North Yorkshire. Care Services Directory 2014/15. The comprehensive guide to choosing and paying for care

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1 North Yorkshire Care Services Directory 2014/15 Whitby The comprehensive guide to choosing and paying for care Home support Specialist care Useful contacts Care homes In association with

2 RESIDENTIAL HOME AND CARE CENTRE The Hall is a true home from home, lifelong, care environment providing five star comfort and security within a beautiful historic building Having been lovingly restored, The Hall offers the very best facilities in the region for truly lifelong care. The addition of nine brand new rooms reflects our dedication to providing a luxurious lifestyle choice. Located in the picturesque village of Thornton-Le-Dale, there are now 47 stunning rooms, including flats which are ideally suited to married couples or siblings wishing to live together. Each room has an en-suite bath or full shower room, has been beautifully designed by a local interior designer and has spectacular views of the surrounding countryside and wildlife. The expert team at The Hall is dedicated to improving and maintaining quality of life for all its residents. The enthusiastic activities co-ordinator provides a variety of person centred care-activities based on individuals needs and wishes to allow everyone to lead an active life, creating a vibrant environment and generating fun and conversation. 24 hour care and support Day care and respite services A full calendar of activities and entertainment Delicious, home cooked food created by our award winning chef Extensive grounds and gardens Affordable weekly fees Brand new hairdressing salon Stunning Views Adding another dimension to the care home is The Hall s Day Care Centre. This provides excellent facilities for the elderly and includes regular and varied events in a warm and welcoming environment! Our doors are always open to visitors so please call in and enjoy a look around The Hall or call Diane Hagan for more details. The Hall, Chestnut Avenue, Thornton-le-Dale, York, North Yorkshire, YO18 7RR T: F:

3 Contents Welcome from North Yorkshire County Council 4 The Independent Care Group (ICG) 5 Regions covered by this Directory 5 Introduction 7 How to use this Care Services Directory 7 Further assistance in your search for care 8 Fair Access to Care Services (FACS) 8 You re in charge 9 Personalised care and support 9 Self-Directed Support Your Support, Your Way 9 Personal Budgets 9 Direct Payments 10 What care is available? 11 Leaving hospital 11 Short term reablement team (START) 11 Assessment 12 Staying at home 13 Telecare 13 Other equipment available 14 Adapting your home 15 Occupational therapy 15 Health occupational therapy 17 Getting help in your home 17 Home care agency checklist 19 Home care provider listings 21 Support for carers 29 Meals-on-wheels service 31 Transport services 31 Housing with care 31 Specialist care 32 Care homes 36 Out of county care 36 Care homes checklist 37 Residential dementia care checklist 38 Paying for care 39 Paying for non-residential care and support 39 Paying for residential care and support 41 Self-funding advice 41 Local authority contribution towards care in private sector care homes 43 Third Party Payments 43 Essential information 43 Disclosure and Barring Service 43 Safeguarding vulnerable adults 43 Advocacy 45 Making a complaint about care services 45 How solicitors can help 46 Inspection and registration of care services 46 Useful contacts 47 Local useful contacts 47 National useful contacts 49 Day care centres 50 Care homes & care homes with nursing listings 52 Craven district 52 Hambleton district 53 Harrogate district 55 Richmondshire district 60 Ryedale district 61 Scarborough district 62 Selby district 65 Index 68 Esplanade All the listings in this publication of care homes, care homes with nursing and home care providers are supplied by the Care Quality Commission (CQC) and neither 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 Directory does not act as an endorsement or recommendation by North Yorkshire County Council. To obtain extra copies of this Directory, free of charge, call Care Choices on Alternative formats This Directory is available electronically at There is also a Browsealoud option for those requiring the information in the spoken word. Visit for further assistance with your search for care 3

4 Welcome from North Yorkshire County Council Welcome to the third edition of North Yorkshire s Care Services Directory. This 2014/15 edition will provide you with information on health and social care across the County. North Yorkshire County Council is pleased to be working with the Independent Care Group on this Care Services Directory. We want people in North Yorkshire to maintain their independence for as long as possible and enjoy the best possible quality of life. To achieve this we are promoting advice, prevention and support to help people live healthier lives. We are working closely with our health colleagues to join up health and social care services to give the best community-based care when it is needed. We also work closely with the Care Quality Commission s (CQC) inspectors and with care providers to make sure we maintain high quality standards in the care provided to people in North Yorkshire. New regulations for registered residential, nursing and domiciliary services focus very much on improving outcomes for adults who need support. These changes will underline the importance of people who use care services having a say, and being able to make decisions, about how to keep healthy and getting the right care and support. We will also continue to have a strong commitment to safeguarding those adults who may be at risk of experiencing abuse or exploitation. Even though the whole country is having to make some difficult financial choices, we remain committed to providing good quality help and care. Whatever your circumstances, whether you pay for your own care or not, you can contact North Yorkshire County Council for advice and support. Where it is appropriate, we will ask our own social care staff to help you or to make contact with other services which may be of assistance. We know that making decisions about social care can be daunting, particularly if you have had no involvement with social care before. This Directory provides clear, easy to understand guidance so that you can be confident you are making the right decisions. Richard Webb, Corporate Director, Health and Adult Services County Councillor Clare Wood, Executive Portfolio Holder, Adult Social Care and Health Integration County Councillor Don Mackenzie, Executive Member for Public Health and Prevention North Yorkshire County Council Customer Service Centre Telephone: Website: Whitby steps at Sunset 4 This Directory s helpline information on choosing and paying for care

5 The Independent Care Group (ICG) Welcome to this Care Services Directory. We hope you find it useful. The ICG takes great pride in supporting and representing a whole host of care providers who strive to offer the best possible quality of care to older and vulnerable people. In this region around 80% of social care is provided through the independent sector and those providers work hard to ensure that care is of the highest standard. These are private and voluntary providers who offer both care at home and residential and nursing care services. They work, in many cases, around the clock, all year round to help people retain their independence, dignity and happiness. It is a challenging environment and the ICG works closely with providers to give as much support as we can. We work with a wide variety of public bodies including North Yorkshire County Council, City of York Council, the NHS (Clinical Commissioning Groups) and the regulator, the Care Quality Commission. We pass on the views and concerns of providers and the requirements of commissioners in a two-way process. If you are seeking care for a loved one, then please look at the excellent services the independent sector provides, particularly in terms of the wide range of choice on offer in home care, nursing and residential services and many others. If we can help, please contact us. If you are a provider then please get in touch with the ICG and find out more about the support we can offer you. For more details of the ICG see our website: Mike Padgham, ICG Chair Regions covered by this Directory RICHMONDSHIRE DISTRICT HAMBLETON DISTRICT SCARBOROUGH DISTRICT RYEDALE DISTRICT CRAVEN DISTRICT HARROGATE DISTRICT Craven Care homes 52 Care homes with nursing 53 Hambleton Care homes 53 Care homes with nursing 54 Harrogate Care homes 55 Care homes with nursing 58 SELBY DISTRICT Richmondshire Care homes 60 Care homes with nursing 61 Ryedale Care homes 61 Care homes with nursing 62 Scarborough Care homes 62 Care homes with nursing 65 Selby Care homes 65 Care homes with nursing 67 Visit for further assistance with your search for care 5

6 6 This Directory s helpline information on choosing and paying for care

7 Introduction The articles in this Care Services Directory have been compiled by the Health & Adult Services directorate of North Yorkshire County Council. We used to be known as social services. When the words we and us are used in the Directory it means Health & Adult Services. Lots of people will pick up this Care Services Directory looking for advice and information about adult social care. The Directory aims to give an overview of all aspects of adult social care to everyone who is looking for support. Thinking about the care or support either yourself or a loved one will need is daunting and making any change in your life will require major decisions. We try and provide the basic information and guidance you will need about adult social care in this Directory, and give you the details of other organisations that can help. In the first instance you can always call North Yorkshire County Council s Customer Service Centre for advice on or for further information visit our website How to use this Care Services Directory There is a lot of information in this Directory, and, depending on your circumstances, some parts will be of interest to you and some parts won t. We have tried to think about the groups of people who will use this Directory and have set out below the parts we think will be of most interest. For people who want to remain independent in their own home but need a little help in order to do so, you might be interested in the sections on: Staying at home starting on page 13; and Paying for non-residential care and support on page 39; and the Home care providers list which starts on page 21. For people who care for a relative or friend and need some extra guidance and support, you might be interested in the sections on: Your Support, Your Way on page 9; Direct Payments on page 10; Leaving hospital on page 11; Assessment on page 12; and Support for carers on page 29. For people who are looking for a residential or nursing home for themselves or a relative or friend, you might be interested in the sections on: Care homes on page 36; Paying for residential care and support on page 41; Self-funding advice on page 41; Inspection and registration of care services on page 46; and the Care homes and care homes with nursing listings starting on page 52. We start this Care Services Directory with a section called You re in charge. You are the person who is in the best position to know what you or the person you care for needs. We start from this position and ensure that you are in charge right from the beginning of your contact with adult social care. We then move on to a lengthy section called What care is available? which is aimed at people who want to stay at home but may need a little or a lot of support in order to do so. This is followed by a short section on looking for a care home for people who cannot, or do not want to stay at home. The subject of paying for care is usually unwelcome, and we acknowledge this, but it is an area that is not very well understood and therefore we have provided a section to guide you through what can be a complex aspect of care. Finally, we have provided sections on essential information and useful contacts for anyone who has any involvement with adult social care. Here you can find the details of many organisations that can help you. The remainder of the Directory comprises a comprehensive list of home care providers and care homes and care homes with nursing within the North Yorkshire area supplied by the Care Quality Commission. All the listings in this publication of care homes, care homes with nursing and home care providers are supplied by the Care Quality Commission (CQC) and neither 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 Directory does not act as an endorsement or recommendation by North Yorkshire County Council. Visit for further assistance with your search for care 7

8 Further assistance in your search for care Finding appropriate care or support for an older person can seem difficult and daunting. This publication has been designed to help you to identify relevant care providers in your preferred region and to give you a starting point in your search. This Directory s free help line provides an information and help service encompassing care and accommodation. A personalised report can be generated for callers providing details of all care homes or housing with care schemes that meet their criteria. One call to the freephone number will enable the service to build a profile of exactly what type of care you re looking for while taking into account your personal needs and interests. This service is completely free so let the help line take some of the strain and help you to find the appropriate care and support for you. You can also search online with the new, comprehensive website from this Directory s publisher Fair Access to Care Services (FACS) Before we move on to talk about the way adult social care works, it is important to describe how we decide who will be eligible to receive social care support from us. The Government provides criteria to help councils decide who is eligible for support. This is to ensure that councils reach decisions in a fair, consistent and open way about who is in most need of our help and to use the available budget to support them. This helps to make sure that adults across North Yorkshire are treated fairly. These criteria are called fair access to care services and look at four main areas: any risk to health and safety for yourself or others; your ability to control and make choices about your life; your ability to manage your personal care and domestic routines; and your involvement in your family and wider community including leisure, social activities, work, volunteering and education. For each of these areas your level of need will be identified as either: critical ; or substantial. We will identify your level of need at your assessment. At the time of going to press (April 2014) in North Yorkshire, people with needs in the critical and substantial bands will be offered a range of support by Health and Adult Services. If you are eligible for social care support, we will discuss with you whether you will need to pay towards some, or all of the cost of the support. This will depend on your income and any savings you may have. If you are not eligible If your level of need means you are not eligible for support from us, we will offer free advice and information instead and put you in touch with other organisations and services in your community that may be able to help you. Many people find that seeking advice from us is helpful in finding their own solutions because it provides an opportunity to discuss their situation with a social care professional. If your needs change If your needs change, then you can always ask us for a reassessment. Simply speak to your social care worker or contact our Customer Service Centre on or for further information visit our website 8 This Directory s helpline information on choosing and paying for care

9 You re in charge We have started this Directory with a section called You re in charge because this philosophy guides all our social care guidance, information and support. Whatever your level of involvement with us we want you to be assured that your needs and wishes will be paramount throughout the process. The following section describes Your Support, Your Way which is the system we use to put you in charge. Personalised care and support North Yorkshire County Council and other local authorities have made changes to the provision of care and support to older people and people with learning and/or physical disabilities. This is a national requirement that sets out the way people and those who care for them should be supported. In the traditional system of social care, professionals made many of the decisions about the support people could have and who would provide it. As a result, people often had limited choice about the services they might receive. A system called Self-Directed Support seeks to replace this old approach of prescribed care, by putting people in control of the support they need to live the life they choose. It recognises that some people can manage their support on their own whilst others need help from family or friends or people who are paid to help. In North Yorkshire we call this new process Your Support, Your Way. Self-Directed Support Your Support, Your Way Your Support, Your Way aims to improve the way we work in Health & Adult Services, to provide better services for people who need social care and improve how we work with organisations that provide support. It gives us an opportunity to think more innovatively about how social care services are delivered without increasing the costs. How does it work? Your Support, Your Way is for adults who are eligible for social care (see page 12). It allows people to have more choice and control over their life because it lets them make decisions about the support that they need. It asks how they want to live their life, what they want to achieve in life and what support they need to do this. Support to carers can also be given to help them continue to carry out their caring role and to maintain a life outside caring. If you or the person you care for are eligible for social care support, Self-Directed Support gives you a Personal Budget based on an assessment of your eligible social care needs. You may need support or help to manage day-to-day activities and everyday tasks such as washing and dressing, help with eating and drinking or getting out into the community. You can then choose what social care and support services this money is spent on. You can be as creative as you want, as long as the money is spent to meet your needs. Personal Budgets We have now introduced Personal Budgets across the whole of North Yorkshire for all eligible users of social care services. They bring flexibility and transparency of funding to the provision of social care services. A Personal Budget is an allocation of funding following an assessment. It is used by an individual to meet their assessed need and can be taken in a number of ways: Managed personal budget person asks council to arrange and buy services on their behalf; Individual Service Fund person asks a provider to hold and manage their personal budget and work with them to plan how it is spent; and Direct Payment person (or their nominated person) holds and manages the personal budget themselves. The person has full choice and control over how it is spent. Visit for further assistance with your search for care 9

10 Direct Payments Direct Payments are financial payments made to people who have been assessed as eligible to receive support from North Yorkshire County Council. We can make a Direct Payment to most people who need our support, including: people who have been assessed as needing community care services (including those with Mental Health needs) aged 16 and over, incorporating short as well as longer term needs; carers over 16 for carer s services; and parents of disabled children, for children s services. Instead of us arranging or providing services directly, you could use these payments, either by yourself or with assistance, to purchase support that you consider most appropriate to meet your assessed social care needs. Also, if you are looking after someone else as a carer, you could also receive Direct Payments to help you in your caring role or to have some time for yourself. You can choose to have some of your budget as a Direct Payment and we would manage the rest of your budget. Why would I want Direct Payments? Direct Payments allow more control over the decisions that affect your life. They provide more flexibility and choice, as you can buy appropriate support tailored to your individual needs. What can Direct Payments be used for? If you receive a Direct Payment, the money is used to arrange support to meet eligible needs. You may choose to employ someone directly, to buy services from an independent or voluntary sector provider or purchase equipment to help you live more independently. With Direct Payments, people or agencies employed are accountable to you and not to North Yorkshire County Council. Therefore, Direct Payments enable more control, choice and flexibility over how you plan your support to fit with your life. It is important that your plans meet your assessed needs. Therefore, provided the money is used lawfully, and eligible needs are met, the flexibility that these payments allow means it is impracticable to outline what the money can be spent on. However, there are certain items on which these payments cannot be spent, for instance: on services that should be provided by Health; and on routine living expenditures: utility and household bills for instance. Most Direct Payments are made to meet regular ongoing support needs, however they can also be made as a single payment, for example, to purchase equipment or a short respite break. What do I do next? If you are interested in Direct Payments and are currently receiving social care support from North Yorkshire County Council, please contact your local social care team for more information. If you don t already have services provided by us there is a lot of support available to advise and assist you with Direct Payments. North Yorkshire County Council s Direct Payments team can give you more information or answer any queries you might have. You can call them on or them at Whitby 10 This Directory s helpline information on choosing and paying for care

11 What care is available? This section is about the guidance, support and care that we can provide. It describes all parts of the social care process, from someone who might be leaving hospital, worried about how they are going to cope at home, to advice about specialist care for someone who might have very complex needs but wants to stay at home. Some of these sections may not be relevant to you, others may be of more interest. Feel free to go straight to the section that interests you, or browse through the whole section to give yourself a full flavour of the support available. Leaving hospital Health & Adult Services and the NHS in North Yorkshire work very closely together to ensure that hospital patients are discharged safely and are able to return to home life as quickly as possible. Our social care staff are available to help with information and advice when you are ready to leave hospital. No matter what hospital you are in, you can request an assessment of your needs to help you stay independent and confident when you return home. A social care worker will come and speak to you to arrange an assessment which can either be done whilst you are still in hospital, or once you return home, or in interim/ temporary facilities if you are not able to return home immediately on discharge from hospital. The assessment involves asking you about your needs and what is required to help you live safely and independently at home. There will also be an explanation of any charges that may be made. A relative, carer, or a member of the hospital staff may also approach the hospital social care team and ask them to carry out an assessment, but this will not go ahead unless you agree. If you already have a social care service in place we will make an assessment of any other needs you may have after your stay in hospital. If you have a carer they can also be offered an assessment and may also need advice and support. A social care worker can be made available to discuss any issues with them and also give them details of carers support groups. We can also introduce you to local voluntary organisations who can help, with a variety of services such as laundry and domestic cleaning, or sitting services. Short term assessment and reablement team (START) A service to help you become more independent START is a method of short term support in your own home that is designed to help you become as independent as possible. It does not replace any needs you may have for medical treatment and may not be suitable for everyone. Perhaps you require support to gain or regain your ability to independently manage your personal care or to prepare a meal the START service will encourage and enable you as much as possible. A START worker will work with you so that you can learn (or re-learn) important tasks needed for everyday life. They will assist and encourage rather than do things for you. Many people who receive support with START find that afterwards they can cope very well on their own, without the need for social care support. If they do need ongoing support, they may find that they need less help. Visit for further assistance with your search for care 11

12 Short term assessment and reablement team (START) continued How do I get START? START may be discussed with you when you first have contact with us. This may be if you are living at home but finding that you are no longer managing as well as you did, or you might access START if you are returning home from treatment in hospital. The START programme will not normally last longer than 6 weeks, and can be significantly less; even days. Progress will be reviewed every week by members of START along with yourself. How do I find out what skills are needed that will help me? A member of the START team will talk through what you would like to achieve and how the START service can support this by working with you to complete a START assessment. Your goals are then agreed and ways in which the service can support these goals are identified with you. This information will be written down in the form of an Intervention Plan which START workers follow. How will START work for me? The START Intervention Plan is tailored to meet your assessed needs and to meet the outcomes that have been agreed with you. As you make progress your visits or duration of visits may reduce over the period and this will be reflected in the Intervention Plan. Will I need any special equipment? START workers may suggest to you that you carry out some tasks in a slightly different way to make them easier for you to do on your own and if assistive technology is identified as a potential aid to independence, this will be explored. You may have to purchase small pieces of equipment to make certain tasks easier. START workers will be able to show you a catalogue of equipment available and will also provide you or your carer with information about where to find specialist shops in the area. We may also provide some equipment but this would be fully discussed with you. We encourage everyone to take up the use of Telecare and Lifelines (see page 13 for more information on Telecare and Lifelines). What happens when START is finished? Once you have reached your optimum independence and if you require ongoing support, the service becomes chargeable and a financial assessment will be conducted. You will be advised of the date that the charges will commence. A social care worker will discuss with you how to meet any ongoing needs, and the budget that will be available to support and manage this as we will be encouraging you to use Personal Budgets (see pages 9 and 10 for more information on Personal Budgets and Direct Payments). Assessment If, after your period of START you need ongoing support, we will work with you to assess your needs. Even if you haven t been through the START process we can provide you with an assessment. We aim to direct help to people with the highest level of need and risk. In assessing your needs, we consider carefully the factors that affect your independence and wellbeing. In discussion with you and your carers, we jointly agree the likely effect on your independence or how likely it is that your home life will break down or become unsafe if you don t have appropriate social care support, within specified timescales. 12 This Directory s helpline information on choosing and paying for care

13 Assessment continued Increasingly, assessments are completed through a supported assessment process with you leading the process, as you are the best judge of your needs and how they would be best met. Your carer, or a member of your family or a friend can also take part in the assessment as well as your social care worker. When the assessment has been completed an eligibility decision will be made based on the level of risk to your independence or of your care or living arrangements breaking down or becoming unsafe if appropriate support were not provided. No local authority ever has enough resources to meet all potential social care needs. As the demand for social care increases, so it becomes more important to allocate resources according to priority needs. We do this by setting eligibility criteria to decide who has the greatest immediate or longer term needs. All local authorities use the same eligibility framework issued by the Department of Health called Fair Access to Care Services or FACS. You can find further information about our eligibility criteria on page 8 of this Directory. To find out if we can provide social care services to you, you will need to have an assessment. You can start this process by contacting the Customer Service Centre for social care enquiries. Their telephone number is You can contact the Customer Service Centre for all social care services enquiries for adults, young people and children. A more comprehensive or specialist assessment may then follow, depending on the nature of your particular needs and circumstances. Will there be a charge for services provided? There may be a charge for services; the amount will depend upon your capital and income. However, we will always give you full information before services are provided. Carers are not charged for services they receive directly and disabled people are not charged for equipment or minor adaptations to their property. We provide a full description about charging for services starting on page 39 of this Care Services Directory. Staying at home Given the choice, many people prefer to stay in their own homes surrounded by their possessions and near to their family and friends. This, of course, applies to anyone whether they are elderly and frail, convalescing, have a physical or learning disability, or are suffering from dementia. Your Support, Your Way (explained on page 9) can help you manage independently at home with a little, or a lot of help. If you are not eligible for social care support you might wish to pay for some help so that you can stay at home. The following section gives you some information about the types of support available should you wish to stay at home. Telecare Telecare uses a range of simple sensors matched to your personal needs which can help you to continue to live as independently and safely as possible. These are usually linked to a lifeline (a kind of telephone). Telecare can help you and your family in a number of ways, all of which are designed to support your health and wellbeing. One example is a bed sensor. This can be used in a range of situations, i.e. for people at risk of falling, or to alert a carer to assist. It detects a change in pressure, so if you have got up but are unable to get back to bed, perhaps after a fall, the sensor can raise an alert. However, if you get up at night and usually sit in a chair for a while or have a drink, then the system can delay the alert. If you have not returned after a period of time agreed with you, i.e. half an hour, it can then raise an alert. This avoids the risk of someone falling and being left on the floor all night, cold and in pain. Following an assessment of your needs, telecare could Visit for further assistance with your search for care 13

14 Telecare continued be part of a support plan to assist with things you might find difficult. It can support you or the person you care for by alerting you to certain situations, such as incontinence, or where a vulnerable person leaves the property at an inappropriate time, for example, the early hours of the morning. Or it can react to situations such as epileptic seizures or fire, where you need help from family, carers or the emergency services. Some examples of how telecare can be used are given below: a short term measure as part of START when you need some support, i.e. after ill health to help you become as independent as you can; a longer term measure to make you feel safer in your own home. One lady said I don t feel alone when I am alone. The telecare can let someone know if I have a problem ; telecare can remind you to take medication; telecare can raise an alert that the cooker hob has been left on; telecare can detect gas leaks from the cooker/fire and raise an alert; telecare can provide early warning of a sink or bath overflowing; telecare can raise a call to a monitoring centre who can keep a phone line open to you in an emergency; telecare can give people space and time on their own, instead of being checked up on just in case something has happened. One lady said I love my family but I just want to have some time to myself. If a problem is detected then the system sends a signal via the lifeline to a call centre where an alarm can be raised 24 hours a day. The call centre uses trained operators, who can speak to you over a speaker on the lifeline, will have your details and know who to call in an emergency. This could be family, friends, carers or the emergency services. Alternatively, you could choose to have calls made directly to your chosen emergency contact. The Telecare alert process 1. You press the lifeline button or the sensor raises an alert. 2. The lifeline unit is activated and alerts the call centre via the telephone line. 3. The call centre answers your call and talks to you through the lifeline. 4. A response is arranged appropriate to your agreed needs. There is a small weekly charge for using telecare, depending on your circumstances. However, you may be able to apply for a subsidy to help with this. Your circumstances will be established by our adult social care staff through a financial assessment. For further information about telecare or to arrange an assessment, please contact our Customer Service Centre on or for further information visit our website Other equipment available We and our partners help people to manage everyday living more safely and independently. Occupational therapists and other specially trained staff can give you advice, assess your needs, and those of your carer or the person you care for. Some tasks at home can be difficult if you have problems moving around. Fortunately, there is help available. There are many types of equipment that can help you to live independently at home. It may be as simple as fitting a grab rail in the right place to help you get up and down steps safely and easily, or you may need equipment to help you with daily living tasks, such as getting in/out of bed, on/off the toilet or turning taps. Depending on your individual circumstances, our occupational therapy service can loan or recommend equipment that enables you to more easily manage daily living activities such as bathing, washing, dressing and getting around your home. You can contact our customer service centre and request an assessment which will be completed by trained staff or from an occupational therapist. Alternatively you could find your own qualified occupational therapist (explained on page 15). It is important to get the right advice before you do this so that your money is well spent. 14 This Directory s helpline information on choosing and paying for care

15 Adapting your home If you have a permanent disability and need an adaptation to your home to help you stay independent, you may qualify for a grant from your borough or district council (called a Disabled Facilities Grant). The grants are made according to need. You can qualify whether you are a home-owner or rent privately. However, even if eligible, you may have to pay a contribution towards the cost as a financial assessment is completed. Our occupational therapy service will be able to provide you with more information. For more information about occupational therapy please see the section below. Occupational therapy Occupational therapists can help you lead a more productive, active and independent life using a variety of methods, including the use of adaptive equipment. They can assess your home for hazards and point out things that contribute to falls. The way you access the service will depend on why you need occupational therapy, if you have a short term condition, for example, if you need support following an operation, you will access services through the NHS and you should speak to one of the healthcare professionals treating you. They will discuss your needs with you and decide if you would benefit from occupational therapy and can arrange an assessment with an occupational therapist as part of your care. For long-term conditions, such as a permanent physical disability, occupational therapy is usually accessed through your local council. You should contact us via the Customer Service Centre on to arrange an assessment with an occupational therapist, or you can be referred for an assessment by: your GP or consultant (specialist doctor); a nurse; another healthcare professional; or a social care professional. If you do not want to access occupational therapy through the NHS or North Yorkshire County Council, you could contact an occupational therapist directly. If you decide to see a private occupational therapist, make sure they are fully qualified and are a member of a recognised body, such as the British Association of Occupational Therapists. Only healthcare professionals who are registered with the Health Professions Council are allowed to use the title of occupational therapist. You can check that your occupational therapist is registered by checking the Health Professions Council online register at: An occupational therapist can carry out a health and social assessment to identify what areas of your everyday life are causing problems. They will discuss your needs with you and explain what help is available. An assessment and any advice or information they give you should be free. Beach huts at Whitby Visit for further assistance with your search for care 15

16 Stay independent with home care from Allied We understand how important it is to remain living at home, no matter what age you or your loved ones are. Our flexible service can provide care to suit almost any situation from a couple of hours a week to live-in care. You can rely on us to deliver exactly what you or your relative needs to remain living at home. And our well-trained and friendly carers will always perform their duties with warmth and kindness, and provide companionship and emotional support whenever it s needed. Call us on: quoting code: ALL010 alliedhealthcare.com Disability Action Yorkshire Disability Action Yorkshire is a charity, company limited by guarantee and social enterprise that provides services that create opportunities for disabled people to live the lifestyle of their choosing. Residential Care 34 Claro Road is a residential care home, in Harrogate, for younger adults (18-65) with physical disabilities. Our aim is to provide training in the skills required to live independently. Telephone: Training Services We provide accredited training, with supported employment, for disabled adults in the skills required for employment and volunteering. Telephone: Homecare We provide a range of care and support services which maintain independence, choice and control for adults within their own homes. Our service operates in the Hambleton and Richmond area. Telephone: Disability Action Yorkshire Unit i4a, Hornbeam Park Oval, Harrogate HG2 8RB Registered Charity No This Directory s helpline information on choosing and paying for care

17 Health occupational therapy The health occupational therapy service covers stays in hospital and returning home. It provides a specialist therapeutic service, including assessment, treatment and ensuring a safe discharge back home after hospital admission. If you are not already in contact with us, please contact the Customer Service Centre on or for further information visit our website They will take the relevant details from you and arrange for an assessment if it is necessary. A care manager or occupational therapist will then come out and talk to you further about the issues you are facing. Getting help in your home Help in your home is also known as domiciliary care and is usually arranged in a manner dependent upon needs: Low level domiciliary care This may be to assist with household chores such as shopping, cleaning and assistance with food preparation. Calls from carers can be flexible and assistance can be given for as little as 15 minutes or when you need it. Medium level domiciliary care In addition to low level care this will normally involve personal care (assistance with washing, dressing etc), and/or one carer to assist with mobility. You may wish to have a carer sleep in your home overnight for security and reassurance. High level care This usually consists of visits by two or more carers who assist clients with high dependency needs such as being transferred from a bed to a chair etc. Carers may require specific training depending on your health needs. Live-in care A carer lives in your home, is allowed time off each day and must have a night s sleep. Live-in care can be arranged as a short respite for your main carer or a permanent arrangement to suit your needs. 24 hour care This is required when you need assistance or monitoring through the day and night and differs from live-in care in that carers work on an roster to ensure that a carer is on duty and awake both day and night. Day care Day care offers people another solution to their care needs. It can provide older people and others with a range of activities, social and leisure time helping them to continue to live in their own home or with their family or carer or indeed as a occasional addition to a care home placement. All service providers must be registered by the Care Quality Commission (CQC) who publish reports on providers, following an inspection. It is important to be assured that all carers have Criminal Records Disclosures, have received necessary training, are properly referenced, and are eligible to work in the UK prior to them visiting your home. Check CQC reports at or call CQC on Visit for further assistance with your search for care 17

18 The Home Care Specialists Do you need a Helping Hand? Home care from...30 minutes per week to full time Live-in Care. Helping Hands has been providing award winning quality help at home since A family run company we apply our local knowledge and 25 years of experience to offer you one to one home care that enables you or your loved one to remain at home with compassion and dignity. Our locally based Carers are able to balance independent living with bespoke care needs by assisting with: We are incredibly fortunate to have such dedicated people, like the staff at Helping Hands, caring for the vulnerable and the elderly members of the communities. Lisa Carr, Director of The Great British Care Awards Housekeeping Shopping Companionship Help getting out and about Complex nursing-led care Providing a break for an existing Carer or family member Personal care Support with continence Supporting a hospital discharge If you are looking for extra support for those everyday tasks that are becoming a little more difficult, we re happy to help - from as little as half an hour per week to full time Live-in Care. To find out how we can help you, call: or visit: 18 This Directory s helpline information on choosing and paying for care

19 Home care agency checklist 2014 Care Choices Ltd These questions may be useful when considering using the services of a home care (domiciliary) provider to help you build up a picture of how your care needs will be met in your own home. Agency 1 Agency 2 Agency 3 Agencies p/h p/h p/h What experience does the agency have in your particular field of need? Can they supply references for you to check? How long has the agency been operating? How many carers would the agency assign to care for you and would you see the same one every day? If not, how does the staff rota operate and what happens if your carer goes on holiday or is sick? Will you be notified in advance that a different carer will be attending? How can you contact the agency in an emergency or outside office hours? How hard or easy would it be to make a complaint and how are things then put right? Home care agencies providing personal care must be registered and inspected by the Care Quality Commission. Ask to see a copy of their registration certificate If this is a private contract ask for a copy of the agency s contract terms and read these carefully with someone you trust. Get as much help as you can going over it and ask any questions you may have before signing anything. The Citizens Advice Bureau or Age UK (sometimes called Age Concern in some areas) can help with this Carers You should expect your personal preferences, dignity and privacy to be respected. Discuss this with the agency and ask how the most suitable carers for your particular care are chosen. Can you talk to them before deciding? Carers should be fully trained or be in ongoing training. Ask the agency about their policies on this You will have a care plan drawn up by the agency which the carers will work to. Ask how often this plan will be reviewed by the agency Carers must be checked with the Disclosure and Barring Service (DBS) and have a criminal records disclosure make sure this is the case Paying If your care needs do not meet Adult Social Care s eligibility criteria and have been arranged privately you should check carefully the fee rates charged and exactly what the payment you make covers Visit for further assistance with your search for care 19

20 Specialist Home Care for the Elderly Carefound Home Care is a provider of specialist home care and dementia care services to elderly people in North Yorkshire, enabling clients to continue to live independently in the comfort of their own home whilst maintaining the highest quality of life achievable. We offer a flexible, reliable service available from 1 hour to 24 hours per day, 365 days a year. This includes specialist 24-hour live-in care. Our professional home carers provide a wide range of home care services tailored to our clients individual needs including: Help in the home Companionship Personal care Medication help Post-operative rehabilitation Respite care Specialist dementia care Palliative care Call our professionals today in: Harrogate: Ripon: Wetherby: Registered with the Care Quality Commission We will build a care package around you and your needs. Live-in Care from 675 per week This may involve employing and training workers just for you. You can be as in control as you like or we can take care of everything. Your fully trained staff will support you to live your life the way you want. We can help with general domestic tasks including walking the dog etc, medical / personal needs, assistance with trips or holidays, helping during work or education. The alternative to Care Home admission. Live-in Care enables anyone with care needs to continue living in their own home with a round-the-clock care worker. Please contact us on: Assistance to live your life your way York This Directory s helpline information on choosing and paying for care

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