Care Home Fees- questions about LA contribution

Share information, support and advice on all aspects of caring.
In December of last year my fathers arm was broken by a private ambulance firm who were contracted by his local NHS trust. A serious incident review has been undertaken and they have admitted liability (the driver has been sacked). We have appointed a solicitor but are told legal action could take several years.

In the meantime my father remains an inpatient. The OTs have said he needs double handed care which his existing care agency can’t provide. The council have said they can’t find any other agencies to provide double handed care, the costs of the proposed new care package would exceed their limit, that they don’t provide night care for the over 65s and consequently want him to go into a care home.

Neither my father nor I want this to happen. I am , however, keen to be prepared for all eventualities and whatever may lay ahead in the future so have been researching local care home facilities. A couple of questions have arisen that I hope you (I’m not experienced in this area at all) might be able to advise me on:
1) how do you make a case for a nursing home rather than a care home? I think my father will need nursing care (he has complex medical needs incl. end stage renal failure for which he requires dialysis three times a week; he’s hemiplegic following a stroke; blind ; deaf; has chrons disease, diabetes etc). The council keep talking about care homes (I assume because they are cheaper?) and the hospital mention nursing homes (trained people to check him after dialysis etc) Do any of you have experience of making such a case and who decides?
2) My father has less than £14k in savings and no property (he had his stroke in his 40s and we’ve spent everything on his care so far). The council have said he would qualify for their full assistance but I don’t know how much this would be. I am keen that if he ever does have to go into residential care that it is somewhere that can meet his complex needs. I know that cost doesn’t indicate the quality of care and that resources are tight but I just want to get a rough estimate of what they might pay so I can look at places in that ball park area. Does anyone have experience (especially in London ) of what the Council might be willing to pay for? I know they will want the cheapest /easiest possible option but as my Dad has so many needs I want to ensure that anywhere he does end up can meet them. I would be very grateful for your advice and details of any experiences you may have had. Thank you.
Hi Faye ... a holding reply before the calvary arrive.

Care homes fees ... AGE UK on this thorny subject :

https://www.ageuk.org.uk/information-ad ... care-home/

Has CHC / NHS Continuing Healthcare been suggested / offered / even mentioned ?

https://www.carersuk.org/forum/support- ... read-35998
The council should arrange whatever dad needs, as it should all be recoverable from the insurance company.

The insurance company or the solicitor acting for dad needs to talk to the council as soon as possible.

From what you have told us, regardless of who pays what, dad should be assessed for NHS Continuing Healthcare immediately.
Thank you. Apparently any claim could take up to three years and the hospital want to discharge my father next week. He has been assessed under the continuing care assessment and whilst he has high needs in all areas and severe in one he is not priority so does not qualify.
The only advice I can give is to be as hands on as possible.

Talk to as many carers and nurses in each home you visit, go at different times as while care levels might be excellent at 9 in the morning, they will suffer in the night. Talk to the management, a very important issue for me, bad management will drain down to the carers.

Then tell the Council where you want your Dad to be placed, who knows, they might actually listen and if they don't you can give concerns about where he is being placed.
Faye, have you checked the criteria for CHC funding yourself. Severe needs and high do count. May be worth seeking more advice on this. Age UK have a fact sheet or you could even go to one of their offices. I'm going through this again so am researching quite a bit.
Main CHC / NHS Continuing healthcare thread no help here ?
yes Chris, there is help, however, sometimes looking at other sites, or face to face chat, can be beneficial, ( or even more confusing admittedly!)
If anyone spots an additional source ... shout ... I'll add it to the main thread.

It's vital that the thread evolves to reflect what's actually happening in the real world.
Hi Faye
Re part 2 of your question. No council pays the going rate for any Home, they only pay discounted rates, and few Homes will say they accept Council funded residents. However do not let that deter you.
In an ideal world the Council should give a list of Homes to look at and each of those Homes should have a room available to Councils BUT Homes are full and cost more. So Councils play a game where they tell you to look and then say the Home you like doesn't offer their rates and they will then ask you for a TOP UP because you chose the Home.
This is wrong as if there no rooms available at their rate, they are the one's who have to pay the difference Not you. DO NOT agree to or sign any top up agreement or contract. The Council should allow Dad enough to cover his needs
https://www.independentage.org/informat ... op-up-fees
Councils may also try to bully you by saying thing as like Dad will have to share a room, or that the only room is in the worst home.

But none of this will come into play if Dad gets CHC funding

Good luck, keep fighting and being assertive. Still visit Homes to get a feel and a view but don't discuss finance, that's Councils job