fbpx

Sweet Treats to Swallow

Residents at Weymouth Care Home held a special event to mark National Swallowing Day and to highlight how Dysphagia can affect people’s lives.

An ice cream flavour challenge took place with the winning team guessing the most flavours. Mocktails were also flavour of the day.

Eating, drinking and swallowing difficulties have potentially life-threatening consequences. They can result in choking, pneumonia, chest infections, dehydration, malnutrition and weight loss. They can also make taking medication more difficult and they can lead to a poorer quality of life for the individual and their family. Dysphagia can affect people at any stage of their lives and speech and language therapists support and enable them to eat and drink safely.

Easter Bunnies at Steepleton Manor

Residents at Steepleton Manor are looking forward to Easter and in preparation have been creating various art forms of rabbits.

Sarah Jane visits each month and assists everyone in using a variety of art materials such as water paints and chalks to create drawings and table decorations.

Random Acts of Kindness Day

Altogether Care took part in Random Acts of Kindness Day last month on Saturday 17th February. We asked our staff to let us know if they have seen any examples of extraordinary acts of kindness- over and above what we would expect in our day to day roles as part of a caring company.

Taking inspiration from Matt Callanan – wemakegoodhappen.com – our Care Home and Care at Home departments received bright yellow envelopes containing £10 with simple instructions to be distributed around Dorset and Somerset. The rules are simple:

  • You can’t spend it on yourself
  • You have to do good with it

The envelopes encouraged the lucky strangers to be creative, do something lovely, or make someone smile. Below is just one example of how kindness was spread across the South West.

“We have a young homeless girl that we are supporting with our organisation, Second Chance Bournemouth, who desperately needed some new shoes. We doubled the money and bought her a new pair of trainers. We also treated her to some pampering and a set of new clothes with a cash donation from another beautiful soul. It was lovely to see such a smiling happy face on a cold sunny day!”

          – Shelley Morris

 

Owls, Pampering and Snow Days at Sherborne House

Residents at Sherborne House enjoyed being pampered earlier this month with facials and massages as part of a pamper session. Heavy snow allowed everyone to have a ‘pyjama day’ complete with hot chocolate and marshmallows.

A visit from Sharandy’s Birds of Prey meant residents got to stroke a beautiful owl.  Never a dull moment at Sherborne House!

Zumba gets residents moving!

Residents at Steepleton Manor made the most of the chance to be active this month at their monthly Zumba class with Becky.  With such motivational music the residents allowed the beat to guide their feet!

Could Live-in Care be the Best Option?

Once a person’s care needs become too extensive to be met by home care visits the next step is often residential care. But it doesn’t have to be. Live-in care offers many people a blend of independence and support that meets their needs better than a care home.

For some, moving into a care home might be too much of an upheaval – settling into a new environment might be disorientating and distressing. This is particularly true for people with dementia who find familiar surroundings and routines comforting. The care home option could mean becoming uprooted from a community and friends. It could mean having to rehome and leave behind a much-loved pet.

Sometimes it’s the perceived loss of independence that makes residential care unappealing; particularly if a person is mentally very active but physically impaired.

How Live-in Care Works

For many, live-in care is an option worth exploring. It involves a care worker living in the person’s home so that they are able to provide round-the-clock support. They can help with personal care, medication, cooking and cleaning or pet care. There’s also somebody on hand for companionship and to reduce the risk of trips and falls.

Live-in carers also support trips out, whether it’s to the doctor, the supermarket or the hairdresser.

For some people the need for more extensive care is temporary, perhaps when they are recovering from illness or an operation. Being able to receive round-the-clock care in their own home for a short period means they can leave hospital without having to wait for a residential place to become available. They can also get back to normality and regain greater independence quickly.

Obviously, the personal relationship is important. As a provider of live-in care we work hard to match the right carer to each service user so that they can meet the full range of needs and get along as people.

Decisions about the most appropriate form of care need a lot of consideration. At ATC we work closely with service users and families to explain the options and help everyone to make the choice that works best. Find out more about our Live-in Care service here, or contact us today on 01202 894 925.

Do People want Care Down to a Price, or up to a Standard for their Loved Ones?

Care home fees are an emotive issue. They can consume a large proportion of the wealth people have spent a lifetime building.  This can mean there is much less for relatives to inherit. And, of course, there’s the ‘random’ element that means some older people never need to go into care while others do.

It’s probably not surprising that people question whether the fees being charged are reasonable. In most parts of the country fees are over £651 per week of the 2017 national average. And that’s just for the residential element. Any specialist nursing care will be additional.

Over £33,000 per year may sound like a lot. But perhaps it isn’t if you compare it to the cost of even a fairly modest hotel. In a care home, on top of the accommodation there will be some element of personal care depending on individual needs. This could be help with washing and dressing or safe administration of medication. There will also be meals and laundry.

A care home is also much more than a warm and comfortable place to live. There are activities and outings to maintain physical and emotional wellbeing. There are also qualified staff who can keep an eye on the physical and mental health of residents. Companionship and round the clock help are part of the package.

Regulation and Training

Care homes are not free to deliver whatever standard of care they think appropriate. It is a highly regulated sector. Everything from the way homes are managed to the skills of staff is monitored alongside basic considerations such as hygiene and health and safety. Performance is evaluated by the Care Quality Commission and their judgements are very public.

The training costs to ensure that all staff are suitably skilled and qualified are significant and new regulations and requirements come along all the time.

Quite rightly, the CQC, relatives and society place very high expectations on the way that homes care for their residents. This is as it should be. But it cannot be done for a budget price.

For more information on funding care, take a look at our page here and our direct payments infographic

Little Horse is a Star!

A visit to a Care Home from a miniature horse provided an extra special treat at Sherborne House in Yeovil.

‘Star’ met each of the residents at the dementia home earlier this year, and made a big impression for a little horse.

April Kibby, from Lofty Therapy Horses said, “Each visit throws up new ‘experiences’ which they are ready to deal with and learn from. We bought our first American Miniature Horse called ‘Lofty’ as a companion for a larger horse and thought we would show him. That never happened as we took him to visit my father in law in a nursing home and the rest as they say, is history.

Star is the only female therapy horse and is an American Miniature Horse that was donated to us for therapy use. She came from a farm in Cheshire.  She originally came from Texas as a 6-month old foal. She is 8.5 years old and 32 inches high, our smallest therapy horse”.

Miniature horses can live up to 30 years and like regular sized horses enjoy a roam in a field and a warm stable at night.

Lofty has made several TV appearances and continues to visit nursing homes, hospices, nurseries, hospitals and schools.

Special little trainers are made for the horses which enable them to trot around indoors whilst on their visits. They are also trained to go in a lift making them easily accessible to all floors.

Employees of the Month – February

We are delighted to reveal our Employees of the Month for February for each of our care homes. Each month, care home managers at Sherborne House, Steepleton Manor and Weymouth Care Home will hand pick team members who demonstrate a passion for their role and go above and beyond to provide excellent standard of care and support to residents.

Our Employees of the Month for February are:

Sherborne House

Michelle Knight

Michelle’s colleagues describe her a breath of fresh air and residents are always come first where Michelle is concerned. She always has a smile and time to catch up with each and every resident.

Weymouth Care Home

Rachel Adams

Rachel is very efficient and has time for everyone. She is cheerful and takes on any challenge that comes her way. She is a great asset to the team and for the residents.

Steepleton Manor

Dawn Anderson

Dawn is always happy and full of enthusiasm. She is dedicated to working hard and makes a huge difference to the team and all the residents.

Congratulations to all Employees of the Month!

 

Self-Funding Care: What You Need to Know

The simple truth is that in most cases you don’t need to be particularly wealthy before you become responsible for funding your own care. It is wise for everybody to think about this eventuality in advance and have a plan for how care would be funded if necessary.

If you have assets (including your home, savings, shares etc) and income (including pensions and benefits) worth more than £23,250 you will be a self-funder and expected to pay for all of your care. In the case of residential care this can be several thousand pounds per month.

If your assets fall below this level, and you have been formally assessed as needing care, the local authority will become responsible for funding some of your care. If your assets fall below £14,250 the local authority will be responsible for funding all of your care.

The above thresholds apply to England. Different values apply for Scotland, Wales and Northern Ireland.

You should also bear in mind that the contributions from local authorities may not cover the full costs of your preferred care home.

Exceptions

If your spouse or civil partner will continue living in your property after you go into residential care the property will not be counted among your assets. The property value may also not be counted if the home remains occupied by a close relative over the age of 60, a dependent child or a relative who is disabled or incapacitated.

Deferred Payment

For many people their home is their single largest asset and will ultimately fund their care. Local authorities are obliged to offer deferred payment. This means that they will take over immediate responsibility for funding care and then recover the cost when your property is sold, which may be after your death.

Some people choose to use an equity release scheme or to use the value of their home to fund an insurance or endowment scheme to pay for their care. You should always take professional financial advice before choosing these options.

Care Cost Cap

From 2020 the total amount any individual is expected to pay towards their care will be capped. The precise arrangements are not clear but the figure being discussed is £72,000. However, this only covers ‘defined care’ and not accommodation or living costs. Costs incurred before the cap is implemented will also not count. The implementation of the cap may make little practical difference for many people.

There are not many opportunities to limit your liability for care costs. You cannot simply give your assets away, for example. But it can reduce a great deal of anxiety if you know what your options are and have thought through what you are going to do.

We recommend you take professional advice from a specialist law firm if you are thinking about self-funding your care.

 

Flipping Good Fun at Sherborne House

Residents at Sherborne House Care Home tucked into over 30 pancakes to celebrate Shrove Tuesday earlier this month.

Toppings were plentiful and included Golden Syrup, Chocolate and Fresh Fruit. The favourite one was however, traditional Lemon and Sugar.

Country Songs bring joy to Sherborne House

Residents and staff enjoyed a sing-along when ‘Country Dave’ performed some much loved Country and Western songs at Sherborne House recently.

Dave will be visiting again soon and was a big hit with residents and staff!

Continuity is critical to long term sustainability of the care sector

In December 2017 the CQC published an interim report based on system reviews of health and care services for older people in six areas. It won’t surprise anyone that the picture that emerges is one of a fragmented service with people working very hard to make things work, in spite of systems and conflicting priorities that don’t always help them.

If and when we implement better systems for assessing care needs and transferring people between health and care providers, the question remains about whether this will be enough. With current funding levels and arrangements will we ever see a joined-up service that consistently delivers on continuity of care?

Right now, continuity of communication, never mind care, can be an issue. Throughout the care service we see short term funding, short term or zero hours contracts, and a workforce with a high turnover of staff. These conditions are largely economically-driven and not ones in which a joined-up service will flourish.

Better software tools are helping. It is becoming easier to capture complex care needs, broker the necessary care packages and ensure full details of the service user and their needs flow through the system.

Disconnects can, however, still occur when the funding for initial care packages runs out. The process of re-assessing needs and brokering suitable care can still take too long. And without long-term funding it is hard for care providers to deliver long-term continuity.

We know that what people want most of all is to see a familiar face. Continuity of care is a very human issue. If funding is interrupted, the familiar care worker may have to be reallocated or may finish the short-term contract they were employed on. If we want to ensure continuity of care, we need continuity of funding.

Funding continuity will help ensure that service users never feel they are telling their story ‘over and over’ to different people and wondering whether anyone ever talks to each other.

The care workforce makes a fantastic effort and achieves so much in difficult circumstances. We need greater certainty over future funding to guarantee that this dedicated support will always be available when we need it.

Employees of the Month – January

We are delighted to reveal our Employees of the Month for January for each of our care homes. Each month, care home managers at Sherborne House, Steepleton Manor and Weymouth Care Home will hand pick team members who demonstrate a passion for their role and go above and beyond to provide excellent standard of care and support to residents.

Our Employees of the Month for January are:

Steepleton Manor

Gina Atmore

Congratulations to Gina Atmore, who is Employee of the Month for January at Steepleton Manor.  Gina always goes above and beyond the duties of her job and creates a happy atmosphere within the Manor. Always smiling and outstandingly dedicated, she is a great asset to the team.

Sherborne House

Sam Austin

Congratulations to Samantha Austin who has been nominated as Employee of the Month for January at Sherborne House. Sam is an amazing carer who is 100% resident focused. Sam has also completed her NVQ Level 2. Well done Sam, your progress is brilliant!

Weymouth Care Home 

Chelsi Murphy

Congratulations to Chelsi Murphy who wins Employee of the Month at Weymouth Care Home.

Apart from being super cheerful, she works extremely hard and is always on hand to support junior colleagues. The residents also love Chelsi.

Many congratulations to all of our Employees of the Month!

Dignity Action Day Balloon Release

Residents and staff at Sherborne House Care Home released thirty balloons on 1st February to celebrate Dignity Action Day.

The annual event is marked every year at Sherborne House in Yeovil.

Dignity Action Day gives everyone the opportunity to contribute to upholding people’s rights to dignity and provide a truly memorable day for people receiving care. Dignity Action Day aims to ensure people who use care services are treated as individuals and are given choice, control and a sense of purpose in their daily lives.

After the balloon release, residents enjoyed a high tea and music by Yeovil Ukuleles.

Caroline Sharp, Manager at Sherborne House said, “We all look forward to Dignity Action Day and raising awareness not just for our own residents but for everyone who uses care services”.

Laszlo celebrates big birthday two years early!

Laszlo Bartus, Manager at Steepleton Manor Care Home got more than he bargained for when he celebrated his 58th birthday this month.

Staff made him a special cake but had run out of candles so were forced to use a 60th birthday candle!

Laszlo was fortunately good humoured and made the most of the celebration with his colleagues. A good time was enjoyed by all.

Why Couples Need to Plan for Care Home Fees

Financial planning for retirement and later life rarely includes the possibility of care home fees. Yet, even for people with modest assets who are receiving local authority funded care, fees can take a large chunk out of your estate. For couples it is particularly important to plan ahead and minimise your exposure.

The rules are quite complex and will change again in 2020 when the cap of £72,000 on care costs comes into force. Because local authorities are short of cash they are rigorously enforcing the rules that require people to fund some or all of their care.

Currently, anyone with assets of over approximately £23,000 will need to pay the entire cost of their care. The value of your home isn’t counted for care received in your own home but may be if you need to move into residential care. In most cases the fees are collected from the estate rather than being paid at the time.

This is where the wording in your Will becomes important. If one partner needs to go into residential care, it is possible to protect at least half of the estate from being used to pay the cost of care. However, you need to plan this while both partners are still alive. Once one partner has died there is very little you can do.

Giving away assets during your lifetime to avoid care home fees will almost certainly fail and can make life very complicated for the beneficiaries. Placing your home into a trust while you are alive so that it is effectively ‘owned’ by your children is also risky. If the council decides that you acted to deliberately avoid care home fees they will still try to recover them.

Passing half of the combined estate directly to your children on the death of the first partner also carries risks and complications, particularly for the surviving partner.

The safest option is to have a solicitor write appropriate trust arrangements into your Wills. This is the most effective way to minimise the amount of your assets that can be used to pay care bills and protect at least half of the estate for the surviving partner. And remember to review these arrangements periodically as the rules around fees and eligibility are likely to keep changing.

As ever, the further you plan ahead the better. If you don’t have a Will or if you haven’t considered the possibility of care fees you should talk to a qualified legal practitioner now to ensure that you have covered yourself for the future.

Employees of the Month – December

We are delighted to reveal our Employees of the Month for December 2017 for each of our care homes. Each month, care home managers at Sherborne House, Steepleton Manor and Weymouth Care Home will hand pick team members who demonstrate a passion for their role and go above and beyond to provide excellent standard of care and support to residents.

Our Employees of the Month for December are:

Steepleton Manor

Abigail Prout

Abigail has been nominated as she has done exceptionally well and worked hard with a great attitude in her new role as activities coordinator. She has a great personality and a happy joyful manner, and residents really connect with her and really enjoy the activities she plans for them.

Sherborne House

Natasha King

Natasha recently transferred from Carer to Activities Coordinator.  She has done an exceptional job organising outings, bonfire night, Remembrance Day and Christmas. She puts all her heart into her new job role and the residents love taking part in her activities.

Weymouth Care Home 

Michelle Wigger

Employee of the Month for Weymouth Care Home is Michelle, who is a healthcare assistant. She is wonderful at stepping in when shifts need covering, and has been a loyal member of staff at Weymouth Care Home.

Many congratulations to all of our Employees of the Month!

Dementia Talk at Sherborne House

Members of the public are invited to a talk on dementia at Sherborne House Care Home in Yeovil on Thursday 18th January at 6pm.

Teresa Mason from The Alzheimer’s Society will talk about what it means to have dementia and how loved one’s can support family members who may have dementia.

For more information please contact Sherborne House Care Home on 01935 423210.  Light refreshments will be provided.

Sherborne House is part of Altogether Care and provides residential care for those with dementia.

 

Exposing the Myth – What is the Care Sector Really Like?

From the outside it’s easy to have a distorted, or even gloomy, picture of social care. The stories that make the press are the ones where standards of care have fallen way below the acceptable, or of care homes in severe financial difficulties.

These stories are obviously a concern, and there’s no doubt that the sector faces challenges. But the real picture of day-in, day-out care is more cheerful and optimistic.

There are nearly 1.6m people employed in adult social care. The stories that make the press represent a minuscule fraction of that workforce. People are not drawn to the sector because of the financial rewards, they do the job because they are caring and motivated by wanting to help people.

A healthy and functioning society can rightly be judged by how well it takes care of its vulnerable and less able members. The care workforce is the vital part of the infrastructure that delivers this support. They often work in difficult circumstances and deserve our respect.

As people live longer we cannot have a functional society that claims to be compassionate without a healthy and properly funded care service. It really is time that both central and local government took a serious look at the level of fees they need to pay to ensure we can deliver sustainable, high quality and person-centred care for everyone who needs it.

Some recent day to day activities