Promoting Wellbeing and Independence - Guide for Adults 2021/22 Staying independent Support in your community Home care Care homes - Guide ...
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Promoting Wellbeing and Independence Guide for Adults 2021/22 • Staying independent • Support in your community • Home care • Care homes In association with www.carechoices.co.uk
Overall Rating: GOOD K i n d and Compa s s ionate R e s i de nti al, N u rs i ng a n d De me nti a Care in the heart of the community. Our carefully designed spaces Breakfast at the café, lunch in the Recently a relative wrote: allow us to offer a range of residential, pub, stunning views from the roof nursing and dementia care services. “Each one of your team contributed terrace, walks alongside the river, in making Mum feel special, which she Our experienced and professional the possibilities are endless... really appreciated, this was not isolated staff deliver compassionate, dignified to just one area, this was a continuous and life enhancing care in a place The Chocolate Works Care Village theme which shone throughout each which is truly unique. is an unrivalled care community. department in the home.” If you think that we can help your family then The Chocolate Works | Bishopthorpe Road | York | YO23 1DE please call us for more infor mation or to organise a visit... e: info@chocolate-works.co.uk w: www.chocolate-works.co.uk 01904 208008
Contents Welcome from North Yorkshire County Council 4 You’re in charge 54 The Independent Care Group 5 Personal Budgets 54 Regions covered by this Guide 6 Direct Payments 54 Where to go for trusted information, Housing with care 56 advice and guidance 6 Finding care in your area 7 Extra care housing 56 Sheltered housing 59 Health and wellbeing 7 Close care housing 59 Getting out and about 8 Housing options for younger adults What’s in your community? 9 with additional needs 59 Keeping safe 11 Specialist care 60 Living Well in North Yorkshire 13 Learning disability 60 What is Living Well? 13 Physical disability 61 Living Well Smokefree (LWSF) 14 Sensory services 61 Stay living at home 15 Mental health 62 Assistive Technology 15 Dementia 62 Other equipment available 16 Care homes 63 Home Improvement Agencies (HIAs) Types of care home 63 and minor adaptations 17 Out of county care 70 Major adaptations 17 Making life easier at home 18 Essential information 70 Occupational Therapy 23 Disclosure and Barring Service 70 Access to food and drink services 23 Advocacy 70 Getting help in your home 25 Making a comment, compliment or complaint Home care provider listings 29 about care services 71 Support for carers 42 How solicitors can help 71 Respite care and short breaks for carers 43 Inspecting and regulating care services 72 What is an assessment? 44 Palliative and end of life care 72 Your assessment conversation 44 Useful contacts 73 Reablement45 Useful local contacts 73 What care is available? 46 Useful national contacts 74 Leaving hospital 46 Day care centres 75 Home from Hospital Service 46 Libraries76 Eligibility for long-term care and support 47 Care home and care home with nursing listings 79 Paying for care 48 Index 94 Paying for non-residential care and support 49 Paying for residential care and support 51 Checklists Self-funding advice 51 Assistive Technology 21 Third party payments 53 Home care agency 27 For free copies of this Guide, call the Customer Care homes 67 Service Centre on: 01609 780780. Residential dementia care 69 Alternative This Guide is available electronically at www.carechoices.co.uk The e-book is also Recite Me compatible for those requiring formats information in the spoken word. Visit www.carechoices.co.uk for further assistance with your search for care 3
Welcome from North Yorkshire County Council Welcome to the tenth edition of North Yorkshire’s standards in the care provided to people in North Promoting Wellbeing and Independence Guide for Yorkshire. Regulations for registered residential, Adults. This 2021/22 edition will provide you with nursing and domiciliary services focus very much on information on health and social care across the improving outcomes for adults who need support. county. North Yorkshire County Council is pleased These changes will underline the importance of to be working with the Independent Care Group to people who use care services having a say and promote this Guide. being able to make decisions about how to keep healthy and get the right care and support. We We want people in North Yorkshire to be will also continue to have a strong commitment to independent, part of their community and to safeguarding those adults who may be at risk of enjoy the best possible quality of life for as long experiencing abuse or exploitation. as possible. Fundamental to enabling you to make the right decisions about care and support is high- Even though the whole country has had to quality information and advice. This Guide is one make some difficult financial choices, we remain way of providing information, but we will continue committed to providing good quality help and care. to work with our partners to improve the range of information available. We are working closely with Whatever your circumstances, whether you pay our health colleagues to join up health and social for your own care or not, you can contact North care services to give the best community-based Yorkshire County Council for information, advice and care when it is needed. guidance. Where it is appropriate, we will ask our own social care staff to help you or to contact other North Yorkshire has its own online directory, which services that may be of assistance. has information about thousands of local groups and activities across the county. We know that making decisions about social care can be daunting, particularly if you have not North Yorkshire Connect allows you to access been involved with social care before. This Guide information about community and voluntary provides clear and easy to understand guidance organisations online. You can search the directory by so that you can be confident you are making the categories such as ‘advice’, ‘health’ and ‘activities’ or right decisions. you can put in your location and see what is available in your community. County Councillor Michael Harrison Executive Member for Adult Social Care and Health Integration County Councillor Caroline Dickinson Web: www.northyorkshireconnect.org.uk Executive Member for Public Health, Prevention and Supported Living We also work closely with the Care Quality Commission’s (CQC’s) inspectors and with care Richard Webb providers to make sure we maintain high quality Corporate Director, Health and Adult Services North Yorkshire County Council nor Care Choices can be held liable for any errors or omissions. The inclusion of advertisements for homes and agencies in this Guide does not act as an endorsement or recommendation by North Yorkshire County Council. 4 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
North Yorkshire County Council Customer Service Centre Tel: 01609 780780 Web: www.northyorks.gov.uk The Independent Care Group On behalf of the Independent Care Group (ICG), Around 80% of social care in this area is provided I am delighted to support this latest edition of by the independent sector. That includes residential the North Yorkshire Promoting Wellbeing and care, care provided to people in their own home, Independence Guide for Adults and hope that you supported living, extra care housing and day care. find the information in it useful. We work with North Yorkshire County Council, City of York Council, the local clinical commissioning If you are beginning your journey towards finding a groups and the CQC, to try to ensure that the care care package that is right for you or your loved one, provided matches the care required. the good news is that you will have the choice of quality care of all kinds and in all combinations. We’re here to help, so, if you’re a provider, please do get in touch or visit our website at: We are so fortunate that the local area can boast www.independentcaregroup.co.uk or call: a whole army of exceptional, warm and dedicated 07949 971010. people with the motivation and enthusiasm to help you and your family go on enjoying life together. We are proud of the care provided by the independent care sector in this area and hope that, We have an ever-changing landscape in social with the help of this Guide, you will find the support care, and it can be hard for those looking to use you and your family need. services to keep up. That is why this Guide is such an invaluable tool in helping find the care package Mike Padgham that is right for your family. It sets out all the Chair different types of care available in this area, as well Independent Care Group as how to access that care and how to fund it. With people’s care needs becoming ever more complex and the services offered by providers changing to meet those demands, it has never been more important to look at all your options when considering the support you need. Once you have identified your choices, always pay a visit to the care services to help you to decide. Don’t forget you can also find important information about care providers by looking at their latest inspection report from the regulator, the Care Quality Commission (CQC). For our part, the ICG is the regional body responsible for representing and supporting local independent care providers, both private and voluntary. For over 20 years, we have been actively helping care providers to deliver quality and safety of care for older and vulnerable people. Visit www.carechoices.co.uk for further assistance with your search for care 5
Regions covered by this Guide Richmondshire Hambleton Scarborough Ryedale Craven Harrogate Craven Ryedale Selby Care homes 79 Care homes 89 Care homes with nursing 79 Care homes with nursing 89 Hambleton Scarborough Care homes 81 Care homes 89 Care homes with nursing 81 Care homes with nursing 91 Harrogate Richmondshire Selby Care homes 83 Care homes 88 Care homes 92 Care homes with nursing 87 Care homes with nursing 88 Care homes with nursing 93 Where to go for trusted information, advice and guidance The information in this Promoting Wellbeing and instance, you can always call North Yorkshire County Independence Guide for Adults has been compiled Council’s Customer Service Centre for advice on: in conjunction with the Health and Adult Services 01609 780780 or email: Directorate of North Yorkshire County Council. We social.care@northyorks.gov.uk used to be known as ‘social services’. We have recently launched a community directory When the words ‘we’ and ‘us’ are used in the Guide it which you may find useful. North Yorkshire Connect: means Health and Adult Services. Lots of people will www.northyorks.gov.uk/community-directory- pick up this Promoting Wellbeing and Independence north-yorkshire-connect offers local information Guide for Adults looking for advice and information from community and voluntary organisations that about adult social care. The Guide aims to give can provide advice and support. It also lists activities an overview of all aspects of adult social care to and things to do. everyone who is looking for care and support. If you are thinking about care and/or support, either for yourself or a loved one, it can be a challenging task. Making any change in your life will require major decisions and we are trying to provide you with the basic information and guidance you will need in this Guide and give you the details of other organisations that may be able to help. In the first 6 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
Finding care in your area Looking for care in your area? Want to know the They can also be saved and emailed to others. quality rating of providers you’re considering? Care Choices, publisher of this Guide, has a website The website includes detailed information for providing comprehensive details of care providers as each care provider, including the address, phone well as essential information. number and the service’s latest CQC inspection report and rating (see page 72), indicating the You can search by postcode, county or region for quality of care provided. care homes, care homes with nursing and home care providers that meet your needs across the country. You can also view an electronic version of this Guide on the site and have it read to you by using Your search can be refined by the type of care you are the ‘Recite Me’ function. Visit: looking for and the results can be sent to you by email. www.carechoices.co.uk Health and wellbeing Looking after our health and wellbeing is key to Dementia ensuring that we feel good, live well and enjoy life. Find out how organisations across different sectors There is a range of services and support to help you work together to support people living with to make changes to your lifestyle. dementia and their carers. You can also find out about preventing the risk of dementia and useful The Public Health team at North Yorkshire County links to information about dementia: Council provides a range of information on health www.northyorks.gov.uk/do-i-have-dementia and wellbeing on the Staying Healthy webpages: Older people Drugs, alcohol and smoking Find out about winter health, fuel poverty, falls Find advice and support about stopping smoking, prevention and healthcare for older people: drug and alcohol misuse: www.northyorks.gov.uk/older-people www.northyorks.gov.uk/Drugs-and-alcohol Sexual health and contraception Healthy lifestyles Find out about sexual health, chlamydia screening, Find out about eating healthily and maintaining HIV and contraception: a healthy weight, sleeping well and good oral www.northyorks.gov.uk/sexual-health health: www.northyorks.gov.uk/Healthy-lifestyles Mental health Find out about maintaining your mental health Health and the environment through an awareness of potential issues and how to Find out about skin awareness and sun exposure prevent them developing: risk, the risks to health from climate change and www.northyorks.gov.uk/mental-health avoiding infection: www.northyorks.gov.uk/health-and-environment Long-term conditions Find out about reducing the risks of developing cancer, diabetes or heart disease as well as treatments for these conditions. You can also find out how to help yourself to stay healthy: www.northyorks.gov.uk/long-term-conditions Visit www.carechoices.co.uk for further assistance with your search for care 7
Learning disabilities Useful websites Find information and support if you have a The NHS website: www.nhs.uk learning disability: Change4Life: www.nhs.uk/change4life www.northyorks.gov.uk/learning-disabilities NHS Health Checks Find out how to reduce your risk of developing health problems with an NHS Health Check: www.nhs.uk/conditions/nhs-health-check Getting out and about Community transport schemes Disabled person’s bus pass There is a wide range of schemes available across Disabled people are entitled to free off-peak travel North Yorkshire to help you get out and about so on local bus services anywhere in England. that you can access services in the community. You must meet one or more of the following criteria: For more information, visit our community transport • be blind or partially sighted; page on the North Yorkshire County Council website, which provides an A-Z of the community • be without speech; transport operators across North Yorkshire, broken • not have arms or have long-term loss of the use down by geographical area. of both arms; Further details regarding transport in North • be profoundly or severely Deaf; Yorkshire are available at: • have a learning disability; www.northyorks.gov.uk/public-transport • have a disability or have suffered an injury which Demand responsive transport has a substantial and long-term adverse effect on Demand responsive transport is pre-booked your ability to walk; or transport that uses taxis or minibuses to provide • have been refused an application for a driving transport to areas that are not served by licence due to physical fitness, not including the conventional bus services. misuse of drugs or alcohol. We are working closely with community transport Companion bus passes for disabled people operators to increase the availability of these lifeline You can apply for a bus pass for a companion to services where public transport is not available. travel with you if you are disabled and meet the Details of the demand responsive services that eligibility criteria. Your companion need not travel operate in the county can be found at: with you on every journey or be the same person www.northyorks.gov.uk/public-transport each time. They cannot use the pass without you. (select ‘demand responsive transport’). Bus passes There are two main types of bus pass available: Senior person’s bus pass Older people of pensionable age are entitled to free off-peak travel on local bus services anywhere in England. 8 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
Applying for a bus pass For more information about the scheme, including You can check whether you are eligible for a bus how to apply or renew a badge, visit: pass, and apply or renew your bus pass, by visiting www.northyorks.gov.uk/blue-badge-parking- the ‘Bus Passes’ section on the North Yorkshire permits-disabled-people County Council website: www.northyorks.gov.uk/bus-passes If you need assistance accessing information outlined in this section, please visit your local Blue Badge parking permits North Yorkshire library where a library assistant The national Blue Badge scheme helps people will support you or contact our Customer Service with severe mobility issues who travel as drivers or Centre on: 01609 780780. A list of libraries in passengers to park close to their destinations. North Yorkshire starts on page 76. What’s in your community? Darlington Bradbury House, Beaumont Street West DL1 5SX Tel: 01325 362832 There’s lots of local support available to help you Darlington (information and advice office) to stay independent and living well. Review the 1 Beaumont Street DL1 5SZ organisations listed in this section and visit the Tel: 01325 357345 North Yorkshire Connect website (www.northyorkshireconnect.org.uk ) for even Harrogate more organisations that can provide support. Harrogate Community House, 46-50 East Parade HG1 5RR Advocacy Tel: 01423 502253 Advocacy Alliance Office 28, The Street, Scarborough YO12 7PW Northallerton Tel: 01723 363910 1 Zetland Street DL6 1NB Email: office@advocacyallianceyorkshire.org.uk Tel: 01609 771624 Web: www.advocacyallianceyorkshire.org.uk Richmond Cloverleaf Advocacy Zetland Square DL10 7BP Fifth Floor, Empire House, Wakefield Old Road, Tel: 01748 327155 Dewsbury WF12 8DJ Tel: 01924 454875 Ripon Text: 07860 021502 5 Duck Hill HG4 1BL Email: enquiries@cloverleaf-advocacy.co.uk Tel: 01765 606872 Web: www.cloverleaf-advocacy.co.uk Skipton Carers’ services The Swadford Centre, 32 Swadford Centre BD23 1RD For more information about carers’ services in North Tel: 01756 529654 Yorkshire including contact details, see page 42. Other contacts Age UK North Yorkshire and Darlington A local, independent charity committed to delivering quality-assured services and activities to older people. Visit www.carechoices.co.uk for further assistance with your search for care 9
Age UK Selby District Scarborough A local, independent charity committed to delivering 5B & 5C, Dunslow Court, Eastfield YO11 3XT quality-assured services and activities to older people. (open 9.00am to 5.00pm, Monday to Friday). 50 Micklegate YO8 4EQ Tel: 01423 226240 Tel: 01757 704115 Email: north.yorks@medequip-uk.com Email: linda@ageukselby.co.uk Web: www.ageuk.org.uk/selbydistrict Northallerton and the Dales Mencap Society Represents the interests of people with learning FirstStop Advice disabilities and their carers in the Hambleton and Advice and information on all aspects of care Richmondshire Districts of North Yorkshire. accommodation, housing, finance and rights for The Goosecroft Centre, Goosecroft Lane DL6 1EG older people. Tel: 01609 778894 Tel: 0800 377 7070 Email: admin@northallertonmencap.org.uk Email: info@firststopcareadvice.org Web: www.northallertonmencap.org.uk Web: www.firststopadvice.org.uk Patient Advice and Liaison Service (PALS) Healthwatch North Yorkshire PALS provides information for patients and their Making sure your views on local health and social families and can help you deal with any concerns care services are heard. around your hospital treatment. Problems can be Tel: 01904 552687 discussed with the PALS Officer in confidence, Email: admin@healthwatchnorthyorkshire.co.uk and you can work together to find a solution. Web: www.healthwatchnorthyorkshire.co.uk PALS Officer You can contact them between 9.00am and 4.00pm, Independent Care Group (ICG) Monday to Friday. The ICG is the regional body responsible for The James Cook University Hospital, Marton Road, representing and supporting local independent care Middlesbrough TS4 3BW providers, both private and voluntary. Tel: 0800 028 2451 or 01642 854807 Tel: 07949 971010 Email: stees.pals@nhs.net Web: www.independentcaregroup.co.uk Web: www.southtees.nhs.uk/patients-visitors/pals Medequip Provides the Community Equipment Service commissioned by local NHS clinical commissioning groups (CCGs) and North Yorkshire County Council. See page 16 for more information. Knaresborough Unit 2, Manse Lane HG5 8LF (open 8.00am to 5.00pm, Monday to Friday). Tel: 01423 226240 Email: north.yorks@medequip-uk.com The lifestyle site for parents and • Birth to adulthood carers of children with additional • Real life blogs needs and those who support them. • Directory • Ask the experts www.myfamilyourneeds.co.uk • Monthly columnist hello@myfamilyourneeds.co.uk @WeAreMFON Subscribe today 10 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
Keeping safe What is abuse? • financial abuse – stealing, fraud, withholding or Abuse is when somebody does or says things to a misusing someone’s money or possessions; person that harms them or makes them feel upset • neglect and acts of omission – includes not giving or frightened. It is mistreatment by somebody or someone the care that they need; some people that violates a person’s human and civil rights. • modern slavery – human trafficking and forced labour; Anyone could be at risk of abuse or neglect. A person may be more or less vulnerable at different • domestic abuse – when abuse occurs between times in their life. partners or by a family member; • discriminatory abuse – poor treatment or Some adults may be more at risk because they are harassment because of someone’s age, gender, older or have a sensory impairment, a disability, a sexuality, disability, race or religious belief; mental health condition or a long-term illness. These people may have difficulty in making their wishes and • organisational abuse – inflexible systems and feelings known which may put them at risk of abuse routines in place that stop people making their or neglect. Also, these people may not be able to own choices about their lifestyle; not considering make decisions or choices without support. a person’s dietary requirements; inappropriate ways of addressing people; and An adult at risk is a person aged 18 or over who has needs for care and support (whether or not the local • self-neglect is also a form of abuse – this is when authority is meeting any of those care and support someone chooses not to look after themselves. It needs), and as a result of those care and support might include not eating or refusing help for their needs is unable to protect themselves from either health or care needs and this has a significant the risk of, or the experience of, abuse or neglect. effect on their wellbeing. What is safeguarding? Abuse may be an isolated incident or repeated Safeguarding is defined as ‘protecting an adult’s incidents. It may be that the abuse is deliberate, or right to live in safety, free from abuse and neglect’ it may be unintentional; due to ignorance or lack of (Care and Support Statutory Guidance, Chapter training and understanding. It may be that a person 14). Adult safeguarding is people and organisations is at risk of abuse or being abused in several ways. working together to prevent and reduce both risks and experiences of abuse and neglect. Where does abuse happen? It can happen anywhere – at home, a care home, a Types of abuse hospital, in the workplace, at any service you attend, There are lots of different types of abuse, including: at college, in supported housing or in the street. • physical abuse – someone being hit, slapped Adults at risk provide sensitive information and or kicked, being locked in a room or restrained have the right to expect that this information and inappropriately; information obtained from others will be treated respectfully and that their privacy will be maintained. • sexual abuse – someone being made to take part in sexual activity when they haven’t given The challenges of working within the boundaries of consent or are not able to give consent; confidentiality should not stand in the way of taking • emotional or psychological abuse – someone appropriate action. Whenever possible, informed being shouted at, bullied, being made to feel consent to the sharing of sensitive personal frightened or pressurised into decisions; information should be obtained. Visit www.carechoices.co.uk for further assistance with your search for care 11
Who might cause abuse? What should you do if you are worried about Abuse can be caused by anyone, it may be someone in a care home? somebody you know well, or it may be a stranger. If your concern is about someone who is in a care It may be more than one person. It might be a home, please refer them to us: family member, a friend, a neighbour, a carer or care worker, a nurse, a social care worker, a GP, a Customer Service Centre visitor to your home or a rogue trader. If you live in Tel: 01609 780780 a residential setting or receive any other services, it may be another user of that service, a visitor or a For further details, visit: care worker. www.northyorks.gov.uk/safeguardingadults What should you do if you are worried about abuse? If you have concerns about the standards or North Yorkshire County Council has a legal duty to application of regulations in a care home, you protect the rights of adults with care and support should contact: needs to live in safety, free from abuse and neglect. Together with other partners, including Health and The Care Quality Commission the police North Yorkshire County Council operates Citygate, Gallowgate, a zero-tolerance attitude towards all forms of Newcastle upon Tyne NE1 4PA abuse. All adults should be able to live their lives Tel: 03000 616161 free from fear and harm. Email: enquiries@cqc.org.uk If you or the person you are concerned about is What should you do if you are suspicious that in danger and immediate action is required, you Modern Slavery is happening near you? should ring the Emergency Services on: 999. If you believe a person is being subject to Modern Slavery, report to the Police on 101 or in an If you or the person you are concerned about emergency where there is immediate threat, call 999. is not in immediate danger, you should ring our Customer Services Centre on: 01609 780780. You can also call the Modern Slavery helpline: This is a 24-hour service. 0800 012 1700 (open 24 hours a day, seven days a week) or call anonymously via CrimeStoppers You will be able to speak to an experienced adviser on: 0800 555 111. who will listen to your concerns, take them seriously and treat you with dignity and respect. You will be To find out more about North Yorkshire Police’s offered support and your concerns will be directed to campaign, visit: www.northyorkshire.police.uk a specialist worker who will arrange to meet with you. (search ‘campaigns’ then select ‘campaigns’). You may have a relative, friend or independent advocate present if you wish. Together, you will discuss the issues and agree a plan to keep you as safe and independent as possible. We want to help you to reach the outcome you want and ensure you are aware of your options. We may involve other agencies to help support you safely, but we will agree this together. Where the abuse is a crime, the police need to be involved to prevent other people from suffering as well. We will jointly help to support you. If you are worried about contacting the police, you can contact us to talk things over first. 12 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
Living Well in North Yorkshire What is Living Well? Living Well Coordinators (LWCs) work with people • talk to you and find out more about what support in need to reduce loneliness and isolation, increase is required; participation and support you to be independent. • help you to think about areas of your life that you Living Well aims to improve the health, wellbeing would like to change; and independence of adults. Our coordinators • work alongside you and listen to what help you work with individuals and their carers who are may need; isolated, vulnerable, bereaved, lacking confidence or perhaps on the borderline of needing health and • support you to make simple changes to manage social care services. your health and stay well; and To prevent the need for statutory support, we • support you to plan what you need to do to make help people access their local community and those changes and help you to achieve your goals support them to find solutions to their health and in an agreed time frame. wellbeing goals. This helps to reduce loneliness and isolation and prevents or resolves issues for Some types of support that LWCs provide includes: people, including hospitalisation. • support to build self-confidence; Who can benefit? • support with practical advice and skills; Living Well can support adults who are not currently eligible for ongoing social care support and who: • advice on healthy living and signposting to lifestyle services such as exercise or • are lonely and or socially isolated; stop smoking; • have had a recent loss of a support network, • help to get online either in the home or using a including bereavement; universal/community service, such as a library • have had a loss of confidence due to a recent or cybercafé; change or event; • help to become a volunteer or to access • require face-to-face information, advice and community activities; and guidance; or • helping a person to be connected to, linked • need some support to find or maintain with or signposted to a voluntary agency for employment. support or a more specific support network such as befriending, shopping, transport, This may be people who need a little extra help to advocacy and more. overcome some of life’s challenges and changes; people who have a caring role, who are frail or How do you access the service? physically disabled, people with a learning disability When you contact us, an adviser will refer you to the or autism or people with mental health problems or Living Well team if you meet the requirements for sensory impairments. the service. What can you expect? North Yorkshire County Council LWCs will spend time with individuals on a one-to- For more information, call our one basis. LWCs will: Customer Service Centre on: 01609 780780. Visit www.carechoices.co.uk for further assistance with your search for care 13
Living Well Smokefree (LWSF) LWSF is a stop smoking service provided by North • up to 12 weeks after your last cigarette – your Yorkshire County Council. LWSF has a team blood is pumping to your heart and muscles of experienced stop smoking advisors, based better due to improved circulation; in a range of community venues across North • three to nine months after your last cigarette – Yorkshire that offer specialist support. Due to the your lungs are working 10% better and you are COVID-19 pandemic, LWSF is still fully operational coughing and wheezing less; offering interventions remotely via telephone and video conferencing. These interventions include • one year after your last cigarette – your risk of a behavioural and motivational support and access to heart attack has halved compared to a smoker; stop smoking medications (Nicotine Replacement Therapy and Champix). Stop smoking support is also • ten years after your last cigarette – your risk of available through GPs and pharmacies that have death from lung cancer has halved too; and signed up to deliver the service. • 15 years after your last cigarette – your risk of heart attack is the same as somebody who has Eligibility criteria never smoked. All clients referred to the service will undergo an eligibility check against the following criteria: With the right support, you are three times as likely to stop smoking for good. • would like to stop smoking and receive support from the Specialist Stop Smoking Service; Referral process If you would like to access the service, refer • is not receiving stop smoking support from somebody else, assist somebody to self-refer, or you another provider; would like any further information about LWSF, use • is above the age of 12; and the contact details below: • is a tobacco smoker that resides in North Living Well Smokefree Yorkshire, works in North Yorkshire or is Tel: 01609 797272 registered with a GP in North Yorkshire. Email: stop.smoking@northyorks.gov.uk Web: www.northyorks.gov.uk/stopping-smoking Anyone who does not meet all of these criteria will not be eligible to access LWSF. Why would you stop smoking? Here is what can happen after your last cigarette: • 20 minutes after your last cigarette – your pulse returns to normal; • eight hours after your last cigarette – your oxygen levels are recovering and harmful carbon monoxide in your blood has halved; • 48 hours after your last cigarette – your body has flushed out all carbon monoxide and your lungs begin to clear out the waste. Also, your smell and taste improve; • 72 hours after your last cigarette – your breathing feels easier and you feel more energetic; 14 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
Stay living at home We want people to stay living in their homes for as have a mental health condition or are living with long as possible and we know that many people dementia. want to be surrounded by their possessions, near to their family and friends. This applies to anyone, The following section gives you a wide range of whether they are older, recovering from an illness information about the support available in North or addiction, have a physical or learning disability, Yorkshire to help you stay living in your home. Assistive Technology Assistive Technology (AT) uses a range of remote • AT can form part of your long-term support equipment matched to your personal needs. This plan and Personal Budget dependent upon helps to increase, maintain or improve functional assessment and eligibility. capabilities, enabling you to live as independently and safely as possible. The equipment can be linked Some examples of how AT can be used are: to a monitoring centre, to family and friends or to • to call a monitoring centre which can keep a other technology devices in the home. AT is used phone line open to you in an emergency. For in a variety of circumstances to help people with a example, following a serious fall; broad range of needs. • to alert you when temperatures in your property The AT service in North Yorkshire aims to provide get too high or low. For example, if the cooker a high quality and innovative service that uses hob has been left on or if you forget to use your technology, monitoring and support to: central heating; • enable you to live a healthier, independent life • to remind you to lock your door; for longer; • to alert family or friends if you leave your • enable you to live safely at home; property at unusual times of the day; and • prevent or delay unnecessary hospital or care • to allow you to remain independent whilst home admissions; knowing that you have technology to keep you safe or to allow you to complete tasks and • support you to return home from hospital or activities. care settings where possible; and AT works 24 hours a day, 365 days per year • provide technology-based solutions to by providing real-time alerts or calls when complement other community services. equipment is activated. North Yorkshire County Council’s AT services are delivered in several ways: • a financially competitive, private pay AT offer is available to all people within the county. This includes AT equipment and monitoring. AT can then be responded to by family, friends or carers; • AT can also be provided as part of our Reablement services for a short period of time. This will enable the appropriateness and effectiveness of the AT to be captured to plan long-term provision; and Visit www.carechoices.co.uk for further assistance with your search for care 15
AT typically alerts a call centre staffed by trained Customer Service Centre on: 01609 780780 or operators who can speak to you, will have your details visit: www.northyorks.gov.uk and know who to call in an emergency. This could be family, friends, carers, a community response service Alternatively, to arrange AT privately, please or the emergency services if required. contact Nottingham Rehab Ltd (NRS) who deliver the AT service in partnership with North Yorkshire For further information about AT, or to refer for County Council on: 01904 221473 (opt. two) or an assessment where applicable, contact our visit: www.nrstelecare.co.uk/northyorkshire Other equipment available Occupational Therapists (OTs) and other specially • information and advice for North Yorkshire trained workers can give you advice and assess your residents about both independent living and the needs and those of carers. Community Equipment Service; • a self-purchase service (purchasing products There are many types of equipment that can help before or in addition to those potentially you to live independently at home. Depending on provided by health and social services). Medequip your circumstances, our Occupational Therapy has an online store at service can recommend equipment that enables you to carry out daily living activities such as bathing, www.manageathome.co.uk ; and washing, dressing and getting around your home. It may be as simple as fitting a grab or banister rail • signposting to the Disabled Living Foundation’s in the right place to help you get up and down steps AskSARA website. For more information, visit: more safely and independently or you may need https://medequip.livingmadeeasy.org.uk equipment to help you with getting in and out of bed or using the toilet. Medequip Knaresborough Unit 2, Manse Lane HG5 8LF North Yorkshire County Council has an online self- (open 8.00am to 5.00pm, Monday to Friday). assessment tool called ‘AskSARA’ which can identify Tel: 01423 226240 ways of helping you with daily living activities in your Email: north.yorks@medequip-uk.com home. To find out more, visit: www.northyorks.gov.uk/health-and-social-care Medequip Scarborough (select ‘advice and support to help with daily living’) 5B & 5C, Dunslow Court, Eastfield YO11 3XT or contact us directly for an assessment on: (open 9.00am to 5.00pm, Monday to Friday). 01609 780780. Tel: 01423 226240 Email: north.yorks@medequip-uk.com It is important to get the right advice and support before you buy any equipment. You will find several mobility aids and equipment providers in your local community who can discuss basic equipment with you to ensure that it meets your needs. Medequip Medequip provides the Community Equipment Service commissioned by local NHS clinical commissioning groups (CCGs) and North Yorkshire County Council. The service includes: • the returning and recycling of equipment. Visit www.medequip-uk.com/contact/knaresborough; 16 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
Home Improvement Agencies (HIAs) and minor adaptations The HIA handyperson service for your area provides • free access to a ‘safe traders’ list of approved a range of preventative services including minor contractors, helping you to avoid rogue traders. jobs/adaptations such as: Whether you own or rent your property, you may be • replacing light bulbs, securing loose carpet or eligible for some or all of the adaptations if identified putting up shelves or flat-pack furniture; within a North Yorkshire County Council assessment. • adaptations – providing and fitting grab rails and external handrails, fitting of second bannister Yorkshire Housing Home Improvement Team rails and larger jobs such as building a step to Tel: 0345 366 4406 improve accessibility; Web: www.yorkshirehousing.co.uk/support (select ‘home improvement services’). • security – fitting window locks, security chains, key safes, doorbells and door locks; White Rose Home Improvement Agency For all Scarborough, Whitby and Ryedale areas. • help with accessing benefits or grants to fund Tel: 01723 232323 work; Web: www.scarborough.gov.uk/white-rose- home-improvement-agency • energy efficiency advice; and Major adaptations If you have difficulty accessing areas within your The HIA can carry out the work and or support the home, have a permanent or long-term health approved contractor/s. condition and need an adaptation to help you stay independent, you may be eligible for a grant from For more information about DFG’s in your local your borough or district council (called a Disabled district, visit the relevant website below and search Facilities Grant or DFG). ‘Disabled Facilities Grant’. The grant is assessed according to your needs and Hambleton District Council circumstances. Following a financial assessment, Web: www.hambleton.gov.uk you may qualify whether you are a homeowner or a tenant. However, if you are eligible for Richmondshire District Council funding through a DFG, you may still have to pay a Web: www.richmondshire.gov.uk contribution towards the cost of the adaptation/s. Harrogate Borough Council DFG adaptations are only provided to meet an Web: www.harrogate.gov.uk assessed need when the local authority deems the work as ‘necessary and appropriate’. Craven District Council Web: www.cravendc.gov.uk Further information about DFGs can be found at: Selby District Council www.foundations.uk.com Web: www.selby.gov.uk Your local district council’s HIA White Rose Home Improvement Agency Each district area in North Yorkshire provides a For Scarborough, Whitby and Ryedale areas. technical service to support people with their DFG. Web: www.scarborough.gov.uk This includes; drawing and submitting plans, building regulation applications, obtaining quotes, overseeing Use the Assistive Technology checklist on page work, ensuring it is completed to the required 22 for ideas of questions to ask suppliers. standard and that it is ‘reasonable and practicable’. Visit www.carechoices.co.uk for further assistance with your search for care 17
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 to improve your mobility. 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? toggles, or there’s even technology available so Large-handled cutlery could help, or non-slip that you can turn your lights on and off using mats for the table. Lightweight cups and mugs your speech. with two 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 18 Search www.northyorkshireconnect.org.uk for community and voluntary organisations
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. Is it becoming difficult to get dressed? If so, You might like to buy a raised toilet seat, or a seat specially adapted clothing is available, or you with a built-in support frame if it’s hard to use your could buy a long-handled shoe horn, a dressing toilet. Flush lever extensions are also available. stick or a button hook. If you are having a lot of difficulty, consider home support, see page 25. Has it become more difficult to wash? Items are available, like long-handled sponges and flannel Clocks are available with large numbers or lights straps. You could also consider a slip-resistant if you can’t read the time in bed. You can also buy bath mat, grab rails, a half step to help you get in clocks that speak the time. and out of the bath or a bath or shower seat. Tap 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 the font size. Some also have integrated lights. Look for bedside lamps with a step-on or button If you think you need an assessment, please call switch if yours are difficult to use. our Customer Service Centre on: 01609 780780 or email: social.care@northyorks.gov.uk Do you struggle to get in and out of bed? You could learn new ways of moving around, purchase If you would like some advice and guidance to a leg lifter or a hoist or install grab rails for support. help you make informed choices about how Seek advice about these options. If the bed is the to meet your care and support needs, you can issue, you could buy an electric adjustable bed or complete an initial assessment online at: raise the bed to the right height. www.northyorks.gov.uk/new-adult-social-care Grab handles Bed table Hand rail Hand trolley Tap turners Visit www.carechoices.co.uk for further assistance with your search for care 19
Medequip work with North Yorkshire County Council and the NHS to provide assistive living equipment in your area. Medequip also provide a retail service for those who wish to purchase or rent equipment themselves. Return Recycle Reuse If you would prefer to return equipment to Medequip yourself, you can bring it to our distribution centres: Help your Local Authority and NHS services by Medequip Knaresborough Depot returning equipment you no longer need Unit 2, Manse Lane, Knaresborough North Yorkshire HG5 8LF Contact Medequip now to request a collection Monday to Friday 8am - 5pm Call 01423 226240 Medequip Scarborough Depot Email north.yorks@medequip-uk.com 5B & 5C, Dunslow Court Eastfield, Scarborough North Yorkshire YO11 3XT Return Recycle Reuse Copyright © 2017 by West Suffolk NHS Foundation Trust – used with permission Monday to Friday 9am - 5pm 0800 910 1390 Technology Enabled Care Service connectadmin@medequip-uk.com Lease a Care Alarm which is monitored 24 hours a day for as little as £2.99 per week We will supply the equipment and monitor it 365 days per year, 24 hours per day. We will alert your next of kin, nominated contacts or emergency services to assist you in the event of an emergency. Shop now at www.medequip-connect.com 0800 910 1313 Manage At Home’s range of products are designed to promote independence at home and manage daily living more easily. We stock a wide selection of over 3,000 mobility and disability aids to help you stay safe and independent at home. Find us on: @ManageAtHome Call us or visit our website to request a free catalogue Shop mobility aids at www.manageathome.co.uk
Assistive Technology checklist © 2021 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://northyorks.livingmadeeasy.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 Visit www.carechoices.co.uk for further assistance with your search for care 21
Bluebird Care provides the highest quality of home care services • Domiciliary Care • Specialist Care led by Nurses • Live-in Care Enquire about care today! Bluebird Care Bluebird Care Scarborough Harrogate & Bridlington 01423 529573 01723 588004 harrogate@bluebirdcare.co.uk scarborough@bluebirdcare.co.uk 7 Alexandra Road, Cayley Court, Hopper Hill Road, Harrogate HG1 5JS Scarborough YO11 3YJ
Occupational Therapy Occupational Therapy provides practical support to Private Occupational Therapy facilitate recovery and overcome barriers preventing If you do not want to access Occupational Therapy people from doing the activities (or occupations) through the NHS or North Yorkshire County Council, that matter to them. This support can increase you could contact an OT directly. people’s independence and satisfaction in all aspects of life (RCOT, 2019). For more information, If you decide to see a private OT, make sure they are visit: www.rcot.co.uk fully qualified and registered through the Health and Care Professions Council (HCPC) and are a member The way you access these services in North Yorkshire of a recognised body, such as the Royal College of will depend on why you need Occupational Therapy. Occupational Therapists: www.rcotss-ip.org.uk/find Health Occupational Therapy If you have a short-term condition, for example, if Only healthcare professionals who are registered you need support following an operation, you will with the HCPC can use the title of ‘Occupational access services through the NHS, and you should Therapist’. You can see if your OT is registered by speak to one of the healthcare professionals checking the HCPC online register: treating you. They will discuss your needs with you www.hcpc-uk.org and decide if you would benefit from Occupational Therapy and, if so, will arrange an assessment with An OT can carry out an assessment to identify an Occupational Therapist (OT) as part of your care. what areas of your everyday life are causing problems. They will discuss your needs with you The Health Occupational Therapy service covers and explain what help is available. An assessment hospital stays and returning home. It provides a and any advice or information provided by a specialist therapeutic service, including assessment, Health or local authority OT should be free, treatment and ensuring a safe discharge back home services resulting from this assessment may be after hospital admission. chargeable. A private OT may charge you for any assessment, information or services. Local council Occupational Therapy For ongoing difficulties in your home due to your health, Occupational Therapy can be accessed through your local council. You should contact our Customer Service Centre on: 01609 780780 Visit: www.northyorkshireconnect.org.uk for to arrange a needs assessment with an OT. Or you community and voluntary organisations that can may be referred to another health or social care provide advice and support. professional, whoever is more appropriate. Access to food and drink services We no longer have direct involvement in arranging, Sherburn Visiting Service delivering or subsidising meals on wheels services. Tel: 01977 681828 However, we have identified several organisations across the county which can provide meals to Wiltshire Farm Foods – Thirsk branch people in their own homes. Tel: 01845 578784 You can discuss directly with providers the type and number of meals per week that you would like. Payment is agreed directly with the meal providers. Visit www.carechoices.co.uk for further assistance with your search for care 23
Home is where the care is A realistic alternative to residential care in all areas Find out more about our outstanding home and live in care, and the difference it could make to your life Hambleton & Richmondshire Ainderby Hall, Ainderby Steeple, Northallerton DL7 9QJ 01845 440271 hambletonandrichmondshire@bluebirdcare.co.uk liveincare@hamandrich@bluebirdcare.co.uk www.bluebird.co.uk
Getting help in your home Help at home is also known as ‘home care’ or worker sleep in your home overnight for security ‘domiciliary care’ and is usually arranged according to and reassurance. need. All service providers, except those delivering Live-in care – a care worker lives in your home, is domestic support only, must be registered by the allowed time off each day and must have a night’s Care Quality Commission (CQC) which publishes sleep. It can be arranged as a short respite for your reports and quality ratings following an inspection. main carer or a permanent arrangement to suit You must ensure that all care workers have Disclosure your needs. and Barring Service checks, have received necessary training, are properly referenced, and are eligible to 24-hour care – when you need assistance or work in the UK prior to visiting your home. Check CQC monitoring 24 hours a day. It differs from live-in care reports and quality ratings at: www.cqc.org.uk or in that care workers rotate to ensure that someone call: 03000 616161. is awake and working both day and night. Getting help at home can take many forms, the list CaCall ll 01701723 23 58800588002 2 of local providers beginning on page 29 may offer: www.nycil.org.uk www.nycil.org.uk Registered charity no. 1130786 admin@nycil.org.uk Take control of YOUR Life Practical support – to assist with household chores Get the care you need in the way you need it such as shopping, cleaning and assistance with food Our Vision is that everyone despite age or disability can Whether forlivyourself e indepeor ndaeloved one, ntly to thewhen ir fullyou est pare otethe ntiaemployer l. you have the preparation. Calls from care workers can be flexible flexibility No moreto decide been when and how told when andyou howneed yoursupport. care willBuild be a rapport with your employees provided, so you always take control, know We you decide. whooffer will be supporting you. bespoke and can last as little as 15 minutes when you need it. Personal Assistant recruitment and a low cost payroll By putting your job out there, you can find the person who matches service open to everyone. your requirements. Domiciliary care – in addition to practical support, Nycil canGsupport et in towith uch the to srecruitment ee how weprocess, can helincluding p. advertising, this involves personal care (assistance with washing, interviews, contracts, signposting to training and further advice we also offer a payroll service to make Cemploying all 017your 23own58staff 80even 02 easier. dressing etc.), and/or one or more care workers to wwtow.see nychow il.orwe g.ucan k So get in touch assist with mobility. You may wish to have a care Registered charity no. 1130786 Take control of YOUR Life “Elderflower Homecare is an exceptional home caring service, way beyond anything Our Vision is that everyone despite age or disability can Helping Hands I could have ever imagined. live independently to their fullest potential. Caring since 1989 The pressure and worry you took from me No more been told when and how your care will be I will be forever grateful” provided, take control, you decide. We offer bespoke Personal Assistant recruitment and a low cost payroll service open to everyone. l Medication Get in touch to see how we can help. l Personal Care l Meal Preparation l Companionship Elderflower Homecare is a small family run business that provides client centred, high l Physiotherapy Do you need a helping hand? quality care to enable people to lead l Occupational a fulfilling life in their own home. Therapy l Domestic Duties With care visits available from 30 minutes all the way up All our staff have extensive knowledge and to full-time live-in care, we provide personalised home l Dog Walking expertise for adults with dementia or a physical disability. l Daily Living care packages to support you in North Yorkshire. Equipment With over 30 years’ experience, we’ll support you with We allocate a limited number of carers per l Assisted stair lifts client to achieve a personal approach. anything you need to live independently in the home and baths you know and love, including: l Holiday & Respite Contact us for more information: Care ✓ Personal care ✓ Getting out and about Tel: 01423 324 325 l Shopping ✓ Housekeeping ✓ Short-term care Email: elderflowerhomecare@btconnect.com Looking for care? 0808 274 2935 www.elderflowerhomecare.co.uk For more information www.helpinghands.co.uk Richmond House, Horsefair, Boroughbridge YO51 9AA Visit www.carechoices.co.uk for further assistance with your search for care 25
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