Cornwall Care Services Directory 2020/21
The essential guide to choosing and paying for care and support
www.carechoices.co.uk Home Care Service for people who wish to stay living independently in their own homes
At Cornwall Care we recognise the importance of individual living; we understand that having the opportunity to live independently in your own home can have an enormous impact on your confi dence and wellbeing.
We have over 200 dedicated staff members delivering care across Cornwall from an hour a week to 24 hours a day. We support people with a variety of conditions, including but not limited to:
- Physical disabilities - Learning disabilities - Children and families with disabilities* - Age related illnesses and palliative care - Dementia and mental health conditions
* This covers disabled children over the age of 18 and parents with disabilities themselves
01872 597800
XXX - Home Care Poster--A4.indd 2 08/02/2018 10:57 Contents
Introduction 4 Important information 46 How to use this Directory Further help and information
A message from Cornwall Council 5 Residential care in Cornwall 49 Comprehensive listings by region Helping you to stay independent 5 Local services, equipment and solutions Useful local contacts 60
Support from the council 14 Useful national contacts 61 First steps and assessment Index 63 Services for carers 16 Assessment, benefits and guidance Essential checklists Assistive technology 12 Care in your own home 18 Home care agency 25 How it can help Care homes 41 Residential dementia care 42 Living with dementia at home 19 Family support, respite and services All the listings in this publication of care homes, care homes with nursing and home care providers Paying for care in your home 26 are supplied by the Care Quality Commission Understanding your options (CQC) and Care Choices Ltd cannot be held liable for any errors or omissions. Home care providers 27 A comprehensive list of local agencies
Housing with care 33 The different models available
Specialist services 34 Disability care, end of life care and advocacy
Care homes 38 Types of homes and activities explained
Paying for care 43 Understanding the system
To obtain extra copies of this Directory, free of charge, call Care Choices on 01223 207770.
Alternative formats This Directory is available electronically at www.carechoices.co.uk. The e-book is also Recite Me compatible for those requiring information in the spoken word.
Visit www.carechoices.co.uk for further assistance with your search for care 3 Introduction
Welcome to this edition of the independent There’s also important information about care Cornwall Care Services Directory, which contains decisions, including finding care in another county, information for adults looking for care or support making a comment or complaint about a service and within the county, whether they are paying for it how solicitors can help you. themselves or receiving support from the council. Finding care in your area Staying as independent as possible is important to everybody. This Directory contains information Looking for care in your area? Want to know the about the care and support services available to quality rating of providers you’re considering? enable you to do this when remaining at home, Care Choices, publisher of this Directory, has a moving into a housing with care scheme, or within a website providing comprehensive details of care care home or care home with nursing. providers as well as essential information.
If you feel you need support to remain independent, You can search by postcode, county or region for first look to your community. There’s a host of care homes, care homes with nursing and home organisations and voluntary services that could help care providers that meet your needs across the you. country.
If you think you need more formal care and support, Your search can be refined by the type of care you arrange an assessment with your local adult are looking for and the results can be sent to you social care department to establish your specific by email. They can also be saved and emailed to needs. This is free, irrespective of your income and others. available to all those who appear to need care and The website includes detailed information for support. More details are provided on page 14. The each care provider, including the address, phone assessment will determine whether you are eligible number and the service’s latest CQC inspection for financial support via a Personal Budget, which report and rating (see page 47), indicating the may allow you to buy in your own support and take quality of care provided. control of your situation.
You can also view an electronic version of this Alternatively, your circumstances may mean you Directory on the site and have it read to you by are classed as a ‘self-funder’, with the means to pay using the ‘Recite Me’ function. Visit for your care. This is discussed on page 26 for those www.carechoices.co.uk paying for care at home and 43 for those paying for residential care.
Support or care to remain living in your own home may be the option that best suits your Search for care in circumstances. Ideas to make life easier at home your area start on page 5 and a list of local home care providers begins on page 27. www.carechoices.co.uk
If you are unable to remain at home, you may want • Find care providers quickly and easily to consider a housing with care scheme (see page 33) or residential care. Comprehensive lists of care • Search by location and care need homes and care homes with nursing in Cornwall start on page 49.
4 Search for care at www.carechoices.co.uk to find support in your area A message from Cornwall Council
Cornwall Council’s Adult Social Care and Health You can use the Support in Cornwall website Directorate helps adults with eligible social care (www.supportincornwall.org.uk) to find help from needs find care and support so they can live as community and voluntary groups. The website independently as possible in their own homes. includes information about: This includes older people, people with physical • support at home; disabilities or learning disabilities and mental health service users. The council can also work with you if • leisure activities; you need help to understand what your needs are • getting around; and how to access the services you need. • health and wellbeing; Social care support includes: • work, learning and volunteering; • making sure you eat well and look after yourself; • advice, information and money matters; • help with day-to-day living; • staying safe; • ensuring your emotional wellbeing and mental health are good; • caring for someone; and • helping you stay safe; and • housing and care homes.
• supporting your family and friends to care for The way Cornwall Council provides care and support you. for people is determined by the Care Act 2014. To find out more about the Care Act, go to The council also provides support for carers who www.cornwall.gov.uk/careact look after relatives or friends who cannot manage on their own. Adult Social Care – Cornwall Council New County Hall, Treyew Road, Truro TR1 3AY In many cases, the council works with organisations Tel: 0300 1234 131 in the community, or health colleagues, to support Email: [email protected] people to live as independently as they wish to. Helping you to stay independent
Services developed in partnership with the voluntary sector Adult Social Care works with voluntary and • support schemes to help people being community organisations to supply preventative discharged from hospital; care services. These are a vital form of support and • support for carers; and help to maintain independence and social inclusion, and delay or avoid the need for more statutory • handyperson schemes. interventions.
Examples include: • day services, lunch clubs and social groups; • befriending, visiting and telephone contact services;
Visit www.carechoices.co.uk for further assistance with your search for care 5 Day care centres Many people can feel lonely or isolated without Pengarth Day Centre an opportunity to fill their days with meaningful Morrab Gardens, Penzance TR18 4DA activities. Research has shown that one way to Tel: 01736 364307 alleviate loneliness and promote wellbeing and independence is to provide regular social contact St Mary’s Haven Day Care Centre and a focus for activities. 12 St Mary’s Street, Penzance TR18 2DH Tel: 01736 367342 Day care centres give people the chance to change their routine, meet new people, take up an activity Concern Wadebridge or receive specialist services such as chiropody or John Betjeman Centre, Southern Way PL27 7BX hairdressing. There is a wide variety around the Tel: 01208 812392 county, catering for older people, people with mental health conditions, learning disabilities and Westgate Centre dementia. 28a Westgate Street, Launceston PL15 7AE Tel: 01566 777344 Centres can be as important for carers as those attending as they allow for a regular break from Learning disability day centres caring. Blantyre Centre Age UK day centres Truro Road, St Austell, Cornwall PL25 5HJ Tel: 01726 72583 or 73357 Age UK Cornwall & The Isles of Scilly Boscawen House, Chapel Hill, Truro TR1 3BN Bodmin Day Centre Tel: 01872 266383 Lyndhurst, 66 St Nicholas Street PL31 1AG Tel: 01208 73623 Falmouth Day Centre Killigrew Street TR11 3QP Bridge, The Tel: 01326 316880 Falmouth Skills for Life Centre, Tregenver Road TR11 2QW Newquay Day Centre Tel: 01872 327604 Kimberley Close, Crantock Street TR7 1JR Camborne Day Centre Tel: 01637 876150 Liberal Hall, Vyvyan Street TR14 8AS Tel: 01209 697447 St Austell Day Centre St John’s Church Hall, Drym Valley Centre Bodmin Road PL25 5AE Higher Drym Farm, Praze, Tel: 01726 76806 Camborne TR14 0NU Tel: 01736 850707 Other day centres Holifeld Farm Project Daycare Chy Koes and Tregarne Bonallack Lane, Gweek TR12 6UJ North Street, St Austell PL25 5QE Tel: 01326 221017 Tel: 01726 72429 John Daniel Day Centre Hayle Day Care Centre Roscadghill Road, Heamoor, Commercial Road TR27 4DE Penzance TR20 8TP Tel: 01736 755000 Tel: 01736 336750
6 Search for care at www.carechoices.co.uk to find support in your area Kehelland Horticultural Centre Eldon House Kehelland, Camborne TR14 0DD Downgate, Upton Cross, Tel: 01209 718975 Liskeard PL14 5AJ Tel: 01579 362686 Launceston Day Centre The Orchard Centre, Eventide Home Liskeard Market Street PL15 8AU 14 Castle Street PL14 3AU Tel: 01566 777375 Tel: 01579 342676
Morley Tamblyn Lodge Eventide Residential Home Lodge Hill, Liskeard PL14 4EN 22 Downs View, Bude EX23 8RQ Tel: 01579 345858 Tel: 01288 352602
Park View Godolphin House Care Home The Old Cattle Market, Porthleven Road, 42 Godolphin Road, Helston TR13 8QF Helston TR13 0SR Tel: 01326 572609 Tel: 01326 569529 Harbour House Physical disabilities centres Penberthy Road, Portreath, Redruth TR16 4LW Echo Centre Tel: 01209 843276 Barras Place, Liskeard PL14 6AY Tel: 01579 347836 Hillsborough Residential Home Southern Road, Callington PL17 7ER Cornwall care homes offering day care Tel: 01579 383138
Torpoint Longview Care Home Vicarage Road PL11 2BW Rosehill, Goonhavern, Truro TR4 9JX Tel: 01752 813677 Tel: 01872 573378
Torcare Porte Rouge Manse, The Vicarage Road PL11 2EP 15 Cargoll Road, St Newlyn East, Tel: 01752 814469 Newquay TR8 5LB Tel: 01872 510844 Appleby Lodge 157 Launceston Road, Kelly Bray, Old Manor House, The Callington PL17 8DU 6 Regent Terrace, Penzance TR18 4DW Tel: 01579 383979 Tel: 01736 363742
Ar-Lyn Residential Home Torcare Antony Vicarage Lane, Lelant, St Ives TR26 3JZ Torpoint PL11 3AQ Tel: 01736 753330 Tel: 01752 812384
Caprera Penmeneth House 61 Truro Road, St Austell PL25 5JG 16 Penpol Avenue, Hayle TR27 4NQ Tel: 01726 72956 Tel: 01736 752359
Eirenikon Park Pendarves Residential Care Home Bossiney Road, Tintagel PL34 0AE 25 Pendarves Road, Camborne TR14 7QF Tel: 01840 770252 Tel: 01209 714576
Visit www.carechoices.co.uk for further assistance with your search for care 7 Pendrea House Mental Health Resource Centres 14 Westheath Avenue, Bodmin PL31 1QH Tel: 01208 74338 Anchor Project Falmouth Perran Bay Care Home Tel: 01326 315822 St Piran’s Road, Perranporth TR6 OBH Tel: 01872 572275 Boundervean Camborne Polventon House Tel: 01209 613006 High Street, St Keverne, Helston TR12 6NS Tel: 01326 280734 Bude Tel: 01288 355695 Roseacre St Winnolls, Polbathic, Torpoint PL11 3DX Caradon Liskeard Tel: 01503 230256 Tel: 01579 347651 Rowan House Elfordleigh 4 Lower Port View, Saltash PL12 4BY Launceston Tel: 01752 843843 Tel: 01566 761155 Springfield House Fountain House North Hill, Launceston PL15 7PQ St Austell Tel: 01566 782361 Tel: 01726 76299
St Anthony’s House Richmond House Station Road, Liskeard PL14 4BY Penzance Tel: 01579 342308 Tel: 01736 350752
St Clair House Roswyth 32 Basset Road, Camborne TR14 8SL Newquay Tel: 01209 713273 Tel: 01637 873122
St Petroc’s Care Home Stepping Stones St Nicholas Street, Bodmin PL31 1AG Truro Tel: 01208 262900 Tel: 01872 241783
Wentworth Residential Care Home Trelil Court 59 South Street, St Austell PL25 5BN Bodmin Tel: 01726 72941 Tel: 01208 76899
Search for care in your area
www.carechoices.co.uk • Find care providers quickly and easily • Search by location and care need • Information on care quality • Links to inspection reports With so many providers to choose from, • Additional information, photos and web links where do you start? • Brochure requests
8 Search for care at www.carechoices.co.uk to find support in your area Meals on wheels Some services can deliver frozen or freshly cooked internet – your local library may be able to help here. meals to your home. Frozen meals can be delivered in bulk and kept in your freezer until required, while Adult Social Care also provide advice, call hot meals should be eaten immediately. 0300 1234 131, or check the Support in Cornwall website for services in your area at You may find a service by word of mouth or using the www.supportincornwall.org.uk
Adapting your home To remain in your own home for as long as you would contractors. Subject to your acceptance, the HIA will like, you should ensure that it is safe, secure and then offer to manage the works contract for you for warm. Some forward planning to ensure that the an agreed fee. garden doesn’t become a burden is also sensible. If you are not planning to move, think about HIAs may also be helpful if you are not sure whether adaptations that would make life easier now and you can afford the home repairs or adaptations later on. you need. They can advise on your eligibility for any grants and, if necessary, put you in touch with an Home Improvement Agencies (HIAs) independent financial adviser. HIAs are local organisations funded and supported by local and central government. They work For further information about, and contact details professionally and sensitively with older and for, local HIAs, visit www.housingcare.org or disabled homeowners, providing advice, support and contact your local council. assistance to help them repair, improve, maintain or adapt their homes to meet their changing needs.
Most HIAs provide three main services, including: information and advice on repairs or adaptations you may be considering – this usually entails a visit to your home and is often free; a handyperson service for small jobs and repairs – typically, the HIA will employ its own handypersons and charge you an hourly rate for their services; and a home adaptations service for more major works.
The HIA will work with you to specify the adaptations needed, and they will normally offer to get estimates from one or more of their regular
Tell us what What have you found useful? you think What could we do better?
Share your feedback – take our five minute survey www.carechoices.co.uk/reader-survey
Visit www.carechoices.co.uk for further assistance with your search for care 9 Making life easier at home If you’re having difficulties with everyday tasks at home, these simple solutions could make life easier and keep you independent. These are a starting point; other solutions are available which might better suit your needs.
Finding it difficult to get in and out of chairs? Try Do you forget to take your tablets? Try making putting a piece of hard board under the seat base. a note of when you’ve taken them, or buy Alternatively, buy chair raisers, a higher chair or an an automatic pill dispenser or pill box. If you electric riser chair. Also try taking regular gentle struggle to open your medicine, you can ask your exercise. pharmacist for advice on alternative packaging that could make it easier for you. If you can’t reach your windows, could you move furniture out of the way? Ask someone to help if Can you reach everything in your cupboards? If you need to move heavy furniture. There are also not, try a handi-reacher or rearrange your kitchen tools for opening and closing windows. so the things you use most are within easy reach.
Struggling to keep warm/cool? Consider a fan If you are having problems with preparing food, or heater. Is your house insulated? Are there any consider buying ready-chopped options or try a draughts? You may also be eligible for the winter chopping board with spikes. There are also long- fuel payment from the Government. Visit handled pans, teapot tippers and lid grippers that www.gov.uk/winter-fuel-payment could help. Palm-held vegetable peelers or a food processor might be a solution and meal delivery If you have trouble using light switches, think services are also available. about replacing your switches for ones that are easier to use. Consider handi-plugs or light switch Is eating and drinking becoming difficult? Large toggles, or there’s even technology available handled cutlery could help, or non-slip mats for so that you can turn your lights on and off using the table. Lightweight cups and mugs with two speech. handles could also be a solution.
Use subtitles if you can’t hear the TV, or buy Using taps can be made easier by fitting tap wireless headphones. Do you need a hearing aid? turners. You could also consider changing to lever- Request an assessment from your council. style taps which might be easier for you to use.
Handled plug Chair raisers Chopping board Level indicator Teapot tipper
10 Search for care at www.carechoices.co.uk to find support in your area More information on staying independent and ideas to help you live at home can be found online at www.carechoices.co.uk/staying-independent-at-home/ There is also information on making larger adaptations to your home.
If moving whilst in bed is a problem, have you If it’s hard to hold your toothbrush, try a thought about using an over-bed pole? You might toothbrush gripper. You might also benefit from also want to buy a pillow raiser or change your having an electric toothbrush or sitting on a stool bedding so it’s lighter. while brushing your teeth.You might like to buy a raised toilet seat, or a seat with a built in support Is it becoming difficult to get dressed? If so, frame if it’s hard to use your toilet. Flush lever specially adapted clothing is available, or you extensions are also available. could buy a long-handled shoe horn, a dressing stick or a button hook. If you are having a lot of Has it become more difficult to wash? Items are difficulty, consider home support, see page 18. available, like long-handled sponges and flannel straps. You could also consider a slip resistant Clocks are available with large numbers or lights bath mat, grab rails, a half step to help you get in if you can’t read the time in bed. You can also buy and out of the bath or a bath or shower seat. Tap clocks that speak the time. turners can also be used in the bathroom.
If you are finding it harder to read in bed, consider an e-reader that allows you to change For more information on technology that could the font size. Some also have integrated lights. make your life easier, contact your council for Look for bedside lamps with a step-on or button an assessment. They might refer you to an switch if yours are difficult to use. occupational therapist (OT) or you could contact an OT privately. Search online for OTs near you. Do you struggle to get in and out of bed? You could learn new ways of moving around, Cornwall Council’s Adult Access Team purchase a leg lifter or a hoist or install grab rails Tel: 0300 1234 131 for support. Seek advice about these options. Email: [email protected] If the bed is the issue, you could buy an electric Web: www.cornwall.gov.uk/health-and-social- adjustable bed or raise the bed to the right height. care/adult-social-care/request-help-for-an-adult
Grab handles Bed table Hand rail Hand trolley Tap turners
Visit www.carechoices.co.uk for further assistance with your search for care 11 Assistive technology checklist © 2020 Care Choices Ltd We suggest you consider the following questions before buying any assistive technology. If you are in any doubt about what technology might help meet your needs, you can contact your council or visit https://asksara.dlf.org.uk
You can download and print this checklist at www.carechoices.co.uk/checklists
Suitability Will it need to be installed by a professional? Does the equipment support your specific Can the retailer provide you with training in needs? using the equipment?
Are you willing to use it? Reliability Will it fit into your everyday life and routine? Will it work if you have pets or live with other Have you tried a demo of the equipment? people, e.g. could someone else set off a sensor Do you understand what the equipment is for? alarm by accident?
Do you need to take it with you when you Have you read reviews of the particular piece leave the house? Is it transportable? of equipment you are looking at? Consider these before making your purchase. Does the equipment have any limitations that would make it unsuitable for you? Can you speak to someone who already uses it?
Will it work alongside any assistive technology Does it require batteries? Find out how often you already have? they will need changing and whether the equipment will remind you to do this. Usability Is it durable? If you might drop it, is it likely Is a simpler piece of equipment available, to break? e.g. a pill case rather than an automated pill dispenser? Cost Does the equipment need a plug socket, and will its wire cause a trip hazard? Do you know how much it costs?
Is it easy to use? Can you read/hear it clearly Will you need to pay a monthly charge? and are any buttons big enough for you? Are there alternative solutions that might Are you able to use it? Are there any aspects be free? you don’t understand? Is there a cost associated with servicing the Is it portable? equipment?
Notes
12 Search for care at www.carechoices.co.uk to find support in your area Specialist equipment There is a range of equipment available to make life paediatric mobility and transportation, daily living easier and to improve safety and independence in equipment, driving and wheelchairs. the home, such as stair rails, raised toilet seats and North Buildings, Royal Cornwall Hospital, shower stools. These items are often referred to as Truro TR1 3LQ ‘simple aids for daily living’. Tel: 01872 254920 Email: [email protected] Cornwall Council has partnered with the Disabled Web: www.cornwallmobility.co.uk Living Foundation (DLF) to provide a quick and easy to use online guided advice service called AskSARA, disAbility Cornwall & Isles of Scilly which can help anyone who finds that they have A user-led disabled people’s organisation difficulties with everyday tasks. providing a range of services to empower, assist and facilitate independent living and, when Visit https://asksara.dlf.org.uk to learn more about necessary, act as a representative voice for possible solutions or see pages 10 to 11. Once you disabled people, their families and carers. have identified equipment that might help with your Units 1G/H Guildford Road Industrial Estate, support needs, use the checklist on page 12 to make Guildford Road, Hayle TR27 4QZ sure it’s right for you. Disability Information and Advice Line: 01736 759500 Useful contacts Email: [email protected] Web: www.disabilitycornwall.org.uk Action on Hearing Loss Unit 27, HQ Business Centre, 237 Union Street, Hearing Loss Cornwall Plymouth PL1 3HQ Supports deaf and hard of hearing people in Tel: 01752 228657 Cornwall and the Isles of Scilly. Web: www.actiononhearingloss.org.uk 3 Walsingham Place, Truro TR1 2RP Tel: 01872 225868 Cornwall Blind and Partially Sighted Textphone: 01872 263664 Association, The Email: [email protected] Telephone support, befriending, advocacy and Web: www.hearinglosscornwall.org counselling schemes. The Sight Centre, Newham Road, Tremorvah Industries Truro TR1 2DP Endeavours to match the best mobility equipment Tel: 01872 261110 to people’s needs and aspirations. Email: [email protected] Unit 8, Threemilestone Industrial Estate, Web: www.isightcornwall.org.uk Truro TR4 9LD Tel: 01872 324340 Cornwall Mobility Centre Email: [email protected] Assessments, information and advice for Web: www.tremorvah.co.uk
Telecare Telecare is equipment that can detect falls, family member, carer, neighbour, doctor or the inactivity, smoke, flooding, gas or extreme emergency services. temperatures in the home. Sensors, when activated, will connect to a response centre where trained Telecare can allow users to regain confidence in operators will contact the individual through their their homes and remain independent. Relatives and home unit. They will take the most appropriate carers are also reassured, safe in the knowledge that action, such as contacting a nominated responder, should an incident occur, they will know about it.
Visit www.carechoices.co.uk for further assistance with your search for care 13 Some devices can also help monitor particular you’re eligible through an assessment (see below), health conditions and reduce the need for hospital Cornwall Council may be able to provide support to admission. help you access equipment.
You can buy telecare and assistive technology For further information, please visit from private companies and organisations or, if www.cornwall.gov.uk/alfilifeline
Support from the council
The way councils provide services to eligible adults they need without direct council involvement. If you and their carers is called personalisation. This term is approach the council for social care support, your used to describe a number of ways in which eligible needs and finances will be assessed. If you have a adults can receive a mixture of local authority and carer, they can be involved and have their needs government money to pay for the care services assessed too.
Your assessment If you appear to have care or support needs, you an assessment. Call 0300 1234 131. have the legal right to an assessment of your care needs and finances. Councils are statutorily obliged Once Adult Social Care has an understanding of to provide this to you, regardless of whether you your care and financial needs, the next stage is to access their services. The assessment (which is free) determine what services you may be eligible for and will consider: who will pay for them. The council will give you more information on eligibility and the national eligibility • how you can best be supported to live as criteria it uses at the time of your assessment. independently as possible;
• your home and how you are coping in it; Information on paying for care can be found at • your emotional wellbeing; www.cornwall.gov.uk/health-and-social-care/ adult-social-care/paying-for-adult-social-care or • your diet; and on page 26 if you are receiving home care and www. • any health and medical treatments you need. cornwall.gov.uk/health-and-social-care/adult- social-care/choosing-to-live-in-a-care-home or You will need to contact Adult Social Care to arrange on page 43 if you are moving into a care home.
Personal Budgets If you are eligible for support from the council, you partial contribution to such costs. You may also may be given a Personal Budget. choose to pay for additional support on top of the budget. Any eventual contractual agreement for A Personal Budget is the amount of money that services is between you and your care provider, the council calculates it will cost to meet the not the council. support needs of eligible people. If you are eligible for a Personal Budget, the actual amount you If you are eligible, a Personal Budget may be taken: receive will depend on your eligible needs and your finances. The money should be spent in line • in the form of a Direct Payment, held directly by with a support plan that has been agreed by both you or, where you lack capacity, by a ‘suitable you and the council and can be either a full or a person’;
14 Search for care at www.carechoices.co.uk to find support in your area • by way of an account held and managed by the Direct Payments can only be used to pay for the council in line with your wishes; or care and support agreed in your care and support • as a mixture of these options. plan with Adult Social Care.
Assessments from hospital If you have been admitted to hospital and you might Social Care will work with you, your family and carers need care on discharge, you may be referred to to either restart services already in place prior to the discharge team for an assessment, which will admission or to provide the appropriate services if take place on the ward. The team may be made up you are eligible. of social workers, carers’ officers, mental health workers and housing officers. Sometimes interim care packages are set up to facilitate your discharge and you will be reassessed by Whatever services you need on discharge, Adult a community social worker within four to six weeks.
Short Term Enablement Planning Service (STEPS) STEPS is run by CORMAC in partnership with Alternatively, you might be referred for an Cornwall Council. It works with vulnerable adults assessment by the hospital discharge team or other over 18 years old, who may be elderly, have a health care professionals. physical or sensory impairment, or have a learning disability or mental health needs. After your period of support, you are likely to be able to manage independently or with help The service can support you for a limited period, from friends, family and the community. If you following some sort of health or social care crisis need more support, the council will carry out a at home, where some temporary support at home needs assessment (see www.cormacltd.co.uk/ may be required, or when you are returning home reablement-and-care-services or page 14 for more from hospital and need some extra support or re- information). enablement. Depending on your length of time with the service STEPS aim to produce better outcomes for people and your financial circumstances, you may be through enablement, working with other health required to pay for, or contribute to, the costs of the professionals if necessary, to help you regain support provided. maximum independence. The service can only be accessed once you have had an assessment. To You can get more advice by calling 0300 1234 131 arrange for an assessment, call 0300 1234 131. and asking for the assessments team.
Intermediate care This aims to give recovery and rehabilitation with additional support provided by the local GP support to help people regain their independence surgery, social workers and community nurses. This when they come out of hospital or, just as combined resource helps people to regain their importantly, prevent them going unnecessarily independence and feel confident in their ability into hospital. to manage for themselves with any necessary additional support. Intermediate care can be provided in your own home or in a care home, depending on local policy Intermediate care, including any care home fees and your specific needs. It can be provided by care where relevant, is provided by the NHS and is free. It staff, occupational therapy and physiotherapy, is usually limited to a maximum of six weeks. If, after
Visit www.carechoices.co.uk for further assistance with your search for care 15 this, you have ongoing care or support needs, the British Red Cross also provides a support council will conduct an assessment and may help at home service to help people regain their you to arrange any services you might need. There independence. may be a charge for these services. Tel: 01235 552665 Email: [email protected] Age UK Cornwall & The Isles of Scilly’s Home Support Service can help with domestic tasks such Royal Voluntary Service Cornwall Community as cleaning and shopping, or by simply staying Transport Liskeard can tailor support to your with someone to allow their carer to go out. individual needs, including community transport Tel: 01872 266383 services to keep you mobile. Email: [email protected] Tel: 01579 348262
NHS Continuing Healthcare NHS Continuing Healthcare is a package of People eligible for NHS Continuing Healthcare will continuing care that is arranged and funded solely have been assessed to have a ‘primary health need’ by the NHS. This is free of charge, wherever it is and are likely to have complex medical needs and delivered. NHS Continuing Healthcare support substantial or intense ongoing care needs. may be provided in a care home or care home with nursing or in a person’s own home. See page 44 for more information.
Personal health budgets A personal health budget is an amount of money The aim is to enable people with long-term to support a person’s identified health needs. It is conditions and disabilities to have greater choice, planned and agreed between the person and their flexibility and control over the healthcare and local NHS team. support they receive. Services for carers
Who is a carer? Carers regularly look after, help or support • has a long-term health condition; or someone who wouldn’t be able to manage everyday life without their help. A carer doesn’t • misuses drugs or alcohol. have to be living with the person they care for, and the help they give doesn’t have to be physical. The The carer may be helping with: carer may be caring for a partner, another relative, a friend or a neighbour. For example, it may be • personal care, such as washing and dressing; someone who: • going to the toilet or dealing with incontinence;
• is over 60; • eating or taking medicines;
• is living with dementia; • getting about at home or outside;
• has a physical or learning disability or a mental • practical help at home and keeping someone health condition; company; or
• has sight, hearing or communication difficulties; • emotional support or communicating.
16 Search for care at www.carechoices.co.uk to find support in your area Having a carers’ assessment Anyone who provides, or intends to provide, regular • the care the carer provides and how this affects unpaid support to someone who could not manage their life; without their support has the right to have their own • any support they are getting now and what else needs assessed, even if the person they care for has would help; and refused support services or an assessment of their own needs. • what they would like their support to achieve.
A carers’ assessment is an opportunity for people The assessment can also give lots of information to tell the council what they need as a carer, and about other services that might help, and other to find out what support might be available. The ideas for support. The carer’s assessment will show assessment is an essential first step for carers to get if the carer qualifies for support from Adult Social the support they may need. It looks at: Care.
Carers’ Personal Budgets A carers’ Personal Budget is a single payment Budget, it gives priority to situations where there that can be used towards the cost of something is a significant risk of the carer not being able to specific that will support carers in their caring role. continue to provide care if they do not get some For example, it could be used for leisure activities, support. The amount a carer could get depends on education or training, or just to take a short break their needs identified by their carer’s assessment. from caring. The money is not taxed, and it will not affect any When Adult Social Care considers a carer’s Personal benefits.
Respite at home Home-based respite services give carers a break the person who is being cared for. If they have a from their caring responsibilities. A care worker can Personal Budget for their own needs (see page 14) come in to look after the person being cared for, so they could use that money to pay for it. the carer can have some time to themselves. The breaks could be regular or just when needed. A financial assessment of the person being cared for will confirm whether they need to pay towards the Respite at home is considered to be a service for cost of this service.
Benefits Carers may want to explore whether they are You can find out more about what organisations entitled to Carer’s Allowance – currently £67.25 per support carers in Cornwall by exploring week but this may change over the lifetime of this www.supportincornwall.org.uk/carers Directory.
Carers may also qualify for Carer’s Premium or Carer’s Credit depending on their eligibility. The Government’s website, www.gov.uk has more information on benefits, including carers’ benefits. Alternatively, contact a local carers’ organisation which may be able to help undertake a benefit check.
Visit www.carechoices.co.uk for further assistance with your search for care 17 Emergency Carers’ Card Scheme Adult Social Care runs an innovative, free scheme to emergency contact who is called by the operator ensure that alternative plans can be put into place is a neighbour, friend or family member. This gives in the event of a carer having an emergency that people the peace of mind that in the event of an leaves them unable to carry out their caring role. emergency, procedures are in place to look after the person being cared for. Carers carry a card with emergency contact details and, if an emergency arises, they can call For more information, call 0800 587 8191 or email the number on the back of the card. The operator [email protected] answering the call will then put into place the agreed emergency plan to support the person being Alternatively, apply for a card online using the cared for. Emergency Carers’ Card application form at www.cornwall.gov.uk/health-and-social-care/ The service is free, and in many instances the carers/emergency-carers-card-scheme
Resource for those supporting disabled children My Family, Our Needs is an years with additional needs. As well as guidance, online resource providing policy and signposting, there is a lifestyle section impartial information for parents covering topics such as health and for parents, carers and wellbeing, work, family and relationships. Visit practitioners supporting children from birth to 25 www.myfamilyourneeds.co.uk Care in your own home
Carefully chosen home care with a good quality to stay happy and safe. It can offer the opportunity to provider is an excellent way to retain your freedom stay at home, in your own familiar surroundings, and and independence, whilst getting the help you need to retain a quality of life you might have feared lost.
Why choose home care? Reasons for choosing home care can vary. Sometimes contacting Adult Social Care is a good first step after a stay in hospital, someone might find they need towards finding help. some help whilst they recuperate. Others can find that a long-term condition or disability means they How home care can help you can no longer cope and they need a bit of help. The level of home care provided can be tailored to meet your needs – from a visit once a day to a much After a stay in hospital someone may carry out an greater amount of support. assessment of your situation to see if home care will benefit you. You and your family will be fully involved Even those with quite significant and debilitating in looking at what will suit you best if you’d like them medical conditions can get skilled personal care to be. that can enable them to stay in their own homes. Some agencies will provide live-in care, where a Alternatively, you or those close to you might notice care worker will stay with you at home to support changes in your ability to manage the day-to-day you throughout the day and night. A list of all things you normally cope with easily, like preparing home care agencies operating in Cornwall starts meals or looking after yourself. If this happens, on page 27.
18 Search for care at www.carechoices.co.uk to find support in your area Finding the right support This Directory offers a website service allowing you to treat customers with dignity and respect and to search by postcode or region for care homes, operate at a level above the legal minimum required care homes with nursing and home care providers in legislation. that meet your requirements across the country. Your search can be sent to you by post or email. Social care regulations do not apply to cleaners, handymen or gardeners. However, some home care If you are searching online, the results can be agencies are increasingly providing staff who can saved and emailed to others. You can also view an help meet these needs too. electronic version of this Directory on the site and have it read to you by using the ‘Recite Me’ function. The benefits of using a regulated agency include: • assessing your care needs and tailoring a plan to Whatever your care needs, this Directory and the meet those needs; Care Choices website service will be able to point you in the best direction, however you would like • advertising, interviewing and screening suitability care information presented. Visit of workers; www.carechoices.co.uk • arranging necessary insurance cover;
The Care Quality Commission (www.cqc.org.uk) • providing training and development for care is responsible for checking that any care provided workers; meets essential standards of quality and safety. • managing workers’ pay, including compliance Further information is on page 47. with the National Minimum Wage;
The United Kingdom Homecare Association • managing employment relationships, including (UKHCA) requires its members to comply with a sickness, absence and disciplinary matters; and code of practice. This code includes a commitment • managing health and safety issues. Living with dementia at home
If you are concerned about persistent forgetfulness • specialist day centres; or memory difficulties, it is important to consult a • respite care or short breaks; GP. They can undertake an initial examination and refer you to a memory clinic for further investigation • assistive technology and community alarms; if necessary. • home care; • meals at home; The various types of support available to you and your carer are likely to involve NHS services, Adult • community equipment; Social Care and voluntary agencies. Some examples • extra care sheltered housing; and of services and support to help people living with dementia include: • carers’ support groups.
Family support If you know someone who is worried about their on what the person can do, not what they cannot memory, encourage them to visit their GP. The more do, help with little errands or with cooking, listen to support you can give someone, the better life with the person with dementia, and find out more about dementia can be, especially in the early years. Focus the condition.
Visit www.carechoices.co.uk for further assistance with your search for care 19 When someone is living with dementia, they need: • freedom from as much external stress as possible; and • support to live their life; • appropriate activities and stimulation to help • reassurance that they are still valued and that them to remain alert and motivated for as long as their feelings matter; possible.
Dementia Friends People with dementia sometimes need a helping can make a difference to people living with hand to go about their daily lives and feel dementia – from helping someone find the right included in their local community. Dementia bus to spreading the word about dementia. Friends is giving people an understanding of See www.dementiafriends.org.uk for further dementia and the small things they can do that information.
Respite care Spouses, partners and relatives who care for a and can involve the person with dementia attending person with dementia may require a break from a day centre or a care worker visiting the person’s their caring responsibilities. This is known as ‘respite home to enable the carer to have a break. care’ and may be a regular break of a few hours a week or a period of a few weeks. Contact the council to see if you are eligible for support with arranging these services, see page 14 It may be planned or be required in an emergency for information on assessments.
Care at home It can often be best for a person with dementia to The person living with dementia will respond best to stay living in their own home for as long as possible. the same care staff who know them well. Continuity of care can be provided by either care agencies or This may mean that they require some support carers employed directly by the person or his or her services at home. family.
Specialist dementia day centres A good day care service will be able to offer a range Activities may include outings, entertainment, of activities and support that will enable the person personal care, meals, hairdressing and support for with dementia to retain skills and remain part of carers. their local community. Attendance at day centres can be offered from just Specialist day centres for people with dementia a few hours a week to a number of days. Contact the should be organised and run with their needs in council or your local Alzheimer’s Society office for mind, aiming to build on their strengths and abilities. more details, see ‘Useful local contacts’ on page 60.
Memory cafés There are memory cafés in most of the major towns care professionals are on hand to answer questions in Cornwall, which provide an opportunity for people and offer advice in an informal setting. Please with memory issues and those who care for them contact individual service providers for further to drop in for a chat and a coffee. They usually offer information. These listings were correct at the time reminiscence-based activities and health and social of publication.
20 Search for care at www.carechoices.co.uk to find support in your area Bodmin Cornwall College Lanivet Community Hall, Rectory Road, Trevenson Restaurant, Camborne Campus, Lanivet PL30 5HA Trevenson Road, Pool, Redruth TR15 3RD Email: [email protected] Tel: 07468 701368 or 07956 809614 Co-ordinator: Brenda Harris Co-ordinators: Nicola Ryan and Dani Hamilton Open: Every second and fourth Thursday, Open: Every Thursday, 2.30pm to 4.00pm 2.00pm to 4.00pm Downderry Bude St. Nicolas Church, Main Road PL11 3LE Park House Centre, Ergue-Gaberic Way EX23 8LD Tel: 01503 241003 Tel: 01288 356060 Co-ordinator: Margaret Sylvester-Thorne Co-ordinator: Kim Tresidder Open: Alternate Thursdays, 2.30pm to 4.30pm Open: Every first and third Friday, 2.00pm to 4.00pm Falmouth Emmanuel Baptist Church, Western Terrace TR11 4QJ Callington Tel: 01326 311719 Methodist Church, Haye Road PL17 7JJ Co-ordinator: Judith Kerridge Tel: 07753 728697 or 07894 669872 Open: Every second and fourth Tuesday, Co-ordinators: Bob Wade and John Ware 2.00pm to 4.00pm Open: Every other Saturday, 2.00pm to 4.00pm Fowey Squires Field Community Centre, Camborne and Pool Park Road PL23 1EF • Tel: 01726 832864 Trevenson Church Community Hall, Co-ordinator: Angela Palin Church Road TR15 3PT Open: Every other Thursday, 2.00pm to 4.00pm Tel: 07901 762191 Co-ordinator: Anne Ludwig Hayle Open: Every first and third Wednesday, Hayle Rugby Club, Memorial Park, 1.30pm to 3.30pm Marsh Lane TR27 4PS • Tel: 07513 221066 Co-ordinator: Christine Price Camelford Open: Every first and third Monday, Top Town Memory Café, Clease Hall, 2.00pm to 4.00pm Clease Road PL32 9QX Tel: 01840 212780 or 01840 211337 Helston Co-ordinators: Jane Moore and Jane Sleeman Hens Horn Court, Station Road TR13 8TY Open: Every second and fourth Wednesday, Tel: 07831 307998 2.00pm to 4.00pm Co-ordinator: Michael Smith Open: Every first and third Tuesday, Carnon Downs 2.00pm to 4.00pm Carnon Downs Village Hall, Tregye Road TR3 6GH Tel: 01872 864717 Isles of Scilly Co-ordinator: Sally Brocklehurst Carn Gwavel, St Mary’s TR21 0NA Open: Every first and third Thursday, Tel: 01720 422663 or 01720 422002 2.00pm to 4.00pm Co-ordinators: Jenny Byers and Jane Chiverton Open: Wednesdays and Fridays, 2.00pm to 4.30pm Crantock The Village Hall, Halwyn Road TR8 5TR Launceston Tel: 01637 831347 or 01637 830617 Central Methodist Church Hall, Co-ordinators: Richard, Joan and David Castle Street PL15 8BA • Tel: 01566 772599 Open: Every first and third Monday, Co-ordinator: Pauline Smith 2.00pm to 4.00pm Open: Every other Saturday, 2.00pm to 4.00pm
Visit www.carechoices.co.uk for further assistance with your search for care 21 Liskeard Co-ordinator: Sister Deirdre Slade Manna Café, Methodist Church, Open: Every second and fourth Tuesday, 1.30pm Bay Tree Hill PL14 4BG to 3.30pm (closed in August). Tel: 07787 096482, 01579 321600 or 07716 787575 Pelynt Co-ordinator: Sally Mollard Community Room, Methodist Chapel, Open: Every first Friday, from 2.15pm to 4.15pm Jubilee Hill PL13 2ZH Tel: 01503 220307 Looe Co-ordinator: Mary Packman St. Martins Hall, Church Hall PL13 1NX Open: Every third Thursday, 2.00pm to 4.00pm Tel: 01503 264414 Co-ordinator: Deirdre Croker Penryn Open: Every second Friday, 2.00 to 4.00pm Methodist Church Hall, Higher Market Street TR10 8EH Lostwithiel Tel: 01326 374969 Lostwithiel Community Centre, Oasis Suite, Co-ordinator: Gill Grant Pleyber Christ Way PL22 0HE Open: Every first and third Thursday, 2.00pm to Tel: 01208 871470 or 01208 871030 4.00pm Co-ordinators: Geoffrey Phipps and Mike Sharpe Open: Alternate Thursdays, 2.00pm to 4.00pm Pensilva St John’s Church Hall, Church Hill PL14 5NG Mevagissey Tel: 01579 362698 and 01579 363461 St Andrews Church Hall, Chapel Street PL26 6SS Co-ordinators: Carolyn Cox and Pat Dilworth Tel: 01726 843603 or 01726 843634 Open: Every fourth Thursday, 2.00pm to 4.00pm Co-ordinators: Pam Dabbs and Jan Hearn Open: Every first and third Thursday, 2.00pm to Penzance 4.00pm Hope Church, Lansdowne Place, Alverton TR18 4QB Millbrook Tel: 07974 728435 Scout Hall, Fore Street PL10 1BA Co-ordinator: Margaret Ford Tel: 01752 823909 Open: Every second, fourth and fifth Thursday, Co-ordinator: Jane Riggs 2.00pm to 4.00pm (meetings); every second and Open: Every first Tuesday, 2.00pm to 4.00pm fourth Thursday, 2.00pm to 4.00pm (activities); and every fifth Thursday, 2.00pm to 4.00pm Mullion (refreshments, cake and a chat). Mullion Methodist Church Hall, TR12 7BY Tel: 01326 240257 or 01326 574257 Perranporth Co-ordinators: Valda and Sonia St Michaels Church Hall, Boscawen Road TR6 0JX Open: Every first and third Friday, 2.00pm to Tel: 01637 830380 4.00pm Co-ordinators: Alan Johns and Wendy Barritt Open: Every second and fourth Monday, 2.00 to Newquay Day Centre 4.00pm Kimberley Close, Crantock Street TR7 1JR Tel: 01637 876150 Perranwell Co-ordinator: Donna Smokvina The Perran-ar-Worthal Village Memorial Hall, Open: Every Wednesday, 10.00am to 12.00pm School Hill, Perranwell Station, Truro TR3 7NJ Tel: 01872 275874 or 07710 291327 Padstow Co-ordinator: Bev Horton St John’s Church, Church Lane PL28 8AY Open: Every second and fourth Tuesday, 2.00pm Tel: 01841 540656 to 4.00pm
22 Search for care at www.carechoices.co.uk to find support in your area Polperro St Columb Major The Methodist Church, Fore Street PL13 2JJ The Oasis Centre, 26 Fore Street TR9 6RH Tel: 01503 272473 Tel: 01637 88968 Co-ordinator: Pauline Ridd Co-ordinator: Alison Dawe Open: Every third Friday, 2.00pm to 4.00pm Open: Every Thursday, 1.00pm to 3.00pm
Probus St. Ives and Carbis Bay Village Hall, 1 Fore Street TR2 4NB Memorial Hall, Trencrom Lane TR26 2TA Tel: 01726 884388 or 07541 319989 Tel: 07851 111496 Co-ordinator: Jill Prisk Co-ordinator: Chris Muxlow Open: Every second and fourth Wednesday, Open: Every first and third Thursday, 2.00pm to 2.30pm to 4.30pm 4.00pm
Redruth St. Just Redruth Community Centre, St. Just Methodist Chapel Hall, Foundry Road TR15 1AN Chapel Street TR19 7LT Tel: 07738 669319 Tel: 01736 786043 or 01736 786067 Co-ordinator: Alison Watson Co-ordinators: Dawn Hankins and Joyce Lee Open: Every second and fourth Wednesday, Open: Every second and fourth Tuesday, 2.00pm 1.30pm to 3.30pm to 4.00pm Sticker Roseland St. Mark’s Church Hall, Chapel Hill, Porthscatho Memorial Hall, Gerrans Hill, St. Austell PL26 7HF Porthscatho TR2 5EE Tel: 01726 883298 Email: [email protected] Co-ordinator: Catherine Hannaford Co-ordinator: Caroline Coldwell Open: Every first and third Tuesday, 2.00pm to Open: Every other Wednesday, 2.30pm to 4.30pm 4.00pm
Saltash Torpoint Burraton Methodist Church, Memory café social group offering a trip out on Liskeard Road PL12 4RH the community bus. Tel: 01752 848728 Tel: 01752 822014 Co-ordinators: Sarah Cook and Liz Hewer Email: madge3lz@btinternet Open: Every second and fourth Wednesday, Co-ordinator: Penny Madge 2.00pm to 4.00pm Open: Every third Wednesday
St. Agnes Truro Miners and Mechanics Institute, All Saints Hall, Tresawls Road, Highertown TR1 3LD 18 Vicarage Road TR8 0TL Tel: 07555 411798 Tel: 01872 552689 Co-ordinators: Lin Reeson and Liza Bianchi Co-ordinator: Annabel Dunn Open: Every second and fourth Friday, 1.30pm to Open: Every first and third Wednesday, 2.00pm to 3.30pm 4.00pm Wadebridge St. Austell John Betjeman Centre, Southern Way PL27 7BX Cuddra WI Hall, Bucklers Lane PL25 3JN Tel: 01208 841542 or 07917 195372 Tel: 01726 64734 Web: www.wmca.btck.co.uk Co-ordinator: Mike Pascoe Co-ordinator: Margaret Lovell Open: Every first and third Monday, 2.00pm to Open: Every second and fourth Saturday, 2.00pm 4.00pm to 4.00pm
Visit www.carechoices.co.uk for further assistance with your search for care 23 Alzheimer’s Society This leading charity works to improve the quality of people with dementia, along with their carers, life of people affected by dementia. with an opportunity to express themselves and socialise with others in a fun and supportive group. If you have concerns about any form of dementia, Participation is entirely down to how comfortable please contact your local office for information and attendees feel and no singing or music experience support and access to local services. See page 60 for is necessary. Please contact the service provider contact details. for more information. Call 01872 277963 or visit All Saints Church Hall, All Saints Vicarage, Tresawls Side by Side Road TR1 3LD Helps people with dementia to keep doing the things they love with the support of a volunteer. Information provision By doing things like going for a walk, attending a Alzheimer’s Society runs an information provision football match, or joining a local class together, service from its Truro Office. This can provide volunteers can support people with dementia to information and support to anyone with concerns take up hobbies and get out and about. The focus about any forms of dementia or memory loss. of the service is to build upon the existing skills and This includes people with dementia, their carers, strengths of people with dementia; supporting them relatives, friends and professionals. This service to get out and about and encouraging them to be can offer free publications, Alzheimer’s Society part of their community. factsheets and make referrals to local services.
Dementia Support Cornwall and Isles of Scilly The information worker will also attend local Cornwall currently benefits from a number of events to provide communities with vital dementia support workers. This service is designed information about living well with dementia. to help people living with dementia, and their carers, deal with any challenges they may face and help them prepare for the future through individualised For all these services, call 01872 277963. The one-on-one support. Alzheimer’s Society National Dementia Helpline is available on 0300 222 1122 and can provide This service provides people with the tools that information, support, guidance and signposting enable them to maintain their independence and to other appropriate organisations. The helpline sense of wellbeing. It will also refer people to local is open from 9.00am to 8.00pm, Monday to support services within the community. Wednesday; 9.00am to 5.00pm, Thursday and Friday; and 10.00am to 4.00pm, Saturday and Singing for the Brain® Truro Sunday. Uses music to bring people together in a friendly and stimulating social environment. Singing is For more information on care homes for people with not only an enjoyable activity, but can provide dementia, see page 39.
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24 Search for care at www.carechoices.co.uk to find support in your area Home care agency checklist © 2020 Care Choices Ltd
Agency 1 Fees per week Quality rating*
Agency 2 £ £ Agency 3 £
We suggest that you have paper with you when speaking with home care agencies so you can make notes. You can download and print this checklist at www.carechoices.co.uk/checklists
About the agency Accommodating your needs How long has the agency been Can the agency accommodate your operating? needs if they increase? Ask about the process for this. How long are staff allocated per visit? Does the agency have a training Can you contact the agency in an scheme in place? emergency or outside office hours? Are all staff trained to a certain level? Does the agency have experience with your specific needs? Are staff able to help with administering medication if required? Staff Is there a way for staff to communicate with each other about the support they Are you likely to be visited by different provide when they visit you? How? staff each day? Are all staff checked with the Regulation Disclosure and Barring Service? Will your support plan be reviewed at Will you be notified in advance if your regular intervals? care worker is on holiday or sick? Can you see the agency’s contract terms? Are staff matched to you specifically, based on your needs and preferences? Can you lodge a complaint easily? Can you meet your care worker(s) Are complaints dealt with quickly? before they start? Can you see a copy of the agency’s Does the agency have both male and CQC registration certificate and female staff? quality rating?
Notes
*See page 47.
Visit www.carechoices.co.uk for further assistance with your search for care 25 Paying for care in your home
Councils provide upfront information on how much national eligibility criteria set by the Government. people can expect to pay for home care and how This ensures people are only required to pay what charges are worked out. This information must be they can afford, taking into account capital, income made available when a needs assessment is carried and expenditure. out. Written confirmation of how the charge has been calculated must be provided after a financial Your assessment looks at how much money you assessment. have coming in, gives an allowance (set by the Government) for everyday living expenses and If you have more than £23,250 in savings or capital, makes allowance for disability-related expenditure. you will have to pay the full cost of your care. The This is the extra amount you spend as a result of value of your home is not counted when working your disability or illness. Adult Social Care can help out charges for non-residential care. If you have you to identify these costs. They will also carry out more than £23,250, you should tell Adult Social a full benefit check and, if you want them to, assist Care when your savings are likely to fall below this you with claiming your full entitlement. amount. Figures mentioned here may change over the The council calculates charges in accordance with lifetime of this Directory.
Non-means-tested care and support Care provided by the NHS is free; for example, Independence Payments (PIP). AA and PIP are non- services provided by a community or district nurse. means-tested benefits. Provided you are eligible, Some people do not have to pay towards care you can receive AA or PIP regardless of how much services. For example, aftercare services provided income or capital you have. AA is payable to people under section 117 of the Mental Health Act are free over the age of 65 and PIP to those aged 16 to of charge. 64. There are different rates that can be awarded, dependent on the level and type of help you need. If you need care or support you may be eligible to claim Attendance Allowance (AA), or Personal These can be found at www.gov.uk
Other ways to fund your care and support It is important to seek independent financial advice if you are paying for your own care and support. The Money Advice Service There are independent financial advisers that A free and impartial money advice service set up focus specifically on care funding advice, often by the Government. referred to as specialist care fees advisers. They are Tel: 0800 138 7777 regulated by the Financial Conduct Authority (FCA) Web: www.moneyadviceservice.org.uk and must stick to a code of conduct and ethics and take shared responsibility for the suitability of any Further information on paying for care can be found product they recommend. beginning on page 43.
The Society of Later Life Advisers (SOLLA) Aims to assist consumers and their families in finding trusted, accredited financial advisers who understand financial needs in later life. Web: www.societyoflaterlifeadvisers.co.uk
26 Search for care at www.carechoices.co.uk to find support in your area Home care providers Advertisers are highlighted
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Visit www.carechoices.co.uk for further assistance with your search for care 27 E V E I I L N
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For more information on care in your own home, For information on paying for home care, see see page 18. page 26.
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Complete Care & Support is a care agency packages of care, provides agency cover, working in Cornwall and Devon. We have made a complex care team and a rapid response service commitment to delivering bespoke, high quality in Cornwall & Devon. care services to the community with a highly trained and valued team. Providing a person centred service means we keep the client at the heart of everything Complete Care & Support creates bespoke we do. For more information, contact us: 01566 [email protected] www.completecareandsupport.co.uk 776833
28 Search for care at www.carechoices.co.uk to find support in your area Home care providers continued Advertisers are highlighted
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Service OP Older people (65+) D Dementia PD Physical disability LDA Learning disability, autism User Bands MH Mental health SI Sensory impairment YA Younger adults AD People who misuse alcohol or drugs
Visit www.carechoices.co.uk for further assistance with your search for care 29 “All of the team are kind, compassionate & hugely professional. They really are the best care company I’ve ever come across.”
Mother Teresa Mother Teresa
Love begins by taking careLove of thebegins closest by taking ones – carethe of ones the closestat home ones – the ones at home
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Live In Care provides a professional and friendly, fully managed live-in care service that allows you or your loved one to continue to live independently in the comfort of your home, supported by fully trained, experienced and trusted live in carers. We provide live in care packages which include: T: 01872 492 321 • 24 hour Live in care • Respite Care E: [email protected] • Waking nights • End of life/ Palliative care W: www.livein.care • Dementia care • Holiday Companionship
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30 Search for care at www.carechoices.co.uk to find support in your area Home care providers continued Advertisers are highlighted
Kerrier Homecare Ltd Pendeen Community Care Ltd Redruth Redruth Tel: 01209 215656 OP D PD SI Tel: 01209 313032 OP D PD SI YA Lanhydrock Care Pendennis House Bodmin Wadebridge Tel: 01208 73904 OP PD SI Tel: 01208 815637 D LDA MH Live in Care Pendrea Home Care Taunton Advert page 30 Bodmin Tel: 01872 492 321 OP D PD MH SI YA Tel: 01208 264962 OP D PD LDA SI Live Life Care Ltd Penhellis Community Care Ltd Truro Helston Tel: 01872 561761 OP D PD LDA MH SI YA AD Tel: 01326 572626 OP D PD LDA MH SI YA AD MCMH Cornwall Penhellis Community Care Ltd Penryn (Roche) Tel: 01326 331223 OP D MH PD SI YA St Austell Tel: 01579 381005 Mencap – East Cornwall Support Service D PD LDA SI AD Bodmin Pentowan Home Care Tel: 01208 79350 LDA YA Newquay Tel: 01637 851790 MSS Care Truro OP PD SI Truro Penwith Care Tel: 01872 225271 OP D PD LDA SI Hayle Tel: 01736 797909 Newcross Healthcare Solutions Ltd OP D SI YA (Truro) Penzance Steps Truro Penzance Tel: 01872 222525 OP D PD LDA MH SI YA AD Tel: 01872 324780 OP YA North Hill Homecare Phoenix Care Cornwall Ltd St Austell Penzance Tel: 01726 73912 OP YA Tel: 01736 360197 OP D PD MH SI Nursefinders Pol Community Care Ltd Truro Liskeard Tel: 01872 270999 OP PD LDA Tel: 01503 775050 OP D PD LDA SI YA NursePlus UK PRC Outreach Truro Penzance Advert page 30 Tel: 01872 276444 OP D LDA MH SI YA Tel: 01736 360039 OP D PD LDA SI YA Old Roselyon Domiciliary Care Agency, The Proper Care (Cornwall) Ltd Par Helston Tel: 01726 814297 OP D PD Tel: 01326 560973 OP D PD LDA MH SI YA Options Kernow Regard Group, The – Domiciliary Care Cornwall Truro Redruth Tel: 01872 278807 LDA YA Tel: 01209 217335 OP YA
Service OP Older people (65+) D Dementia PD Physical disability LDA Learning disability, autism User Bands MH Mental health SI Sensory impairment YA Younger adults AD People who misuse alcohol or drugs
Visit www.carechoices.co.uk for further assistance with your search for care 31 Home care providers continued
Restgarth Domiciliary Care Ltd Trelawney Care Ltd Liskeard Camborne Tel: 01579 321758 OP D PD LDA SI YA Tel: 01209 712480 OP LDA Right Nurse Care Services Tremenheere Home Care Truro Penzance Tel: 01872 274120 OP D PD LDA MH SI YA AD Tel: 01736 350728 OP D Rowans Domiciliary Agency Trewcare Ltd St Agnes Falmouth Tel: 01326 375949 Tel: 01872 553295 OP D PD MH SI OP D PD MH SI YA AD Royal Mencap Society United Care Concepts Ltd – West Cornwall Support Service Saltash Hayle Tel: 0844 692 3826 OP D PD LDA MH SI YA AD Tel: 01736 753593 LDA United Response – Cornwall DCA Truro South Western Care Services Tel: 01872 250150 Helston OP D PD LDA MH SI YA Tel: 01326 341457 OP D PD MH SI YA United Response – East Cornwall & Plymouth DCA Callington St Clements Vean, 2 & 3 Tel: 01579 382833 OP D PD LDA MH SI YA Truro Tel: 01872 246720 OP D PD LDA MH SI YA AD Valued Lives Hub Redruth STEPS East Tel: 01209 901438 D LDA MH Bodmin Victoria Community Care (Cornwall) Ltd Tel: 01872 327781 OP YA St Austell Steps Mid Tel: 01726 64364 OP D PD MH SI YA St Austell Westcountry Home Care Liskeard Tel: 01872 324379 OP PD Liskeard Tamarisk Care Agency Tel: 01579 342256 OP D PD LDA MH SI YA AD Hayle Westcountry Home Care Ltd Tel: 01736 448994 OP D PD YA–– Launceston Taylors of Grampound Tel: 01566 775960 OP D PD LDA MH SI AD Truro White River Homecare Tel: 01726 884402 OP D PD MH SI YA St Austell Tender Loving Care South West Tel: 01726 73855 OP D PD SI YA St Columb Tel: 01637 889140 OP D PD SI Thyme Care Ltd Penzance Tel: 01736 369090 OP D YA Torcare Domiciliary Service Torpoint Tel: 01752 812384 OP D YA
Service OP Older people (65+) D Dementia PD Physical disability LDA Learning disability, autism User Bands MH Mental health SI Sensory impairment YA Younger adults AD People who misuse alcohol or drugs
32 Search for care at www.carechoices.co.uk to find support in your area Housing with care
Housing with care combines independent living in a housing associations, the local authority, voluntary home with security of tenure, along with care services organisations or private companies. Properties may arranged according to need. Schemes may be run by be available for rent, mixed tenure or to purchase.
Supported Living Supported Living is a term generally used to Supported Living refers to the way in which describe situations in which people (often adults accommodation and support are organised, rather with a learning disability or mental health condition) than the amount of support. This will be tailored to rent their home, and their personal care or support individual need and can include access to support is arranged separately. This means they can change 24 hours a day if assessed as necessary, although their support without having to move, or move many people do not require this – particularly with and take the same support with them. People have the use of assistive technology (discussed earlier greater security of tenure, and can claim a wider on page 13). range of welfare benefits than in residential care. Independent Living Service Team Supported Living can be delivered in a range of Cornwall Housing Ltd, Chy Trevail, Beacon settings, including individual flats or houses, clusters Technology Park, Bodmin PL31 2FR of self-contained flats on the same site, shared Tel: 0300 1234 161 accommodation, and extra care housing. The Email: [email protected] individual, a private landlord, a housing association, Web: www.cornwallhousing.org.uk a local authority or a charity may own the property.
Shared Lives A care service for adults with learning or physical Shared Lives carers are local people recruited and disabilities and for older people. It is family-based trained to make sure they have the right qualities to care provided by individuals and families. provide care and support.
Sheltered housing Sheltered (or retirement) housing is provided by check Support in Cornwall for services in your area local authority housing departments and housing at www.supportincornwall.org.uk associations for older people who would like to remain independent but prefer the added security and reassurance of a scheme manager and an alarm call service.
A scheme manager is either based at the site or visits regularly. Many sheltered housing schemes also have communal lounges, laundry facilities, lifts, door entry systems and specially-adapted facilities.
To find out whether social housing may be a suitable option, please talk to the Housing Options Service on 0300 1234 161 or visit www.cornwall.gov.uk or
Visit www.carechoices.co.uk for further assistance with your search for care 33 Extra care housing Extra care housing is similar to sheltered schemes, available 24 hours a day. with self-contained accommodation together with some communal facilities. In an extra care Extra care allows you to retain your own tenancy scheme, instead of low-level support traditionally and have care services delivered, ensuring that provided by wardens in sheltered schemes, higher you can remain safely in your own self-contained levels of care and support are provided on site by accommodation. For information on extra care a designated team of care workers, who can be housing in your region, contact Adult Social Care. Specialist services
Learning disability The council’s service for people with learning The teams can also assess the needs of family carers disabilities and their families is a joint service with and help support the person they care for. the Learning Disability Health Services of Cornwall Partnership NHS Foundation Trust. It is known as Scope Community and Support Services, and operates Offers free, impartial and expert information, a number of day services, in both large and small advice and support to disabled people and their venues and short break services. families. National advice line: 0808 800 3333 You can get help and advice on problems you Email: [email protected] may be experiencing with: being listened to or Web: www.scope.org.uk understood; your education; keeping well; money and work; somewhere to live; things to do and Supported Living Cornwall helping others to care for you. (The DOVE Project) Supports a range of people with a variety of Support can come from: arts therapists; community disabilities to live in their own communities. nurses; dieticians; occupational therapists; Second Floor, 7 The Crescent, Plymouth PL1 3AB physiotherapists; psychiatrists and psychologists; Tel: 01209 612494 speech and language therapists and your doctor. Web: www.thedoveproject.co.uk Teams will also help you get advice and support from: Many other services and support organisations advocacy services; the Department for Education; the exist for people with a learning disability. You can Department for Work and Pensions; Jobcentre Plus; find out more at www.supportincornwall.org.uk the Housing Department and the police.
Mental health If you are worried about your mental health, it’s if you have a mental health condition. ICMHTs are important to remember that you aren’t alone. Lots community-based assessment and treatment of people have issues with their mental health and services for people with mental health conditions there’s help and advice available in Cornwall to aged between 18 and 65 years. You can ask your support you. GP to refer you or ask someone who knows you to contact the ICMHT on your behalf. Your local Integrated Community Mental Health Team (ICMHT) should be your first point of contact There is increased demand for home care for
34 Search for care at www.carechoices.co.uk to find support in your area “A big thank you to Jay, Tim and the team at the flat. They are doing a great job. It is very much like an extension of our own family. Nothing is too much trouble.” - Geraldine, relative of Supportive Lifestyles client
Live as independently as possible with accommodation and support to meet your needs
Our Supportive Lifestyles service is for people over the age of 18 years old who have any support needs, including mental health and learning disabilities, that require bespoke person-centred support packages. Cornwall Care are a charity who recognise the importance of individual living. We support people to live as independently as possible in their own homes as well as our own Supportive Lifestyles flats, which are individualised and homely environments where people with complex care needs can live independently. Our Supportive Lifestyles staff work with individuals to promote and enhance their skills, providing them with emotional support and helping them with a variety of tasks, including (but not limited to) daily living skills (such as cooking and household tasks), attending appointments, college or other courses and developing socialisation skills.
We Care for Cornwall Tel: 01872 597800 Email: [email protected] www.cornwallcare.com
Registered Charity No. 1053486 people with mental health conditions arising from Restormel (Alexandra House and Newquay greater use of supported living instead of care home Hospital) placements. Like other specialist care services, Tel: 01726 873377 this can be paid for (if you have been assessed as eligible) with a Personal Budget, discussed earlier on To find out which ICMHT covers your area, contact page 14. the Bodmin Hospital switchboard on 01208 251300. Local ICMHTs Cornwall Mind Carrick A small but enthusiastic team endeavouring Tel: 01872 221000 to promote good mental health and East and West Caradon wellbeing, empower people to lead a full life Tel: 01579 373737 as part of their local community and involve service users in planning and delivery of Kerrier mental health services. Tel: 01209 318960 Bodmin Wellbeing Centre, 2a Hamley Court, Dennison Road, North Cornwall Bodmin PL31 2LL Tel: 01208 834300 Tel: 01208 892855 Penwith Email: [email protected] Tel: 01736 571000 Web: https://cornwallmind.org
Physical disability If you have a physical disability or a long-term with, a range of services to help you live as illness, Adult Social Care and other organisations independently as possible. There are also services in the independent and not-for-profit sectors available in Cornwall to support someone who may may be able to signpost you to, or provide you be your carer.
Sensory services The Sensory Services team can provide Contact Adult Social Care for further information information packs, advice and access to services on 0300 1234 131 or: as well as support from a network of national and local agencies for those who are blind or iSightCornwall partially sighted or have a degree of sight Telephone support, befriending, advocacy and loss. counselling schemes. Tel: 01872 261110 The team offers a service to people with a Web: www.isightcornwall.org.uk significant sight loss in both eyes that is not correctable with surgery or glasses. If your sight loss is not as severe as this, the team can give you advice about appropriate support available from other organisations.
If you care for someone with a sensory need the Sensory Services team can carry out an assessment of your needs as a carer to help you to continue to support them.
36 Search for care at www.carechoices.co.uk to find support in your area Advocacy Advocates can give advice, support and information Cornwall Advocacy to people of any age. They help you to voice An independent organisation offering a variety of your concerns and guide you through difficult advocacy services to people who have a learning or challenging times. You should consider using disability. the services of an advocate if you feel unsure or Woodbine Farm Business Centre, concerned when you are faced with making an Truro Business Park, Truro TR3 6BW important decision about your care. Tel: 01872 242478 Email: [email protected] Advocates are not there to tell you what to do or to Web: www.cornwalladvocacy.org.uk make decisions for you, but to help you express your views and make your own decisions. Councils have Cornwall People First a legal obligation to provide an advocate to you if Run by people with a learning disability, it runs you need one at any stage of your care and support projects to make things better for people with a planning with them. learning disability and host events and meetings so that people can have their say. Advocacy in Cornwall The Lescudjack Centre, Penmere Close, Provides a service for adults with mental health Penzance TR18 3PE • Tel: 07469 928565 issues who are living in the community in Web: www.cornwallpeoplefirst.com Cornwall. Tel: 0330 440 9000 Speak Up self-advocacy Text: 80800, keyword ‘PEOPLE’ Run by and for people with learning disabilities. Email: [email protected] Tel: 01709 720462 • Email: [email protected] Web: www.advocacyincornwall.org.uk Web: www.speakup.org.uk
Planning for end of life Although the subject of dying is often painful to vital to establish your preferences and choices. contemplate, planning for the end of life can be a good way to share your wishes and help your family You could use the Preferred Priorities for Care (PPC) to know what you would like. Good planning for all document to help with outlining your wishes. The your needs should mean that you can convey your PPC document is designed to help you prepare for wishes, including where you would like to die if you the future and gives you an opportunity to think choose. You may wish to remain in your own home about, talk about and write down your preferences or care home in your last days and not be admitted and priorities for care at the end of life. to hospital. It is also important to know that all health When choosing a service, you should consider its and social care staff must be trained in end of life care philosophy and policies. Enabling communication regarding end of life care and will people to die in comfort and with dignity is a core be trained in assessing the needs of individuals part of providing care. The way care professionals and carers. approach the process will be incredibly important for you, your family and carers. It is worth asking care providers whether they are working towards The Gold Standards Framework. The service should have an open approach to end of This can be used in various settings, for example life care. It should initiate conversation with you and hospitals, primary care and care homes, to improve your family and work with your GP to ensure your the co-ordination and communication between needs and wishes are discussed and planned for. An different organisations involved in providing care for end of life care plan should also be drawn up, as it is someone near the end of their life.
Visit www.carechoices.co.uk for further assistance with your search for care 37 Planning for your funeral Visit www.dyingmatters.org/page/my-funeral- While you are thinking about the future, you may wishes for more information. want to consider writing down your wishes for your funeral. This can help to alleviate pressures You do not have to instruct a funeral director, but on your family. They may appreciate knowing if you do, ensure that the director you choose is a your wishes and that they can make sure they member of either the National Association of Funeral are considered at your funeral. By detailing your Directors or The National Society of Allied and wishes, your family can be comforted by the fact Independent Funeral Directors. These associations that they don’t need to make all the decisions have strict guidelines that members must adhere to. about what you would have liked or wonder whether they are making the right choices. Things See page 62 for details of organisations that may to consider are included in ‘My Funeral Wishes’, a be able to help you plan for the end of your life or form produced by Dying Matters and the National your funeral. Association of Funeral Directors. Care homes
All care homes and agencies providing care at home quality ratings must be displayed at the operator’s in England must be registered with the independent premises and on its website. regulator, the Care Quality Commission (CQC). You can also find inspection reports and ratings The CQC inspects every care home and home care for all services on the CQC’s website agency, publishing a report along with a rating. CQC (www.cqc.org.uk).
Types of care home Care homes (personal care only) nursing care is the best solution for you, a social If you need someone to look after you 24 hours worker will give you information to help you find a a day, but don’t need nursing care, a care home home which meets your care requirements. The cost offering only personal care may be the best option. of the nursing care part of your fees may be paid by Personal care includes bathing, feeding, dressing the NHS to the home directly: the current amount is and help with moving. It is a good idea to have a £183.92 per week. This figure may change over the needs assessment before you choose a care home lifetime of this Directory, check with Adult Social to ensure it is the best way to meet your needs, see Care. page 14 for more on assessments. For help with finding care homes and care homes Care homes with nursing with nursing in your area, visit A care home with nursing provides the same care www.carechoices.co.uk and support as a care home offering personal care, but with 24-hour nursing staff on hand. If you think you may need nursing care in a home, you will need to be visited by a social worker or a care manager to work out what care you will need. This visit might be in your own home, or in hospital if you’ve been ill, or in a care home. You will be fully involved in planning for your care needs.
If, after a needs assessment, a care home providing
38 Search for care at www.carechoices.co.uk to find support in your area Activities in care homes The word ‘activity’ can imply many different things enable people to participate in daily life, be but, in the context of a care home, it should mean engaged and maintain hobbies or activities they everything a resident does from when they open have enjoyed throughout their life, as well as their eyes in the morning until they go to sleep at offering the opportunity to try something new, if night. they wish.
Activities should stimulate residents emotionally, Lots of care homes now employ a dedicated activity physically and mentally and, in a good care co-ordinator. What they do and how they do it varies home, should encompass all aspects of daily life. from one home to another. Increasingly, they are They can range from choosing what to wear, to fully integrated into the staff team, play a key part helping with tasks around the home or garden, to in developing care plans and ensure that all staff listening to the radio or joining in with an art or appreciate the part they play in delivering high- exercise class. quality activity provision.
Above all, activities provide a point of interest, Ensure you speak to any potential providers about fun and challenge to each day. They should the activities they provide in their care home.
Care homes and dementia A good care home will follow the concept of a and skills of the manager and the staff. Do person-centred approach to care for people with they provide an environment that enables a dementia. This means that the unique qualities person with dementia to exercise choice and and interests of each individual will be identified, personal preferences even in the later stages of understood and accounted for in any care the condition? Who is the person in charge of planning. championing dementia care best practice in the home? The person with dementia will have an assessment and an ongoing personalised care plan, agreed Further questions to consider are included in the across health and social care. This should identify residential dementia care checklist on page 42. a named care co-ordinator and addresses their individual needs. Design and technology The design of a care home specialising in dementia They must also have the opportunity to discuss needs to be based on small group living, preferably and make decisions, together with their carers, with accommodation on one level and with about the use of advance statements, advance opportunities to go in and out of the building decisions to refuse treatment, Lasting Powers of within a safe environment. Attorney and Preferred Priorities of Care. For more information on these last two topics, see pages 46 Plenty of natural light and an easy way of finding and 37 respectively. one’s way around the building and grounds are essential for minimising disorientation. It is important that care and support options are tailored to the needs of the individual. Make sure Staff training staff know the person you care for by providing Dementia-specific training is essential to ensure life story books, telling staff about their likes that care home staff understand how best to and dislikes and providing belongings that bring support and care for people with dementia. Ask to comfort and have meaning for them. speak with the Dementia Champion and question the placement if the home does not have a Within the home, much is down to the attitude specific Dementia Lead.
Visit www.carechoices.co.uk for further assistance with your search for care 39 Celebrating Life
Kenwyn is more than a care home. It’s a family home. A friendly home. Your home. A home that provides tailored care, beautiful environments and choice in every meal or activity. A place that celebrates the little things that mean everything – morning, noon and night. Visit us anytime for friendly advice and to look around. Call: 01872 464 403 Newmills Lane, Truro, TR1 3EB www.barchester.com
Residential care • Nursing care • Dementia care Respite breaks • En-suite rooms • Wi-fi
For information on different types of care home, For information on paying for residential care in see page 38. Cornwall, see page 43.
Langholme, Falmouth Residential and residential dementia care
At MHA, we have over 75 years’ experience providing quality care and supporting families. As a charity, we’re always reinvesting in our homes to enable people to live later life well. With lovely views over the harbour, we offer: • Personalised care in a safe and friendly environment • Large bedrooms with en suite shower rooms • A dedicated chaplain and music therapy • Landscaped gardens and a hair salon
Call or visit us online to arrange a visit 01326 314512 www.mha.org.uk/langholme
40 Search for care at www.carechoices.co.uk to find support in your area Care homes checklist © 2020 Care Choices Ltd
Home 1 Fees per week Quality rating*
Home 2 £ £ Home 3 £
We suggest that you take paper with you when visiting care homes so that you can make notes. You can download and print this checklist at www.carechoices.co.uk/checklists
Staff Personal preferences What is the minimum number of Is the home too hot/cold? Can you staff that are available at any time? control the heating in your room? Are staff respectful, friendly and polite? Is the décor to your tastes? Do staff have formal training? Are there restricted visiting hours? Are the staff engaging with residents? Is there somewhere you can go to be alone? Activities Does the home feel welcoming? Can you get involved in activities you enjoy? Catering Is there an activities co-ordinator? Can the home cater for any dietary requirements you may have? Does the home organise any outings? Does the menu change regularly? Are residents escorted to appointments? Can you eat when you like, even Do the residents seem entertained? at night? Does the home have a varied Can you have food in your room? activities schedule? Is there a choice of food at mealtimes? Is alcohol available/allowed if you Life in the home want it? Is the home adapted to suit your needs? Can visitors join you for meals? Can you bring your own furniture? Are there enough plug sockets in Fees the rooms? Do your fees cover all of the services Are there restrictions on going out? and activities? Is there public transport nearby? Are fees likely to change regularly? Does the home provide any transport? Is the notice period for cancellation of Can you make/receive calls privately? the contract reasonable? Can you decide when to get up and Could you have a trial period? go to bed? Can you keep your room if you go Does the home allow pets? into hospital? Does the home use Digital Care Can you handle your own money? Planning accessible to families? *See page 47.
Visit www.carechoices.co.uk for further assistance with your search for care 41 Residential dementia care checklist © 2020 Care Choices Ltd
Home 1 Fees per week Quality rating*
Home 2 £ £ Home 3 £
We suggest that you take paper with you when visiting care homes so that you can make notes. Please use this checklist in conjunction with the care homes checklist on page 41. You can download and print this checklist at www.carechoices.co.uk/checklists
Design Health Are there clear signs throughout Can residents get help with eating the home? and drinking? Has the home been designed or How often does the home review adapted for people with dementia? residents’ medication? Are the home and grounds secure? Does the home offer help if a resident needs assistance taking Are there prompts outside the medication? residents’ rooms to help people identify their own? Do GPs visit the home regularly? Is the décor familiar to your loved one? Staff Choices Are staff trained to identify when a resident might be unwell? Do residents get choice in terms of what they wear each day? Are staff trained to spot when someone needs to go to the toilet? Are residents encouraged to be independent? Do the staff have any dementia specific training/experience? Can residents decide what to do each day? Will your loved one have a member of staff specifically responsible for Can residents have a say in the décor their care? of their room?
Approach to care Activities Does the home follow a specific Are residents able to join in with approach to dementia therapy, for household tasks like folding washing? example, validation therapy? Are there activities on each day? Will the home keep you informed Can residents walk around outside on about changes to your loved one’s care? their own? Does the home have a specific Are residents sitting in front of the TV approach to end of life care? or are they active and engaged? Does the home keep up to date with Are there rummage boxes around? best practice in dementia care?
*See page 47.
42 Search for care at www.carechoices.co.uk to find support in your area Paying for care
When a local authority provides or arranges your the cost of care at home or in a care home, services, you may be asked to contribute towards depending on your personal circumstances.
Financial assessment To determine whether or not you will need to you have in capital and savings above the lower contribute towards the cost of your support, the figure. council will conduct a financial assessment. This will look at your capital, savings and income. Most If your capital and savings amount to more than people are likely to have to contribute something £23,250, you will likely have to pay the full cost of towards the cost of their care. The value of your your care yourself. However, you are still entitled to home is included as part of your capital in this an assessment of your needs by the council and you assessment if you are moving into residential care, may be able to get some support with funding your except in limited circumstances. It is not included care, see page 44. if you are receiving care in your own home. If you choose not to have a financial assessment, you will These figures may change during the lifetime of this be responsible for paying the full cost of your care Directory. and support. If you are eligible for support from the council and If you have capital and savings of less than £14,250, you are moving into a care home or care home with you may be asked to contribute part of your income nursing, you will be given a choice of homes that and the local authority may meet the shortfall. charge the amount the council would usually pay for someone with your needs. If the home you choose If you have capital and savings between £14,250 charges a fee in excess of the local authority’s and £23,250, you are likely to have to contribute funding limit, you will need to find someone else to towards the cost of your care. You may need to meet the additional amount. This is often referred contribute part of your income, and a sliding scale to as a ‘third party payment’ or ‘top-up’ (explained operates whereby you contribute £1 for each £250 further on page 44).
Running out of money If your capital and savings are likely to reduce to Understanding your rights before moving into care £23,250 through payment of care home fees, you is essential. There are a number of financial products must let the council know well in advance. It must and specialist companies that may be able to help. It undertake an assessment of your circumstances is important to seek independent financial and legal before deciding if it will make a contribution. advice before committing yourself to anything. See page 45 for more information. If you become eligible for the council’s support with funding your care, and the home you are living in charges more than the council’s fee levels, you must find someone to help pay the difference. This is known as a ‘top-up’ or ‘third party payment’, see page 44 for more information. If funds for a top-up are not available, you will need to find accommodation which can meet your needs at the local authority fee level.
Visit www.carechoices.co.uk for further assistance with your search for care 43 Non-means-tested support Some support may be available to you without the before entering into any arrangements. It is council needing to look into your finances. important that you seek specialist advice from appropriately qualified and regulated financial Benefits advisers, see page 44 for suggested contacts. Attendance Allowance and Personal Independence Payments are non-means-tested, non-taxable Twelve-week property disregard benefits from the Department for Work and If your former home is included in your financial Pensions. There are different rates depending on assessment but your other capital and savings are the level of your needs. Everyone who needs care less than £23,250, and your income is not enough should consider claiming these benefits, however, to meet your care home fees, the council may share they will not be paid if you are, or become, a the cost of the first 12 weeks of permanent care, permanent resident in a care home. provided it agrees that care is needed.
If you are entitled to the mobility component of Deferred Payment Agreements Personal Independence Payment, this payment After the twelve-week property disregard period, will not stop once you are in a care home and is not you may be offered a Deferred Payment Agreement. included in your financial assessment. This allows you to delay selling your former home during your lifetime. Any fees paid by the council will You may also want to consider applying for Universal be charged against the value of your home and must Credit (if you are under pension age) or Pension be repaid once the house is sold or from your estate. Credit (if you are over pension age). Interest is payable throughout the period of the loan and there is also a one-off fee to join the scheme NHS Continuing Healthcare which covers all legal and administrative costs for Fully-funded care and support, provided and paid the lifetime of the loan. for by the NHS. To be eligible, your needs must be primarily health-related and are likely to be severe. The council may limit the amount of the loan, If you are eligible for NHS Continuing Healthcare, depending on the equity in your property. you can receive the services in any setting, including your own home or in a care home. The NHS will pay NHS Nursing Care Contribution if you need healthcare from a community nurse or a Whether you are a temporary or permanent therapist as well as personal care to help you at home. resident, if you live in a care home that provides nursing care, you may be entitled to a non-means- Self-funding your care tested Registered Nursing Care Contribution Paying for care can be an expensive and long-term (sometimes referred to as Funded Nursing Care) commitment, so the council strongly recommends towards the cost of your nursing care. This is paid that you seek specialist information and advice directly to the home.
Third party payments If you are eligible for the council’s support, you will You are not allowed to make this additional payment be offered a choice of homes that meet the local yourself, except in limited circumstances, so the authority’s funding rates. If you decide to live in responsibility usually falls to a family member, friend a more expensive home and someone is able to or charity. make an additional payment for you, they will have to pay the local authority the difference between Before anyone agrees to pay your top-up, they its rate and the amount the home charges. This should be aware that the amount may increase, additional payment is called a ‘top-up’ or ‘third usually once a year, and they need to be confident party payment’. that they can sustain the payments for as long as
44 Search for care at www.carechoices.co.uk to find support in your area they are required. They will need to sign a contract resident, the home may seek to introduce one at a with the council to confirm that they are able to do later date, which would need to be agreed first with this. the local authority. This may happen if a change to your arrangements is made at your request or with If the additional payments stop being paid for any your agreement, for example you move to a nicer reason, then you should seek help and advice from room. your council. You may have to move to a cheaper home within the local authority’s funding levels. It is important to note that councils have a duty to offer you a place at a home that accepts their If you are already resident in a care home, and no funding rates. If no such place is available, a top-up top-up was required at the time you became a should not be charged.
Seeking financial advice Planning for your future care and support needs can These are a good place to start if you are looking for be complicated and funding care can be expensive. information and want to see what sort of options are Professional advice may be helpful in enabling you available. (and your family) to identify the most suitable and cost-effective solution. Age UK Tel: 0800 055 6112 Everyone is encouraged to seek unbiased, expert Web: www.ageuk.org.uk/moneymatters advice from independent financial advisers to help work out how to pay for long-term care. Citizens Advice Independent financial advisers are regulated by Web: www.citizensadvice.org.uk the Financial Conduct Authority (FCA) and must take shared responsibility for the suitability of any Money Advice Service product they recommend. Tel: 0800 138 7777 Web: www.moneyadviceservice.org.uk Unlike advisers who are tied to particular providers, specialist care-fees advisers can offer advice on products from across the whole market.
A list of independent financial advisers who are accredited by the Society of Later Life Advisers can be found at www.societyoflaterlifeadvisers.co.uk or you can call 0333 202 0454.
There is also a number of organisations that will provide free advice about funding care and support.
Search for care in your area
www.carechoices.co.uk • Find care providers quickly and easily • Search by location and care need • Information on care quality • Links to inspection reports With so many providers to choose from, • Additional information, photos and web links where do you start? • Brochure requests
Visit www.carechoices.co.uk for further assistance with your search for care 45 Important information
Finding care in your area Looking for care in your area? Want to know the email. They can also be saved and emailed to others. quality rating of providers you’re considering? Care The website includes detailed information for each Choices, publisher of this Directory, has a website care provider, including the address, phone number providing comprehensive details of care providers as and the service’s latest CQC inspection report and well as essential information. rating (see page 47), indicating the quality of care provided. You can search by postcode, county or region for care homes, care homes with nursing and home care You can also view an electronic version of this providers that meet your needs across the country. Directory on the site and have it read to you by Your search can be refined by the type of care you using the ‘Recite Me’ function. Visit are looking for and the results can be sent to you by www.carechoices.co.uk
How solicitors can help A solicitor can give you impartial advice about wills, An ‘advance directive’ allows you to communicate gifts, estate planning and powers of attorney. Some your wishes in respect of future medical treatment can also offer guidance on immediate and long- but it is not legally binding. You may instead wish to term care plans, ensuring (if applicable) the NHS has make a living will, properly known as an ‘advance made the correct contribution to your fees. decision’, setting out treatment that you do not want to receive in specified circumstances, which Lasting Powers of Attorney (LPAs) allow you to would legally have to be followed, even if you die as appoint someone you trust to make decisions about a result. your personal welfare, including healthcare and consent to medical treatment, and/or your property Any proposed gift out of your estate needs careful and financial affairs. An LPA is only valid once consideration of the benefits, risks and implications, registered with the Office of the Public Guardian. It particularly on any future liability for care costs or allows a person of your choice to make decisions on tax liability. your behalf at a time when you may be unable. If you don’t have your own solicitor, ask family or The Court of Protection can issue Orders directing friends for their recommendations. Contact several the management of a person’s property and firms, explain your situation and ask for an estimate financial affairs if they are incapable of managing of cost and an idea of timescales involved. Many firms their own affairs and should they not have an LPA. will make home visits if necessary and will adapt their The Court procedure is presently very slow, and communications to meet your needs. It’s important to the fees are quite expensive so preparing an LPA find a solicitor who specialises in this area of the law. is always advisable, providing you have somebody Citizens Advice offers an advice service and will be sufficiently trustworthy to appoint as your attorney. able to recommend solicitors in your area.
Comments, compliments and complaints You should feel able to complain about any aspect food you are served. You should also feel free to of your support which affects your happiness or make comments and suggestions about possible comfort. This might be anything from the way improvements to your surroundings and the you are treated by staff to the quality of the services provided.
46 Search for care at www.carechoices.co.uk to find support in your area Making a complaint should not be made difficult If you have a complaint about a breach of for you and should not affect the standard of care regulations, contact your local office of the that you receive whether in your own home or in a Care Quality Commission (see below for more care home or care home with nursing. Care services information about the CQC). are required under national essential standards of quality and safety to have a simple and easy to use If your local authority has arranged and funded a complaints procedure. place for you in a care home or has contributed to a home care service, another option is to If you are concerned about the care that you, a complain to your social worker/care manager or the friend or a relative are receiving, it makes sense department’s designated complaints manager. to speak to the manager of the service about your concerns before you take any further action. If you have been unable to resolve your complaint, The problem may be resolved quite easily once you can contact the Local Government and Social they are made aware of it. However, if you need Care Ombudsman on 0300 061 0614 and ask them to make a formal complaint, you should initially to assist you. The Local Government and Social Care contact the registered owners of the service. Ombudsman looks at complaints about councils and They have a duty to respond to any complaints some other authorities and organisations, including made. Visit www.cornwall.gov.uk/health-and- adult social care providers (such as care homes and social-care/adult-social-care/complaints for home care providers). It is a free service and its job is information about how to complain about council to investigate complaints in a fair and independent services. way.
Inspecting and regulating care services Health and social find reports and ratings on the CQC’s website care services must be (www.cqc.org.uk). Care providers must also display registered to show that their latest rating at their premises and on their they meet a set of standards. website.
The Care Quality Commission (CQC) is the You can also tell the CQC about your experiences independent regulator of health and social care in of care – good or bad. It can use your information England. It registers care providers and inspects and to see where it should inspect next, and what to rates services. When things go wrong, the CQC can look out for when it does. If you want to share your also take action to protect people who use services. experience of care, visit www.cqc.org.uk/share After an inspection of a care home or home care agency, the CQC publishes a report of what it found. Tel: 03000 616161 The report looks at how well the service meets Email: [email protected] the CQC’s five key questions: Is the service safe? Web: www.cqc.org.uk Effective? Caring? Responsive to people’s needs? Write to: The Care Quality Commission, Citygate, Well-led? Gallowgate, Newcastle upon Tyne NE1 4PA
Each care home and home care agency will get an overall rating of outstanding, good, requires improvement or inadequate. It will also get ratings for each key question. The ratings mean you can easily see where a service is performing well, and where it needs to improve.
It’s always a good idea to check inspection reports and ratings when choosing a care service. You can
Visit www.carechoices.co.uk for further assistance with your search for care 47 Out-of-county care You can choose a care home outside your home suitable for your assessed needs and comply with county. You may want to be closer to friends, family the paying authority’s terms and conditions. members or you may want to relocate to another part of the country. You should seek further advice before making your decision. If your care home place is state-funded, speak to For help finding care providers in Cornwall and the local authority about who is responsible for other regions, visit www.carechoices.co.uk with your care fees, especially if you choose a care home details of your requirements. in another region. Any home you choose must be
Protecting vulnerable adults Vulnerable adults may experience abuse, neglect • someone who deliberately exploits vulnerable and worse. A vulnerable adult is a person aged 18 people. years or over who may be unable to take care of themselves or protect themselves from harm or If you think someone is being abused, call Adult from being exploited. Social Care on 0300 1234 131. Your concerns will be taken seriously and will receive prompt attention, What is adult abuse? advice and support. Abuse is mistreatment that violates a person’s human and civil rights. The abuse can vary from If the abuse is also a crime such as assault, racial treating someone with disrespect in a way which harassment, rape or theft you should involve the significantly affects the person’s quality of life, to police to prevent someone else from being abused. causing actual physical suffering. If the police are involved, Adult Social Care will work with them to support you. It can happen anywhere – at home, in a care home or a care home with nursing, a hospital, If you are worried about contacting the police you in the workplace, at a day centre or educational can contact Adult Social Care on 0300 1234 131 to establishment, in supported housing or in the street. talk things over first. If immediate action is needed dial 999. Forms of abuse could be physical, sexual, psychological, emotional or financial. It could also You can also: cover the issues of modern slavery, self-neglect and • contact the Care Quality Commission (CQC) on institutional abuse – where the abuse affects more 03000 616161 if the vulnerable adult is living in a than one person within an organisation and is not registered care home, care home with nursing or addressed by the service’s management. receiving home care services; or Who might be causing the abuse? • let a public service professional, such as a social The person who is responsible for the abuse may be worker, community nurse, GP, probation officer known to the person abused and could be: or district nurse know your concerns. They • a care worker or volunteer; have responsibilities under the county’s adult protection procedure and can advise you about • a health worker, social care or other worker; what to do next. • a relative, friend or neighbour; The Disclosure and Barring Service (DBS) • another resident or service user; There is a barring system for all those intending • an occasional visitor or someone who is providing to work, or currently working with children and a service; or vulnerable adults.
48 Search for care at www.carechoices.co.uk to find support in your area This service combines the criminal records checking also required to refer workers to the DBS where, and barring functions. For disclosure information in their view, the individual has been guilty of and services, visit www.gov.uk/dbs misconduct that harmed or placed at risk of harm, a vulnerable adult. People who know they are Care home owners, home care agencies and confirmed on the list but seek employment in employment agencies that supply care workers are care positions will face criminal charges including required to request checks as part of a range of pre- possible imprisonment. employment checks, including disclosures from the DBS. It is also an offence for an employer or voluntary organisation to knowingly employ a barred person in Care providers and suppliers of care workers are a regulated activity role. Residential care in Cornwall
This Directory is divided into the geographical areas listed on this map. B de Home care providers can be found beginning on page 27.