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Care Home Questions

edited 30 November -1 at 1:00AM in Over 50s Money Saving
5 replies 2.6K views
newjerseynewjersey Forumite
33 posts
edited 30 November -1 at 1:00AM in Over 50s Money Saving
Hi, hope someone can give some assistance/experience.


My grandmother has been in a care home for the last 2yrs. She is self funding and pays through a combination of pension and the rental she gets from her owned house. Her needs are - she has little mobility so needs help getting up, dressed and washed. She walks, very slowly, with a frame but needs help getting up/down into a chair and again help into bed. Apart from that has no health problems, takes one tablet at night and sleeps all night. When she first went in she only needed one carer to get her up now it takes at least 2 as her mobility has worsened.
Today a social worker did a review and said he feels she is now Nursing needs and that the government would pay the £100 difference. Turns out the care home now say they charge more for nursing patients so will increase her payments, on top of the £100. My own mother (at home) isn't well and I am trying to sort out my grandmother. I don't feel she is nursing needs and should remain as care needs because there doesn't seem to be any nursing needs applied to her. I've said this to them and the home don't appear to be happy with my response but I've asked "What nursing needs does she take" and they just go on about her lack of mobility, but she has always had that, that's why she's there.( She's 91yrs)
Also, as she pays privately, mostly through what she gets through her rented property, the tenents are leaving and the new ones won't move in for another 2 months so for that period of time she won't be able to meet the monthly payments (over £2,000) can she take a payment break to cover her for this time ?
I would be grateful for any help or opinions. Thank you.

Replies

  • margaretclaremargaretclare Forumite
    10.8K posts
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    From the way you've described your Gran's problems, they do seem to be mobility needs. As a former nurse, I struggle to understand what a qualified nurse could do in this situation? This is what 'nursing needs' means: an input from a nurse is required, but I can't see it here.

    Is your Gran in receipt of Attendance Allowance? Washing, dressing, getting up out of chair etc, these are the things AA is meant to cover. As she's self-funding, this is income that would help.
    [FONT=Times New Roman, serif]Æ[/FONT]r ic wisdom funde, [FONT=Times New Roman, serif]æ[/FONT]r wear[FONT=Times New Roman, serif]ð[/FONT] ic eald.
    Before I found wisdom, I became old.
  • newjerseynewjersey Forumite
    33 posts
    Thank you. Yes she is in receipt of AA. The Care Home have now said, only because of my insistence, that she is border line "Nursing" and won't charge her the extra for now but will review it again shortly. This confirms to me that they are chancing it. I'm going to have to find out what actually constitutes Nursing as opposed to care because they will be back looking for more. She is fully prepared to pay her full care costs (which she does) but I don't like the way they are so quick to move her to nursing costs when she doesn't appear (to me) to need nursing. Apart from her mobility she has no other health problems. I can only assume this is happening in care homes all over the country, claims being made (& given) for nursing when they are infact care needs.
  • margaretclaremargaretclare Forumite
    10.8K posts
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    Difference between nursing needs and care needs? Well, just imagine the kind of things a fully-qualified nurse can do - remember it's a 3-year university degree course nowadays, so a modern nurse is very highly-skilled and knowledgeable. Gone are the days when we were described as doctors' handmaidens!

    Possibly a nurse could be involved in assessing for, and being involved in prevention of, pressure sores. Tissue viability. Nutrition and hydration. (Many older people do not drink enough fluid and this can impact on their tissue health.) Administration of medication. Help to maintain as much mobility as possible, encourage movement, sitting-down exercise (although this borders on physiotherapy). Treatment of any infections, skin problems etc. Monitoring blood-pressure, blood sugar as required. Treating the whole person e.g. social needs, spiritual needs. Just a few possibilities.
    [FONT=Times New Roman, serif]Æ[/FONT]r ic wisdom funde, [FONT=Times New Roman, serif]æ[/FONT]r wear[FONT=Times New Roman, serif]ð[/FONT] ic eald.
    Before I found wisdom, I became old.
  • lessonlearnedlessonlearned Forumite
    13.3K posts
    I've been Money Tipped!
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    Tbh Margaret most nursing homes won't assume any responsibility for many of the issues you have raised, even when the resident/patient is in receipt of the nursing care component.

    In both my mothers and husbands case, two entirely different homes, under seperate local authorities, these issue were always referred to someone else and never dealt with "in house".

    For example, nutrition was referred to SALT and pressure sores etx were referrred to a specialist tissue viability nurse, who visited the home. Mobility came under the OTs and any kind of exercise programmes were regarded as Physio intervention. The nursing staff made no attempt to get patients moving other than getting the carers to ensure that patients were turned regularly.

    Apart from overseeing medication, checking BP and administering insulin I couldn't really see what the nurses actually did. In both homes they were very loathe to assume any level of responsibility. And any issues or concerns were usually spotted by me rather than the nurses. They seemed incapable of noticing if someone was running a temperature without me alerting them.......
  • It sounds like the nursing home are just trying to cash in and I don't really understand why the social worker would have reassessed your Gran unless someone requested a reassessment. I assume that the care home may have initiated the reassessment process. You could ask for a copy of the care needs assessment to assertain what nursing needs they believe are required. If this happens again I would be tempted to ask for an assessment for NHS funded continuing healthcare as the nursing supplement is a fall back position if CHC funding is not awarded. If you could get CHC funding (from what you have said your Gran would probably not) she would be entitled to all her care costs being covered.
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