Care home following stroke

Keep_pedalling

He is likely to receive on going heath assessments as people do recover some or much of their lost capacity after a stroke. If he is deemed fit to return home then he should be able too.

elsien

HillStreetBlues said:

elsien said:

That’s why I was asking who arranged the care home - if the hospital arranged it and neither he nor the family signed anything to agree to pay then it’s not their responsibility up to this point. 

I will try to find out, it's a bit hard atm as he doesn't want to talk about anything like that as he gets very upset. I know the hospital wanted to get him out ASAP  and was given a choice of two care homes.
One issue is that his wife has extreme OCD and couldn't deal with carers in the house, I don't know if that would have any bearing on a decision.

Probably a health bed for assessment at that point then. So no charge. 

HillStreetBlues

elsien said:

HillStreetBlues said:

elsien said:

That’s why I was asking who arranged the care home - if the hospital arranged it and neither he nor the family signed anything to agree to pay then it’s not their responsibility up to this point. 

I will try to find out, it's a bit hard atm as he doesn't want to talk about anything like that as he gets very upset. I know the hospital wanted to get him out ASAP  and was given a choice of two care homes.
One issue is that his wife has extreme OCD and couldn't deal with carers in the house, I don't know if that would have any bearing on a decision.

Probably a health bed for assessment at that point then. So no charge. 

He certainly needs help,  can't walk safely, can't get out of bed without assistance, can't wash or manage his own toiletry needs  can't prepare own food.

As nobody in family (or I) has experience, we don't know the cut of point where care can be given in home (with carers)   or needs mean it's should be given in a care home.  With his needs I would have thought it would be a care home,  but don't know the tipping point.

Keep_pedalling

HillStreetBlues said:

elsien said:

HillStreetBlues said:

elsien said:

That’s why I was asking who arranged the care home - if the hospital arranged it and neither he nor the family signed anything to agree to pay then it’s not their responsibility up to this point. 

I will try to find out, it's a bit hard atm as he doesn't want to talk about anything like that as he gets very upset. I know the hospital wanted to get him out ASAP  and was given a choice of two care homes.
One issue is that his wife has extreme OCD and couldn't deal with carers in the house, I don't know if that would have any bearing on a decision.

Probably a health bed for assessment at that point then. So no charge. 

He certainly needs help,  can't walk safely, can't get out of bed without assistance, can't wash or manage his own toiletry needs  can't prepare own food.

As nobody in family (or I) has experience, we don't know the cut of point where care can be given in home (with carers)   or needs mean it's should be given in a care home.  With his needs I would have thought it would be a care home,  but don't know the tipping point.

Most people do not want to be in a care home especially when they still have all there mental faculties. This is a very different to someone who has dementia who will only deteriorate, stroke patients do improve over time and hopefully he will be able to get home in the future although that will likely to be with the assistance of visits from carers.

HillStreetBlues

Keep_pedalling said:

HillStreetBlues said:

elsien said:

HillStreetBlues said:

elsien said:

That’s why I was asking who arranged the care home - if the hospital arranged it and neither he nor the family signed anything to agree to pay then it’s not their responsibility up to this point. 

I will try to find out, it's a bit hard atm as he doesn't want to talk about anything like that as he gets very upset. I know the hospital wanted to get him out ASAP  and was given a choice of two care homes.
One issue is that his wife has extreme OCD and couldn't deal with carers in the house, I don't know if that would have any bearing on a decision.

Probably a health bed for assessment at that point then. So no charge. 

He certainly needs help,  can't walk safely, can't get out of bed without assistance, can't wash or manage his own toiletry needs  can't prepare own food.

As nobody in family (or I) has experience, we don't know the cut of point where care can be given in home (with carers)   or needs mean it's should be given in a care home.  With his needs I would have thought it would be a care home,  but don't know the tipping point.

Most people do not want to be in a care home especially when they still have all there mental faculties. This is a very different to someone who has dementia who will only deteriorate, stroke patients do improve over time and hopefully he will be able to get home in the future although that will likely to be with the assistance of visits from carers.

This is the major issue that the family are worried about. Carers won't be able to come into the house, as his wife couldn't deal with it, also knowing how his wife would react he couldn't deal with either.
It does seem that his current needs he would be entitled to care in a care home, but if he (hopefully) improves and it's deemed that care can be provided in his home, what then? Will they take into consideration his wife's OCD?

Keep_pedalling

Difficult one, has his wife actually been diagnosed with OCD? Apart from the finance side it would seem horrible unfair for the husband to be kept out of his own home and forced to remain in residential care because of his wife’s condition. 

Is it a large house that could have an area set aside for him to receive care in?

HillStreetBlues

Never been diagnosed
It's not just having a room, it's access to that room, and nothing suitable.

Gavin83

The council will complete a needs assessment if they haven’t done so already. This will determine where his care needs can be met. Obviously we can’t determine the outcome of this but it’s unusual for a council to agree a “straight to care home” arrangement without first having exhausted home based options or without significant health issues.

If they complete their needs assessment and determine his needs can be met at home they’ll refuse to fund a care home. I very much expect they won’t take into account his wife’s OCD, especially given it’s undiagnosed. You also have to bear in mind most councils are running on fumes at the moment and will do anything they have to so they can reduce costs.

If they refuse to fund the placement (and the fact you’re even questioning it suggests they probably will) then it puts the family in a difficult position. If she’s unable/unwilling to provide the care herself and refuses access for the carers I suspect it’s far more likely she’ll end up in quite serious legal trouble rather than forcing the council to fund a care home placement.

whatsthenews

HillStreetBlues said:

He was admitted to hospital in June and entered care home start of October, so taking their time.
I thought the fact the council were doing a financial assessment they they would be funding (pointless if they wasn't)  but wanted to check before relaying info.

Who's paying for the care at the moment then ? 
The financial assessment is to see how much the person ( who has less then £23,500 in assets) has to pay towards their residential care. 
They will take all of their state pension plus private pension (although someone can allocate 50% of their private pension to their spouse) , minus around £28 per week personal allowance to pay for their care. The LA will pay the remainder, BUT ONLY UP TO THE AMOUNT AGREED BY THE LA EACH YEAR.
If a care home charges self funders £1000 per week and the local authority have a set rate of £700 per week then they'll only part fund up to the £700.
If the care home won't accept the LA rate ( many don't) then someone ( a third party) has to commit to paying top up fees ,OR the person will have to accept a place in a home that will accept the LA rate. 
The family really need to find out what's happening to avoid possibly being hit with a big bill. 
It's taking LAs up to 6 months to carry out FAs ATM and causing no end of issues as people and care homes are stuck in limbo whilst the FA is being done 

HillStreetBlues

It seems  there was a social worker involved when he was in hospital, and no talk of being sent home.
So feel it's almost certain that as council are doing the financial assessment that's it's been agreed for the time-being that he should be in the care home.
Now it's just waiting for to check the FA is correct.

If he improves enough to be sent home, then will deal with that issue when and if it comes about.