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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.

 

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!

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!

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.

Christmas festivities at Altogether Care

Residents and staff at our care homes participated in a variety of festivities last month. Pictured is Steepleton Manor residents, their families, and staff after Christmas lunch on Christmas Day, and Santa visiting residents at Sherborne House during their Christmas party.

 

Christmas Party at Steepleton Manor

Residents, staff and their families enjoyed a Christmas party at Steepleton Manor with a festive buffet prepared by Nick, the chef. Singing was provided by Allie Pooley and everyone tucked into warm mince pies.

 

Festive Cheer at Garden Centre

Residents at Steepleton Manor enjoyed a seasonal trip to their local garden centre which including some festive costumes. Anne, Margaret and Maggie took the opportunity to view the Christmas displays and join in the fun.

Free Christmas Dinner for Older People in Dorset

Older people in Dorset will receive a free Christmas dinner and pudding thanks to Dorset based organisation, Care at Home and Wiltshire Farm Foods.

Carer’s will visit hundreds of older people on Christmas Day to serve the seasonal meal and spend time pulling a cracker and talking to residents throughout Dorset. It means a number of older people will not be alone this Christmas.

A traditional Christmas dinner including a pudding will be provided free of charge by Wiltshire Farm Foods.

Care at Home provide a variety of care services to older people in and around Dorset and Somerset and came up with the idea to support their clients this Christmas.

Dawn McGill, from Care at Home said, “Christmas can be a lonely time for many older people and not everyone can spend Christmas with family.  We visit our clients all year round to support them with a variety of daily tasks and wanted to extend that visit to include Christmas Day.  Wiltshire Farm Foods very kindly offered to donate a free Christmas meal and we wanted to make the most of this by personally visiting each person and spending time with them to make their day special”.

Care at Home are part of Altogether Care, a Dorset based care provider which is a family owned business.

Free meals and visits will take place throughout Dorset and some parts of Somerset.

Photo: Hannah McDonald from Care at Home with Raymond Brunt

Festive trip to Castle Gardens

 Sherborne House residents recently enjoyed a trip to Castle Gardens, (their local garden centre) earlier this month. The residents enjoyed looking at all of the festive decorations wearing their Christmas hats!
 

Noddy makes a return visit

Residents at Steepleton Manor enjoyed a trip down memory lane this month with a ‘memory box’ activity. This month’s theme was ‘Noddy’.

Items relating to Noddy were passed around to the residents and each person talked about how they remembered the TV character and his adventures.

Noddy is a fictional character created by English children’s author Enid Blyton, originally published between 1949 and 1963. Noddy was illustrated by the Dutch artist Eelco Martinus ten Harmsen van der Beek from 1949 until 1953. In addition to appearing in many books, he also featured on television.

A Concise Guide to Direct Payments for Social Care

Direct Payments are based on the view that you are the best person to decide what care is right for you. We agree that you and your loved ones are the best people to decide what care is right for you. This principle has shaped our care services for nearly 30 years.

Under certain circumstances, instead of your local council choosing your care provider and paying for that care, you can receive money yourself to use with who you choose.

Direct Payments are optional. If you prefer for your council to arrange and pay for care on your behalf that is your choice.

Direct Payments are available to the following people:

  • Older people who need community care services.
  • Disabled people over the age of 16.
  • A parent of a disabled person.
  • A disabled person who needs help being a parent
  • A carer or somebody looking after a person who cannot take care of the money themselves.

Before claiming direct payments, you will need an assessment of needs by your local council. You can only buy equipment or help using your Direct Payments if the assessment says you need it. You must keep records of what you spend. Anything you spend on items not included in your assessment may have to be paid back.

What you can buy:

  • Equipment or help needed so that you or somebody you care for can carry on living at home or leave long-term residential care.
  • Short-term residential care (if your council agrees).
  • Employing a helper. This cannot be your husband, wife or a close relative who lives in the same home.

Direct payments cannot be used to buy care from your council or for long-term residential care.

To receive Direct Payments, you will need to prove that you are able to manage the money and spend it on the right things. The amount you get will be sufficient to cover only the care or equipment identified in your assessment of needs. If you would like additional support, you can buy this without it affecting your Direct Payment.

Direct Payments will not affect any benefits you receive such as child support or independent living fund payments. The amount you receive may depend on your income, but payments are not taxable.

We hope this guide will help you understand whether Direct Payments are the best option for you or somebody you care for. You can see an infographic of this guidance here or to find out more about how Altogether Care could help you contact us on 01305 300 161.

Christmas Cheer at Steepleton Manor

The halls will be decked this Christmas at Steepleton Manor thanks to residents who made some festive bunting this month.

Gwen, Helen, Anne and David took time out to relax and create the bunting to hang up and bring some cheer.

 

 

Promoting Emotional Wellbeing for Care Home Residents

Of the three main strands of wellbeing: physical, mental and emotional, it is arguably emotional that is the most difficult to manage.

Emotional wellbeing is closely linked to resilience – the ability to recover from illness or deal with change or misfortune. There is also a link to how our brain function changes as we get older which can make us more susceptible to depression and mental illness, particularly if there is a genetic susceptibility.

Major life changes, such as moving into residential care can trigger anxiety and depression so programmes that monitor and nurture wellbeing are essential. Sometimes this can be as simple as activities that help people feel active and engaged. Healthy exercise and relationships are essential.

Activities that promote sensory stimulation (such as art and music), reflection and relaxation all help prevent anxiety and depression, and promote wellbeing.

Individual Experiences

Wellbeing isn’t a simple issue with a single answer. It is very much about individual experience. Care homes need to make full use of specialist support services including physiotherapy, psychotherapy, meditation and mindfulness.

And because it’s about individual experience, any interventions must be tailored to take account of individual cognitive and physical capacity as well as each person’s preferences and wishes. An intervention will have limited benefit if a person doesn’t want to take part or really doesn’t think it can help them. In these cases, it’s better to explore different types of therapy, experiences or activities.

If we look at possibly the simplest measure, exercise, you can see how it affects wellbeing in many ways:

  • It can improve sleep patterns
  • It can affect levels of brain chemicals such as serotonin, endorphins or stress hormones
  • It can distract people from worries
  • It can improve people’s perception of being able to cope and help develop new capabilities
  • It provides socialisation opportunities

And that’s just one type of intervention. Other interventions that have been proven to aid emotional wellbeing in residential care include reminiscence, pet therapy, gardening, yoga and dance. There are plenty of options available – something to suit everyone, in fact.

If you would like to find out more about either our care home, our care at home or our live-in care services please get in touch or visit our website for more information.

November News

Residents at Weymouth Care Home enjoyed a seated Zumba class last month and a visit from the lovely Chloe May who sang lots of favourite songs and, as always, succeeded in getting everyone to sing along!

Special thanks are sent to Martin who made everyone a delicious cream tea.

 

Fruit Salad is Home Made

Residents at Weymouth Care Home enjoyed making their own fruit salad and made the most of healthy eating this month when they tucked into lots of different fruit including melon, banana and raspberries.

 

Employees of the Month – November

We are delighted to reveal our Employees of the Month for November 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 November are:

Steepleton Manor

Iain Adshead

Iain is Steepleton Manor’s Employee of the Month. Iain works hard throughout the grounds of Steepleton Manor to ensure the gardens are bright and beautiful for the residents.

Sherborne House

Amy Navey

Amy is Sherborne House’s Employee of the Month. Amy is a true asset to the team who is always happy and covers shifts in any department when she can.  Nothing is a problem for Amy, who goes above and beyond to brighten up the resident’s days with her bubbly personality and smile.

Weymouth Care Home 

Elsa Peneyra

This month’s Employee of the Month for Weymouth Care Home is registered nurse Elsa. Elsa is always ready to go the extra mile for Weymouth Care Home. She has embraced all the new changes that are happening in the home with enthusiasm and a good sense of humour.

Many congratulations to all of our Employees of the Month!

Some recent day to day activities