care home If you are funding your own care, you have a The law says that where the local authority is great deal of options, and you will need to do funding accommodation, it must allow a person a lot of research on which care home provides entering residential care to choose which care the best options for you in terms of its cost, home they would prefer, within reason. location, services, and a host of other potential Social services must first agree the home is factors. Read on for tips on choosing your care suitable for your needs and it would not cost home. more than you would normally pay for a home Choosing a care home if you're having care that would meet those needs. provided by the local authority Local authority help with the cost of residential After a needs assessment from social care is means-tested. You are free to make your services, you will be provided with a care plan, own arrangements if you can afford the long- which should make clear whether you need term cost. residential care and what other options, if any, However, it is worth asking the local authority might be available and most appropriate based for a financial assessment, because it might pay on your needs. some or all of your care costs. Even if you're unlikely to be eligible for financial In the financial assessment, the local authority help with residential care home fees, it could can only take into account income and assets still be worth involving social services. The you own. The local authority cannot ask needs assessment, and information they members of your family to pay for the basic cost provide, are likely to be very helpful in making of your care. Read more about local authority decisions about care. funding for care and funding your own care. Tips on choosing a care home If you choose a care home that costs more than • Check the most recent inspection report the local authority usually expects to pay for a to see how well the care home is doing and person with your needs, you may still be able to if there is anything of concern. You can get live in the care home if a relative or friend is willing inspection reports by searching for the care and able to pay the difference between what the home on the Care Quality Commission local authority pays and the amount the care website home charges – this is known as a "top-up" fee. • Consider the location of a care home. Is the However, if their situation changes and they care home near family and friends? Are there are no longer able to pay the top-up, the local shops, leisure or educational facilities in the authority may have no obligation to continue to area? Is the area noisy? fund the more expensive care home place and • Is the care home focused on the residents' you may have to move out. It is worth thinking individual needs, or do they insist that about this potentially difficult situation when residents adapt to their routine? deciding on care home options. • What arrangements are there for visitors? Do not cancel your tenancy or sell your home Can residents come and go as they until the final decision has been made by the please, as far as it is safe to do so? Are staff local authority. The value of your home must not able to help residents to go out? Are outings be included in the local authority's means-testing arranged? 34 Care Homes
• What involvement would you have in the • Ask for a temporary stay in the care home care home? How would you communicate before you decide. Temporary stays in with staff? Are there any support groups or care homes can also be arranged regular meetings? in certain circumstances, such as after a stay • If safety and security are issues, what in hospital. arrangements or supervision can the care A good care home will: home provide? • offer new residents and their families or • Will the care home meet your specific carers a guide (in a variety of accessible religious, ethnic, cultural or social needs? formats) describing what they can expect • Will the correct diet be provided? while they're living there Will the right language be spoken? Will there • have staff who have worked there for a long be opportunities to participate in religious time, know the residents well, and are activities? Do they allow pets? friendly, supportive and respectful • When you are choosing accommodation it • employ well-trained staff, particularly where may be a lifelong decision, so you may specialist care such as dementia nursing is want to think about planning for end of required life care at the same time. • involve residents, carers and their families in • You might also want to check what people decision-making who have used the care home say about • support residents in doing things for it from online feedback and review services, themselves and maximising their such as those put together on NHS Choices independence Website.
Eden Cottage is a “home from “Sit Back, Relax and home” where residents can feel Let Us Take Care Of You” at home in a friendly, secure and relaxed environment. All residents are treated as individuals and are encouraged to enjoy life at the Home and to maximise their intellectual, social and physical potential. Our long- standing and dedicated staff recognise that family and friends have an invaluable part to play in a resident’s wellbeing, and encourage visits as much as possible. Disabled Access • En-Suite Rooms Our Services ... Hairdressing Salon • Activities Residential Care|Dementia Care Landscaped Sensory Gardens Respite Care|Day Care Special Dietary Requirements Eden Cottage is a family-run business which was For more information please call established in the early 1980's and has been owned and managed by the same family since 1989. We provide 24 hour care and respite for older people. 01325 281061 Email: [email protected] www.edencottagecarehome.net 37 Cobden Street | Darlington | DL1 4JF
35 Care Homes
• offer a choice of tasty and nutritious food, • have staff who don't make an effort to interact and provide a variety of leisure and social with residents and leave them sitting in front activities taking residents' needs into account of the TV all day • be a clean, bright and hygienic environment • be in a poorly maintained building, with that's adapted appropriately for residents, rooms that all look the same and have little with single bedrooms available choice in furnishings • respect residents' privacy, modesty, dignity • need cleaning, with shared bathrooms that and choices aren't cleaned regularly • be accredited under the Gold Standards If you move into a care home Framework for end of life care When you go into a care home, make sure the An unsatisfactory care home might: management and staff of the home know about • have a code of practice, but not adhere to it your condition, disability and other needs. They • fail to take into account residents' needs and may have some of this information already – for wishes, with most decisions made by staff example, if the local authority has set up the placement after a care needs assessment. • let residents' care plans become out of date, or fail to reflect their needs accurately Moving home can be unsettling at the best of • have staff who enter residents' rooms without times, so when you move into a care home, it's knocking, and talk about residents within good to have it planned in advance and have earshot of other people family or friends around you when you move to make you feel more comfortable. • deny residents their independence – for example, by not allowing someone to feed themselves because it "takes too long"
36 Care Homes
You should also: standards. • contact the benefits office, if you have one Standards for care homes are outlined on (including disability benefits, as these can be the CQC website. These standards are affected by care home stays) underpinned by regulations governing the • make sure other services at your previous quality and safety of services. address have been notified The regulations are enforceable by law – the • let friends and family know your know CQC can enforce fines, public warnings, or contact details and when you might feel up to even suspend or close a service if they believe receiving visitors people's basic rights or safety are at risk. Rights of care home residents Care home closures The Care Quality Commission (CQC) is the Care homes will sometimes close. This can regulator of health and adult social care be because the owner decides not to carry in England, whether it's provided by the on providing the service in that location NHS, local authorities, private companies or (for instance, if they retire), or because the voluntary organisations. Under existing rules, home has been sold or failed to meet legal independent healthcare and adult social standards. Proposals to close a care home services must be registered with the CQC. NHS can obviously cause great distress. If the care providers, such as hospitals and ambulance home is operated by the local authority, it has services, must also be registered. to follow a consultation process with residents The registration of organisations reassures and families. It may be best to get specialist the public when they receive a care service or legal advice in this situation. You can find an treatment. It also enables the CQC to check appropriate solicitor through the Law Society. that organisations are continuing to meet CQC
A friendly and safe welcome Enjoy living in a safe and warm environment where making new friends couldn’t be easier. Excellent home cooked food, a choice of activities and a real sense of community awaits you at our awaits you at our North Yorkshire care homes.
Borrage House care home, Ripon HG4 2PZ 01765 618565 Thornton Hill care home, Thornton-in-Craven, Skipton BD23 3TR 01282 798846 Townend Close care home, Crosshills, Keighley BD20 8SZ 01535 357122 Visit: www.anchor.org.uk/care-homes
37 Care Homes
NURSING HOMES Postcode Name Address Town/City Phone number BD20 7EN Sutton Hall and Lodge Sutton Lane Keighley 01535 635793 BD23 2TA Craven Nursing Home Limited Keighley Road Skipton 01756 700994 BD23 5ET Threshfield Court Station Road Skipton 01756 752200 BD23 6DU The Dales Draughton Skipton 01756 710291 BD24 9JU Anley Hall Nursing Home Skipton Road Settle 01729 822268 DL1 1JF Hundens Park Hundens Lane Darlington 01325 366000 DL1 4JF Eastbourne Care Home 5-7 Cobden Street Darlington 01325 384646 DL10 6EB Scorton Care Village Scorton Richmond 01748 811971 DL3 7AZ Ventress Hall Care Home 22-28 Trinity Road Darlington 01325 488399 DL3 9RE Wilton House Nursing Home Wilton Drive Darlington 01325 353701 DL7 8UE Mount Vale Yafforth Road Northallerton 01609 775444 DL8 1ER Greenwell House Care Home 7-9 Wycar Bedale 01677 424012 DL8 2AS Bedale Grange Care Home 28 Firby Road Bedale 01677 422980 DL9 4DD Rosedale Nursing Home The Old Vicarage Catterick Garrison 01748 834948 HG1 2HA Grosvenor House 39 Duchy Road Harrogate 01423 523447 HG1 2HE Hampden House 120 Duchy Road Harrogate 01423 566964 HG1 2JA Southlands Care Home 9 Ripon Road Harrogate 01423 526203 HG1 4DW Bilton Hall Nursing Home Bilton Hall Drive Harrogate 01423 869131 HG1 4PA Granby Rose Highgate Park Harrogate 01423 505533 HG2 7JA Vida Hall Station View Harrogate 01423 885702 HG2 7LW Belmont House Care Home High Street Harrogate 01423 580884 HG2 7SA Berwick Grange 14 Wetherby Road Harrogate 01423 880194 HG2 8JG Ashfield Court - Harrogate 3 Tewit Well Road Harrogate 01423 560175 HG2 8JT Apley Grange 35 Oatlands Drive Harrogate 01423 885101 HG3 1FE Vida Grange Thirkill Drive Harrogate 01423 788770 HG3 1LH Crystal Court Pannal Green Harrogate 01423 810627 HG3 2AY Westfield House Care Home Ripon Road Harrogate 01423 506344 HG4 1PG Lister House Southgate Ripon 01765 694740 HG4 2SB The Moors Care Centre 155 Harrogate Road Ripon 01765 604107 HG4 2SG Sycamore Hall Kearsley Road Ripon 01765 606025 HG4 5BQ The Coach House Nursing Home Dishforth Road Ripon 01765 600541 HG5 8LS Thistle Hill Care Centre Thistle Hill Knaresborough 01423 869200 LA6 3AB Ingleborough Nursing Home 1 High Street Carnforth 01524 241593
38 Care Homes
RESIDENTIAL HOMES Postcode Name Address Town/City Phone number BD20 8SZ Townend Close Care Home Cross Hills Keighley 0800 085 4339 BD23 2BE Jubilee Lodge Carleton Road Skipton 01609 535569 BD23 2BE Carleton Court Residential Home Carleton Road Skipton 01756 701220 BD23 2BG Ashfield Carleton Road Skipton 01609 534539 BD23 3RH Neville House Neville Crescent Skipton 01609 797438 BD23 3TR Thornton Hill Church Road Skipton 01282 842023 BD23 5AF Gills Top Scar Street Skipton 01756 752699 DL1 2QA Springfield Care Home Limited Wylam Avenue Darlington 07572 608190 DL1 3PT The Grange Whinbush Way Darlington 01325 464900 DL1 4AZ Darlington Manor Care Home 70 Falmer Road Darlington 01325 361166 DL1 4EG The Lawns Care Home Ridsdale Street Darlington 01325 357161 DL1 4JF Eden Cottage Care Home 37 Cobden Street Darlington 01325 281061 DL1 4SU Grosvenor Park Care Home Burnside Road Darlington 01325 366897 DL1 5JR River View Residential Home 30-31 Victoria Embankment Darlington 01325 244960 DL10 4UB Nightingale Hall 7 Seagrim Crescent Richmond 01748 823003 DL10 7AX The Terrace Maison Dieu Richmond 01748 822342 DL3 0FB Elderwood Residential Home Westmoreland Street Darlington 01325 368256 DL3 0SW North Park L’Anson Street Darlington 01325 356000 DL3 7AP Moorlands Residential Care Home 57-61 Stanhope Road North Darlington 01325 353592 DL3 8LH The Gardens Care Home Pondfield Close Darlington 01325 487777 DL3 9HH Holicote 93 Newton Lane Darlington 01325 469707 DL3 9LP Redlands Residential Care Home 122 Woodland Road Darlington 01325 243788 DL6 1SH Valley Road - Resource Centre 65a Valley Road Northallerton 01609 533394 DL7 9AU Leeming Bar Grange Care Home Leeming Lane Northallerton 01677 425594 DL8 1AF The Millings 5 North End Bedale 01677 423635 DL8 2ED Benkhill Lodge 38 Benkhill Drive Bedale 01677 422407 DL9 4DW Hillcrest Care Home Byng Road Richmond 01748 834444 HG1 2NE The Manor House Harrogate 60 Cornwall Road Harrogate 01423 500010 HG1 2NS The Crest Care Home 32 Rutland Drive Harrogate 01423 563113 HG1 5LP Briardene 63 East Parade Harrogate 01423 562667 HG1 5QT Henshaws Society for Blind People 2 East Park Road Harrogate 01423 561484 HG2 0HP The Gatehouse 9 Manor Road Harrogate 01423 535730 HG2 0JS Emmaus House 115 Valley Drive Harrogate 03003 038450 HG2 0JW Avon Lodge & Avon Lodge Annex 24-25 Harlow Moor Drive Harrogate 01423 562625 HG2 0LE The Shieling 58 Harlow Moor Drive Harrogate 01423 508948 HG2 7JB Station View 16 Station View Harrogate 01609 533003 HG2 7SA Tate House 28 Wetherby Road Harrogate 01423 886927 HG2 7TE Brackenley 33 Forest Lane Head Harrogate 01423 862230 HG2 8BG Foresight Residential 66 Leeds Road Harrogate 01423 815555 HG2 9AB Heath Lodge 6 Pannal Ash Road Harrogate 01423 882970 HG2 9NN Larchfield Manor Leadhall Grove Harrogate 01423 871077 HG4 1SN Skell Lodge South Crescent Ripon 01765 602530 HG4 2PZ Borrage House 8 Borrage Lane Ripon 01765 690919 HG5 0AS Sherburn House Chain Lane Knaresborough 01423 789790 HG5 0DB The Manor House 1 Hambleton Grove Knaresborough 01914 605219 YO26 8BT St Johns House Parker Lane Kirk Hammerton 01423 330480 YO51 9EW Springfield Garth York Road Boroughbridge 01609 533443 YO7 1JP Sowerby House Front Street Thirsk 01845 525986 YO7 1QH Hambleton Grange Station Road Thirsk 01845 573778
39 Age UK North Yorkshire & Darlington Head Office: Bradbury House, Beaumont Street West, Darlington DL1 5SX 01325 362832 [email protected] www.ageuknyd.org.uk