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Elderly parents

If your lo has dementia and is in a care facility, how much is it costing per week.

156 replies

TheSummerGrinch · 14/08/2025 13:24

I know it all depends the area etc.

Mum has Alzheimer's, 7 years in to it now.

She wasn't doing too badly, she lives at home with dad and between my sister and I and a morning carer we were doing ok. Mum was (mainly) continent and went to a day centre twice a week. Things were stressful as they are with dementia but ok.

However, that all changed 6 weeks ago. Mum fell in the garden breaking her hand, dislocating her knee and fracturing her neck. Although mum is ok now with her physical injuries the 3 week stay in hospital has exacerbated her dementia. They allowed her to toilet in the bed and now she is double incontinent.

She came home two weeks ago. She is still often double incontinent although the carers are able to get her on the commode or toilet. They can also get her walking with support and a frame but she is still very weak (she also has osteoporosis and breast cancer). Our carers are wonderful but it's hard going.

We have 6 carers working on a rota 4 times a day but it's very expensive and it still leaves 20 hours a day where mum is either in mine, my sister's or my elderly father's care. We are exhausted and miserable.

We never wanted to put mum in care, no one does but I can't help thinking for maybe not much more than we are paying for the carers to come 4 hours a day we could have mum looked after 24/7 and gain some life back for ourselves?

Tbh, I hate to even contemplate it, I hate the thought of her in care but I'm done. Going to my parents on an almost daily basis has wiped me out.

How much do you pay for a care home privately?

OP posts:
ForWarmPeachBird · 15/08/2025 15:24

TheSummerGrinch · 15/08/2025 14:18

I think this is why we have put off the inevitable for so long but it was the same for us when mum went to the day centre, I used to cry dropping her off and seeing her go off hand in hand with one of the (lovely) workers, it felt like dropping my child off to the nursery but we got used to it and eventually came to love the place. I just hope we too can find that in a home.

We found that special home for my DM. I viewed 11 altogether, originally she spent a year at the care home next door and was then moved to the nursing home where she’s been for 18 months.
I’m not sure if I can use the word happy as her Alzheimer’s is so advanced but she is well looked after and couldn’t be in a place better suited to her needs.
I lost 4 years of my life looking after her, sourcing carers, then new carers because she hit one of the old carers, dealing with emergency services etc etc etc. Now it’s so nice to visit her and not to be her carer, she doesn’t know who I am anymore but it’s such a comfort to know how well she’s being looked after.

katgab · 15/08/2025 14:41

My mum was in a charity run home linked to our religious background. Despite the huge fees I don’t think they were making much profit. This was her wish and her own grandmother was in a home (long since shut, it was several decades ago) run by the same charity though things were quite different then. I didn’t have a say where the home was as she was discharged to the home from hospital (medical advice though the social worker would have happily sent her home I think) so it was where they had space and it was quite a long way from me. It wasn’t the most modern building but there was a low staff turnover which suggests it was well managed and staff were generally happy. That’s something I’d look for (same for a school too). I was well supported as well. I suspect that local authorities will go for maximum home visits relying on families (elderly spouse or middle aged or older children, mostly women) to pick up the slack, which families often do despite the effect on them. It’s a lot cheaper. The carers mum had at home (we paid for that) were nowhere near as good as those in the care home. Mum wasn’t happy there. I think she blamed me for being there. Even on her deathbed she was vile to me as I couldn’t do what she asked of me. She was vile to me when she was still at home and, despite being finally tiny, physically abusive at times. She wasn’t happy at home either. The loss of independence was just awful for her and she couldn’t adjust to it at all. Finally she refused to go to hospital for treatment despite being very poorly. I think she had enough and, as sad as it made me, I don’t blame her. She was very old and just miserable and lonely (I couldn’t visit as often as she’d have liked and the home asked me not to as they thought she’d settle better if I didn’t go that often). I think she was finally ready to go, in her last 6 months she kept asking for her long dead brother. Care homes don’t have a good reputation but, if you get the right one, they offer far more than you’ll ever get living at home. The fees were huge. Mum would have been appalled if she knew, she thought they were a tiny fraction of the cost. I feel that I spent my inheritance up front and it was a great help to me knowing she was safe and cared for. She died there, I wasn’t with her but the staff were really kind when I did visit in those last days so I believe they were at the end.

Flev · 15/08/2025 14:28

Can I suggest carehome.co.uk as a useful website to help with your searching? Some homes have loads of info up (including descriptions, photos, reviews, appropriate costs) - so at worst you might be able to rule some places out. You can search by location and care type. There's no charge to you, no request for you to log in or provide any personal details.

As far as not-for-profit homes go, you'll probably be better finding some possible options and then following up for more details. As well as stand-alone homes there are also some not-for-profit groups (I think Anchor is the biggest, but the Order of St John and MHA are two others I'm aware of).

TheSummerGrinch · 15/08/2025 14:20

countrygirl99 · 15/08/2025 13:57

For MIL it was one on the social services list as she was LA funded. It was a bit of an emergency as FIL had hung on resisting MIL going to a care home until he was dying of cancer. For my mum I started with the CQC website filtered on dementia and good plus assessments and looked at the ownership of my shortlist on their websites. I also checked whether they would accept LA funding with no top up when her money runs out. You are right that just doing the research can be a massive task. We had a shortlist of 8 over quite a wide area. I rejected one purely on their attitude on the phone so we are down to 7.
Mum is only just getting to the stage where she probably needs a care home, not due to personal care needs like washing etc, but because of unsafe behaviours and none of us are local. She pings between being desperate to go into a home and screaming at me that I'm horrible for suggesting visit. So far we've seen 4 of the 8 with an update visit to one and another one next week (this has been a journey of 2 years so far!). 2 we rejected as utterly grim, 2 we liked but thought one might be in too rural and quiet a location for mum (but 2 years on might be a good fit). So far mum.still has the capacity to make her own decision so I have to sell the visits as "so we know in case of an emergency" but given the last few weeks I think we are fast approaching a need for SS to assess capacity again.

It feels like a full time occupation trying to juggle and judge all of this doesn't it? I really envy my friends, none of them have any clue what all of this entails, many still believe that my mum is just a bit forgetful.......if only.

OP posts:
TheSummerGrinch · 15/08/2025 14:18

catofglory · 15/08/2025 13:51

Re grimness, I think I know what you mean. But a dementia care home is full of confused unwell people, it's a foreign environment. For the first few months I hated visiting, it was sad my mother was reduced to this and I found it very challenging. But gradually I got to know everyone, and all I felt was the kindness shown by the staff. It takes a while to get used to the whole idea, but I miss going there now (and I never thought I would say that). So as long as it feels 'right', don't expect it to feel perfect from day one.

I looked at a not-for-profit home. Unfortunately it was clear the manager only wanted early stage 'easy' dementia patients. He would not tolerate even basic dementia behaviours like pacing 'because it will upset the other residents'. Whereas at my mother's care home they would tolerate any behaviours - except violence.

I think this is why we have put off the inevitable for so long but it was the same for us when mum went to the day centre, I used to cry dropping her off and seeing her go off hand in hand with one of the (lovely) workers, it felt like dropping my child off to the nursery but we got used to it and eventually came to love the place. I just hope we too can find that in a home.

OP posts:
Marylou62 · 15/08/2025 14:03

TheSummerGrinch · 15/08/2025 11:18

I am truly sorry for your losses, dementia is a wicked disease and affects everyone involved, it's far reaching.

I truly believe mum going into care may give dad a new lease of life, he is in good health for his age but he is currently stressed and angry. When mum was in hospital for those 3 weeks he said although he was sad she was there he actually felt lifted, he was able to sleep solidly without worrying about mum, he could go out whenever he felt like it and simply potter in the garden without constantly checking in on mum. He's just putting the stoppers on atm because he knows a care home will be permanent, not like the hospital stay.

We used to go to a dementia cafe in a local care home and there was a man there, his wife was a resident and he spent most days volunteering in the home, it gave him a purpose and he could still go and see his wife whenever he wished. I do hope dad finds peace once mum is in care.

My Dad didn't want Mum to go into a care home.. but we had a crisis and she went in that night.
(I rang over 26 homes before one was found)
Dad (and my brother's and I) were devastated) I can't talk about the moment she realised that she was staying. But she soon settled and Dad, who had multiple life threatening conditions and terminal cancer was just welcomed with open arms by the home..he got a taxi daily and had lunch and bedded down in a comfy chair by the staff for a nap (whilst Mum wandered around hiding all her belongings) He was then picked up and taken home by one of us..
We were still very sad but Dad had a reasonable year health wise until he died.

countrygirl99 · 15/08/2025 13:57

TheSummerGrinch · 15/08/2025 13:00

Thank you.

That's the conclusion I am coming to. Mum went into respite in April. It took several visits to various homes and we thought we had found the perfect one, run by a brother and sister and the building had previously been their family home which I thought was lovely but upon reflection I don't think it was as great as we initially thought, it too had a grimness about it which I can't quite put my finger on.

It's why we can't simply place mum into care asap because I really want to find the best home we can afford and that will take a while.

Btw, how do we find a not for profit care home? Do they advertise the fact or do we have to start looking on Companies House or something?

For MIL it was one on the social services list as she was LA funded. It was a bit of an emergency as FIL had hung on resisting MIL going to a care home until he was dying of cancer. For my mum I started with the CQC website filtered on dementia and good plus assessments and looked at the ownership of my shortlist on their websites. I also checked whether they would accept LA funding with no top up when her money runs out. You are right that just doing the research can be a massive task. We had a shortlist of 8 over quite a wide area. I rejected one purely on their attitude on the phone so we are down to 7.
Mum is only just getting to the stage where she probably needs a care home, not due to personal care needs like washing etc, but because of unsafe behaviours and none of us are local. She pings between being desperate to go into a home and screaming at me that I'm horrible for suggesting visit. So far we've seen 4 of the 8 with an update visit to one and another one next week (this has been a journey of 2 years so far!). 2 we rejected as utterly grim, 2 we liked but thought one might be in too rural and quiet a location for mum (but 2 years on might be a good fit). So far mum.still has the capacity to make her own decision so I have to sell the visits as "so we know in case of an emergency" but given the last few weeks I think we are fast approaching a need for SS to assess capacity again.

catofglory · 15/08/2025 13:51

Re grimness, I think I know what you mean. But a dementia care home is full of confused unwell people, it's a foreign environment. For the first few months I hated visiting, it was sad my mother was reduced to this and I found it very challenging. But gradually I got to know everyone, and all I felt was the kindness shown by the staff. It takes a while to get used to the whole idea, but I miss going there now (and I never thought I would say that). So as long as it feels 'right', don't expect it to feel perfect from day one.

I looked at a not-for-profit home. Unfortunately it was clear the manager only wanted early stage 'easy' dementia patients. He would not tolerate even basic dementia behaviours like pacing 'because it will upset the other residents'. Whereas at my mother's care home they would tolerate any behaviours - except violence.

Holesintheground · 15/08/2025 13:38

Have you made a short list of possible care homes that offer the right care and are close enough to you?

It can take a while for a space to actually become available and sort a move, so I would get onto viewing them and making a decision ASAP. Two things I would recommend in this:

  1. ask other people locally who've been through this with their parents for their recommendations. If you don't personally know anyone, ask on a local site like Facebook or Next Door.

  2. look at newer buildings if you can. Purpose built facilities will have things like wider corridors making it easier for residents to get around and not have to squeeze past one another, better equipped toilets and so on.

FWIW it's well worth the money to know your loved one is safe, and such a relief to not panic every time the phone rings.

whyisnothingsimple · 15/08/2025 13:16

TheSummerGrinch · 15/08/2025 12:52

I want to go as my dh's grandfather did. He had been having a great evening in the pub, came home and as he passed through the doorway had a massive heart attack and was gone before he hit the ground.

That’s most definitely the way to do it or perhaps a toy boy ……

TheSummerGrinch · 15/08/2025 13:00

countrygirl99 · 15/08/2025 12:54

We've looked at a lot of care homes for various parents over the past few years and my very general observations (though obviously there is variation) are: those part of a big chain tend to have a very high staff turnover and lower staffing levels in general. Individual or small chains are either lovely and homely or grim and obviously cutting costs to the bone. Not for profit organisations are more consistently nice without being OTT on fancy facilities but not necessarily cheaper as staffing levels are at the higher end.

Thank you.

That's the conclusion I am coming to. Mum went into respite in April. It took several visits to various homes and we thought we had found the perfect one, run by a brother and sister and the building had previously been their family home which I thought was lovely but upon reflection I don't think it was as great as we initially thought, it too had a grimness about it which I can't quite put my finger on.

It's why we can't simply place mum into care asap because I really want to find the best home we can afford and that will take a while.

Btw, how do we find a not for profit care home? Do they advertise the fact or do we have to start looking on Companies House or something?

OP posts:
EmotionalBlackmail · 15/08/2025 12:56

HarryBlackberry1 · 15/08/2025 08:27

As someone who has a parent with early dementia, can I please ask how this is actually funded? I earn a fraction of the cost of care. In terms of financial logistics, how does this work?

You wouldn’t need to pay anything at all.

Your parent would have a care needs assessment and financial assessment which looks at what their income is and how much they have in savings (including housing if they own their home). If the savings level is below £14k then social services pays, plus the pension is used, leaving a small amount of “pocket money” for them each week for things like haircuts, new clothing, toiletries. If it’s between £14k and about £23k in savings, there is a sliding scale of how much they pay. If more than £23k then they’d be expected to pay for the care home until their savings drop below that level.

If their spouse is still living in the home they own then that amount isn’t taken into account as there is someone else living there.
https://www.ageuk.org.uk/information-advice/care/paying-for-care/paying-for-a-care-home/

countrygirl99 · 15/08/2025 12:54

We've looked at a lot of care homes for various parents over the past few years and my very general observations (though obviously there is variation) are: those part of a big chain tend to have a very high staff turnover and lower staffing levels in general. Individual or small chains are either lovely and homely or grim and obviously cutting costs to the bone. Not for profit organisations are more consistently nice without being OTT on fancy facilities but not necessarily cheaper as staffing levels are at the higher end.

TheSummerGrinch · 15/08/2025 12:54

Soontobe60 · 15/08/2025 12:44

Have your parents separated their savings and bank accounts? If not, it would be wise to do so. Obviously anything that’s solely in your DMs name is hers, same with DF, but joint savings accounts need to be split and any income from pensions etc need to be paid into each person’s own bank account.
If your DM lacks capacity, which it sounds like, then your DF should open new accounts in his m]name and transfer half of everything jointly held into his own account.

Yes, everything was separated several years ago.

OP posts:
TheSummerGrinch · 15/08/2025 12:52

whyisnothingsimple · 15/08/2025 12:43

My brother was comparatively young when he became ill - it became obvious to me when he was 70 and I suspect he knew long before that things weren’t right. I’m 68 and intend to enjoy my red wine and cigarettes so I’ll just drop one day and save my children the hassle.

I want to go as my dh's grandfather did. He had been having a great evening in the pub, came home and as he passed through the doorway had a massive heart attack and was gone before he hit the ground.

OP posts:
RaverSeerOfVisions · 15/08/2025 12:51

HonestOpalHelper · 15/08/2025 08:49

Continuing care doesn't apply to dementia conditions, she may be eligible due to her breast cancer, but unlikely if that's not the primary cause of her needs.

My dad had dementia and qualified for full CHC funding, he didn’t actually have any other health problems but the dementia meant challenging and unpredictable behaviour including violence so your statement isn’t entirely true.

incognitomouse · 15/08/2025 12:50

Yes my mums was basic too @Soontobe60 but then, she had advanced dementia and stared at a wall 24/7 when she wasn't sleeping so didn't really need anything other than a comfy bed and chair and caring staff.

catofglory · 15/08/2025 12:48

@TheSummerGrinch that is a good piece of advice from SS. Some care homes have all sorts of bells and whistles - cinemas, hair salons, cafes - which the resident pays for but will never use.

Most of the senior staff at my mother's care home had worked there for 10+ years, some for 20+ years. They understood the residents' needs and were genuinely committed to their care. It was independently owned, not a chain.

Best of luck finding a good placement for your mother. It can feel very daunting, but sometimes it really is the best option.

Soontobe60 · 15/08/2025 12:44

TheSummerGrinch · 15/08/2025 12:22

I have certainly come to that conclusion since mum's sudden decline. My parents are lucky to have savings but seeing how woefully inadequate the state paid care has been I fear there must be so many elderly and disabled people out there in a hellish state being left for hours on end and without proper care. it's really not acceptable and the government know this.

Have your parents separated their savings and bank accounts? If not, it would be wise to do so. Obviously anything that’s solely in your DMs name is hers, same with DF, but joint savings accounts need to be split and any income from pensions etc need to be paid into each person’s own bank account.
If your DM lacks capacity, which it sounds like, then your DF should open new accounts in his m]name and transfer half of everything jointly held into his own account.

whyisnothingsimple · 15/08/2025 12:43

My brother was comparatively young when he became ill - it became obvious to me when he was 70 and I suspect he knew long before that things weren’t right. I’m 68 and intend to enjoy my red wine and cigarettes so I’ll just drop one day and save my children the hassle.

TheSummerGrinch · 15/08/2025 12:41

user9064385631 · 15/08/2025 12:15

Does your Dad still drive? Or willing to get the bus? If so somewhere he can get to independently everyday/as often as he likes might work well.
If not you could arrange a taxi firm to take him at regular times maybe.

I agree with just turning up to view - our home had no visiting hours, you could visit when you liked between 7am - 10pm. The staff were always very welcoming.

Luckily he still drives. He used to play golf several times a week and is longing to go back to this, we are hoping he can go back to this.

OP posts:
Soontobe60 · 15/08/2025 12:40

UpUpAwayz · 14/08/2025 21:32

What if their homes aren’t worth much, and/or other people live there so can’t be sold? Genuine question.

Then the LA will do a financial assessment and partially, or fully fund the place. My stepfather had a funded place - he paid £780 a month which was his pension less personal weekly allowance. The LA paid the rest of his fees. However, we couldn’t choose his home, and it was pretty basic but the staff were lovely.

TheSummerGrinch · 15/08/2025 12:39

catofglory · 15/08/2025 12:12

It is less likely nowadays for Social services to move a resident when they take over the fees, simply because there are very few Local Authority care homes left. In our area, there is only one. So often an LA won’t be able to find a cheaper placement.

You are right, SS are not interested if the person has funds over the threshold. You can continue to claim AA when she is privately funded in the care home, so that helps.

My mother was in a dementia care home for 7 years until her recent death. She was paying around £4400 a month, the care home was excellent (south east). The LA took over her fees for the last 18 months and there was no question of her being moved. (Her fees were very 'reasonable' compared with some homes, others nearby charge £6k a month.)

My mother never lost any clothes or other possession - except her glasses. Which she didn’t remember to wear anyway!

I found her care home on

https://www.carehome.co.uk/

It was a homely care home with a lovely atmosphere and I could tell it was right for her as soon as I walked in.

Thank you, that's exactly what I am looking for for mum. The lady from ss did offer up one nugget of advice and that was not to be bamboozled by the all singing and all dancing large care homes, she said the smaller and homelier ones are often much nicer in her experience.

OP posts:
roundaboutthehillsareshining · 15/08/2025 12:39

TheSummerGrinch · 15/08/2025 11:31

We were never given the option for a care home upon hospital discharge.

Tbh, the hospital were next to useless when it came to offering up any help or information, I had to push for everything. They organised a 6 week rehabilitation care package via a care company but they were awful, were meant to stay for 4 visits per day, at 45 mins each time but would only stay for 10-15 mins at a time and would offer up the bare minimum in care. The private carers have done more in this last week than the other carers have done in double that time. They would simply clean mum up and go. The private carers have managed to get mum walking to the bathroom, they shower her every morning and put her in her recliner in the living room. Still not much of a life but far better than the care company.

This is why I want to take some time looking for a care home, it needs to be the right one for mum and her care needs.

Unfortunately due to his challenging behaviour, the reason he couldn't be discharged home was that it wasn't safe for the community - nothing to do with his needs. The hospital will try and send home wherever possible....

TheSummerGrinch · 15/08/2025 12:36

rickyrickygrimes · 15/08/2025 12:02

What you are describing is the standard care package that most people fight to get. It’s great for your family that they can afford to buy in a higher level of care, but that is not what the tax payer is generally willing or able to provide

If you told social services that you were planning to care for your mum at home, and they already know she’s self funding, then no one is going to try and persuade you to do otherwise. When MIL was facing discharge from hospital, it was clear that they would be fine to have her going home with just the standard 4-visits a day care package and my FIL at home. She was in a very similar situation as your mum OP - dementia, advanced osteoporosis, doubly incontinent and immobile. It was unbelievable that they thought this was appropriate and only backed down when DH pointed out that if she soiled herself overnight, she’d have to lie in it until the next day as there was no way FIL could deal with that. They grudgingly agreed this was the case. We also coached FIL to say out loud that he could not care for her safely at home, and they eventually agreed that residential nursing care was the only option 🙄.

The issues is that we never once told SS we were willing to care for mum at home. They came round, found out my parents had savings, said sorry we can not help and left. No other help offered. All doors slammed in our face.

Same with the hospital, the discharge team never once asked who was there to assist dad etc, just offered this care company and that was that. In fact they never once contacted me, I had to do all the chasing. They only told us with an hours notice that mum was to be discharged.

A lot of people my age say they are going to enjoy their lives now and spend spend spend and they are not going to worry about old age. Well, they have been lucky not to have a parent with dementia or complex care needs. After going through this I feel terrified at the thought of having no money put aside for private care and being at the mercy of my local authorities.

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