If someone has 24 hour care in their own home

[Springsnake]

What happens When their money to pay for it runs out ,If they have already took equity from their house and used up their bank account.
Also if the person is confused will that effect care being offered

Either social services find an alternative (could be anything from nothing to nursing home depending what they feel the individual needs, which is often less than they previously paid for privately) or the family keep paying.

It would most likely be residential care if 24 hour care is needed. Unfortunately, there is no way that councils can fund 24 hour live in care for individuals.

Possibly nhs continuing healthcare step in if the persons health or mental needs are very severe (my mum had it for copd / bowel cancer and Crohn’s disease, she didn’t have to sell her house and was given the option of funding for a live in carer full time or a nursing home, she chose nursing home, she was 70).

www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/nhs-continuing-healthcare/

Mums 76 ,she needs to be in a secure residential home the social services say ...can that be possible at home ,I wasn’t given an option of a live in carer for her ,no one suggested it

I’m annoyed with myself I didn’t think of live in care ,everything seemed to happen so quick

If no-one else can step in to pay for the live-in carer (family etc) then the person will probably be moved to a residential home if they need 24 hour care. Sadly there just isn't the budget for social services to find 24 hour care for individuals in their own home.

If social services says she needs to be in a secure residential home, then she must need it. SS try to keep people in their homes as long as possible due to costs, so I would imagine a home is the best place for her.

If you want to keep her in her own home with 24h care, you'll have to foot the bill.

I know it's hard putting a loved one in a home, but sometimes it's the best option for that person.

Does she have dementia or other health needs?

But the care home is £1200 a week ..live in care seems to be less than that ,I suppose bills still need paying gas and phone and stuff ,and food ,and she’s only a basic pension

Dementia

It is very unlikely social services (or health if she is entitled to health funding) would pay for 24 hour care in her own home as the cost compared to a residential home is so much higher.
You should contact them as soon as possible as sometimes there is a wait for an assessment. They should explain all the options they can fund.

She says she’s never been so unhappy in her life ,I’m visiting every day ,yesterday I was there 4 hours ,but she’s still unhappy

Some councils will fund live in care, but it's usually for people with complex needs. It would be unusual to fund live in care for dementia. (Sadly, as often the best place for people with dementia is to be in their own home)

They say she’s wandering,but I’m sure she’s wandering because she’s trying to get home 😥😥

How long has she been there?
I work within dementia services, not as a carer and would say that after several weeks resident's seem to go from being very unhappy to more accepting of the situation. Depending on the stage or type of dementia some resident's are on 'green' as in they are on the 'go' all the time, walking up and down and yes some asking to go home and for their family. It will take some time for your mum to adapt to her new surroundings, routine and people.

My friends mum has advanced vascular dementia and privately pays for 24hr live in care from her private pension/savings. They initially placed her in a 'nice' local care home, but after 4 weeks she was still so unsettled, anxious and agitated they couldn't leave her there. The live in carer is the perfect solution, the carer is a mature woman who she can relate to and take her out for day trips, to routine doctors appointments etc. They have worked out they have enough funds for roughly 18 months more care at home. But there are other limits to how long care at home will be possible, if the client starts waking more that 3 times a night or gets physically aggressive they will not be able to continue to provide care as the carers wellbeing needs to also be taken into account.

They have investigated and once the money runs out the only NHS Scotland funded option will be one of the local care homes for advanced dementia patients. Sounds terrible, but she is hoping her mum passes away before that is required. The impression she has been given is NHS funded 24 hr home support is really only for those with already serious issues such as advanced COPD, cancer etc and where there is no available and appropriate care home spaces to support.

Most areas have care homes that will accept/support dementia patients needs and I cannot see the NHS funding 24hr support at home.

2 weeks

I suppose as well if she was determined to go out walking the carer would not be able to stop her ,
I just feel frustrated that I wasn’t given options,just told she had to go in secure home

We had live in care for my Mum and my FIL. Worked well for FIL who had Parkinson’s , disaster with my Mum as I knew it would be,
The price of the home is unlikely to be what SS will be actually paying as they broker a deal with the Care home which is very often a fair bit less than what people privately pay.

I feel for you, not easy. My Mum never accepted being in a Home really but had been unhappy in her own for some time before and had said she she wanted to move, think it was just how the disease was for her.

But the care home is £1200 a week ..live in care seems to be less than that. I'm not sure how you think 24 hour home care is cheaper.

One carer at all times (24 hour care) on minimum wage (£8.72ph from April 2020) is over £1,400 a week excluding insurance, employers pension etc. But, if they genuinely needed 24h care there will be minimum 4 hours a day where 2x carers are needed for moving/handling/washing/bed covers changing etc., so, 28h per day = £1709.12 per week

I think home 24 hour is probably cheaper but only marginally so. @PIPESA figures don’t make sense to me. The care agency that do my (hourly) calls also do live in and the carers only “work” 10 hours a day (clients have to agree to be up no more than 12 hours with a 2 hour break for them). They aren’t paid hourly other than that. I think they get about £100 day But on top of care costs they expect you give the carer around £50/week for food. And agency costs on top.

We have a relative with two live in carers round the clock for less than £1400 a week (not hugely less).

Social services reckon they would provide four visits a week if I remember rightly.