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Elderly parents

Help with calculating care home fees

33 replies

KittensSchmittens · 29/04/2024 16:15

My DM has a pension of £4500 a month, she would also be eligible for attendance allowance but she doesn't currently claim it.

She has no savings.

She owns half a house (her half worth about £400k), the other half is held in a Trust.

She has dementia so we would need full nursing home care. Would £4800 per month be enough for a nursing home? She can't sell the house as she doesn't fully own it. Would the council put a charge on it? If so is it just for the portion of fees that the pension doesn't cover? Do they leave her with any spending money?

TIA

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Kitkat1523 · 07/05/2024 20:02

KittensSchmittens · 07/05/2024 15:03

@Kitkat1523 she completed the paperwork years ago, we're registering it. A diagnosis of dementia doesn't mean you have lost capacity for all decisions either.

I never said it did🙄

KittensSchmittens · 07/05/2024 15:03

@Kitkat1523 she completed the paperwork years ago, we're registering it. A diagnosis of dementia doesn't mean you have lost capacity for all decisions either.

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Kitkat1523 · 07/05/2024 13:24

KittensSchmittens · 07/05/2024 13:02

Hi, sorry didn't realise there were more replies to this.

Yes, potentially the property could be rented out. I am now wondering if this is a better option than a deferred payment arrangement.

To those asking why she has such a large pension - she worked in the public sector for 40 years, deferred her state pension for 8 years and also has a percentage of my father's public sector pension.

She doesn't have any savings because she has always spent the money she has and now she has dementia so she gives all her money to scammers. I am applying for POA, but the scamming is very difficult to prevent before I have it in place.

She needs capacity for you to get POA

Iwasafool · 07/05/2024 13:06

Surely the trustees would agree to the sale of the house if she goes into a home? Just leaving it empty seems ridiculous. So I'd get the trustees on side, sell the house, get a good IFA to get maximum return on her £400k.

KittensSchmittens · 07/05/2024 13:02

Hi, sorry didn't realise there were more replies to this.

Yes, potentially the property could be rented out. I am now wondering if this is a better option than a deferred payment arrangement.

To those asking why she has such a large pension - she worked in the public sector for 40 years, deferred her state pension for 8 years and also has a percentage of my father's public sector pension.

She doesn't have any savings because she has always spent the money she has and now she has dementia so she gives all her money to scammers. I am applying for POA, but the scamming is very difficult to prevent before I have it in place.

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Ahwig · 07/05/2024 09:25

I understand the house can't be sold but could it be rented out. My mums was rented out when she had to go into a care home. It took a lot of effort and we made the decision to let an estate agent manage the property. Yes a cost occurs in that case but they ensure all bills are paid, references are checked, they also carry out regular checks to ensure the tenant is looking after the property and if something needs fixing, they will arrange and use one of their trusted contractors ( after getting the ok from us first).

cestlavielife · 06/05/2024 17:15

But yes where is the 4500 going each month? Is she already funding full time carers?

cestlavielife · 06/05/2024 17:14

She has assets of at least 400k
She has ££££ pension

So
Assume self funding
Claim attendance allowance
Speak to the trustees sell the house put her 400k in bank and Interest plus her pension plus attendance allowance should cover most of the fees each month Slowly eating into capital

MereDintofPandiculation · 04/05/2024 09:09

angieboo1 · 03/05/2024 22:43

It’s unusual to claim attendance allowance when a resident in a care home.
Do they have savings with an income like that?
I would contact Adult care. It’s the only way to go unless she will be self-funding care.
The amount left after fees etc left to spend in my local authority is £20 a week. But I don’t know if that is a national figure.
Without a financial assessment it is impossible to know what her contribution would be.

It’s not in the slightest bit unusual. If you are supported partly or fully by the LA, you are not allowed to receive Attendance Allowance, but if you are fully self funded it is normal to claim it.

NoBinturongsHereMate · 03/05/2024 23:20

It’s unusual to claim attendance allowance when a resident in a care home.

Not for self funders.

angieboo1 · 03/05/2024 22:43

It’s unusual to claim attendance allowance when a resident in a care home.
Do they have savings with an income like that?
I would contact Adult care. It’s the only way to go unless she will be self-funding care.
The amount left after fees etc left to spend in my local authority is £20 a week. But I don’t know if that is a national figure.
Without a financial assessment it is impossible to know what her contribution would be.

EmotionalBlackmail · 02/05/2024 20:49

I was just wondering what on earth sort of job they must have done to end up with a pension of £4500 a month. That's a huge pension!

Motnight · 01/05/2024 19:36

Seeingadistance · 01/05/2024 19:16

I don't understand why your DM has no savings with a pension of £4,500 per month. That's substantially more than I earn working full-time!

Is her pension currently also being squirrelled away somewhere to avoid IHT and care home fees? If not, then how on earth is she managing to spend all that money every month?

And I would expect that the trustees would be required to comply with the sale of the property to fund care home fees, and if they don't do that then fees will have to be found elsewhere. The tax-payer should not be expected to fund care when significant capital assets are available.

Edited

I agree, that's a huge pension! I think that it equates to around £70 000 a year 😮

Seeingadistance · 01/05/2024 19:16

I don't understand why your DM has no savings with a pension of £4,500 per month. That's substantially more than I earn working full-time!

Is her pension currently also being squirrelled away somewhere to avoid IHT and care home fees? If not, then how on earth is she managing to spend all that money every month?

And I would expect that the trustees would be required to comply with the sale of the property to fund care home fees, and if they don't do that then fees will have to be found elsewhere. The tax-payer should not be expected to fund care when significant capital assets are available.

funnelfan · 29/04/2024 17:51

Second the advice to get an adult social care assessment, which will also precipitate a financial assessment. I have no direct experience of trusts, but if it was set up with care home fees in mind, there is no time limit for councils to consider this a deliberate deprivation of assets (unlike IHT). So if you want the local authority to commission your relatives care, they will do the financial assessment and may rule out contributing anything from the council tax payer due to your relative owning half of a property, and potentially on the basis of the full value of the property if the council find it was “given away” in a deliberate attempt to deprive assets.

If family is already prepared to pay any fees over and above your relatives pension then it may be easier to not involve the local authority and just be “private”. And as others have said, “nursing” homes are those that provide elements of medical care over and above personal care. Dementia patients often require lots of personal care assistance, but requiring nursing care is relatively rare. However, if your relative has a condition that makes needing nursing care more likely in the future, then choosing a facility that can do both will be better for continuity of care, and your relative would then move between units if needed.

Kitkat1523 · 29/04/2024 17:33

KittensSchmittens · 29/04/2024 17:27

@Kitkat1523 why would homes not accept a cash top up?

Funding policy …..in my local authority there are a list of those homes that are able to accept top ups …..far more won’t…..my friend pay 525 a week top up for her mum ( from the sale of her home)…..the alternative would be a home with a shit Cqc rating…that stinks of piss when you go in…..her words not mine🤷

HollyNightingale · 29/04/2024 17:33

@KittensSchmittens sorry, you’re right - not sure how I missed that! Your local authority can still give you advice and support though.

KittensSchmittens · 29/04/2024 17:27

@Kitkat1523 why would homes not accept a cash top up?

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KittensSchmittens · 29/04/2024 17:26

@Kitkat1523 the sale of the property won't make a difference to the home she goes to. Any difference between pension and care home fees will be topped up one way or another, either by charge on the house or contribution from family. Just trying to get a sense of the level of contribution needed.

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Kitkat1523 · 29/04/2024 17:24

KittensSchmittens · 29/04/2024 17:23

@mitogoshi spoke to a solicitor about the trust and their opinion was that it can't be sold without trustee's permission. I think the point of it was to avoid IHT and care home fees, so it's worded with that in mind.

But fuck me…..you gonna put the relatives well being first…surely? …..

Kitkat1523 · 29/04/2024 17:23

KittensSchmittens · 29/04/2024 17:07

Thank you all for replies, very helpful.

@olderbutwiser half of the house is held in trust, so there are 2 trustees that manage it. The house can't be sold without their agreement.

Do the council take the pension income first and then either ask the family for a top up or put a charge on the house for the remaining balance?

Not all homes will accept a top up…so say you want you relative to go to a home that’s doesn’t accept them….you would have to ask the trustees to sell the house….I mean trustees are usually people who have the persons best interests at heart?

KittensSchmittens · 29/04/2024 17:23

@mitogoshi spoke to a solicitor about the trust and their opinion was that it can't be sold without trustee's permission. I think the point of it was to avoid IHT and care home fees, so it's worded with that in mind.

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KittensSchmittens · 29/04/2024 17:21

@HollyNightingale I assumed that she wouldn't be eligible for council funding as she has the equity in the house?

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mitogoshi · 29/04/2024 17:14

All depends on the wording of the trust. If the trust is I presume left to family members from the death of your mother's husband then it would be expected that once she's no longer living there then it's sold to pay for fees as it's empty, alternatively a charge can be put on it. However if her pension covers most of it renting the property out could be an alternative solution

HollyNightingale · 29/04/2024 17:08

Hi, your first step is to contact the local Council’s Adult Social Care department and ask for an assessment. They will assess your mother’s eligible care needs and also carry out a financial assessment. It sounds like your mother may be eligible for local authority funding, she may just have to pay a contribution towards the costs based on what she can afford. This would be in relation to the Residential care element of your mother’s placement. Nursing care (an additional £235.88 per week on top of the applicable Residential rate) is funded by your local Integrated Care Board. This will all be explained to you by the allocated social worker. Also have a read of this booklet:
https://www.ageuk.org.uk/globalassets/age-uk/documents/factsheets/fs38_property_and_paying_for_residential_care_fcs.pdf