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Community services

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Community Services is made up of a team of professionals who provide nursing and social support in the homes of adults in Guernsey. Their aim is to help people maintain the best possible quality of life and independence in their own home.

The aim of Community Services is to support people to live independent, healthy lives. Respect for service user's choice is recognised at all times. Service users and their carers are encouraged to participate in planning, implementation and evaluation of care where appropriate.

The community teams provide care and support in the service user's home, enabling people to live in their own homes for as long as possible, including end of life care if this is the person's choice. The community teams work closely with other health and social care professionals and allied services, to work towards a seamless and integrated, cost effective and evidence-based service.

Referral Route

The teams have an open referral system. Health and social care professionals, potential service users, their relatives or carers and staff from other agencies can make direct contact, with the exception of the Rapid Response Team.

Referrals will be accepted for adults in Guernsey and Alderney provided they fit the criteria outlined in the information below.

For further information please contact Adult Community Services on Tel: 01481 725241 ext. 3313.

Am I entitled to an assessment of my needs?

Adults residing in Guernsey and Alderney are entitled to an assessment of their health and social care needs by a qualified professional.

Carers are entitled to an assessment in their own right.

For information on community based mental health services and adult disability services please see the links at the bottom of the page.

  • Social Care

    • Senior Carers
    • Senior Carers provide support with personal care such as washing, dressing, and assistance at meal times or help prompting medication. They will provide assistance as necessary but also encourage independence.
    • The service user is requiring assistance with personal care e.g. washing, dressing, going to the toilet, catheter care, maintaining nutrition, prompting with medication. By the provision of social care support in the community, home care provision helps service users who need assistance with the activities of living, to live as independent a life as possible, whilst remaining in their own home. The amount of help required will depend on the needs of the service user, who is encouraged to remain as active as possible. An assessment of care needs will be undertaken by the most relevant professional and the service user or carer. A care plan will then be provided.
  • Health Visitor for Older People

    • Health Visitors work in partnership with individuals and the community by providing accurate and up to date information and support, empowering people to make informed choices. The Health Visitor works alongside other disciplines to provide an accessible and equitable service that meets the health needs of the community. The role of the Health Visitor is about the promotion of health and the prevention of illness. The service is free and confidential and the health visitor can refer onto other professionals.
    • The aim of the health visitor is to help people to lead as healthy a life as possible, both physically and mentally. In addition, their aim is to improve the quality of life of older people by maintaining their independence and contributing to keeping them safe and well in their own home.
    • The Health Visitor is for older people in the community who are aged 65 years and over, response time is as soon as practically possible.
  • Community Nursing Team

    • The Community Nursing Team is made up of Community Specialist Nurses, Staff Nurses and Nursing Assistants/Support Workers. The team delivers individualised assessment and nursing care to service users, and support to carers, in the home environment. The Community Nursing Team operates a 7 day a week, 24 hours a day service. Telephone contact can be made with a community nurse via the hospital switchboard (01481 725241).
      • The service user is unable or has difficulty, due to ill health, disability, fragility, to attend a surgery or clinic
      • The service user has a health problem, which requires skilled nursing intervention to ensure effective care in the home
      • The service user is in the palliative phase of their illness and requires nursing care/advice/support to enable them to remain at home for as long as they, their family or carer so wish, or condition allows
      • The service user is already receiving care from other services, which requires community nursing input and a collaborative/shared care basis
      • Skilled nursing assistance is needed to support service users/carers using technical equipment to manage their health condition at home
      • The service user has continuing health care needs requiring frequent or regular nursing input
  • Rapid Response Team

    • The Rapid Response Team is a multi-disciplinary team aiming to prevent avoidable emergency admissions to hospital, residential and nursing homes. Endeavouring to maintain service users in their own homes during a period of crisis, which can be resolved with additional short-term nursing/social/therapy support. The service is available 7 days per week, for a maximum of 14 days.
      • Service user must be assessed by a doctor as being medically stable
      • Service user and/or primary carer accept the service
      • Medical condition or situation will respond to short-term intervention
      • Service user would otherwise have to be admitted to hospital, nursing or residential home
      • Carer crisis which requires rapid support short-term
  • Short Breaks Service

    • Short breaks can offer carers a break from the ongoing responsibility of caring for an ill, frail or disabled adult who is being looked after at home by providing a short stay in a Residential or Nursing Home, Extra Care facility or Hospital for the cared-for person according to need. This can be a planned break for a carer, or can be arranged as a result of an emergency situation.
    • Short breaks can be provided for a maximum of 4 hours per week within the home or for up to four weeks annually. At times of critical illness, overnight respite provision may be available. Service users who are registered with the Learning Disability Services will receive their respite from that service.
    • Requests for short breaks can be accepted various sources, including:
      • Yourself
      • A relative
      • GP
      • Community Nurse
      • Adult Community Services
    • If a referral has been accepted, a full assessment of a person's care needs will be undertaken by a health & social care professional. There is respite provision at the following settings, subject to availability and individual care needs:
      • La Nouvelle Maritaine, Rosaire Court and Le Grand Courtil extra-care facilities
      • Private nursing & residential homes
      • The Duchess of Kent House
    • Social Security will normally pay for up to 4 weeks respite care a year. In most cases there is no charge for this service. However, there may be an additional daily charge made by some of the private homes.This will be a private agreement between the customer and provider.
    • Short breaks are funded through the Long-term Care Benefit. To be eligible to claim this, the person requiring care from the short breaks service must:
      • Have been assessed as being in need of care which could be provided in a private residential care or private nursing home
      • Be in possession of a valid Needs Assessment Panel Certificate, issues by HSC, and have a bed in a home (a certificate from the Needs Assessment Panel is not a guarantee of a bed)
      • Has at any time, lived in Guernsey or Alderney for a continuous period of 5 years (if you have not, you will not be entitled to claim Long-term Care Benefit) and;
      • Has lived in Guernsey or Alderney for at least 12 months, immediately prior to claiming Long-term Care Benefit
    • For further information on the Long-term Care Benefit please visit the link at the bottom of this page.
  • Social Work Team

    • Anyone can ask for help from Social Services at any time in their lives, although it may be necessary for people with mental ill health/physical, sensory or learning disability to be referred onto a specialist team. The Social Workers also provide support to the Princess Elizabeth Hospital and respite co-ordination for service users.
    • Although professionals would like to respond to everyone who asks for guidance, there are guidelines about how quickly people can be seen and the types of support which may be available. These guidelines are not discriminatory and apply to everyone, based on people's needs.
    • Referrals will be screened for/from any consenting adult and either signposted for advice or information to the relevant professional or allocated for assessment of a social need. This may be for reasons of illness, frailty, vulnerability, social isolation, access to respite or long term care or financial concerns.
  • Support Services

    • Home Help Service
    • The home help service will help with basic domestic and household tasks.
    • The person is unable to access conventional cleaning services due to financial position, frailty or because they require additional considerations that would fall outside of a private cleaner.
    • The service user is requiring assistance with domestic tasks such as cleaning and ironing.
    • Lifeline Telephone System
    • The Lifeline telephone system enables help to be summoned in an emergency 24 hours a day by simply pressing a button on a telephone or on a pendant which is worn by the user. Pressing the button alerts the control station at the PEH who can try to gauge what the issue is contact a named family member if help is required. If no named supports can be contacted the emergency services can be summoned. This is arranged via Sure Ltd. to whom a line payment is paid for the service.The application for the service can be made via your health or social care professional or directly via Sure on (01481) 700700.
    • There are no age restrictions and the system is available to residents of Guernsey, Alderney and Sark.
    • Voluntary Car Service
    • This service provides transport for service users to hospital or necessary health related appointments.
    • This service caters for service users who have no available relatives or for other reasons are unable to use public transport or provide other means of transport. Referrals should be made by a Health & Social Care Professional or GP surgery. Further information can be accessed through Health Information Exchange Guernsey:
    • Community Services Support Team
    • This service to assists people to live in their own homes by helping with maintenance/handyperson duties such as lighting fires, changing light bulbs and other basic odd jobs/minor adaptations. They also carry out the delivery and collection of equipment for nursing requirements in the home. The service aims to help people remain in their own home, safe, secure, warm and independent. Other tasks will be considered on request.This service may incur a nominal charge; the service user will pay for the materials used or goods fitted, on top of the nominal charge. While there is no limit to the number of requests that can be made, work will be prioritised as to the urgency of need.
    • This service is available to adults who, for a variety of reasons including mobility difficulties, cost etc. cannot access other maintenance/handyperson services and where there is no other available option or family/friend support available.
    • Shopping Service
    • The shopping service provides assistance to service users who are, for reasons of ill health or frailty, unable to perform this task themselves. This will include providing shopping service support when the main carer is unable to carry out this activity due to ill health. This may be undertaken by:
    • The shopped for service - for service users who are unable to undertake this task even if assisted e.g. due to mobility restrictions or frailty.
    • Assisted shopping - to promote independence support may be provided to accompany to the shops and assist as required.
    • Prescriptions are also collected for service users on the shopping day and personal items that service users may need from St John Healthcare store.
    • This service is for people who have no other way of accessing shopping or family/friend support to assist with this.
    • Meals on Wheels
    • This service delivers cooked meals to those who need and request it. This service is provided by the Guernsey Voluntary Services (GVS) for a nominal charge. The service is available 6 days a week -Monday to Saturday.To find out more about the service please visit:
    • To receive Meals on Wheels a person must be referred to the GVS by a doctor or other medical professional, and the facility is available to all the housebound who need it, not just the elderly.
  • FAQs

    • What if my needs change?
    • People can request a review of their care plan undertaken by the allocated lead professional if their needs change or if they wish to request longer care hours/anticipate future care needs. Contingency plans are discussed at assessment and identified within the persons individual support plan.
    • What if I wish to stop a service?
    • In order to stop a community service that you may be receiving, you must contact the main hospital switch on 725241 ext. 3313. Clients are given direct line numbers to the admin office depending on which GP surgery team they are aligned to.
    • What if I go into hospital or respite care?
    • If you go into hospital or respite care for just a few days care packages will be reinstated on your return home. If a person needs to be reassessed following admission as their existing care package no longer meets their needs, then a new care package will need to be organised and set up accordingly and there may be a wait particularly if a complex care package needs organising.



Community Services Department Day Care & Community Support Extra Care Housing Extra Care Housing, Residential and Nursing Homes 1/1/2018

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