Carers - People who look after others Accessibility This document is produced in 16 point Arial Font and should be compatible with most screen readers. If you need the information in larger print, another language, or in another format, such as Braille or audio please telephone 01228 227113. Textphone users should dial 18001 before the number given above. Alternatively you can email your request to [email protected] Who is a carer? Carers are people who look after others, providing care or essential support to people who are unable to do everything for themselves. Carers may be relatives of the person they look after or they might be a friend or neighbour. They may or may not live with the person they look after. The amount of care or essential support they provide will vary in terms of the sort of things they do and how much time they spend doing it. When we talk about care, caring and looking after someone we mean things like personal care, physical or practical help; help with medical matters or supervising someone who is at risk. While carers may be eligible for state benefits, they are not paid for the care they provide. We know that most care or essential support is carried out by family, friends and neighbours. They simply get on with doing what needs to be done to support the person they look after often without thinking of it as caring or seeing themselves as a 1 carer. We are committed to supporting carers as we recognise what they do is very important. Can all carers get help or support? To be eligible for a carers’ assessment, an assessment of your needs as a carer, you should be providing (or intending to provide) care for an adult or a child with one or more of the following: physical disabilities; visual impairments (blindness) or hearing impairments (deafness); learning disabilities; mental illnesses (like dementia, depression and schizophrenia); drug and/or alcohol related problems. If you fit this description of a carer and think that we may be able to help you, the following sections of this booklet will tell you: • the range of services and support that may be available; • how to apply for a carers’ assessment; • the different ways in which services and support can be arranged; • where and how to find out more information that might help you. How do I find out more? To find out more, you can either: contact staff at your local Cumbria County Council Adult Social Care office; speak to your social worker, occupational therapist or community psychiatric nurse (if you have one); or contact an organisation that supports carers which is local to you. 2 You’ll find contact details for our offices and the organisations that support carers at the back of this booklet. If you (or the person for whom you care) do not currently have a social worker, you can contact our staff at your local office. They will ask you for some details about yourself and the person for whom you care (if they would like to be involved) and will arrange for someone to visit you. This may be: • a social worker, occupational therapist or social care worker (from Cumbria County Council); • a carers support worker (from one of the organisations that support carers). If you want to, you can apply online for a carers’ assessment at: www.cumbria.gov.uk/healthandsocialcare/adultsocialcare/ applyforsupport/referrals.asp What help is available? The support we can arrange for carers includes: help to plan what would happen if an emergency meant you were unable to look after the person you care; extra help for the person you care for; breaks which offer you time away from caring; support to help you care and to maintain your health and wellbeing; information and advice; emotional support. Information about these follow in this booklet but it is worth noting that any help provided will be subject to assessment. Depending on the service or support we may need to do an assessment of your needs (a carers’ assessment), an assessment of the needs of the person you care for, or both. Research we did with carers in 2012 gave a clear message that having their needs identified by a carers’ assessment, and being involved in decisions about the needs of the person they 3 care for are important. By assessing your needs as a carer we can get a complete picture of your situation and help you plan support that will benefit you and the person you care for. Support that is directly for a carer is usually free but there may be a charge for any services provided for the person you care for, such as home care or residential respite care. Help to plan what would happen if an emergency meant you were unable to look after the person you care for When we asked carers about what was important to them they told us having services or support in an emergency was key. Carers in Cumbria, looking after an adult relative or friend can get a Carers’ Emergency Card. The card allows the emergency services, or others present in an emergency, to contact a 24hour response centre who can make sure the person you care for is looked after. Carrying the card with you can provide peace of mind that the person you care for won’t be left without support if something unexpected happens to you. To find out more, ask for a copy of our ‘Carers’ Emergency Card’ leaflet or contact the organisation that supports carers in your local area. Breaks Carers can sometimes feel guilty about taking a break or needing help. However, caring for someone can be like being on duty ’24/7’ – so it is completely understandable that sometimes carers need a break to give them time off. Breaks allow carers the space and time to: • take part in work, learning or leisure • pursue their personal interests • attend medical or other essential appointments • get some rest, sleep or ‘recharge their batteries’. Breaks can be arranged on a one off basis, in an emergency or planned as a regular arrangement. During the break the person you look after can be cared for either at home or somewhere else, offering them a ‘change of scenery’ or the opportunity to socialise with other people. Breaks can last for: 4 short periods of time, such as a few hours in the case of a sitting in service or day care; longer periods of time, such as an overnight stays in a residential or nursing home. To give you more control and choice, you may be able to arrange your own breaks using a Carers Budget. Respite care can only be arranged through an assessment of the needs of the person you care for. There is more information about Carers Budgets later on in this booklet. Support to help you care and maintain your health and well-being There are many ways in which we can support you to care for someone and to help you maintain your own health and wellbeing. These include: • home care to carry out personal care for the person you look after - this can include helping them get up, washed and dressed, eat meals or go to the toilet; • practical care and support to help you – this can include support to go shopping, preparing meals and essential cleaning; • occupational therapy advice about equipment and adaptations in the home of the person to help you care for them; • telecare alarm systems; • car badges for disabled drivers and passengers. • We will discuss the range of support available to you after your carers’ assessment when we agree your support plan. You can find more information about carers assessments and support plans further on in this booklet. 5 Information and advice We can provide information and advice about a range of topics, such as: services or support available for you as a carer, for the person you look after, and how you can access these; organisations who specialise in supporting carers in Cumbria; what benefits are available, who might be entitled to them and where you can apply for them. Even if you feel you do not need help at the moment, you may want to know what kind of things might be available for you if you did. If we cannot help, we will put you in touch with someone who can. There are a number of organisations that support carers located across the county which Cumbria County Council gives funding to. They have trained carer support workers who will provide you with information tailored to your needs or circumstances. Their details are listed near the end of this booklet. There is also information available on our website at http://www.cumbria.gov.uk/healthandsocialcare/adultsocial care/carers/carers.asp and you can also access the Cumbria Support Directory, an on-line directory of services available in Cumbria at www.cumbriasupportdirectory.org.uk. If you don’t have access to the internet at home it is available at every public library in Cumbria for a small charge. You can use it for up to one hour per day, free of charge, if you are a library member and one or more of the following is true. You are: • unemployed or on a low income; • disabled; • over 60 years old; • a student. 6 Emotional support Carers have told us that emotional support is one the most important services that can be provided. Whilst there are many positive and rewarding aspects to caring, the emotional demands of someone being dependent on you can be very challenging. It is common to feel lonely or isolated, some carers feel that nobody listens or gives time to hear about the things they need. Feelings of anger, being trapped by responsibilities and guilt about needing help are all things carers experience often. It is normal, and quite understandable, that you might feel like this. Try not to let negative feelings build up – ask for help or, if you don’t feel you need help now, make sure know what help is available in case you do. Our staff can help you talk about how caring is affecting you emotionally. Alternatively, you can talk to the organisation that supports carers in your local area, your doctor, First Step or the Samaritans. Contact Samaritans 08457 909090 First Step 0300 123 9122 The organisation that supports carers in your local area can tell you about groups where you will be able to meet with other carers. Some provide telephone help-lines so you can talk to someone who understands your situation if you want to. Many carers outlive the person they look after, or face great changes when the person they look after goes into a residential or nursing home. If you are in this situation you might need some help to adjust to your change in lifestyle. You may need counselling following a bereavement or ongoing support. You can get details on how to get emotional support from one of the organisations who support carers, or from your local Adult Social Care office. 7 What happens once I have contacted Adult Social Care? When you contact Adult Social Care you will be offered an assessment of your needs – this will focus on what ‘outcomes’ you want to achieve – thinking about your quality of life and what you feel is a priority for you. A carer support worker, or a worker from Adult Social Care, will carry out the assessment. They will work with you to decide on a support plan that addresses your needs. Your assessment does not have to be a ‘one off’ – you can ask for a follow up assessment at another time if you want this. Your worker will also tell you what arrangements they will make to review any services or support arranged, this will be at least once a year. We may also involve workers from Children’s Services: if you are a young person looking after an adult (a young carer); or if you are looking after a disabled child or young person. Some carers, for example, those who are themselves disabled, may be eligible for an assessment of their needs in their own right. What is a carers’ assessment? A carers’ assessment is where a carer support worker, or worker from Adult Social Care, sits down with you to discuss your situation as a carer, your quality of life, and what aspects day-to-day life you feel you need help with. The assessment should help you think about what it is you would like to be different in your life and decide what outcomes are important to you as a carer. You can then agree a support plan detailing how the outcomes might be achieved. The discussion can include many areas depending on your specific circumstances and those of the person you look after. It might cover things like: 8 Your role as a carer • the care you provide and the impact this has on you emotionally, physically and financially; • the amount of time you spend caring and what, if any, breaks you are able to have; • involvement in discussions and decisions about the person you care for; • arrangements that may be needed if there is an emergency or unplanned event; • any practical and emotional support you already have; • other responsibilities you might have as well as being a carer, like a job or other family commitments; • what information or advice you need about being a carer or about the illness or condition affecting the person you care for; • a need for advocacy (support to help you make your views known); • your future role as a carer. Your health and well-being • your physical health, well-being and safety; • your mental well-being and relationships with others. Practical matters your accommodation and that of the person you look after if they don’t live with you; financial issues including discussion of any charges for services or support and Carers Budgets. Work, learning and leisure • your work and your preferences for work in the future; • life-long learning – your education and training needs; • leisure activities or hobbies you have or would like to have. The future arrangements to review your assessment after a period of time; 9 what to do or who to notify if circumstances change for the worse or for the better; information or advice you might find useful at a later date; your right to complain and see records relating to yourself. It helps if you are able to prepare for a carers assessment, but it’s not essential. If you want to, you can ask one of the organisations that support carers in your local area to help you prepare. The lists above are a guide as to what to think about and what sort of things might be discussed. If you forgot to mention something important during the assessment, or if circumstances change, you can always contact the person who did your assessment to discuss this. What is a support plan? A Carers Support Plan is a document listing the needs and outcomes you have identified and explaining what services or support will best to meet them. When we talk about a support plan in this leaflet this is what we are referring to. Your worker will draw up and agree your support plan with you or you can produce your own. The plan will tell you: • what services or support you will get, and who will provide them; • how often you will get services or support, and for what period of time; • who is responsible for arranging these, you can arrange your own or your worker can do it for you; • when the services or support will be reviewed, to make sure your needs continue to be met and who to contact if circumstances change in the meantime. You will be given a copy of your support plan. 10 I would like my support to be flexible could a Carers Budget help me? You can choose how much control you have over the arrangement of your support – and there are a number of ways that support in your plan can be arranged: your worker can make the arrangements for you; you may be able to receive a Carers Budget to allow you to arrange your own support (this would be separate from any direct payment the person you care for might receive); you can choose a combination of any, or all, of the above. Carers Budgets are delivered via a prepaid card to allow you to arrange your own support. There is more information about prepaid cards on page 12. Carers Budget A Carers Budget is where we give you an agreed amount of money to help pay for the support needed to achieve the outcomes identified during your carers’ assessment. Carers Budgets can give you, as a carer, more choice and control over the support you arrange. If you are eligible for a Carers Budget, it will be paid to you as a carer for the sole purpose of paying for services that you need to enable you to continue to care, it is not for the person you care for. Your desired outcomes will be identified in your Carers Support Plan and may be met from a variety of activities, community resources and a carers Budget. Whether you are eligible for a Carers Budget or not depends on how your role as a carer affects you. It is not directly related to the needs of the person you care for and you may be eligible for a Carers Budget even if the person you care for does not get help from Adult Social Care. There are some conditions to having a Carers Budget and these are explained below. A Carers Budget might be used for things like: 11 • participating in activities during a break from caring; • participating in activities that enable you to continue caring; • education or training; • helping you into employment. You must spend your Carers Budget on the services or support you have been assessed as needing which are stated in your Support Plan. You cannot use a Carers Budget for other things such as: clothes and food; savings; respite care; care provided by close relatives of the person you look after, other than in exceptional circumstances; or to pay for things you have already bought to enable you to continue caring. Pre-paid Cards A prepaid card looks like a debit card but works like a card you might purchase from a supermarket or department store in that it is pre-loaded with an amount of money. It is given to you by Adult Social Care, for you to pay for the social care support identified in your support plan. Pre-paid cards are available for carers who have been assessed as needing support. You can use the card to pay for your own support. If you would like more information about prepaid cards please contact one of the organisations who support carers, or your local Adult Social Care office. What happens to the information you have about me? We need to keep information about you in our records so we can carry out our duties and arrange support that is suitable for you – some of this information will be personal. It will always be held securely, usually on computer but sometimes in a written file. 12 We may need to share information about you with others such as the Health Service, one of the organisations that support carers in your local area or people who will provide support to you. Generally we will ask for your permission before we do this. However, there are some circumstances where we are required by law to share information about you without your consent. This would include times where someone, either an adult or a child, is potentially at risk and we need to make them safe. You have the right to ask to see information we hold about you. If you would like to do this you can make a request in writing to: Access to Records Requests Complaints and Information Team Adult Social Care Civic Centre CARLISLE Cumbria CA3 8QG How do I contact Adult Social Care? Adult Social Care You can contact the Adult Social Care team local to you using the details below: Allerdale [email protected] North Allerdale - 01228 223450 South Allerdale - 01900 706301 Keswick - 01768 812243 Carlisle [email protected] Carlisle East - 01228 227040 Carlisle North - 01228 227033 Carlisle West - 01228 221590 13 Copeland [email protected] North Copeland - 01946 506352 South Copeland - 01946 506269 Eden [email protected] Eden West (including Keswick) - (01768) 812243 or 812233 Eden South - (01768) 812089 or 812231 Eden North - (01768) 812241 or 812253 Furness [email protected] Furness East - 01229 407874 Furness North - 01229 407444 Furness West - 01229 407446 South Lakeland [email protected] Kendal - 01539 713378 or 01539 713343 South Lakes Rural - 01539 713111 or 01539 713334 Help in an emergency If you have an emergency during office hours, contact us on the number we give you or get in touch with your local Adult Social Care team. Offices are open 9.00am to 5.00pm Monday to Thursday and 9.00am to 4.30pm on Friday. If you have an emergency when our offices are closed, ring our Urgent Care Team on 01228 526690. They cover the whole of Cumbria and work overnight, at weekends and bank holidays. Textphone users, please use Typetalk by dialling 18001 followed by the number you wish to speak to. You can find out more about Cumbria County Council’s services on our website at: www.cumbria.gov.uk/healthandsocialcare/adultsocialcare/ default.asp 14 www.cumbria.gov.uk/healthandsocialcare/adultsocialcare/ carers/carers.asp and you can also access the Cumbria Support Directory an on-line directory of services available to everyone at www.cumbriasupportdirectory.org.uk. Please note if you don’t have access to the internet at home, or through a friend or relative, it is available at every public library in Cumbria. People who would like a carers’ assessment can apply online at: www.cumbria.gov.uk/healthandsocialcare/adultsocialcare/ applyforsupport/referrals.asp How do I contact the organisations that support carers in my local area? Carers’ organisations There are five carers’ organisations in Cumbria can provide a wide range of information, support and practical help. Contact the organisation nearest to your local area. Details are given below: Carlisle Carers Carers Resource Centre, 1st Floor, Fusehill Medical Centre, Fusehill Street, Carlisle, CA1 2HE Tel: 01228 542156 Email: [email protected] Wed: www.carlislecarers.com/ Eden Carers The Office, Mardale Road, Penrith, CA11 9EH Tel: 01768 890280 Email: [email protected] Wed: www.edencarers.co.uk Furness Carers Hindpool Community Centre, Nelson Street, Barrow-inFurness, LA14 1NF Tel: 01229 822822 15 Web: www.furnesscarers.co.uk South Lakeland Carers Eskdale House, Shap Road, Kendal, LA9 6DQ Tel: 01539 815970 Email: [email protected] Wed: www.slcarers.org.uk West Cumbria Carers Suite 7F, Lakeland Business Park, Lamplugh Road, Cockermouth, CA13 0QT Tel: 01900 821976 Email: [email protected] Wed: www.westcumbriacarers.co.uk Making Space Making Space exists to help all those affected by schizophrenia and other forms of serious and enduring mental illness. This includes people with mental health problems, their carers and family members. There are offices across Cumbria in: Making Space – Allerdale Park Lane Clinic, Park Lane, Workington, CA14 2RR Tel: 01900 67700 Email: [email protected] Making Space – Eden Community Mental Health Team, Penrith Hospital, Bridge lane, Penrith, CA11 8HX Tel: 01768 866295 Email: [email protected] [email protected] Making Space – Carlisle First Floor Offices, Victoria House, Victoria Viaduct, Carlisle, CA3 8AJ Tel: 01228 548421 Email: [email protected] or 16 [email protected] or [email protected] Making Space – Furness Duddon House, Fairfield Lane, Barrow-in-Furness, LA13 9AZ Tel: 01229 871233 Email: [email protected] Making Space – Copeland 13-15 Market Place, Whitehaven CA28 7JB Tel: 01946 591414 Email: [email protected] or [email protected] Making Space – South Lakes Kinta House, Helme Close, Kendal, LA9 7HY Tel: 01539 735210 Email: [email protected] Stroke Association Stroke Association support stroke survivors, families and carers. Stroke Association – Carlisle and Eden Tel: 07739 746 098 or 07739 746 097 Email: [email protected] or [email protected] Stroke Association – Furness Tel: 07739 746 099 Email: [email protected] Stroke Association – Copeland and Allerdale T: 07739 746 095 or 07739 746 096 E: [email protected] or [email protected] 17 Stroke Association – South Lakes Tel: 07739 746 100 Email: [email protected] Compliments, Concerns, Comments and Complaints Adult Social Care welcomes all feedback about our services. If you have a compliment, concern, comment or complaint about our services, or a decision or action we have taken, then please let us know about it. We will try to use the feedback you provide as a way of improving our service to you and to others. To let us know about compliments, comments, concerns or complaints please contact: Complaints and Information Team Adult Social Care Civic Centre CARLISLE Cumbria CA3 8QG Telephone: 01228 227140 Email: [email protected] This information was updated in July 2013 18
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