Home Care – Adult Services Panel of Preferred Providers

Home Care

Everycare (Central Hants) Ltd are pleased to announce that we have been selected on to the new Hampshire County Council  provider list.

Everycare started in Home Care in June 2010 in the Winchester area and have been a supplier to Hampshire County Council  (HCC) since then.  It was decided by HCC in 2011 to refresh their provider list.

HCC placed an advert on 5th May 2011 inviting interested parties to express their interest in being placed on HCC’s Adult Services Panel of Preferred Providers. We registered an interest on 9th June 2011 by completing an application form.

We were accepted onto the Panel as of 18th July 2011 and look forward to a long relationship with HCC and their Service Users.

This is positive for Everycare because we believe that it endorses us as a quality supplier to the Home Care market in Winchester, Alresford, Twyford, Colden Common and surrounding areas.

Home Care Smart Gadgets for Savvy Elders

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Working in Home Care, delivering services in Winchester and surrounding areas in Hampshire, we can see that the need for more gadgets is needed, particularly in the UK where there is an increase in the number of elderly people without there being on-going funding available. Relatives of the elderly can be time constrained but still need to be reassured that their loved ones are safe, turning to technology may be one way of keeping relatives informed about what is going on or being assured that the elderly are living comfortably.

There are now products from amplified telephones and listening systems for televisions to devices for fall detection and remote monitoring. The technology industry is said to be responding to a growing demand for products specifically designed for today’s aging population.

Innovative gadgets and modern technology are helping people to deal with daily living. There are, also, some low tech devices around to help make daily tasks easier, including soft-handled or large-grip cooking and eating utensils, swivel cushions that make getting in and out of a car easier, and various assistive devices that eliminate the need to bend over when putting on socks, stockings or any other garment that you need to pull up over your feet.

We are hearing from America that high-tech assistive technology for aging adults is “nearing science fiction territory”. Examples being reported include shoes that help you keep your balance, a scanner that “reads” text aloud, and a voice-activated wheelchair knows its way around your home.

Other products are wearable devices that can automatically detect falls and send alerts to loved ones over the internet, there are devices that monitor heart-rate and body-temperature changes with the information being sent real time to centres where clinicians are based to monitor the data. To detect falls there are motion and floor-vibration sensors, devices that detect abnormal walking and pressure pads to put in beds to detect whether someone has got out of bed.

In reality, as we know with technology, it is expensive to be an early adopter so we expect that the more “science fiction” the products are the harder they are to find and the more expensive they are.

The more down to earth products that can be found today, bearing in mind that we are not recommending or endorsing any of these products because there are others on the market, are:

  • Amplicom ring flash 100 phone call amplifier, can be switched to ‘T’ mode for hearing aid wearers around £20.
  • Glow flow temperature controlled basin light, fits most taps with an adapter, illuminates the water with blue for cool and red for hot (over 32 degrees C) around £15.
  • Light switch illuminator for standard single gang light switches to enable to be found easier in the dark around £7.
  • Doro big button cordless phone around £40.
  • Powertel 49 plus home desk phone with large buttons around £40.
  • Powertel V 100 vibration pillow to put under a pillow or cushion to alert you to calls around £20.
  • Lutall big button mobile phone with SOS button, works on all networks except 3, around £35.
  • Sen Cit fall monitor that detects when a person has stopped moving and sends a message to someone remote to take action £198.
  • Geemarc wireless TV listening device, basically a wireless headset and a base station that plugs into the TV around £150.

Just some of the products available.

Future of Home Care

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The Dillnot Commission reports on Monday 4th July 2011 with, hopefully, recommendations on the future funding of care including Home Care (Care in the Community). The previous Labour government did nothing because the ageing population problem was not imminent and, unfortunately, governments tend not to want to deal with difficult issues when it could affect their votes!

The population of people 75 and over was 4.8 million in 2008, this is forecast to increase to 7.0 million by 2023 and 8.7 million by 2033 an 81% increase over 25 years. For people over 85 the population was 1.3 million in 2008 and is forecast to increase to 2.2 million by 2023 and 3.3 million by 2033 an 154% increase over 25 years. It is the people over 85 that are most likely to require care so the increases in numbers is alarming in terms of the cost of care to the nation.

The other way of looking at the population is the number of people available to support the elderly, the ratio of people of working age to those of pensionable age was 3.23 in 2008 dropping to 2.78 by 2033. More pensioners less people able to support them and this includes the effects of increasing the pension age to make people work longer.

As can be seen from the population information, there is a big Social Care funding issue going to hit the country. Action needs to be taken now to put a Social Care funding system in that will deal with this issue.

It is unfortunate that dealing with Social Care funding comes at a time when the government is trying to cut spending. Any increase in Social Care funding is going to be tricky to fund we are either going to have to pay ourselves for care directly or indirectly through increased taxation for the government to be able to pay the extra cost.

Social Care funding has the same problem as many government pensions where we are trying to pay out of current government spending rather than building funds that can be used to pay for the costs in the future.

I fear that the government will back away from taking the bull by the horns and putting a proper funding system in, because,  what is needed to be done is likely to hit the pocket of the individual at a time when we are all feeling the pinch. What makes matters worse is that the government, being in coalition, is even less likely to do something bold.

As a Care provider we believe that substantially more needs to be put into care funding because the number of care staff needed in the future will be much higher and to attract good people in to the sector would need pay rates to go up. We believe that care staff are undervalued and their role in society needs to get greater recognition.

We implore the government to be bold and not just kick all the recommendations of the Dillnot commission into the long grass.

We aim to run an excellent Home Care service in Winchester and the surrounding areas in Hampshire and want to support the Local Authority and the NHS in delivering first rate care to the people of Hampshire.

 

Free Seminar – Who will pay for long term care?

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With an ageing population, Long Term Care provision is becoming a more prevalent issue.  One in four people are likely to need Long Term Care in the future, and provision for this eventuality is very often dismissed until there is an immediate need.  Indeed, for those receiving care or wishing to increase that care, there is the constant worry of how they can continue to afford it. Government provision is limited and more and more people will be faced with ‘self-funding’ their nursing/homecare fees, potentially depleting their assets.

We have compiled a panel of experts to present in clear English all the options currently available. The topics to be covered will include:

  • what is homecare and how will it be paid for?
  • how can you protect your assets, what are the options and what of future provision?
  • look at the use of wills and powers of attorney
  • how Domiciliary Care Providers deliver their services
  • how a relationship with a team of trusted advisers can protect the recipients of homecare

The seminar will be hosted by Everycare and with guest speakers Brian Fisher of Life, Simon Whipple of The Cares’ Legal Centre Solicitors and Sarah Quirk (SOLLA Accredited) from SarahQuirk Associates. The venue for this FREE 90 minute presentation is at British Red Cross Centre, Red Cross House, Winnall Close, Winnall Manor Road, Winchester, Hampshire, SO23 0LB on Tuesday 5th July 2011.

Timing of meeting:

  • Lunch: 11:45 am for 12:00 noon commencing with buffet lunch

To book a space on the seminar call Mike on 01962 842548 or email  info@everycarehants.co.uk .

 

UK Best for End-of-Life Care – More Care at Home Needed

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In many countries the end-of-life care is just not there. The Lien Foundation of Singapore commissioned a study to look at the end-of-life care services in 40 countries.

Old Age Person in Care Home
Being looked after in a Care setting

While “quality-of-life” is a common phrase, “quality-of-death” is considered far less. According to the Worldwide Palliative Care Alliance (WPCA) while more than 100 million people are in need of hospice services only fewer than 8% actually receive it.

For us in the UK we are ranked number one for end-of-life services this arises from a good network of hospices, statutory involvement, public awareness, training for NHS staff and access to painkillers for patients.

Ranking second was Australia then New Zealand, the USA was ninth and India was bottom of the rankings.

The charity Help the Hospices said the UK’s ranking was down to the hard work of individual hospices.

To improve end-of-life care the system needs to build around bringing the care to the patient – preferably in their own homes – by providing support for family caregivers, care teams that can go to homes with emergency coverage, and strong integration of hospice care expertise to maximize quality of life for both patient and family. This means fewer resources for hospitals and nursing homes, and more resources for home and community-based care services.

For the first time in humanity, people over 65 will soon outnumber children under the age of five. We need to continue to improve the end-of-life care, much hospice care can – and is – given at home and by increasing the proportion of community and homecare options, hospice care can reduce costs associated with hospital stays and emergency admissions.

In the UK, despite the ranking, too many people still faced the end-of-life without specialist care and support. The ageing population in the UK and the improvement in medical care means more people are facing end-of-life with more complex issues. The UK system needs proper funding to ensure people can be properly looked after at the end of their lives.

Mike Frizzell Everycare Central Hants www.everycarehants.co.uk supplying care at home and supporting people to live independently.

Is there a crisis coming in Care?

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With the squeeze on Government spending there is concern that the quality of care given will reduce. As the care industry is very much a people driven industry if the amount being paid for care is falling then the amount of labour cost must fall to keep care businesses viable. In the Care Home setting this can result in lower numbers of carers and in the home care setting the use of cheaper labour or trying to do more i.e. rushing the care provided.

The fear is that a two tier system will emerge with private clients paying for the care that they require and state funded clients getting a poorer standard of care. With an increasing number of people getting older then there is real pressure on the system to be able to deliver the level of care required.

Our concern as a service provider is that we will not be able to tempt new carers into the market if we cannot afford to pay a high enough rate.

We can certainly vouch for the fact that there has been limited Government support for setting up our Care Agency and certainly no specific advice in the area of Care. The local authority has offered some support.

We agree with the main findings in the report that you will find a link to below. This report was commissioned by PriceWaterHouseCoopers.

Everycare are committed to delivering a high quality of home care and will not compromise on this at all.

Fair Care Crisis Report

By Mike Frizzell Everycare Central Hants www.everycarehants.co.uk

How are you being looked after in your old age?

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This was found in the house of a friend’s mother after she passed away. I expect she never complained about the home care she got and even goes on to thank them for the work they did. See what you think for yourself.

On being looked after by the social services and how to learn to love it

Twenty-one people a week tramp through my kitchen, all bent on doing me a good turn.

They all have different ways. Some funny, some deplorable.

Some will wash out and rinse an empty milk bottle, others will leave it until a more helpful person deals with it.

Some will put a milk bottle on the doorstep, others will be terrified to do so.

Some know that I have two fridges, one in the back room and another in the kitchen.

You have perpetually to tell them that the back milk is fed into the front and is replaced by the new a t the back.

There are some who are completely unable to grasp the concept.

One (who shall be nameless) after two abortive attempts at it, was walked by me through the procedure, and now ‘has it’.

One will fill a large bowl with metered water plus a generous helping of fairy liquid to wash one plate rather than leave it for others to deal with in the morning when there is more.

They love bubbles.

One helpfully threw out a bowl of grated cheese from the fridge when there was nothing wrong with it.

She probably thought it looked untidy.

One is so short sighted, I grab the drugs box before she can get to it, so I can do my own.

Some will greet with a cheerful remark, others will maintain a stony silence throughout.

Some will ask if there is anything more they can do for you before leaving, others wouldn’t dream of saying such a thing.

Some will leave the kitchen light on after lunch and you don’t find it till teatime.

Some will leave the gas stove on stand-by similarly, and you wonder why the place is so hot.

One filled my breakfast dish with rock hard uncooked prunes from a packet standing next to the bowl of newly cooked ones.

One took my wallet out of my handbag one Christmas night, pocketed the contents, and threw the empty wallet behind my fridge freezer, where another carer found it weeks later when looking for a missing oven glove. Let us be charitable and say she probably spent too much on Christmas presents.

They don’t like bending down and will ignore an object like a pair of scissors on the carpet until specifically asked to retrieve it.

You have to play hunt the object in the kitchen, as some of their ideas on correct places after washing up, are ingenious to say the least.

One took the last bit of cling film roll and put the empty box back on the shelf.

One, looking for the sugar, rooted about on a nearby shelf, and found an old grimy jam jar with a few grains in the bottom. These were carefully scraped up and spread on my weetabix and presented for breakfast.

Believe it or not, a second person did the same thing a few weeks later. The offending jam jar has been removed and the sugar is in a clearly marked jar on the kitchen top.

They are good at posting letters. Unlike some people, and you may be sure your letter will get there, which is comforting.

Honestly, though, they do a grand job, and I couldn’t do it. The inside of some people’s houses must be grim, and dressing and undressing old ladies must be even more so.

I give them home-made cakes from St. Peters as I am sure they never get time to make any, and they are delighted. It’s nice to give something back.

Comment: Everycare are determined to make sure that the client is served according to their wishes and would ask for regular feedback from clients on whether their care is being delivered to their absolute satisfaction. Are aim is keep the number of carers visiting a client to a minimum but some practical issues sometimes prevent this. We are not perfect but will endeavour to move heaven and earth to put something right when we make a mistake.

By Mike Frizzell Everycare Central Hants   www.everycarehants.co.uk

Temozolomide Recall – Do you have any in your home?

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For those receiving Care at Home we want to make you aware of this Drug Recall. This drug is used in the treatment of Brain Tumours.

A Drug Alert has been issued, recalling some Temozolomide  (sometimes known as TMZ) capsules made by Hospira.

This follows reports of the capsules splitting and leaking powder.

If you have this medicine at home, you should not open the pack. If a capsule is damaged, you should avoid contact of the powder with your skin, eyes and nose and avoid inhaling the powder.

If you accidentally get some on your skin, wash with soap and water or in the case of contact with the eyes or nose, wash with water only. If irritation persists you should seek medical advice. You should be able to obtain an alternative prescription and get your medicine replaced.

Affected batch numbers are:
L00828 – 5 mg
L00829 – 20 mg
L00831 – 100 mg
L01031 – 250 mg

Preparation For Living At Home With Alzheimer’s Disease Or Dementia

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Care for the Elderly can be stressful but even more so when the loved one has Dementia or Alzheimer’s disease. Creating a safe home environment can ease some of this stress, and getting needed time away from elderly care by employing an at home care service can also help.

Creating a safe environment removes the danger and stress from at home elderly care. The hardest part in safeguarding a home for elderly care can be assessing the existing risks, identifying areas that need to be improved, and preventing wandering. The following checklist can help when planning for safe at home elderly care.

  • Install grab bars in bathrooms and put non-slip bath mats in baths and shower trays. Use a handheld showerhead and shower bench.
  • If necessary remove the car and or the car keys from temptation if the person should not be driving.
  • Install locks on all windows and doors and if the person tends to wander out, keep them locked. Install deadbolt looks on doors that need a key to open.
  • Place nightlights in the bedroom, hall and other walkways.
  • Remove the locks on bathroom doors to prevent the person from accidentally locking themselves in.
  • Use childproof locks on any cabinets where medicine, chemicals or dangerous items like knives or other sharp objects are kept.
  • Keep walkways clutter-free and the house tidy to avoid trips and falls.
  • Consider replacing loose rugs and anything else that might cause an elderly person to slip or fall.
  • Install outdoor flood lighting to illuminate walkways at night.
  • Have a fire extinguisher handy in the kitchen. Install an automatic shut-off switch on the cooker.
  • The elderly person should carry identification medical alerts if necessary so that in the event that he or she wanders off, someone will be able to identify him or her. If the elderly person does become lost, it is important to have a recent photograph of the person on hand to show police.
  • Make sure the elderly person’s financial and legal documents are in order, and kept in a secure place.
  • Use an adult day care service to reduce the stress and demands of elderly care. This way you can have peace of mind knowing that a qualified, caring person is providing elderly care while you are away.

Home Care services are available to help you cope with looking after the elderly. You need to remember that you need a life as well; if you are stressed by giving all the care then the care that you provide will likely suffer. It is important that you take holidays and call in professional care when you go away.

By Mike Frizzell Everycare Central Hants  www.everycarehants.co.uk

Many may be working into their 70’s.

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Under the current law there is a default retirement age of 65; this means that once you turn 65 your employer can retire you. Often a person turning 65 now is not ready to retire or does not have enough pension or savings to want to retire. The Government is considering abolishing or raising the retirement age to help deal with the costs of an ageing population.

The Coalition Government is planning to raise the state pension age for men to 66 from 2016 – this is nearly 10 years earlier than the last Labour Government was planning.

As the country grapples with ever-increasing life expectancy, ministers are to also raise the possibility of extending the pension age to 70.

Iain Duncan Smith, the Work and Pensions Secretary, said the new policies were intended to “reinvigorate retirement”.

He said: “Now is absolutely the right time to live up to our responsibility to reform our outdated pension system and to take action where the previous government failed to do so.”

Millions of workers who are not saving for retirement face being enrolled in company schemes unless they opt out under the plans. Just over a third of people are thought to be currently saving into a private pension.

Michelle Mitchell, Age UK’s Charity Director, said: “The coalition must not make any rash decisions about the future of our pensions system. Before rushing through any increase to state pension age, the government must first reduce the health inequalities between rich and poor, and create a much fairer job market for older people. Failure to do so will force millions of older people, many of them poorer and with lower life expectancies, to work for longer or face another year trapped in unemployed limbo.

“Any review into bringing forward the state pension age increase must take into account the full impact on these workers. Clearly there are huge challenges ahead for the new government but now is the time to renew the fight against pensioner poverty and commit to eradicating it once and for all.”

I would comment that we are still seeing ageism in recruitment and unless this changes there will be a lot of people willing to work but unable to get gainful employment. The UK always seems to have had a problem with valuing experience. Often when there are redundancies the older workers are released in favour of keeping lower paid less experienced workers. I would want to see solid progress in the reduction of unemployed people who are over 50. The current Job Centre Plus does little to help people with senior management skills or those that were well paid.

If people want to start up a new business I found that there was no support whatsoever from a financial point of view, the Job Centre was all about finding a job not helping while you set up in business.

By Mike Frizzell Everycare (Central Hants) Ltd, www.everycarehants.co.uk