NHS dementia unit where we hope her care will be more appropriate to what she is getting now in a Nursing Home
If she's going into an NHS unit then why would you need CHC? NHS care is free isn't it?
K
NHS dementia unit where we hope her care will be more appropriate to what she is getting now in a Nursing Home
This unit is in the process of becoming a care home so not sure if it will always be free. All I know is a present they can only accept CHC funded patients so nobody can just choose to go there, they have to assessed for CHC and be eligible before being accepted. They specialise in behaviour issues with dementia. Complicated system with care for dementia as many care homes don't seem to be able to cope with the severe stage. Hoping this will be a good move for my mum though.If she's going into an NHS unit then why would you need CHC? NHS care is free isn't it?
K
Strange! It's currently NHS but what being privatised?This unit is in the process of becoming a care home so not sure if it will always be free. All I know is a present they can only accept CHC funded patients so nobody can just choose to go there, they have to assessed for CHC and be eligible before being accepted..
Mum was rated severe on behaviour, severe on cognition, high communication, high mobility, moderate psychological and emotional needs, high nutrition,moderate continence, drug therapies and medication and also moderate on skin and no needs on the other three items on the checklist.
I have checked the cqc website, I haven't actively chosen this place for my mum, it has been suggested to me as her current arrangements are not suitable for her needs. It's a very long story which started with an a&e visit seven weeks ago and my mum being given unsuitable discharge options by the hospital who mislead the nursing home about her needs of care. The nursing home made it clear they couldn't cope with mum and so a CHC assessment was carried out and this unit seems to be the only suitable place for her to be placed. The fact it is due to become a care home (an NHS one maybe?) doesn't concern me at this stage, I just need my mum to be in a place that can cope with her. Her next assessment for CHC is due in 12 months time si I'll cross that bridge when I come to it.Strange! It's currently NHS but what being privatised?
What happens if CHC ends as it sometimes does, do they kick you out?
Have you checked the status of the home on the CQC website? That will tell you who owns and runs it.
K
Her next assessment for CHC is due in 12 months time si I'll cross that bridge when I come to it.
I though one couldn't scor in both Behaviour and Cognition? Or at least that's what I was told as this counted as a double negative.. .
Concentrating on P or S in behaviour/cognition for PWDs is the way to go.
Other domains are more difficult to evidence.
I agree that 12 months as an initial award is unusually long and as pip said earlier "All I know is a present they can only accept CHC funded patients so nobody can just choose to go there," is a concern. If CHC is withdrawn then you're out from the sounds of it. I've never heard of that policy which is why I'm querying the status of the place, CHC only.Somewhat unique, typically 3 months.
I agree, count your blessings and don't worry about the technicalities of how the home is operated.
I though one couldn't scor in both Behaviour and Cognition? Or at least that's what I was told as this counted as a double negative.
Yes I will count my blessings and I also thought it'd be three months to the next assessment but have paperwork come through today stating 12 months.Somewhat unique, typically 3 months.
I agree, count your blessings and don't worry about the technicalities of how the home is operated.
That makes sense, but sometimes when cogniton is so severe that they become so passive, because their brain is not able to process anything, even to become a problem.Cognition - severe
Cognitive impairment that may, for example, include, marked short-term memory issues, problems with long-term memory or severe disorientation to time, place or person.
may co-exist with
Behaviour -severe
‘Challenging’ behaviour of severity and/or frequency that poses a significant risk to self, others or property. The risk assessment identifies that the behaviour(s) require(s) a prompt and skilled response that might be outside the range of planned interventions.
or even
Behaviour - priority
‘Challenging’ behaviour of a severity and/or frequency and/or unpredictability that presents an
immediate and serious risk to self, others or property. The risks are so serious that they require
access to an immediate and skilled response at all times for safe care.
Note that when the challenging behaviour is not evident the person may, or may not, exhibit cognitive problems.