Health & Social Care Support Directory 2014€¦ · Health & Social Care Support Directory 2014 Covers services in York Issue 1. ... If you would like to volunteer with Healthwatch

Health & Social CareSupport Directory2014 Covers services in York

Issue 1

ContentsContents

DisclaimerThis directory has been compiled to cover health and social care options throughout City of York.

Whilst we have taken every care in compiling this publication, the publishers and promoters cannot accept responsibility for anyinaccuracies.

All listings are supplied via the Care Quality Commission (CQC) and NHS Choices. Neither Healthwatch York nor HealthCarePublications can be held responsible for any errors or omissions.

A note on advertising: We offer businesses the chance to reach potential customers via this publication. It is our intention to clearlyindicate that an advertisement is being displayed and no endorsement or approval by the promoters of any product, service orsupplier should be implied.

All signposted services are up to date as of December 2013.

About Healthwatch York

Healthwatch community champions

Have your say on health & social care

Advocacy support

Vale of York clinical commissioning group

Looking after your health

Choosing a GP

GP surgeries

Pharmacies

Dentists

Opticians & hearing centres

Independent living

Advice on paying for care

Legal terms & support

What about carers?

Care in your home

Choosing between residential, nursing & independent living

Choosing the right care home

Residential & nursing homes

Help and advice from Healthwatch York partners

Appointment reminder

CONTENTS

If you need any of these listings in a larger font size please contact the Healthwatch York office.

Who can be involved with Healthwatch York?

Anyone can be involved with Healthwatch York andcontribute to its activities because everyone’sviews matter. You can do as much or as little asyou like – fill in a survey, attend an occasionalmeeting about an issue of personal interest, signup to our mailing list, or become a volunteer.

There are lots of ways people can share theirexperiences with us. We want to hear from you,whether your experiences of health and social carehave been good or bad.

What is Healthwatch?

Healthwatch has been set up by theGovernment to make sure everyone has a say onhealth and social care services. A localHealthwatch has been set up in every area ofEngland and in York your local Healthwatch isdelivered by York CVS.

Why does York CVS run Healthwatch York?

York CVS has lots of experience in making surepeople have a voice. They also work with a widerange of voluntary organisations, who have builtrelationships of trust with people who use theirservices. York CVS believes that HealthwatchYork can bring these elements together toimprove life for people in York.If you would like to know more about York CVSand how we could help you, please [email protected] or call 01904 621133.

You can also find our website atwww.yorkcvs.org.uk

What does Healthwatch York do?

Healthwatch York can help you and your familyget the best out of local health and social careservices by:

• Providing information about local services to make sure you know how to access the help you need

• Signposting you to independent complaints advocacy if you need support to complain about a service you’ve received

• Listening to your views about local services and making sure these are taken into account when services are planned and delivered. We want to hear what you think is working well and what isn’t

• Our trained volunteers go into health and social care premises to see and hear for themselves how services are provided

• We collect the views of people who use services (patients and residents) at the point of service delivery and collect the views of carers and relatives

• We report the findings and associated recommendations – good and bad – toproviders, the Care Quality Commission, Local Authority and NHS commissioners and quality assurers, Healthwatch England and other relevant partners

We pass information, issues and concerns to theorganisations which regulate health and social careand escalate recommendations to HealthwatchEngland.

ABOUT HEALTHWATCH YORK

What powers does Healthwatch York have?

Healthwatch York has a seat on York’s Health andWellbeing board. This body oversees health andsocial care in York, and can influence how servicesare designed and delivered.

We have a place on the Quality Surveillance Groupsthat have been set up in the NHS to monitor thequality of the organisations which provide services.

Healthwatch York has the right to go into healthand social care premises to collect the views ofpatients and residents who are using the services.

HEALTHWATCH COMMUNITY CHAMPIONS

Could you be a Healthwatch York CommunityChampion?

If you want to help people in your area get thebest out of local services, we want to hear fromyou. As a Community Champion, you will listen tolocal people, and give out information about localorganisations and groups who provide advice andsupport about health, social care and wellbeing.You will:

• Identify local events and activities to attend

• Work with Healthwatch York to establish a regular drop-in event at a community venue in your local area

• Gather information about the experiences of local residents in health and social care services in York

• Help identify local organisations and groups who can provide advice and support about health, social care and wellbeing

How to become a Healthwatch York CommunityChampion

We need as many Community Champions aspossible. If you would like to volunteer withHealthwatch York as a Community Champion, oryou would like to find out about our othervolunteering roles, contact the Healthwatch Yorkteam for an application pack or for an informalchat.

Training and support is available for all ourvolunteer roles.

Call us on 01904 621133 or email us [email protected].

Freepost RTEG-BLES-RRYJHealthwatch York15 Priory StreetYork YO1 6ET

Healthwatch York recruits volunteers who want tomake a real difference to the way our health andsocial care services are run. Volunteer rolesinclude Healthwatch Community Champions.

What are Healthwatch Community Champions?

Healthwatch Community Champions are volunteerswho spread the word about Healthwatch York intheir area and help residents get the best out oflocal services.

Contact usThere are lots of ways people

can get in touch with

Healthwatch York:

Write to us at:Freepost RTEG-BLES-RRYJ

Healthwatch York

15 Priory Street

York YO1 6ET

Phone us on: 01904 621133

Email us: [email protected]

Visit our website:

www.healthwatchyork.co.uk

Follow us on

@healthwatchyork

Like us on Facebook

HAVE YOUR SAY ON HEALTH & SOCIAL CARE

Healthwatch York gives people and communities astronger voice to influence and challenge howhealth and social care services are providedlocally.

We seek views from all sections of the community,working with a range of partner organisations.

We go out to where people will be – Healthwatchstaff and volunteers attend a wide range ofcommunity and city events and we are also invitedto attend a variety of meetings. We are happy todo a talk, have an information stall or hold a focusgroup – whatever people want that helps spreadthe word about us!

Every voice counts when it comes to shaping thefuture of services and improving them. We want toknow what health and social care issues areimportant to you and your family.

Please tell us:

1. Are you happy with the health and social careyou are receiving?

2. Do you have a relative or a friend living in a care home? Are they/you happy with the care they receive?

3. Can you get an appointment with your GP (doctor) when you need to?

4. Have you had to stay in hospital recently? If so, what was your experience like?

5. Do you or a relative suffer from a long term illness; are you/they happy with the help and support you/they receive?

6. Do you know what services are available and how to choose the right one, when you need urgent care?

7. If you could wave a magic wand to fix one thing in health and social care what would it be?

With your support Healthwatch York can make adifference to the quality of local services.

You can be involved in a number of ways:

• Tell us about your experiences of health and social care services

• Sign up to our mailing list and receive regular updates and surveys from us

• Join us as a volunteer

ADVOCACY SUPPORT

“I was respected and my advocatereally listened to me”

“The advocate was kind and treated me like a real person. Both advocates were excellent”

Our advocacy services are free, confidential andindependent. Advocates listen to what you wantand act on your behalf at all times. Advocates cansupport vulnerable people in many ways includinghelping you to access advice, information andservices, go to meetings and appointments withyou, help you to write letters and challengedecisions that you do not agree with.

If you need advocacy you can contact us directlyon 01904 414357

or by email at [email protected]

or via our website www.yorkadvocacy.org.uk

If you need support to contact us you can askfamily, friends or other professionals to contactus on your behalf and we will then get in touchwith you.

What is Advocacy?

“Advocacy is taking action to help people to say whatthey want, secure their rights, represent theirinterests and obtain services they need. Advocatesand advocacy schemes work in partnership with thepeople they support and take their side. Advocacypromotes social inclusion, equality and socialjustice.”

Advocacy supports people to have a strong voice, tospeak up about matters that are important to themand promotes independence and choice.

Advocacy at York Mind

York and District Mind have delivered an advocacyservice since 1997. In 2011 we merged with OurCelebration and became York Mind. In April 2013 welaunched a new service called York Advocacy whichprovides advocacy services across the City of York.We work with a wide variety of people includingthose with learning disabilities, physical and sensoryimpairments, mental ill-health, and older and youngpeople.

Our services include:

NHS Advocacy – If you have a complaint or concernabout the care and treatment you have receivedfrom an NHS organisation or service we can supportyou to feedback your experiences or make acomplaint.

General Advocacy – If you are aged between 18-65,have a disability, mental ill-health or are avulnerable person with an issue for which you needsupport, contact advocacy to see how we can helpyou.

Self-Advocacy – Are you an individual or group ofpeople who want to self-advocate and speak upabout issues that affect you? We can support you toform your own self advocacy group.

VALE OF YORK CLINICAL COMMISSIONING GROUP

As part of the changes to the NHS brought aboutby the Health and Social Care Act 2012, PrimaryCare Trusts (PCTs) and Strategic HealthAuthorities (SHAs) ceased to exist on the 31March 2013.

Healthcare is changing. Improved, joined-upsystems that support safe and responsive highquality services will provide local people withthe opportunity to manage their own healthand, when needed, quickly access an integratedsystem of professional health advice, diagnosisand care.

NHS Vale of York Clinical Commissioning Group(CCG) is leading on this work locally. Made up ofGP practices, the CCG is an NHS organisation ledby clinicians who see patients every day andunderstand the needs of the community and theimpact that local services have on patients’health.

The CCG serves towns and cities including York,Selby, Tadcaster, Easingwold, Pocklington,Pickering, Kirkbymoorside, Terrington andHelmsley. The area takes in 34 GP practices anda population of nearly 333,000 people. We areresponsible for the monitoring of commissionedhealthcare in the Vale of York and the planningand design of many of the health services.

Our main areas ofresponsibility

• Planned hospital care• Urgent and emergency care• Rehabilitation care• Community health services • Mental health and learning

disability services • Tackling inequality including

children’s health and wellbeing

VALE OF YORK CLINICAL COMMISSIONING GROUP

Our vision is to achieve ‘the best health andwellbeing for everyone.’ Our partners and thestrong relationships we have with them arecentral to the CCG achieving this goal. We willcontinue to value their support whilst we faceup to a number of challenges and develop ourambitious plans.

Our priorities

Our key priorities are based on the health needsof local people, the discussions we have withpatients and the public and feedback from GPs,other clinicians and partners. The prioritiesallow us to make positive steps towardsimproving the health of the Vale of Yorkcommunity by re-balancing the local healtheconomy, education and prevention througheffective commissioning.

Focused on delivering clinical outcomes andreducing health inequalities we are driving achange in culture and behaviour. Ourtransformation programme will ensure that wehave the processes in place to achieve outcomesin the following areas:

• Prevent people from dying prematurely

• Enhancing quality of life for people with long term conditions

• Helping people to recover from episodes of ill health or following injury

• Ensuring people have a positive experienceof care

• Treating and caring for people in a safe environment and protecting them from avoidable harm

Getting involved with the CCG

Open, honest, two-way conversations - at theright time. That’s how we like to talk. We wantto give local people the opportunity to havetheir say and shape the decisions abouthealthcare priorities and the services thatdeliver them. Here’s how you can join thediscussion:

My CCG - for alerts and invitations to take partin surveys and events

Online - www.valeofyorkccg.nhs.uk

Your local GP surgery - Join your local PatientParticipation Group

Public meetings - Everyone is welcome to joinour public meetings

Governing Body meetings - observe themeeting and submit questions

Follow us on Twitter - @valeofyorkCCG

Phone us - 01904 555870

LOOKING AFTER YOUR HEALTH

York Teaching Hospital NHS Foundation Trust

York Teaching Hospital NHS Foundation Trustprovides a comprehensive range of acutehospital and specialist healthcare services forapproximately 530,000 people living in andaround York, North Yorkshire, North EastYorkshire and Ryedale – an area covering 3,400square miles.

In April 2011 we took over the management ofcommunity-based services in Selby, York,Scarborough, Whitby and Ryedale and in July 2012acquired Scarborough and North East YorkshireHealthcare NHS Trust, bringing Scarborough andBridlington Hospitals into the organisation.

Our annual turnover is over £400 million. Wemanage ten hospital sites, 1,127 beds (includingday case beds) and have a workforce of over 8,000staff working across our hospitals and in thecommunity.

Our mission is to be trusted to provide safe,effective, sustainable healthcare for thecommunities we serve.

Getting involved

There are many ways you can get involved with thehospital, including working for us, becoming avolunteer, or joining the Foundation Trust as amember. You can find out more about gettinginvolved on our website: www.york.nhs.uk or viaour switchboard 01904 631313.

Leeds and York Partnership NHS Foundation Trustwas formed on the 1st February 2012. The Trustprovides mental health and learning disabilityservices in Leeds, York, Selby, Tadcaster andEasingwold with some specialist services beingprovided across the whole of North Yorkshire.

The purpose of the Trust is to improve the healthand lives of people who use our services; we aim toprovide excellent quality mental health andlearning disability care that supports people toachieve the best they can for their health andwellbeing. We continually strive to combatdiscrimination and directly promote positiveimages of mental health and learning disabilityissues through our ‘Time to Change’ and ‘Get me?’campaigns.

As a Foundation Trust we are accountable to ourgovernors and members who help shape our plansfor the future. The Council of Governors is madeup of people who use our services, carers, staff,members of the public and representatives of ourpartner organisations. They are elected by andrepresent our 17,000+ members.

Service users are at the heart of our organisation.We constantly strive to provide the best possiblecare and support that we can, working closely withother related organisations to provide effective,accessible and modern mental health and learningdisability services.

Working in partnership with our local communities,our core purpose is to improve the mental healthand well being of the people who use our services.

For more information visit our website atwww.leedsandyorkpft.nhs.uk

Or you can contact us at

Leeds and York Partnership NHS Foundation TrustCommunication and Engagement TeamTrust Headquarters2150 Century Way, Thorpe ParkLeeds LS15 8ZBFollow us on Twitter: @leedsandyorkpft

Going to the emergency department can seem agood idea if you are unwell and unsure what to dofor the best. But you may get faster and moreappropriate help if you seek advice or treatmentfrom an alternative source. This means contactingyour GP, visiting your local pharmacy, or callingNHS 111.

Our emergency department is put under additionalpressure by people who could seek help elsewhere.Better use of all these services will help to ensurethat only patients with a real emergency come tohospital, giving us more time to dedicate to thosepatients who really need us.

When should I go to the hospital?

Self care is the very best choice you can make fortreating very minor illnesses or injuries. Manypeople make appointments to see their doctor ornurse when they could treat their symptoms from awell-stocked medicine cabinet, or by visiting apharmacy. Make sure your medicine cabinet is wellstocked with:

• Anti-diarrheal medicine • Paracetamol or aspirin • Rehydration mixture • Indigestion remedy• Thermometer • Plasters

• General medical advice and treatment for an illness or injury that won’t go away

• Routine health checks – Travel advice – Prescriptions

• Help managing long-term medical problems• Immunisations and tests• Referrals to a specialist or a hospital

The emergency department is for ambulancetraffic and critical or life-threatening situationsonly, and you should only go there or call 999 ifimmediate emergency care is needed.

When should I Self – Care?

When should I go to the Pharmacist?

Go to a pharmacist if you have the symptoms of a cough, cold or think you’ve got the flu.You can speak to any pharmacist for advice on howto treat lots of minor injuries and commoncomplaints such as coughs, colds, bites, stings,aches and pains. They also offer help and provideadvice with healthy living issues such as losingweight or giving up smoking.

When should I see my GP?

When should I use A & E?

LOOKING AFTER YOUR HEALTH

During the winter months, the demand for NHSservices increases significantly as cold weathermeans there are more slips, trips and injuries.Generally more of us feel unwell during the winteras we spend more time indoors and coughs andcolds are passed around our family, friends andcolleagues at work.

This all adds up to more of us having an accidentor becoming unwell with a winter bug, meaningmore people want to see their GP, attend accidentand emergency or call 999.

Healthwatch York say there is no need to panicwhen feeling under the weather. “Most healthypeople with a winter illness do not need to seetheir GP, attend A&E and absolutely do not need tocall 999 – so our message this winter is ‘keepcalm’.

By doing this, not only are you helping to reducethe spread of winter viruses to other vulnerablepatients in NHS waiting rooms – you are alsokeeping appointments available for people whohave serious health conditions that must see adoctor or nurse.”

• you need medical help fast but it's not a 999 emergency

• you think you need to go to the emergency department or need another NHS urgent care service

• you don't know who to call or you don't have aGP to call

• you need health information or reassurance about what to do next

When should I call NHS 111?

CHOOSING A GP

A surgery may refuse an application to join its listof patients if:

• You don't reside in the surgery area

• It has formally closed its list of patients, eg when a practice has more patients than it can deal with or not enough doctors - this is less common than itused to be

• If your application is refused, the surgery must write to you and give the reasons for this

How do I find a surgery?

Most surgeries operate a fairly strict catchment areasystem, and only those who live within the area maybe able to register.

This isn't to be awkward, but ensures a GP can visit aperson at home in an emergency in reasonable time.

How do I register?

This is straightforward and far easier than mostpeople realise. Simply take your NHS medical cardalong to your chosen surgery. You will then be askedto sign a registration form.

Not all NHS trusts issue medical cards. If you don'thave one, the receptionist will give you form GMS1 tofill in.

Once you've completed and returned the forms, yourlocal NHS will transfer your medical records to yournew surgery and write to you to confirm yourregistration as a patient with the surgery. Manysurgeries ask a new patient to attend a ‘registrationmedical’ that checks your general health.

What if I can’t get an appointment?

If you can't get a doctor's appointment or have anon-urgent health problem or query, you can contacta nurse by ringing 111 at any time.

Choosing a GP can seem a daunting task, especially if you have just moved into an area and don't knowanything about the local health services. But there are some easy ways to find the doctor to suit you. It'simportant to be registered with a doctor because you'll need them to refer you for specialist hospital andcommunity treatment services.

GP Surgery Address Telephone

GP SURGERIES

GP Surgery Address Telephone

GP SURGERIES

Pharmacy Address Telephone

PHARMACIES

If you have the symptoms of a cough, cold, or think you’ve got the flu a pharmacist is thebest place to go, as they can usually provide you the help and information you need onthe spot.

They can also offer help with healthy living issues such as losing weight or giving upsmoking.

For opening times and NHS SERVICES available from your Pharmacy Please scan the QR code with your smartphone or visit www.nhs.uk

Pharmacy Address Telephone

DENTISTS

Dentist Address Telephone

Emergency Dental ServiceFor emergency dental treatment call 111

NHS dental charges from 1 April 2013

Band 1 course of treatment – £18.00 This covers an examination, diagnosis (eg X-rays), advice on how to prevent future problems, a scale andpolish if needed, and application of fluoride varnish or fissure sealant. If you require urgent care, even ifyour urgent treatment needs more than one appointment to complete, you will only need to pay one Band 1charge.

Band 2 course of treatment – £49.00This covers everything listed in Band 1 above, plus any further treatment such as fillings, root canal work orif your dentist needs to take out one or more of your teeth.

Band 3 course of treatment – £214.00This covers everything listed in Bands 1 and 2 above, plus crowns, dentures and bridges.

Dental charges depend on the treatment you need to keep your mouth, teeth and gums healthy. Youwill only ever be asked to pay one charge for each complete course of treatment, even if you need tovisit your dentist more than once to finish it. If you are referred to another dentist for another,separate course of treatment, you can expect a second charge. Some minor treatments are free.

Always ask your dentist whether the treatment they're recommending is available on the NHS and how muchit will cost before you go ahead.

Dentist Address Telephone

OPTICIANS & HEARING CENTRES

Opticians Address Telephone

Hearing Centres Address Telephone

Regular eye tests are important because your eyes don't usually hurt when something is wrong. A sight test is a vital health check for your eyes that can pick up early signs of eye conditions before you'reaware of any symptoms – many of which can be treated if found early enough.

What your eye test will show

A sight test will show if you need to:• Get glasses for the first time • Change your current glasses

A sight test will also include a general health check that can pick up early signs of eye disease beforeyou’re aware of any symptoms. Some health conditions can affect the eyes such as:• diabetes • macular degeneration • glaucoma

Your sight test

It’s recommended that adults have their eyes tested every two years, unless their ophthalmic practitioneradvises them to have a sight test more often than that.

GWV

G S B EN O I H WJ H E R L CN O S Z L E P H

U L Y T H B X G O

S W M B W G C P T T

O H D C W N Y Z W A V

H N U O C I C R T W W D Q M V B F

INDEPENDENT LIVING

Aids and Adaptations If you or a member of your family has difficultyliving in your home due to a long-term illness ordisability, you may be able to get help by adaptingyour home to better meet your needs. You canapply to City of York council for a disabledfacilities grant. The grant helps you adapt thehome to make it suitable for a disabled person.Depending on your income, you may need to paytowards the cost of the work to the property.

You could get a grant from your council if you’redisabled and need to make changes to yourhome, for example to:

• widen doors and install ramps• improve access to rooms and facilities - eg

stair lifts or a downstairs bathroom• provide a heating system suitable for your

needs• adapt heating or lighting controls to make

them easier to use

How can I find out more about the aids andadaptations that would help me?

Contact your social services department at the Cityof York about what difficulties you are having athome. They will send an occupational therapist tocarry out an assessment and provide advice onwhich equipment or housing adaptation needs suityou best.

City of York Council T: 01904 551550Monday - Friday 8.30am - 5.30pmor visit the customer centre at West offices.

Assistive Technology can help vulnerable

people and their carers live more independently

in there own homes.

Telecare, which is part of assistive technology,

can support anyone of any age who would like

to feel safer and more independent in their own

home. The service can increase confidence and

provide reassurance to family and carers when

they are not around.

Telecare may be of benefit to:

• Older, infirm or disabled people• People who have been discharged from

hospital and need additional support at home

• People with sensory impairments• Vulnerable people of any age living alone

There are many Telecare devices which

automatically alert a 24-hour monitoring centre

or your chosen carer, should you need

assistance. There are also Telehealth solutions

which monitor medical conditions in your own

home, speak to your GP to find out more about

Telehealth.

Telecare Technology Can:• Raise an alarm in case of a fall or

emergency• Raise alerts for floods, smoke, carbon

monoxide• Support a medication regime• 24-hour reassurance for family and carers in

the knowledge that they will be alerted in the event of an incident

• Telecare can also be of assistance to carers of people with Dementia, Physical Disabilities, Learning Disabilities and Long Term Care Medical Conditions

ADVICE ON PAYING FOR CARE

Care and support services are means-tested and are not

free to everyone. Most people have to pay something

towards their own care and some will have to pay for all

of the costs. Who pays depends on what your needs are,

how much money you have, and what level and type of

care and support you require.

You may need to pay for all of your own care, or you may

be entitled to local authority funding, NHS care (free) or

have entitlements to welfare benefits to help pay for your

care and support.

For most people needing social care services, the first

place to start is by asking your local authority for an

assessment of your social care (care and support) needs.

As part of this, the local authority may also carry out a

financial assessment. This assessment will determine

whether the local authority will meet all the cost of your

care, or whether you will need to contribute towards your

care cost or whether you will have to meet the full costs

yourself. Some of the rules for this financial assessment

are applied differently based on whether you need care in

your own home or care in a residential home.

There are several options for funding care, and

understanding them, and which ones apply to you can be

complicated. These options depend on your need for care

and support, as well as your personal and financial

circumstances.

Get personal advice on care funding

The cost of care and support is likely to be a long-term

commitment and may be substantial, particularly if you

opt for residential care. If you or a member of the family

need to pay for care at home or in a care home, it’s

important to understand the alternatives. This makes

advice tailored to your individual needs vital.

You can get advice from:

Your local authority – through an assessment of your care

and support needs as well as advice on which services are

available locally.

Financial advice from a qualified, independent source –

there are independent financial advisers who specialise in

care funding advice. They are regulated by the Financial

Conduct Authority and must stick to a code of conduct

and ethics and take shared responsibility for the

suitability of any product they recommend.

LEGAL TERMS AND SUPPORT

The Mental Capacity Act:

• The act’s purpose is to allow adults to make as many decisions as they can for themselves.

• To enable adults to make advance decisions about whether they would like future medical treatment.

• To allow adults to appoint, in advance of losing mental capacity, another person tomake decisions about personal welfare or property on their behalf at a future date.

• To allow decisions concerning personal welfare or property and affairs to be made in the best interests of adults when they have not made any future plans and cannot make a decision at the time.

• To ensure an NHS body or local authoritywill appoint an independent mental capacity advocate to support someone who cannot make a decision about serious medical treatment, or about hospital, care home or residential accommodation, when there are no family or friends to be consulted.

• To provide protection against legal liability for carers who have honestly and reasonably sought to act in the person’s best interests.

• To provide clarity and safeguards around research in relation to those who lack capacity.

Every day people make decisions about lots of things in

their lives. The ability to make decisions is called mental

capacity. People may have difficulties making some

decisions either all or some of the time. This could be

because they have a learning disability, dementia, a mental

health problem, or could be the result of a head injury or a

stroke or a temporary condition such as an illness, accident

or the influence of alcohol or drugs.

Listed below are details about some of the legal terms and

topics you may come across. You may need to contact a

solicitor whom can give you impartial advice which you

may have to pay for, or you can contact a advocate who

can advise on your behalf.

Lasting Power Of Attorney: allows you to appoint someone

you trust to make decisions about your personal welfare,

including healthcare and your financial affairs.

The Court of Protection: can issue Orders directing the

management of a person’s property and financial affairs if

you are incapable of managing your own affairs and do not

have a Lasting Power of Attorney.

Deprivation of Liberty Safeguards: protects people in

residential care or hospital who are unable to make

decisions for themselves due to a brain disorder. If any of

these people need to be restrained, restricted or deprived,

in order to give them physical care or keep them safe, a

Deprivation of Liberty Safeguards authorisation may be

required.

WHAT ABOUT CARERS?

City of York CouncilCustomer Access and Assessment Team

West Offices, Station Rise, York, YO1 6GA

Email: [email protected]: 01904 555111

www.york.gov.uk

York Carers Centre17 Priory Street,Nursery Block,

York,YO1 6ET

Tel: (01904) 715490Email: [email protected]

www.yorkcarerscentre.co.uk

Does someone rely on your help?

Carers provide regular, unpaid help to someoneclose to them due to frailty, physical or mentalillness, addiction or disability. Carers may helpwith personal care (washing, bathing, dressing,feeding), medication, cooking, shopping,housework and giving emotional support.Many people do not recognise themselves ascarers. Carers can be any age. They are parents,grandparents, children, partners, friends orneighbours doing what needs to be done tomaintain the quality of life for someone close to them. They may not realise that support isavailable to help them.

Caring can be rewarding, as well as demanding.However, many carers can and do become mentallyand physically exhausted by their caring role. Thiscan cause their own health to break down and thisis why it is important for carers to take stock oftheir own health.

If you are a carer then you are not alone! Thereare over 18,000 carers in York and there are arange of sources of information and support.

A few simple tips that can make a difference:

• Ask for help: we all need help from time to time and carers are no exception. Help is out there!

• Know your rights: knowing what you are entitled to can help a great deal.

• Complete the Health checklist for carers: this will help you think about your own needs and how to look after yourself. It is available on the York Carers Centre website or you can phone them to ask for a copy.

• Tell your GP: your GP practice can record that you are a carer and ensure you are offered an annual flu vaccination and other support you may need.

• Have an assessment: this can sound a little daunting but is simply a conversation with you to find out about your caring situation and what would help you look after the person you are caring for.

Support for carers in York

York Carers Centre is a good starting point forcarers seeking help. They give free help to carersliving or caring for someone who lives in York.If you provide a substantial amount of care on aregular basis you have a right to an assessment.To find out more contact the Customer Access andAssessment Team at City of York Council. There isa free carers’ information pack available online orcontact York Carers Centre or City of York Councilto request a copy.

CARE IN YOUR OWN HOME

If you are finding it difficult to manage at home you could consider using the services of a home careprovider. Home care providers employ care assistants who can help you with bathing, washing and dressing.The staff who work for these agencies are trained in personal care and safety procedures, moving andhandling, hygiene and infection control. If you require nursing care at home, many agencies employregistered nurses.

The Independent Living Scheme (ILS) in York provides support, advice and information for disabled people inYork who want to live independently and have more choice and control over how their individual needs are met.

ILS is funded by the City of York Council to support individuals who are receiving Direct Payments and/orPersonal Budgets which are used to arrange their own care.

Go to the ILS website for more information: www.ilsyork.org.uk or phone: 01904 427251

A list of the care agencies registered with the Care Quality Commission (CQC), who are located in the Cityof York can be found on the following page.

If you are thinking about arranging your own home care it is a good idea to ask any agencies youapproach the following questions:

• Are there different rates for weekends/evenings?

• Are there any extra charges i.e. for the carer's travelling expenses?

• What sort of services do you provide?

• Will somebody visit me before the service starts?

• If you provide me with a service, can I contact you out of office hours? If so, how?

• Are your carers trained?

• Do you take up references on your carers?

• Are you registered with the Care Quality Commission?

Care Homes Address Telephone

CARE IN YOUR OWN HOME

CHOOSING BETWEEN RESIDENTIAL

There are many types of residential care homesavailable. These include permanent care homes forolder people, homes for younger adults withdisabilities and homes for children. They may beprivately owned or run by the voluntary sector orlocal authorities. You may want to consider in detailthe many options for residential care before youmake a decision.

Older PeopleCare homes for older people may provide personalcare or nursing care. A care home which is registeredto provide personal care (see the section on carehome regulation below) will offer support, ensuringthat basic personal needs, such as meals, bathing,going to the toilet and medication, are taken careof. In some homes more able residents have greaterindependence and take care of many of their ownneeds. Some residents may need medical care andsome care homes are registered to provide this.These are often referred to as nursing homes. Somehomes specialise in certain types of disability, forexample, dementia.

Adults Aged 18-65There are also residential care homes that providecare and support for younger adults with, forexample, severe physical disabilities, learningdisabilities, acquired brain injury, progressiveneurological conditions or mental health problems.Care can be provided for adults with more than onecondition and some homes have expertise inproviding care for adults with alcohol or drugdependency.

These homes offer permanent residence or providecare for a temporary period until the adult is able tolive independently or move to a different type ofaccommodation.

Choosing between residential care andindependent living

Social services normally encourage younger adultswho they assess for support to be as independent astheir circumstances allow. The care plan for adultswith disabilities will consider what independenttasks they can carry out and how they can be helpedto achieve more. Even if adults have very severedisabilities their needs are reviewed from time totime to check whether residential care or a veryhigh level of support is still appropriate.

Supported living may be an option for youngeradults. This allows people to live independently inthe community but with basic support. The supportoffered includes help with setting up a home andmanaging finances, and assistance with cleaning andshopping.

For older people there are various alternatives toresidential care. These include sheltered housingand extra care housing schemes, which offerindependence with an increased level of care andsupport.

For many people there is also the choice of livingindependently at home with community caresupport.

Choice of AccommodationThe law says that where the local authority isfunding accommodation it must allow the personentering residential care to choose which care homethey would prefer. Social services must first agreethat the home is suitable for the person’s needs andthat it would not cost more than they wouldnormally pay for a home that would meet thoseneeds. If the person chooses to go into a moreexpensive home, a relative or friend may be able to‘top up’ the difference in cost.

Choosing a Care HomeCare homes may be arranged through the localauthority but many people will want to arrangethem independently. It is a good idea to visit severalhomes before making a choice. Make sure you spendenough time in each home to get a good idea ofwhat it is like.

Respite and Short Term StaysResidential care home stays don't necessarily have tobe permanent. Temporary stays can be arranged forrespite care (in which you take a break from caringfor somebody else), or as a trial period before apermanent stay.

Temporary stays can give you flexibility whencovering unexpected events, such as:

• Palliative care (which manages or reduces pain) after a hospital stay or illness

• Support for newly disabled people and their carers

• Enabling someone to continue living independently if they live alone and suddenly require care

• Giving someone a chance to try potential future homes

What your choices areA list of all nursing and residential care homes withinyour locality can be found on the following pages.Every care home in England must be registered withthe national regulatory body Care QualityCommission (CQC).

They inspect each care home on a regular basis andwrite an inspection report for you to read. It isadvisable to read this report before making a finaldecision.

To check up-to-date information on

the Nursing and Residential care

homes within your locality visit

www.cqc.org.uk or scan the

QR CODE WITH YOUR SMARTPHONE

NURSING & INDEPENDENT LIVING

CHOOSING THE RIGHT CARE HOME

All care homes vary in their quality, and it can behard to know what qualities to look for whenchoosing a home.

A good care home will probably do the following:

• Offer new residents and their families or carers a guide (in a variety of accessible formats) describing what they can expect while they’re living there. Ideally, residents of the home wouldhave helped to produce the guide

• Have a majority of staff who've worked there fora long time. They know the residents well, and are friendly, supportive and respectful

• Involve residents, carers and their families in decision making, perhaps through regular meetings with staff

• Support residents in doing things for themselves and maximising their independence, including keeping contact with the outside community

• Offer a choice of tasty and nutritious food, which residents may have helped to prepare

• Take into account the needs and wishes of all residents, and provide a variety of leisure and social activities

• Be in a clean, bright and hygienic environment that's been adapted appropriately for residents, with single bedrooms available. A good environment encourages residents to personalisetheir room

• Have staff who respect residents’ privacy and knock before they enter someone’s room

• Be staffed by well-trained people, for example, nurses trained in dementia care

• Respect residents’ modesty and make sure that they look respectable, while recognising residents’ choice about what they wear

• Be accredited under the Gold Standards Framework for end of life care

A bad care home might do the following:

• Have a code of practice and a set of aims, but doesn’t make them a priority

• Offers little opportunity to listen to residents, with most decisions made by staff

• Have residents’ care plans that are out of date, and don’t reflect their needs accurately. This means that some residents aren't getting the support they need with their healthcare and personal care

• Give residents little privacy. Staff often enter residents’ rooms without knocking, and they talkabout residents within earshot of other people

• Have staff who don’t make an effort to interact with residents, and leave them sitting in front ofthe TV all day

• Be in a poorly maintained building, with rooms that all look the same and have little choice in furnishings

• Need cleaning, with shared bathrooms that aren't cleaned regularly

• Deny residents their independence, for example,by not allowing someone to feed themselves because it takes too long

As a resident in a care home, you should expect:

• The right to be treated politely and with dignity

• The right to privacy for yourself, and your relatives and friends when they visit

• The right to deal with your own finances and spend your money how you choose

• The right to eat food that's prepared in line withyour faith, and to worship when and where you want to

• The right to choose the food that you eat, and tobe given the time and space to relax and enjoy your meal

• The right to choose when you get up in the mornings and go to bed at night

• The right to complain if you're unhappy with your care

RESIDENTIAL & NURSING HOMES

York Residential Homes Address Telephone

York Nursing Homes Address Telephone

HELP & ADVICE FROM HEALTHWATCH YORK PARTNERS

York FIS (Family Information Service)York Family Information Service provides free and impartial information to mums,dads and cares of 0-19 year olds (up to 25 for disabled children). Information isprovided on childcare or any service that could support a parent or carer in theirrole.

Website: yor-ok.org.uk • Tel: 01904 554444 • E-mail: [email protected]: ‘Call back’ to 07624 802244

YUMI - York Unifying Multicultural Initiative YUMI is a local, voluntary, intercultural network which links people with differentbeliefs, lifestyles and cultural roots. We share skills and talents, support eachother, celebrate our traditions and achievements, and lead public events.

E-mail: [email protected]

York WheelsYork Wheels is a registered Charity and was set up to provide transport services forthe benefit of the community. The service is aimed at people over the age of 60and those who have mobility problems and cannot afford other modes of transport.The volunteer car driver scheme allows customers to book a car in advance tocollect them and take them to their destination. York Wheels also operates the Diala Ride under a service level agreement with City of York Council.

Tel: 01904 726786 • York Hospital, Wigginton Road, York YO31 8HE

IDAS (Independent Domestic Abuse Services)IDAS is a charity which provides information, advice and support to all thoseaffected by domestic abuse and sexual violence. IDAS works throughout York andparts of North Yorkshire. The charity has links with other specialist domestic abuseservices throughout North Yorkshire.

Website: www.idas.org.ukTel: 03000 110 110 for advice, accommodation and support 24hr National Helpline: 0808 2000 247

Alzheimers Society - York & Selby BranchProvides information and support to people with dementia, their carers andfamilies.

Activities include:• individual information and support, • carer education courses • peer support groups• dementia cafes

Holgate Villa, 22 Holgate Road, York YO24 4ABTel: 01904 658 106 • E-mail: [email protected]

HELP & ADVICE FROM HEALTHWATCH YORK PARTNERS

CANDI – Children and InclusionCANDI is the forum for parents and carers of children and young people who aredisabled or who have additional needs, aged from 0- 25 in York and the surroundingarea.

The forum is a group made up of parents and carers who work with localauthorities, education, health services and other providers to make sure theservices they plan and deliver really meet the needs of disabled children and theirfamilies.

CANDI is a registered Charity and has a committee of parents who lead the workand listen to the views of other parents to make sure they know what is importantto them. We also arrange meetings and fun events and have a monthly newsletter.

All parents and carers of a child with any type of additional need or disability arewelcome to join CANDI - you don’t have to commit lots of time.

E-mail: [email protected]: 01751417291 or 07751 828369Website: www.yorcandi.org.ukAddress: C/O York CVS, 15 Priory St, York YO1 6ET

York Carers CentreYork Carers Centre is an independent body that helps unpaid carers in York find the support they need. If you are a carer we can offer you a range of free help and support.

We also offer:• Benefits and other advice• Carers emergency card• Education, employment and training support• Newsletters• Carers discount card - for all carers registered with us• Support for young carers• Training for professionals

Tel: 01904 715490E-mail: [email protected]: www.yorkcarerscentre.co.uk

Young Carers RevolutionYoung Carers Revolution is a movement of change for young carers in York. Bydeveloping our voice and using it well, we can make a positive difference to issueswhich we face

Tel: 01904 715490E-mail: [email protected]

HELP & ADVICE FROM HEALTHWATCH YORK PARTNERS

York Carers’ ForumYork Carers Forum is a user-led group of unpaid carers and former carers (over theage of 18) who live, work or care for someone who lives in the York area.York Carers Forum supports and empowers unpaid carers and former carers by:• Raising awareness about unpaid carers' needs. • Providing a focus across all carer groups. • Gathering information for carers and sending it out in a free monthly newsletter

and e- newsletter: "York Carers Voice".• Drop-in meetings.• Speakers and events.• Providing respite such as mini massages or trips out.• Working with related organisations to develop appropriate services that would

benefit the carers of York.

York Carers FORUM, c/o York CVS, 15 Priory Street, York, YO1 6ETE-mail: [email protected] • Tel: 01904 422437Text: 07940 287242 • Website: www.yorkcarersforum.org

National Osteoporosis SocietyThe National Osteoporosis Society is the only UK wide charity dedicated toimproving the diagnosis, prevention and treatment of osteoporosis and fragilityfractures. Our mission is to:• Improve public awareness and understanding of osteoporosis.• Influence health and social care provision to achieve excellence in the

prevention, diagnosis and treatment of osteoporosis to prevent fragility fractures.

• Provide caring support and information to enable people affected by osteoporosisto make a positive difference to their lives.

York support group phone: 01904 413623Osteoporosis helpline: 0845 450 0230 or 01761 472721

York and District CAB (Citizens Advice Bureau)The CAB provides free, confidential, impartial and independent advice. We canoffer help with a range of problems including debt, benefits, housing, employment,consumer issues, relationships and discrimination.

York CAB offers a comprehensive advice and representation service which meansthat you can ask us any question about your situation or concerns and we will doour best to offer you the advice and support you need. If we can't help you we willfind someone who can.

York CAB • West Offices • Station Rise • York YO1 6GAE-mail: [email protected]: 01904 623648Website: www.yorkcab.org.uk

HELP & ADVICE FROM HEALTHWATCH YORK PARTNERS

Age UK YorkAge UK York provides a wide range of personal and practical support, includinginformation and advice, arranging for respite care and friendly visitors, helpingpeople after a stay in hospital, and holidays and other leisure activities. Age UKYork also encourages older people to speak out about local and national issues.

You can contact Age UK York by phone, email or post.The office is open from Monday to Friday 09:30 to 3:30.Age UK York, Norman Collinson House, 70 Walmgate, York YO1 9TLTel: 01904 627995 • E-mail: [email protected]

Friends of St Nicholas FieldsSt Nicks is a small charity located in Tang Hall, York encompassing an EnvironmentCentre and a 24-acre nature reserve. Our aim is to help build a sustainable futurefor York by carrying out a range of projects including: a zero-carbon kerbsiderecycling collection service, an award-winning volunteer programme and eventsthroughout the year. Our ecotherapy project, Bearing Fruit, focuses on increasingparticipants' well-being through practical outdoor work. This project wasdeveloped in response to recent research findings that physical activity outdoorscan be beneficial for people with poor mental health.Friends of St Nicholas Fields (reg. charity 1068909)York Environment Centre, Rawdon Avenue, York YO10 3ST Tel: 01904 411821 • E-mail: [email protected]

MS Society York and District BranchThe MS Society is the UK’s leading Multiple Sclerosis charity. The York & Districtbranch is one of over 300 MS Society branches run by volunteers working alongsidelocal staff. We offer a range of services including emotional and practical support,financial help, information and social events. We also raise funds every year tohelp people affected by MS.

Tel: 01904 758577 • E-mail: [email protected]

Get CyclingGet Cycling CiC support cycling for health in as many ways as possible. We provideget-into-cycling sessions for businesses and community groups, bike try-outroadshows, fitness challenges, schools events days, and disability cycling servicesof all kinds. We have around 200 cycles for our events, and for hire

Tel: 01904 636812 • E-mail: [email protected]

York & District Pain Management Support GroupYork & District Pain Management Support Group is a membership group. We are allliving with long term pain, and have completed the pain management programmeor attended the pain clinic at York Hospital.

For more information about us and our work, contact us on 01904 708490, e-mail us at [email protected] or see our website at www.ypmsg.org.uk

APPOINTMENT REMINDERAppointment with Date Time

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