Promoting Wellbeing and Independence - Guide for Adults 2021/22 Staying independent Support in your community Home care Care homes - Guide ...
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Promoting Wellbeing and Independence
Guide for Adults 2021/22
• Staying independent • Support in your community
• Home care • Care homes
In association with
www.carechoices.co.ukOverall Rating:
GOOD
K i n d and Compa s s ionate
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01904 208008Contents
Welcome from North Yorkshire County Council 4 You’re in charge 54
The Independent Care Group 5 Personal Budgets 54
Regions covered by this Guide 6 Direct Payments 54
Where to go for trusted information,
Housing with care 56
advice and guidance 6
Finding care in your area 7 Extra care housing 56
Sheltered housing 59
Health and wellbeing 7
Close care housing 59
Getting out and about 8 Housing options for younger adults
What’s in your community? 9 with additional needs 59
Keeping safe 11 Specialist care 60
Living Well in North Yorkshire 13 Learning disability 60
What is Living Well? 13 Physical disability 61
Living Well Smokefree (LWSF) 14 Sensory services 61
Stay living at home 15 Mental health 62
Assistive Technology 15 Dementia 62
Other equipment available 16 Care homes 63
Home Improvement Agencies (HIAs) Types of care home 63
and minor adaptations 17
Out of county care 70
Major adaptations 17
Making life easier at home 18 Essential information 70
Occupational Therapy 23 Disclosure and Barring Service 70
Access to food and drink services 23 Advocacy 70
Getting help in your home 25 Making a comment, compliment or complaint
Home care provider listings 29 about care services 71
Support for carers 42 How solicitors can help 71
Respite care and short breaks for carers 43 Inspecting and regulating care services 72
What is an assessment? 44 Palliative and end of life care 72
Your assessment conversation 44 Useful contacts 73
Reablement45 Useful local contacts 73
What care is available? 46 Useful national contacts 74
Leaving hospital 46 Day care centres 75
Home from Hospital Service 46 Libraries76
Eligibility for long-term care and support 47 Care home and care home with nursing listings 79
Paying for care 48 Index 94
Paying for non-residential care and support 49
Paying for residential care and support 51 Checklists
Self-funding advice 51 Assistive Technology 21
Third party payments 53 Home care agency 27
For free copies of this Guide, call the Customer Care homes 67
Service Centre on: 01609 780780. Residential dementia care 69
Alternative This Guide is available electronically at www.carechoices.co.uk
The e-book is also Recite Me compatible for those requiring
formats information in the spoken word.
Visit www.carechoices.co.uk for further assistance with your search for care 3Welcome from North Yorkshire
County Council
Welcome to the tenth edition of North Yorkshire’s standards in the care provided to people in North
Promoting Wellbeing and Independence Guide for Yorkshire. Regulations for registered residential,
Adults. This 2021/22 edition will provide you with nursing and domiciliary services focus very much on
information on health and social care across the improving outcomes for adults who need support.
county. North Yorkshire County Council is pleased These changes will underline the importance of
to be working with the Independent Care Group to people who use care services having a say and
promote this Guide. being able to make decisions about how to keep
healthy and get the right care and support. We
We want people in North Yorkshire to be will also continue to have a strong commitment to
independent, part of their community and to safeguarding those adults who may be at risk of
enjoy the best possible quality of life for as long experiencing abuse or exploitation.
as possible. Fundamental to enabling you to make
the right decisions about care and support is high- Even though the whole country has had to
quality information and advice. This Guide is one make some difficult financial choices, we remain
way of providing information, but we will continue committed to providing good quality help and care.
to work with our partners to improve the range of
information available. We are working closely with Whatever your circumstances, whether you pay
our health colleagues to join up health and social for your own care or not, you can contact North
care services to give the best community-based Yorkshire County Council for information, advice and
care when it is needed. guidance. Where it is appropriate, we will ask our
own social care staff to help you or to contact other
North Yorkshire has its own online directory, which services that may be of assistance.
has information about thousands of local groups and
activities across the county. We know that making decisions about social
care can be daunting, particularly if you have not
North Yorkshire Connect allows you to access been involved with social care before. This Guide
information about community and voluntary provides clear and easy to understand guidance
organisations online. You can search the directory by so that you can be confident you are making the
categories such as ‘advice’, ‘health’ and ‘activities’ or right decisions.
you can put in your location and see what is available
in your community. County Councillor Michael Harrison
Executive Member for Adult Social Care and Health
Integration
County Councillor Caroline Dickinson
Web: www.northyorkshireconnect.org.uk Executive Member for Public Health, Prevention and
Supported Living
We also work closely with the Care Quality
Commission’s (CQC’s) inspectors and with care Richard Webb
providers to make sure we maintain high quality Corporate Director, Health and Adult Services
North Yorkshire County Council nor Care Choices can be held liable for any errors or omissions.
The inclusion of advertisements for homes and agencies in this Guide does not act as an
endorsement or recommendation by North Yorkshire County Council.
4 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsNorth Yorkshire County Council
Customer Service Centre
Tel: 01609 780780
Web: www.northyorks.gov.uk
The Independent Care Group
On behalf of the Independent Care Group (ICG), Around 80% of social care in this area is provided
I am delighted to support this latest edition of by the independent sector. That includes residential
the North Yorkshire Promoting Wellbeing and care, care provided to people in their own home,
Independence Guide for Adults and hope that you supported living, extra care housing and day care.
find the information in it useful. We work with North Yorkshire County Council, City
of York Council, the local clinical commissioning
If you are beginning your journey towards finding a groups and the CQC, to try to ensure that the care
care package that is right for you or your loved one, provided matches the care required.
the good news is that you will have the choice of
quality care of all kinds and in all combinations. We’re here to help, so, if you’re a provider, please do
get in touch or visit our website at:
We are so fortunate that the local area can boast www.independentcaregroup.co.uk or call:
a whole army of exceptional, warm and dedicated 07949 971010.
people with the motivation and enthusiasm to help
you and your family go on enjoying life together. We are proud of the care provided by the
independent care sector in this area and hope that,
We have an ever-changing landscape in social with the help of this Guide, you will find the support
care, and it can be hard for those looking to use you and your family need.
services to keep up. That is why this Guide is such
an invaluable tool in helping find the care package Mike Padgham
that is right for your family. It sets out all the Chair
different types of care available in this area, as well Independent Care Group
as how to access that care and how to fund it.
With people’s care needs becoming ever more
complex and the services offered by providers
changing to meet those demands, it has never
been more important to look at all your options
when considering the support you need. Once
you have identified your choices, always pay a visit
to the care services to help you to decide. Don’t
forget you can also find important information
about care providers by looking at their latest
inspection report from the regulator, the Care
Quality Commission (CQC).
For our part, the ICG is the regional body
responsible for representing and supporting local
independent care providers, both private and
voluntary. For over 20 years, we have been actively
helping care providers to deliver quality and safety
of care for older and vulnerable people.
Visit www.carechoices.co.uk for further assistance with your search for care 5Regions covered by this Guide
Richmondshire
Hambleton Scarborough
Ryedale
Craven
Harrogate
Craven Ryedale
Selby
Care homes 79 Care homes 89
Care homes with nursing 79 Care homes with nursing 89
Hambleton Scarborough
Care homes 81 Care homes 89
Care homes with nursing 81 Care homes with nursing 91
Harrogate Richmondshire Selby
Care homes 83 Care homes 88 Care homes 92
Care homes with nursing 87 Care homes with nursing 88 Care homes with nursing 93
Where to go for trusted information, advice and guidance
The information in this Promoting Wellbeing and instance, you can always call North Yorkshire County
Independence Guide for Adults has been compiled Council’s Customer Service Centre for advice on:
in conjunction with the Health and Adult Services 01609 780780 or email:
Directorate of North Yorkshire County Council. We social.care@northyorks.gov.uk
used to be known as ‘social services’.
We have recently launched a community directory
When the words ‘we’ and ‘us’ are used in the Guide it which you may find useful. North Yorkshire Connect:
means Health and Adult Services. Lots of people will www.northyorks.gov.uk/community-directory-
pick up this Promoting Wellbeing and Independence north-yorkshire-connect offers local information
Guide for Adults looking for advice and information from community and voluntary organisations that
about adult social care. The Guide aims to give can provide advice and support. It also lists activities
an overview of all aspects of adult social care to and things to do.
everyone who is looking for care and support.
If you are thinking about care and/or support, either
for yourself or a loved one, it can be a challenging
task. Making any change in your life will require
major decisions and we are trying to provide you
with the basic information and guidance you will
need in this Guide and give you the details of other
organisations that may be able to help. In the first
6 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsFinding care in your area
Looking for care in your area? Want to know the They can also be saved and emailed to others.
quality rating of providers you’re considering? Care
Choices, publisher of this Guide, has a website The website includes detailed information for
providing comprehensive details of care providers as each care provider, including the address, phone
well as essential information. number and the service’s latest CQC inspection
report and rating (see page 72), indicating the
You can search by postcode, county or region for quality of care provided.
care homes, care homes with nursing and home care
providers that meet your needs across the country. You can also view an electronic version of this
Guide on the site and have it read to you by using
Your search can be refined by the type of care you are the ‘Recite Me’ function. Visit:
looking for and the results can be sent to you by email. www.carechoices.co.uk
Health and wellbeing
Looking after our health and wellbeing is key to Dementia
ensuring that we feel good, live well and enjoy life. Find out how organisations across different sectors
There is a range of services and support to help you work together to support people living with
to make changes to your lifestyle. dementia and their carers. You can also find out
about preventing the risk of dementia and useful
The Public Health team at North Yorkshire County links to information about dementia:
Council provides a range of information on health www.northyorks.gov.uk/do-i-have-dementia
and wellbeing on the Staying Healthy webpages:
Older people
Drugs, alcohol and smoking Find out about winter health, fuel poverty, falls
Find advice and support about stopping smoking, prevention and healthcare for older people:
drug and alcohol misuse: www.northyorks.gov.uk/older-people
www.northyorks.gov.uk/Drugs-and-alcohol
Sexual health and contraception
Healthy lifestyles Find out about sexual health, chlamydia screening,
Find out about eating healthily and maintaining HIV and contraception:
a healthy weight, sleeping well and good oral www.northyorks.gov.uk/sexual-health
health:
www.northyorks.gov.uk/Healthy-lifestyles Mental health
Find out about maintaining your mental health
Health and the environment through an awareness of potential issues and how to
Find out about skin awareness and sun exposure prevent them developing:
risk, the risks to health from climate change and www.northyorks.gov.uk/mental-health
avoiding infection:
www.northyorks.gov.uk/health-and-environment
Long-term conditions
Find out about reducing the risks of developing
cancer, diabetes or heart disease as well as treatments
for these conditions. You can also find out how to help
yourself to stay healthy:
www.northyorks.gov.uk/long-term-conditions
Visit www.carechoices.co.uk for further assistance with your search for care 7 Learning disabilities Useful websites
Find information and support if you have a The NHS website: www.nhs.uk
learning disability: Change4Life: www.nhs.uk/change4life
www.northyorks.gov.uk/learning-disabilities
NHS Health Checks
Find out how to reduce your risk of developing
health problems with an NHS Health Check:
www.nhs.uk/conditions/nhs-health-check
Getting out and about
Community transport schemes Disabled person’s bus pass
There is a wide range of schemes available across Disabled people are entitled to free off-peak travel
North Yorkshire to help you get out and about so on local bus services anywhere in England.
that you can access services in the community.
You must meet one or more of the following criteria:
For more information, visit our community transport
• be blind or partially sighted;
page on the North Yorkshire County Council
website, which provides an A-Z of the community • be without speech;
transport operators across North Yorkshire, broken
• not have arms or have long-term loss of the use
down by geographical area.
of both arms;
Further details regarding transport in North • be profoundly or severely Deaf;
Yorkshire are available at:
• have a learning disability;
www.northyorks.gov.uk/public-transport
• have a disability or have suffered an injury which
Demand responsive transport has a substantial and long-term adverse effect on
Demand responsive transport is pre-booked your ability to walk; or
transport that uses taxis or minibuses to provide
• have been refused an application for a driving
transport to areas that are not served by
licence due to physical fitness, not including the
conventional bus services.
misuse of drugs or alcohol.
We are working closely with community transport
Companion bus passes for disabled people
operators to increase the availability of these lifeline
You can apply for a bus pass for a companion to
services where public transport is not available.
travel with you if you are disabled and meet the
Details of the demand responsive services that
eligibility criteria. Your companion need not travel
operate in the county can be found at:
with you on every journey or be the same person
www.northyorks.gov.uk/public-transport
each time. They cannot use the pass without you.
(select ‘demand responsive transport’).
Bus passes
There are two main types of bus pass available:
Senior person’s bus pass
Older people of pensionable age are entitled
to free off-peak travel on local bus services
anywhere in England.
8 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsApplying for a bus pass For more information about the scheme, including
You can check whether you are eligible for a bus how to apply or renew a badge, visit:
pass, and apply or renew your bus pass, by visiting www.northyorks.gov.uk/blue-badge-parking-
the ‘Bus Passes’ section on the North Yorkshire permits-disabled-people
County Council website:
www.northyorks.gov.uk/bus-passes If you need assistance accessing information
outlined in this section, please visit your local
Blue Badge parking permits North Yorkshire library where a library assistant
The national Blue Badge scheme helps people will support you or contact our Customer Service
with severe mobility issues who travel as drivers or Centre on: 01609 780780. A list of libraries in
passengers to park close to their destinations. North Yorkshire starts on page 76.
What’s in your community?
Darlington
Bradbury House, Beaumont Street West DL1 5SX
Tel: 01325 362832
There’s lots of local support available to help you Darlington (information and advice office)
to stay independent and living well. Review the 1 Beaumont Street DL1 5SZ
organisations listed in this section and visit the Tel: 01325 357345
North Yorkshire Connect website
(www.northyorkshireconnect.org.uk ) for even Harrogate
more organisations that can provide support. Harrogate Community House,
46-50 East Parade HG1 5RR
Advocacy Tel: 01423 502253
Advocacy Alliance
Office 28, The Street, Scarborough YO12 7PW Northallerton
Tel: 01723 363910 1 Zetland Street DL6 1NB
Email: office@advocacyallianceyorkshire.org.uk Tel: 01609 771624
Web: www.advocacyallianceyorkshire.org.uk
Richmond
Cloverleaf Advocacy Zetland Square DL10 7BP
Fifth Floor, Empire House, Wakefield Old Road, Tel: 01748 327155
Dewsbury WF12 8DJ
Tel: 01924 454875 Ripon
Text: 07860 021502 5 Duck Hill HG4 1BL
Email: enquiries@cloverleaf-advocacy.co.uk Tel: 01765 606872
Web: www.cloverleaf-advocacy.co.uk
Skipton
Carers’ services The Swadford Centre, 32 Swadford Centre BD23 1RD
For more information about carers’ services in North Tel: 01756 529654
Yorkshire including contact details, see page 42.
Other contacts
Age UK North Yorkshire and Darlington
A local, independent charity committed to delivering
quality-assured services and activities to older people.
Visit www.carechoices.co.uk for further assistance with your search for care 9 Age UK Selby District Scarborough
A local, independent charity committed to delivering 5B & 5C, Dunslow Court, Eastfield YO11 3XT
quality-assured services and activities to older people. (open 9.00am to 5.00pm, Monday to Friday).
50 Micklegate YO8 4EQ Tel: 01423 226240
Tel: 01757 704115 Email: north.yorks@medequip-uk.com
Email: linda@ageukselby.co.uk
Web: www.ageuk.org.uk/selbydistrict Northallerton and the Dales Mencap Society
Represents the interests of people with learning
FirstStop Advice disabilities and their carers in the Hambleton and
Advice and information on all aspects of care Richmondshire Districts of North Yorkshire.
accommodation, housing, finance and rights for The Goosecroft Centre, Goosecroft Lane DL6 1EG
older people. Tel: 01609 778894
Tel: 0800 377 7070 Email: admin@northallertonmencap.org.uk
Email: info@firststopcareadvice.org Web: www.northallertonmencap.org.uk
Web: www.firststopadvice.org.uk
Patient Advice and Liaison Service (PALS)
Healthwatch North Yorkshire PALS provides information for patients and their
Making sure your views on local health and social families and can help you deal with any concerns
care services are heard. around your hospital treatment. Problems can be
Tel: 01904 552687 discussed with the PALS Officer in confidence,
Email: admin@healthwatchnorthyorkshire.co.uk and you can work together to find a solution.
Web: www.healthwatchnorthyorkshire.co.uk
PALS Officer
You can contact them between 9.00am and 4.00pm,
Independent Care Group (ICG)
Monday to Friday.
The ICG is the regional body responsible for
The James Cook University Hospital, Marton Road,
representing and supporting local independent care
Middlesbrough TS4 3BW
providers, both private and voluntary.
Tel: 0800 028 2451 or 01642 854807
Tel: 07949 971010
Email: stees.pals@nhs.net
Web: www.independentcaregroup.co.uk
Web: www.southtees.nhs.uk/patients-visitors/pals
Medequip
Provides the Community Equipment Service
commissioned by local NHS clinical commissioning
groups (CCGs) and North Yorkshire County Council.
See page 16 for more information.
Knaresborough
Unit 2, Manse Lane HG5 8LF (open 8.00am to
5.00pm, Monday to Friday).
Tel: 01423 226240
Email: north.yorks@medequip-uk.com
The lifestyle site for parents and • Birth to adulthood
carers of children with additional • Real life blogs
needs and those who support them.
• Directory
• Ask the experts
www.myfamilyourneeds.co.uk • Monthly columnist
hello@myfamilyourneeds.co.uk @WeAreMFON
Subscribe today
10 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsKeeping safe
What is abuse? • financial abuse – stealing, fraud, withholding or
Abuse is when somebody does or says things to a misusing someone’s money or possessions;
person that harms them or makes them feel upset
• neglect and acts of omission – includes not giving
or frightened. It is mistreatment by somebody or
someone the care that they need;
some people that violates a person’s human and
civil rights. • modern slavery – human trafficking and
forced labour;
Anyone could be at risk of abuse or neglect. A
person may be more or less vulnerable at different • domestic abuse – when abuse occurs between
times in their life. partners or by a family member;
• discriminatory abuse – poor treatment or
Some adults may be more at risk because they are
harassment because of someone’s age, gender,
older or have a sensory impairment, a disability, a
sexuality, disability, race or religious belief;
mental health condition or a long-term illness. These
people may have difficulty in making their wishes and • organisational abuse – inflexible systems and
feelings known which may put them at risk of abuse routines in place that stop people making their
or neglect. Also, these people may not be able to own choices about their lifestyle; not considering
make decisions or choices without support. a person’s dietary requirements; inappropriate
ways of addressing people; and
An adult at risk is a person aged 18 or over who has
needs for care and support (whether or not the local • self-neglect is also a form of abuse – this is when
authority is meeting any of those care and support someone chooses not to look after themselves. It
needs), and as a result of those care and support might include not eating or refusing help for their
needs is unable to protect themselves from either health or care needs and this has a significant
the risk of, or the experience of, abuse or neglect. effect on their wellbeing.
What is safeguarding? Abuse may be an isolated incident or repeated
Safeguarding is defined as ‘protecting an adult’s incidents. It may be that the abuse is deliberate, or
right to live in safety, free from abuse and neglect’ it may be unintentional; due to ignorance or lack of
(Care and Support Statutory Guidance, Chapter training and understanding. It may be that a person
14). Adult safeguarding is people and organisations is at risk of abuse or being abused in several ways.
working together to prevent and reduce both risks
and experiences of abuse and neglect. Where does abuse happen?
It can happen anywhere – at home, a care home, a
Types of abuse hospital, in the workplace, at any service you attend,
There are lots of different types of abuse, including: at college, in supported housing or in the street.
• physical abuse – someone being hit, slapped Adults at risk provide sensitive information and
or kicked, being locked in a room or restrained have the right to expect that this information and
inappropriately; information obtained from others will be treated
respectfully and that their privacy will be maintained.
• sexual abuse – someone being made to take
part in sexual activity when they haven’t given
The challenges of working within the boundaries of
consent or are not able to give consent;
confidentiality should not stand in the way of taking
• emotional or psychological abuse – someone appropriate action. Whenever possible, informed
being shouted at, bullied, being made to feel consent to the sharing of sensitive personal
frightened or pressurised into decisions; information should be obtained.
Visit www.carechoices.co.uk for further assistance with your search for care 11 Who might cause abuse? What should you do if you are worried about
Abuse can be caused by anyone, it may be someone in a care home?
somebody you know well, or it may be a stranger. If your concern is about someone who is in a care
It may be more than one person. It might be a home, please refer them to us:
family member, a friend, a neighbour, a carer or
care worker, a nurse, a social care worker, a GP, a Customer Service Centre
visitor to your home or a rogue trader. If you live in Tel: 01609 780780
a residential setting or receive any other services,
it may be another user of that service, a visitor or a For further details, visit:
care worker. www.northyorks.gov.uk/safeguardingadults
What should you do if you are worried about abuse? If you have concerns about the standards or
North Yorkshire County Council has a legal duty to application of regulations in a care home, you
protect the rights of adults with care and support should contact:
needs to live in safety, free from abuse and neglect.
Together with other partners, including Health and The Care Quality Commission
the police North Yorkshire County Council operates Citygate, Gallowgate,
a zero-tolerance attitude towards all forms of Newcastle upon Tyne NE1 4PA
abuse. All adults should be able to live their lives Tel: 03000 616161
free from fear and harm. Email: enquiries@cqc.org.uk
If you or the person you are concerned about is What should you do if you are suspicious that
in danger and immediate action is required, you Modern Slavery is happening near you?
should ring the Emergency Services on: 999. If you believe a person is being subject to Modern
Slavery, report to the Police on 101 or in an
If you or the person you are concerned about emergency where there is immediate threat, call 999.
is not in immediate danger, you should ring our
Customer Services Centre on: 01609 780780. You can also call the Modern Slavery helpline:
This is a 24-hour service. 0800 012 1700 (open 24 hours a day, seven days
a week) or call anonymously via CrimeStoppers
You will be able to speak to an experienced adviser on: 0800 555 111.
who will listen to your concerns, take them seriously
and treat you with dignity and respect. You will be To find out more about North Yorkshire Police’s
offered support and your concerns will be directed to campaign, visit: www.northyorkshire.police.uk
a specialist worker who will arrange to meet with you. (search ‘campaigns’ then select ‘campaigns’).
You may have a relative, friend or independent
advocate present if you wish. Together, you will
discuss the issues and agree a plan to keep you as
safe and independent as possible. We want to help
you to reach the outcome you want and ensure you
are aware of your options.
We may involve other agencies to help support you
safely, but we will agree this together. Where the
abuse is a crime, the police need to be involved to
prevent other people from suffering as well. We will
jointly help to support you. If you are worried about
contacting the police, you can contact us to talk
things over first.
12 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsLiving Well in North Yorkshire
What is Living Well?
Living Well Coordinators (LWCs) work with people • talk to you and find out more about what support
in need to reduce loneliness and isolation, increase is required;
participation and support you to be independent.
• help you to think about areas of your life that you
Living Well aims to improve the health, wellbeing would like to change;
and independence of adults. Our coordinators
• work alongside you and listen to what help you
work with individuals and their carers who are
may need;
isolated, vulnerable, bereaved, lacking confidence
or perhaps on the borderline of needing health and • support you to make simple changes to manage
social care services. your health and stay well; and
To prevent the need for statutory support, we • support you to plan what you need to do to make
help people access their local community and those changes and help you to achieve your goals
support them to find solutions to their health and in an agreed time frame.
wellbeing goals. This helps to reduce loneliness
and isolation and prevents or resolves issues for Some types of support that LWCs provide includes:
people, including hospitalisation.
• support to build self-confidence;
Who can benefit?
• support with practical advice and skills;
Living Well can support adults who are not currently
eligible for ongoing social care support and who: • advice on healthy living and signposting
to lifestyle services such as exercise or
• are lonely and or socially isolated;
stop smoking;
• have had a recent loss of a support network,
• help to get online either in the home or using a
including bereavement;
universal/community service, such as a library
• have had a loss of confidence due to a recent or cybercafé;
change or event;
• help to become a volunteer or to access
• require face-to-face information, advice and community activities; and
guidance; or
• helping a person to be connected to, linked
• need some support to find or maintain with or signposted to a voluntary agency for
employment. support or a more specific support network
such as befriending, shopping, transport,
This may be people who need a little extra help to advocacy and more.
overcome some of life’s challenges and changes;
people who have a caring role, who are frail or How do you access the service?
physically disabled, people with a learning disability When you contact us, an adviser will refer you to the
or autism or people with mental health problems or Living Well team if you meet the requirements for
sensory impairments. the service.
What can you expect? North Yorkshire County Council
LWCs will spend time with individuals on a one-to- For more information, call our
one basis. LWCs will: Customer Service Centre on: 01609 780780.
Visit www.carechoices.co.uk for further assistance with your search for care 13Living Well Smokefree (LWSF)
LWSF is a stop smoking service provided by North • up to 12 weeks after your last cigarette – your
Yorkshire County Council. LWSF has a team blood is pumping to your heart and muscles
of experienced stop smoking advisors, based better due to improved circulation;
in a range of community venues across North
• three to nine months after your last cigarette –
Yorkshire that offer specialist support. Due to the
your lungs are working 10% better and you are
COVID-19 pandemic, LWSF is still fully operational
coughing and wheezing less;
offering interventions remotely via telephone and
video conferencing. These interventions include • one year after your last cigarette – your risk of a
behavioural and motivational support and access to heart attack has halved compared to a smoker;
stop smoking medications (Nicotine Replacement
Therapy and Champix). Stop smoking support is also • ten years after your last cigarette – your risk of
available through GPs and pharmacies that have death from lung cancer has halved too; and
signed up to deliver the service. • 15 years after your last cigarette – your risk of
heart attack is the same as somebody who has
Eligibility criteria never smoked.
All clients referred to the service will undergo an
eligibility check against the following criteria: With the right support, you are three times as likely
to stop smoking for good.
• would like to stop smoking and receive support
from the Specialist Stop Smoking Service; Referral process
If you would like to access the service, refer
• is not receiving stop smoking support from
somebody else, assist somebody to self-refer, or you
another provider;
would like any further information about LWSF, use
• is above the age of 12; and the contact details below:
• is a tobacco smoker that resides in North Living Well Smokefree
Yorkshire, works in North Yorkshire or is Tel: 01609 797272
registered with a GP in North Yorkshire. Email: stop.smoking@northyorks.gov.uk
Web: www.northyorks.gov.uk/stopping-smoking
Anyone who does not meet all of these criteria
will not be eligible to access LWSF.
Why would you stop smoking?
Here is what can happen after your last cigarette:
• 20 minutes after your last cigarette – your pulse
returns to normal;
• eight hours after your last cigarette – your
oxygen levels are recovering and harmful carbon
monoxide in your blood has halved;
• 48 hours after your last cigarette – your body has
flushed out all carbon monoxide and your lungs
begin to clear out the waste. Also, your smell and
taste improve;
• 72 hours after your last cigarette – your breathing
feels easier and you feel more energetic;
14 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsStay living at home
We want people to stay living in their homes for as have a mental health condition or are living with
long as possible and we know that many people dementia.
want to be surrounded by their possessions, near
to their family and friends. This applies to anyone, The following section gives you a wide range of
whether they are older, recovering from an illness information about the support available in North
or addiction, have a physical or learning disability, Yorkshire to help you stay living in your home.
Assistive Technology
Assistive Technology (AT) uses a range of remote • AT can form part of your long-term support
equipment matched to your personal needs. This plan and Personal Budget dependent upon
helps to increase, maintain or improve functional assessment and eligibility.
capabilities, enabling you to live as independently
and safely as possible. The equipment can be linked Some examples of how AT can be used are:
to a monitoring centre, to family and friends or to
• to call a monitoring centre which can keep a
other technology devices in the home. AT is used
phone line open to you in an emergency. For
in a variety of circumstances to help people with a
example, following a serious fall;
broad range of needs.
• to alert you when temperatures in your property
The AT service in North Yorkshire aims to provide get too high or low. For example, if the cooker
a high quality and innovative service that uses hob has been left on or if you forget to use your
technology, monitoring and support to: central heating;
• enable you to live a healthier, independent life • to remind you to lock your door;
for longer;
• to alert family or friends if you leave your
• enable you to live safely at home; property at unusual times of the day; and
• prevent or delay unnecessary hospital or care • to allow you to remain independent whilst
home admissions; knowing that you have technology to keep
you safe or to allow you to complete tasks and
• support you to return home from hospital or activities.
care settings where possible; and
AT works 24 hours a day, 365 days per year
• provide technology-based solutions to
by providing real-time alerts or calls when
complement other community services.
equipment is activated.
North Yorkshire County Council’s AT services are
delivered in several ways:
• a financially competitive, private pay AT offer
is available to all people within the county. This
includes AT equipment and monitoring. AT can
then be responded to by family, friends or carers;
• AT can also be provided as part of our Reablement
services for a short period of time. This will enable
the appropriateness and effectiveness of the AT to
be captured to plan long-term provision; and
Visit www.carechoices.co.uk for further assistance with your search for care 15 AT typically alerts a call centre staffed by trained Customer Service Centre on: 01609 780780 or
operators who can speak to you, will have your details visit: www.northyorks.gov.uk
and know who to call in an emergency. This could be
family, friends, carers, a community response service Alternatively, to arrange AT privately, please
or the emergency services if required. contact Nottingham Rehab Ltd (NRS) who deliver
the AT service in partnership with North Yorkshire
For further information about AT, or to refer for County Council on: 01904 221473 (opt. two) or
an assessment where applicable, contact our visit: www.nrstelecare.co.uk/northyorkshire
Other equipment available
Occupational Therapists (OTs) and other specially • information and advice for North Yorkshire
trained workers can give you advice and assess your residents about both independent living and the
needs and those of carers. Community Equipment Service;
• a self-purchase service (purchasing products
There are many types of equipment that can help
before or in addition to those potentially
you to live independently at home. Depending on
provided by health and social services). Medequip
your circumstances, our Occupational Therapy
has an online store at
service can recommend equipment that enables you
to carry out daily living activities such as bathing, www.manageathome.co.uk ; and
washing, dressing and getting around your home.
It may be as simple as fitting a grab or banister rail • signposting to the Disabled Living Foundation’s
in the right place to help you get up and down steps AskSARA website. For more information, visit:
more safely and independently or you may need https://medequip.livingmadeeasy.org.uk
equipment to help you with getting in and out of
bed or using the toilet. Medequip Knaresborough
Unit 2, Manse Lane HG5 8LF
North Yorkshire County Council has an online self- (open 8.00am to 5.00pm, Monday to Friday).
assessment tool called ‘AskSARA’ which can identify Tel: 01423 226240
ways of helping you with daily living activities in your Email: north.yorks@medequip-uk.com
home. To find out more, visit:
www.northyorks.gov.uk/health-and-social-care Medequip Scarborough
(select ‘advice and support to help with daily living’) 5B & 5C, Dunslow Court, Eastfield YO11 3XT
or contact us directly for an assessment on: (open 9.00am to 5.00pm, Monday to Friday).
01609 780780. Tel: 01423 226240
Email: north.yorks@medequip-uk.com
It is important to get the right advice and support
before you buy any equipment. You will find several
mobility aids and equipment providers in your local
community who can discuss basic equipment with
you to ensure that it meets your needs.
Medequip
Medequip provides the Community Equipment
Service commissioned by local NHS clinical
commissioning groups (CCGs) and North Yorkshire
County Council. The service includes:
• the returning and recycling of equipment. Visit
www.medequip-uk.com/contact/knaresborough;
16 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsHome Improvement Agencies (HIAs) and minor adaptations
The HIA handyperson service for your area provides • free access to a ‘safe traders’ list of approved
a range of preventative services including minor contractors, helping you to avoid rogue traders.
jobs/adaptations such as:
Whether you own or rent your property, you may be
• replacing light bulbs, securing loose carpet or eligible for some or all of the adaptations if identified
putting up shelves or flat-pack furniture; within a North Yorkshire County Council assessment.
• adaptations – providing and fitting grab rails and
external handrails, fitting of second bannister Yorkshire Housing Home Improvement Team
rails and larger jobs such as building a step to Tel: 0345 366 4406
improve accessibility; Web: www.yorkshirehousing.co.uk/support
(select ‘home improvement services’).
• security – fitting window locks, security chains,
key safes, doorbells and door locks; White Rose Home Improvement Agency
For all Scarborough, Whitby and Ryedale areas.
• help with accessing benefits or grants to fund Tel: 01723 232323
work; Web: www.scarborough.gov.uk/white-rose-
home-improvement-agency
• energy efficiency advice; and
Major adaptations
If you have difficulty accessing areas within your The HIA can carry out the work and or support the
home, have a permanent or long-term health approved contractor/s.
condition and need an adaptation to help you stay
independent, you may be eligible for a grant from For more information about DFG’s in your local
your borough or district council (called a Disabled district, visit the relevant website below and search
Facilities Grant or DFG). ‘Disabled Facilities Grant’.
The grant is assessed according to your needs and Hambleton District Council
circumstances. Following a financial assessment, Web: www.hambleton.gov.uk
you may qualify whether you are a homeowner
or a tenant. However, if you are eligible for Richmondshire District Council
funding through a DFG, you may still have to pay a Web: www.richmondshire.gov.uk
contribution towards the cost of the adaptation/s.
Harrogate Borough Council
DFG adaptations are only provided to meet an Web: www.harrogate.gov.uk
assessed need when the local authority deems
the work as ‘necessary and appropriate’. Craven District Council
Web: www.cravendc.gov.uk
Further information about DFGs can be found at:
Selby District Council
www.foundations.uk.com
Web: www.selby.gov.uk
Your local district council’s HIA
White Rose Home Improvement Agency
Each district area in North Yorkshire provides a
For Scarborough, Whitby and Ryedale areas.
technical service to support people with their DFG.
Web: www.scarborough.gov.uk
This includes; drawing and submitting plans, building
regulation applications, obtaining quotes, overseeing
Use the Assistive Technology checklist on page
work, ensuring it is completed to the required
22 for ideas of questions to ask suppliers.
standard and that it is ‘reasonable and practicable’.
Visit www.carechoices.co.uk for further assistance with your search for care 17Making life easier at home
If you’re having difficulties with everyday tasks at home, these simple solutions could make life easier and keep
you independent. These are a starting point; other solutions are available which might better suit your needs.
Finding it difficult to get in and out of chairs? Try Do you forget to take your tablets? Try making
putting a piece of hard board under the seat base. a note of when you’ve taken them, or buy
Alternatively, buy chair raisers, a higher chair or an an automatic pill dispenser or pill box. If you
electric riser chair. Also try taking regular gentle struggle to open your medicine, you can ask your
exercise to improve your mobility. pharmacist for advice on alternative packaging
that could make it easier for you.
If you can’t reach your windows, could you move
furniture out of the way? Ask someone to help if Can you reach everything in your cupboards? If
you need to move heavy furniture. There are also not, try a handi-reacher or rearrange your kitchen
tools for opening and closing windows. so the things you use most are within easy reach.
Struggling to keep warm/cool? Consider a fan If you are having problems with preparing food,
or heater. Is your house insulated? Are there any consider buying ready-chopped options or try a
draughts? You may also be eligible for the winter chopping board with spikes. There are also long-
fuel payment from the Government. Visit: handled pans, teapot tippers and lid grippers that
www.gov.uk/winter-fuel-payment could help. Palm-held vegetable peelers or a food
processor might be a solution and meal delivery
If you have trouble using light switches, think services are also available.
about replacing your switches for ones that are
easier to use. Consider handi-plugs or light switch Is eating and drinking becoming difficult?
toggles, or there’s even technology available so Large-handled cutlery could help, or non-slip
that you can turn your lights on and off using mats for the table. Lightweight cups and mugs
your speech. with two handles could also be a solution.
Use subtitles if you can’t hear the TV or buy Using taps can be made easier by fitting tap
wireless headphones. Do you need a hearing aid? turners. You could also consider changing to lever-
Request an assessment from your council. style taps which might be easier for you to use.
Handled plug Chair raisers Chopping board Level indicator Teapot tipper
18 Search www.northyorkshireconnect.org.uk for community and voluntary organisationsMore information on staying independent and ideas to help you live at home can be found online at:
www.carechoices.co.uk/staying-independent-at-home/ There is also information on making larger
adaptations to your home.
If moving whilst in bed is a problem, have you If it’s hard to hold your toothbrush, try a
thought about using an over-bed pole? You might toothbrush gripper. You might also benefit from
also want to buy a pillow raiser or change your having an electric toothbrush or sitting on a stool
bedding so it’s lighter. while brushing your teeth.
Is it becoming difficult to get dressed? If so, You might like to buy a raised toilet seat, or a seat
specially adapted clothing is available, or you with a built-in support frame if it’s hard to use your
could buy a long-handled shoe horn, a dressing toilet. Flush lever extensions are also available.
stick or a button hook. If you are having a lot of
difficulty, consider home support, see page 25. Has it become more difficult to wash? Items are
available, like long-handled sponges and flannel
Clocks are available with large numbers or lights straps. You could also consider a slip-resistant
if you can’t read the time in bed. You can also buy bath mat, grab rails, a half step to help you get in
clocks that speak the time. and out of the bath or a bath or shower seat. Tap
turners can also be used in the bathroom.
If you are finding it harder to read in bed,
consider an e-reader that allows you to change
the font size. Some also have integrated lights.
Look for bedside lamps with a step-on or button If you think you need an assessment, please call
switch if yours are difficult to use. our Customer Service Centre on: 01609 780780
or email: social.care@northyorks.gov.uk
Do you struggle to get in and out of bed? You
could learn new ways of moving around, purchase If you would like some advice and guidance to
a leg lifter or a hoist or install grab rails for support. help you make informed choices about how
Seek advice about these options. If the bed is the to meet your care and support needs, you can
issue, you could buy an electric adjustable bed or complete an initial assessment online at:
raise the bed to the right height. www.northyorks.gov.uk/new-adult-social-care
Grab handles Bed table Hand rail Hand trolley Tap turners
Visit www.carechoices.co.uk for further assistance with your search for care 19Medequip work with North Yorkshire County Council and the NHS to provide assistive living
equipment in your area. Medequip also provide a retail service for those who wish to purchase
or rent equipment themselves.
Return Recycle Reuse If you would prefer to return equipment
to Medequip yourself, you can bring it to
our distribution centres:
Help your Local Authority and NHS services by Medequip Knaresborough Depot
returning equipment you no longer need Unit 2, Manse Lane, Knaresborough
North Yorkshire HG5 8LF
Contact Medequip now to request a collection Monday to Friday 8am - 5pm
Call 01423 226240 Medequip Scarborough Depot
Email north.yorks@medequip-uk.com 5B & 5C, Dunslow Court Eastfield,
Scarborough North Yorkshire YO11 3XT
Return Recycle Reuse Copyright © 2017 by West Suffolk NHS Foundation Trust – used with permission Monday to Friday 9am - 5pm
0800 910 1390
Technology Enabled Care Service connectadmin@medequip-uk.com
Lease a Care Alarm which is monitored 24 hours a day
for as little as £2.99 per week
We will supply the equipment and monitor it 365 days per year, 24 hours per
day. We will alert your next of kin, nominated contacts or emergency services
to assist you in the event of an emergency.
Shop now at www.medequip-connect.com
0800 910 1313
Manage At Home’s range of products are designed to promote
independence at home and manage daily living more easily. We
stock a wide selection of over 3,000 mobility and disability aids
to help you stay safe and independent at home.
Find us on: @ManageAtHome Call us or visit our website to request a free catalogue
Shop mobility aids at www.manageathome.co.ukAssistive Technology checklist © 2021 Care Choices Ltd
We suggest you consider the following questions before buying any Assistive Technology. If you are in
any doubt about what technology might help meet your needs, you can contact your council or visit:
https://northyorks.livingmadeeasy.org.uk
You can download and print this checklist at: www.carechoices.co.uk/checklists
Suitability Will it need to be installed by a professional?
Does the equipment support your specific Can the retailer provide you with training in
needs? using the equipment?
Are you willing to use it?
Reliability
Will it fit into your everyday life and routine?
Will it work if you have pets or live with other
Have you tried a demo of the equipment?
people, e.g. could someone else set off a sensor
Do you understand what the equipment is for? alarm by accident?
Do you need to take it with you when you Have you read reviews of the particular piece
leave the house? Is it transportable? of equipment you are looking at? Consider
these before making your purchase.
Does the equipment have any limitations
that would make it unsuitable for you? Can you speak to someone who already uses it?
Will it work alongside any Assistive Technology Does it require batteries? Find out how often
you already have?
they will need changing and whether the
equipment will remind you to do this.
Usability
Is it durable? If you might drop it, is it likely
Is a simpler piece of equipment available, to break?
e.g. a pill case rather than an automated pill
dispenser?
Cost
Does the equipment need a plug socket, and
will its wire cause a trip hazard? Do you know how much it costs?
Is it easy to use? Can you read/hear it clearly Will you need to pay a monthly charge?
and are any buttons big enough for you?
Are there alternative solutions that might
Are you able to use it? Are there any aspects be free?
you don’t understand?
Is there a cost associated with servicing the
Is it portable? equipment?
Notes
Visit www.carechoices.co.uk for further assistance with your search for care 21Bluebird Care provides the
highest quality of home
care services
• Domiciliary Care
• Specialist Care led by Nurses
• Live-in Care
Enquire about care today!
Bluebird Care Bluebird Care Scarborough
Harrogate & Bridlington
01423 529573 01723 588004
harrogate@bluebirdcare.co.uk scarborough@bluebirdcare.co.uk
7 Alexandra Road, Cayley Court, Hopper Hill Road,
Harrogate HG1 5JS Scarborough YO11 3YJOccupational Therapy
Occupational Therapy provides practical support to Private Occupational Therapy
facilitate recovery and overcome barriers preventing If you do not want to access Occupational Therapy
people from doing the activities (or occupations) through the NHS or North Yorkshire County Council,
that matter to them. This support can increase you could contact an OT directly.
people’s independence and satisfaction in all
aspects of life (RCOT, 2019). For more information, If you decide to see a private OT, make sure they are
visit: www.rcot.co.uk fully qualified and registered through the Health and
Care Professions Council (HCPC) and are a member
The way you access these services in North Yorkshire of a recognised body, such as the Royal College of
will depend on why you need Occupational Therapy. Occupational Therapists:
www.rcotss-ip.org.uk/find
Health Occupational Therapy
If you have a short-term condition, for example, if Only healthcare professionals who are registered
you need support following an operation, you will with the HCPC can use the title of ‘Occupational
access services through the NHS, and you should Therapist’. You can see if your OT is registered by
speak to one of the healthcare professionals checking the HCPC online register:
treating you. They will discuss your needs with you www.hcpc-uk.org
and decide if you would benefit from Occupational
Therapy and, if so, will arrange an assessment with An OT can carry out an assessment to identify
an Occupational Therapist (OT) as part of your care. what areas of your everyday life are causing
problems. They will discuss your needs with you
The Health Occupational Therapy service covers and explain what help is available. An assessment
hospital stays and returning home. It provides a and any advice or information provided by a
specialist therapeutic service, including assessment, Health or local authority OT should be free,
treatment and ensuring a safe discharge back home services resulting from this assessment may be
after hospital admission. chargeable. A private OT may charge you for any
assessment, information or services.
Local council Occupational Therapy
For ongoing difficulties in your home due to your
health, Occupational Therapy can be accessed
through your local council. You should contact
our Customer Service Centre on: 01609 780780
Visit: www.northyorkshireconnect.org.uk for
to arrange a needs assessment with an OT. Or you
community and voluntary organisations that can
may be referred to another health or social care
provide advice and support.
professional, whoever is more appropriate.
Access to food and drink services
We no longer have direct involvement in arranging, Sherburn Visiting Service
delivering or subsidising meals on wheels services. Tel: 01977 681828
However, we have identified several organisations
across the county which can provide meals to Wiltshire Farm Foods – Thirsk branch
people in their own homes. Tel: 01845 578784
You can discuss directly with providers the type
and number of meals per week that you would
like. Payment is agreed directly with the
meal providers.
Visit www.carechoices.co.uk for further assistance with your search for care 23Home is where the care is
A realistic alternative to
residential care
in all areas
Find out more about our outstanding home and live in care,
and the difference it could make to your life
Hambleton & Richmondshire
Ainderby Hall, Ainderby Steeple, Northallerton DL7 9QJ
01845 440271
hambletonandrichmondshire@bluebirdcare.co.uk
liveincare@hamandrich@bluebirdcare.co.uk
www.bluebird.co.ukGetting help in your home
Help at home is also known as ‘home care’ or worker sleep in your home overnight for security
‘domiciliary care’ and is usually arranged according to and reassurance.
need. All service providers, except those delivering
Live-in care – a care worker lives in your home, is
domestic support only, must be registered by the
allowed time off each day and must have a night’s
Care Quality Commission (CQC) which publishes
sleep. It can be arranged as a short respite for your
reports and quality ratings following an inspection.
main carer or a permanent arrangement to suit
You must ensure that all care workers have Disclosure
your needs.
and Barring Service checks, have received necessary
training, are properly referenced, and are eligible to 24-hour care – when you need assistance or
work in the UK prior to visiting your home. Check CQC monitoring 24 hours a day. It differs from live-in care
reports and quality ratings at: www.cqc.org.uk or in that care workers rotate to ensure that someone
call: 03000 616161. is awake and working both day and night.
Getting help at home can take many forms, the list CaCall
ll 01701723
23 58800588002
2
of local providers beginning on page 29 may offer: www.nycil.org.uk
www.nycil.org.uk
Registered charity no. 1130786
admin@nycil.org.uk
Take control of YOUR Life
Practical support – to assist with household chores Get the care you need in the way you need it
such as shopping, cleaning and assistance with food Our Vision is that everyone despite age or disability can
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Take control of YOUR Life
“Elderflower Homecare is an exceptional
home caring service, way beyond anything Our Vision is that everyone despite age or disability can Helping Hands
I could have ever imagined. live independently to their fullest potential. Caring since 1989
The pressure and worry you took from me No more been told when and how your care will be
I will be forever grateful” provided, take control, you decide. We offer bespoke
Personal Assistant recruitment and a low cost payroll
service open to everyone.
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Medication
Get in touch to see how we can help.
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Personal Care
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Companionship
Elderflower Homecare is a small family run
business that provides client centred, high
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Physiotherapy Do you need a helping hand?
quality care to enable people to lead
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a fulfilling life in their own home. Therapy
l
Domestic Duties With care visits available from 30 minutes all the way up
All our staff have extensive knowledge and to full-time live-in care, we provide personalised home
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Dog Walking
expertise for adults with dementia
or a physical disability. l
Daily Living care packages to support you in North Yorkshire.
Equipment With over 30 years’ experience, we’ll support you with
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Assisted stair lifts
client to achieve a personal approach. anything you need to live independently in the home
and baths
you know and love, including:
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Holiday & Respite
Contact us for more information: Care ✓ Personal care ✓ Getting out and about
Tel: 01423 324 325 l
Shopping ✓ Housekeeping ✓ Short-term care
Email:
elderflowerhomecare@btconnect.com Looking for care? 0808 274 2935
www.elderflowerhomecare.co.uk For more information www.helpinghands.co.uk
Richmond House, Horsefair,
Boroughbridge YO51 9AA
Visit www.carechoices.co.uk for further assistance with your search for care 25You can also read