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Angela- May 2016

What was life like before Aspire?

Angela lived alone at home, was terminally ill but wanted to stay as independent as possible. She wanted to be at home and needed reliable carers that would be able to increase the number of calls when the need arose This would allow her to remain in her own home until the end. She was also looking for a company where she could have the same carers as often as possible so that she would not need to worry about who was entering her home.

What did Aspire do?

Aspire wanted Angela to be in control of her care and allow her to be as independent as she wanted and was possible. Her carers were introduced to her as her calls were increased from once a day to four times a day. Her dignity was preserved whilst she was given the support she wanted and needed to remain in her own home. We worked alongside the district and palliative care nurses to ensure that she received the best possible care and was comfortable at all times.

What was the outcome?

Angela was able to remain at home until the end of her life, just as she wished. Her family were able to spend quality time with her during this time and got to know the carers by name. They felt supported and grateful for the care that was provided and all the carers attended Angela’s funeral service.

Real life case studies. Edith January 2016

What was life like before Aspire?

Edith lived at home with her husband, who had become her main carer after a private carer had proved to be unreliable. As a result, her husband was finding it extremely challenging to care for her 24 hours a day and also to find some time for himself.He enjoyed gardening and was not able to do this. Edith was also resistant to anyone helping with her personal care needs, so her health and hygiene were beginning to decline. She was determined to preserve her dignity and independence and she could often get annoyed and frustrated. This was made worse as Edith often found it hard to communicate verbally.Indeed Edith did suffer from quite advanced dementia.

What did Aspire do?

Aspire’s aim was to ensure that Edith felt in control and was respected whilst addressing her health and well being needs. Trained carers were slowly introduced to Edith and began working with her each morning to support her with washing and dressing. They found it better to not wear a uniform and helped her to select the clothes she would like to wear, before reminding her to get into the shower. Edith had one main carer who visited her three times a week and some of her time was spent keeping Edith company. They would often bake cakes, watch game shows or have a walk round the garden.

What were the outcomes?

Edith developed a genuine friendship with her main carer. The family felt that this was because the carer provided some continuity and were happy with the support provided. This particularly impacted on Edith’s husband who could have some regular respite and spend time in the garden. Both Edith and her husband found a new sense of independence, relaxation and happiness whilst being supported by Aspire

Continuing Care

What is continuing care?
NHS continuing healthcare is a package of ongoing care that is arranged and funded by the NHS where the individual has been found to have a ‘primary health need'(following their criteria guidelines). Such care is provided to an individual aged over 18, to meet needs that have arisen as a result of disability, accident or illness.

Where does the care take place?
This package of care can be in a care setting or in a person’s own home.

How do they decide who is eligible?
Any decision about whether someone is eligible for NHS continuing healthcare is based only on their needs. A CCG(Clinical Commissioning Group)continuing healthcare co-coordinator, or if the person is in hospital, other medical staff will arrange an assessment of the person’s needs.

What is ‘Fast -track’?
People who are nearing the end of their life, specifically those with a rapidly deteriorating condition that may be entering a terminal phase, may be assessed as having a primary health need. They may urgently need NHS continuing healthcare funding e.g. to allow them to go home to die or to allow end of life support to be set up.

How do I get an assessment?
To request an assessment you contact your local CCG and ask for the NHS continuing healthcare co-coordinator. You can find out the name of this co-coordinator at your local GP surgery or through your local patient advice and liaison service (PALS)

What causes dementia?

Alzheimer’s disease is the best known type of dementia. Half of all people with dementia have this condition, in which brain cells are damaged and destroyed by plaques and tangles.

Improving Dementia Care

Aspire Home Carers is a small and privately run homecare company that focuses on providing caring and compassionate care to elderly people, particularly those with dementia. As a company we believe more could be done to improve dementia services, as well as support for those who care for people with dementia.