Cornwall Partners In Care  Cornwall Partners In Care
Cornwall Partners in Care (CPIC) has been set up to represent all voluntary and independent care providers in Cornwall.
Recently formed with assistance from European funding it has for the first time created a sector voice for the County. In a climate of reduced financial support from the Department of Adult Social Care we will be working to
- Promote quality of service
- Maintain diversity of provision and choice
- Bring affordable and accessible training to those working in care
- Increase public and political awareness of the needs of service users in Cornwall
- Draw funding into the sector
There is much concern felt for those in need of care and relatives and friends who support them. Cornwall Partners in Care will address these concerns as it works in partnership with the Local Authority and Health to ensure effective use of resources.
As changes in the commissioning of social care unfold, Cornwall Partners in Care will be engaging and negotiating with The Department of Adult Social Care and the The Primary Care Trust to ensure continuity of services across Cornwall and to provide a voice and support for voluntary and independent care providers.
Gillian Fairhurst,Chair, Cornwall Partners in Care
Website: www.cornwallpartnersincare.com
 One Cornwall - A unified Council for all  One Cornwall - A unified Council for all
A unified council for Cornwall A unified council for Cornwall will be a new council that covers the whole of Cornwall. It will take the very best elements from the six existing District and Borough Councils (Carrick, Kerrier, Restormel, Caradon, Penwith, and NorthCornwall) and Cornwall County Council to create a streamlined and more efficient Council. Why are things changing? This is a real opportunity to improve the quality of services and how they are delivered locally. Along with other councils across the country, Cornwall has committed to streamlining existing procedures to ensure better value for money, improved services, greater flexibility for local communities and ultimately, a stronger voice for Cornwall. When will this happen? The new unified council will begin in April 2009. Elections are expected in May 2009. How will it affect me? It is of vital importance that council services are not disrupted, and from April 2009 most people will continue to receive the same or higher standard of services - they will simply be provided by a different authority. Where can I find out more? email: onecornwall@cornwall.gov.uk phone: 01872 322 000 web: www.onecornwall.gov.uk
 CareAware  CareAware
CareAware is a non profit making, public information and advisory service specializing in issues relating to long term care for older people. CareAware’s objective is to improve public understanding and knowledge about the care system, to reinforce the rights and choices of the individual and to assist the public in making informed decisions.
CareAware was established to fulfill the role of providing independent advice on matters of care and to do so from the perspective of the individual in need.
CareAware have been offering advice and support since 1996 and the service includes a comprehensive literature library, a 150 page website and a dedicated Helpline service handling enquiries on all aspects of care.
- Assistance is offered to residents and families
- Community groups, charities and The Department of Adult Social Care Departments
- Solicitors, and all care professionals.
CareAware launched an “Advocacy Service”, which is designed to ensure that the resident and their family have access to all independent help and information they will need in dealing with a long term care need. It also assists you the care providers in meeting the advocacy requirement of National Minimum Standards.
The Advocacy service has no cost or obligation to for the end. It co-ordinates access to the UK’s leading specialists on care issues, and is essential for negotiating the care maze.
Julie Emmott, CareAware
Web: www.careaware.co.uk
 NHFA - Taking the Worry out of Paying for Care  NHFA - Taking the Worry out of Paying for Care
The funding of care fees is a complex area, for example financial benefits, funding and support can come from welfare benefits, local authorities and your PCT. Even if you are self-funding your care, you may still be entitled to some State assistance towards the costs. You may also need to understand the financial products specifically designed to meet care costs and preserve capital as far as possible. For advice and information call the Free Care Advice Line on 0800 99 88 33 or visit www.nhfa.co.uk

General
 Cornwall County Council and RightCareIndex  Cornwall County Council and RightCareIndex
We are proud to work closely with Cornwall County Council, it means we can reflect news from your area and also reach you with information you require directly. Our relationship is such, that as of 2009 we have sole distribution through the Dept of Adult Social Care for three years.
Welcoming the development of the new Index, Nigel Walker ( Lib Dem), the Council's Executive Member for Adults, said

"It is important that people are aware of the wide variety of care services which are available in Cornwall. The RightCare Index will provide people with easy access to this information and I hope that it will be well used. "

The RightCareIndex is available through Cornwall County Council Dept for Adult Social Care, contact your local office in Bodmin, Camborne, Liskeard, Launceston, Penzance, St Austell, Truro and they will assist. Call 01872 322000 for details of your nearest office.
 Adult Social Care - Main Services  Adult Social Care - Main Services
With all the services Adult Social Care Provide:
- They will assess your needs. You can have a written copy of this assessment if you want.
- They will give you as much choice and independence as they can.
- They will listen to what you say about the service you want, and do their best to provide it.
- They will make sure the services you get are what you need.
- They will review the services you receive at least every 6 months. This will help make sure they are still right for you.
- They will keep your details confidential, and only share them with other people who need to work with you.
- If you have to wait for a service, they will tell you when you can have it.
Charter for People with Care Needs in Cornwall - Better care, Higher Standards’ 2005
 Single Access to Services - A One Stop Shop  Single Access to Services - A One Stop Shop
Anyone who feels that they may require help from Adult Social Care can ask for an assessment. An assessment means that someone from Adult Social Care will visit you, usually at home or in hospital, to discuss your situation, and to work out with you what help would be appropriate to meet your needs.
Cornwall’s Department of Adult Social Care use eligibility criteria laid down by the Government to assess people wishing to receive services. This assessment process is called Fair Access to Care Services (FACS), and its aim is to focus services on those people in greatest need.
When your needs are assessed, the Department considers the following areas, which are seen as central to maintaining your safety, well-being and independence:
- Your ability to make choices
- Your health and safety
- Your management of daily routines
- Your involvement in family and community life
- Your carers’ circumstances
Should I ask for an assessment?
Adult Social Care will assess your need for services if you are an adult with:-
- physical disability, or a long-term illness
- sight or hearing loss
- learning disability
- mental health problem
Or if you are:-
- an older person and frail
- a carer
You can ask a friend, relative or your GP to contact us on your behalf if you are in hospital, the nursing staff can arrange for Adult Social Care to contact you, either during your stay in hospital, or on your return home.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Assessing Your Needs’ leaflet, ref: ASC14
 Fair Access to Care Services  Fair Access to Care Services
Fair Access to Care Services is a government framework for setting eligibility criteria for adult social care. The framework is based on service users’ and carers’ needs using the Assessment of Needs Framework as being Critical, Substantial, Moderate or Low.
Currently Cornwall County Council is not able to provide services to those people who have been assessed as having needs in the low or moderate band. However people will be referred or re-directed to appropriate organisations. The band of care is determined in the assessment.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Assessing your needs - Fair Access to Care Services’ ref: ASC/14
 Direct Payments Scheme  Direct Payments Scheme
Direct Payments are regular monthly payments from the County Council to enable you to employ your own staff for your personal care, instead of receiving help arranged by the County Council. In Cornwall this used to be arranged by the The Departmentof Adult Social Care whose work is now split between the Department of Adult Social Care and the Department for Children, Young People and Families.
Anyone can ask for Direct Payments, once they have completed an assessment, and that assessment confirms that they need services. It is then up to the service user’s Care Manager to decide whether to make Direct Payments available or not. In making this decision, the Care Manager must consider if the service user’s needs are best met by Direct Payments, and if there are sufficient resources available.
Where Direct Payments are not offered, the reason for this will be clearly be explained. People who may receive Direct Payments include people with a physical disability, older people, people with a learning disability, people with mental health needs and children with a disability.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Direct Payment Scheme’ leaflet, ref: ASC15
 Compliments, Comments and Complaints  Compliments, Comments and Complaints
Care Providers need to know what they are doing right and what they are doing wrong. You should feel able to express your views and if necessary voice complaints about the services you have or are receiving.
Care Providers need to know what they are doing right and what they are doing wrong. You should feel able to express your views and if necessary voice complaints about the services you have or are receiving.
There is a legal requirement for providers to comply with the National Minimum Standards which means a simple and accessible complaints procedure. Ask your care provider for more details.
To compliment, Comment or complain about care provided by the Adult Social Care you can email asc.complaints@cornwall.gov.uk, or call 01872 322 316 and ask for the complaints manager.
If you wish to complain about a service arranged by Adult Social Care but provided by another agency, for example residential care, personal care or meals at home, you should initially speak to the agency directly.
However, if you do not receive a satisfactory response, Adult Social Care will look into the complaint on your behalf.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘How to make a comment, compliment or complaint’ leaflet, ref: ASC19
Contact the Complaints Manager by phone on 01872 322655, or write to the Complaints Manager at Department of Adult Social Care, FREEPOST, Truro, TR1 3ZZ or email at asc.complaints@cornwall.gov.uk
 Rapid Assessment Teams  Rapid Assessment Teams
The Rapid Assessment Team, known as RATs, have been formed out of a joint Health and DASC initiative. There are 6 RAT teams, whose function is to:
- Help prevent avoidable hospital admissions;
- Assist early complex discharges or transfers;
- Provide intensive rehabilitation at home;
- Access specialised equipment swiftly for use in the home.
To do this, the RAT teams may do some or all of the following:
- Arrange short term care intensive packages including night sitting;
- Provide Physiotherapy or Occupational Therapy programmes at the patient’s own home, with the therapist assisted by the Rehabilitation Care Assistants;
- Provide intensive nursing support within the patient’s own home, complementing and enhancing the existing District Nurse teams;
- Swiftly deliver specialised equipment to the patients home
A Rapid Assessment Team will usually work with someone for a maximum of seven working days, work received during this period is free.
Anyone can make a referral, including carers and health care professionals by calling 01872 224 400.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Rapid Assessment’ leaflet, ref: SSP/165
 Patient Advice and Liason Service (PALS)  Patient Advice and Liason Service (PALS)
Patient Advice and Liaison Service or PALs provide:-
- Confidential advice and support to patients, families and their carers
- Information on the NHS and health related matters
- Confidential assistance in resolving problems and concerns quickly
- Information on and explanations of NHS complaints procedures and how to get in touch with someone who can help.
- Information on how you can get more involved in your own healthcare and the NHS locally.
- A focal point for feedback from patients to inform service developments.
- An early warning system for NHS Trusts, Primary Care Trusts and Patient and Public Involvement Forums by monitoring trends and gaps in services and reporting these to the trust management for action.
www.dh.gov.uk 05/07
PALs contacts: Cornwall Partnership NHS Trust 01726 291109
Cornwall and Isles of Scilly Primary Care Trust 01726 627967 / 01209 886595 / 01208 252515 / 01208 252513
Royal Cornwall Hospitals NHS Trust 01872 252
 Have your say with the LINK  Have your say with the LINK
Do you feel passionately about local health and social care services? Have you got an experience (good or bad) you want to share so that those services can better meet the needs of the people that use them? From April 2008 Local Involvement Networks (LINks) replaced Patient and Public Involvement Forums in order to strengthen and extend the influence local people have on health and social care services. These networks of service users, voluntary organisations, community groups and members of the public are being established and supported by independent ‘host organisations’ commissioned by local social care authorities (on receipt of money from the Secretary of State for Health). Cornwall Rural Community Council are the host organisation funded by the Department of Health through County Council, and supported by Age Concern and Penwith Community Development Trust. The LINk is a network of local people, organisations and groups that want to make health and social care services better. Its membership can include: Individuals Youth councils Neighbourhood renewal networks Foundation Trust governors Faith groups Minority ethnic groups Service user support groups Older people’s forum Local business groups Patient transport groups Carer groups/network Patients’ groups Self-advocacy groups Tenants groups What will the LINk do? The job of a LINk is to: Give everyone the chance to say what they think about their local health and social care services – what’s working well and what’s not Give people the chance to check how services are planned and run Feedback what people have said about services so that things can change for the better Joining the LINk Contact Cornwall Rural Community Council by phone on 01872 273952 or email info@cornwallrcc.co.uk

Care Homes
 Cornwall Registered Homes Action Group (CRHAG)  Cornwall Registered Homes Action Group (CHRAG)
CRHAG is part of a wider coalition of Cornish care providers, Cornwall Partners In Care (CPIC). CRHAG works with the Department of Adult Social Care (DASC) in maintaining and supporting high standards of care. We exist to provide a single voice for the care home sector, and our residents, in this work.
The Challenges facing the sector today are sadly all about finance. Over 60 percent of care home residents are financed by the local authority who, because of their financial constraints, have enforced a minimum fee which is below the operating costs of a quality home. This means that care homes have to secure the shortfall in income from two sources: either by asking families or charities to ‘top up’ the fee for each state funded resident; or to ‘cross-subsidise’ by charging much higher fees to those who pay for themselves.
DASC can no longer pay for all the care needs experienced by the many service users who remain in their own homes, and are looking to find other ways of providing support. This budgetary constraint affects their ability to pay for care home places adequately. However, its not all bad news. The partnership working between care providers and DASC means that we understand each other’s constraints, constantly working together to find creative ways of supporting the services we provide so that they are among the best in the country.
CRHAG also lobbies central government and the opposition parties to invest more in care, so that government spending priorities cease to place vulnerable people’s needs at the bottom of their agenda. We believe that moving to a quality care home should be a positive choice; staying at home is the best option only if you have the health and support to feel safe. Many people discover a new lease of life with the freedom from the fear of loneliness and isolation, good nutrition and the warm and friendly environment found in today’s care homes.
Mary Anson, Chair of CRHAG
 Cornwall Association of Registered Care Homes (CARCH)  Cornwall Association of Registered Care Homes (CARCH)
This is a body of professional care homeowner who are committed to providing a quality of life for their residents that is as close to home life as they would wish.
All members of CARCH must meet the standards required by the Commission for Social Care Inspection and their reports on Care Homes are available on request or through their website. I you are considering residential care, we recommend that you or relatives or friends visit a number of Homes to see which best meets your needs. You have the right to choose where you live and will wish to think about all the possibilities. Residential care can be a positive choice, enabliing you to retain both dignity and self-determination within your own capability and ensure a good quality of life.
You can have visitors when you like. You can also make new friends as well as inviting in your friends from the neighbourhood. You can pursue your interests as well as finding new ones. Help will always be available throughout the day and night from experienced trained staff. If you need financial help the Department of Adult Social Care will make an assessment of your needs but you will still have a choice of where you stay.
CARCH exists to assist with all aspects of care: elderly, mentally handicapped, mentally ill and nursing with each home specialising in different needs. All homes are encouraged to undertake the highest standards of care and commitment from their staff. CRACH belongs to the National Care Association, which provides support and enables its members to keep in touch with national developments.The Association’s aims are:
- To ensure the highest standards of care and accommodation in consultation with owners, residents relatives friends and staff.
- To promote good practise.
- To liaise with various statutory authorities to provide facilities and services that meet residents and that are in their best interests.
Mark Fairhurst, Chairman CARCH
 Making a Decision  Making a Decision
Choosing to go into a home should be your decision. You can only be forced to go into a home against your will in exceptional circumstances. These account for a small proportion of older people entering care homes.
Your needs may be such that it is no longer feasable to remain in your own home, even with a package of care and support services. There can also be postitve advantages to living in a care home which attract you to this option. The most important factor should be that your decision is an informed one.
 Types of Care Home  Types of Care Home
CSCI (Commission for Social Care Inspection) is responsible for the inspection and registration of care homes. The term ‘care home’ covers any establishment providing accommodation with personal or nursing care.
Not all care homes are registered to provide nursing care. Some homes may have beds registered as providing accommodation and personal care and other beds registered for nursing care to be provided as well.
Specialist homes for older people with some kind of mental frailty are often called ‘EMI’ homes. ‘EMI’ generally stands for ‘Elderly Mentally Infirm’, or ‘Enderly Mentall Ill’. These homes specialise in care for older people with a mental illness or disorder - including dementia, although not all residents with dementia live in EMI homes.

Age Concern factsheet 29 Finding care home accommodation November 2006
 I am considering a move to a care home: how can The Department of Adult Social Care (DASC) help?  I am considering a move to a care home: how can The Department of Adult Social Care (DASC) help?
If you do not need help with care home fees
If you are confident that you will not need help with care home fees, wither now or for at least the next 3 years, you can arrange your move directly with the care home of your choice, with no involvement from the Department of Adult Social Care (DASC).
Nevertheless, if you think you would find it useful to discuss your situation with a specialist worker, please contact your local DASC office (listed in Useful Contacts, page 49), who will arrange for someone to visit you at home to go through all your options with you. If you are in hospital, the nursing staff will make the arrangements for you, with your permission, and you can be visited in hospital, or once you have returned home if that is more appropriate.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Assessing your needs’ leaflet, ref: ASC15

If you think you will need help with the fees
If you think you will need help to meet the cost of a care home, either now or in the future, you (or someone acting on your behalf) should contact your local DASC office (listed in Useful Contacts, page 49) If you are in hospital, the nursing staff will contact DASC for you, with your permission.
Once you have contacted us, we will arrange for someone, probably a social worker, to discuss your situation with you, and to help you decide whether a move to a care home is appropriate. During this discussion, you can always have the person who looks after you (your carer), a relative, or a friend to support you, if you wish.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Assessing your needs’ leaflet, ref: ASC15
If your assessment by DASC shows that moving into a care home is the most appropriate form of care for you, and that you will need help to pay the fees, it is likely that you will also be required to make a contribution to these fees.
To advise you on how much your contribution will be, trained staff carry out an assessment of your financial circumstances, which will take into account your income, capital and property you may own. All information is treated confidentially, and staff will explain the procedure to you, and answer any questions you may have.
If you take up a place in a care home with financial assistance from DASC, the suitability of your placement and te quality of care will be reviewed regularly by DASC staff, or someone working on our behalf.

If I am funded by The Department of Adult Social Care (DASC) do I have a choice of home?
Yes.
Every effort will be made to offer you a place in the home of your choice. You can go into your preferred home as long as:-
- It is suitable for the needs identified in your assessment.
- There is a place for you in the home.
- The home accepts the standard DASC terms and conditions.
- The fees are appropriate to the level of care you need.
If you want to go into a home outside Cornwall to be near relatives or friends, you will still need to contact DASC in Cornwall, who would be responsible of sorting out the arrangements for you, including any help with your fees.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Moving to a Care Home’ leaflet, ref: ASC33
 Questions to Ask When Moving into a Care Home  Questions to Ask When Moving into a Care Home
Everyone will have different views about what they think is a ‘good’ home, and each person’s needs will differ. Here are some questions to consider. Some may be more important to you than others:
- does the home encourage residents to do as much as possible themselves and to make choices about as many aspects of their daily lives as they can?
- can residents bring personal possessions - pictures, plants, furniture?
- can the home meet the resident’s communication needs - for example, through a language other than English, or non-verbal method such as sign language or large print?
- do residents choose what and when to eat? How are special diets catered for? Can Residents eat privately with guests from time to time? Can residents prepare any food and drinks themselves.
- are residents free to see visitors when and where they choose? Can visitors stay overnight at the home, if they have travelled long distances?
- can residents use a telephone in privacy, for incoming and outgoing calls?
- do residents rise and go to bed when they choose? If not, do you consider the arrangements to be reasonable?
- what provisions does the home make for taking residents out - on outings, to the shops, to the theatre, place of worship, or entertainment.
- what physical activities are available for residents?
- is there more than one living room, so that there is a quiet room as well as one with a television?
- are there books, newspapers available for residents? Do residents visit the library, or does a mobile library come?
- do the managers of the home ask about how the resident would like to handle money or medicines?how does the home ensure valuable items are kept secure?
- do the residents have their own GP’s?
- how will the home let residents or friends know if a resident is taken ill?
- is there a residents committee?
- does the home encourage residents to say how they feel about living there, and provide written information to residents and/or their families about how to discuss a problem or make a complaint.
- are toilets available in all parts of the home, fully equipped with handrails and other helpful equipment?
- can wheelchairs go everywhere within the home, and easily in and out? Is there a lift?
- if the resident needs help bathing, does the home have suitable facilities? Who will help bathing, and can the resident choose how often they have a bath?
- do you have to pay extra for toiletries?
- are there any areas for smoking and non-smoking?
- what happens if residents require more or less care than they currently have? Might they have to leave? What arrangements are made for funerals, and for payment if the resident dies?
- can residents help in ordinary activities of the home, cleaning, cooking, gardening?
- are residents allowed to bring their pets with them to the home?
Age Concern Factsheet 29 'Finding Care Home Accommodation' November 2006
 NHFA: Moving into a Care Home...Who Pays for What?  NHFA: Moving into a Care Home...Who Pays for What?
When moving a loved one into a care home, fully understanding what the state provides and being certain about costs and affordability is essential for all involved. The present system of paying for care is rife with inconsistencies in the rules determining who pays for what leaving people ill prepared for what to expect and clearly missing out on funding or support they could get if they were in the know. Unravelling who pays or who is responsible can cut much of this stress and here we try to do that.
Who qualifies for local authority assistance?
If you have been assessed as needing a care home place and your capital is below £21,500 you should be entitled to financial support from your local authority. If you have capital below £13,000 you will be entitled to maximum support contributing your income less £20.45 retained for personal expenses. If you have capital between £13,000 and £21,500 you will also pay a capital tariff of £1 per week for each £250 between these two figures.
Capital includes the value of your former home unless it’s occupied by your partner, a relative who is aged over 60 years or incapacitated, a child under 16 years who you maintain or a separated partner who is a lone parent.
The State is paying do I have a choice of home?
Yes and it can even be in a different county. The home you choose must be suitable for your assessed needs, comply with any terms and conditions set by the authority and, not cost any more than they would usually pay for someone with your needs.
What if the home costs more than the local authority is prepared to pay for?
The local authority will allow a third party to top-up the care fees as long as they are able to do so over the long term. You are not allowed to top up the fees yourself from capital below £21,500.
What happens if I move into a care independently and run out of money?
Once your capital reduces to £21,500 you can seek local authority assistance. However, if the home costs more than the local authority usually pays and won’t reduce its fees you could be in the difficult situation of either finding a source of top-up, or, which could be detrimental to health and well being, cheaper accommodation. If running out of money is likely you should arrange to have an assessment from your local social services department to make sure they will step into help and check if the care home owner can continue to accommodate you at social services funding rates.
Do I have to sell my property?
No, the social services can lend you the money to pay for your care charged against your property value. However, they may limit how much they will pay and it could adversely affect your welfare benefit entitlements.
Is there any non means tested financial help I can claim?
Attendance Allowance is a non-means tested, non-taxable DWP benefit paid weekly at the lower rate of £43.15 if care is needed by day or night and the higher rate of £64.50 if needed by day and night. Saving up to £3,354 pa. Also, whether your stay is temporary or permanent if you receive nursing care in a care home you may be entitled to an NHS Nursing Care Contribution towards registered nurse time costs. There are three dependency bands. Low paying £40 per week, moderate £87 per week and high £139 per week. If you need primarily health care, you may be entitled to full funding from your local Primary Care Trust under their continuing care eligibility criteria. Saving up to the full cost of care.
The above applies to England only. Wales, Northern Ireland and Scotland pay different amounts.
Do I pay Council Tax on empty property?
If on moving into a care home a property is left empty then it should receive full exemption from Council Tax until it’s sold. Saving your Council Tax.
My partner needs care, how does this effect me?
The local authority only has the right to financially assess the member of a couple that requires the care. Individuals, who are paying for their accommodation from joint savings with a partner at home, should split joint accounts into separate single accounts drawing the care home fees from the account of the person in care only. Thus ensuring state assistance arrives earlier than if drawing on joint capital. Saving your partner’s savings.

Families should be encouraged to seek advice. Funding long-term care is a complex area and, as the OFT and others have reported, advice and information at this difficult time is not readily available. Even when you might think all is sorted out, circumstances can change and so does the funding. Do not try to do it alone, seek advice. NHFA Ltd specialize in this and through their local advisers will ensure you fully understand your entitlements from the state and the options available to best meet care costs whilst also preserving capital and savings as far as possible. Further advice and information, including NHFA’s Free Long Term Care Guide can be obtained by calling NHFA’s Care Advice Line on 0800 99 88 33 or visit their website www.nhfa.co.uk
Further information is available from Philip Spiers, Managing Director, or Paul Loom, Care Advice Line Manager, on 01865 733000.
 Third Party Top-Ups  Third Party Top-Ups
Choice is a fundamental principle of social care (although not for fully funded NHS care), and the starting point should be that a potential care-home resident should live in the accommodation of his or her choice.
However, with the current funding limitations, that choice is severely constrained, and particularly for those who are dependent upon the state for their funding.
If the cost is greater that the authority would usually expect to pay, having regard for an individual’s assessed needs, then a third party may need to be willing and able to pay the difference (the top-up).
In most situations the top-up can only be made by a third party; the resident is by law prevented from funding his or her own top-up, except during the initial twelve weeks of permanent residency when the value of their home is disregarded, and in cases of deferred payment.
Strapped for cash local authorities tend to rely on top-ups, or for privately funding individuals to pay extra, because there is a funding gap between the cost of the home and the authority’s ‘usual cost’. The ‘usual cost’ may be below the operating costs of the care home. The Choice Directives and guidance are quite clear. If there is no place available that will meet the individual’s needs at the usual cost at the time the need is assessed, then the local authority should fund more expensive care.
The local authority must offer an available bed in a care home able to meet the individual’s needs when that need is identified. The individual and his family then have the choice of whether to accept the offer or to choose a more expensive home (or room) that the individual/family prefer.
The contract between the council and the care home must be for the full cost of meeting the individual’s assessed needs. The responsibility for negotiation the fee rests with the authority; it is part and parcel of arranging the care.
The care home may make independent charging arrangements with a third party only for services that are genuinely additional to the assessed needs of the individual, for example a larger room with access to the garden, in circumstances where such direct access is not an assessed need. That is not a ‘top-up’ but an arrangement made between the home and the family for additional services over and above those lawfully required to be provided under the contract with the local authority to meet all their assessed needs.
The dividing line is difficult to draw in individual cases. Some local authorities have mis-applied their systems, resulting in practises which directly or indirectly encourage malpractice and exploitation.. They fail to fulfil their own legal duties. Further information is available from national charities for older people such as Age Concern and Help the Aged (for contact details please see ‘Useful Contacts’ on page 49).
Mary Anson MSc;RGn, Managing Partner, Anson Care Services
 Local Authority and NHS Contribution Towards Care in Independent Sector Care Homes  Local Authority and NHS Contribution Towards Care in Independent Sector Care Home
Before you can get help with funding a place in a care home, you must have your needs assessed by your county council (see ‘Assessing Your Need’ on page 45). The rules governing who qualifies for a care home place are often referred to as ‘eligibility criteria’, you can ask for a written copy of this (call The Department of Adult Social Care on 01872 322000). If it is decided that you do meet the criteria local authority will carry out a financial assessment to decide on how your care home fees will be paid.
You have a choice of home even if local council is funding you (see page 4). If the home you want costs more than local authority are willing to pay, third party top-ups may be available (see page 48). Below is a table showing minimum fees charged by care homes.

Guide to Minimum Fee Rates

Catagory	Minimum fee per Week (07/08)
Residential Care for Older People	£300.58
Residential Care for Older People with Mental Health Needs	£349.01
Nursing Care	£455.36
Nursing Care for Older People with Mental Health Needs	£478.67

NHS Contribution to Nursing Care
If local authority assesses you as needing nursing care they should organise for you to be assessed by a registered nurse. If it is decided you require nursing care the NHS will pay an amount directly to the care home. The amount depends on the band you are assessed as needing, see the table below for bands and fee amounts.

Band	Highest	Middle	Low
Fee	£139	£87	£40 at least

Criteria for funding can be variable and complicated, advice should be sought from Adult Social Care or other organisations listed in this website.

Home Care (Domiciliary Care)
 The League of Carers  The League of Carers
The League of Carers was formed in August 2005 a voluntary organisation of independent sector providers of community care to the population of Cornwall.
LOC is a forum for all community care providers with an interest in the future and current development of care provision for Cornwall, working independently and at forum level within a wider coalition of Cornish care providers within the representation of Cornwall Partners In Care (CPIC).
Membership to The League of Carers is open to all independent sector providers of community care within Cornwall including the voluntary sector.
We aim to represent the interests of community care companies, proprietors and service users whilst promoting and developing best practice within the sector.
We aim to achieve the following:
- To act as a unified voice for community care provision throughout Cornwall.
- To endeavour to affect and maintain high standards of care and conditions throughout.
- To keep abreast of developments in the domiciliary care sector in order to inform our members and advise where appropriate, to represent members interests in discussion to enhance service delivery to our service users.
- To liaise and work in partnership with local and central commissioners and registration/inspection staff to ensure good communication and understanding throughout the sector.
- To break through the barriers that can exist between public sector, voluntary sector and private sector providers of domiciliary care encouraging partnership working where able.
- To work towards establishing co-ordinated training opportunities where public money is used to maximum potential and advantage to both benefit service users and providers.
- To keep in contact with members through local meetings and information sharing sessions
Christine Rowberry, Chair, The League of Carers
 Help At Home  Help At Home
If you are having difficulty coping at home, due to old age and/or illness, there are an increasing number of services available to help you continue living safely and independently at home. Alternatively, after a stay in hospital you may require extra help when you go home, especially if you live on your own. The independent agencies listed offer help at home, either with housework, or with personal care such as washing, dressing and using the toilet.
Alternatively, Adult Social Care can arrange personal care for you, following an assessment of your circumstances. You may also be entitled to Direct Payments from Adult Social Care, see direct payments section
Adult Social Care and the NHS in Cornwall also have a range of schemes across the county specifically to help people whose health may have deteriorated, but who nevertheless wish to remain in their own homes. Some of the schemes include extra help from therapists in the community; help from trained workers to enable people to cope safely with daily living tasks; and care for people leaving hospital, who may not feel confident about returning home straightaway.
Finally, for short-term help at home, following discharge from hospital, the British Red Cross offer the ‘Home from Hospital’ scheme. They also offer support and practical help to people faced with an unexpected crisis caused for example by accident or illness. Contact 01872 272 878.
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Services for Older People- to Help you remain independent in your own home’ leaflet, ref: ASC/29
 UKHCA  UKHCA
Homecare - supporting independence Homecare, also known as domiciliary care, enables people who need assistance in their personal care to remain in their own home, rather than move into a care home or care home with nursing. Sometimes homecare is temporary, after a stay in hospital, and sometimes it is needed on a longer-term basis or to supplement the care already provided by a member of the family or friend. Homecare is intended to help people remain as independent as possible and enables them to stay in familiar surroundings, close to their friends, family and the local community. It can be purchased from a homecare agency independently, provided directly by the local authority or purchased by social services from local homecare providers. Homecare workers are specially trained to work in people’s homes and assist with getting up and going to bed, washing and dressing, shopping, meal preparation and assisting with medication. All care workers receive basic training and many study for a vocational qualification in care and have specialist training on caring for people with learning disabilities or dementia. Homecare workers can visit for as little or as long and as often as needed, up to a ‘live-in package’. Working hours are geared to the normal daily routine from early morning to late evening. All UK-based agencies can join United Kingdom Home Care Association, the professional representative association committed to ensuring the highest standards of homecare. UKHCA can supply a free leaflet, ‘Choosing care in your home’ and details of local homecare agencies from a list of nearly 1,700 organisations that have agreed to comply with the Association’s Code of Practice. See www.ukhca.co.uk/choosingcareadvice.aspx and www.ukhca.co.uk/memberlist.aspx or telephone 020 8288 5291 between 9am and 5pm Monday to Friday. Many organisations as listed in the following pages are UKHCA members. For further information from UKHCA, call 020 8288 5291.
 LifeLine  LifeLine
Lifeline Services gives you the freedom to live your life independently, with the security of knowing that whether you are young or old, you can always get help when you need it. It provides a community alarm service for people who are able to live independently but may at times need to call for assistance in an emergency. Carrick Lifeline 01872 224521 covers Carrick, Restormel, North Cornwall, Kerrier, Penwith and Isles of Scilly. Caradon Lifeline 01579 341000 covers Caradon, Restormel and North Cornwall. Age Concern also operates an Aid Call System 01872 266385.

Meal Provision
 Meal Provision  Meal Provision
Appetising, healthy and nutritious meals are important, and if you are unable to prepare them yourself lunch clubs and day centres may provide meals (see Day Care). Another option is to have meals delivered to your door. Meals-on-Wheels providers are listed below, please contact them directly for availability in your area.
When organising a meals-on-wheels service you should check that:
- Meals are of a high standard.
- They will be enough for you as a main meal each day, and have a pudding as well as a main course.
- You can ask for a special type of food because you are vegetarian, or have a special diet because of your health, or because of your religion, beliefs or culture.
It may be possible to have hot and frozen meals delivered. Frozen meals can then be heated when necessary.

The Department of Adult Social Care does not deliver meals, has no control over the quality, and has no accredited provider list. Meal producers premises are monitored by Environmental Health.

Meals should be balanced and nutritious, as well as appetising and attractively presented. Protein, vitamins and minerals should be emphasised in the diets of older people.
Special dietary requirements related to health, culture and personal preference should be taken into account. This may involve providing, or buying in, specialised meals. Most needs can usually be catered for with careful planning and preparation. Identifying individuals’ needs before they start to receive meals is essential. Consultation is also important with the local community, for example, to find out if there is a need for provision for ethnic minority groups.
A meals on wheels service usually delivers food but does not serve it. Frozen meals can be delivered once a week for the week then heated daily by the older person or their carer. For hot meals, deliveries will have to be phased daily, bearing in mind how long the food needs to be kept heated, and by what time the meals need to arrive. There may be a need for both types of meal – hot meals for people who cannot heat up frozen meals, and less expensive frozen meals for those who can.
Age Concern Resource Pack “Meals on Wheels” 1999

Advocacy
 The Advocacy Directory  The Advocacy Directory
The advocacy directory is a comprehensive online database compiled by Age Concern Cornwall signposting advocates for a wide variety of issues and situations. Cornwall County Council observed that people of all ages and groups can benefit from the help of advocates. These advocates can give advice, support and information. With this help, some people will be able to sort out issues that are important to them on their own, others will want somebody who can take up their battles on their behalf. Since November 2003 Age Concern staff have worked to establish the database for the Directory and website. Using this website people will be able to make contact with organisations that can provide help to them and help sort out their particular needs. People need advocacy at various times of their lives on a range of issues, not only to tackle legal matters. Advocates can help cut the red tape of bureaucracy, can help an individual to gain the attention of organisations or the media, or to find like-minded support or pressure groups. Many of the advocates included in the directory are listed below. To access the directory directly visit www.advocacydirectory.com

Motability
 The Mobility Scheme  The Mobility Scheme
Before the introduction of the Mobility Allowance in 1976, only disabled people who could drive themselves got any government help with personal transport. It was usually in the form of a small car provided to disabled couples, to people responsible for the sole care of a disabled child and to a category called “war disabled”. An allowance was paid to disabled people who actually owned a car. But most people were supplied with a small, blue, single-seat, three wheeled, motorised “invalid trike”, which was incapable of carrying passengers.
Today, The Motability Scheme enables disabled people to use their government funded mobility allowances to obtain a new car, powered wheelchair or scooter. Some 450,000 people currently use the Scheme and in 2006 Motability celebrated providing two million vehicles since it was set up by the government in 1977.
The Scheme is available to anyone who receives either of the following benefits, and has at least 12 months’ award length remaining when they apply:
- Higher Rate Mobility Component of Disability Living Allowance
- War Pensioners’ Mobility Supplement.
Around two thirds of our customers drive, but nondrivers can get a car as a passenger. Similarly, parents and carers can apply on behalf of a child aged three or older.
Some customers need extra financial help to meet their mobility needs, for example, to help towards the cost of the advance payment for a suitable car, adaptations, driving lessons or perhaps a wheelchair accessible vehicle. Ever year Motability awards around £10 million in grants from both its own Charitable Fund and the Specialised Vehicle Fund which is administered on behalf of the government.
Motability ‘A Guide to the Motability Scheme’ 2007
Call 0845 456 4566 for information about the Motability Car Scheme or 0845 60 762 60 for information about the Motability Wheelchair and Scooter Scheme www.motability.co.uk
 Customer Profile: Phil Jepson  Customer Profile: Phil Jepson
Phil, from Essex, has a scooter on the Motability Scheme and uses it daily to get out and about; going to the local shops, the doctors, visiting friends and going out on social occasions, such as visiting the pub. He is an amputee and lost the use of his left arm following a stroke eleven years ago.
 Customer Profile: Debbie Carter  Customer Profile: Debbie Carter
Debbie, from Cambridgeshire, currently drives a Chrysler Grand Voyager, her ninth car on the Motability Scheme. Motability also provided a grant to help pay for the vehicle to be adapted to enable her to drive from her wheelchair and manoeuvre using a joystick.
 DVD: The Secret’s Out  DVD: The Secret’s Out
In this short DVD, Julie Fernandez, a prominent disability rights campaigner and actress best known for her role in ‘The Office’, explains how Motability can help people with their mobility needs. It covers all you need to know, from who can use the Motability Scheme, how it works and what is available to financial help and actually getting on the road. During the DVD, Julie meets Tracy, Phil and Ellie to find out the difference Motability has made to them.
Available free of charge by calling the Brochure Hotline on 01279 632067 or from the website www.motability.co.uk

Disabilities
 Disability Cornwall  Disability Cornwall
Disability Cornwall aims to be the voice of disabled people in Cornwall and challenges discrimination and inequalities and promote examples of good practice.
This is done through managing a portfolio of projects and services. We have developed partnerships to deliver services around access audits & advice and training in both DDA & Disability Equality, as well as Cornwall’s innovative Diversity Toolkit, which aims to help eliminate discrimination in the workplace along all six of the equality strands (race, disability, age, faith, gender & sexual orientation)
In addition we provide consultancy services in connection with policy review and the provision of consumer audits or ‘mystery shoppers.’ We also facilitate Consulation Panels for service providers to gather views direct from our members who will then benefit from increased and better access to services.
We also produce Discover, Cornwall’s only disability aware lifestyle magazine and hold a high profile annual conference, as well as organising workshops and presentations according to need.
Our DIAL service (Disability Information Advice Line) is available on 01736 759500 providing information and advocacy via our trained Welfare Rights Advisers who can answer any disability related enquiry or signpost to the relevant service.
Membership of Disability Cornwall is available both on an individual and associate basis and as a user led organisation we welcome the involvement of our members in furthering the inclusion of disabled people in society.
Vaughan Temby, Disability Cornwall


 Wheel Chair Provision  Wheel Chair Provision
British Red Cross
Upto 6 weeks loan
Red Cross House, Lighterage Hill, Truro, TR1 2XR
01872 272471

Cornwall Friends’ Mobility Centre
Upto 3 months loan
Tehidy House, Royal Cornwall Hospital, Truro, TR1 3LJ
01872 254920

Cornwall Healthcare Trust
Upto 3 months loan
St Lawrence’s Hospital, Westheath Avenue, Bodmin, PL31 2QT
01208 251489

Disablement Services Centre
Long and short term loan
1 Brest Way, Derriford, Plymouth, PL6 5XW
01752 79777

Millbrook Healthcare
Wheelchair purchase available
Unit 2 Ocean Quay, Richmond Walk, Plymouth, PL1 4LL
01752 605953

St John Ambulance Cornwall
Wheelchair loan
Princess Chula House, City Road, Truro, TR1 2JL
01872 277867

Tremorvah Industrias
Wheelchair Loan, Lease and Purchase
Unit 8 Threemilestone Industrial Estate, Truro, TR4 9LD
01872 324340

Mental Health
 SANEline  SANEline
SANE is a charity set up in 1986 to initially focus on Schizophrenia but is now concerned with all mental illnesses including depression and manic depression, schizophrenia, anxiety, obsessions, phobias, as well as alcohol and drug addiction, and more.
SANE has three main objectives:
- To raise awareness and respect for people and their families with mental illness, improve education and training, and secure better services.
- To undertake research into the causes of serious mental illness.
- To provide information and emotional support to those experiencing mental health problems, their families and carers through SANEline.
The confidential SANEline number is 0845 767 8000, lines are open 1pm to 11pm every day, calls are charged at local rate. Help includes practical information, crisis care and emotional support to anybody affected by mental health problems, including family can carers.
 Dementia Care  Dementia Care
Dementia is a group of related illnesses which are caused by damage to, or disease of, the brain. It is more common with older people. It is a gradual illness that effects short term memory, sense of time and place, communication, understanding and judgment.
If you are worried because you, or someone you care for, may be showing these symptoms, you should visit your GP. If the GP suspects dementia you may be reported to a specialist.
If dementia is diagnosed you have time to find out as much as you can so that you can be prepared for the changes which may happen. In most cases it is best for the person with dementia to live at home with familiar surroundings for as long as possible.
Home care assistants can help provide personal care at home, such as dressing, bathing, and at meal times (see homecare agencies section). Meals-on-Wheels is available (see meals section). In house equipment and / or adaptations can be provided by The Department of Adult Social Care. Day care centres offer activities and sometimes meal and hairdressing facilities (see day care section).
In some circumstances, a person with dementia cannot be cared for at home. Care homes may offer nursing or personal care, or both (see care homes section).
More information: Call Cornwall County Council on 01872 322532 and ask for ‘Services for People with Dementia’, ref: ASC/30
 Alzheimer's Disease  Alzheimer's Disease
Alzheimer’s Disease is the most common form of Dementia, with 55% of dementia sufferers being afffected.
 Legal Help  Legal Help
Enduring Powers of Attorney is a document which gives someone you trust the power to handle your finances. You must have mental capacity at the time. Age Concern produce a free factsheet ‘Legal arrangements for managing your finances - Factsheet 22’ call 020 8765 7200.
Contact a solicitor or call NHFA on 0800 99 88 33 ask for Infosheet 10.
 Admiral Nursing DIRECT Telephone Helpline  Admiral Nursing DIRECT Telephone Helpline
The Admiral Nursing Direct Helpline, part of the charity for dementia, has been set up to provide people with the opportunity to talk through their worries and concerns about themselves, friends or relatives with dementia. Lines are manned by experiences Admiral Nurses and responds to requests for help with Diagnosis, medication, support and care at home, professional carer support, and finance.
The lines are open on Tuesday 10am - 4pm, and Tuesday and Thursday evenings between 6pm and 9pm. Callers can leave messages any time and request a call back, or email questions to direct@fordementia.org.uk. 0845 257 9406

Learning Disabilities
 The Big Plan  The Big Plan
The Big Plan is a Cornwall County Council 3 year initiative about services for people with learning disabilities. The plan is to “Commission for Citizenship and Fulfilling Lives”, which means when services bought will help people live ordinary lives and have Right, Choices, Independence, Responsibilties.
- Rights
- Choices
- Independence
- Responsibilites
The Big Plan will be about Big Ideas and the Big Things that Vulnerable People say we must do. There are 8 Big Things to do in the Big Plan, each of which will have its own leader and its own smaller plans. All the plans will fit together to make a big map of how services will work better in future.
The 8 Big Things
1. Involving People. People with learning disabilities and family carers should be properly involved in decisions. As are the Learning Disability Partnership Board, planning and decision making groups.
2. Communication. Everyone should know about what is happening and that the information people get is easy to understand.
3. Health and Social Care Working Together. Health and Social Care should be making decisions together. Plans are needed for planning and spending money, staff training, and staff working together.
4. Choice and Control. People with learning disabilities need to have as much control and choice as they can in how they live their lives.
5. My Family. Family carers must get the support they need to carry on caring, this includes carer assessments, short breaks, and good planning for the future.
6. Where I Live. People should have choices about where they live and who they live with.
7. What I do? People must have choices about how they spend their time. Plans are needed for changing day care services, supporting people to employment, support in training and education, making leisure service open to everyone, and individual support.
8. My Health. People with learning disabilities must be able to get the same Health Services as everyone else, and have good specialist health services. Health action plans are needed including GP’s, Dentists, Hospitals, Mental Health Services, Community Teams.
 Opportunities for People with a Learning Disability  Opportunities for People with a Learning Disability
In terms of employment and further education it is often difficult to know what help and opportunities are available for people with a learning disability. Listed are organisations that may help.

Social Services Workstep
Supports people with learning disabilities to find or remain in work.
01872 324356

Truro College
Offers courses for students with mild/moderate/severe learning dificulties including: Catering, hairdressing, retail, administration, motor vehicle, domestic work, media, leisure & tourism, IT, photography, CACHE - care.
01872 267 000 ask for foundation studies department.

Connexions
Helps young people aged 13-19, or up to age 25 if appropriate for young people with a learning disability. Information, advice, personal support and guidance.
Bodmin 01208 779 99 Truro 01872 277 993 Pool 01209315171 Penzance 01736 362 244 St Austell 01726 61833

Kehelland Horticultural Centre
Work experiance and training in horticulture for adults with learning and/or physical disabilities in a commercial basis.
01209 612445

Moorvue Rural Centre
Activity centre providing support, training and encouragement. Wood & metal work/crafts, computer skills, conservation, music, local history.
01736 365491

Cornwall College Camborne
Employment, qualifications, expert guidance, work experience, work skills, life skills, foundation studies.
01209 616 161 enquiries@cornwall.ac.uk

Social Services Community Placement
Work experience, voluntary work, permitted work, training, social activities.
Caradon 01579 342919 North Cornwall 01208 74491 Restormel 01726 63582 Carrick 01872 278533 Kerrier 01209 710184 Penwith 01736 365714

Jobcentre Plus
Aims to provide work for those who can, and support for those who can’t by paying appropriate benefits.
Jobs 0845 6060234 Benefits 0845 6021036 Additional Support - Cornwall Action Team 0800 085 5170

Tremorvah Industries
Mobility Centre and Supported Workshop for the disabled in a commercial textiles environment.
01872 324340
Heaven Scent Nurseries
Working nursery owned by Pentreath Industries, provides training and work for people with mental health difficulties.
01726 850565

Abilities First
Offer permanent employment to people with disabilities
01872 553467
 VOICE UK  VOICE UK
Promoting Justice for Vulnerable Victims of Crime
Voice UK is a national charity supporting people with learning disabilities and other vulnerable people who have experienced crime or abuse. Support is also offered for their families, carers and professional workers.
VOICE UK operate a telephone helpline staffed between 9am and 5pm, Monday to Friday. The number is 0845 122 8695. The helpline provides help and information about how to do things, like making a complaint, and what to do if you need help if you are a victim or witness to a crime.
For information: visit www.voice.org.uk or call 01332 345 346 VOICE UK helpline 0845 122 8695
 Cornwall Advocacy  Cornwall Advocacy
Cornwall Advocacy is a registered charity that provides free independent help and support to people with a Learning Disability throughout Cornwall.
Cornwall Advocacy can help you:
- To make choices about important things to you
- Help people to listen to what you think
- Help you speak for yourself
- Help you find the information you need
- Cornwall Advocacy will find you an advocate who:
- You will get to know
- Will help you find out what is bothering you
- Will keep things private
- Will help you speak up in meetings
www.cornwalladvocacy.org.uk or call 01872 242478 or email enquiries@cornwalladvocacy.org.uk.

Leisure & Recreation
 Attractions, Leisure Centres and Cinemas (image opens in a new window)
 Riding for the Disabled Group Locations in Cornwall  Riding for the Disabled Group Locations in Cornwall
Chiverton Group
TR4 8JQ 0845 2414330

Duchy College
PL17 8PB 0845 2414366

Jersey Group
0845 2415376

Mid Cornwall Group
TR2 5PH 0845 241 6338

North Cornwall Group
PL39 9TX 0845 2416377

South West Cornwall Group
TR27 6LN 0845 4506820

www.riding-for-disabled.org.uk
 Cornwall Tapes for the Housebound  Cornwall Tapes for the Housebound
Cornwall Tapes send regular cassette tapes by post, aiming to bring friendship and interest to housebound people. ‘Chatters’ record two 30min tapes per month to send to a specific listener, taking into account personal interests. The sound of a friendly voice is only a cassette away.
For more information visit www.cornwalltapes.org.uk or call 01326 378543 or 01726 813554
 Free Cinema Tickets for Carers  Free Cinema Tickets for Carers
Carers who look after a disabled person may be entitled to go to the cinema for free. The Cinema Exhibitors’ Association card (CEA) is a national scheme, however not all cinemas subscribe.
To qualify for the card the person must be getting DLA and AA or Registered blind, or the holder of a disabled persons rail card. Application forms are available from participating cinemas or can be downloaded from www.ceacard.co.uk, or by ringing 0845 1231295. There is an initial charge of £5 for processing the claim.
 Carry on Gardening  Carry on Gardening
Thrive is a national charity, founded in 1978, that makes use of gardening to change the lives of disabled people. www.carryongardening.co.uk was initiated by Thrive to help people carry on gardening when old age or disability sets it. The website is a culmination of over 20 years of information and tips. There is also an opportunity to exchange gardening ideas in the forum.
For more information visit www.carryongardening.co.uk
 PHAB Clubs  PHAB Clubs
PHAB (Physically Handicapped and Able Bodied) clubs are designed to integrate able bodied and disabled people in a social setting. Cards, games and quizzes are common activities, and sometimes groups go out for meals and drinks. Nationally there is an annual ‘Heartbeat Hike’ in Hyde Park, and various conferences. Siblings often belong to the same club and families are able to enjoy events and activities together.
PHAB clubs in the south west contact Barbara Wells on 01249 461963
 Access Cornwall  Access Cornwall
Access Cornwall is a website that allows users look up how accessible attractions are, and rate them themselves to share experiences.
www.accesscornwall.co.uk
 Gateway Clubs  Gateway Clubs
Gateway clubs are part of the work of MENCAP, the offer social and leisure opportunities for over 14’s with Learning and/or physical disabilities. There are a number of clubs that operate in various places throughout the county.

Bodmin
Thursday evenings 6.45pm - 9.30pm
Bodmin Community College
01208 77334

Bude
Fortnightly on Tuesdays 7.30pm - 9.00pm
The Youth Centre
01288 356313

Liskeard
Mondays 7.30pm - 9.30pm

The Echo Centre
01579 34054

Newquay
Fridays 7.30pm - 9.30pm
Newquay Youth Centre
01637 876405

Penryn and Falmouth
Fortnightly on Fridays 7.00pm - 9.00pm
Mencap Centre
01326 377224

Penwith
Fridays 7.30pm - 9.30pm
John Daniel Centre
01736 365699

Saltash
Fortnightly on Mondays 8.00pm - 9.30pm
Wesley Church Hall
01752 840979

St Austell
Thursdays 7.00pm - 9.00pm
Fourways Youth Club
01726 852275

Truro
Wednesdays 7.00pm - 9.00pm
Treyew County Primary School
01872 552650

Wadebridge
Fortnightly on Wednesdays 7.00pm - 9.30pm
Wadebridge & District Gateway Club
01208 813637

Day Care
 Day Care Centres  Day Care Centres
For people who might otherwise never get out, a day care centre provides a safe and secure environment as an alternative. It is a place where people may socialise, take part in some activities (either individually or as part of a group), have a wholesome meal and relax. It is also a place where basic personal tasks which have become difficult for an individual to undertake alone (or even with the help of a carer) may be tackled.
Resources and the location of the day care centre will affect the kind of activities which are offered and whether special needs are catered for.
 Day Care at Home  Day Care at Home
Day care at home can provide social activity for older people who do not want, or are not able, to go to a day care centre. Day care at home is where two or three older people, usually located in the same area, receive day care at one another’s houses.
 Long / Short Term Day Care  Long / Short Term Day Care
A day care service should always be under review. The needs of individuals and the group change. There are different patterns of attendance: some people come daily, some only once or twice a week. Other users may come for short rehabilitative programmes lasting for a few weeks or months. The day and the week should be organised to respond to each kind of need.
Long-term day care is probably most usual. If someone is socially isolated or becomes physically or mentally frail, they may be assessed as suitable and eligible for day care. It will continue to be available as the person becomes older until, for whatever reason, the need is no longer there.
Some types of day care are specialist and short-term; these often have a rehabilitative objective. For example, day care may be provided for people recovering from strokes, with activities designed to promote independence, as much mobility as possible, and developing self-confidence.
 Assessment & Admissions  Assessment & Admissions
Each day care service should be sure that an individual meets the admission criteria. It is important for both the day care service and individuals that services are appropriate for users and vice versa. A mentally confused person, for example, might be better off in a specialist day centre, rather than a generic one.

Nursing Agencies
 Nursing Agencies  Nursing Agencies
Nurses agencies send nurses to visit service users at home when they need specialist or medical care, usually after leaving hospital. The frequency of the visits can vary from several times a day to once a week.
About 95% of the nurses supplied by nurses agencies are provided to people in hospital or a care home. However, some nurses are provided to people in their own home.
CSCI website www.csci.org.uk 05/07
 National Minimum Standards  National Minimum Standards
The National Minimum Standards are a set of guidelines to help providers, inspectors and service users understand the expected minimum level of service.
These guidelines are not enforceable by law, but providers should abide to them. They also give service users the ability to judge care providers to ensure the correct service is employed.
There are National Minimum Standards for care homes, adult placement schemes and nursing agencies. For nursing agencies this means:
The certificate of registration should be prominently displayed at the premises.
A statement of Purpose should be available on request from an inspector or service user.
A Service User Guide provides comprehensive and up-to-date information about the agency and the services it provides. This information should include qualifications of staff, charges and payment methods, arrangements for cancellations, the complaints procedure and more.
The manager has obtained nationally recognised qualifications, or is a registered nurse.
All relevant checks have been completed on staff, including Health, Criminal Record and the Protection Of Vulnerable Adults list. These records should be kept.
There is a written and formal induction process for new nurses. The agency will examine certificates for advanced knowledge or skills and that nurses are trained to work in the field they are assigned.
All Information relating to service users is kept strictly confidential.
The NMS publication can be ordered from the Department of Health by calling 0870 155 54 55

Sheltered Housing and Extra Care
 Sheltered Housing  Sheltered Housing
Sheltered housing is often called retirement housing or warden-assisted housing. There are many different types of sheltered or retirement housing schemes, both to rent and to buy. Schemes usually consist of between 15 and 40 dwellings which may be bedsitting rooms, self contained flats, bungalows or luxury apartments. Usually they are designed with older people in mind and to mobility standards, for wheelchair access for example.
Some schemes are simply housing designed to meet the needs of older people and linked to a community alarm. But the majority of schemes have a Scheme Manager (or ‘Warden’) as well as a community alarm service. There are often communal facilities such as a lounge, laundry, guest flat and garden. Meals are not normally provided but a very few schemes include a restaurant, and quite a number arrange one hot meal a day.
There is usually a minimum age, often 60 or 55, but occasionally 50.
Sheltered or retirement housing appeals to people who like living independently but want the reassurance of knowing that assistance is on hand if there is an emergency, or who expect to be away from home for long periods and need to know their home is safe.
The duties of the Scheme Manager can vary considerably between schemes. Some schemes have a resident Manager and a 24 hour service, others have visiting or part time Managers.
Scheme Manager (Warden)
Over the last few years there have been many changes to the Scheme Manager’s duties. Most Scheme Managers are now expected to:
- Manage the scheme
- Summon help in an emergency.
- Build up a relationship with older people living in their schemes; giving residents information on availability and access to services and encouraging them to ask for additional support from statutory and voluntary organisations when appropriate.
Community alarms
Offer reassurance that help is at hand if needed:
- By pressing a button on a pendant or pulling a cord, a message is relayed to a monitoring centre, staffed 24 hours a day
- If help is needed the centre will alert relatives or friends, or contact your doctor or the emergency services.
Other facilities
- Schemes will usually offer all or some of the following:
- Residents’ lounge.
- Guest room(s) or flat: extra accommodation for residents’ visitors.
- Laundry room.
- Restaurant.
 Extra Care  Extra Care
Extra Care Housing is housing designed with the needs of frailer older people in mind and with varying levels of care/support available on site. People who live in Extra Care Housing have their own self contained homes, their own front doors and a legal right to occupy the property. It is therefore very different from a care home where residents only have a licence to occupy a room. Extra Care Housing is also known as very sheltered housing, part two and a half, close care, assisted living and retirement villages. It is a popular choice among older people because it can sometimes provide an alternative to a care home. Extra Care Housing can help older people remain independent for as long as possible by providing additional care and support. It can also be used as intermediate accommodation to help older people build up their daily living skills and confidence after a stay in hospital and before returning to their own homes. Extra Care Housing can be rented, owned, part owned/part rented or multi-tenure. The majority of properties are rented and are in schemes managed by Registered Social Landlords (RSLs) or local authorities. The information in this section is taken from the EAC’s publication the ‘Cornwall Report’, this contains a broad spectrum of information and advice regarding Sheltered Housing and Extra Care.
 Renting  Renting
Most Housing for rent is provided by local councils or non-profit making housing associations (often called Registered Social Landlords or RSL’s). Local councils and RSL’s generally aim to offer their housing to people in the greatest housing need, at rents which are affordable - perhaps with the help of housing benefits.
The Criteria that applicants are generally expected to show include:
- some degree of housing need because of the physical condition of their present home; or
- medical and/or social reasons for wanting to move, e.g. poor health, disabilities, loneliness, fear or isolation from friends & family; and
- that they are not easily able, for whatever reason, to buy rather than rent; and
- that (if they are not local already) they have good reason for wanting to move to the area they apply for.
In most parts of the country councils and RSL’s recieve applications from more people than they can assist.
The cost of renting will be made up of a rent plus service a charge to cover the services provided. Service Charges in the majority of ordinary sheltered or retirement schemes the charge is in the range of £20 to £40 a week.
People who wanting to rent sheltered housing and who have a low income should contact local authority to check their eligibility for housing benefit.
 Buying  Buying
Prices and types of property vary enormously. A small second-hand flat may be found for under £70,000 in parts of the country. Brand new properties cost more. Luxurious homes on sites with every amenity - swimming pools, golf courses and restaurants - can cost well into six figures.
Service charges are likely to apply as will ground rent which could vary from £50 per year to £300. Optional home care and meal services will normally be charged for separately if they are privately provided.

Childcare
 Family Services  Family Services
Family services are working to provide fully integrated service and support for families within their communities. It has been formed by the bringing together of Early Years from Education, the Family and Resource Centre’s from Adult Social Care Services and a range of central government initiatives such as Sure Start Children’s Centres.
Family Services work with a range of partners including schools, health services, social care, childcare providers and training and voluntary organisations focused on helping young people up to the age of 13 and their families. If you require any further information on the Service please visit www.cornwall.gov.uk/familyservices.
 Extended Services  Extended Services
Extended Services offer a mixture of activities and services beyond the core school day for children, young people, parents and the wider community. Networks of schools within nine geographical areas in Cornwall are working in partnership to deliver the core offer of services. Activities might include:
- Wraparound childcare 8am – 6pm
- A range of study support such as clubs, special interest activities and visits
- Parenting support including information and family learning activities
- Easy access to specialist support services
- Wider community access to ICT, sports and leisure facilities.
 Nursery Education  Nursery Education
Under the Government’s early years programme all three and four year olds are entitled to free part time education from the term following their third birthday. A part time place is up to five 2 ½ hour sessions per week for 38 weeks per year. Free places for three and four year olds are only available in settings registered with Family Services.
 Family Support Scheme  Family Support Scheme
The Family Support Care Scheme aims to provide a respite care service for children and young people up to the age of 19 who have a disability, by linking them with a registered carer.
 Family Information Service  Family Information Service
The family Information Service is the only source for all registered childcare in Cornwall. It can also provide information to families with children from 0 – 19 years and signpost to relevant contacts and services. It can provide details on childcare, leisure activities for children and families and family support and information services. You can contact the Family Information Service on 0800 5878191.

Useful Contacts
 Adult Social Care Offices  Adult Social Care Offices
Adult Social Care Headquarters
County Hall, Treyew Road, Truro TR1 3AY
Tel: 01872 322004 Fax: 01872 323817
email enquiries.social@cornwall.gov.uk
Emails will be dealt with during normal office hours. In an emergency outside of these hours please telephone the Out-of-Hours Service on 01208 251 300, or fax 01208 251 512.

Caradon Adult Social Care
Liskeard Office, Westbourne House, West Street, Liskeard PL14 6BY
Tel: 01579 342919 Fax: 01579 344424

Carrick Adult Social Care
Truro Office, Cathedral Close, Wilkes Walk, Truro TR1 2TE
Tel: 01872 278533 Fax: 01872 23299

Kerrier Adult Social Care
Camborne Office, The White House, 24 Basset Road, Camborne TR14 8SL
Tel: 01209 714721 Fax: 01209 612910

North Cornwall Adult Social Care
Bodmin Office, Priory House, Priory Road, Bodmin PL31 2AD
Tel: 01208 74491 Fax:01208 78020

North Cornwall Adult Social Care
Launceston Office, Hendra House, Dunheved Road, Launceston PL15 9JW
Tel: 01566 773750 Fax: 01566 777239

Penwith Adult Social Care
Penzance Office, Roscadghill Parc, Heamoor, Penzance TR18 3QX
Tel: 01736 365714 Fax: 01736 351578

Restormel Adult Social Care
St Austell Office, Sedgemoor Centre, Priory Road, St Austell PL25 5AB
Tel: 01726 63582 Fax: 01726 61858
 General Reigonal Contacts  General Reigonal Contacts
Age Concern
Independent registered charity aiming to enhance the quality of life of older people in Cornwall and the Isles of Scilly.
Boscawen House, Chapel Hill, Truro, Cornwall TR1 3BN
Tel: 01872 266388 Fax: 01872 266380
Web: www.ageconcerncornwall.org.uk

Age Concern Bude & District
Unit 13, Julia’s Place, BUDE, Cornwall, EX23 8QT
Tel: 01288 355007 (Office) 01288 355008 (Information)
Email: efforddown@tiscali.co.uk

Age Concern St Ives & District
Enterprise Centre, Westcott’s Quay, ST. IVES, TR26 2DY
Tel: 01736 798182 Email: clockingaeh@msn.com

Leonard Cheshire South West Region
Leonard Cheshire exists to change attitudes to disability and to serve disabled people around the world.
4 Heron Gate Office Park, Hankridge Way, Taunton, Somerset TA1 2LR
Tel: 01823 443674 Fax: 01823 444701
Web: www.leanard-cheshire.org

Nightlink
Free phone out-of-hours listening service for emotional distress and mental health. 8pm-1pm Fri-Mon
0808 8000 306

Cornwall Blind Association
Sight Centre, Newham Rd, Truro, TR1 2DP
01872 261110

Cornwall Mobility Centre
Tehidy House, Royal Cornwall Hospital, Truro, TR1 3LJ
01872 254920
 Citizens Advice Bureau's  Citizens Advice Bureau's
Carrick (Truro)
The Library, Union Place, Truro, Cornwall TR1 1EP
Tel: 01872 278960 Fax: 01872 263481
Drop in advice times: Mon 10.00 - 15.00, Tues Appointments only, Wed 10.00 - 15.00, Thurs Appointments only, Fri 10.00 - 15.00
Telephone advice times: Mon 10.00 - 15.00, Wed 10.00 - 15.00, Fri 10.00 - 15.00

Penryn
Town Hall, Penryn, Cornwall, TR10 8HU
Drop in advice times: Wed: 10.00 - 13.00

Specialist Welfare Benefits and Money Advice
24a High Street, Falmouth, Cornwall, TR11 2AB
Tel: 01326 219446
Advice times: Mon - Fri 9.30 - 15.30 Appointment only

Camborne (Kerrier)
The Community Centre, South Terrace, Camborne, Cornwall, TR14 8SU
Tel: 01209 210121 Web: www.kerriercab.org.uk
Drop in advice times: Mon Appointment only
Telephone advice times: Mon - Fri 10.00 - 15.00

Helston
Trengrouse Way Community Centre, Trengrouse Way, Helston, Cornwall TR13 8AF
Tel: 01209 210121
Drop in advice times: Tues & Fri 10.00 - 15.00
Telephone advice times: Mon Tues Wed Fri 10.00 - 15.00

Kerrier
3 & 4 Station Hill, Redruth, Cornwall TR15 2PP
Tel: 01209 210121 Web: www.kerriercab.org.uk
Drop in advice times: Mon - Fri 10.00 - 15.00 Appointment
Telephone advice times: Mon - Fri 10.00 - 15.00 Limited service on Thurs

Penwith
The Guildhall, St Johns Road, Penzance, TR18 2QR
Tel: 01736 365438 Fax: 01736 330240 or 330684
Telephone advice times: Mon - Thurs 10.00 - 15.00

Bude Holsworthy & District
Neetside, Bude, Cornwall EX23 8LB
Tel: 01288 354531
Drop in and telephone advice times: Mon Tues Fri 10.00 - 13.00 Fri Appointment only

Hayle
Hayle Community Centre, Queenway, Hayle, TR27 4ND
Tel: 01736 365438 Fax: 01736 351476
Drop in advice times: 2nd and 4th Tues month 10.00 - 13.30

Home Visisting and Outreach Service
Restormel Citizens Advice Bureau, Home Visiting and Outreach Project, The Library, Marcus Hill, Newquay, Cornwall TR7 1BD
Tel: 01637 851861
Drop in advice times: Mon - Thurs 10.00 - 16.00
Appointment only, Fri 10.00 - 16.00

Callington
Town Hall, New Road, Callington, Cornwall PL17 7BE
Drop in advice times: 10.00 - 12.30 Appointment only

Publications
 Adult Social Care Publications  Adult Social Care Publications

To Order Call 01872 322532	Code
Adults with a Physical Disability
Adaptations to your home	SSP/110
Rehabilitation services for older people and people with disabilities	ASC/32
Say No to Abuse - (protecting vulnerable adults from abuse; published in large print)	ASC5
Services for people with a physical disability	ASC/24
Services for people with a sight or hearing loss (Published in large print)	ASC/22
Adults with a Learning Disability
Help for people with a learning disability	SSP/082
Opportunities for people with a learning disability	SSP/169
Say No to Abuse	ASC5
Information for Older People
Adaptations to your home	SSP/110
Extra Help at home when you leave hospital	ASC/31
Home from Hospital and Care & Response Services	ASC2
Rehabilitation services for older people and people with disabilities	ASC/32
Say No to Abuse - protecting vulnerable adults from abuse	ASC5
Moving to a care home	ASC/33
Services for carers	ASC/23
Services for older people	ASC/29
Services for people with dementia	ASC/30
Review visitor scheme	ASC/35
Information for Carers
Carers Information Pack	CRCC
Services for Carers	ASC/23
Information for young carers	SSP/125
Mental or Emotional Problems, and Addictions
Integrated Mental Health Services in Cornwall and the Isles of Scilly	SSP/106
Directory of Death, Bereavement & Trauma Support Services in Cornwall 2007	ASC7
Services for people with a drug or alcohol problem	ASC/10
Miscellaneous Information
Access to personal records	ASC/17
Assessing your needs
Charter for People with Care Needs in Cornwall; Better Care Higher Standards	SSP/114
Directory of Death, Bereavement & Trauma Support Services in Cornwall 2007	ASC/7
Direct Payments Scheme	ASC/15
Extra Help at home when you leave hospital	ASC/31
Help outside normal working hours	ASC/18
How to make a comment, compliment or complaint	ASC19
Review visitor scheme (for people who have moved to a residential care home)	ASC/35
Say No to Abuse	ASC4
Staying Safe in Cornwall - what to do in an emergency and in everyday life	EP
Services for people living with HIV and AIDS	SSP/111
Welcome to Cornwall - Information for Migrant Workers	MW
Reports
Carers Consultation Survey 2006	Omlo/CCS
PSS User Satisfaction Homecare survey 2006	Omlo/HS

 Age Concern Factsheets  Age Concern Factsheets

To Order Call 0800 00 99 66	Code
Attendance Allowance and Disability Living Allowance	FS34
Basic guide to attendance allowance and disability living allowance	IS21
Care home closures	IS10
Care home funding and attendance allowance	IS13
Carer’s allowance	IS15
Choice of accommodation - Care homes	IS25
Continuing NHS health care, NHS funded registered nursing care and intermediate care	FS20
Direct payments from social services	FS24
Disability equipment and how to get it	FS42
Finding care home accommodation	FS29
Finding help at home	FS6
Help with health costs	IS20
Local authority assessment for community care services	FS41
Local authority charging procedures for care homes	FS10
Paying for care and support at home	FS46
Paying for care in a care home if you have a partner	FS39
Planning for later life: transgender people	IS30
Supporting people: paying for supported accommodation	IS19
Transfer of assets and paying for care in a care home	FS40
Treatment of the former home as capital for people in care homes	FS38

 NHFA Infosheets  NHFA Infosheets

To Order Hardcopy Call 0800 99 88 33 (links are to pdf documents and open in a new window)

Long Term Care Guide

Care Fees Advice Online Application Form

Infosheet 1 - Choice and Interim Finance

Infosheet 2 - Treatment of Property

Infosheet 3 - The Legal Framework

Infosheet 4 - Local Authority Charging Procedures

Infosheet 5 - Deprivation of Assets

Infosheet 6 - Top Ten Tips

Infosheet 7 - Treatment of Couples

Infosheet 8 - NHS Nursing Care

Infosheet 9 - Inheritance Tax

Infosheet 10 - Enduring Power of Attorney