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Elderly parents

Going round in circles with NHS and care home

29 replies

TheCaptainsLog · 07/07/2025 13:05

Hello all. I've name changed for this but have been around MN for well over a decade.

My elderly (95) relative has been in hospital since Easter in two separate admissions. The one attempt to discharge her home saw her back at A&E within hours. The admissions have been due to falls and trauma, but there are many other co-morbidities. It has now been decided that she cannot return home and must go to 24 hour care.

The hospital discharge team say that she needs to be in a residential bed as her needs can be met without nursing, but then go on to say that it should be a dual registered home with nursing available as well. There are six such homes in my local authority and only three of them have beds. All three of them have declined to take her, saying they can't meet her needs. One says she's clearly demented (true - it's blindingly obvious but not formally diagnosed because the Older Adults Community Mental Health Team have flatly rejected seven referrals in the last 18 months) and needs a dementia bed. One says her needs are for nursing, which the NHS denies even though they've told me to find a home with nursing available. The third says they can't provide 1-1 care. The hospital says she doesn't need 1-1 even though they've had that on the ward for the last ten weeks!

Anyone have any advice?

OP posts:
rickyrickygrimes · 07/07/2025 16:16

helpfulperson · 07/07/2025 15:52

I would step back totally and say to them that once they have found her a suitable care placement to let you know and you will liaise directly with the care home about payment.

It is an awful situation but the responsibilty is theors if ypu dpnt have health POA.

i was going to say this. It’s not your responsibility to get her into a specific home or care set up - just to organise the financial side. Do you feel an obligation to do more than that?

helpfulperson · 07/07/2025 15:52

I would step back totally and say to them that once they have found her a suitable care placement to let you know and you will liaise directly with the care home about payment.

It is an awful situation but the responsibilty is theors if ypu dpnt have health POA.

TheCaptainsLog · 07/07/2025 13:51

Hi, thanks for the reply.

She had a social worker in the community, but it is the hospital social worker who has been doing the running this time. Not sure if either could be described as 'assigned'. The hospital social worker is part of the discharge team and has been liaising with the homes; her next move is to try out of area homes as well as the ones that don't have beds (I am not making this up).

She'd be self-funding. I have a LPA for her finances and they (NHS and council both) are very eager to get me to reach for the chequebook, rather less eager to actually talk to me about my relative (a distant one) as I don't have POA for health.

There is a long running pattern where the NHS - both in the community and in the hospital - just aren't being real about her needs and prefer to push her towards (self-funded) social care. Even her community social worker suggested that I start legal proceedings against the NHS for delayed diagnosis.

OP posts:
Octavia64 · 07/07/2025 13:35

Does she have an assigned social worker?

is she self-funding or is this council funded?

the hospital are probably recommending a dual registered home so that when her needs increase she can move from residential to nursing without physically moving if that makes sense.

however if there are only three homes that fit that and they won’t take her then It sounds like it’s not possible.

usually there is a discharge co-ordinator involved in the process - can you get back to them and state that the dual registered homes have refused her and where do they recommend going from there?

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