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Tuesday, 05 February 2019 18:04

Help at home from a carer

Having a carer come to visit you in your home can make a huge difference to your life, especially if you have difficulty walking or getting around. It can help you stay living independently in your own home.

This type of care is known as homecare or domiciliary care or sometimes home help.

Help at home from a paid carer costs around £20 an hour, but it varies according to where you live. Sometimes, the council will contribute to the cost.

Homecare is very flexible. You might need a carer for only an hour a week or for several hours a day. You might need a live-in carer.

It can be temporary – for example for a few weeks while you recover from an illness. Or it can be long term.

You might also consider home adaptations or household gadgets or equipment to make life easier.

When should I consider help at home from a paid carer?

You might want to consider care at home if:

How can homecare help me?

A carer can visit you at home to help you with all kinds of things including:

Home help

This is slightly different to homecare and means day-to-day domestic tasks that you may need a helping hand with such as:

You might want some home help instead of or as well as homecare.

Most councils don’t provide home help. Contact a charity such as the Royal Voluntary Service, the British Red Cross or your local Age UK to see whether they can help (they may not be free).

How to get help at home from a paid carer

How your council can help

If you want the council to help with homecare for you, start by asking them for a needs assessment.

Your needs assessment will help the council to decide whether you qualify for care.

If you qualify, the council may recommend help at home from a paid carer. They will arrange the homecare for you.

If you don’t qualify for care, the council must still give you free advice about where you can get help in your community.

Even if you’re intending to make arrangements yourself with an agency or private carer, it’s still a good idea to have a needs assessment as it will help you to explain to the agency or carer what kind of help you need.

Apply for a needs assessment

Paying for homecare

Depending on your circumstances, your local council may contribute to the cost of homecare or you may have to pay for it yourself.

If your needs assessment recommends home care, you may get help with the cost from the council.

What you will contribute depends on your income and savings. The council will work this out in a financial assessment.

If the council is paying for some or all of your homecare, they must give you a care and support plan.

This sets out what your needs are, how they will be met and your personal budget (the amount the council thinks your care should cost).

You can choose to receive your personal budget as a direct payment each month. This gives you the control to employ someone you know to care for you at home rather than using a homecare agency, though you’ll then have responsibilities as an employer.

If you don’t qualify for the council to contribute to your homecare costs, you will have to pay for it yourself.

Read more about when the council might pay for your care.

Benefits that can help you with homecare

Check if you’re eligible for benefits. Some, such as Attendance Allowance and Personal Independence Payments, aren’t means tested and they can help you meet the costs of homecare.

Find out how to apply for:

How to choose a paid carer

If you're arranging your own homecare, there are 2 main ways to do this:

Homecare agencies

Homecare agencies employ trained carers and arrange for them to visit you in your home. You may not always have the same carer visiting your home, though the agency will try to match you with someone suitable.

How much do they cost?

It costs around £20 an hour for a carer to come to your home, but this will vary depending on where you live.

If you’re paying for yourself, the agency should be able to give you a clear price list. They’ll send you a monthly bill for your homecare.

How to find a local agency

There are 4 main ways to do this:

Questions to ask the agency

Here are some questions you may want to ask an agency before employing them:

  • what charges, if any, will I be expected to pay
  • what services are charged as extras?
  • have your carers looked after someone with similar needs to mine?
  • how will you choose the most suitable carer for me?
  • what sort of training do your carers get?
  • if I’m paying for my own care, do you have a standard contract I can read before signing my own?
  • if the council is contributing to my care can I see a copy of the contract they’ve signed with the agency?
  • how can I contact your agency during the day, in an emergency or outside office hours?

What to expect from agency carers

Homecare agency carers should treat you in a respectful and dignified way. For example, they should always:

  • knock and ring the front door bell and announce their arrival before coming into your home
  • bring an identity card
  • know where your keys are kept if they’re not in your home
  • keep any entry codes to your house confidential
  • know what to do if they can’t get into your home
  • know what to do if you’ve had an accident

Employing your own carer

Instead of using an agency, you can hire your own carer, sometimes called a private carer or personal assistant.

If you employ a carer, you have the legal responsibility of an employer. This includes arranging cover for their illness and holidays.

Which? Elderly Care has advice on employing a private carer.

How to complain about homecare

You have the right to complain if you’re not happy about the help at home you’re receiving. This might be because carers:

  • arrive late and leave early
  • don’t give your medicines to you properly
  • leave your home untidy after visits
  • give you poor care like dressing you wrongly

First complain to your local council or, if you’re paying for yourself, the agency. The council or agency should have a formal complaints procedure on their website. Try to be specific about what happened and include staff names and dates if you can.

If you’re not happy with the way the council or agency handles your complaint, ask the local government and social care ombudsman to investigate further. An ombudsman is an independent person who’s been appointed to look into complaints about organisations.

You can also tell the Care Quality Commission (CQC) which checks social care services in England.

Your local council must provide you with an independent advocate (someone to speak up for you) to help you make a complaint.

Source: https://www.nhs.uk/conditions/social-care-and-support-guide/care-services-equipment-and-care-homes/homecare/

 #LMT #Nottingham #Manchester #Northampton #Telford #Care #ElderlyCare #Healthcare #HomeCare


More than a million malnourished older people are “withering away in their own homes” amid rising levels of loneliness and isolation among Britain’s older population, MPs have warned.

A cross-party group of politicians urged the Government to look more closely at the issue after a report they commissioned found malnutrition among older people was set to cost the NHS and social care £15.7bn a year by 2030.

Action was “urgently required” to eliminate malnutrition among older people for the sake of the NHS and social care services – but above all for purposes of “humaneness”, the All-Party Parliamentary Group for Hunger said. 

A limited availability of data on levels of hunger across the UK makes it difficult to quantify, the MPs said as they called for ”robust and reliable” screening tools to be scaled up so the problem can be identified, diagnosed, and treated more quickly. 

Figures from the House of Commons Library show that the number of people aged 60 or over whose primary diagnosis was malnutrition more than trebled in the decade between 2005-06 and 2015-16.

The MPs estimated that social isolation of older people, coupled with rising life expectancy, meant there were now at least as many older people who were malnourished or at risk of malnutrition today as there were seven years ago – many of whom were “hidden beneath the radar”.

A ”string of setbacks” in older people’s lives, such as bereavement, illness, shop closures and a loss of community transport or meals on wheels, were thought to be main causes of loneliness and isolation. 

Representatives of the adult social care sector said that more funding was needed to address the “underlying care crisis” rather than placing more duties on “already pressured” sector.

Councils meanwhile, said services for older people were being threatened by “significant funding pressures” on local authorities.

Read more

Source: https://www.independent.co.uk/news/uk/home-news/elderly-pensioners-isolation-malnourished-uk-mp-warning-withering-in-homes-a8171901.html


#LMT #Nottingham #Manchester #Northampton #Telford #Care #ElderlyCare #Healthcare #HomeCare


Twinning nurseries with care homes boosts children’s reading and social skills, says report calling for intergenerational care

Twinning nurseries with care homes for the elderly would boost children’s literacy skills, according to a thinktank that is calling for every childcare provider and school to build links with older people.

Children who regularly mix with older people see improvements to their language development, reading and social skills, something that is most easily achieved at “intergenerational care” centres highlighted in the Channel 4 series Old People’s Home for 4 Year Olds, says a report by United for All Ages.

By playing and reading with children, the elderly are less likely to suffer loneliness, while the children get more opportunities for one-to-one reading and play time, it adds.

Intergenerational care began in Japan in 1976 and has spread to the US, Canada and the Netherlands. The first dedicated nursery and care home in the UK, Apples and Honey Nightingale, was set up in Wandsworth, southwest London, in mid-2017 and since then a further 40 have been created. Others are in development, including a veterans’ care home with a nursery in Wilton, Wiltshire, and a purpose-built complex planned in Wigan, with a nursery, assisted-living flats and a care home.

The health secretary, Matt Hancock, has backed the idea of more nurseries opening next to NHS services “in some cases”, but UAA says that every nursery, childminder, parent-toddler group and children’s centre should develop a relationship with a care home. The thinktank has set a target of creating 500 cross-generational sites by 2023.

Stephen Burke, UAA’s director, said much of the focus on intergenerational care had been on the benefits for older people, such as “tackling loneliness and isolation to improving health, care and quality of life”.

“But there are big benefits for children and younger people too,” he added. “Our challenge to Britain is to maximise those benefits for all of the next generation. Research shows that there are lasting benefits of a good start in life.”

The report highlights a decline in opportunities for children, with nearly a third of 3,632 Sure Start children’s centres cut since 2009, and evidence that poorer children have fallen behind their better-off counterparts by the age of five in half of local authorities in England. “Intergenerational action could and must make a much bigger contribution to this agenda,” Burke said.

The report, titled The next generation: how intergenerational interaction improves life chances of children and young people,is published this week and includes contributions from 20 organisations focused on the welfare of children and older people.

Alistair Bryce-Clegg, an early years education consultant, was involved in the Channel 4 series that created a nursery within the Lark Hall retirement village in Nottingham. He conducted a study of 10 children to see how the experiment affected their wellbeing, language use and acquisition, social interaction and empathy.

“The outcomes for the children were very positive,” he writes in the report. “They all made notable progress during their time in the experiment, with some of them making truly significant steps forward in their development.”

Lorraine George, a development worker at Torbay council in Devon, examined the development of children at intergenerational centres in the US, where there are several hundred facilities. She discovered improvements in language development, increased reading skills, greater self-esteem and confidence among the children and development of empathy.“We now have 20 care homes engaging in partnerships with early years providers,” she writes, with one care home creating a room for childminders to use every day.

Intergenerational care also offers opportunities beyond young children and older people, with teenagers and parents also experiencing benefits of more cross-generational mixing, the report says.The UAA has also called for all primary and secondary schools to build closer ties with older people locally, whether that means volunteering at local care homes or using school buildings to host older volunteers.Anne Longfield, the children’s commissioner, writes of how Italian teenagers who were suffering anxiety were being helped.

“Boys were encouraged to try out traditional pasta making with some of the older women in the community,” she writes. “Working on the pasta together there was no real pressure to talk about themselves, but rather a sense of acceptance as they contributed to the communal effort and achievement.”

#LMT #Nottingham #Manchester #Northampton #Telford #Care #ElderlyCare #Healthcare #HomeCare


Thursday, 10 January 2019 19:15

Old age is nothing to be ashamed of

Dr Hilary Hodge says everybody ages differently and Margaret Beetham says old age should be something to be proud of

Portraying getting older in a positive light and raising expectations as to what people can achieve has to be welcomed (12 steps to a happy later life, G2, 3 January). However, giving examples of people who have done amazing things needs to be balanced by the possibility that for many people, who have led hectic lives, that to learn to relax and not have to achieve anything, if you don’t want to, is equally valid.

For women who have had to balance child-rearing, careers and generally putting the needs of others before their own, one of the most important lessons is that it is OK to do what you want and not feel guilty. If you fancy sitting down and reading a book for a few hours, that’s fine. It is also important to accept that the ageing process affects individuals in different ways and what one person can do others cannot and that does not reflect negatively on those who can do less.
Dr Hilary Hodge (aged 73)
Bassingbourn, Cambridgeshire

I sat down to read G2 and nearly choked on my cuppa. The first step to a happy later life is apparently not to acknowledge that you are old. This is simply to reinforce ageism, like telling gay people they will be happier if they don’t acknowledge they are gay. I am glad to be old, thanks to luck, the NHS and welfare state, my family and friends and my genes. Let’s reclaim old age as something to be proud of and grateful for, not be ashamed of. We will all be old one day, if we are fortunate, as I have been. I am old. Get over it!
Margaret Beetham

source: https://www.theguardian.com/science/2019/jan/06/old-age-is-nothing-to-be-ashamed-of

#LMT #Nottingham #Manchester #Northampton #Telford #Care #ElderlyCare #Healthcare #HomeCare

Wednesday, 02 January 2019 17:30


New Year, New Start - Are you looking for new opportunities we are currently recruiting in Nottingham, Northampton and Telford. Great opportunities and support, get in touch today.

#LMT #Nottingham #Manchester #Northampton #Telford #Care #ElderlyCare #Healthcare #HomeCare

Monday, 19 November 2018 20:27

Today's NHS - our current challenges

The NHS is currently facing the biggest challenge in its existence.

While on a day-to-day basis most areas of the service are running perfectly well at present, we are already seeing signs of the strain the system is under in areas such as hospital care, A&E and GP services. The reasons for the service reaching this crisis point are many, but here are the main ones:


An ageing population

The NHS was set up to treat people with diseases. Many of the diseases that would have killed people 65 years ago, have been cured, which is brilliant. While that means people are living for longer, it also means that they are, probably, living with one or more illnesses (long-term complex conditions) such as diabetes, heart and kidney disease. In turn, that means ongoing treatment and specialist care.


Lifestyle factors

The way we live now is also having a negative impact on our health. Drinking too much alcohol, smoking, a poor diet with not enough fruit and vegetables and not doing enough exercise are all major reasons for becoming unwell and needing to rely on our health services. Increasing numbers of overweight children show us that this problem is currently set to continue.


The change in public expectations

Originally, tackling disease was the main job of the NHS. Now, we all expect so much more. From advice on healthcare management through to mental health and social care, contraception, antenatal and maternity services, vaccination programmes and the fast, efficient processing of our medication and appointments. All of this with a growing population due to living longer and higher birth rates with lower infant mortality.


Accident and Emergency departments

More and more people are visiting A&E departments and minor injury units – which is stretching the ability of the departments to cope. A lot of the visits are unavoidable, but some are visiting because of inconsistent management of their long-term health conditions, the inability to get a GP appointment or insufficient information on where to go with a particular complaint. Winter sees an even bigger rise in visitor numbers with staff finding it harder by the year to cope.


Rising costs

The current financial crisis, rising costs of services, energy and supplies; innovations and technological breakthroughs that require more investment – along with higher numbers of people to cater for – all spell out a huge economic disaster for the NHS.


It is estimated that without radical changes to the way the system works, as demand rises, and costs rise too, the NHS will become unsustainable, with huge financial pressures and debts. If we make no changes we face a £30 billion funding gap for the NHS nationally by 2020 .


Advances in medicine and technology

The great news amongst all of this gloom is that there has never been a better time to face an overhaul. Huge advancements in medicine and surgery, alongside IT and technological innovations mean that there is a wealth of ideas and efficiencies that could potentially be implemented to bring our NHS up to modern standards to meet the needs of us all in the 21 Century. Utilising these new approaches within a major restructure the NHS could go on to be a reassuring source of health care and wellbeing, as well as an inspirational model of good working practice for years to come.

source: https://www.myhealth.london.nhs.uk/help/nhs-today

 #LMT #Nottingham #Manchester #Northampton #Care #ElderlyCare #Healthcare

Plans to invest £3.5m of extra Government social care funding to reduce winter pressures at Nottinghamshire’s hospitals has been agreed by the County Council today (Monday 12 November).

The funding forms part of the £240m allocated to councils which was announced in the Chancellor’s budget speech last month.

The Council’s Adult Social Care and Public Health Committee agreed to fund an additional 64 posts to reduce pressures on local hospital beds to the end of March 2019.

Examples of where the money is being invested includes:

• £600,000 on extra short- term assessment beds in care homes for people leaving hospital who need extra support

• £500,000 in the Council’s Home First Response Service, which provides short-term support at home of up to 14 days for people leaving hospital or at risk of a hospital stay

• £250,000 for extra equipment for people receiving home care after a hospital stay, which includes lifting equipment to assist carers moving people with restricted mobility

• £200,000 on additional support workers to help people regain skills at home after leaving hospital through the Council’s START service

• £100,000 on 3.5 full-time social workers to support mental health patients requiring discharge

• £92,000 for extra social workers and community care officers to speed up discharge assessments across the county’s hospitals

• £87,000 for an extra 20 short-term care beds at the Council’s Care and Support Centres to support discharged patients before returning home.

Councillor Stuart Wallace, Chairman of the County Council’s Adult Social and Public Health Committee, said: “We’ve worked closely with our health colleagues in coming up with our plan to use the extra Government money, which aims to free up hospital beds for those most in need and support people leaving hospital to regain their skills at home.

“We will closely monitor the impact of this extra funding to make sure it’s making a difference to local health services and improving people’s independence after a discharge.

“The County Council is in the top 10 percent of authorities in the country for minimising hospital discharge delays caused by social care availability this financial year, so this extra funding will build on our current excellent performance.”

Source: https://westbridgfordwire.com/extra-3-5m-for-social-care-funding-in-nottinghamshire-to-ease-winter-pressures/

Twice as many elderly people will be cared for without going into a care home under a council development scheme.

Nottinghamshire County Council has approved plans to set up 242 new places in 13 new 'housing with care' schemes by next spring.

These should allow the county's older people to live in a self-contained home with personal care and support when needed.

According to the council this will also have the advantage of saving, on average, £49 to £91 per person compared with a care home.

Read more https://www.nottinghampost.com/news/nottingham-news/council-plans-save-money-elderly-1465146

 Sit-ins | Pop-in Care / Short Calls | Wake Night | Sleep-ins | Live-in Care | Appointments | Community Support | Supported Living

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24 April 2019