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Elderly parents

DM wants a riser-chair costing £4.5k! Advice v welcome

583 replies

Valleyofthedollymix · 30/01/2024 14:51

DM is 82 with moderate dementia. It affects her mobility more than her cognitive abilities but I don't know how much this is to do with the dementia and how much is due to her lack of exercise over many years.

She is currently burning through finite funds by living in a large house with a very expensive live-in carer through an agency. After a lifetime of being careful with money, she's spending like Liberace and it's going to run out, especially since I think she'll live a long time. Frustratingly, the extravagance encouraged by the carer, for example endless new pairs of trousers and cashmere jumpers (one week she bought six). If we query this spending, it gets turned into a black mark against us - for someone with a failing memory, DM can keep a really good tally of the ways in which we've 'denied' her.

Anyway the latest was the carer organising for a bespoke riser recliner chair company to come round to demo. DM apparently 'fell in love' with the deluxe one and has chosen the fabric etc. It costs nearly £4600. This feels like an awful lot to me but apparently, it's tailor made for her spine, size etc.

Does anyone know if this is worth it? Of course, if it's a buy once buy the best situation and it'll change her life, fair enough, we'll find the funds. But I wouldn't spend that sort of money on anything without due diligence. I feel like we're being bounced into it. I'm also unsure of the wisdom of these chairs at all because might it exacerbate my mother's immobility?

So, if anyone has any knowledge on how much you need to spend and what's worth it, I'd be vvvv grateful.

OP posts:
Valleyofthedollymix · 31/01/2024 14:43

Oh no, I'm not the carer's employer - she's through a very expensive agency (nationwide, very well known). I'm investigating employing a carer through an agency where I would be the employer. Of course, that comes with all the risks mentioned, but I'd much rather the carer got the bulk of the fee.

Such good advice to have a plan of action re. discussing changing carers with DM. As it is, the carer is having yet another beef with the agency (that I have to listen to) so I'm really hoping that the problem is resolved for me.

OP posts:
Tracker1234 · 31/01/2024 14:42

The carer seems to have become very invested in your Mum and what she needs and wants and its certainly not for her to tell you to 'deilver the bad news'! If I am honest I would ask for a new carer - my spidery vibes are saying that there is something going on.

NoggintheNoggin · 31/01/2024 14:42

I do think she'll live a long time as she is has no other ailments. As with PP, I don't think 15 years is improbable. And nope, the money won't last that long to keep her at home as we'll need to sell it to pay for care.

@Valleyofthedollymix I think you have to accept she may live for much less than 15 years.

Dementia attacks the brain and all its functions, not just reasoning skills.

My late Dad died from dementia at 93. He was diagnosed 3 years prior to that.

You've already mentioned her mobility issues.

There is a type of dementia- Lewi Body Dementia- which affects mobility.
I am sure my Dad had this although his care was very poor (after he was diagnosed by one brain scan it was never followed up.)

With hindsight (and a lot of medical research from me) I think he has LBD.
It can start with Parkinson's type symptoms (especially shuffling or tremors) along with hallucinations. My Dad shuffled for several years prior to his diagnosis.

It's evidently very hard to diagnose LBD and needs a specialist neurologist looking into what an 'ordinary' neuro has diagnosed as dementia. (Dad's was vascular dementia but as I say I think he was misdiagnosed and he also had some comorbidities - kidneys.)

Just because your Mum has no other physical ailments yet, sadly it doesn' t means she won't. The brain literally dies off with dementia and she may develop other things.

I hope you find a way forward.

If it's not been asked already do you have Power of Attorney? (Finance and Health?)
You need to be in a position to stop her wild spending (clearly a sign of her illness) if it's going to affect her standard of living.

WearyAuldWumman · 31/01/2024 14:37

Just to add that a temp carer recommended that we get secondhand, but DH said that he wanted me to have something new in the house, and we got one that fitted the decor. (Most of our furniture is/was secondhand, apart from our bedroom furniture.)

Also...when DH was close to 80, his best friend told him to start treating himself to the things he wanted. He'd always wanted a gold watch, so I got him one for a birthday...that kind of thing.

I have no regrets. We weren't well off and I'm not well off now, but I have enough. (Mortgage is paid off and my pension is enough to live on.)

Mirabai · 31/01/2024 14:37

Appleofmyeye2023 · 31/01/2024 13:08

This is hugely expensive. There are annual charges. And it makes life difficult for all the small spends needed whilst she can stay at home
even the OfG will tell you you ONLY do this if really really needed as a last resort
it is why they bought in LPOA - so people could appoint attorneys they wanted and trusted before they got too ill to make that decision. Under the old rules of enduring POA, people were often not getting the EPOA and then had to apply to OfG to get a court appointed one instead.

the OP Mum knew she wanted her children to act for her. dementia makes people suspicious and paranoid as well , so this is stand response from her mum to “blame” kids for “denying her”. They have to ride this storm out, know that their mum, in better times, trusted them to do right thing, and simply refuse

and speak to carer who is being majorly unprofessional in encouraging someone with dementia to act even more unihibited wrt money . HugEly and massively a red flag for a carer for a dementia sufferer. They should be distracting her, avoiding situations where mum may want to spend, not colluding.

Agreed. Hugely expensive, takes ages, and OP can manage the money herself.

IncompleteSenten · 31/01/2024 14:36

You need to tell the carer that you have a legal duty to act in your mum's best interests and that does not necessarily mean spending all her money buying things she doesn't need and potentially running out of money that could and should have been used on her care.

The carer also needs reminding of her actual role here and the importance of professionalism.

Lovelysausagedogscrumpy · 31/01/2024 14:34

RandomMess · 31/01/2024 14:24

She won't want to change carers. That's not her decision to make, longer term she can't afford it.

It may be better that you look at residential care anyway now ready for a time when she needs moving.

If the current carer is via an agency then are you ending the contract with the agency rather than the employment bid the carer?

OP updated somewhere upthread that the agency is not the carers’ employer - OP is. So in letting the carer go, she has to be careful to follow the law otherwise she’s open to legal action.

WearyAuldWumman · 31/01/2024 14:32

We got one for my late husband. Brand new. (Not bespoke.) Cost around 1k. It was bought at the end of 2020. 4k seems excessive, but maybe that's because it's bespoke?

Even then, most firms let you choose the fabric and don't charge that much.

MeinKraft · 31/01/2024 14:30

Valleyofthedollymix · 31/01/2024 14:03

Thank you so much again. It's been such a useful prod. As a result of all these valuable contributions I've taken a morning off work and worked the phones.

  1. The consultant's referral for OT assessment hadn't been put through, I don't know, classic NHS disjointedness. I've now made a request for a referral which the call handler dubbed 'urgent'.
  2. I've been in touch with her GP to get their advice. Also recommendations of private OTs should we need to get an assessment in a hurry.
  3. I've been in touch with an agency through which you employ carers directly (but they supply cover etc) and which costs considerably less. This is something I can push the button on should we pivot away from the current agency.
  4. I've spoken to the carer, who was pretty rude to me. I think she thinks we're penny pinching evil kids. As I keep saying, it may be that this is the right chair for her but we're not getting it without due diligence. Apparently the 'chair consultant' who came round was 'lovely'. I did keep pointing out that he's a salesman so of course he is. She then told me that it was up to me 'to break the terrible news' to DM that we weren't getting it immediately.
  5. Spoke to DM and asked her to give me two weeks to get the OT in. We need a whole house assessment for her needs rather than the piecemeal approach that was all about my dad. She was very upset and obviously angry at me.
  6. I'm going to take a day off either my family or work to go there in the next week and try to talk to her about how she'd feel about changing carers.

In answer to those questions about care assessments and adult services etc, we did have OT and equipment interventions from via NHS and social care for my father and when he died, they fell off. It's a tricky situation when you've got one very very very physically ill parent (but the 'brains') and one less ill but not compos mentis parent and then the former dies. You end up with a patched up solution that is suitable enough without being entirely suitable.

I do think she'll live a long time as she is has no other ailments. As with PP, I don't think 15 years is improbable. And nope, the money won't last that long to keep her at home as we'll need to sell it to pay for care.

The carer being rude sounds like she's on the defensive. I suspect if you scratch beneath the surface you'll find your mum will have given her some of the stuff she's bought. In fact I wonder if she's connected to the person she brought in to sell the chair. Any decent care professional would listen to and understand your concerns...actually any decent care professional wouldn't have let this situation arise in the first place. Sounds like she's got her feet right under the table.

Bracke · 31/01/2024 14:29

Re: chairs - I started looking into them for my dad as he couldn't get off the sofa without a lot of difficulty. He was resistant to any attempts to change things because 'he could manage'. I ordered a couple of brochures online - cue deluge of phone calls, I'm so glad my dad didn't get them. You couldn't just order, you had to have a salesman round to make sure you got the right one for you - it really reminded me of the stories you used to hear about double glazing salesmen not leaving until you had signed up. In my dad's case, he did an about turn and decided he was going to move into a care home so we didn't go any further. But there is definitely a lot of hard-sell, and obviously the salesman's commission comes from somewhere. My dad is OK cognitively, my mum on the other hand has Alzheimer's and the personality changes you are seeing sound familiar too.

Rosscameasdoody · 31/01/2024 14:27

asrarpolar · 31/01/2024 13:56

@Mirabai you can get rid of an agency. If you are employing a carer directly you have to follow employment law.
The chances are the carer is simply not that experienced about what is okay for her to do and what is not. It is hard to recruit carers at the moment, especially for people with dementia.

This was my point too. The OP has updated and advised that the agency are not the carers’ direct employer - OP is. And as such she has to follow employment law, and to sack someone for misconduct of any kind without evidence, is folly.

justasking111 · 31/01/2024 14:26

I knew a carer who was bought a car to run her charge around. She got to keep the car.

RandomMess · 31/01/2024 14:24

She won't want to change carers. That's not her decision to make, longer term she can't afford it.

It may be better that you look at residential care anyway now ready for a time when she needs moving.

If the current carer is via an agency then are you ending the contract with the agency rather than the employment bid the carer?

IheartNiles · 31/01/2024 14:17

I think you can’t do right for doing wrong by your mother. So the only way through is to make the best decisions and detach from her a little. I think the carer is colluding with her and you’re being painted to the carer as unreasonable. Having one carer must be claustrophobic for them both. I suspect a care home is the best solution but she’ll be resistant…

Braid2 · 31/01/2024 14:17

Hello op. This all sounds really tough. The change in your mother re money and food etc may well be the dementia. Also even her reaction to your father's illness and death may have been heavily affected by the dementia. It does kill people. My father was fit as a flea but it still killed him. Took about 6 years from diagnosis to death and it was heart wrenching. In the early stages his reactions to a couple of bereavements were odd. I have also known people with dementia to get very angry with family and accuse them of stealing money. It is such a difficult thing to figure what is the disease and also accept the disappearance of the person you know. My father was in a nursing home for the last three years of his life as his needs were too great. Good luck with all of this. The riser recliner will further reduce your Mum's mobility by the way. It should only be used if it is really needed and she can cope.

Rosscameasdoody · 31/01/2024 14:14

Mirabai · 31/01/2024 13:53

She invited a bespoke recliner company to do a presentation to DM! So OP is here asking if the price is extortionate which it is.

You obviously don’t understand the world of carers and vulnerable people if you think any of this is acceptable behaviour.

You can sack a carer and an agency for whatever reason you like.

For the last five years I’ve been caring for my mum who is 93 and has advanced vascular dementia, with private personal care bought in. So your assessment of my understanding is a little off. I wasn’t commenting as to the fitness or otherwise of the carer, I was simply pointing out that you can’t terminate on the grounds of financial abuse - or any other misconduct for that matter - without evidence. Of course the OP can sack the carer on other grounds, but it still has to be done according to the law and according to the terms and conditions of the agency, depending on whether they or the OP are her direct employer. And if you bothered to read the rest of my post, I did point out that a budget and a limit on spending need to be in place because as her DM’s LPA, it’s the OP who is ultimately responsible for DM’s money, not the carer.

poopoolala · 31/01/2024 14:11

I don't know but don't you have poa ? My mum is in the same situation and I have control over finances because she is the same with money now .

We have spent £100k on care already !!

Anyways she has a credit card with a max limit of £500 for her safety which I pay off so no chance of her buying random shit she doesn't need ..

Watch those carers , we had one who loved shopping and mum was buying her all sorts !

Sodndashitall · 31/01/2024 14:10

OP she won't want to change carers and so I think you will need to brace yourself for a difficult conversation here.
She will be angry of course and the chair will be an example of how you are being unfair etc
My recommendation is that you go in with a clear plan. This is not a conversation about wants but a conversation about needs. What she needs in terms of support and how this will be delivered. She will be angry and upset and it will be for you to weather the storm until it dies down. And it will.

As a PP said if this were a child you wouldn't hesitate to do the right thing against the wishes of the child. Keep this in the back of your mind and good luck

PermanentTemporary · 31/01/2024 14:07

The carer was rude to you? Ah. That's a carer who has lost sight of what they are there for. Creating difficulties in the relationship between your mum and you is very definitely not their job.

Valleyofthedollymix · 31/01/2024 14:03

Thank you so much again. It's been such a useful prod. As a result of all these valuable contributions I've taken a morning off work and worked the phones.

  1. The consultant's referral for OT assessment hadn't been put through, I don't know, classic NHS disjointedness. I've now made a request for a referral which the call handler dubbed 'urgent'.
  2. I've been in touch with her GP to get their advice. Also recommendations of private OTs should we need to get an assessment in a hurry.
  3. I've been in touch with an agency through which you employ carers directly (but they supply cover etc) and which costs considerably less. This is something I can push the button on should we pivot away from the current agency.
  4. I've spoken to the carer, who was pretty rude to me. I think she thinks we're penny pinching evil kids. As I keep saying, it may be that this is the right chair for her but we're not getting it without due diligence. Apparently the 'chair consultant' who came round was 'lovely'. I did keep pointing out that he's a salesman so of course he is. She then told me that it was up to me 'to break the terrible news' to DM that we weren't getting it immediately.
  5. Spoke to DM and asked her to give me two weeks to get the OT in. We need a whole house assessment for her needs rather than the piecemeal approach that was all about my dad. She was very upset and obviously angry at me.
  6. I'm going to take a day off either my family or work to go there in the next week and try to talk to her about how she'd feel about changing carers.

In answer to those questions about care assessments and adult services etc, we did have OT and equipment interventions from via NHS and social care for my father and when he died, they fell off. It's a tricky situation when you've got one very very very physically ill parent (but the 'brains') and one less ill but not compos mentis parent and then the former dies. You end up with a patched up solution that is suitable enough without being entirely suitable.

I do think she'll live a long time as she is has no other ailments. As with PP, I don't think 15 years is improbable. And nope, the money won't last that long to keep her at home as we'll need to sell it to pay for care.

OP posts:
TempleOfBloom · 31/01/2024 13:59

OP, is your Mum getting Attendance Allowance? It isn't means tested and can help considerably with care costs.

asrarpolar · 31/01/2024 13:56

@Mirabai you can get rid of an agency. If you are employing a carer directly you have to follow employment law.
The chances are the carer is simply not that experienced about what is okay for her to do and what is not. It is hard to recruit carers at the moment, especially for people with dementia.

Rosscameasdoody · 31/01/2024 13:55

EnfysPreseli · 31/01/2024 13:17

It depends on the type of dementia, and often it's not an exact science but the psychiatrist's best guess. My mother was first diagnosed 15yrs ago. Several of her contemporaries who were diagnosed later deteriorated much faster, but many older people live with dementia for many years if they are otherwise in good health.

Yes, I think sometimes it’s a best guess based on experience, the age of the patient and at what stage the condition is diagnosed.

My mum is nearly 93 and has vascular dementia. She was 89 at diagnosis and the consultant advised that given her age and the advanced nature of the dementia at the time of diagnosis, plus the fact that she has other vascular issues, a staged deterioration was likely - marked changes followed by plateauing out for a while until the next event.

He estimated that without any other events related to other conditions, within four to five years she would be nearing end stage with a significantly increased risk of heart attack/stroke. Unfortunately his predictions were fairly accurate as nearly five years later mum’s in very poor health and I’ve watched the essence of who she is disappear in front of me until she’s almost unrecognisable.

Thankfully she’s still manageable at home with a little personal care bought in privately. She lives with us but it’s anyone’s guess as to whether this will still be possible if she has a major event. We have a do not resuscitate order in place because the consultant advised that in the event she survived a major stroke or heart attack there would be little to no quality of life. I really feel for anyone caring for a loved one with any form of dementia. It’s a horrible, cruel disease.

Mirabai · 31/01/2024 13:53

Rosscameasdoody · 31/01/2024 12:22

Well no, she asked the OP to buy the recliner. But my post was really making the point to the other poster that you can’t simply sack someone because you suspect financial abuse - which this clearly isn’t because the OP has oversight of all purchases and the carer is not taking anything for herself. But she clearly needs boundaries setting because she’s indulging DM in wasting money. With her DM’s LPA the OP has the authority to change the way DM’s money is accessed, and maybe impose a spending limit, because at the end of the day it’s she who is responsible for making sure that money is being spent wisely, not the carer.

She invited a bespoke recliner company to do a presentation to DM! So OP is here asking if the price is extortionate which it is.

You obviously don’t understand the world of carers and vulnerable people if you think any of this is acceptable behaviour.

You can sack a carer and an agency for whatever reason you like.

TempleOfBloom · 31/01/2024 13:52

wrt agencies: we used Christies and it wasn't anything like that per week!

On the other hand they were clueless about cashmere jumpers and ruined all Mum's in the washing machine.

A riser recliner was great for my Mum when her knees went, but once dementia reached a certain level she couldn't manage the controls, which is an issue. Also a reason why stairlifts don't work for many people with dementia without close supervision.