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Elderly parents

After some advice - father had TBI

7 replies

paulauk75 · 14/02/2024 09:13

My dad fell from a ladder last summer and suffered a double brain bleed; he was put in an induced coma for two weeks and started to recover slowly. He was discharged from the hospital after two months, which we believe was too quick.

Although he could perform basic tasks like talking, washing, eating, and using the bathroom, he was quiet and had symptoms similar to Hypoactive delirium. A few weeks later, his condition worsened rapidly, and it was discovered that he had fluid on the brain and normal pressure hydrocephalus. A shunt was installed to alleviate the condition. He also has difficulty controlling his sodium levels with hyponatremia. Currently, since November, he has been bedbound in the hospital, speaking very little and sleeping a lot. He has good and bad days.

He has good long-term memory and knows who we are, but no short-term memory. He doesn't realize how long he has been in the hospital and doesn't remember seeing us yesterday. He becomes confused and sometimes thinks it is 30 years ago. He is not upset or angry, nor does he inquire about when he will leave or what is wrong with him. He does sometimes remember falling from a ladder.

He has just been rejected for the Nuro rehab unit - we suspect this is due to his age of 72. However, before the accident, he was still working, going to the gym, very active and had various holidays booked. He might have been 72 but was more like 60.

We think it's only a matter of time before they try to discharge him, and they were already talking to us about putting a bed in the living room, which is impractical.

We have no prior experience with social services. My dad owns half of his house and has no personal savings. Since COVID, we have been living with my parents.

Our plan was to convert the garage with an ensuite, at least he could be at home in bed watching TV, eating home cooked food, and see friends and not be in a care home. We are talking to builders - but going to take 2-3 months to do.

What I am trying to understand is what support we will receive and the risk that social services may try to put him in a care home and claim half of the house to cover costs.

He had a will but, at the time, had no idea about power of attorney, so we don’t have it. We are getting my Mum now, as well as looking into the court of protection for my Dad, but we understand this could take a long time.
When he was first discharged, no assessment was conducted to determine if it was safe for him to return home.

We were told that someone from the local Neuro support team would visit in a week, including occupational therapy and physiotherapy, but no one came for over 12 weeks. When someone finally did come, they advised us to take him directly to the A&E. The local GP stated that it was too complex a case and, if concerned, we should take him to A&E as there was not much she could do.

He requires assistance with bathing, dressing, managing incontinence, transferring from bed to chair using a hoist, and someone to assist with physiotherapy or other therapies to see if he can improve.

Has anyone else gone through a similar situation and can offer any advice on how to make sure we get the best support from the NHS and Social Services?

Many thanks

OP posts:
Snowdropsarecoming · 14/02/2024 09:16

I would start with ringing Age Concern. I maybe wrong but as your Mum is living in the house they won’t come after the equity in the house.

Mischance · 14/02/2024 09:36

My late OH was in a very similar situation - for different reasons though.

First of all, a financial assessment is only required if his care is being funded by social services (i.e. the local authority). They take only the assets of the patient themself into consideration when assessing how much the patient should contribute - so, any assets would be split down the middle if they are shared assets with a spouse. Any assets under a certain figure are ignored (used to be £23,500 - not sure what it is now) - but remember these are only HIS assets.
If a family member is living at home then the value of the property is ignored. There is no question of the house having to be sold to meet the cost of care needs.

But - there is a second funding system that comes under the NHS and by the sound of it your father might qualify. Under this system there is NO financial assessment at all - it is solely based on having a Primary Health Need. It is basically a continuation of his entitlement to NHS care, and this can happen in the home or in a care home. Ignorance of this system is rife amongst health care professionals and thousands of people miss out on this - so you need to gather knowledge about it and stick to your guns! Your best source of help and advice on this is Beacon: www.beaconchc.co.uk
They have an excellent website which provides detailed information on the process and the criteria. And you can download the checklist that is step one of the process. This is what is used to decide whether the person is likely to to qualify and then you proceed to the second step. Beacon will provide general advice, and also a free 90 minutes of discussion with a solicitor (I did this by phone) if you need to appeal the decision - which I did, and won - although in our case only after my OH's death - the money was refunded to me.

I am happy for you to pm me if needs be.

Beacon CHC | Free advice & expert representation

Helping people to navigate NHS Continuing Healthcare. Free helpline & resources. Expert representation. Ethical and personal service. Over 50,000 helped.

http://www.beaconchc.co.uk

MereDintofPandiculation · 14/02/2024 09:39

If your mum is living in the house it will be excluded from the assessment for care home, and it’s not included for care in the home. If you run into any problems, and feel you need legal help, look for a solicitor here

Home

SFE is a national association of independent lawyers who specialise in legal services for older and vulnerable people. Find an SFE lawyer today.

https://lifetimelawyers.org.uk/

Jellifer · 14/02/2024 10:05

Get him assessed for Continuing Health Care (CHC). If they deem him needing medical care rather than just social care then they will pay some (or all) of suitable care home costs.

This can be a stressful process and they always seem to try to have an excuse to mark people down. My stepdad had a TBI and was minimally conscious, sometimes opened his eyes and even then I had to fight to get the funding. The Beacon website mentioned above will be useful.

If he doesn’t get funding then they shouldn’t come after his house if your Mum is living there too.

All the very best

PermanentTemporary · 14/02/2024 21:01

I agree with the posters above.

However, it's also not unusual to be rejected from at least one neuro rehab unit. Could you find out from say the occupational therapist exactly why the rejection happened? Ask if there are any alternative units they are going to try, and if not why not.

Auntieobem · 14/02/2024 22:20

To be very blunt. It doesn't sound as if a hospital bed is the best place for your Dad, and it doesn't sound as if his ongoing needs are medical. If he can't be cared for in his own or your home then a care home is likely to be the best option. Perhaps it could be a temporary placement to allow you to get the work done the house? If he's assessed as needing a care home then ask about self directed support.

They won't force a sale of the house while your mum is living there.

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