Please or to access all these features

Elderly parents

Any advice for finding a care home for elderly mother.

63 replies

Tolkienista · 03/08/2024 11:47

My mother is 95 and until she had a fall five months ago was living independently at home, shopping daily, very fit and active.
Two hospital stays later, she's still at home has carers in twice a day and between her four children we've been doing our best to support her with daily visits........cooking, shopping, cleaning etc. Mobility is her biggest issue. She has to live downstairs because the bathroom is upstairs and she uses a commode.

Over the last few weeks we've noticed a gradual decline in her health & more dependence on us, she has a heart condition too (atrial fibrillation)
We collectively feel the time has come to move up a level with care and consider moving her into a care home.

Where do we begin?
She is a self funder with her care company, owns her home (has over £23K in savings) so is this the same starting point with care homes £23K?

It's a constant worry, but after 5 months of us doing everything possible to keep her at home, we just feel it's time to move on, her home is just not suitable for a 95 yr old with decreasing mobility and a weakening heart.

OP posts:
Namechangejust · 03/08/2024 22:20

As a nurse who works in a care home I would say that the first vibes you get when you first visit is the best advice.
Do the carers look happy and have banter with the residents?
Don’t be taken in by the decor..beautiful flower arrangements etc doesn’t tell you anything about the care !!
Look at the companies finances ,ask to look in the kitchen,menu etc .
Ask the carers about how long they have worked there …happy carers =happy home!
You really need to be very enquiring to check out if the home is happy and not money grabbing!! Sorry if I am very cynical but it’s my experience that answers your questions.

mouseyowl · 03/08/2024 22:08

Don't dismiss your DM not joining in activities, people can change when they move into a care home and you might be surprised about how she adapts to her new home.

yeesh · 03/08/2024 21:54

Does she have enough money to self fund for a long time? Have you looked into how expensive it is? You don’t want to move her into a home and then run out of money. If she hasn’t been assessed by social services as needing full time care then they won’t fund it and she would have to leave the home. Usually SS would try all preventative services first such as aids/adaptations and additional care calls before a care home would even be considered

Tolkienista · 03/08/2024 21:50

AnnieMay55 · 03/08/2024 16:23

If you start to visit some you will be able to compare and feel which is right for your mother. As someone else mentioned think about where is best for her to be depending on who will visit most, but maybe you are all close. My dad was in an independent home with just 22 residents and many long term staff and no agency staff. They really got to know all residents and their families which meant they could talk to them about their families.
We have a lot of chain homes being built on new developments around us but they are very large and advertise hair salons, cinema rooms etc. I don't think many older residents have the concentration to watch whole films. A nice cosy lounge with TV or music was far more homely. Do check what activities they arrange too but be prepared that at that wonderful age she may not be up to very many activities for very long. Simple quizzes sitting in the lounge always went down well and visitors could join in too! You often get the feeling it is right as soon as you walk in.

Thank you for your advice and experience.
She's 95 and won't be entering a care home to be taking up new hobbies, well I don't think she will.
I've visited a new care home and it was like walking into a five star hotel, beautiful sofas in the entrance hall, sumptuous carpets, grand table lamps........none of it was anything to do with the care residents were receiving.

OP posts:
user98265528790 · 03/08/2024 21:46

YouMustBeHappyNow · 03/08/2024 15:45

But if they are elderly, many of the residents will develop dementia. What would happen then?

At ours, it was in the contract that if they developed raging dementia that you understood you’d have to find somewhere else…In practice the place was full of delightfully dotty old ladies who probably couldn’t have reliably told you what year it was but there was no shouting or screaming or other distressing dementia symptoms.

Tolkienista · 03/08/2024 21:43

saraclara · 03/08/2024 16:33

My mum was in a miserable place (Bupa) my MIL was on a wonderful one (council-run, but she was self funding).

The differences? The staff at the BUPA one didn't acknowledge us when we visited, and we never saw them show any warmth to my mum. MIL's carers greeted us warmly, and even wanted to feed me every time, as they knew it was a more than 2.5 hour journey for me to get there. And they spoke to my MIL with such warmth and affection. Even when her dementia was advanced, they'd talk to her as if she could understand everything, sharing their family news, etc. And it wasn't performative for our visit, because we'd see them come on shift and greet and chat to other residents (all with dementia) in the same way.

The BUPA one was dark and dingy, the council one modern and full of natural light.

The BUPA one had a rapid turnover of staff, the council one had carers who'd been there for many years and who loved their job, and knew every resident and their families.

I'd arrive to find my mum in dirty clothes and with dried on food on her face. My MIL would be carefully dressed in beautifully laundered toning colours, and when they needed to buy anything for her, they'd buy it on the colours they knew she liked.

Never write off council run care homes.

Edited

Really good advice and clearly written from the heart. That is so relatable the way you've outlined her experience in real terms. Thank you.

OP posts:
Tolkienista · 03/08/2024 21:41

bananamum13 · 03/08/2024 16:56

Where are you based?
I work in a small, charity run care home and it's just lovely - lots of long term staff, amazing food and a generally lovely environment, also currently only 1 resident with dementia so I'm not entirely sure where a pp was coming from.
Def visit a few and get a general feel for them and their staff, you know your Mum best so will have a better idea of what type of place will suit her best.

Based in the west midlands.
We definitely intend to visit and as you say.......get a feel.
I guess it's a gut instinct .

OP posts:
Tolkienista · 03/08/2024 21:38

Frostycottagegarden · 03/08/2024 16:01

I love visiting clients in care homes. Have a look around a few, you'll get a feel quite quickly.

It also depends on what your mum likes to do. Does she want activities, singing, drinks in the bar etc. Or just peace and quiet? Some homes, I have to track clients down because they're in the kitchen, baking.

Another option is a home which has supported accommodation on site. So residents are more independent but still go to the main building for meals and entertainment. They can have a broader mix of resident.

She's a very sociable person, loves catching up with friends and relatives having a laugh and getting all the gossip.
She's not a "joiner in" of social activities, so I guess that wouldn't be important, but I think she'd be happy in the communal lounge chatting to others.

OP posts:
bananamum13 · 03/08/2024 16:56

Where are you based?
I work in a small, charity run care home and it's just lovely - lots of long term staff, amazing food and a generally lovely environment, also currently only 1 resident with dementia so I'm not entirely sure where a pp was coming from.
Def visit a few and get a general feel for them and their staff, you know your Mum best so will have a better idea of what type of place will suit her best.

saraclara · 03/08/2024 16:33

My mum was in a miserable place (Bupa) my MIL was on a wonderful one (council-run, but she was self funding).

The differences? The staff at the BUPA one didn't acknowledge us when we visited, and we never saw them show any warmth to my mum. MIL's carers greeted us warmly, and even wanted to feed me every time, as they knew it was a more than 2.5 hour journey for me to get there. And they spoke to my MIL with such warmth and affection. Even when her dementia was advanced, they'd talk to her as if she could understand everything, sharing their family news, etc. And it wasn't performative for our visit, because we'd see them come on shift and greet and chat to other residents (all with dementia) in the same way.

The BUPA one was dark and dingy, the council one modern and full of natural light.

The BUPA one had a rapid turnover of staff, the council one had carers who'd been there for many years and who loved their job, and knew every resident and their families.

I'd arrive to find my mum in dirty clothes and with dried on food on her face. My MIL would be carefully dressed in beautifully laundered toning colours, and when they needed to buy anything for her, they'd buy it on the colours they knew she liked.

Never write off council run care homes.

Carebearsonmybed · 03/08/2024 16:30

If she doesnt have dementia keep her at home by having more care visits.

Our LA will only fund residential care if someone's not coping with 4 care visits a day.

You dont want her to self fund then that run out then the LA to say they won't pay!

She really isn't at the care home stage.

AnnieMay55 · 03/08/2024 16:23

If you start to visit some you will be able to compare and feel which is right for your mother. As someone else mentioned think about where is best for her to be depending on who will visit most, but maybe you are all close. My dad was in an independent home with just 22 residents and many long term staff and no agency staff. They really got to know all residents and their families which meant they could talk to them about their families.
We have a lot of chain homes being built on new developments around us but they are very large and advertise hair salons, cinema rooms etc. I don't think many older residents have the concentration to watch whole films. A nice cosy lounge with TV or music was far more homely. Do check what activities they arrange too but be prepared that at that wonderful age she may not be up to very many activities for very long. Simple quizzes sitting in the lounge always went down well and visitors could join in too! You often get the feeling it is right as soon as you walk in.

olderbutwiser · 03/08/2024 16:15

Have a detailed think about what you think residential care will give her that she can't get at home, and/or what you are worried about happening if she carries on at home and/or what you think she is missing out on.

You might find the perfect residential home. But it may be that extra-care sheltered housing works better for her (there are quite a few of these being built now so they are still shiny and up to date), or more frequent carers, or a live in carer, or moving to a more suitable home.

Costs vary by room (some homes have a range from bedroom with shared bathroom to fancy suites) and by the amount of care needed. You won't get an accurate cost until you've identified a room and they've done an assessment but be prepared for £1000-£2000/week depending on location/swankiness/care needs.

YouMustBeHappyNow · 03/08/2024 16:09

EmotionalBlackmail · 03/08/2024 15:59

And it isn't "many" elderly people who develop dementia, it just seems like it because social care funding for care homes is so difficult to get for "just" frailty.

It's 1 in 6 people over 80, rising to 1 in 3 of those over 90. Which means the majority of elderly people don't have dementia and won't develop it.

I didn't say most, I said many.

Redburnett · 03/08/2024 16:07

When you visit it is worth trying to observe/find out what is done to help residents socialise with each other. This is really important for an elderly person who does not have dementia. My relative is lonely and would really like a friend in the home, but so many residents are non-verbal, or have dementia or, like my relative, have no mobility so they are stuck where the staff put them.

Frostycottagegarden · 03/08/2024 16:01

I love visiting clients in care homes. Have a look around a few, you'll get a feel quite quickly.

It also depends on what your mum likes to do. Does she want activities, singing, drinks in the bar etc. Or just peace and quiet? Some homes, I have to track clients down because they're in the kitchen, baking.

Another option is a home which has supported accommodation on site. So residents are more independent but still go to the main building for meals and entertainment. They can have a broader mix of resident.

EmotionalBlackmail · 03/08/2024 15:59

And it isn't "many" elderly people who develop dementia, it just seems like it because social care funding for care homes is so difficult to get for "just" frailty.

It's 1 in 6 people over 80, rising to 1 in 3 of those over 90. Which means the majority of elderly people don't have dementia and won't develop it.

YouMustBeHappyNow · 03/08/2024 15:53

My parents are in a home that has 3 sections, depending on mental and physical health of the resident. Each section has a lounge and dining area. My dad is in the dementia unit and my mother (who is early stage dementia) is in the other ground floor unit but can go to sit/have coffee/eat with my dad at any time. Ask about activities too. We have two dedicated activities staff and the residents can go to any activities they fancy. We feel so lucky dad's social worker placed him there (before our POAs came through) and she said the council typically let them stay there when their funds run out. Worth asking SS about that too.

EmotionalBlackmail · 03/08/2024 15:52

It wasn't a home that could support residents with dementia, so they'd have had to move to a different home.

YouMustBeHappyNow · 03/08/2024 15:45

EmotionalBlackmail · 03/08/2024 14:49

Nice care homes do exist for someone like her, but they can take a bit of finding. One of my relatives went into one that most definitely didn't take anyone with dementia and that made a big effort to provide intellectually stimulating activities.

But if they are elderly, many of the residents will develop dementia. What would happen then?

Summertimer · 03/08/2024 15:44

As she is 95, even if she doesn’t need nursing level care now I think it’s wise to find a care setting that would be able to accommodate possible future needs. They will almost certainly have a questionnaire to determine what level they feel your mum is at now.

cestlavielife · 03/08/2024 15:38

Relative is in a 5 * and is able to pay for now. Visiting is very pleasant. Cheaper one was old Victorian dark house and not so nice feel. Maybe there is something in between .

cestlavielife · 03/08/2024 15:35

Go visit All in your locality which have vacancies to get a feel
Ask costs
Some rooms might be cheaper
Ask about meals and visit when activities are happening and when not

yumyum33 · 03/08/2024 15:11

Most care homes politely ask prospective residents if they have enough private funds for two years.

Muchtoomuchtodo · 03/08/2024 14:54

Look for ones that are dual registered for nursing as well as residential care. As things progress and her needs increase it can save another stressful move.