Devon County Council
 Devon Social Care for Adults  Devon Social Care For Adults
Adult & Community Services supports the social care needs of vulnerable older people and adults with disabilities. We have teams of health and social care professionals working together in hospitals and the community, combining their resources and knowledge for the benefit of our customers, the people of Devon.

Our standards.
We want you to receive excellent customer service. We aim to:
always put you first
make it easy for you to contact us
resolve your enquiries as quickly as possible
arrange high-quality cost-effective services
Who do we help?
Everyone can get information and advice from us, and many people receive further help. We help:
- vulnerable older people at risk
- people with physical and sensory disabilities
- people with learning disabilities
- carers

Are you eligible for help?
Every person’s situation is unique, and we carefully consider each request for support.
We use guidelines from the Department of Health called Fair Access to Care Services (FACS)*, to make sure our services are provided fairly and used to support people in the greatest need. If we think that you may need one of our services, you and/or your carer will be offered an assessment. The assessment will help us to decide whether your level of need means that you are eligible for a service. We will look at your particular difficulties and circumstance and weigh up the effect they are having on your safety and independence.

How we meet your needs.
Your assessment will be carried out by a member of our staff, who could be a Social Worker, Occupational Therapist or Community Care Worker.
- First we aim to help by giving you information and advice.
- Then we will consider support from carers, families, friends and other organisations.
- If there are no other options, and you are in need of social care and support, we may arrange short-term help to enable you to become independent or give you time to arrange your own service.
- We may arrange help so that you can live as independently as possible over the longer term.
- Where you have eligible needs, we may consider the use of Direct Payments *. You may be given the money to buy your own care within agreed limits.
- We aim to meet your agreed needs in the most cost effective way taking into account cultural needs.

If you are eligible we will consider what support might help you. This could be rehabilitation, personal care, community meals, residential care, equipment, carers support and so on.

How to Contact Us
Care Direct
You can contact Adult & Community Services via Care Direct, part of Devon County Council’s “MyDevon” Customer Service Centre. Care Direct will offer you information and advice about care and support in your home, pensions, benefits and keeping well. They will give you the information you need, or contact the right person to help you.
Disability Information Service
The Disability Information Service (DIS), also part of Devon County Council’s ‘MyDevon’ Customer Service Centre is a holistic service providing information, help and support across a wide range of issues for people with disabilities, their carers and their families.

For more information
Leaflets and Factsheets
In addition to our main leaflet - Social Care for Adults Explained, we have produced a series of useful free factsheets. These provide more detailed information about the services we offer and issues surrounding care.
Factsheets are available from Care Direct, at your local Adult & Community Services office or on our website at: www.devon.gov.uk/factsheets
Here is a list of our most requested factsheets:
-(FS1) Assessment and Fair Access to Care
-(FS2a) Charges for Home Care, Day Centres and Community Meals
-(FS2b)Charges for Residential and Nursing Care
-(FS8) Direct Payments
-(FS10a) What to look for in a Care Home
-(FS10b) Moving in to a Care Home
-(FS55) Help with Meals
-(FS79a) Equipment to Help in your Home
Community Directory
For local health and social care information, including social and leisure activities, Day Care, Lunch Clubs and Home Delivery Services visit the Community Directory website at: www.devonline.gov.uk/community/

Devon Link
Devon Link is Devon County Council’s magazine for people with physical and sensory disabilities in Devon. For more information contact Care Direct or email devonlink@devon.gov.uk.

Getting the Most Out of Life
Getting the Most Out of Life is an initiative set to improve access to information and services for people over 50. For further information about this and the Senior Council for Devon visit our website at: www.devon.gov.uk/over50s
 www.devon.gov.uk/socialcare
 Adult Socail Care Factsheets

Plymouth City Council
 Plymouth Adult Social Services  Plymouth Adult Social Services
Plymouth Adult Social Care Services
Adult social care is about supporting and assisting people who cannot manage alone due to severe illness, frailty, disability or vulnerability. It enables people to live as independently as possible in their own homes or with their family or friends.
Most adult social care is provided by family, friends and neighbours. We are committed to promoting the independence of adults assessed as needing social care support, and to further their social and economic participation.
We work with other organisations and individuals to ensure that those people in need of adult social care services and their carers are identified, given relevant information then supported in the most appropriate cost effective way. Many people’s involvement with us will be brief, caused by an accident or temporary incapacity. For some there will be more extended or even permanent periods of vulnerability requiring longer term support. However, only a minority will require ongoing professional support.

Can you get help from adult social care services?
Anyone can contact us for information and advice. We have a responsibility to talk to anyone aged 18 and over who may need a social care service.
People who may ask for or need our help include:
- older people who are physically or mentally frail
- people with a physical or sensory impairment
- people with learning disabilities and / or mental health problems
- people who need drug and alcohol services or who have suffered neglect or abuse
- people with HIV or other blood-borne viruses
- people who provide informal care to another adult
- homeless people, asylum seekers or refugees

How do we decide who gets a service?
If you ask us for help, we will talk to you about your needs. We call this an assessment. We can either do your assessment on the telephone or we can visit you at home. We will ask you questions about your life to help us work out what needs you have, like how you cope with the tasks you have to do everyday, if you have anyone to help you and your views about how your needs should be met.
To work out who gets a care service from us, we look at a number of factors that may affect how you lead your life. They are: how safe you are in your home and outside it; how you manage your daily routines such as washing, dressing and eating; how much you are able to fulfil responsibilities to your family and within your wider community; how much control you have over your life.
To make sure this is done fairly, we use the national ‘Fair Access to Care Services’ guidance (see page 50). If you are assessed as having needs that are critical or substantial, we may be able to provide services to help you. If the assessment shows moderate or low needs we will direct you to relevant organisations and bodies.

Plymouth City Council Contact Centre
Post: Contact Centre, Customer Services, Plymouth City Council, Plymouth PL1 2AA
Phone : 01752 668000
Email : customerservices@plymouth.gov.uk
 www.plymouth.gov.uk/homepage/socialcareandhealth/adultsocialcare.htm

Torbay Care Trust
 What We Do  What We Do
We provide a range of support to help you, or those you care for, live with independence and dignity. From care at home, to long-term residential care, we will help you find the support which is right for your needs. Our aim is to enable you to live life as you want to, with as much or as little help as you need.

Social care services include:
- Domiciliary care (provided in your own home).
- Day care, short-term care, residential care.
- Community alarms and equipment (technology to give you and your family peace of mind).
- Community meals (hot meals delivered to your home).
- Direct payments (you are in direct control of your care).
- Intermediate care (support following a stay in hospital, a period of serious ill health, or a fall).
- Sensory disabilities (serious sight / hearing difficulties).
- Support for carers.
- Safeguarding adults – investigating abuse and neglect.
Torbay Care Trust provides some of these services itself and buys others from private organisations and charities on behalf of local people. This is known as ‘commissioning’.

Who is eligible for help?
The Care Trust must ensure that care is provided for those who need it most. The Care Trust uses something called ‘Eligibility Criteria’, to help allocate services in the right way to the right people.
This criteria is graded into four bands and ensures that those in most need receive the most support. The bands are: critical, substantial, moderate and low.
Needs assessed as ‘Critical’ may include situations where someone’s safety is immediately at risk - our first priority is to ensure that people are safe and that they are not abused or neglected. Needs assessed as ‘Substantial’ may be situations where people have little control over their life and are unable to carry out some basic functions like getting dressed and preparing a meal.
If you are the main carer for another person and need some support we provide and access a wide range of services, help, advice and information. For full details of this criteria, call the Customer Services Centre (details below), we will be happy to help.

What happens next?
When you first contact us we will ask you questions about your situation and the type of help that you think you need. Sometimes we may be able to help straight away by putting you in touch with other organisations. If we need more information about your circumstances, we will usually arrange for a member of staff to visit you in your own home to talk to you about the problems that you are having, and to agree with you the type of help you need. This is called a Community Care Assessment.
We may need to talk to other people involved in your care, such as your doctor, your family or carer, to make sure that you get the help you need. If we do speak to someone else about your situation, we will ask your permission. Sensitive information will be treated in the strictest confidence. By working closely with you, we will use the information gathered to put you in control of the help, support and services that you need.

Contacting Adult Social Services In Torbay
Customer Services Centre: 01803 219700
Union House, Torquay, open 8am to 6pm.
Emergency Duty Team: 0845 0568032
 www.torbaycaretrust.nhs.uk/your-health-your-care/adults-older-people

General
 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
 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
 The Devon Association of Councils for Voluntary Service (DACVS)  The Devon Association of Councils for Voluntary Service (DACVS)
Formed in 2004, the DACVS for Voluntary Service is a partnership that works to support the voluntary and community sector to develop and improve its contribution to the lives of local people in Devon.

The Partnership
The Partnership covers the geographical region of Devon, covering North Devon, Torridge, Mid Devon, East Devon, Exeter, West Devon, Teignbridge and the South Hams (but not Plymouth and Torbay). Its activities are governed by the Chief Officers of the local Councils for Voluntary Service. Integrity
Through our work, we aim to ensure that the voluntary and community sector has effective local representation and that everyone is able to share best practice, skills and expertise. Also, that relationships are made with the regional and sub-regional bodies to promote the interests of the 8 ‘Councils for Voluntary Services’ and their members, and to access funding to improve and increase services to the Voluntary and Community Sector (VCS) across Devon. Projects
DACVS comes together to manage and host many County wide projects. Two of which include:
Devon Rural Carers Project: Devon offers a wide range of services to support carers. However, it has been recognised that there is a deficit in support to carers in rural areas, in what otherwise is a well regarded network of services. Teignbridge CVS team in June 2006 carried out a 2 year action research project to support carers in rural areas, aiming to involve more rural carers in support services and to improve on delivering these services in rural areas.
Parent Carers Voice: is a way for parents and carers to influence the way services for their children are planned and delivered in Devon. Parent Carers’ Voice acts as a consultative mechanism between parents and carers of children with special needs and the services their children receive. Parent Carers’ Voice is supported by Devon Association of Councils for Voluntary Service (DACVS).


East Devon CVS
Newholme Volunteer Centre, Northcote Lane, Honiton, EX14 1HS 01404 549045

Exeter CVS
Wat Tyler House, King William Street, Exeter, EX4 6PD 01392 202055

Involve - Mid Devon CVS
28 Gold Street, Tiverton, EX16 6PY 01884 255734

North Devon Voluntary Services
25 Castle Street, Barnstaple, EX31 1DR 01271 326700

West Devon CVS
The Carlton Centre, 13 St James Street, Okehampton, EX20 1DW 01837 53392 and 5 King Street, Tavistock, Devon, PL19 0DS 01822 618224

South Hams CVS
The Cottage, Follaton House, Plymouth Road, Totnes, TQ9 5NE 01803 862266

Teignbridge CVS
Maltings Resource Centre Teign Road, Newton Abbot, TQ12 4AA 01626 203050

Torridge Voluntary Services
14-14a Bridgeland Street, Bideford, EX39 2QE 01237 425554
 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: Devon County Council 0845 1551007 FactSheet1 Assessment and Fair Access to Care. Torbay Council 01803 208435 Leaflets TSS1 and TSS13. Plymouth City Council 01752 668000 Leaflets Fair Access to Care Services - Practice Guidance and Plymouth FACS Table.
 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: Devon County Council 0845 1551007 FactSheet8 Direct Payments. Torbay Care Trust 01803 210500 Direct Payments Information Pack. Plymouth Direct Payments Team 01752 308854 leaflet Direct payments for adults.
 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: Devon County Council 0800 212 783 or call 0845 1551007 for Compliments, Comments and Compaints leaflet. Torbay Care Trust 01803 210500. Plymouth City Council Social Services complaints 0800 068 1249 or 01752 307304 sscomplaints@plymouth.gov.uk
 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

Devon Partnership Trust
Mental Health and Learning Disabilities
Devon Partnership Trust,, Wonford House Hospital, Dryden Road, Exeter, Devon, EX2 5AF 0800 0730741 / 01392 403621

Devon Primary Care Trust
Dean Clarke House, Southernhay East, Exeter, Devon, EX1 1 PQ 0845 1110080
North Devon District Hospital, Community Hospitals and GP Services
Barnstaple Health Centre, Vicarage Street, Barnstaple, Devon, EX32 7BH 01271 341555

Plymouth Hospitals NHS Trust
Derriford Hospital, Derriford Road, Plymouth, Devon, PL6 8DH 01752 517657

Plymouth Teaching Primary Care Trust
Community Hospitals, GP Services, Mental Health & Learning Disabilities Services
Plymouth Guild, Ernest English House, Buckwell Street, Plymouth, Devon, PL1 2DA 01752 211818

Royal Devon & Exeter NHS Foundation Trust Royal Devon and Exeter Hospital (Wonford),, Barrack Road, Wonford, Exeter, Devon, EX2 5DW 01392 402093

South Devon Healthcare Trust
Address: Torbay Hospital, Lawes Bridge, Newton Road, Torquay, TQ2 7AA
0800 028 2037 / 01803 655838

South Western Ambulance Service NHS Trust
Unit 3, Abbey Court, Eagle Way, Exeter, EX2 7HY 01392 261585

Torbay Care Trust
PALS Torbay Care Trust, Paignton Hospital, Church Street, Torquay, TQ3 3AG
0800 0327657 / 01803 557425 ext 370

Care Homes
 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
 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

Leisure & Recreation
 Ellie's Haven  Ellie's Haven
“We’re aiming to to build a non-medical holiday haven for the children of Devon and Cornwall and their families which we will call “Ellie’s Haven”.

All About Ellie
Ellie, who was born on 25th January 2005, is the child of Julie and Nigel Libby. Julie and Nigel had a little boy called Thomas who sadly passed away when he was only fourteen months old. Thomas died of a terminal illness for which there is currently no name but it was a terminal illness believed to be linked with the genetics of both Julie and Nigel. The geneticist believed that if they had a baby girl it was more likely that she would not be similarly affected.
Four years after Thomas’ death, Ellie was born. It quickly transpired that she too, had a similar terminal condition.
Ellie requires around-the-clock care and suffers from:
-Global developmental delay
-Laryngomalacia – Ellie has a tube/opening in her throat
-Feeding difficulties – Ellie is fed solely by tube
-Seizures
-Vision impairment
Ellie was given a very short life expectancy and was not expected to live beyond her first birthday…..she is still with us. We, the trustees, want to make Ellie’s life have meaning and wish to provide Cornwall and Devon in particular, with something to be proud of and something that will stand as a permanent memorial to Ellie.

Our Objectives
We appreciate that what we are taking on is a mammoth task but we have the drive and determination that we will succeed. We have already had land donated to us but now we have to build Ellie’s haven with all that entails regarding design specifications, planning and so on.
The building itself may well cost in excess one-and-a-half million pounds and, once constructed, will cost approximately three- hundred-thousand pounds per year to run. Apart from any funding that we may be able to secure through Governmental Grant Schemes or National Lottery funding, we will be entirely dependent upon funding from charitable donations. Towards this end we need to raise the profile of this project to a national level in the hope that we can attract contributions from as wide a source as possible.
From here on in, fund raising will need to be our raison d’etre. We had our official launch of Ellies - haven in November 2007, at a very successful winter ball, at the Hannnafore Point Hotel in Looe.

Our Mission
Ellie’s Haven is being built on the outskirts of Looe in Cornwall to make the most of short and precious lives.
We will offer holidays and short breaks in a relaxed and friendly atmosphere.
Ellie’s Haven will be a home from home experience for children and young people with life limiting/life threatening conditions and those with long term illnesses, and for their parents/guardians and siblings and their carer(s) if needed.

Dontations
It takes a huge amount of money to setup and then run a non-medical holiday haven, so if you can make a donation, however small, every penny will help us.
To make a donation please send cheques (Payable to Ellie’s Haven Cornwall Ltd) to:
40 Woodlands View, West Looe, Cornwall, PL13 2AW
If you would like to Gift Aid your donation you can download a printable Gift Aid Declaration form our website:
www.ellies-haven.org.uk
E-mail: info@ellies-haven.org.uk
Tel: 01503 265044
 Dream-A-Way  Dream-A-Way
DREAM-A-WAY’s Aim...
...is to send local people with physical and learning difficulties on holidays and day trips - whether it is fulfilling a lifetime dream, experiencing great opportunities or just having ‘time out’ from daily routines. People of all ages and from around the South West are helped in every way possible to have a DREAM-A-WAY holiday.
The volunteer committee members use their time to raise money to fund the trips and also actively seek out opportunities to help people throughout the South West.
The chance for DREAM-A-WAY committee members and friends to raise money and help others has always been the driving force behind the charity. What makes this charity so extra special is that the volunteers provide their time and services freely - and that the charity does not incur any administration costs.
Over 8,000 people have benefited since the launch and in 1999 DREAM-A-WAY purchased a luxury caravan at Haven Holidays, Sandy Bay, Devon. We now own 6 of these luxury holiday homes.
Our website www.dream-a-way.co.uk has information on past and future events, applying for a holiday and much more. There is no age resitriction.
info@dream-a-way.co.uk
2 Lisa Close, Heavitree, Exeter, EX2 5JB 01392 823998
 Calvert Trust Exmoor  Calvert Trust Exmoor
For over 30 years, Calvert Trust has been enabling people with disabilities, together with their families and friends, to achieve their potential through outdoor adventure activities in the countryside.
We aim to do this by providing:
- A wide range of adventurous outdoor activities, meaningful challenge and adventure within a framework of safety
- Opportunities for all to climb, abseil, horse ride, carriage drive, sail, kayak, canoe, do archery and use the zipwire
- Skilled, qualified and caring staff able to fulfil the needs of visitors
- Accessible accommodation and supporting equipment
- Comfortable and tasteful accommodation in rooms, apartments or lodges, self catered or fully catered
Today its three centres welcome over 11,000 visitors each year, helping them challenge disability through outdoor adventure and providing more opportunities to find out that “it’s what you can do that counts!”

Contact Calvert Trust Exmoor
Calvert Trust Exmoor, Wistlandpound, Kentisbury, Barnstaple, Devon, EX31 4SJ
01598 763221
 Attractions, Leisure Centres, Cinemas and Riding for the Disabled (image opens in a new window)
 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. More information can be obtained by calling the groups individually or visit www.phabengland.org.uk
Barton Baptist Church , Torquay 01803 311628
Exeter PHAB 01392 468627
Phab Tarka 90, Barnstaple 01271 342603
Torquay PHAB 01803 882073
 Gateway Clubs  Gateway Clubs
Gateway Clubs are part of the work of MENCAP: they 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.

Abbey Gateway Club , Barnstaple 07989 536349
Gateway Club, Exmouth 01395 279928
Gateway Club, Tiverton 07866 210611
Gateway Club, Paignton 01803 551014
Gateway Club, Teignbridge 01626 774457
Gateway Project, Barnstaple 01271 343111

Home Care (Domiciliary Care)
 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
 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: Devon Care Direct 0845 1551020 FactSheets 51, 52, 55, 79b, 299. Torbay Council 01803 208435, Leaflet TSS2. Plymouth City Council Contact Centre 01752 668000 leaflet Charges for Support at Home.
 Help for Carers  Help for Carers
If you help someone with washing, eating, dressing, and medication collection and taking, you are a carer. Almost 6 million people in the UK are carers, however many don’t recognise that fact and don’t receive the support they are entitled to.
Carers UK are a charity set up to prevent carers from becoming emotionally drained, and from forgetting to take care of themselves. The CareLine 0808 808 7777, provides help and advice for carers.
If you are a carer you may be entitled to Carers Allowance, and if you are means tested you may benefit from Carer Premium Allowance. Practical help is also available, ask your county council for an assessment.
If you need a break, respite centres are available for short stays for the person you care for, or someone else can come and take over your caring duties temporarily, or permanently if desired.
By law Adult Social Care is required to offer carers assessments, whether or not the cared for person is receiving a service from Adult & Community Services. Adult & Community Services may be able to advise you on practical solutions at home.
More Information: Devon County Council FactSheets 506,600,601,602,603. Carers in Devon 01392 382331. Torbay Care Trust Signposts for Carers 01803 666620. Plymouth City Council Contact Centre 01752 668000 leaflet Are you a carer? For Carers Link in your area see Useful Links on page 51.
 Take a Break Scheme for Carers of Adults  Take a Break Scheme for Carers of Adults
What is the ‘Take a Break’ scheme?
It is a new county wide subsidised scheme which gives carers of adults a single route to arrange day time or evening breaks from their caring responsibilities. The breaks are provided by a care worker coming to look after the cared for person so the carer can have a break.
Who can use Take a Break Services?
The service is available for all carers who look after an older person, or someone with a physical or sensory disability over the age of 18 years. It is not currently available for carers of adults with mental health difficulties under 65 years of age, learning disabilities or who have children with disabilities. Young carers can access the scheme if they are looking after an eligible adult.
What does the Take a Break scheme offer?
- It is an open access service, which means that carers will not have to go through any Health or Adult & Community Services assessments to be able to use the scheme.
- Carers must be a member of their local ‘Carers Link’. These are listed in our leaflet 6 “You are a Carer” or you can call Care Direct on 0845 155 1007 who can give you their contact details.
- Carers will be allocated 3 hours per week of ‘breaks services’ which can be saved and used in blocks of up to 12 hours at any one time.
- The charge to the carer is a standard rate of £2.50 per hour with no requirement of a financial assessment.
- The scheme will use vouchers and every voucher will be worth one hour of breaks.
More Information: Devon Care Direct 0845 1551007 Factsheet 602 Take a Break Scheme for Carers of Adults.
 Questions to Ask when Choosing Homecare  Questions to Ask when Choosing Homecare
- Do you have the capacity to provide the care needed including personal preferences?
- How will dignity and privacy be respected?
- Have you provided care for someone with similar needs?
- How will you match the most suitable care worker?
- Are you a member of UKHCA, complying with the UKHCA Code of Practice?
- Are you registered with the Commission for Social Care Inspection(CSCI)?
- Are you insured to protect my safety and interests?
- Do you interview and train all your care workers?
- Do you obtain references before employing care workers?
- Are your care workers checked with the Criminal Record Bureau (CRB)?
- What proportion of you care workers have obtained National Vocational Qualifications?
- Do you have a standard contract I can read before signing?
- Can I contact your agency outside of office hours at the weekend or evenings in an emergency?
- What happens if my regular care worker is sick or on holiday?
- What charges, if any, will I be expected to pay?
- What payment methods are available (cheque, direct debit)?
- Is there a minimum charge?
- Are there any hidden extras in the prices you quote? (National Insurance, travel expenses, VAT)
UKHCA Website 10/2007

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.
Alternatively you may prefer to employ a home care assistant to prepare meals for you in your home. This may be appropriate when you are recovering from illness or returning from hospital.
More Information: Devon Care Direct 0845 1551007 FactSheet 55 and 1. Torbay Council 01803 552175 leaflet P14. Plymouth City Council Contact Centre 01752 668000.

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

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
 Pluss  Pluss
Employment for disabled people
Around one in five people of working age have a disability or long term health condition and over one million disabled people want to work but don’t have a job. Pluss offers disabled people a wide range of services to help them train for, find and keep work.
Having a job offers much more than just an income. It offers independence, dignity and self esteem. At Pluss, we believe this opportunity should be available to everyone and offer a full range of services designed to meet an individual’s needs and readiness to work. We currently support over 2,000 people in Devon to develop their skills, find and keep work. Our services include the following:
Training and learning: We offer information and advice, and will help you put together a development plan for learning and work. We also deliver a wide range of courses to help you achieve nationally recognised qualifications.
Work experience: We will help you build your confidence, self esteem and find work experience in a job of your choice. This gives you the opportunity to try new things, identify any support needs and build on your skills.
Job search: We get to know you and your skills, strengths and aspirations. We then set about matching you to the right job with the right employer. We offer you support with your job search, practise interviews and liaise with employers on your behalf.
In work support: Once you are in work we offer ongoing support, including job coaching, training, funding for equipment and regular contact. You will get as much support as you need because it’s your choice and your job.
Advice for your employer: We will work with you and your employer to discuss any support or reasonable adjustments you may need. We currently work with over 700 employers in Devon.
For more information and a chat, contact us on 0800 91 777 92 or email working@pluss.org.uk or visit our website at www.pluss.org.uk
 My Devon  My Devon
Disability Information Service 0845 155 1005
The Disability Information Service, part of My Devon Customer Service Centre, is a dedicated Telephone Support Line for people with physical and sensory disabilities and acquired brain injury.
 Plymouth Guild Disability Advice & Support (DIAC)  Plymouth Guild Disability Advice & Support (DIAC)
DIAC provides a free, specialist disability advice, information and support service for disabled people, carers, local statutory and voluntary organisations. DIAC helps disabled people and carers with information about other service providers and supports them to access these services and receive the help needed to lead an independent life, it also operates a Hearing and Sight Centre providing information, advice and equipment loan hire. Monday 10am-1pm, Tue-Fri 10am-1pm, 2pm-4pm. 01752 201065
 Shopmobility  Shopmobility
Shopmobility is a scheme aiming to promote equality and access by lending manual wheelchairs, powered wheelchairs and powered scooters to members of the public with limited mobility to shop and to visit leisure and commercial facilities within the town, city or shopping centre. Shopmobility is for anyone, young or old, whether their disability is temporary or permanent. You do not need to be registered disabled to use it. All schemes operate slightly differently; some provide Shopmobility as a free service while others make a charge.

Brixham Shopmobility
c/o Barclays Bank, Central Car Park, Brixham, TQ5 4BW
01803 858304

Exeter Ring + Ride
8-10 Paris Street, Exeter, EX1 1GA
01392 494001

Exeter Shopmobility
8-10 Paris Street, Exeter, EX1 1GA
01392 494001

Honiton Shopmobility
29-31 New Street, Honiton, Devon, EX14 1HG
01404 46529

Leisuremobility
operated by North Devon Shopmobility at Barnstaple
Ilfracombe / Lynmouth
Somerset / Devon 01271 328866

Leisuremobility - Exeter
8-10 Paris Street, Exeter, EX1 1GA
01392 494001

Newton Abbot Shopmobility
Multi Storey Car Park, Sherborne Road, Newton Abbot, TQ12 2QY 01626 335 775

Paignton Shopmobility
Victoria Car Park, Garfield Road, Paignton, Devon, TQ4 6AU 01803 521771

Plymouth Shopmobility and Community Transport
Mayflower East Car Park, Mayflower Street, Plymouth, Devon, PL1 1QJ 01752 600633

Teignmouth Shopmobility
Quay Office, Quay Road Car Park, Teignmouth, Devon, TQ14 8EL 01626 777775

Tiverton (Mid Devon) Shopmobility
Phoenix Lane Multi Storey Car Park, Tiverton, Devon, EX16 6NB 01884 242099

Torquay Shopmobility
1 Lymington Road, Torquay, Devon, TQ1 4BW
01803 380982

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 and Alzheimer's Care  Dementia and Alzheimer's 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 Desease
Alzheimer’s Disease is the most common form of Dementia, with 55% of dementia sufferers being afffected.
 Cool Recovery  Cool Recovery
‘Cool Recovery’ is an independent charity providing support, information, volunteering opportunities and a range of activities for family, friends and people recovering from or affected by mental health issues. It provides opportunities and space to make changes, to use and develop skills, pursue aspirations and recover a good quality of life.
We offer a unique, friendly and easily accessible resource, a street/lane level access point for the people in our community who need us. We successfully work with carers and the ‘cared for’ of all ages in the rural and urban areas. Our Young Carers Project at the Cool House is one of the few projects in the UK specifically for young people affected by a parent or sibling ‘s mental health problems. Cool Recovery evolved from a South Devon carers’ network with one home- based worker, to an all inclusive project now based in a large house in central Torquay, with an extensive range of support services also available in the surrounding rural area. We are now entering our third year of development.
“All are welcome at the Cool House”
We are a dynamic, lively organization. Our members support one another and involve themselves in a diverse range of activities to promote recovery, mental and physical well-being and meaningful employment. Cool Recovery Membership involves each person volunteering and taking part in the running of the charity, with a yearly membership fee of just £12. The Cafe is run by members and promotes healthy eating by serving tasty, nutritious, freshly cooked food which is locally sourced and reasonably priced. We are currently developing a service for young parents. Working together with Surestart we will offer support to combat postnatal depression and training in parenting skills for the whole family.
Cool Recovery is totally independently funded and works successfully in partnership with statutory and non statutory organisations. Operational funds are generated from the Café, membership fees and room rental. Recovery involves integration in the local community, as such, we have developed good working relationships with local businesses by using their services, as a result helping reduce the stigma of mental illness.
The Cool House ,17 Morgan Avenue Torquay,TQ2 5RP
info@coolrecovery.org.uk 01803 299511
 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
 Care Homes for Past or Present Alcohol Dependence  Care Homes for Past or Present Alcohol Dependence
St Andrews House 6 places
St Andrews Road, Exmouth, Devon, EX8 1AS 01395223737

Francis House 40 places
Dennington, Swimbridge, Barnstaple, Devon, EX32 0QG
01271 830030

Broadreach 36 places
465 Tavistock Road, Roborough, Plymouth, Devon, PL6 7HE
01752 790000

Hilldales 56 places
Hilldales, 11 - 13 Oxford Park, Ilfracombe, Devon, EX34 9JS
01271 865893

Closereach 17 places
Longcause, Plympton St Maurice, Plymouth, Devon, PL7 1JB
01752 348348

Trevi House 13 places
2/6 Endsleigh Gardens, Mutley, Plymouth, Devon, PL4 6DR
01752 255758

Nightingale House 24 places
Landscore Close, Teignmouth, Devon, TQ14 9LD
01626 773904

Vane Hill 32 places
15 - 72 Vane Hill Road, Torquay, Devon, TQ1 2BZ
01803 298727

Lampton Court 19 places
Lampton Court, Littleham, Bideford, North Devon, EX39 5HT
01237 470280

Gilead Foundations Charity 10 places
Risdon Farm, Jacobstowe, Okehampton, Devon, EX20 3AJ
01837 851240

Porch House 3 places
Daimonds Lane, Teignmouth, Devon, TQ14 9HX
01626 774775

Learning Disabilities
 Devon  Devon
Health and Social Care for people in Devon with a learning disability is now the responsibility of the Learning Disability and Social Care Partnership.
The partnership is led by Devon Adult and Community Services and involves Adult and Community Services staff, NHS staff from the Devon Partnership Trust and the Primary Care Trust. The partnership aims to provide people with a learning disability - and their carers - a “joined up” service and a single point of access. A new website specifically tailored for people with learning disabilities in Devon is one of the first in the country. It is a one-stop information shop for people with learning disabilities, their carers, families and other people with an interest in learning disabilities. For further information visit: www.learningdisabilitydevon.org.uk.
 Torbay  Torbay
Employment for people with Learning Disabilities
Torbay wants to make sure more people with learning disabilities are able to be part of employment, especially in paid work, and to be valued for the work they do.
What Help is there to find Employment?
It is possible to learn new skills by getting involved with: Community activities or voluntary work; College or training courses; Social Enterprise projects, all help you get ready to find job - much like a real job but you don’t get paid; Supported Employment or Workstep Services - especially for people who need extra help finding employment or gaining skills; Job Centre Plus; Disability Information Service; Job Introduction Scheme - subsidises employers for upto 13 weeks; Access to Work programmes.
For more information: Call the Disability Information Service on 01803 552175.
 Plymouth Guild  Plymouth Guild
Learning Disability Support and Advice - Ridleys
A drop-in service for adults aged 18+ with Learning Disabilities. Support, information, guidance and a place to socialise are provided in a friendly environment. Workshops on many subjects are held on a regular basis.
Services
- Drop-in to Ridleys at a time to suit you, to meet others, share experiences and make friends.
- Support for clients, carers, professionals and parents.
- Information on local groups and other support services
- Workshops on many areas to improve daily living skills / hobbies and interests.
- Information and Advice on any subject from friendly staff at Ridleys.
- Computers with Internet Access
To join telephone Lee, Nicky or Cathy on 01752 222267 and arrange to visit us to have a look around and a chat.
Address: 1st Floor, Belgrave House, 73 Mutley Plain, Plymouth, Devon, PL4 6JJ. Opening hours Monday to Friday 9.30am-12.00pm and 12.30pm-3.00pm.
 Fulfilling Lives and Short Break Services  Fulfilling Lives and Short Break Services
Fulfilling Lives / Short Break Services
With placement based on a persons support needs, wants and aspirations, Fulfilling Lives / Short Break services enable individuals with a Learning Disability to learn, socialise, and be cared for as well as providing a valuable day-time short break for carers. This can be a regular permanent arrangement or for some individuals could lead to employment or community-based activity.

East Devon
The Phillips Resource C. 01297 33793

Short Breaks
Copperfields Exmouth 01395 269680
Pine Park House Honiton 01404 42549

Fulfilling Lives
The Beach Hub Exmouth 01395 269286
Doyle Community Resource Centre Exmouth 01395 264789
Durham Way Honiton 01404 44420

Exeter
Fulfilling Lives Centre Nichols Day services 01392 218194
Community Hub The Exchange 01392 219725
Short Breaks (high support needs) New Treetops 01392 51726
Short Breaks unit Haldon V. 01392 411229

Mid Devon
Fulfilling Lives
The Leaze Community Resource Centre Okehampton 01837 54133
Puzzletree Community Hub Okeh. 01837 659796 Old Bartows Tiverton 01884 252335
The Old Bakery Tiverton 07970 978525
Community House Cullompton 07968 690711
Crediton 07855 781989

North Devon
Short Breaks Barnstaple 01271 343709
Fulfilling Lives
Silver Hill Lodge Barnstaple 01271 343623
Community Hub Barnstaple 01271 357743
Old Rectory Centre Bideford 01237 471001
Wellpark Community Resource Centre Holsworthy 01409 254531
Two Lanes Community Resource Centre Ilfracombe 01271 866176
Eric Palmer Centre Torrington 07800 808988

South Hams & West Devon
Fulfilling Lives
Ropewalk Community Resource Centre Kingsbridge 01548 853163
Molly Owen Community Resource Cen. Tavistock 01822 612981 / 613125
The Boatshed Totnes 01803 849509

Teignbridge
Fulfilling Lives
Kingsteignton Community Resource Centre Newton Abbot 01626 365996
Ryefields Newton Abbot 01626 216210

Advocacy
 Advocacy  Advocacy
You may want other people to speak to Adult & Community Services for you, this is known as ‘Advocacy’. Advocacy is about helping you to speak up for yourself, to make sure that your views and opinions are heard and understood. If you find it hard, or you are unable to speak for yourself then you may need an ‘Advocate’ who will speak for you.
What are the benefits of Advocacy?
It will enable you to speak for yourself. A person or group will speak for you about your concerns. It will provide you with access to information, professional support, complaint procedures and services. It will help you to see what other services are available, such as local community services, self-help groups and other support networks. It can make it easier for you get information in a way that you can understand. It will help you choose what you want to do. It will help you to get people to understand your point of view. The advocate will only speak for you. The advocate will listen to you without judging you.
Independent Mental Capacity Advocacy Service
Living Options and Age Concern Devon are in partnership, providing a statutory advocacy service in response to the Mental Capacity Act of 2005. The service is only available through Devon County Council and Torbay Care Trust.
Independent advocates will represent your wishes in relation to important decisions about serious medical treatment, changes in accommodation, care reviews and adult protection cases. Advocates will support professionals to make these decisions on the person’s behalf.
For more information contact:
The IMCA Service Manager on 01392 439837
Devon Safeguarding Adults Team on 01392 383131
Torbay Safeguarding Adults Team on 01803 219831

Advocacy in Devon, Plymouth and Torbay
Action for Blind People
Advocacy service to people with visual impairments.
Matford Business Centre, Matford Park Road, Exeter EX2 8ED
01392 332818

Age Concern
138 Cowick Street, St Thomas, Exeter, Devon, EX4 1HS 01392 202092

Care Direct(Devon County Council)
0845 1551 007 devcd@devon.gov.uk
www.devon.gov.uk/caredirect

Crediton Advocacy Team (CAT)
Newcombes or The Station Café, Crediton 01363 772804.

Devon and Torbay Independent Mental Capacity Advocacy Service (IMCA)
Living Options Devon Isca House, Haven Road, Exeter, EX2 8DS
01392 459222

East Devon Volunteer Service
Advocacy for adults with Learning Disability or Mental Health issues.
Dowell Street, Honiton. EX4 1DU 01392 20209 www.edvsa.org.uk

Exeter CVS
Advocacy for adults with Learning Disability or Mental Health issues.

Mental Health Self Advocacy Project
Wat Tyler House, King William Street, Exeter, EX4 6PD
01392 202055 www.exetercvs.org.uk

Get Together North Devon
A speaking up group for people with a learning disability. Contact North Devon People First. Old Rectory CRC, Bideford. 01271 328440

MENCAP
Advocacy for adults with Learning Disability or Mental Health issues.
7 Hamnet Street, Taunton, TA1 1RZ 01823 340030 www.mencap.org.uk

Plymouth Advocacy Gaining Empowerment and Support
C/o Pages Advocacy, The Glen bourne Unit, Morlaix Road, Derriford, Plymouth, PL6 5AF 01752 700202 / 763104

Plymouth Highbury Trust
Advocacy for adults with Learning Disability or Mental Health issues.
207 Outland Road, Peverell, Plymouth, PL23PF 01752 77 33 33

RETHINK
(National Schizophrenia Fellowship)
Advocacy for adults with Learning Disability or Mental Health issues.
44 Westexe South, Tiverton, EX16 5DH 01884 257070 www.rethink.org
Plymouth Office:
34 Camden Street, Plymouth, Pl4 8NW 01752 253231

Senior Voice
Advocacy for over 50’s
Advocacy Service, 6/7 Southernhay West, Exeter, EX1 1JG
01392 250085 info@ageconcerndevon.gov.uk

VOCAL
Advocacy for adults with Learning Disability or Mental Health issues.
Citizen Advocacy South Devon, Russell House, 22a Hyde Road, Paignton, TQ4 5BY 01803 528714

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.

Useful Contacts
 Adult Social Care Offices  Adult Social Care Offices
Devon County Council
County Hall, Topsham Road, Exeter, Devon. EX2 4QD 0845 1551015
Torbay Care Trust
Bay House, Riviera Park, Nicholson Road, Torquay, TQ2 7TD 01803 210500
Plymouth City Council
Plymouth PL1 2AA 01752 668000
 General Reigonal Contacts  General Reigonal Contacts
Alzheimer’s Society East Devon
South West Area Office, 11-15 Dix’s Field, Exeter, Devon, EX1 1QA 01392 274327

Alzheimer’s Society Exeter and district
51 New Hays Close, St Thomas, Exeter, EX2 9LJ
07717292817

Alzheimer’s Society Exmouth area
‘Erica’, Shepherds Lane, Colaton Raleigh, EX10 0LP 01395 568542

Alzheimer’s Society Plymouth & district
County House, 12-13 Sussex Street, Plymouth, PL1 2HR 01752 255399

Alzheimer’s Society South Devon and district
Information Centre, 55 Torquay Road, Paignton, TQ3 3DT 01803 669216

Carers in Devon
Social Services Directorate, The Annexe, County Hall, Topsham Road, EXETER, EX2 4QR 01392 382331 carersindevon@devon.gov.uk

Exeter Tapes for the Handicapped Association
20 Hamlin Gardens, Exeter, EX1 3AB 01392 434111

Make a Difference Cafe Tavistock
7 Plymouth Road, Tavistock, Devon, PL19 8AU 01822 614814

Plymouth Guild
Ernest English House, Buckwell Street, Plymouth, PL1 2DA 01752 201766

Plymouth and West Devon Cassette Talking Newspaper
Abbots Ford, 14 Watts Road, Tavistock, Devon, PL19 8LG 01822 612102

Tavistock Ring & Ride
65 West Street, Tavistock, Devon, PL19 8AJ 01822 618028

Carers Link
East Devon Carers Link
East Devon Volunteer Support Agency, Northcote Lane, HONITON EX14 1NH 01404 44411 carers@edvsa.org.uk

Exeter Carers Link
Exeter Council of Voluntary Service, FREEPOST (SWB 30804), EXETER EX4 6ZZ 01392 202055 lynsey.self@exetercvs.org.uk

Mid Devon Carers Link
UNITE, 2 Bridge Street, TIVERTON EX16 5LY 01884 257511 info@unitemd.org.uk

North Devon Carers Link
The Castle Centre, 25 Castle Street, BARNSTAPLE EX31 1DR 01271 372811 ndevoncarerslink@hotmail.com

South Hams & West Devon Carers Link
South Devon Carers Consortium, Totnes Community Hospital, Coronation Road, TOTNES TQ9 5GH 01803 862622 carerslink@eurobell.co.uk

Teignbridge Carers Link
Westbank League of Friends, FREEPOST (SWB 30899), EXETER EX6 8ZZ 01392 824752 r.whitehurst@westbankfriends.org

Age Concern
Age Concern Barnstaple & District Association
1 Litchdon Street, BARNSTAPLE, Devon, EX32 8ND 01271 324488

Age Concern Crediton
Deep Lane Centre, Deep Lane, CREDITON, Devon, EX17 2BX 01363 775008

Age Concern Devon
6/7 Southernhay West, EXETER, Devon, EX1 1JG 01392 250085

Age Concern Exmouth
8 New Street, EXMOUTH, Devon, EX8 1RT 01395 271242

Age Concern Okehampton & Torridge
2 Crediton Road, OKEHAMPTON, Devon, EX20 1LU 01837 55838

Age Concern Plymouth
Plymouth Age Concern Centre, Elspeth Sitters House, PLYMOUTH, PL1 2JB 01752 665424

Age Concern Tiverton, Cullompton & Distr.
Beck House, Beck’s Square, TIVERTON, Devon, EX16 6PJ 01884 242052/255369

Age Concern Torbay
Sandwell House, 4 Dendy Road, PAIGNTON, Devon, TQ4 5DB 01803 555181

Patient Advice and Liaison Service (PALS)
Devon Partnership Trust
Mental Health and Learning Disabilities
Devon Partnership Trust, Wonford House Hospital, Dryden Road, Exeter, Devon, EX2 5AF 0800 0730741 / 01392 403621

Devon Primary Care Trust
Dean Clarke House, Southernhay East, Exeter, Devon, EX1 1 PQ 0845 1110080

North Devon District Hospital, Community Hospitals and GP Services
Barnstaple Health Centre, Vicarage Street, Barnstaple, Devon, EX32 7BH 01271 341555

Plymouth Hospitals NHS Trust
Derriford Hospital, Derriford Road, Plymouth, Devon, PL6 8DH 01752 517657

Plymouth Teaching Primary Care Trust
Community Hospitals, GP Services, Mental Health & Learning Disabilities Services
Plymouth Guild, Ernest English House, Buckwell Street, Plymouth, Devon, PL1 2DA 01752 211818

Royal Devon & Exeter NHS Foundation Trust Royal Devon and Exeter Hospital (Wonford),, Barrack Road, Wonford, Exeter, Devon, EX2 5DW 01392 402093 South Devon Healthcare Trust
Torbay Hospital, Lawes Bridge, Newton Road, Torquay, TQ2 7AA 0800 028 2037 / 01803 655838

South Western Ambulance Service NHS Trust
Unit 3, Abbey Court, Eagle Way, Exeter, EX2 7HY 01392 261585

Torbay Care Trust
PALS Torbay Care Trust, Paignton Hospital, Church Street, Torquay, TQ3 3AG 0800 0327657 / 01803 557425 ext 370

Citizens Advice Bureaus
Ashburton Fri: 9.30am-12pm
Town Hall, ASHBURTON, Devon, TQ13 7QQ Fri: 9.30am-12pm

Axminster Fri: 10am-1pm
Lea Combe House, Lyme Close, AXMINSTER, Devon, EX13 5BA 01404 44213

Barnstaple 10am - 2.30pm
Ground Floor, Belle Meadow Court, Albert Lane, BARNSTAPLE, Devon, EX32 8RJ 01271 377077

Bideford 10am-12.30pm & 1.30pm-4pm
28a Bridgeland Street, BIDEFORD, Devon, EX39 2PZ 01237 473161

Buckfastleigh 1.30pm-3.30pm
The Medical Centre, Bossel Road, BUCKFASTLEIGH, Devon, TQ11 0DE

Combe Martin
Health Centre, COMBE MARTIN, Devon, EX34

Crediton Mon,Tues,Thu 10am-3pm
56 High Street, CREDITON, Devon, EX17 3JX 01363 773904

Cullompton
Mid Devon District Council Off, Claremont, 65 Fore St, CULLOMPTON, Devon, EX15 1JY 01884 234926

Dartmouth Surgery Wed 1pm-4pm
Victoria Place, DARTMOUTH, Devon 01803 835384

East Devon Mon,Tues,Thu,Fri 9.30am-12.30
Honiton Library, & Information Centre, 48-50 New Street, HONITON, Devon, EX14 1BS 01404 44213

Exeter Mon,Tues,Thu,Fri 12pm-13.30pm
Wat Tyler House, 3 King William Street, EXETER, Devon, EX4 6PD 0844 4994101

Exminster-Rural Outreach
Westbank League of Friends Healthy Living, Exminster, Devon, EX6 8AT

Exmouth 10am-12.30pm & 2pm-4pm
Town Hall, St Andrews Road, EXMOUTH, Devon, EX8 1AW 01395 264645

Forches Tues 10am-12pm
Crossways, Forches Avenue, BARNSTAPLE, Devon, EX32 8ED 01271 376452

HM Prison Dartmoor
Princetown, YELVERTON, Devon, PL20 6RR

Holsworthy 2nd & 4th Mon 10am-1pm, Wed 10am-4pm
Manor Offices, HOLSWORTHY, Devon, EX22 6DJ 01409 253372

Infracombe Mon,Wed 10am-1pm
The Candar, ILFRACOMBE, Devon, EX34 9ER 01271 863549

Link Centre (Ilfracombe) Thu 11am-1pm
Lane off Northfield Road, ILFRACOMBE, Devon, EX34 8AL

Mayfield Medical Practice Thu by appointment only
37 Totnes Rd, PAIGNTON, Devon 01803 558257

Mid Devon District Tue,Wed,Fri 10am-3pm
The Town Hall, St Andrew Street, TIVERTON, Devon, EX16 6PG 01884 234926

Newton Abbot (Teignbridge) Mon,Tue,Wed,Fri 9.30am-12pm
Bank House Centre, 5b Bank Street, NEWTON ABBOT, Devon, TQ12 2JL 01626 203141

Paignton 9.30am-12.30pm
29 Palace Avenue, PAIGNTON, Devon, TQ3 3EQ 01803 521726

Plymouth Mon-Fri 10am-1pm
2nd Floor, , Cobourg House, 32 Mayflower Street, PLYMOUTH, Devon, PL1 1QX 0870 1264011

Sidmouth Mon 9.30am-12.30pm
The Community Partnership , Mill St, SIDMOUTH, Devon, EX10 8DF 01404 44213

South Hams Mon-Thu 10am-1pm & 2pm-4pm Tue appointmant only
The Cottage, Follaton House, Plymouth Road, TOTNES, Devon, TQ9 5NE 01803 862392 South Molton Thu 10am-1pm

The Library, 1 East Street, SOUTH MOLTON, Devon, EX36 3BU 01769 572342

Teignmouth (Teignbridge) Mon,Wed,10am-3pm Fri 10am-12.30pm
Teignmouth Library, Fore Street, TEIGNMOUTH, Devon, TQ14 8DY 01626 776770

Torquay Debt Advice Unit Mon-Fri Appointment only
1 Castle Road, TORQUAY, Devon, TQ1 3BB 01803 297803

Torrington Wed 10am-12.30pm, Mon,Thu 10am-12 debt/welfare only
Castle Hill, South Street, TORRINGTON, Devon, EX38 8AA 01805 626126

West Devon (Okehampton) Mon,Wed,Thu 10am-1pm, Tues 1pm-3pm
The Ockment Centre, North Street, OKEHAMPTON, Devon, EX20 1AR 01837 52574

West Devon (Tavistock) Mon,Wed,Fri 10.30am-12.30 Wed Appointments
Kingdon House, North Street, TAVISTOCK, Devon, PL19 0AN 01822 612359

Shopmobility
Brixham Shopmobility
c/o Barclays Bank, Central Car Park, Brixham, TQ5 4BW 01803 858304

Exeter Ring + Ride
8-10 Paris Street, Exeter, EX1 1GA 01392 494001

Exeter Shopmobility
8-10 Paris Street, Exeter, EX1 1GA 01392 494001

Honiton Shopmobility
29-31 New Street, Honiton, Devon, EX14 1HG 01404 46529

Leisuremobility
operated by North Devon Shopmobility at Barnstaple
Ilfracombe / Lynmouth
Somerset / Devon 01271 328866
Leisuremobility - Exeter
8-10 Paris Street, Exeter, EX1 1GA 01392 494001

Newton Abbot Shopmobility
Multi Storey Car Park, Sherborne Road, Newton Abbot, TQ12 2QY 01626 335 775

Paignton Shopmobility
Victoria Car Park, Garfield Road, Paignton, Devon, TQ4 6AU 01803 521771

Plymouth Shopmobility and Community Transport
Mayflower East Car Park, Mayflower Street, Plymouth, Devon, PL1 1QJ 01752 600633

Teignmouth Shopmobility
Quay Office, Quay Road Car Park, Teignmouth, Devon, TQ14 8EL 01626 777775

Tiverton (Mid Devon) Shopmobility
Phoenix Lane Multi Storey Car Park, Tiverton, Devon, EX16 6NB 01884 242099

Torquay Shopmobility
1 Lymington Road, Torquay, Devon, TQ1 4BW
01803 380982

Ring and Ride
Axe Valley 01404 46520
Crediton 01363 773303
East Teignbridge 01626 888777
Exeter 01392 494001
Exmouth 01395 266662
Honiton 01404 46529
Ilfracombe 01271 855951
Ivybridge 01752 690444
Northern Devon 01271 328866
North Tamar 01409 259001
Okehampton 01837 55000
Plymouth 01752 600633
Tavistock 01822 618028
Tiverton 01884 242099
Torbay 01803 201000
Torridge 01237 423232
Totnes & Dartmouth 01803 867878
West Teignbridge 01626 334428


East Devon CVS
Newholme Volunteer Centre, Northcote Lane, Honiton, EX14 1HS 01404 549045

Exeter CVS
Wat Tyler House, King William Street, Exeter, EX4 6PD 01392 202055

Involve - Mid Devon CVS
28 Gold Street, Tiverton, EX16 6PY 01884 255734

North Devon Voluntary Services
25 Castle Street, Barnstaple, EX31 1DR 01271 326700

West Devon CVS
The Carlton Centre, 13 St James Street, Okehampton, EX20 1DW 01837 53392
and
5 King Street, Tavistock, Devon, PL19 0DS 01822 618224

South Hams CVS
The Cottage, Follaton House, Plymouth Road, Totnes, TQ9 5NE 01803 862266

Teignbridge CVS
Maltings Resource Centre
Teign Road, Newton Abbot, TQ12 4AA 01626 203050

Torridge Voluntary Services
14-14a Bridgeland Street, Bideford, EX39 2QE 01237 425554

Publications
 Age Concern Factsheets  Age Concern Factsheets

 NHFA Infosheets

 NHFA Infosheets