Support and Care


9.11  Technology

…it is open or closed, raising an alarm if too much time passes between doors being opened or closed, or if an outside door is left open. Telecare is discussed…

9.9 Mental Capacity

…in procedures to establish whether or not someone doesshave capacity. The underlying philosophy of the MCA is to ensure that those who lack capacity are empowered to make as…

9.8 Residents Refusing Help

…for the charity to be represented at a case conference that may also include family, carers and hospital team to ensure that those involved understand that the charity doessnot…

9.4 Temporary Moves

It may not be necessary for the resident to move out permanently. Relatives may be able and willing to nurse a resident back to health, or the resident may benefit…

9.3  Hospital Admissions and Discharge

work to the premises under agreement or contract must therefore be flexible and realistic for the timeframe of planned absence. Careful discussions should also have been conducted to ensure that…

9.2 Planning for Frailty

Strategic questions that trustees will need to consider, ideally in consultation with residents, are: Doessthe charity know how to help residents access services for older people? If not, how…

9.1 Introduction

…it challenges for everyone involved in the commissioning or provision of services for older people. While some older people will enjoy the benefit of good health well into their latter…

8.17  Travel Concessions

…www.gov.uk Bereavement Service: www.gov.uk/funeral-payments Citizens Advice Bureau: www.citizensadvice.org.uk Concessionary Licensing Centre: www.tvlicensing.co.uk Crisis Loans: www.gov.uk/crisis-loans Department for Work and Pensions: www.dwp.gov.uk Disability and Carers Benefits Advice: www.gov.uk/dla-disabilitiy-living-allowance and www.gov.uk/carers-allowance Future…

8.15  Assistance from Social Services

…departments may also be able to help with the cost of work not covered by Disabled Facilities Grants and to provide top-up funding if people are not able to find…

8.14  Disabled Facilities Grants

…pay anything towards the cost of the work, but the resident will need to get the trustees’ permission before any work is carried out. If the grant is approved, the…

8.12 Social Fund

…damage or risk to health and safety. The Social Fund decision maker will take into consideration any income or savings the applicant has and whether help is available from other…

8.11 Carer’s Allowance

doessnot matter whether the carer lives with the person they care for or lives elsewhere. To qualify for the allowance, the carer must be caring for someone who gets…

8.9 Attendance Allowance

…pointing out that the allowance is based on the help needed, not the help actually provided. The person receiving the allowance doessnot have to have a carer or even…

8.8 Council Tax Benefit/Support

…noting that even if a resident doessnot qualify for this benefit, there are other discounts available, including a 25% discount for a person living alone and discounts for those…

8.6  Housing Benefit

…is 100% of ‘eligible rent’. Eligible rent can include certain accommodation-related service charges but doessnot cover water and sewerage charges or fuel charges. Some service charges will also be…

8.2 Universal Credit

…will be responsive as people on low incomes move in and out of work. They will get on-going support, giving people more incentive to work for any period of time…

7.10 Additional Funding

…the resident and family or friends should elicit any possible sources of funding from outside agencies. Ex-service personnel can apply for grants from the relevant benevolent funds. (See Appendix B)….

7.9 Visiting Organisations

Loneliness can be a major problem for older people. Trustees should take advantage of outside organisations such as the Women’s Royal Voluntary Service (WRVS) and the St Vincent de Paul…

7.6 Community Care Services

Since the full implementation of the National Health Service and Community Care Act 1990 local authority Adult Social Care Teams can arrange support for a range of home care for…

7.3 Next of Kin

…residents that it usually means the person or persons the resident would like kept informed about his or her health, particularly in the event of hospitalisation or sudden illness. It…

7.2 Family

Good family support can be extremely valuable. It not only enhances the quality of life for the residents, it will also mean that the responsibility for their welfare doessnot…

6.20  Retirement

6.20.1 Retirement There is no longer an automatic retirement at age 65. Employees can continue to work past this age if they wish to do so, and as an employer…

6.15 Sickness

6.15.1 Absence All sickness absence should be recorded. If it appears that there is a higher than expected amount of absence, consideration should be given to return to work interviews….

6.10 Abuse

…gender orientation. There is now a much wider recognition of the dangers of elder abuse in our society as a result of the campaigning work of Action on Elder Abuse…

6.9 Smoking

Smoking in the work place is prohibited by law. But what about ‘passive smoking’ where the employee is expected to visit a resident who is a heavy smoker? This can…

6.8 First Aid

Accidents do happen and good employers will ensure that where appropriate facilities exist, someone is properly trained to use them. Days off work can be expensive in terms of the…

6.7 Manual Handling

As a result of changing perceptions in the importance of health and safety at work, a far more rigorous approach is necessary in circumstances in which staff handle residents. The…

6.6 Health and Safety Issues

A complex area of employment regulation is that relating to health and safety. The degree to which an organisation is affected depends on the number of employees. Whether required by…

6.3 New Employees

6.3.1 Day One It is important that when the new employee arrives for work s/he is met by the clerk or administrator who will take time to introduce them to…

6.2 Appointment

…given to an employee within 8 weeks of starting work. See Appendix D for a simple example. A more detailed contract may be required depending on the role. Include in…

6.1 Staff Selection

…all people living in the UK have the right to work here. It is important to ensure that applicants are legally allowed to carry out any duties expected. 6.1.2 Interviews…

5.10 Mobility and Wheelchairs

…primary health care trusts and health boards operate a voucher scheme for people who are assessed as needing a wheelchair. In most areas there are charities or organisations that will…

5.9 Communicating With Disabled Residents

…more. Be aware that just because a person is nodding and smiling, it doessnot necessarily mean that they have heard and agree with what is being said. When talking…

5.2 Rights of Disabled People

…made to the communal areas. Trustees should note that the legislation doessnot apply to almshouse charities or to listed buildings. All new buildings have to comply with the Act…

4.14 Some General Principles Relevant to Healthcare

Health in Wales: www.wales.nhs.uk Information Commissioner’s Office: www.ico.gov.uk Macmillan Cancer Support: www.macmillan.org.uk National Health Service: www.nhs.uk National Institute for Health and Clinical Excellence: www.nice.org.uk National Institute on Ageing: www.nia.hih.gov National…

4.13 Common Illnesses and How They Present

The emphasis on maintaining health and preventing illness is vital. There is a growing body of evidence to support the benefits of this, particularly in the postponement of disability in…

4.11 Residents With Dementia A Practical Guide

…their normal routine and being in familiar surroundings. Changes that are made should be introduced carefully and with the help of professionals within the community mental health team as well…

4.10 Preventive Activity

…fish, eggs, beans, lentils and nuts These contain protein, which build and repair the body. Meat or fish doessnot need to be eaten every day – cheese, well-cooked eggs,…

4.9 Care Packages

…offer. Often the need for extra help is triggered by an event, such as a hospital discharge (see Chapter 9.3) but sometimes gradual failing health can lead to the need…

4.8 Medication

4.8.1 Monitored Dosage Systems Problems caused by hoarding, a lack of routine, confusion and multiple storage locations have been reported among elderly patients living in their own homes. A monitored…

4.7 Medicines Policy

Residents often manage complicated medication regimens well. Health problems are often due to the side effects of prescribed medication. Residents should be encouraged to attend a medication review as follows:…

4.6 When a Resident Becomes Unwell

…therapists and social workers. In addition they all work closely with clinical psychologists, clinical pharmacists, dieticians and mental health services. GPs are the first point of contact (other than A&E)…

4.5 Healthcare Services

…the quality of services provided. At the time of writing there are considerable changes underway in the NHS due to the Health and Social Care Act 2012. These changes will…

4.4 Roles of Healthcare Professionals

…x-rays. Speech and language therapists – work with people who have problems with communication, including speech defects, or with chewing or swallowing. Often work with people recovering from strokes or…

4.2 Giving Advice

…give medical advice. However, it is perfectly in order to suggest a visit to a GP, optician or dentist if you feel this would benefit the resident’s health or wellbeing….