AgeUKIG23 Care at Home Guide - Inf
AgeUKIG23 Care at Home Guide - Inf
AgeUKIG23 Care at Home Guide - Inf
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AgeUKIG23
Age UK is the new force combining
Age Concern and Help the Aged.
With almost 120 years of combined
history to draw on, we are bringing
together our talents, services
and solutions to do more to enrich
the lives of people in later life.
The Age UK family includes
Age Cymru, Age NI and Age Scotland.
This information guide has been prepared by Age UK and contains general
advice only, which we hope will be useful. Nothing in this guide should be
construed as specific advice and it should not be relied on as a basis for
any decision or action. Age UK does not accept any liability arising from
its use. We aim to ensure that this information is as up to date and accurate
as possible, but please be warned that certain areas are subject to change
from time to time. Please note that the inclusion of named agencies,
companies, products, services or publications in this information guide
does not constitute a recommendation or endorsement by Age UK.
Every effort has been made to ensure that the information contained in this
guide is correct. However, things do change, so it is always a good idea to
seek expert advice on your personal situation.
1 Care at home
Introduction
Feeling comfortable and secure where we live is central
to our wellbeing. Given the choice, most of us want to live
independently in our own homes for as long as possible.
But as we get older, we may need a little support and
assistance to help us do so. Thankfully, there are lots of ways
we can get help at home – it could be with personal care,
making our home more suitable for our needs, or financial
assistance from benefits or elsewhere.
Key
This symbol indicates where information differs
i
for Wales, Scotland and Northern Ireland.
what This symbol indicates who to contact for the
next? next steps you need to take.
*Many local Age Concerns are changing their name to Age UK.
2 Care at home
What help can I get?
There is a wide range of help available and what you get will
depend on what help you need. Your local authority social
services department is responsible for arranging services
that help older and disabled people stay in their own homes.
They can help with a variety of things:
3 Care at home
‘I started finding it difficult
to manage. I thought it would
right itself in time and I just
needed a bit of temporary help
to get over it. Then the doctor
told me it would only get worse.
That’s when I realised that I
wasn’t going to be able to cope
on my own without assistance.’
Meals at home
It might just be that you’re finding it hard to cook for
yourself. If that’s the case, you can contact your local social
services and ask for an assessment of your needs. If you
are eligible, you will be able to receive meals on wheels.
These can either be frozen meals that you heat up yourself
or meals that are already hot. Your assessment must take
into account your capabilities, so if you are unable to use an
oven you should be given hot meals. If you receive frozen
meals, you may also be able to borrow equipment to reheat
the meal yourself and a small freezer if you need it.
5 Care at home
Adapting your home
Sometimes all we need is to make a few adaptations to our
home in order for us to manage better. There is a lot you can
do to make your home more suitable for your needs as you
get older.
Your local social services will assess your needs and, if you’re
eligible, equipment and adaptations costing less than £1,000
i are provided free of charge. In Wales, your local authority
can charge you for equipment it provides you with but does
not usually do so. In Scotland, certain equipment must be
free of charge for people who are 65 or over but what is
provided free is limited. In Northern Ireland you do not have
to pay for equipment that you are assessed as needing.
6 Care at home
Community alarms
An important part of being at home is feeling safe. If you
worry about having an accident or falling ill while you are
alone at home, you might want to think about getting
a community alarm. Community alarms allow you to call
for help even if you can’t get to a phone; you contact a
24-hour response centre by pressing a button on a pendant
or wristband that you wear all the time. Staff at the centre
will then call out the best person to help you – usually a
neighbour, relative or friend, or the emergency services.
*Age UK Personal Alarms is a product name of Aid Call. Aid Call is a trading subsidiary of Age UK.
7 Care at home
Day centres
Day centres can offer support, friendship and the opportunity
to do something you enjoy or learn something new.
Your local authority may suggest that you would benefit
from a visit to a day centre as a result of your care
assessment. If your local authority does not run a day centre
as part of its services, a local voluntary organisation may
provide this service.
*Many local Age Concerns are changing their name to Age UK.
8 Care at home
‘I wasn’t sure about going to
the day centre or what it would
be like. But the staff are friendly
and I like to catch up with the
other people I’ve met there.
My daughter is my carer and
she is very grateful to have
some time to herself.’
Help with your
house and garden
If all you need is a little help with your housework, gardening
or shopping, a local voluntary organisation such as your local
Age UK/Age Concern* may be able to provide services to
help you. Alternatively, you can employ someone to do these
tasks for you (see page 14, for information on how to do this).
It may still be a good idea to get an assessment by your local
authority to discuss your options (see page 11).
*Many local Age Concerns are changing their name to Age UK.
10 Care at home
Getting a care assessment
To get help from social services you will need to have an
assessment of your needs. Usually all you have to do is
contact your local authority social services department,
explain you need some help at home, and ask for a care
assessment. You should not be charged for your assessment.
11 Care at home
Will I be charged for services?
Local authorities in England and Wales do not have to
charge for the non-residential services they provide, but
most do. Some local authorities may be more generous
than others regarding the amount they pay on your behalf.
12 Care at home
Direct payments
If you have been assessed as needing community care
services, you may have the option of receiving direct payments
instead of directly provided services. Direct payments allow
you greater choice over decisions about who cares for you
and how your money is spent. You need to meet certain
criteria to qualify for direct payments, and your local authority
has to be satisfied that what you are spending them on does
meet your assessed needs.
You can get support from your local authority if you want
to employ your own personal assistant or care workers.
You may also have a local direct payments support service
that can help you through all the stages of getting and
i looking after direct payments. In Northern Ireland, contact
the Centre for Independent Living for this type of support
(see page 25). In Scotland, direct payments are available as
part of a scheme usually known as ‘self-directed support’.
Ask for our free guide Personal Budgets and free factsheet
what
next? Self-directed support: Direct Payments and Personal Budgets.
You could also contact the National Centre for Independent
Living for information on using direct payments, individual
budgets and employing a care worker (see page 27 for
i contact details). In Scotland, ask for a factsheet called
Self-directed support (Direct Payments) from social work.
13 Care at home
Arranging your own care
You can get help with things such as cleaning, shopping
and personal care through private agencies. If you decide
to arrange your own care privately, you will have to pay
the full cost of the services you receive.
There are a number of ways you can find a local care agency.
Ask for our free factsheet Finding help at home for more
what
next? information. Counsel and Care produces a guide called
Home care agencies: what to look for. See page 26 for
contact details. If you are concerned about someone
who is being mistreated, ask for our free factsheet
Safeguarding older people from abuse.
14 Care at home
Extra money if you are disabled
If you’re 65 or over and need help with personal care or
supervision to keep yourself safe, you might be able to claim
extra money through a benefit called Attendance Allowance.
Tasks you may need help with or supervision include eating,
getting in and out of bed, going to the toilet and washing.
Attendance Allowance is not means-tested or taxable.
There are two rates of Attendance Allowance: lower rate and
higher rate. There are special rules if you are terminally ill.
i In Northern Ireland, you may get help with your rates through
Rates Relief if you have had structural adaptations to your home.
Attendance Allowance and other disability-related benefits
should not be taken into account when making decisions about
the provision of community care services.
For tips on filling out the Attendance Allowance form, ask for
what
next? our free guide Advice for carers. For more detailed information,
ask for a copy of our free factsheet Attendance Allowance.
For face-to-face advice, contact your local Age UK/Age
Concern* or Citizens Advice Bureau (see pages 23 and 25).
*Many local Age Concerns are changing their name to Age UK.
15 Care at home
Help for carers
If you’re cared for by a friend, or family member, that person
is a carer – even if they do not realise it. Your carer is entitled
to a carer’s assessment, regardless of whether you are
having your own needs assessed.
The kind of help and support that your carer can get includes:
respite care to give themselves or you a break; emotional
support from other carers; help with caring; and help with
household tasks and activities for the person they care for.
Ask for a copy of our free guide Advice for carers for
what
next? more information. For more detailed information, ask for
our factsheet Carer’s Allowance. You could also contact
Carers UK (contact details are listed on page 25).
16 Care at home
Local health services
It is useful to know what health services are available in your
area, particularly if you have health or mobility problems and
find it difficult to get about. Your GP can give you information
about local services. These might include home visits from
the district nurse or health visitor, chiropody, continence
advice or other services. In England there should be a local
Patient Advice and Liaison Service (PALS) to provide support
and information about health services to patients, carers and
families in the area.
Ask for our free factsheet Local NHS services. See pages
what
next? 27–28 for details of how to contact NHS Direct in England
and Wales, NHS 24 in Scotland or your local health and
i social services board in Northern Ireland.
17 Care at home
My
story
Ann had acted as carer for ‘The care workers and staff have
her husband Patrick for a been very helpful in telling us
number of years, but found about what other assistance we
it increasingly difficult to cope might be able to get. I wish I had
as his care needs increased. known about them earlier and
‘I was under a lot of mental strain not felt so guilty about asking for
and needed help. The social help. It would have saved us both
worker came to visit us at home a lot of stress!
and handled the situation so well ‘Patrick is spending a week at
that Patrick agreed to have a the care home soon to give me
care worker sit with him so that a holiday. We’re both a bit nervous
I could have time off to do the but he is used to the home and
shopping and other jobs. Later he the staff from attending the
agreed to go to a day centre for day centre.’
one day a week. Luckily, one of
the care homes nearby has a
good one attached. He agreed
to go to help me but now rather
looks forward to it.
Making a complaint
If you have a complaint about your local authority social
services, first try to resolve it by having an informal discussion
about the problem. If this does not work, ask for a copy of
its complaints procedure. Each local authority must have
one and make it available to the public: for example, by
displaying it on its website.
20 Care at home
You can also complain to the regulatory organisation in your
i nation: Care Quality Commission (page 24); Care and Social
Services Inspectorate Wales (page 24); Northern Ireland
Social Care Council (page 28); Scottish Commission for the
Regulation of Care (page 29).
Make a complaint if
you feel that the services
you are receiving are
not meeting your needs.
*Many local Age Concerns are changing their name to Age UK.
21 Care at home
Moving to more suitable
accommodation
There may come a time when your current home is no longer
suitable, even with care and support. There are several
options you might want to think about: downsizing to a more
manageable property, moving in with family, moving into
sheltered housing or moving into a care home.
Moving in with family can work well, but it’s important for
you all to be realistic about what to expect. What sort of
care will you need and who will be able to provide this for
you? You also need to be clear about the financial and legal
arrangements. If you think that you need more personal
care than you can get at home, moving to a care home
could be an option.
Ask for our free guide Housing options for more information
what
next? about what options are available to you and our free guide
Care homes for information about finding and paying for
a care home. For more detailed information see our free
factsheets Buying retirement housing and Retirement
(sheltered) housing. Elderly Accommodation Counsel also
provides details of housing options. Contact details are
on page 26.
22 Care at home
Useful organisations
Age UK
Age UK is the new force combining Age Concern
and Help the Aged. We provide advice and information
for people in later life through our Age UK Advice line‚
publications and online.
In Wales, contact
Age Cymru: 0800 169 65 65
www.agecymru.org.uk
In Scotland, contact
Age Scotland: 0845 125 9732
www.agescotland.org.uk
Tel: 0800 88 22 00
Textphone: 0800 24 33 55
23 Care at home
Care Quality Commission (CQC)
CQC is the health and social regulator in England. Contact it
to find a local social care or health provider and for advice
on choosing the right provider for you.
Citygate
Gallowgate
Newcastle upon Tyne NE1 4PA
Tel: 03000 61 61 61
Email: enquiries@cqc.org.uk
www.cqc.org.uk
Tel: 01443 84 84 50
Email: cssiw@wales.gsi.gov.uk
www.cssiw.org.uk
24 Care at home
Carers UK
Information and support for carers including information
about benefits.
www.citizensadvice.org.uk
www.adviceguide.org.uk
25 Care at home
Counsel and Care
Provides advice and information for older people,
their friends and families.
Twyman House
16 Bonny Street
London NW1 9PG
3rd Floor
89 Albert Embankment
London SE1 7TP
26 Care at home
National Centre for Independent Living
Provides information on living independently.
Unit 3.40
Canterbury Court
1–3 Brixton Road
London SW9 6DE
www.nhs.uk
27 Care at home
NHS Direct (Wales)
Gives information about local health services and provides
health advice in Wales.
NHS 24 (Scotland)
Provides information about healthcare and has an online
self-help guide that gives advice about symptoms and
problems that many people experience.
Tel: 08454 24 24 24
www.nhs24.com
28 Care at home
Scottish Commission for the Regulation of Care
Regulatory body for social and health care in Scotland.
Compass House
11 Riverside Drive
Dundee DD1 4NY
Please note that from April 2011 the functions of the Scottish
Commission for Regulation of Care will move to Social Care
and Social Work Improvement Scotland. Please find their
details from your local telephone directory or the Scottish
Government’s website at www.scotland.gov.uk
14 Melville Street
Edinburgh EH1 7NS
Social services
The central phone number for your local social services
department (part of the local authority) is in the phone
book, listed under your local council. If you live in Northern
Ireland contact the local health and social services trust
and if you live in Scotland, the social work department
at your local authority.
29 Care at home
UK Home Care Association
Provides information about choosing care and contains an
online database to help you choose a home care agency.
Volunteer Now
Provides information about volunteering opportunities
in Northern Ireland and may also be able to find services
to help you in the home.
WRVS
In England, Scotland and Wales, offers a range of services
depending on your area, including home visits, help with
shopping and other tasks, community transport, meals
delivered to your home and social clubs.
30 Care at home
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As we get older, we may need
a little support and assistance
to help us stay in our own homes.
Thankfully, there are lots of ways
we can get help.
What should I do now?
For more information on the issues covered in this guide, or to
order any of our publications, please call Age UK Advice free on
0800 169 65 65 or visit www.ageuk.org.uk/homeandcare
Our publications are also available in large print and audio formats.
The following Age UK information guides may be useful:
• Adapting your home
• Advice for carers
• Housing options
If contact details for your local Age UK/Age Concern* are not
in the box below, call Age UK Advice free on 0800 169 65 65.
*Many local Age Concerns are changing their name to Age UK.
Age UK is a charitable company limited by guarantee and registered in England (registered charity number 1128267 and
registered company number 6825798). The registered address is 207–221 Pentonville Road, London N1 9UZ. Age Concern
England (registered charity number 261794) and Help the Aged (registered charity number 272786), and their trading and
other associated companies merged on 1 April 2009. Together they have formed the Age UK Group, dedicated to improving
the lives of people in later life. The three national Age Concerns in Scotland, Northern Ireland and Wales have also merged
with Help the Aged in these nations to form three registered charities: Age Scotland, Age NI and Age Cymru. ID8816 11/10