Funding Support for Places in Local
Care Homes: Assessing the Financial Assistance You May Be Eligible For
Hundreds of families need to
make complex and often emotional decisions every week about how best to manage
the care, welfare and safety of loved ones – and many more people are
considering a move into a residential care or nursing facility as they find it
difficult to cope independently at home.
Across the Forest
Healthcare network, discussions about financing support are incredibly
common. People and their loved ones need to assess whether they qualify for
assistance or the proportion of their care costs they might be expected to
self-fund.
Part of the confusion is
that the government originally announced reforms on care funding in November
2022, but they have since been postponed several times and are now expected to
come into force in October 2025.
In the meantime, we’ve
collated all the currently available guidance and information to explain how
financial assistance works and how to assess the help you may be eligible for.
Funding for Local Care Home Places: The Essential Information
The first point to cover is
that your care needs, or those of your loved one, may influence the types of
care and residential homes that are most suitable. For example, a residential
home usually provides help with personal care and emotional support and offers
comfortable, safe accommodation for residents with a team of qualified carers
and support workers.
In contrast, a nursing home
is more appropriate for residents with ongoing medical conditions or
progressive diagnoses. Along with the above services, nursing care homes have
around-the-clock medical cover and trained nurses within their workforces who
can help with medications, rehabilitation and recovery from illnesses or
hospital stays.
This all matters because, aside from the funding support available from your local council, you may qualify for additional or separate assistance from the NHS depending on your or your relative’s medical needs.
State vs Self-Funded Care Placements
There are two primary ways to cover
the costs of a care home space, usually paid monthly or weekly depending on
whether you require long-term ongoing care, or short-term assistance such as
rehabilitation or respite care.
·
Self-funding
means paying for the care home fees directly. You can discuss your specific
care needs with the care coordinator on-site.
·
State
funding means the local council pays for some or all of the care home costs.
In many cases, the local authority
will pay a proportion of your care costs, and you may be expected to contribute
the balance. Much relies on a means-testing process, where the council
evaluates the income, assets, and overall wealth of the person requiring care.
Care Home Means Testing Thresholds 2024/25
Local authorities use means testing
to ensure they allocate the right financial support to each claimant. However,
we appreciate that many families find an evaluation of their assets and income
intrusive.
The system is intended to ensure that
individuals with low incomes and minimal capital remain able to access
high-quality care and that more affluent families receive support proportional
to their ability to contribute.
For the 2024/25 financial year in
England, the thresholds are as follows:
·
The
lower limit is £14,250: a care recipient with income and capital below this
value is normally entitled to fully state-funded care in a suitable setting.
·
The
upper limit is £23,250: if you or your loved one owns or earns above this
value, you will typically be expected to cover all care home costs.
·
Those
with an income and assets between the two thresholds will generally receive
partial state funding and independently finance the rest of their care costs.
While this system seems
straightforward, it is often anything but. For example, some families find that
their loved one is over the upper limit, but the majority of their capital is
tied to a property they own and do not wish to sell.
To add to the complexity, people who
fall above the upper limit may have a clinical need for high-quality
residential care due to their health, frailty, or mobility. In these scenarios,
the NHS can sometimes offer full coverage of all care costs through the NHS
Continuing Healthcare system.
Alternative Funding Options in England to Help With the Costs of a Local
Residential Care Home
The NHS Continuing Healthcare Funding
service is available for people with a primary health need who must have the
right assistance to remain healthy and comfortable. The application process
involves a care needs assessment, but there is no means testing element.
Therefore, regardless of the upper
and lower limits, a person with a complex, ongoing condition may qualify for
fully funded social care based on an evaluation of their personal care
requirements and aspects such as their medications, cognition, emotional
welfare and ability to communicate.
NHS Funded Nursing Care differs again
and may be available to people who do not qualify for Continuing Healthcare
Funding or local council support. The NHS can contribute towards a proportion
of the care home fees related to nursing, based on a fixed weekly contribution.
Currently, that contribution is set
at £235.88 per week, although some people living in a nursing centre who began
claiming before October 2007 may be eligible to claim up to £324.50 per week to
assist with their care costs.
Independent Advice on Managing Care Home Costs
We recognise that the different
funding options, means assessments, and care needs evaluations can be
confusing. We hope this information outlines some of the various ways to access
support with the costs of a care home or nursing care centre for yourself or a
loved one.
The first step to arranging the right
care may be to arrange a good time to visit your nearest Forest Healthcare centre.
Our skilled care coordinators and managers can provide a guided tour to show
you the accommodation, amenities and facilities, and discuss the right care
solutions.
You can also contact your local
authority if you are concerned about managing the financial costs of care, who
will often be able to provide localised information about the application and
assessment processes they offer and any applicable waiting times.
While many of our outstanding care
centres operate a waiting list due to sustained demand, we remain available to
provide guidance, explain how care funding may work, or discuss the ideal care
environment to safeguard the well-being and comfort of any prospective
resident.
Information Source: - https://www.foresthc.com/funding-support-for-places-in-local-care-homes/
Many people and their loved ones find that
moving from their own homes and transitioning to a nursing care home comes with
mixed emotions, especially when everyday life becomes challenging and they
require support with daily activities.
That might include reassurance that their care
needs and personal care requirements will now be well looked after, combined
with concerns about how life will change in a care setting or whether they will
be able to make friends and continue to enjoy their favourite hobbies.
The right approach will, of course, depend on
the individual and how they feel about relocating to a professional care
centre, with some residents viewing a private, comfortable care space as a
welcome transition, particularly when they have complex care needs and require
round-the-clock support.
Nursing homes are staffed with qualified
nurses and a registered nurse is available 24/7 to ensure high-quality care and
support for residents with complex care needs.
In this Forest Healthcare article, we share
some advice and tips from our experienced team members, ensuring the move into
a nursing home is smooth, well managed and a positive experience for all.
Planning
Ahead of the Move into a Specialist Nursing Care Home
If you’re already approaching your moving-in
date, you’ll likely have already conducted all the necessary due diligence and
have the assurance that your selected nursing care home has the right
facilities, amenities and nursing staff to meet your care needs.
However, this is also a great time to raise
any questions or organise an additional in-person visit to address any worries
you might have. Additionally, our dedicated customer support team is available
to answer any questions and assist with the transition into the nursing care
home. For example:
·
Many nursing
centres have a range of optional activities and social events, such as hair
salons, musical evenings, seasonal celebrations and open days. Be sure you are
happy with all the services on offer and know which of those you might be
expected to pay extra for.
·
We always
encourage new residents to furnish their private accommodation to their taste.
You might wish to check the capacity of your room or suite to ensure your
furniture or home comforts will fit nicely, or take a few pictures so you can
sit down with your loved ones to plan the perfect layout.
·
Visiting
schedules vary between nursing homes, particularly for residents with more
involved personal care requirements. It’s well worth asking when and for how
long your family and friends can visit so you can start putting together a
visitor schedule to look forward to.
Any good care home or nursing centre
will be happy to spend as much time as you need discussing their routines,
services, amenities and care provisions, and having a one-to-one chat or
meeting a few members of the care team helps to ensure you’ll be greeted by a
friendly face on the day.
Contributing
to Your Nursing Centre Care Plan
Care plans are meticulously designed documents
prioritising residents’ health and well-being, setting out everything your
carers need to know – and they’re fluid, flexible plans that can change
alongside any variations in your medication, health, preferences or wishes.
Rather than a form created solely for the use
of registered nurses, a care plan is collaborative and covers everything from
the foods and flavours you most enjoy to your medical needs.
Working through your residential care plan or
taking a copy home to review in your own time is a great way to set your mind
at ease.
You can review every detail and request
necessary changes, advising the nursing centre or residential care home about
any information that will make a difference to your comfort. That could
include:
·
Making a list of
your favourite authors, TV shows or musicians to ensure you have a good range
of books, movies, films or music to maintain a familiar routine.
·
Advising on the
food, drinks and snacks you like – and those you don’t! If the nursing care
centre knows in advance that, for example, you aren’t fond of a certain
flavour, they can remove it from your meal planning.
·
Creating an
overview of your preferred routine, or your routine for specific parts of the
day such as settling down to sleep. You may wish to have warm cocoa at bedtime,
play relaxing music in the evening, or have an hour or so of quiet time to
enjoy a book.
Although care plans also include important
information about medications, your health, the healthcare professionals
engaged with your well-being and details such as whether a resident might need
help with PEG feeding or mobility, this is also a space where you can record
other requirements and wishes.
The
Importance of Managing Nursing Home Transitions with an Experienced Care Team
It is always essential that new care home
residents feel safe, supported, and comfortable that the care and assistance
they receive will be right for them—and an accomplished nursing care centre
plays a part in helping before, during, and after the moving-in day.
Our specialist nursing care is designed to
cater to individuals with complex medical conditions and physical disabilities,
ensuring a team of experts is always on hand to provide the necessary support
and expertise.
Rather than leaving anything to chance or
accepting niggling worries that something might not be quite right, we are here
to listen, consult on the types of care we provide at each location, and offer
insights into how the routine and schedule at the nursing centre works.
We often speak with prospective residents
alongside family caregivers, partners, and loved ones to ensure that all
parties are fully up to speed with the nursing care we expect to offer each
resident, particularly when a person has a progressive condition that may need
extra support.
Visiting together, having a walk through the
nursing home and grounds, dropping in to see social events and activities, and
speaking with current residents and care teams are excellent ways to get a feel
for the environment and ensure you know where everything is.
Advocating
for Independent Decision-Making around Residential Nursing Care
Our final tip, whether you are considering a
nursing care home for yourself or are looking for professional residential care
for a loved one, is to have open discussions about what relocation means and
when and how this will happen.
Family members may feel that an older person
with a condition such as dementia or Alzheimer’s require them to make sensitive
decisions on their behalf, particularly where they hold power of attorney and represent
the wishes and needs of the individual.
Depending on the condition and health of the
person, offering them autonomy when choosing a nursing care centre, making key
decisions about things like furnishing and decorating their new living space,
and ensuring they have support to ask questions can make a world of difference.
Before making any decisions, it’s crucial to
understand the role of the local authority and local council in assessing needs
and providing financial assistance for nursing care. They can help determine
eligibility for funding based on savings, income, and assets, and offer
guidance on the process, including the importance of not taking certain actions
before a decision is made by the council.
You are welcome to contact the nearest Forest
Healthcare nursing team at any time for further guidance about nursing
care, the complexities of the transition many families experience, and how you
can make this as smooth and stress-free as possible.
Information Source: -https://www.foresthc.com/advice-on-managing-the-transition-to-a-nursing-care-home-with-sensitivity-and-compassion/
As a leading
care home company, our experienced care and nursing centre managers often
consult with families and loved ones who benefit from guidance, support and
independent advice when making key decisions about the care for themselves or a
relative.
We never
underestimate the complexity of these conversations, which many find emotional,
with concerns about how they can compare one care
home to another or
what they should ask to verify whether a residential home has the compassion,
kindness and sensitivity they want their loved one to be treated with.
Our first tip
is to pick a care home provider who welcomes questions and in-person chats and
is happy to take as much time as you need to talk you through care planning,
facilities, and available care services. It is essential
that all parties feel assured that their selected care setting is right for
them and that their preferred care home has the necessary team members and
support services.
Family
members pour time, effort and energy into finding the perfect home for older
people and loved ones and often refer to regulatory inspection ratings
published by the Care Quality Commission (CQC) in England. These ratings are
useful and provide a broad-stroke overview of how well a care home conforms to
safeguarding, record-keeping, confidentiality and patient care standards.
You can also
use resources such as CareHome.co.uk to access each
care centre’s review score to see how other service users and residents feel
about the care they have received.
However, it
is always valuable to take the opportunity to visit a care home in person.
Speaking to all the staff, getting a proper look at accommodation and suites,
and seeing how carers engage and connect with their residents is a great
indication of whether a care home has a friendly team and delivers good care.
The care
teams in each Forest Healthcare location also encourage
families and residents to visit any of our facilities that they may be
interested in, whether a specialist nursing care centre
or residential care home. Having that first-hand
experience can make the transition into a care home far smoother and less
stressful for all and ensures our care managers and teams are familiar faces.
Next, we’ll
run through the questions we’d advise you to ask during those visits and before
making any decisions.
Care homes
charge varied fee structures, depending on the type of care required,
the accommodation or suite a resident wishes to reserve, and whether the
individual or family receive funding support to contribute towards their
overall care costs.
Although most
amazing care homes offer absolute transparency, it’s worth enquiring during your
visit if you are unsure whether everything is included in that fee. For
example, you might find that visiting therapists or beauticians offer
manicures, haircuts and beauty treatments at an additional charge or that the
care home can organise extra amenities within a room for a nominal fee.
Particularly
when you are arranging long-term or complex care, you should be informed about
any potential changes to care home fees, if these are reviewed annually, or
whether you need to make a deposit there and then to avoid losing out on a
high-demand accommodation space.
We suggest
asking to see either the room or a similar room during your tour, where you can
check what is included, what you might be able to bring from home, or what the
care home might be able to organise on your behalf. Simple things like a
private TV, a comfy sofa, generous wardrobe storage space and a radio can make
a big difference.
Entertainment
facilities add real value and ensure that all care home clients, whether living
as residents in a dementia care or complex care setting
or short-term recovery and rehabilitation care, have plenty
of things to do, from crafting to day trips, garden parties to birthday
celebrations and movie and quiz nights where residents chat, make friends and
relax together.
Although all
care homes are required to offer daily activities, the broader the range on
offer, the better every resident will be able to pick and choose outings,
organised entertainment or group activities that bring them joy.
It’s also a
great idea to ask about outdoor activities or visits. Our award-winning care
homes place huge value on social interaction and organise all sorts of day
trips, cinema evenings, days out or shopping trips for residents who wish to
participate and can do so.
If you are
organising a care home place on behalf of a family member with an ongoing or
degenerative medical condition or cognitive illness, the standard and
availability of nursing support may be key. Care homes
normally provide medication reminders and help patients take prescribed
medicines at specific intervals, but more in-depth or ongoing supervision may
be required.
For example,
you might ask how the care team tracks medications and what they would do if a
doctor or consultant prescribed a change in dosage. You may also need to know
what happens if your loved one becomes ill or needs help with an intravenous
line – is there a registered nurse on duty at all times, or does the care home
have a resident or nearby doctor they can call upon?
Visiting
arrangements may vary depending on the type of care delivered. However, even
residents with profound disabilities or cognitive impairments benefit from
regular visits from people they know and love, and the impact on their mental
health is impossible to overstate.
Some care
homes have specified visiting hours or durations or might allow a resident to
have a maximum number of people per day to avoid overcrowding in smaller
facilities. Others will have an open access policy and offer a warm welcome to
every relative, taking the time to organise larger gatherings for special
events or celebrations.
Finally, meal
times are a focal point for many care homes, and it’s important that your loved
one can advise on the types of foods they like to eat – not solely based on
medical requirements, allergies or intolerances.
Excellent
care is centred around health, well-being and comfort, and providing a varied,
tasty and fresh menu every day is hugely important to the happiness and
enjoyment of residents. Never hold back from asking to see the menu, enquiring
about snacks during the day, or wanting to know whether your relative will be
offered a soothing cocoa at bedtime if this is part of their routine.
For further
information about comparing care homes, choosing the best care facilities for
you or a loved one, or raising questions and concerns during care home visits,
please get in touch with Forest Healthcare at
any time.
Information
Source: - https://www.foresthc.com/choosing-a-great-care-home-company-for-you-or-your-loved-one/