www.westsussex.gov.uk/social-care-and-health Your life, your choice Getting adult social care support in West Sussex www.westsussex.gov.uk/social-care-and-health Visit our website for care and support for adults in West Sussex. www.westsussexconnecttosupport.org INFORMATION AND ADVICE ASSESS YOUR NEEDS COMMUNITY GROUPS ONLINE MARKETPLACE OF LOCAL SERVICES If you need help using the website, call Adults’ CarePoint WORKING TOGETHER 2 01243 642121 Contents 1Introduction 04 2 Areas for which we are not directly responsible 06 3 Staying healthy and living independently 07 People with social care needs 4 Understanding your social care needs – assessment 10 5 Deciding who gets funded social care support 12 6 Continuity of care – what happens if I move out of West Sussex? 15 7 Someone to help you have your say – an advocate 15 11 Residential and nursing home care 25 12 Reviewing your support 26 Family and friends carers 13 Understanding your needs as a carer 28 14 Meeting carer’s needs 29 15 Continuity of care – what happens if I move out of West Sussex? 32 16 Planning your support 32 l Working out how much money you need l What’s in your support plan? 17 Carer’s personal budget 33 8 Planning your support 16 l Working out how much money you need l What’s in your support plan? 18 Reviewing your support 33 9 Deciding how to use your budget 19 Appealing against our decisions 34 20 Give us your views 35 21 Contact us 36 22 Useful contacts 36 18 10 Paying for your support 19 l Direct payments l Council managed budgets People with social care needs and family and friends carers 3 www.westsussex.gov.uk/social-care-and-health 1. Introduction In April 2015 the Care Act came into effect. This was the biggest reform of social care in 60 years. Local authorities have new duties that focus on promoting people’s wellbeing which means helping them achieve the things that matter to them in their life. This means that we will do as much as possible to help you maintain or increase your independence and be as active as possible. We will also support you to participate in social and community activities so you can lead a more fulfilling life. This applies not only to people who are eligible to receive funded social care support, but to carers and to people who pay for their own care. We must also protect people who are vulnerable and unable to protect themselves from harm. We must achieve best value when spending money so that people get the support they need in a way that the County Council can afford. We have to spend money efficiently. This booklet will tell you how we can help you and work with you to support yourself. You are the best person to say what’s right for you. When you first contact us one of our staff will ask you about your circumstances, or those of the person you are concerned about. We may want to share information about you with other agencies with whom we work closely. We aim to always ask your agreement if we need to contact others to gather information about you. However, we will not ask your agreement if we believe that this could place you or someone else at risk of abuse or neglect. This is because we have a legal responsibility to make sure we safeguard people who are unable to protect themselves. 4 If you are not able to make decisions If you are not able to make decisions for yourself about your social care needs we will discuss these with your relatives and/or someone who holds a power of attorney on your behalf. Alternatively, the Court of Protection may have appointed someone to act on your behalf. If there is no one to act on your behalf, we will always act in your best interests. Are you caring for someone? We also want to support people who are carers. Carers look after family, partners or friends in need of help because they are ill, frail or have a disability. The care they provide is unpaid. They do not always live with the person they care for. So, if you think you are in a caring role, please get in touch to see if we can help by contacting our Adults’ CarePoint . See contact details at the end of the booklet. Also see the carers’ part of this booklet in sections 13 to 18. Accessible Information Standard From 31 July 2016 all organisations that provide NHS or social care services must comply with the Accessible Information Standard. The Standard sets out the approach that organisations must use to ensure that people with disabilities can get information in formats that they can understand. The Standard also tells organisations how to support people’s communication needs, for example by offering a British Sign Language (BSL) interpreter, deafblind manual interpreter or an advocate. Organisations must do five things. l Ask people if they have any communication needs l Record their needs l Highlight the needs very clearly on the person’s records l Share the information about the person’s needs with other social care or NHS providers as part of any referral or handover process 5 www.westsussex.gov.uk/social-care-and-health l Meet the need by making sure that the person gets the information they need in a format that they can understand and that they receive any communication support they require. 2.Areas for which we are not directly responsible We are committed to helping people find the support that best meets their needs and our staff will offer advice and assistance to all residents in West Sussex. However, there are certain areas for which we are not directly responsible. We are not responsible for welfare benefits These are dealt with by the Department for Work and Pensions (you can find out more on the Gov.uk website). However, we do have staff who are welfare benefits advisers who can help make sure that you are receiving the benefits to which you are entitled. We do not deal with housing For example, organising council or housing association homes or supporting people who are homeless. Your local district or borough council in West Sussex usually deals with this. We do not provide health services These are provided directly by GP practices, community health services, and hospitals. You can find information about counselling services by visiting www.counselling-directory.org.uk or www. sussexcounsellordirectory.co.uk. We do not directly provide legal advice Free legal advice is available through your local Citizens Advice who can also tell you how to obtain legal aid from solicitors, and from the community legal advice website www.communitylegaladvice.org.uk. 6 If we cannot help you directly, we will provide you with information and point you to other organisations that may be able to assist. You can also visit our West Sussex Connect to Support website – see next section for more information. The local Prevention Assessment Teams can also help you to find support and care – please see their contact details at the back of this booklet. 3.Staying healthy and living independently All our services aim to help people stay healthy and be as independent as possible. We have a range of services designed to meet lower level social care needs which are available to everyone. These include: Prevention Assessment Teams These teams support the health and wellbeing of adults, including those with high functioning autism and Asperger’s. Wellbeing Hubs A single point of contact for information and helping people to improve their health and wellbeing. My network Providing information, advice and support for people with learning disabilities. The network also gives an opportunity for informal socialising as well as structured activity sessions. Carers Support West Sussex The organisation is funded by us to provide a wide range of support services for carers. This includes a county-wide information, advice and support service. They run a number of support groups for carers, provide carer health checks and produce a regular newsletter. Carers Support West Sussex also carry out 7 www.westsussex.gov.uk/social-care-and-health carer’s assessments on behalf of the County Council and they help carers access a range of services to meet their needs. West Sussex Connect to Support West Sussex Connect to Support is a website for all residents in West Sussex providing information and advice about a range of ways to help people live independently. Some of these are free or low cost local community activities and some are products and care services which can be purchased in an electronic market place. The website also provides information about getting funded social care support. Please visit www. westsussexconnecttosupport.org. Please see section 22 for the contact details for each of the above services. Regaining independence services If you have difficulty moving around, occupational therapy can help you carry out essential activities. The occupational therapy services aim to assist you to make the most of your abilities and reduce your need for help from others. If you need short-term social care support, for example because you’ve just come out of hospital, or following an accident, or just because you haven’t been coping as independently as you would like to at home, the Regaining Independence Service may be able to help you. You will need to be assessed to see if you are eligible for this service. The Regaining Independence Service teams are led by Occupational Therapists and can support you with activities like getting dressed, getting around your home, washing or bathing, or preparing drinks and meals. The aim is to help you do as much as possible for yourself. If you receive a service which helps you regain your independence we may contact you after three months to see how you are getting on. 8 For people with a sensory impairment, such as loss of sight or deafness, we may be able to provide specialist assistance. Specialist support is also available for people with mental health needs, acquired brain injuries and learning disabilities. You can find out more from your social care or health worker. Telecare equipment to help people live safely and independently Telecare uses alarms, sensors and other equipment to help people live safely and independently in their own homes and communities for as long as possible. Telecare devices range from units where you press a button to connect to a monitoring centre if you need help, to systems that remind you to take your medication. Telecare systems can also detect dangers such as smoke, flood or gas leaks and personal risk, such as having a fall. We work with our provider of telecare to offer a 13-week, free telecare trial. This requires a referral from a social care or health professional. At the end of the free trial you may choose to become a private customer and pay for the products yourself or you can have the telecare equipment removed. You can find out more by visiting the West Sussex Connect to Support website at: www.westsussexconnecttosupport.org or contacting Adults’ CarePoint. See contact details at the end of the booklet. Telecare is also provided by district and borough councils in West Sussex, as well as by a wide range of national providers. 9 www.westsussex.gov.uk/social-care-and-health People with social care needs 4.Understanding your social care needs We believe that you should be at the centre of the assessment and planning process, because you understand your own needs and how to meet them. Self-assessment Self-assessment is designed to help people think about their personal circumstances – what is working well in their lives and what needs to change. It asks you about your interests and lifestyle, your health and wellbeing, nutrition, and day-to day activities such as getting out and about and being able to look after yourself. It can be useful to complete the form if you are thinking about contacting us to ask about getting social care support. You can send the completed form to us and ask for an assessment of your needs. You do not have to complete a self-assessment form before contacting us. It is simply there to help you think about your situation. If you do not want to contact us for an assessment of your needs, you can use the self-assessment to help you plan and buy your own support. The self-assessment form can be found on the West Sussex Connect to Support website: www.westsussexconnecttosupport.org. You can also contact our Adults’ CarePoint and ask for a paper copy of the form to be sent to you. See contact details at the end of the booklet. Assessment If you think you need social care support you have the right to ask us to assess your needs. 10 When you first contact us, a member of our staff will ask you about your circumstances or those of the person you are concerned about. If you have completed a self-assessment form, the social care worker will look at what you have told us as part of your assessment. We will work with you to identify the goals or outcomes that you want to achieve. We will look at your strengths and capabilities and identify support that may be available in your local community that could help you remain as independent as possible and prevent or delay the development of your needs. We will focus on the issues that are important in your circumstances. The assessment may ask you about: l your wellbeing – what is important to you in your daily life; l any physical illness or mental health issues; l food and drink – your diet and preparing meals; l personal care – cleanliness and being appropriately dresed; l looking after your home; l getting around your home safely; l developing and maintaining family or other personal relationships; l accessing and being involved in work, training, education or volunteering; l getting out and about – using community services, including public transport and recreational facilities; and l carrying out any caring responsibilities. You and your social care worker will talk about these to reach an agreement about your social care needs. There may be other assessments we take into account or ones we might suggest so you can get other services. We also explain that you may need to make a financial contribution towards the support you need. A trained welfare benefits adviser will visit you to assess whether you should pay towards your support. The amount we may ask you to pay will depend on your financial circumstances. For further information on this please see our booklet 11 www.westsussex.gov.uk/social-care-and-health called ‘Paying for non-residential social care services’ at www.westsussex. gov.uk under ‘Adults’ social care publications’ or contact our Adults’ CarePoint and ask for a copy. See contact details at the end of the booklet. The welfare benefits adviser will also check that you are receiving the benefits you are entitled to. They will provide benefits advice and help you to complete claim forms. We aim to complete your assessment within 28 calendar days from the time you first contact us. If urgent action is needed to protect your safety and reduce serious risk, we can provide support before a full assessment of your needs is carried out. 5.Deciding who gets funded social care support We have to make sure that we treat everyone fairly and that those who are most in need receive the highest level of support. To do this we use national guidelines to help us understand whether or not people’s needs mean they are eligible to receive funded support from us. This applies to people needing social care and to carers. The guidelines are called ‘eligibility criteria’ and they are set out in the Care and Support (Eligibility Criteria) Regulations 2014. When deciding whether someone has eligible social care needs, we must consider whether: l the person’s needs arise from or are related to a physical or mental impairment or illness. l as a result of the person’s needs they are unable to achieve two or more of the outcomes set out in the ‘eligibility decision process’ on the opposite page. l as a result of being unable to achieve these outcomes there is, or there is likely to be, a significant impact on the person’s wellbeing. 12 Eligibility decision process The adult’s needs arise from or are related to a physical or mental health condition. Outcomes Wellbeing As a result of the needs, the adult is unable to achieve two or more of the following. As a result, there is or is likely to be a significant impact on the adult’s wellbeing, including the following. 1. eating well – managing and maintaining nutrition 2. keeping clean – personal hygiene 3. managing toilet needs 4. being appropriately dressed 5. keeping their home clean and tidy 6. being able to make use of their home safely 7. developing and maintaining family or other personal relationships 8. accessing and engaging in work, training, education or volunteering 9. making use of facilities or services in the local community, including public transport and recreational facilities or services 10.carrying out any caring responsibilities the adult has for a child A. personal dignity (including treating the person with respect) B. physical and mental health and emotional wellbeing C. protection from abuse and neglect D. control by the person over day-to-day life (including over care and support provided and the way it is provided) E. participation in work, education, training or recreation F. social and financial wellbeing G.domestic, family and personal relationships H.suitability of living accommodation I. the person’s contribution to society 13 www.westsussex.gov.uk/social-care-and-health A person’s needs are eligible when they meet the conditions relating to needs, outcomes and wellbeing set out above. We will look at what you have told us and work out how much money may be available for your support. We will consider your strengths and capabilities and look at what is available in your local community that might be able to help you before we make this decision. If you are not eligible for funded social care support We will provide you with information, advice and assistance to help you plan the support you need; for example, information about other care providers, prevention and wellbeing services, equipment, community activities and care funding advice. You can find information about all these services and more, by visiting the West Sussex Connect to Support website at www. westsussexconnecttosupport.org or by contacting our Adults’ CarePoint. See contact details at the end of the booklet. If you have been assessed as having eligible social care needs but you have savings or investments over the national threshold of £23,250 (not including the value of your home) , we can help you arrange and buy the services you want if you would like us to do this for you. We call this a brokerage service. This only covers services within the community – it does not include residential care. We make a charge for this service but it is only to cover the cost to us of making the arrangements. We will make an initial charge of £157.25. If you want us to change your support later on we will make another charge of £157.25. If you want us to buy services for you and then reclaim the cost from you, we will charge you an ongoing fee of £5.05 per week. 14 If you have savings or investments over the national threshold of £23,250 but you are not able to make decisions about arranging your own support and you have no one to help you, we will do this for you free of charge. See section 8 for more information about support brokerage 6.Continuity of care – what happens if I move out of West Sussex? If you decide to move out of West Sussex to live in a different local authority area and you have been assessed by us as having eligible needs for care and support, we will work with you to ensure that the move is as trouble-free as possible. Before your move is finalised, we will work with your new local authority to help plan the move, and to make sure that there is no interruption to the care and support you need after the move. We will also do this if you are a carer and you have been assessed as having eligible needs for support from Adults’ Services in West Sussex. 7.Someone to help you have your say – an advocate You may want some help to say what you want. An advocate can help you do this. They can also help protect your rights, represent your interests, find things out for you and help you get the support you need. 15 www.westsussex.gov.uk/social-care-and-health There are a number of advocacy services in West Sussex, some of which we fund. For more information about this support please ask a social care worker, visit the West Sussex Connect to Support website: www.westsussexconnecttosupport.org or contact our Adults’ CarePoint. See contact details at the end of the booklet. There are some people who have great difficulty in being involved in planning their social care support and do not have someone else to represent them. We must provide them with someone to speak on their behalf – an independent advocate. This will help them be fully involved in their social care assessment, care planning and review. It will also help them if we are supporting them because they are at risk of abuse or neglect. We provide this service free of charge. 8. Planning your support Working out how much money you need We use the information from your assessment to work out how much money is available to meet your needs. We take into account ways of meeting your needs which may work well for you and do not require County Council funding. We make sure it is a fair way to allocate money to anyone needing support and we use the same method for everyone – this is called the ‘resource allocation system’. The money you receive is called your personal budget. There may be some flexibility in the amount if you have higher or more complex needs. The resource allocation system gives you a ‘provisional’ amount of money to start planning your support. Please ask your social care worker if you want the details about how your provisional budget has been reached. 16 What’s in your support plan? We want you to be able to get good advice and support when you are planning how to spend your budget. Once you have agreed what you want to achieve with the social care worker you will be referred to our Support Brokerage Service. A support broker is someone who provides information and advice about what services are available in your local area. They will help you think about different ways that you can get support and they can find the services and work out the costs. A support broker from one of our local Support Brokerage Teams will work with you and help you understand your options and how to get the best support with the money available to you. You will then create a support plan which describes how you will use your money to achieve the results you want – your outcomes. You can complete it yourself, with or without support, or you can get someone else to complete it for you. The support broker can help you develop your support plan. Your plan must set out what you want to achieve and how the support will be arranged and delivered. You and your family are expected to think about getting best value for the money when choosing services and developing your support plan. Your support plan will need to be agreed with your social care worker. If a person is not able to create their own support plan because they are not able to make decisions for themselves, we will need to be satisfied that those who take responsibility for developing it have acted in the person’s best interests. The plan must include the following. l Your needs identified in your assessment l What is important to you l What you want to achieve – your outcomes 17 www.westsussex.gov.uk/social-care-and-health What help you need to achieve your outcomes. This will include support that we have agreed to provide. l Your support network l How you will receive and manage your personal budget l If you need help, who will support you manage your personal budget l How you intend to spend your personal budget l How you would prepare for any unplanned changes to your support. For example, if someone who provides care to you was suddenly unable to support you l Other sources of funding or support will be taken into account when completing your support plan. This is because social care funding cannot be used to pay for things such as NHS funded care, regular household bills, or needs that are already being met. Support planning for people with learning disabilities or mental health needs If you have learning disabilities or mental health needs, a social care worker will help you develop your support plan. You will not be referred to a support broker. 9.Deciding how to use your budget You may already know how you want to use the money in your budget. If not, you can take advice from: l a family member or friend; l our Support Brokerage Service; or l a support service provided by another organisation or person. Some people use their personal budget to employ a personal assistant to help them. It can also be used to buy care, support, or other services from the independent or voluntary sector. You may choose to spend some of your personal budget on other things, 18 such as transport, services from other organisations or people, or services in your local community. You could choose services we provide, such as a day service. You can pay for transport if you have no other way of getting to an activity that is essential to meet one of your goals or outcomes. If we are funding transport, we will often make shared arrangements. If this is the case, we will not include funding for transport in your personal budget. Remember that you can use the West Sussex Connect to Support website www.westsussexconnecttosupport.org to help you think about the options that are available to you. The amount of your personal budget will be agreed when your support plan is finalised. You can then use the personal budget to start paying for the support described in your plan. Your social care worker will then agree with you how your personal budget will be paid to you. 10.Paying for your support There are various ways to receive your personal budget l Direct payments – where we make payments direct to you, or to an ‘appointed suitable person‘. This is someone, such as a family member, who can act on behalf of a person who is not able to consent to receive a direct payment. If you choose to have a direct payment you can arrange your own support instead of using the services we provide. You may also have help from someone else to manage your direct payment. l Council managed budget – where we manage the personal budget and arrange the support for you. The money can be also be managed using a mixture of these options. Your social care worker will explain the details when you discuss your support plan. 19 www.westsussex.gov.uk/social-care-and-health Direct payments Payments can be made to: l disabled people aged 16 or over (with short or long-term needs) l parents and carers aged 16 or over, (including people with parental responsibility for a child with disabilities). l elderly people who need community care services The person also has to: l be willing to have direct payments; and l be able to manage the direct payments, either on their own or with someone else’s help. If necessary, a social care or health worker may carry out an assessment under the Mental Capacity Act 2005 to find out whether someone is able to make decisions about whether to receive and manage direct payments. Direct payments are now available to most groups of people eligible for social care support. However, there are some people who are excluded because of certain legal conditions or requirements. We can tell you whether or not this applies to you. Receiving the direct payment The money is paid into a bank account that will need to be set up specifically for this purpose. When someone is ready to have direct payments, we will discuss our direct payments agreement with them. This includes the conditions and arrangements for direct payments. It is signed by the person, or the appointed suitable person, and their social care worker. You will need to give us bank statements for the direct payments account and keep a record of how you have spent the money. We will make sure you have information on who to contact if things change, or if there is anything else you want to discuss. 20 Spending the direct payment Direct payments must pay for your social care support and help towards meeting your personal outcomes. It cannot be used for other things, such as: l health care l general household bills and living costs l residential or nursing home fees, unless it’s for short periods of care l the wages of certain people such as a close relative who you live with, your spouse, partner or civil partner, unless we have agreed to this because of special circumstances. l buying one of our services, for example, coming to one of our day centres. This does not mean that you cannot have one of our services, it just means this part of the personal budget will need to be managed by us through a council managed budget. l equipment that is usually supplied through the Community Equipment Service l adapting your property l paying for things that do not help to meet the outcomes which are in your support plan; for example, gifts for people who are supporting you. Family members living in the same household as you can be paid a proportion of the direct payment to assist with managing and spending the money. The direct payment cannot be used from outside the UK for more than two weeks in a year without written agreement from us. As long as you keep to the above restrictions you can choose how to use direct payments. We do not give a list of what someone can and cannot spend their money on. That would go against the principles of self-directed support, which offers people more choice and greater control. 21 www.westsussex.gov.uk/social-care-and-health For example, you might want to use direct payments to pay for a personal assistant, or use the money to pay for a carer from an independent care provider. You may want to pay for a community service that helps you to be more independent. If the money is spent on things not covered by your support plan you may be asked to pay that money back. Paying for services from an independent care provider You can use some or all of your direct payments to pay for services from an independent care provider. You may wish to check they are registered with the Care Quality Commission or an equivalent organisation. You can find information about providers in the West Sussex Care Guide. Please ask to see a copy of the guide at your local library or look on our website: www.westsussex.gov.uk/careguide. You can also contact our Adults’ CarePoint and ask for a copy. See contact details at the end of the booklet. You can also find information about providers on the West Sussex Connect to Support website at www.westsusseconnecttosupport.org Employing a personal assistant If you want to use direct payments to pay for a personal assistant, we strongly recommend you contact Independent Lives with whom we have a contract to support such arrangements. We pay for them to advise, support and provide information to customers. Please see the ‘Useful contacts’ section at the end of this booklet for their contact details. Where appropriate, this organisation will give people one-to-one support to make sure they clearly understand the responsibilities of being an employer. 22 What happens if you don’t spend all the money? People can build up (accrue) money in their personal budget to make sure they are able to cover future costs and unexpected expenses. Accruals must be agreed by us. Currently, if you have more than eight weeks of your personal budget allocation which you have not spent, we will look into the reasons why this has happened. If you have a direct payment and the accrual has not been agreed with your social care worker, you will be expected to return this money to us. If you have a council managed budget (where we manage your personal budget) we may take back this money. Keeping people safe Everyone has the right to live a life free from abuse and neglect. We work hard to safeguard adults and children who are unable protect themselves. If someone has direct payments they should know about the arrangements in West Sussex for safeguarding adults and children. Please ask our staff if you would like more information. Council managed budgets A council managed budget is where we manage your personal budget for you and arrange your support. This can be because: l you want to use services provided by us, as our services cannot be purchased directly from us; l you do not want to manage the money yourself; l you are not able to consent to receive direct payments because you are not able to make decisions for yourself, and there isn’t a ‘suitable person’ who can manage the personal budget on your behalf; or 23 www.westsussex.gov.uk/social-care-and-health l you are in prison and not eligible for a direct payment. Please see the ‘Prisoner care and support’ leaflet for details of arrangements for prisoners by visiting our website www.westsussex.gov.uk and searching under ‘Adults’ social care publications’ or you can contact our Adults’ CarePoint and ask for a copy. See contact details at the end of the booklet. A council managed budget can be used for: l care provided in your home (domiciliary care) by an independent provider; l day care provided by an independent provider or by us; l residential or nursing home respite (short-term) care; l transport; or l outreach support, for example, practical support in your home or local community. You will need to discuss what support you need with the support broker in the Support Brokerage Team. This information will be included in your support plan. We will arrange the service, but you will need to agree with the provider how and when you want the service. We have arrangements that require us to give a provider at least four weeks notice if a service needs to be cancelled. If you wish to change your care provider it is important that you tell us in good time. If you wish to change some of your support arrangements at any time, please discuss this with the support broker in the Support Brokerage Team. If you would like more choice and flexibility in the way your support is provided it may be possible for you to receive direct payments for some of your personal budget. 24 11. Residential and nursing home care Wherever possible, care and support will enable you to continue living independently in your own home. Some people go into a care home, often at a time of crisis, because they are not aware of the care and support available in the community. You are advised to seek information about the options available to you. If you have high needs and your condition is complex and perhaps changes regularly (fluctuating), it may be that residential or nursing home care is the right option for you. Admission to a care home can be for a short-stay following a period in hospital, to provide respite or on a long-term basis. If you need to stay in a residential or nursing home it is important to make sure this is the right choice for you and you understand how much the care home may cost for the length of your stay. If you are funding the care home fees from your own savings/capital you are strongly advised to seek the help of an independent financial adviser specialising in long-term care. We want people to choose the best solutions to meet their needs and the Carewise care funding scheme can help you do this. Carewise provides information and advice about the range of available care and support options, and the most cost effective ways of paying for care. Carewise is a partnership between the County Council’s Adults’ Services and Trading Standards departments, Age UK West Sussex, the Society of Later Life Advisers, West Sussex Partners in Care, and a panel of Carewise-approved independent financial advisers. The locally-based independent financial advisers specialise in providing later life financial advice to help people afford the best quality care at home or in their preferred care home. They are independent of the 25 www.westsussex.gov.uk/social-care-and-health County Council and they offer advice from across the whole financial market. Age UK West Sussex provides information and advice about a wide range of issues affecting people in later life, including a free money advice service. Carewise aims to help you make the right choice about your care and support with the right funding solution for you. Please see ‘Useful contacts’ at the end of the booklet. You can of course, get advice from other financial advisers if you prefer. The West Sussex Care Guide also provides useful information and advice about care and support options and choosing the right type of care for you. It lists all the registered care homes and care providers in your area. Please visit our website: www.westsussex.gov.uk/careguide or contact our Adults’ CarePoint and ask for a copy. See contact details at the end of the booklet. We would also recommend asking for our leaflet called ‘Choosing and paying for care in a residential or nursing home’ and talking to us before making any final decisions. You can find the leaflet by visiting our website www.westsussex.gov.uk and searching under ‘Adults’ social care publications’ or you can contact our Adults’ CarePoint and ask for a copy. See contact details at the end of the booklet. 12. Reviewing your support We have a responsibility to regularly review your support with you. This is to make sure it still meets your social care needs and is what you and your family want. A review is an opportunity for us to discuss with you the support you are receiving. It is important that together, we make sure things are going well. Reviewing your support plan with you is one way of doing this. 26 Your first review will take place within three months of receiving your support. After this, you will have a review at least once a year, or more often if necessary. However, you can ask for a review at any time. We may not always need to meet with you for you to tell us how things are going. For example, if your needs have not changed and you are happy that your support is working well you may tell us about your situation by writing to us, emailing us, or phoning. We will check back with you to make sure that we have clearly understood what you have told us. If you have a support plan but you are not receiving long-term services or funded support from us, we will review your plan with you within the first three months. If everything is working well for you, we will provide you with details of how to contact us if anything changes. You can ask for a re-assessment or a review if things change for you or you need support for a longer period of time. Examples of where you may receive this type of support from us could be where you need support to help to keep you safe from risk of abuse or neglect, or while we are helping you to access other more relevant support. There will be a written record of your review that will show what we have agreed. A social care worker will explain the review process. We have a review leaflet ‘Is your support working for you? A guide to reviewing adult social care’ that has more information. Please visit our website www.westsussex.gov.uk and search under ‘Adults’ social care publications’ or contact our Adults’ CarePoint and ask for a copy. See contact details at the end of the booklet. 27 www.westsussex.gov.uk/social-care-and-health Family and friends carers 13. Understanding your needs as a carer A family or friend carer is a person who provides unpaid support to a partner, family member, friend or neighbour who is ill or disabled and could not manage without this help. A carer does not need to live in West Sussex to have an assessment of their needs, but the person they care for must live in the county. Carer’s self-assessment The carer’s self-assessment is designed to help people who are caring for someone to think about their personal circumstances – what is working well in their lives and what needs to change. It can be useful to complete the form if you are thinking about contacting us to ask about support. You will find the carer’s self-assessment form on the West Sussex Connect to Support website www.westsussexconnecttosupport.org. You can also contact our Adults’ CarePoint and ask for a paper copy of the form to be sent to you. See contact details at the end of the booklet. You do not have to complete a self-assessment form before contacting us. It is simply there to help you think about your situation. Carer’s assessment We want to make sure that people who regularly provide unpaid care are supported and have their needs and wellbeing taken into account. If you are a carer you are entitled to an assessment of your needs even if the person you care for has not been assessed or is not receiving any services from us. If you have completed a carer’s self-assessment, what you have told us will be included in your assessment. 28 Carers Support West Sussex carry our most of the carer’s assessments on our behalf. However, our social care workers will carry out a carer’s assessment in some circumstances; for example if a person’s needs are more complex or if someone specifically asks for a social care worker to carry out their assessment. You can contact Carers Support West Sussex and ask for an assessment or you can contact our Adults’CarePoint. See contact details at the end of the booklet. Your assessment can cover the following things. l your caring role and how it affects your life and wellbeing l your health –physical, mental and emotional issues l your feelings and your choices about your caring role l work, study, training and leisure l your relationships and social activities l what goals or outcomes you’d like to achieve l the suitability of your home l planning for emergencies If the person you care for agrees, we will invite you to take part in any discussions we have with them about their needs and how this affects you. The aim is to complete your assessment within 28 calendar days from the time you first contact Carers Support West Sussex or the County Council. 14. Meeting carer’s needs When deciding whether a carer has eligible needs we will take account of the impact your caring role has on your wellbeing. We will consider whether: l your needs arise as a result of providing necessary care. For example, the health and/or emotional wellbeing of the person you care for is likely to deteriorate if the care and support you provide stops. 29 www.westsussex.gov.uk/social-care-and-health the effect of your needs means that you are not able to achieve any of the outcomes listed in the ‘carers eligibility decision’ process set out below. l as a result of your caring role there is likely to be significant impact on your wellbeing l A carer’s needs are only eligible when they meet all three of these conditions. We will look at what you have told us and consider what support is available to you through your own networks and through community services provided by carer organisations that we fund. If your needs cannot be met in this way, we will work out how much money may be available for your support or we may provide additional support to the person you care for. Carers’ eligibility decision process The needs arise as a result of providing necessary care to an adult, and the carer is unable to achieve the following. Outcomes Wellbeing As a result of the carer’s needs, either: • the carer’s physical or mental health is, or is at risk of, deteriorating; or • the carer is unable to achieve any of the following outcomes. 1. carrying out any caring responsibilities the carer has for a child 2. any caring responsibilities for other people 30 As a consequence, there is, or is likely to be, a significant impact on the carer’s wellbeing including the following. A. personal dignity (including treatment of the individual with respect) B. physical and mental health and emotional wellbeing C. protection from abuse and neglect Carers’ eligibility decision process (continued) Outcomes Wellbeing 3. keeping their home clean and tidy 4. eating well – managing and maintaining nutrition 5. developing and maintaining family or other important personal relationships 6. accessing and engaging in work, training, education or volunteering 7. making use of facilities or services in the local community including recreational facilities or services 8. engaging in recreational activities 9. control by the person over day-to-day life (including over care and support provided and the way it is provided) 10.participation in work, education, training or recreation 11. social and financial wellbeing 12.domestic, family and personal relationships 13.suitability of living accommodation 14.the person’s contribution to society 31 www.westsussex.gov.uk/social-care-and-health If you are not eligible for funded social care support Even if you are not eligible to receive funded support from us, you will still be entitled to a carer’s assessment and information and advice about available services, including some support services which are free of charge. The West Sussex Connect to Support website www.westsussex connect tosupport.org has a wide range of information and advice to support carers. Also, Carers Support West Sussex provide a range of services to carers and have a wealth of knowledge about support that is available across all areas of the county. See contact details at the end of the booklet. 15.Continuity of care – what happens if I move out of West Sussex? If you decide to move out of West Sussex to live in a different local authority area and you have been assessed by us as having eligible needs, we will work with your new local authority to make sure that there is no interruption to your support after the move. If you move out of West Sussex but the person you care for stays within the county, we will continue to provide support to you. 16. Planning your support Working out how much money you need We use the information from your assessment to work out how much money is available to meet your needs. We make sure it is a fair way to allocate money to anyone needing support and we use the same method for everyone – this is called the ‘resource allocation system’. The money you receive is called your personal budget. 32 What’s in your support plan? The plan must include: l your eligible social care needs; l what outcomes you want to achieve for each of your needs; l whether or not you need help to achieve these outcomes; and l what help you need to achieve your outcomes. This will include support that we have agreed to provide. 17. Carer’s personal budget If your needs are being met by funded social care support then you will have a personal budget. This will usually be made with a one-off direct payment . See Section 10 for information on direct payments. You might want to use a direct payment to pay for a community service that helps you take a break from caring or perhaps gym membership or a piece of equipment that would make your life easier. 18. Reviewing your support If you have a carer’s support plan we will contact you within the first three months to check whether your needs have been met. If everything is working well for you, we will provide you with details of how to contact us if anything changes. If you feel your needs are not being met we will look again at what additional support you may need. 33 www.westsussex.gov.uk/social-care-and-health People with social care needs and family and friends carers 19. Appealing against our decisions An appeal is a way of asking for a review of a decision and will make sure you get a quick response. It is one way of dealing with concerns or complaints. Appeals can be made by a customer’s representative, for example a relative, carer or someone with Power of Attorney. Someone else can also appeal on behalf of a customer with the customer’s consent. If you are not happy with a decision taken about the following issues you can appeal. l Eligibility for funded social care; l Self- assessment; l Assessment; l Financial assessment – any discretionary charges; l Support planning; and l The amount of money you have been given to meet your social care needs. If you need assistance to make an appeal please contact us and we will help you find an advocacy service (someone who will act on your behalf). See section 7 for more information about advocacy. If you would like more information about the appeals process you can ask your social care worker, visit our website www.westsussex.gov.uk and search under ‘Adults’ social care publications’ for a copy of our leaflet or contact our Adults’ CarePoint. See contact details at the end of the booklet. 34 The appeals process does not affect your right to contact the Local Government Ombudsman at any time. However, they will only usually investigate a complaint after you have given us a chance to deal with it ourselves first. See ‘Useful contacts’ at the end of the booklet for the Local Government Ombudsman contact details. 20.Give us your views Comments, compliments and complaints We try to make sure that we always provide a high-quality service, but we know that there may be times when you are not entirely satisfied. If you are not happy or are worried about your situation, tell someone you feel might be able to help you. The person from our service you have been in contact with, or their manager, is often the best person to help you. Or, contact our Customer Relations Team for adults. See contact details at the end of the booklet. Please let us know if you have found our services useful, or if we could improve them. Healthwatch West Sussex You can also feedback about our services through Healthwatch West Sussex. Your suggestions will help us improve our services. Healthwatch is a consumer champion for health and social care. Healthwatch represent patients, customers, and public interests locally and nationally. It is independent of local councils and the NHS. You can contact Healthwatch West Sussex by phoning 0300 012 0122 or visiting www.westsussex.gov.uk and searching for ‘Healthwatch’. 35 www.westsussex.gov.uk/social-care-and-health 21. Contact us To find out more information about anything you have read in this booklet or to see how social care support can help you, please contact our Adults’ CarePoint. See contact details at the end of the booklet. To see other information leaflets about our services, please visit www.westsussex.gov.uk and search for ‘Adults’ social care publications’ or contact our Adults’ CarePoint. See contact details at the end of the booklet. 22. Useful contacts Care Quality Commission – South East Citygate, Gallowgate, Newcastle upon Tyne, NE1 4PA Phone: 03000 616161 Fax: 03000 616171 Email: [email protected] Website: www.cqc.org.uk Carers Support West Sussex The Orchard, 1–2 Gleneagles Court Brighton Road, Crawley, West Sussex, RH10 6AD Phone: 0300 028 8888 Email: [email protected] Website: www.carerssupport.org.uk Carewise – care funding advice Phone: 01243 642121 Website: www.westsussexconnecttosupport.org/carewise 36 Department of Health Richmond House, 79 Whitehall London SW1A 2NS Phone: 020 7210 4850 Text phone: 020 7210 5025 Fax: 020 7210 5952 Website: www.dh.gov.uk Disabled badge car – Blue Badge Blue Badge Team, PO Box 859 Bognor Regis, West Sussex, PO21 9HT Phone: 01243 777653 Fax: 01243 777324 Email: [email protected] Website: www.westsussex.gov.uk/bluebadge Independent Lives Southfield House, 11 Liverpool Gardens, Worthing West Sussex, BN11 1RY Phone: General/Helpline: 08456 0123 99 Text Phone: 01903 823173 Fax: 01903 227811 Email: general:[email protected] Website: www.independentlives.org The Local Government Ombudsman PO Box 4771, Coventry, CV4 0EH Phone: 0300 061 0614 Website: www.lgo.org.uk/making-a-complaint 37 www.westsussex.gov.uk/social-care-and-health Meals on Wheels Apetito Phone: 0808 250 8950 Email: [email protected] Website: www.mealsonwheels.info NHS Coastal West Sussex Clinical Commissioning Group 1 Causeway, Goring-by-Sea, Worthing, West Sussex, BN12 6BT Phone: 01903 708400 Website: www.coastalwestsussexccg.nhs.uk NHS Crawley Clinical Commissioning Group Crawley Hospital, West Green Drive, Crawley, West Sussex, RH11 7DH Phone: 01293 600300 ext. 4255 Website: www.crawleyccg.nhs.uk NHS Horsham and Mid Sussex Clinical Commissioning Group Crawley Hospital, West Green Drive, Crawley, West Sussex, RH11 7DH Phone: 01293 600300 ext. 4255 Website: www.horshamandmidsussexccg.nhs.uk My Network My Network provides information, advice and support for people with learning disabilities. For all the contact details of your local network point please visit our website www.westsussex.gov.uk/mynetwork Or contact our Adults’ CarePoint. See contact details at the end of this booklet. 38 Prevention Assessment Teams Western - Chichester District and Bognor Regis area. Phone: 01243 642370 l Southern - Littlehampton, Worthing and Shoreham area. Phone: 01273 268900 l Northern - Crawley, Horsham and Mid Sussex area. Phone: 01403 229510 l Wellbeing Hubs For all the contact details for your local Wellbeing hub please visit www.westsussexwellbeing.co.uk Or contact our Adults’ CarePoint. See contact details at the end of this booklet. West Sussex Connect to Support A website for providing information and advice about a range of ways to help people live independently which includes an online market place. www.westsussexconnecttosupport.org 39 www.westsussex.gov.uk/social-care-and-health Contacts for Social Care Adults’ CarePoint 2nd Floor The Grange, County Hall, Chichester, PO19 1RG Phone: 01243 642121 Typetalk: 018001 01243 642121 Email: [email protected] Carers Support West Sussex The Orchard, 1–2 Gleneagles Court, Brighton Road, Crawley, RH10 6AD Phone: 0300 028 8888 Email: [email protected] Web: www.carerssupport.org.uk Customer Relations Team County Hall, Chichester, West Sussex, PO19 1RQ Phone: 01243 777100 (ask for the Customer Relations Team) Textphone: 18001 01243 777100 Email: [email protected] Mental Health Recovery and Wellbeing Teams For information and details of your local team, please contact your GP or Adults’ CarePoint. See above for contact details. 40 Community Learning Disability Teams l l l Western (Chichester and Bognor Regis areas) Durban House, Durban Road, Bognor Regis, PO22 9RE Phone: 0330 222 7778 Email: [email protected] Coastal (Littlehampton, Worthing and Shoreham areas) Centenary House , Durrington Lane, Worthing, BN13 2QB Phone: 0330 222 7888 Email: [email protected] North (Crawley, Horsham and Mid Sussex areas) County Hall North, Chart Way, Horsham, RH12 1XH Phone: 01403 229129 Email: [email protected] 41 www.westsussex.gov.uk/social-care-and-health Notes 42 W E S T SU SS E X | Care Funding Advice Information and advice to help you make the right choices and ease the worry of paying for care. • Help to consider your care options • Money advice and benefits check • Comprehensive care services information • Approved care fee specialists Phone: 01243 642121 Website: www.westsussexconnecttosupport.org/carewise Email: [email protected] Looking for care in West Sussex? If you are looking for care services in West Sussex, the care guide will certainly be of help. The guide lists domiciliary care (care at home services) and care homes in West Sussex. As well as a benefits and payments checklist, it also includes information on day care and community care services, extra-care housing schemes and support for carers. To find out more, please see a copy of the care guide, visit our website at www.westsussex.gov.uk/careguide or phone 01243 642121. 43 Adults’ CarePoint 01243 642121 [email protected] www.westsussex.gov.uk/ social-care-and-health Second Floor The Grange County Hall Chichester West Sussex PO19 1RG Other formats If you would like more copies of this booklet or you need this information in another format, for example, on audio CD, easy read or in another language, please contact us. Please see our contact details above. Current versions of all our public information are available on our website www.westsussex.gov.uk under ‘Social care publications’. Copyright © 2011 West Sussex County Council 44 www.westsussex.gov.uk WS463 July 2016
© Copyright 2025 Paperzz