Grandmother no longer safe at home what happens now?

[mishmash13]

Hello,
Sorry it's a long one. My family is having a difficult time at the moment and was just looking for some advice from anyone that has been in a similar situation. My grandmother is 94 and has been cared for at her home by family popping in and by carers who come 3 times a day. Everybody has been doing what they can to keep her at home, as is her wish, and with the covid situation but her mental state has deteriorated badly.
She can't walk but tries to get out of bed in the middle of the night and keeps falling. It is unsafe and she is constantly hurting herself but refusing to stay in bed and refusing hospital. She still recognises us and has good days where she is more lucid and bad days where she doesn't understand much around her.
We are waiting for a call now from social care about an assessment.
My question is does anybody know what happens now? She is not safe at home but will not go willingly to a nursing home and gets incredibly distressed and angry when tried to discuss in past. She refuses paramedics to take her to hospital when they come out after falls but she is clearly unsafe at home with the current level of care. I have visions of her being whisked off somewhere against her will. We are all devastated for her as she really has always been adamant that she wants to stay at home. Care agency is refusing to help her unless she stays in bed but she won't as keeps trying to get out even though she can't actually stand. Are there emergency interim placements or do we start looking for a care home for her? Sorry if these are daft questions. We don't know what will happen with an assessment and what it means now social services involved. Thank you for reading if you got this far.

Do you think she can stay home with full time provision and can you afford it?

If she needs a nursing home I would be researching them now.
If she goes to hospital I would look at any step down beds in homes which provide a stop gap for when they can't go home yet or ever but can't stay in hospital. They are not permanent but can be If you like the place and a space becomes available. I would research the worst case scenario. Rule some homes out and some as possibilities.

Does anyone have a poa for her care and finances. Could she have a fulltime live in carer?

Could a night time carer be arranged? If the LA won't provide one your DGM or the family could pay for one. I'm dreading this happening with my DM

The first stage will be that she has a care act assessment. This will determine what level of care the local authority feels she needs.

If they feel that she needs 24 hour care they will recommend this. If your grandmother doesn't want to go and is determined to have mental capacity then the local authority will try and put together a care package that will do as much as it can to keep her safe at home and they Eileen continue to try and encourage her to move in 24 hour care.

If it is determined that she doesn't have mental capacity then they will first ask if anyone has a lasting power of attorney for health and welfare for her and if they don't then the local authority will make a 'best interests decision' under the mental capacity act to move her to 24 hour care.

If she is resistive to this then they may need to get an agreement from the court of protection to convey her into care, or if appropriate the mental health act may be used.

Once in 24 hour care she will be subject to a 'deprivation of Liberty' (DoL)authorisation which legally allows the local authority and the care home to keep her there 'against her will' although even people who are their happily but lack capacity to agree to be in 24 hour care have a DoL so it's not as scary as it sounds.

Will, not Eileen. Not the foggiest who Eileen is!

Thank you so much for the replies. We will start researching homes as advised. My mom has PoA for finances but not sure about health and wellbeing. I think not. It's such a sad situation. We will have to wait and see I suppose. Thank you for taking the time.

Let us know how you get on mishmash.

When we did POA on our DPs they wanted to go through a Solicitor who oddly kept trying to insist that we didn't need Health POA. So far, that's the one that's been most useful with both my DF and DMIL.

My mum is in a care home on DoL, we didn't have a health and well-being POA just a financial one (problem with paperwork and then capacity was no longer there) however the social worker always asks for our input into decisions and generally agrees with us so far.
Mums SW isn't great but was ok at getting her into a home.
Mum actually loves it there I think she was lonely between carer & family visits as there's not much she can do at home alone anymore, she requires input which she gets at the home.

If she stays at home she will eventually (and probably not to far in the future) fall and have to go into hospital.

I deal with older people who are adamant they will not go into a care home and would rather deal with falls at home and let the chips fall where they will. If she goes into hospital she will likely spend a long time medically fit for discharge but with nowhere to go, with a high possibility of her catching something whilst she is waiting.