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More nursing home/care home / hospital questions!

(6 Posts)
Oodsigma Sat 19-Jan-13 11:53:58

Had a lot of help in Nov/Dec with my Grandads assessments etc.

He was assessed at the start of Dec as needing a nursing home but only qualified for the £108(?) a week for nursing care. We thought this was fair & what we expected. He was then waiting for a place and got offered a nursing home place subject to their assessment on 21/12. With Xmas/New year and the home having novo virus he was only seen by them on Tuesday this week and they've said he's not well enough for them or even to travel to them.
Again this wasn't unexpected as he hasn't eaten since 6/12 and refuses drips at any opportunity.
So now the hospital is talking about a palliative care bed within the hospital so he's back on a waiting list.

One of our problems is lack of communication from the nursing home/hospital/social worker. SW wasn't aware of the homes decision until yesterday do they aren't communicating with each other either.

Other problem is my mum/grandad are still paying for his care home place (he's not been there since Sept) and have been told they can't give notice til he's got a place elsewhere despite the care home refusing to take him back in Oct as he had deteriorated too much. SW is looking into this but could do with advice. Also do you pay for the palliative bed in the hospital?
My parents are currently paying until my Grandads house is sold so finances are tight but long term there's no reason my Grandad shouldn't pay his own fees.

Parly Sun 20-Jan-13 19:06:29

Bit confused so bear with me if I sound a right Muppet. grin

Is your Granddad stable or does he actually have medical / palliative care needs? Just wondering why the home said they couldn’t have him when the hospital seemed prepared to discharge him. confused

Palliative care is provided by the NHS so there won’t be any further costs incurred whilst your Granddad is in there.

You can give notice at the care home whenever you like – there’s no need to find an alternative beforehand. If the home has said they can’t allow him back because they can’t meet his needs etc, you can and should give notice and then have the social worker help you find another place that can.

Oodsigma Sun 20-Jan-13 20:05:11

Grandad is dying, he's stable but refusing food/drink/drips ( when he is conscious enough. He was up & down and Hosp tried to discharge while he was on an up,

He's moved today to a palliative care bed within the hospital.we were told by SS finances team that if we cancelled his care home they wouldn't help as he was intentionally homeless ( this was later repeated by the community nurse who chaired the continuing care assessment meeting).

Oodsigma Sun 20-Jan-13 20:05:17

Grandad is dying, he's stable but refusing food/drink/drips ( when he is conscious enough. He was up & down and Hosp tried to discharge while he was on an up,

He's moved today to a palliative care bed within the hospital.we were told by SS finances team that if we cancelled his care home they wouldn't help as he was intentionally homeless ( this was later repeated by the community nurse who chaired the continuing care assessment meeting).

Oodsigma Sun 20-Jan-13 20:07:12

We/nursing staff never expected him to go this long. If he's too weak to move to this nursing home that refused him he won't go to another as there's only one closer and not much different

Parly Mon 21-Jan-13 22:55:11

Sorry – I misread the post about the financial aspects and top-up situation. Thought the care was fully self-funded (hence the confusion)

Not going to be much help then I’m afraid because I guess you’re at the mercy of the local authority.

What I really think a bloody shame is that the care home won’t accept him so he can at least be cared for in a more suitable, comfortable environment. sad

Christ, I fight tooth and nail to get palliative care patients / residents back with us asap so we can make them comfortable and do what little we can to make their remaining days that bit easier.

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