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Elderly parents

Funding, care home etc

8 replies

Orangesandlemons77 · 25/08/2024 13:29

Elderly Dad with dementia has been in hospital with an infection and looks like will need a care home when he comes out. he's in Scotland so not sure if the funding is a bit different there. He is still waiting on a needs assessment from the local council which has taken, months if not years.

I just thought I would run through his situation here to see if this sounds right, as others might have been through the same.

He was recently in a care home for respite care and when I spoke with the posh care home manager recently when he was in for the respite care we discussed how people afford the fees, he said people top up the funding with state pension / other savings / attendance allowance.

When dad's savings go down to approx 23K it seems he would be eligible for help with funding from the council, so to start with he would be using his savings to pay it all anyway until it reached that level. Which would be a few months I suppose. Would need to calculate that.

Then, he could use the 23K plus any state pension he receives (which should continue, need to check if he gets that or not) along with the attendance allowance and council funding to cover the costs. All non means tested benefits continue but pension credit and housing benefit would stop when he left sheltered housing and went into a home permanently.

So as well as waiting on this assessment from social services it would be a question of calculating all if this and seeing if it will cover the costs

Then also looking at a cheaper care home than the respite one used recently as well

He is I think at present on the lower rate of attendance allowance, but he should be eligible for a higher rate if he needs care at night (which he would do with risk of falls at night etc, along with incontinence, I expect).

There is a welfare person who could help sort that change out, I understand attendance allowance sent out a form for change of circumstances, maybe she could do that for us as it does take a few weeks for them to process it.

I guess if dad went into a care home now paid for solely with his savings (as would be expected to happen anyway assessment of not, until he reached 23K) it would be a question of bothering the council for the assessment before it got to that level as that is when the funding would be needed

Then the combination of the 23K, the increased attendance allowance (think it is around £100 a week) and any state pension Dad receives all of which would continue) would hopefully cover the costs.

I still have the name of the welfare advisor who did dad's attendance allowance forms so I could contact them to get that sorted out.

Somewhere like the Age UK Scotland charity might also be helpful with arranging all of this for example.

I guess the other option would be he goes back to his flat with an enhanced care package and more support perhaps from the Home instead carers, they would not be there e.g overnight though.

OP posts:
unicornsarereal72 · 25/08/2024 14:30

My grandad moved to a care home last year. His fees are £1100 a week roughly. His pension £200 a week and AA £100 a week go towards this. The maximum social services would pay per week leaves an outstanding amount of £70 a week. His daughter is paying this. Social service did find a cheaper place and wanted to move him if we did not pay the top up. This is in England so maybe differently in Scotland

NoBinturongsHereMate · 25/08/2024 18:10

Rules may differ in Scotland, but I believe in England AA stops (lr is redirectedvia the council, rather than him being paid it and paying it out - so I'm not sure how you include this in the calculation) once he's in receipt of council funding. And there are rules about how the top up can be paid (some of the amount between £23k and £16k can be used,.but once his savings get down to £16k the remainder can't be used towards topups.

The rate the council pays will not be the same as the rate charged to private residents, and different homes have different rules on council-funded places - some don't offer them at all, some charge only the council rate, some will accept partial funding with a top up from family to either the full rate or a compromise amount ... nothing's standardised and trying to pry numbers out of them can be exhausting.

Good luck!

NoBinturongsHereMate · 25/08/2024 18:13

If he needs a nursing rather than just a residential home there may be an additional payment he can claim - some homes sort the claim for this themseleves and just deduct it from the fee.

botanics · 27/08/2024 16:08

If your Dad is eligible for free personal and nursing care this helps with the costs. However if you get this you are no longer eligible for attendance allowance.

www.careinfoscotland.scot/topics/care-homes/paying-care-home-fees/personal-and-nursing-care-in-care-homes/

We were told by our local authority that it was sensible to go back to them for a financial assessment when there was about £35k left in savings (when you are approaching the upper capital limit - the point at which the council starts contributing to care home fees on a taper basis).

From what I can see there are barely any care homes that charge what the council will pay - they are nearly all more expensive. I think there is probably some negotiation between the care home and the council when residents reach the point of hitting the lowered threshold. We are not at this point but are hoping if there is a gap this can be covered by pension income plus dipping into the remaining savings (if necessary).

Orangesandlemons77 · 28/08/2024 13:05

"some of the amount between £23k and £16k can be used,.but once his savings get down to £16k the remainder can't be used towards topups"

Does anyone know about this please?

yes it would be helpful if the rest could be used for the top-ups, if needed. It's a worry that they might get chucked out!

OP posts:
Orangesandlemons77 · 28/08/2024 13:06

Dad's in hospital still he had pneumonia then an infection, they are saying they might send hi m to some kind of elderly rehab place now.

OP posts:
botanics · 28/08/2024 16:49

I hadn't heard that but my guess is that they don't actually throw people out. As far as I can see there are hardly any care homes that charge the rate the council will pay, so there would be nowhere for people to go. I think care homes and the council probably come to some kind of agreement about the fees for residents who have reached the threshold. I don't know this for certain but on the basis that are lots of power in care homes in Scotland who won't have much by way of savings there must be done way the council resolved it

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