Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 7 1 Chapter How to use this Guide and other sources of help In this chapter you will find: • an overview of this Guide and how to use it • how to find information on care at home using the Care choice website • information on other sources of help About this Guide This Guide has three main parts: 1. Useful information and advice – this is contained in chapters 1 to 11. Examples include; making your home safe with the right equipment, where to get help with day to day tasks such as shopping, information on transport, financial help and advice and points to consider when looking for home care services. 2. Listings of organisations These are on pages 84 – 114. Here we have listed agencies which provide care and support services throughout Hampshire. You can find these organisations listed by geographical area on pages 77 – 83. Details included here were correct at the time of going to print but may change. 3. Contact details and indeces As certain organisations (Adult Services departments, for example) are mentioned frequently throughout the Guide, contact details are given in one place at the back of the Guide, page 115 onwards. There is also an index of organisations and helplines mentioned in the Guide (this is not an alphabetical subject index) and, on the pullout back cover flap, you will find a Quick and Easy Reference index which groups subjects together under logical headings to help you find the information you are looking for. 7 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 8 Where to get help ■ ■ 8 Your local Adult Services department (this could be Hampshire County Council, Southampton City Council or Portsmouth City Council) can provide information about care and support services that are available to you, whether you are paying for these yourself or receiving financial help from Adult Services. If you are calling on behalf of someone you must have their consent, Please note: CIT may not be the most appropriate service for you if you need urgent help to stay safe, immediate help with washing, dressing, bathing or eating, or if you already have a care package arranged through a social worker. In these cases the person taking the call will pass your details on to a different team who will be able to help. The department will assist people who are eligible for help to identify which resources and support can be put into place to enable them, where possible, to retain or maintain their independence. To contact your Adult Services department, see contact details on page 115 – 116. For further information contact your local team: If you are eligible for help with care and support services, the department will carry out a financial assessment to see if you will be expected to contribute towards the cost of your care or whether it will be funded in part or in full by the department. If you are eligible for support, your Social worker can organise the care and arrange payment for it. Depending on your financial assessment, you may be asked to contribute towards this cost. If, however, some or all of your care is being funded by the department and you prefer to arrange your own care, you can ask to have Direct Payments. This means that money is paid directly to you, giving you more choice about the services you feel are best for you. You could use it to employ your own personal assistant or to purchase services from organisations such as those listed in this Guide. More information about paying for care is given in Chapter 7. Fareham: 01329 514116 For those older people who are not eligible for help with care and support services Hampshire County Council also runs The Community Independence Team (CIT) who support people aged 55 or over, who are experiencing difficulties in maintaining their independence and who may be finding it harder to manage around the home or cope with everyday activities. This may be for a variety of reasons such as social isolation, bereavement, or loss of confidence, and it may be that health and wellbeing is also becoming a source of concern. If this sounds like your situation, or that of a relative, or someone you care for or support, then the Community Independence Team can help. Andover: 01264 387414 Avon Valley: 01425 482751 Basingstoke: 01256 362 057 Eastleigh: 01489 790902 Gosport: 02392 432054 Hart: 01252 796255 Havant and Petersfield: 02392 572660 Rushmoor: 01252 796255 South West New Forest: 01590 625112 Test Valley South: 01794 526028 Totton: 02380 874028 Waterside: 02380 879877 Winchester: 01962 832047 For further information and general enquiries (but not referrals) please e-mail: CIT@hants.gov.uk or see the CIT website at www.hants.gov.uk/community-independence Hampshire County Council’s Older People’s WellBeing Team website is a further source of useful information on independent living. See page 3 for more information or visit www.hants.gov.uk/bettertime For further information about your Adult Services department and help which is available contact your local department (contact details on page 115 – 116). Care choice The online resource for independent living in Hampshire ‘Care choice’ is a new website from Hampshire County Council aimed at helping and supporting you to make the right choices about your care. Like this Guide, it provides comprehensive, practical information on all aspects of independent living. Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 9 New features have been added to the site, based on input from Hampshire residents. The Care choice website also enables you to carry out a self assessment to help determine what care and support you may need and you can do an online search of all the providers listed in this Guide – by area and type of care needed. www.hants.gov.uk/carechoice ■ ■ ■ ■ ■ ■ ■ ■ ■ Your GP can advise you about health matters. The National Health Service (NHS) provides medical care and treatment and your doctor can refer you to a range of specialists for advice and care – see Chapter 2. Your nearest Department of Work and Pensions (DWP) office can give you information and advice about any state benefits or other payments you may be entitled to – see Chapter 8. Your local Citizens Advice Bureau (CAB) can give free, impartial advice and information about your rights, including benefits and how to apply for them. CAB staff can also help you put across your point of view when you are dealing with other organisations. See the Phone Book for your local branch, or the CAB website at www.citizensadvice.org.uk or www.citizensadvicehampshire.org Your Borough, City or District Council can give information about affordable housing, including sheltered or supported housing. They will also be able to tell you if there is a Home Improvement Agency service or a Handyperson Scheme available in your area. For contact details see page 123. Your local Council of Voluntary Service (CVS) can give you details of local organisations and groups providing specialist services in your area, including carers support, help around the home and voluntary transport. For contact details see page 117. Age Concern Hampshire runs an advice and information service for older people and their families, including help in applying for benefits. Tel: 0800 328 7154 (Monday to Friday 10am-3pm) Hampshire Trading Standards Buy with Confidence scheme is a register of checked and approved local businesses. For futher details, see page 26. The Yellow Pages gives details of local businesses that can help with cleaning your home (under ‘cleaning services – domestic’) and equipment to make life easier at home (under ‘disability’ and ‘mobility’). Armed Forces Community Hampshire County Council aims to ensure that serving personnel, their families and veterans are able to access the help, advice and support they need as well as offering links to service and veterans’ charities and the Citizens Advice Bureau. You can find help and advice on many subjects by calling Hampshire County Council on 0845 603 5638 or by visiting www.hants.gov.uk/welfarepathway. There is also a free national helpline run by the Ministry of Defence – 08000 223366 – which offers automated options for you to use to help you find the right people to ask for help and advice. Telephone numbers In this Guide, we give either local or national telephone numbers, as appropriate. ■ 0800 and 0808 numbers are normally free to call ■ 0845 and 0844 numbers are normally those charged at local rates ■ 0870 and 0871 numbers are normally charged at national rates ■ 03XX numbers are specifically for public bodies. Calls are charged at local rate from all UK landlines and mobile network providers Be aware that some telephone numbers may cost more to call, especially those starting with 09. If you get a request to call a number unfamiliar to you, you can call the operator for free on 100 and ask them to check the rate per minute for that number before you call it. Using the internet We’ve given the addresses of many useful websites in the Guide. Did you know that you can get free access to the internet in all Hampshire’s libraries? Staff at your local library can give you information and help to get you started if you haven’t used the internet before. For details of your local branch, see the Phone Book, call 0845 603 5631 or visit www.hants.gov.uk/library (Hampshire) www.southampton.gov.uk/libraries (Southampton) www.portsmouth.gov.uk/learning (Portsmouth) Libraries run internet taster sessions throughout the year. 9 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 10 Chapter 2 Your health In this chapter you will find: • Information on services run by the NHS • Other health care services available • Mental health services • End of life care National Health Service – NHS The NHS looks after the health interests of all UK residents, whether suffering from an ‘everyday’ illness or something more serious. Though most NHS services are free, there may sometimes be charges for prescriptions, eye tests, dental treatment, and for some vaccinations and tests. There may be a waiting list for some types of treatment and services. Clinical Commissioning Groups From 1 April 2013 Primary Care Trusts will cease to exist and responsibility for commissioning some health services will sit with eight Clinical Commissioning Groups (CCG) covering Hampshire and the Isle of Wight area. The CCGs will commission many hospital and community services. Clinical Commissioning Groups West Hampshire CCG Email : info@westhampshireccg.nhs.uk www.westhampshireccg.nhs.uk South East Hampshire CCG Includes Havant, Waterlooville, Petersfield and Bordon Tel. 023 9228 2085 www.southeasternhampshireccg.nhs.uk North Hampshire CCG Tel. 01256 637100 www.northhampshireccg.com 10 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 11 North East Hampshire and Farnham CCG Tel. 01252 335154 www.northeasthampshireandfarnhamccg.nhs.uk Fareham and Gosport CCG www.farehamandgosportcommissioning.info Portsmouth CCG Tel. 023 9282 2444 www.portsmouth.nhs.uk Southampton City CCG Tel. 023 8029 6904 www.southamptoncityccg.nhs.uk Isle of Wight CCG Tel. 01983 552064 www.isleofwightccg.nhs.uk CCG Responsibilities Groups will be responsible for commissioning healthcare services across a range of clinical or service areas, including: ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Community health services (except where part of the public health service) Maternity services Elective hospital care Urgent and emergency care including A&E, ambulance and out-of-hours services Older people’s healthcare services Healthcare services for children, including those with complex healthcare needs (except for those specialised services commissioned by the NHS Commissioning Board) Rehabilitation services Wheelchair services Healthcare services for people with mental health conditions Healthcare services for people with learning disabilities Continuing healthcare NHS Commissioning Board From 1st April 2013, the national NHS Commissioning Board will take on many of the functions on the former Primary Care Trusts (PCTs) with regard to the commissioning of primary care health services as well as some national functions, formerly undertaken by the NHS. www.commissioningboard.nhs.uk The Wessex Area Team of the NHS Commissioning Board will take on responsibility for commissioning primary care services (GPs, dentists, opticians and pharmacists) and some specialised hospital services. Getting the right treatment Find a GP If you wish to find a GP in your area, visit NHS Choices www.nhs.uk. Find a dentist You can also find a dentist in your area by visiting www.nhs.uk, as above or telephone the Dental Helpline on 0845 050 8345 or visit www.hampshiredentalhelpline.nhs.uk Find a pharmacist or optician You can find pharmacies, opticians and ophthalmology services in your area at www.hampshire.nhs.uk. Accidents and Emergencies Accident and Emergency (A&E) departments treat people with critical or life-threatening problems like head injuries, suspected heart attacks and serious illnesses or injuries. This includes severe breathing difficulties, suspected broken bones and heavy blood loss. Local A&E departments can be found at: ■ Southampton General Hospital ■ The Royal Hampshire County Hospital in Winchester ■ Queen Alexandra Hospital in Portsmouth ■ Salisbury District Hospital ■ The Royal Bournemouth Hospital ■ The Basingstoke and North Hampshire Hospital ■ Frimley Park Hospital. 999 is for emergencies only If you are unsure whether an illness or a very minor injury needs to be dealt with at A&E call NHS 111 Residents in Hampshire, Southampton and Portsmouth can now call NHS 111 if they need health advice or information or if they have a non life-threatening health issue and are not sure where to go for treatment. 11 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 12 The three digit number, which is free to call, replaces NHS Direct and should be called if medical help is needed fast but it’s not a 999 emergency. A team of advisers supported by trained Paramedics and Nurses will then assess the caller’s symptoms, provide relevant advice and direct them to the right local service at that time, helping eliminate the need to make lots of telephone calls. The service is available 24 hours a day, 365 days a year. It is being rolled out across England and is expected to be in operation across the country by October 2013. Minor Injuries Units A wide range of injuries and conditions are treated at Minor Injuries Units (MIU) 365 days a year, including broken bones and eye injuries. MIUs are available at the following hospitals: Andover War Memorial Hospital Open from 8.30am-9.30pm Telephone: 01264 835218 Lymington New Forest Hospital Open from 8.30am-9pm Telephone: 01590 663000 Petersfield Hospital Open from 8am-6pm Telephone: 01730 263221 Gosport War Memorial Hospital Open from 8am-9pm Telephone: 023 9279 4753 NHS Walk-in Centres NHS Walk-in Centres provide fast and convenient NHS treatment. You can see an experienced nurse for advice, assessment and treatment for minor ailments and injuries such as cuts, minor infections, strains, sprains and skin complaints. They are open seven days a week, including bank holidays The NHS Walk-in Centre in Southampton is open 8.00am – 9.30pm on weekdays Bitterne Walk-in Centre is open 6.30am – 10.00pm on weekdays and 8.30am –10pm weekends and Bank Holidays. Telephone: 023 8042 6356 12 The NHS Walk-in Centre in Portsmouth is open 7.30am – 10pm on weekdays weekends and Bank Holidays. St Mary’s Minor Injuries Centre is open 7.30am – 10pm (last appointment 9.30pm) weekdays and 8.00am – 10pm (last appointment 9.30pm) weekends and Bank Holidays. Telephone: 0333 200 1822 Out of Hours The Out of Hours service is available when your GP surgery is closed and is only for urgent health problems that can’t wait until your surgery reopens. The service operates at night, over the weekend and on Bank Holidays. It is not designed for the request or collection of repeat prescriptions; your GP surgery will handle these. In Hampshire, there are different Out of Hours numbers for different areas, depending on where you live. If you call your GP surgery, the answerphone message will always include an out of hours contact number. Dental emergencies If you have a dental problem during the day and do not have a regular dentist, contact the Dental Helpline on 0845 050 8345 (8.30am – 5.30pm, Monday to Friday). If you have a regular dentist contact them directly. The out of hours Emergency Dental Service is available on 0845 050 8345 (5.30pm – 9.30pm, Monday to Friday and 8.00am – 9.30pm Saturday, Sunday and Bank Holidays). Outside of these times you should either ring the helpline and listen to the message for advice or call 111. Self Care Illnesses like coughs, colds and minor accidents can happen at any time, so it’s a good idea to keep a small supply of simple remedies in your home. Make sure your medicine cabinet contains important basic items like: ■ paracetamol or ibuprofen ■ paracetamol or ibuprofen syrup (preferably sugar free) for young people (Do not give aspirin to young people under 16 years of age or people with asthma) ■ something for stuffy noses, e.g. decongestant Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 13 thermometer ■ a selection of plasters, non-absorbent cotton wool, elastic bandages, triangular bandage and assorted dressings ■ safety pins, tweezers and sharp scissors ■ sachets of oral re-hydration solution to prevent dehydration which may arise from diarrhoea or vomiting ■ antacids, antiseptic solution ■ anti-histamine – tablets or medicine, not the cream. Keep your medicines in a secure, dry place, out of sight and reach of children or anyone who might take anything by mistake. Keep medicines in their original labelled container and don’t store medicines which are past their expiry date. Your local pharmacist can dispose of them safely. ■ Health messages in a bottle Message in a bottle encourages people living on their own to keep their basic personal and medical details in a small plastic bottle in the fridge. If the emergency services are called to your home, they can quickly find vital information about your health. Bottles are funded by local Lions Clubs and are free to users. Ask your local GP surgery or pharmacy for details. Emotional support Your GP will be able to provide you with information, guidance and support if you are unwell emotionally – perhaps due to depression, stress, anxiety or even if you are struggling to cope with a bereavement. Don’t be afraid to ask for help. Wellness Recovery Action Plan (WRAP) A Wellness Recovery Action Plan (WRAP) can be useful to anyone when planning and managing their wellbeing. WRAP is a simple self management tool which helps people gain more control over their wellbeing. It is intended to help people plan for themselves how best to maintain wellness, reduce and better manage periods of illness. Your Information Say it once – save your time Say it Once is a website that aims to save time when it really matters. It is part of a project funded by the Department of Health, www.sayitonce.info and includes forms developed with local people and organisations. These forms give residents in Hampshire, Portsmouth and Southampton the opportunity to record their own personal information – and share them easily with health, social care and emergency services when needed. The forms include a Personal Profile to record as much or as little information as you wish. On this, you can say if you are taking any medication, have any allergies or are responsible for someone else’s care. You can then choose to share the information. This can be very helpful, particularly in an emergency when you may be unable to communicate. It also means that health and social care staff have the right information to start helping you as quickly as possible. The idea is that everyone should complete a Personal Profile, plus other forms if necessary. These other forms include the ‘Advance Care Plan’ which helps to raise issues that may be important towards the end of someone’s life, and ‘Arrangements I Have Made’, which lists all your important documents and where they can be found. Recognising there was a need to make these forms available to everyone, the Say It Once website www.sayitonce.info was created. The site will always include the most up to date forms and guidance on how to use them. The forms can be easily downloaded to complete on your own computer, or print off to complete by hand. To take control of your own information, visit: www.sayitonce.info or call: 01794 519495 email: contact@sayitonce.info To find out more visit www.hants.gov.uk/wrap 13 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 14 Hospital care Admission to hospital Whether you are admitted to hospital by appointment or following an accident or emergency, it can be a frightening experience but the clinical staff are there to ensure that you are well looked after and that you get the treatment you need. There are also some standards which NHS hospitals are required to meet. The hospital staff must: ■ show respect for your privacy, dignity and religious and cultural beliefs ■ handle your treatment with complete confidentiality ■ look after you in a clean and safe environment ■ provide a named nurse in charge of your care. A prolonged stay in hospital may affect the benefits you are entitled to. See page 66 for details. The Patient Advice and Liaison Service (PALS) is based in all main hospitals and provides confidential advice and support to anyone who has concerns about the services provided by their local health professionals or who needs advice about the NHS. PALS can also help you with questions about services provided by GPs, dentists, pharmacists and opticians. Discharge from hospital When your treatment is complete, the hospital will discharge you. It is their responsibility to ensure you don't leave hospital unless adequate arrangements for your support in the community have been made. The hospital may contact your Adult Services department, so the two organisations can assess your needs and make any necessary arrangements for your care. On discharge you may receive a period of reablement care, either in your own home or in a residential setting. Reablement care is a short-term, time limited, intensive period of support where trained care teams work alongside you to help you regain your independence. Their support will focus on the skills needed to carry out daily living activities such as undertaking your own personal care, supporting your nutritional needs and maintaining your mobility. They will also work with you to determine the most appropriate levels of ongoing support should it be required. 14 Alternatively, there are ‘Home from Hospital’ schemes which can offer help for short periods with things like shopping and meals and organisations which offer private nursing in the home. For details of organisations providing these services see pages 84 – 114. Hampshire County Council publish a free booklet “Leaving Hospital and Returning Home” which provides useful information and contact details. Call 0845 603 5630 for a copy or visit www.hants.gov.uk/general-publications Other health care services There are many community care services and social services available that enable people to continue to live independently. Ask at your local GP surgery if you need further information. Continence advisors can give you specialist advice on how to manage incontinence. Loss of bladder or bowel control can be brought about by a variety of conditions so you should always see your doctor to diagnose what is causing the problem. There is a range of aids and equipment which can make it far easier to cope with incontinence and, with the help of a continence advisor, the problem can be cured altogether in some cases. For more information, contact your GP. You can also get information from: The Bladder and Bowel Foundation Tel: 0845 345 0165 www.bladderandbowelfoundation.org Dieticians can provide specialist advice on healthy eating, particularly to people who have illnesses that are affected by diet, such as irritable bowel syndrome or heart disease. Dentists can give you the help and advice you need concerning your oral health. Even if you do not have your own teeth and wear dentures, it is important to visit the dentist regularly so he/she can ensure that these fit well and to monitor the general health of your mouth. Those who receive Income Support or Pension Credit are entitled to free NHS dental treatment. For others there are standard charges for NHS dental treatment depending on the treatment required. NHS Direct and the Hampshire Dental Helpline can advise you of a nearby NHS dental service. Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 15 If you are housebound and need dental treatment, you should get in touch with your community dental service. Your GP should be able to give you details of this. Physiotherapists provide guidance on exercises and equipment that will loosen stiff joints and muscles and help alleviate pain. The Community Care Service is for patients corns and in-growing toenails. You may be entitled to chiropody treatment on the NHS. Ask your doctor for details. who are unable to attend a surgery or clinic. District Nurses work in partnership with patients, families and carers to provide skilled nursing care at home, promote and maintain patient independence and to give patient education, advice and support. District Nurses are also involved in running specialist clinics and provide education and support to nursing and residential homes. Occupational therapists work with a range of people – including the elderly, those with disabilities and people recovering from illnesses – to help them cope with everyday activities which may have become difficult. They can assess your need for equipment and advise on house adaptations to make life easier. Optometrists/opticians carry out eye tests and prescribe lenses for glasses or contact lenses where necessary. They can also help to diagnose cataracts and identify other conditions which may affect vision in the longer term. People who are over 60 are eligible for free eye tests and some others are entitled to an NHS voucher to help pay for the cost of glasses and contact lenses. The Outside Clinic arranges free eye tests at home for people who are housebound, and have learning difficulties or mental health problems. Call 0800 85 44 77 for details or visit their website www.outsideclinic.com Pharmacists can give you advice about medication and the treatment of minor illnesses such as coughs and colds as well as a range of other services such as smoking cessation, weight management and blood pressure testing. They can also assess your symptoms and help you decide if you need to see a doctor. They are extensively trained experts and community pharmacies are usually available on a drop-in basis, seven days a week from early to late. Some pharmacies will collect your prescription from your doctor’s surgery for you. Ask your surgery for details of local chemists that offer this service. Podiatrists provide foot care, treating bunions, Age Concern Hampshire runs Foot Health clinics around the county, to find out more, call 01329 842 481. Speech and language therapists can help people having communication difficulties (for example, after a stroke).They also help people who are having difficulties eating and swallowing. Sexual health Sexual health services The NHS provides a range of free and confidential sexual health services across Hampshire. Services are provided across a wide range of settings and include the following: ■ Contraception ■ Emergency contraception ■ Testing & treatment for sexually transmitted infections ■ Chlamydia screening ■ HIV testing & treatment ■ Pregnancy testing ■ Termination of pregnancy ■ Vasectomy ■ Psychosexual counselling ■ Sexual Health Promotion Advice & Support For more information please visit www.letstalkaboutit.nhs.uk or call 0300 300 2016 HIV services Specialist HIV treatment and social care support is provided throughout the county, all of which is provided in strictest confidence. For details please contact your local sexual health clinic on 0300 300 2016 or see www.hants.gov.uk/hiv or www.letstalkaboutit.nhs.uk for more information. Some practices will have a pharmacy in-house. 15 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 16 Mental health Help from the Health Service and Adult Services There is a range of mental health services available, provided by the Health Service, Adult Services or the private sector. There are three main providers of mental health services in Hampshire: Southern Health NHS Foundation Trust Tel: 023 8087 4300 www.southernhealth.nhs.uk Solent Healthcare Tel: 023 80690 8900 www.solent.nhs.uk Surrey and Borders Partnership NHS Foundation Trust Tel: 0300 5555 222 www.sabp.nhs.uk Community Mental Health Teams and Access and Assessment Teams (CMHTs/AATs) Community Mental Health Teams (CMHTs) and Access and Assessment Teams (AATs) are run jointly by the Health Service and Adult Services, to enable them to meet the health and social needs of people with mental health problems. The teams work to co-ordinate care, whether the need is short or long-term. People who are given help by a CMHT have a ‘care co-ordinator’ who may be any qualified member of the team (for example: a community psychiatric nurse (CPN), a social worker, an occupational therapist, a consultant psychiatrist or a psychologist). A care co-ordinator works with the individual and, where appropriate, their family and friends to draw up a ‘care plan’ which looks at all aspects of a person’s needs and aspirations to support their recovery. This will include medical treatment, relapse prevention, social networks, risk, crisis planning, accommodation and employment needs and the needs of family or friends who are looking after them. In addition, all of the care teams have specialist Carer Support Workers who are able to work with carers of people with severe mental health problems. 16 If you get help from a CMHT, you may be eligible to get money from Adult Services so that you can, with help, choose and organise your own support services. For details of the ‘Direct Payments scheme’ see Chapter 7. CMHTs can give you information on support services, vocational and training opportunities, and specialist housing and leisure provision. Help from specialist organisations CMHTs/AATs in Hampshire have a specialist mental health Carers Support Worker who can provide support. Your local Council of Voluntary Service (see page 117) will also provide support and information for families and friends of people with mental health problems. Various national organisations specialise in help and advice for people with mental health problems and for their families and friends, and they can tell you whether there are local branches or support groups. www.mentalhealthcare.org.uk gives reliable and upto-date information to relatives and friends of people with severe mental illness. This website has been created by researchers and mental health professionals who work at the Institute of Psychiatry, King’s College London and South London and Maudsley NHS Foundation Trust. The site provides information about different aspects of psychosis, treatment and care. Short, filmed interviews with health professionals and researchers complement the text and there are downloadable summaries of research about psychosis, written in plain English. There are also pages where visitors can submit questions to a pharmacist, a psychologist, a psychiatrist and a social worker. More information can be found by contacting: Together – Working for Wellbeing Tel: 020 7780 7300 www.together-uk.org MDF – The BiPolar Organisation Tel: 020 7931 6480 www.mdf.org.uk Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 17 Self-management courses and local support groups The Mental Health Foundation Tel: 020 7803 1100 www.mentalhealth.org.uk MIND (National Association for Mental Health) MindinfoLine: 0300 123 3393 (Monday to Friday 9am – 5pm) For details of local MIND groups visit www.mind.org.uk or call the helpline. Rethink (formerly National Schizophrenia Fellowship) www.rethink.org General enquiries and details of local user and carer groups can be found on their website. Rethink National Advice Service: Tel: 0300 5000 927 10am to 1pm Monday – Friday SANE Tel: 020 7375 1002 Helpline: 0845 767 8000 (daily 6pm –11pm) www.sane.org.uk Alzheimer’s Society Helpline: 0300 222 1122 General: 020 7423 3500 www.alzheimers.org.uk Information and support Depression Alliance For information packs tel: 0845 123 2320. www.depressionalliance.org Mental Health Care Comprehensive information for familiy and friends of people who have psychosis. www.mentalhealthcare.org.uk Self-help books The ‘Recovery’ approach For people in Hampshire that use mental health services, ‘recovery-orientated’ practice has increased levels of choice, hope and control. ‘Recovery’ focuses on personal development, building selfesteem and giving people practical support so that they can find a meaningful role in society. For more information about ‘Recovery’, visit www.rethink.org and read their pages on ‘Living with mental illness’. Mental Health Wellbeing Centres Wellbeing Centres are able to support individuals with Mental Health problems with their recovery. Wellbeing services are available throughout Hampshire. They are jointly-commissioned by Hampshire County Council and NHS Hampshire and are provided through voluntary sector organisations who cover the following areas: Andover and Romsey: Andover Mind http://www.andovermind.org.uk Information and advice 0300 0500907 Winchester and Eastleigh: Solent Mind www.solentmind.org.uk/our-wellbeing-centres.aspx Tel: (Eastleigh) 023 80 611458 (Winchester) 01962 859012 Fareham and Gosport: Solent Mind www.farehamandgosportmind.org.uk Tel: 01329 281445 New Forest: SCA Tel: 023 80 366663 Basingstoke and Deane: MCCH www.mcch.org.uk/our-services.aspx North East Hampshire: MCCH www.mcch.org.uk/our-services.aspx Many GP surgeries in Hampshire are working with the library services so that people with common mental health problems, such as depression or anxiety can borrow high quality self-help books. Visit your local library and ask for the section entitled ‘Books on Prescription’ which contains books recommended by the NHS. 17 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 18 Mental health emergencies If you or someone you look after urgently needs help, don’t hesitate. Phone any of the contacts listed below for help. To find out more about the IMCA service please contact: Independent Mental Capacity Advocacy Service 17 New Road Basingstoke Hampshire RG21 7PR Tel: 01256 478999 Email: imca@hampshireadvocacy.org.uk ■ Your doctor ■ NHS Direct ■ Your local Community Mental Health Team Dementia Advisor Service ■ Your Adult Services department (see contacts below) ■ The police ■ Samaritans crisis line 08457 90 90 90 The Dementia Advisor Service provides support to people with dementia, their carers and families, through the provision of information and signposting which is tailor made to each person’s individual requirements. To contact Adult Services mental health services during evenings, nights and weekends, Tel: 0845 600 4555 Hampshire Tel: 023 9268 3400 Portsmouth (for current users and carers only – otherwise call 023 9282 2251) Tel: 02380 835500 Southampton (please ask for the duty bleep holder). Making decisions People with mental health illness are among those offered protection by law under the provision of the Mental Capacity Act 2005. The Act aims to put individuals at the centre of any decisions made regarding their care, giving them the support and advice they need to make decisions for themselves where possible. Advocacy The Independent Mental Capacity Advocate (IMCA) service is central to the working of the Mental Capacity Act. Advocates work with someone who lacks capacity to make certain important decisions, and has no one else who can be consulted, to try and establish their wishes. The IMCA service in Hampshire is coordinated by Hampshire Advocacy Regional Group (HARG). HARG is a network of advocacy schemes which provide experienced advocates to work with people who have: ■ mental health difficulties ■ physical or sensory impairments ■ a learning disability as well as older people, children and young people in transition. They also work with people who lack capacity through other causes. 18 This individual approach helps to ensure people have access to appropriate care and services at the appropriate time and stage of the illness thus supporting people from the point of diagnosis and then onwards in their journey with dementia. The service is provided by The Alzheimers Society in the New Forest, Fareham, Gosport, Havant, Petersfield and Bordon, and by Andover Mind in Hart and Rushmoor, Basingstoke, Deane, Alton, Eastleigh, Test Valley and Romsey. The Alzheimers Society can be contacted on 023 92 892034 Andover Mind can be contacted on 01264 353363. Further information may be obtained by accessing www.hants.gov.uk/dementia-advisor-service Substance misuse There are various locally and nationally run organisations which offer help to people with substance misuse problems. Contact your doctor or access the substance misuse provider, Solent NHS Trust website www.solent.nhs.uk. Add search for substance misuse. These helpline numbers might be helpful to have available if you are particularly worried: ■ Parent Support Link – offers support to adults in Hampshire who are concerned about/affected by a family member’s, or another person’s, drug use. Helpline: 023 8039 9764. www.parentsupportlink.org.uk ■ Alcoholics Anonymous (AA) – AA is an informal society that offers self-help groups across the country. Helpline: 0845 7697 555 or 023 8022 3198 www.alcoholics-anonymous.org.uk Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 19 ■ Narcotics Anonymous (NA) – NA is an informal society that offers self-help groups for men and women for whom drugs have become a major problem. Helpline: 0300 999 12 12. www.ukna.org ■ FRANK (formerly the National Drugs Helpline): offers information, advice and tips, and can direct you to local services, drop-in centres and groups. They will also provide advice and information to drug users, their friends and families. Helpline: 0800 77 66 00 or Minicom: 0800 917 8765. End of Life Care For individuals who have a terminal illness or a lifethreatening condition, end of life care (often called palliative care) is offered by a number of different hospices or outreach schemes throughout the county. Your GP will be able to provide you with details of these. Clinical Commissioning Groups, Hampshire County Council Adults Services and other stakeholders are working in partnership with independent and voluntary sector providers to provide a broad range of services for people at end of life, across Hampshire. They can provide information and support for someone who is dying and for their carers, to enable them to achieve the best possible quality of life especially during the final stages of their illness. The newly established Clinical Commissioning Groups are prioritizing End of Life care for their patients and will have all relevant information and public information leaflets with their surgeries. They will also have an agreed End of Life Care Policy in consultation with partners. The National Council for Palliative Care (NCPC) is the umbrella body for anyone involved in hospice and palliative care services in England, Wales and Northern Ireland. The Council works with people in the NHS, voluntary and independent sectors including care homes and has an interest in improving the palliative care provided to older people. Information and publications available online and by telephone. Telephone: 020 7697 1520 Email: enquiries@ncpc.org.uk www.ncpc.org.uk Help the Hospices is a national charity for hospice care. They provide information and support for patients, carers and those who have an interest in hospice and palliative care. The website includes an online search facility for local hospice or palliative care. www.helpthehospices.org.uk Enquiry line: 020 7520 8200. (Monday to Friday, from 9am to 5pm) For local information (including GPs, hospices, acute hospitals and community hospitals), national information and relevant publications visit the website: www.hants.gov.uk/adult-services/end-of-life or call Adult Services on 0845 603 5630 For national Information on End of Life care visit www.dh.gov.uk 19 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 20 Chapter 3 Help with living at home In this chapter you will find information on: Adult Services assessments • Help with everyday tasks If you find that you are no longer able to carry out basic tasks such as getting yourself washed and dressed or getting to the toilet, Adult Services can undertake an assessment. If your needs are assessed as being substantial, they will identify extra assistance you need and may put in place an initial reablement programme. See page 8. • Making your home safe • Maintaining your home • Housing options Coping with everyday tasks Personal care Many people find that after a period of illness they need help either for a limited time or for the longer term. Some people may just need some support to adjust to their new circumstances and either re-learn old skills or acquire new skills which will enable them to cope. Organisations offering ongoing personal care will be able to offer you help with getting up, going to bed, dressing, undressing, washing, bathing, personal hygiene, eating, drinking, using the toilet, managing incontinence and tooth and denture care. They may also be able to help with health-related tasks such as dealing with pressure sores. All organisations offering personal and/or nursing care have to be registered with the Care Quality 20 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 21 Commission (CQC), who regulate and inspect social care providers and ensure that they meet high standards. They also offer guidance on finding and choosing the right care services. www.cqc.org.uk. See Chapter 6. For more information and to request a meals on wheels telephone Apetito on 01962 779338 or visit www.hants.gov.uk/meals-on-wheels Housework If you just need help with cleaning the house, the Yellow Pages list companies under ‘Cleaning Services – Domestic’. Some domestic cleaning companies are included in the A-Z list starting on page 84. You need to ask for references before employing a cleaner. Do your slippers fit properly? Are your slippers too loose? Are they over-sized, slippery, or trodden-down? If so, you could easily miss your footing, especially on stairs, and seriously hurt yourself. Meals and meal delivery services Some of the organisations that can help with preparing or supplying meals are given in the A-Z list starting on page 84. www.e.volve.org.uk uk is an online directory of local community and voluntary groups and lists many organisations who can provide meals on wheels type services, as well as lunch and social clubs. If you or someone you know is having difficulties preparing and cooking meals there are various options you could choose to make mealtimes easier. Eating properly helps keep us healthy and well. Meals on Wheels Meals on Wheels are available to anyone over the age of 55 years who finds it difficult to prepare meals because of mobility or health problems. Meals are available long term or just for a short period, perhaps to help someone recuperating after a stay in hospital, or to assist an older person who cares for someone else and just needs a break from cooking for a while. From April 2013 a two course meal can be delivered 365 days a year anywhere in the county, either direct to people's doors or to a local lunch club. A new separate Meals Support Service is also available to help older people, who receive meals on wheels, to have regular social contact through volunteer visits around lunch times if they would like it. Poorly-fitting footwear is among the biggest causes of accidents among older people. Last year in the UK, 14,000 people fell and broke their hips. You will be safer around the house if you wear slippers that fit firmly on your foot. Styles with a velcro fastening are easy to put on and take off, and easy to wash. ‘Better Balance for Life’ and Falls Prevention Regular exercise and physical activity are really important for good health and well-being. Hampshire County Council’s Older People’s Well-Being Team can provide you with information about falls prevention, including things you can do to prevent falls and exercises to do in the comfort of your own home. These exercises can help you improve your balance and flexibility if done as part of your daily routine. There is also training available for people who work with older people within groups or schemes. To obtain Better Balance for Life exercise leaflets or to find out more about the training email wellbeing@hants.gov.uk, call 0845 603 5630 or visit www.hants.gov.uk/bettertime where you can download the exercises and falls prevention advice. 21 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 22 Good Neighbours Groups Good Neighbours Groups are independent voluntary groups which offer neighbourly help to people in their local communities. They aim to provide a dependable and trustworthy service which enables people to stay independent in their own homes and helps prevent isolation. Some groups specialise in one activity while others offer a range of services. Because the groups are made up of volunteers, the sort of help they can offer varies widely but often includes: shopping, visiting, befriending, running lunch clubs, sitting services, collecting prescriptions, driving people to their GP and to hospital appointments, walking the dog and minor repairs. Most groups ask for a contribution towards the cost of transport. Some have a set rate per mile, some have a fixed fee for journeys and some simply ask for a donation. When you contact your local group, you should ask about contributing to costs. Making your home safe It is important that you feel safe and secure in your own home and there are many simple ways in which you can help protect yourself and your property. Community alarms If you are concerned about getting help in an emergency at home then you may be interested in having a community alarm. For example, you may be worried about having a fall at home and not being able to get up. The system works by you wearing a pendant alarm around your neck or wrist. The pendant alarm is linked to your existing telephone line and is activated by you pressing it if there is an emergency. You do not need to be able to get to the telephone. Good Neighbours Support Service Telephone 023 9289 9671 www.goodneighbours.org.uk There are different community alarm services available across the county. They are operated by district councils, housing associations and Councils of Voluntary Service (CVS). It does not matter whether you are a home owner or tenant. If you are a housing association tenant, you should contact your landlord for more information, otherwise contact your local district council housing department – see page 123. Caring for Pets Telecare To find out if there is a group near you and what help they can offer, contact: If you have difficulty exercising your dog, as well as contacting pet care services, you can try your local ‘Good Neighbour’ group or local church to see if there is anyone there who can help. Telecare is a wide range of alarms and sensors that can enable people to live safely and independently in their own homes. It is available through Hampshire County Council's Adult Services department, as well as from a wide range of district councils and housing associations. If you can no longer look after your pet, contact the Cinnamon Trust. The Trust can find both long and short-term foster carers for pets, who will keep their owners informed about their welfare. It can help improve confidence and minimise risks, and can also provide peace of mind to carers and families. The most well known is the pendant alarm but there are many others, including falls detectors, bed sensors and smoke detectors. If your pet dies and you want another, the Trust can link you with an animal whose current owner can no longer keep it. The Cinnamon Trust 10 Market Square, Hayle Cornwall TR27 4HE Tel: 01736 757900 www.cinnamon.org.uk The Trust is a charity and welcomes donations from the people it helps. There are many companies who offer pet walking / sitting services listed in the Yellow Pages. Rates will vary. 22 The equipment is connected to a community alarm response centre. If an alarm is raised then an operator will contact the person and check how they are. They are trained to respond in the best way, whether that is contacting a neighbour or calling the emergency services. Hampshire County Council’s Adult Services department has contracts with organisations across the county to provide telecare. This is available Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 23 whether you own or rent your own home. If you would like more information then please contact the relevant organisation for your district council area. Further information about telecare and details of the contracts can be found at www.hants.gov.uk/adult-services/telecare Your Phone There is a specialist BT scheme, Free Priority Fault Repair, which aims to provide a fault-free service, for vulnerable people whose phone is an essential lifeline to relatives, friends and carers, in a case of emergency. It safeguards your line free of charge and means any faults will be dealt with as soon as possible day or night, every day of the year, including Christmas day. For more information on this scheme or other BT services for people with special needs call the BT general enquiries line on freephone 0800 800 150 or visit www.bt.com Helping you to stay independent and safe at home Adult Services Tel: 0845 600 4555 Monday to Thursday 8.30am5.00pm, Friday 8.30 am-4.30pm. Fax: 01329 282534 Email: otdirect@hants.gov.uk Adult Services may be able to arrange for the equipment or technician service to deliver a simple piece of equipment or install a rail directly, or you may be asked to attend a clinic or be assessed at home. Portsmouth and Southampton See Social Care Services contact details on page116. Private Occupational Therapy You may wish to use the services of an independent Occupational Therapist who is in private practice. The College of Occupational Therapists (COT) has a specialist section for Occupational Therapists working in independent (private) practice. All Occupational Therapists who are members of COT Specialist Section Independent Practice are fully qualified and registered with the Health and Care Professions Council (HCPC). Visit www.cotss-ip.org.uk or call the Independent Practice enquiry line on 0800 389 4873. Help from Adult Services Occupational Therapists can carry out an assessment of what you can and can't do in your everyday activities. They can give you advice and information about equipment or adaptations that may be useful, or they may suggest alternative practical ways of doing things. There is a range of equipment and adaptations available on the market to make your life at home easier and safer. These may be simple items like rails or equipment in the bathroom, or larger adaptations such as stairlifts, for example. Many of these items are available directly through Adult Services or by Occupational Therapist recommendation to other organisations such as Councils or Housing Associations. If you have sight and/or hearing loss, Adult Services specialist advisers can help – see Chapter 5. Hampshire For information and advice or to arrange to be assessed by an Occupational Therapist, contact: 23 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 24 Places in Hampshire where you can get advice about equipment The centres listed here like you to phone beforehand to discuss what you want and/or to make an appointment. Havant Age Concern Information and Resource Centre 14 Market Parade, Havant PO9 1QF Tel: 023 9247 2452 Monday to Friday 10am-3.30pm Leonard Cheshire Resource Room Red Cross House, off Winnall Close, Winnall Manor Road, Winchester SO22 0LB Tel: 01962 867378 www.lcdisability.org Offers an OT assessment service. National Disability Advice Disabled Living Foundation (DLF) Helpline: 0845 130 9177 (Monday to Friday 9am-5pm) www.dlf.org.uk DLF have a website called ‘Living made easy’ which gives impartial advice and information about daily living equipment and other aspects of independent living. www.livingmadeeasy.org.uk They have also developed ‘AskSARA’ an easy-touse, award-winning online tool that asks you questions about yourself and your environment. It then gives you useful advice written by a team of Occupational Therapists and ideas of items of daily living equipment that might help you, with details of their suppliers. www.dlf.org.uk/content/asksara RICA (Research Institute for Consumer Affairs) Unit G03 The Wenlock Business Centre 50-52 Wharf Road London N1 7EW Tel: 020 7427 2460 Monday to Friday 9.30am – 5.30pm www.ricability.org.uk Custom-made equipment for disabled people, including children. For example, a piece of equipment that will allow someone to play a particular sport. Other places in Hampshire where you can obtain equipment/advice British Red Cross You can get advice, borrow and buy simple equipment, such as bath boards and seats, commodes, raised toilet seats and frames, walking frames or wheelchairs. British Red Cross (Medical Loan Department) Red Cross House, Winnall Close Winchester SO23 0LB Tel: 01962 891669 There are many shops selling equipment throughout the County. Most have showrooms and are happy to provide demonstrations and to give advice. Look under ‘Disability’ and ‘Mobility’ in the Yellow Pages or search online for your local stockists. Alternatively, Adult Services may be able to advise you of your nearest showroom (see contact details on previous page). Some furniture stores can supply easy chairs that tilt or lift to help people get up. You can find local stockists in the Yellow Pages under ‘Furniture Retailers’. You can buy, sell and exchange specialist disability equipment (for adults and children) through the Disability Equipment Register, a non-profit making organisation. You can use the Register on-line, or you can send for their monthly magazine. Disability Equipment Register 4 Chatterton Road, Yate, Bristol BS37 4BJ Tel: 01454 318818 www.disabilityequipment.org.uk Unbiased information about products and services for people who are disabled and/or elderly. Phone for a list of publications. For other stockists in your local area, look in your Yellow Pages or visit www.yell.com and search under ‘Mobility & Access Equipment & Vehicles’. REMAP D9 Chaucer Business Park Kemsing, Kent TN15 6YU Tel 0845 1300 456 www.remap.org.uk Equipment by mail order or online 24 The following organisations can all send you detailed catalogues, and supply special equipment by mail order. Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 25 Ableworld Tel: 01782 205901 www.ableworld.co.uk Hearing and Mobility Tel: 0844 888 1338 www.hearingandmobility.co.uk British Red Cross Tel: 0844 893 0089 www.redcross.org.uk Nottingham Rehab Supplies Tel: 0845 805 2236 www.nrs-uk.co.uk Peta (UK) Limited Tel: 01376 573476 www.peta-uk.com Designers and suppliers of easy-to-use tools and aids. Homecraft Rolyan Tel: 0844 412 4330 www.homecraft-rolyan.com Promedics Tel: 01475 746400 Email: orders@promedics.co.uk Protecting your home Home check You can ask the Police, your local council or your local Home Improvement Agency to carry out a check in your home to make sure that it is safe, and to advise what you should do if it isn't. They can, for example, check windows and doors, and electrical and other equipment. To find out what is available in your area contact: ■ the Police on 101 (textphone 18001 101) and ask for the number of the crime prevention officer for your area ■ your local council – see page 123 ■ Portsmouth City Council Homecheck Tel 023 9268 8369 ■ Winchester City Council Homecheck Tel 01962 848483 Hampshire Bobby Trust offers advice to older people about home security and can provide simple devices such as door chains and spyholes to help prevent burglary and replace locks after a burglary. Tel: 0300 777 0157 or visit www.bluelamptrust.org.uk Protecting your home from burglars ■ Make sure you secure windows and doors before you leave the house. ■ If you are in the garden or upstairs, make sure your downstairs doors are locked, and that you have a key with you to get in or out in a hurry. ■ Fit window locks and keep the keys in a safe place. ■ Keep tools and ladders securely locked away. ■ Display your burglar alarm and neighbourhood watch sticker prominently. ■ Put up a warning sign for visitors if you have a dog as this will deter thieves. ■ Keep valuable items out of view. Don’t leave keys under a doormat or on a string through the letterbox. Burglars expect this. Contacting the police Call 101 (textphone 18001 101) for general enquiries or to report a crime when it's not an emergency. Always call 999 in an emergency. Fire Safety Hampshire Fire & Rescue Service recommends that you have at least one smoke alarm on every level of your home and ideally in all rooms except your kitchen and bathroom. It is important that you regularly check that alarms are not clogged by dust and that you test that their batteries work. Plan how you would get out of the house in an emergency. Your working smoke alarm will give you early warning of a fire. You should get out of the house, call the Fire Service and stay out. Protecting people with sensory impairment Hampshire Fire & Rescue Service are working in partnership with the Adult Services Sensory team to advise people with sensory impairments on fire safety. They will help in devising escape plans and in arranging the installation of special fire and smoke detectors. For more information about fire safety contact Community Fire Safety Department Hampshire Fire and Rescue Service Headquarters Leigh Road, Eastleigh SO50 9SJ Tel: 023 8062 6707 www.hantsfire.gov.uk 25 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 26 Leaflets on fire safety, including “Fire safety for people with sight, hearing or mobility difficulties”, are available to download from www.gov.uk Household emergencies – who to call Southern Water Emergency Line 0845 278 0845 Portsmouth Water Emergency Line 023 9247 7999 Sembcorp and Bournemouth Water Emergency Line 01202 590059 Gas emergencies 0800 111 999 Choosing a reliable tradesman Rather than waiting for someone to knock on your door, it is better to find a reliable trader yourself. Your local Age Concern branch or Hampsh ir District Council may run a scheme to directo e’s ry approve of d local busines supply a handyman or gardener at a ses small charge. Choose fro Buy With m here and Confide nce Protecting Older People The Protecting Older People project (POP) is a unique initiative to reduce the incidence and effect of doorstep crime in Hampshire. The project is run and managed by the Trading Standards Service and is part funded by Adult Services. The team considers every aspect from prevention through to supporting victims. To obtain ■ Talks to older people’s group or clubs ■ A ‘Safe and Sound’ booklet ■ Doorstickers – “We do not buy goods and services at the door" call 01962 833620 or Email: doorstep.crime@hants.gov.uk Doorstep sales and bogus callers Hampshire Trading Standards have a Quick Response Team who can come out to your home if a doorstep caller, offering property repairs, is causing you concern and: ■ is still at your home; or ■ is due to return e.g. to collect payment; or 26 G S Hampshire County Council's Buy With Confidence scheme is a register of checked and approved local businesses. So, whether you want a reliable plumber, electrician or builder, check out the Buy With Confidence list at www.buywithconfidence.gov.uk telephone 08454 04 05 06 for help with obtaining a tradesman from this list. A free directory is also available from this number. www.h ants.gov. uk/buyw ith confidenc e Visit ww Information and advice from Trading Standards 13 Phone the Environment Agency’s floodline to sign up for flood warnings and get simple advice on what to do before, during and after a flood. In these circumstances telephone 01962 833666 for assistance immediately. You can also use this number to inform Trading Standards of doorstep callers in your area. EE n FR editio FLOODLINE 0845 988 1188 is offering to take you to the bank to withdraw cash. 20 Electricity – call Hampshire Trading Standards for a local electrical contractor 08454 04 05 06 ■ w.buyw ithconfid ence.gov. uk Scams by post and telephone Hampshire Trading Standards Service warns that an estimated three million people fall victim to scams each year. Scams such as bogus lotteries, prize draws and miracle health cures arrive by post and telephone and target elderly people and the vulnerable, often leading to debt and depression. Always be sceptical about any unsolicited offers and never part with money or give your bank or credit card details to obtain a prize or an offer that is too good to be true. Don’t be rushed into making an instant decision and don’t ring premium rate numbers (starting 090) to claim a prize or arrange a parcel delivery. For further advice or if you are worried that you, or someone close to you, has been a victim of a scam, the Citizens Advice Consumer Helpline on 08454 04 05 06. Reducing nuisance junk mail and telephone calls You can reduce the amount of junk mail delivered to you by contacting the Mailing Preference Service Tel: 0845 703 4599. www.mpsonline.org.uk 1 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 27 You can stop unaddressed leaflets being delivered by Royal Mail by contacting Freepost RRBTZBXBTTTS, Royal Mail Door to Door Opt Outs, Kingsmead House, Oxpens Road, Oxford, OX1 1RX or email optout@royalmail.com You can stop unsolicited telephone calls by contacting the Telephone Preference Service on 0845 070 0707 or visiting www.tpsonline.org.uk/tps. It may take a while for calls to reduce. If you continue to have a problem, contact OFCOM on 020 7981 3040. EE FR on Maintaining your home Major repairs You need to make sure that your home is maintained properly so that it is safe for you to live there. If it needs repairs, you can get advice and help. ■ If you are elderly and/or disabled and have a low income, you can get advice and help from your borough, city or district council. Whether you are a council tenant or own your own home, they can advise whether you qualify for a grant to help pay for the work and if so, how to apply for one. They can recommend a reliable building contractor and check that work has been done to a good standard. They will also be able to tell you whether there is a Home Improvement Agency or Handyperson Scheme operating in your area. For contact details see page 123. ■ If you are a private tenant, you should contact your landlord. If they are unwilling to carry out the work needed, you should contact your local council housing department which may help your landlord carry out essential work. ■ If you are a Council or Housing Association tenant you should contact your landlord. ■ If you are paying for repairs yourself, you can still get advice and information from your local council. Staff may also be able to suggest local builders who are expert in the kind of repair work that you need. Also see ‘Buying with Confidence’ on page 26. ■ Never agree to repairs to roofing or driveways offered at the door. Always go to a reputable trader. Small repairs There are some local 'handyperson' schemes which deal with small repairs, home maintenance and may be able to supply and fit equipment such as key safes. For information about what is available near you contact: ■ Age Concern Hampshire,Tel 0800 328 7154 ■ Your local Council of Voluntary Service – see page 117. ■ Your local council – see page 123. Home Improvement Trust (HIT) Freephone 0800 783 7569. If you have a low income or do not have savings or investments you may be able to get a low cost loan from the HIT. Find a reliable local trader through Hampshire Trading Standards ‘Buy with Confidence’ scheme on 0845 404 0506 or visit www.buywithconfidence.gov.uk Gardening Keeping your garden maintained can become a real concern. A gardening support service is available in most parts of Hampshire for the over 60s living in Hampshire from Shaw Trust, a national charity that has more than 20 years of experience delivering horticultural services. 27 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 28 For those who receive a means tested benefit, the basic service is at a reduced rate. It is also available to those who do not receive a benefit, at the standard rate. The gardening support service can be accessed whether people rent or own their own homes. For more information, including prices and details of how the service operates, call Shaw Trust on 01225 716300 or email susan.perry@shaw-trust.org.uk For advice on making your garden easier to manage you can contact Thrive, a national charity which promotes the benefits of gardening, on 0118 988 5688 or look at the website, www.carryongardening.org.uk for tips to achieve this. Age Concern Hampshire has a list of gardeners/garden schemes and offers a free information and advice service on 0800 328 7154. Councils of Voluntary Service (CVSs) also have contacts in your local area. (See CVS contact details on page 117). Hampshire County Council’s ‘Buy with Confidence’ scheme has contacts of good, reliable trades people. When asking for quotes, remember to ask if there is a cost to remove any garden refuse and if specific gardening equipment is needed. Find out exactly what they will and will not do (for example, not all gardening services offer hedge cutting). Alterations to your home If you are finding it hard to manage in your current house or flat, you may want to consider altering it to suit your needs. ■ ■ 28 You can get information, advice and help on all aspects of making alterations to your home from your local council housing department. See page 123 for contact details. You may be eligible for a Disabled Facilities Grant from your local Council to pay, or help pay, for alterations. Grants are means-tested and applicants must have a permanent and substantial disability in order to be considered. An Occupational Therapy assessment is required to support the request for a grant. Heating your Home Staying safe while keeping warm For your own safety, you need to make sure your heating system is in good working order. If not maintained properly, heating systems can be very dangerous. ■ Have your gas/coal fired cooking and heating equipment and flues serviced annually by a registered CORGI or HETAS engineer. ■ Fit an approved carbon monoxide alarm. ■ Do not sleep in a bedroom with a paraffin heater or a gas fire without a flue. Financial assistance with heating costs If you are struggling with your winter fuel costs, you should speak to your energy provider, who should be able to offer you a standard monthly direct debit charge, to enable you to spread the cost of your energy over the year with regular fixed payments. The free Department of Health guide “Keep Warm, Keep Well” provides information about staying well in the winter by keeping warm and can be downloaded from www.dh.gov.uk/health/2012/02 Alternatively you can visit www.gov.uk/browse/benefits/heating which describes the various housing and heating benefits available, eligibility criteria and explains how to apply for this assistance. Most people aged 60* and over qualify for a Winter Fuel Payment made every November to December. If you have not received your entitlement, phone 0845 915 1515 or textphone 0845 601 5613, Monday to Friday 8.30am-4.30pm. *If you were born on or before 5 July 1951 (winter 2012 to 2013 – this date changes every year) You may also be eligible for a Cold Weather Payment for each week of very cold weather in your area if you get Pension Credit. You may also be eligible for a Cold Weather Payment for each qualifying week if you are getting Income Support or income-based Jobseeker's Allowance and have a child under five or get one of the following: ■ a pensioner premium, higher pensioner premium or enhanced pensioner premium ■ a disability premium or severe disability premium ■ a disabled child premium ■ Child Tax Credit that includes an individual Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 29 element for a child or qualifying young person who is disabled or severely disabled AgeUK publish a fact sheet on Help with Heating which can be downloaded from their website www.ageuk.org.uk Tel. 0800 169 6565 More efficient heating The following organisations may be able to help reduce your fuel costs. ■ For free, impartial advice on how to make your home more energy efficient and comfortable, to save you money on fuel bills call the Environment Centre (tEC) on freephone 0800 804 8601 or visit www.environmentcentre.com ■ If you receive certain benefits you may be eligible for energy efficiency grants through ECO (Energy Company Obligation). To find out more contact the Energy Saving Trust on 0300 123 1234 or visit www.energysavingtrust.org.uk/ Alternatively contact tEC (as above) Advice from Utility Suppliers Southern Electric & Gas Careline Freephone 0800 622 838 Textphone: 0800 622 839 8am-6pm Monday to Friday, 8am-2pm Saturday. Information and advice service for older, disabled and/or blind people: ■ how to recognise genuine Southern Electric or Southern Electric Gas representatives ■ help if you find your meter hard to read ■ special controls, switches and adaptors The free Careline booklet has details about available services and helpful suggestions for customers. British Gas Home Energy Care Advisers 0800 072 8625 textphone: 0845 955 5502 Information and home visits to provide safety checks and advise on adaptors and gadgets to make gas equipment easier to use for disabled and/or blind people. Large print bills are available if needed. BT Advice Line Freephone 0800 800 150 Ask for the disability team and information about specially adapted phones. A free BT booklet about equipment and services is available. Call 195 to find out if you are eligible for free directory enquiries. Housing options Which councils have housing departments? If you live in Hampshire, your local city, borough or district council deals with housing, not the County Council. Portsmouth and Southampton are unitary councils and deal with all local services including housing. Addresses and phone numbers of local councils are on page 123. Housing departments can offer information and advice: ■ if you are homeless and/or want to apply for social housing ■ if you have an assessed care need, Locality Housing Officers will offer advice on a range of housing options. ■ about Disabled Facilities Grants to help owner/occupiers or tenants alter their home to make it easier to live in. ■ about insulating, improving or maintaining your home. Alternative housing options If you are finding it hard to manage in your current house or flat you may want to consider altering it to suit your needs. You may feel, however, that moving to accommodation that is designed to meet your needs is a better solution, especially if you are not ready to move into permanent residential care. Options for older people Sheltered housing ‘Sheltered’, ‘retirement’ or ‘warden-assisted’ housing are all terms used to describe accommodation provided specifically for older people. Schemes usually have the services of a warden or scheme manager, though increasingly this person lives off site, or the service is provided as 'floating support', with periodic visits from a member of staff. Each property will have an alarm system so the resident can summon help in an emergency. Sheltered housing provides privacy and independence, but with the reassurance of knowing 29 Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 30 help can be summoned if necessary, and the possibility of socialising with other people who are retired. Sheltered housing can be rented or purchased on a leasehold basis, and a small number of schemes offer shared ownership options. Sheltered housing to rent is usually provided by local councils and housing associations (social landlords), but as there is often greater demand than availability, there are likely to be allocation criteria and waiting lists. Often home owners and those in a position to buy may be given a lower priority than those who do not have this option. There is a very limited amount of Sheltered housing to rent through private or commercial providers. Extra Care housing ‘Extra care housing’, ‘Assisted living’, or ‘housingwith-care’ are terms used to describe various models of retirement housing for older people who can no longer live completely on their own but do not need 24-hour complex medical supervision. In its most developed form, extra care housing is seen as an alternative to residential care (a care home or nursing home). Extra care housing schemes offer a high level of services and facilities, meals and personal care services. Other facilities such as hairdressing may also be provided. Depending on the scheme, you may be able to rent, own or part-own your own flat or bungalow. For more information see page 2. Retirement Villages The name retirement village refers mainly to the size of a development – say 100 units or more. Retirement villages are a relatively new type of housing for elderly people, but are growing in popularity in the UK. They aim to offer independent flats or bungalows together with a range of social, sport and leisure facilities and retail outlets, sometimes together with high levels of care and support that can be adapted to residents' needs. The larger scale of retirement villages allows for the provision of facilities and care services that would not be viable in smaller developments. Schemes may offer properties to buy, to rent or on a shared ownership basis, or a mixture of all three. The range of facilities and services available vary significantly between providers. 30 Who can give me more advice? If you are a client of Adult Services, speak to your social worker about housing options. They will be able to liaise with the Locality Housing Officer (LHO) for your area. Locality Housing Officers are Adult Services staff based in district/city council offices who provide a link between district housing departments and local adult services area offices. If you are not a client of Adult Services, for advice and information on the specialised accommodation for older people available in your area, you can contact either First Stop Care Advice (FSCA) Tel: 0800 377 7070 or visit www.firststopcareadvice.org.uk The Elderly Accommodation Counsel, Tel: 020 7820 1343 or visit www.housingcare.org who hold detailed information on all properties to buy and rent by location. Options for people with disabilities Extra Care (see section above) Supported housing Supported housing is accommodation designed to meet the particular needs of people with disabilities and support is provided as a condition of living in the accommodation. This may be housing, where, for example, all facilities are accessible to someone in a wheelchair. Schemes vary in how much support, such as an emergency-call system, is provided. Your district or city housing department should be able to give you details of what is available locally. ‘Group living’ schemes There are also some ‘group living’ schemes which offer communal accommodation to small groups of people in a similar situation – a kind of house-share. These schemes are mainly for people with learning disabilities and for people with mental health problems. Group living schemes are run largely by voluntary organisations or housing associations. For more information contact your local Adult Services office. (See pages 115 and 116.) Guide to Better Care 2013-2014_Layout 1 10/04/2013 11:01 Page 31 Shared Lives ■ people with mental health illness ■ people with physical disabilities ■ people with HIV / AIDS ■ veterans Our Shared Lives carers provide a home on a temporary or permanent basis for a person who needs care and support in a family environment. Most people who use the scheme have a learning disability, but some people have a physical disability, a mental health issue or are older people who are unable to live alone. ■ young families, including young fathers ■ vulnerable young people (16 years plus) ■ single homeless people ■ homeless families ■ ex-offenders ■ people experiencing domestic abuse What carers offer varies from person to person. For example, some carers help one person once a week for a few hours during the day, others have someone live with them as an extra member of the The scheme is administered by Hampshire County Council Supporting People Team and is a partnership of District Councils, Health, Adult Services and Probation. For further details see family or provide regular respite for a person whilst their usual carer has a break. Carers have to undertake a comprehensive vetting process before they are approved. They also receive appropriate training, as well as monitoring and support from the scheme. www.hants.gov.uk/supporting-people The Hampshire Shared Lives Scheme (formerly known as Adult Placement), is all about linking people who need help with people who can provide it. To find out more, call 0845 603 5630 or visit www.hants.gov.uk/adult-services/sharedlives Supporting People Supporting People is the name of the programme introduced in 2003 for providing housing-related support. A range of support services are available in every district in Hampshire, with support to access housing and other accommodation. These are for people in need of support to maintain their tenancy, prevent homelessness, or to be safe. There are Floating Support services and short term accommodation based services too. These services are in high demand, and are not part of any statutory service. Access to all services is based on assessed vulnerability and need for support. If you are homeless please go to your local District or Borough Council Housing team who will advise you of your options. This may include a referral to a Supported Housing Coordinator to assist with access to service appropriate to need. Tel: 01962 847982 Email: supporting.people@hants.gov.uk Moving into a Residential Home Reside If you feel it’s time to think about moving into residential care, then the free Adult Services Guide to Residential Care gives information about what you need to consider. ntial C a ! re PLUS For a free copy phone 0845 603 5630 or visit www.hants.gov.uk/resicare-publications Generic Floating Support Services ■ anyone with housing related support need ■ older people ■ people with learning disabilities 31
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