Care Home Choices

[Kikki21]

So I have just had a look at EMI care homes for my mum & I have a choice of precisely 2 that would suit all of us location wise without actually visiting them which I know I would have to do. A lot of the EMI care homes in our county are actually in the north of the county, about an hour’s travelling time from where we live now.

We are looking at moving as we rent but we are thinking of moving back to where we lived before as I have more friends there, it is better for both our businesses & the monthly rents are cheaper too.

However if my mum by some miracle were to get CHC funding then do we still have that choice of care home or is it a matter of the NHS is paying so therefore, your mum will be put into X carehome & you don’t have a choice?

 

[jaymor]

My husband received CHC and we were asked to put three homes forward. As he needed nursing care and challenging behaviour we could only find two such homes in our county. Luckily one was just 15 minutes from our home, had an excellent CQC report and very centred on it being a home for the residents. It was a small nursing home, purposely built and on three floor catering for 26 residents.

He did go there and was there for 4 years.

 

[Kikki21]

My husband received CHC and we were asked to put three homes forward. As he needed nursing care and challenging behaviour we could only find two such homes in our county. Luckily one was just 15 minutes from our home, had an excellent CQC report and very centred on it being a home for the residents. It was a small nursing home, purposely built and on three floor catering for 26 residents.

He did go there and was there for 4 years.

Thank you for your reply. I have specifically looked at EMI homes as my mum has challenging behaviour & there are only 2 that would seemingly match her needs that are good for our proposed location move. In fact, one of my friends works in admin at one of them so organising a visit should be no problem.

 

[canary]

Only Nursing homes which are registered for CHC can accept people who have CHC funding - ordinary care homes are not, so although, technically you have a choice, in reality there isnt much of one.
If you think that there is fair chance that he will get CHC then it is worth asking your preferred choice of home whether they accept people with this funding. However, the downside of this (IMO) is that if they dont and your mum doesnt get the funding it may nevertheless make them think she is worse than she is and put them off.

 

[Kikki21]

Only Nursing homes which are registered for CHC can accept people who have CHC funding - ordinary care homes are not, so although, technically you have a choice, in reality there isnt much of one.
If you think that there is fair chance that he will get CHC then it is worth asking your preferred choice of home whether they accept people with this funding. However, the downside of this (IMO) is that if they dont and your mum doesnt get the funding it may nevertheless make them think she is worse than she is and put them off.

Oh gosh @canary so basically it’s not really a choice then! I will ask my friend if her care home takes CHC funded people. What a headache this is!

 

[jaymor]

@Kikki21

We were first told EMI nursing homes and my daughter and I visited 20+ of these homes across our county. We never made an appointment we just turned up. We obviously did not go around meal times. We were then told the nursing home must be able to deal with challenging behaviour and only two covered challenging.

Again we turned up unannounced and on the second visit with our son I did ring to ask if it was ok and they suggested meal time so we could see the home at this time. We had been given the previous weeks menus that were posted on the wall and on the desk in reception on our first visit.

First visit we were told it was firstly a home, hence knockers and letter boxes on doors to rooms. If they had them at home then they had them here.

We had been told they had their meals where they preferred, in their room, in the kitchen in the lounge or corridor if preferred. They did indeed, one man sat in the corridor with a table before him eating his lunch. He did this for the whole 4 years my husband was there. He liked to look into the lounge but not to sit in there so his armchair was brought from his room every morning for him to sit there when he wanted.

There are really good care homes out there, sometimes hidden by so many not so good ones but well worth the search.

I hope you find one not too far away and your Mum settles in.

 

[Kikki21]

My friend has just messaged back saying that the home specialises in dementia care, plus challenging behaviour & is ok for CHC funding so that one is looking good. The location is just out of the city centre.

 

[canary]

Excellent. Sounds like the one to go for if you are happy with it.

 

[Kikki21]

Excellent. Sounds like the one to go for if you are happy with it.

My friend said no problem to visit at any time just to avoid lunchtime which is fair enough so we will see how tomorrow goes & take it from there

 

[Pete R]

[

Only Nursing homes which are registered for CHC can accept people who have CHC funding - ordinary care homes are not...........

NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your home or in a registered care home. It does not have to be a Nursing Home.

 

[Kikki21]

[

NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your home or in a registered care home. It does not have to be a Nursing Home.

That’s an interesting point @Pete R - how does it work in your home setting? We are thinking that my mum needs more 24/7 care especially at night mainly as she is up a lot of the night with her toileting needs. I know most PWD want to go home but she will go back to being lonely again or complaining that she is lonely so we think a care home environment may provide her with more stimulation.

 

[Scriv]

It might be a good idea to try to find out just how challenging their most challenging behaviour residents are and how they manage.
My personal suggestion is to be frank about how challenging your mum can be, so the home knows from the outset before accepting her. I say this as no one advised the NH how demanding our pwd was and when after 2 weeks it was obvious that they couldn't cope with him, it meant yet another disruption and move for him.
Good luck. I do hope all goes well for you.

 

[Pete R]

That’s an interesting point @Pete R - how does it work in your home setting? We are thinking that my mum needs more 24/7 care especially at night mainly as she is up a lot of the night with her toileting needs. I know most PWD want to go home but she will go back to being lonely again or complaining that she is lonely so we think a care home environment may provide her with more stimulation.

From reading your posts your Mum certainly seems to need specialist care in a CH/NH setting especially with the challenging behaviour.

I was really replying to @canary statement that CHC was for "Registered NH only". I did not want it to put you off if you did actually find a CH that could take your Mum, however unlikely that may be.

As far as I am aware no CH has to be registered for CHC and it is more of can they cope, will CHC accept that they can cope and then will the CH accept the CHC funding rate.

Many on here have received CHC and have been able to cope at home but whether that was with challenging behaviour I do not know.

 

[Tralouise]

From reading your posts your Mum certainly seems to need specialist care in a CH/NH setting especially with the challenging behaviour.

I was really replying to @canary statement that CHC was for "Registered NH only". I did not want it to put you off if you did actually find a CH that could take your Mum, however unlikely that may be.

As far as I am aware no CH has to be registered for CHC and it is more of can they cope, will CHC accept that they can cope and then will the CH accept the CHC funding rate.

Many on here have received CHC and have been able to cope at home but whether that was with challenging behaviour I do not know.

 

[Tralouise]

Fggf

 

[Pete R]

Mums been in hospital 6 months and we have a meeting about the next step..We know it's dementia but she has psychosis quite bad at the moment. I've seen a lot on here that pwd manage to stay at home, but how? I'm thinking off all sorts of scary scenarios e.g. Falling on the stairs, spilling hot drinks, mum won't eat and drink?? She stays in bed all day, how can a pwd be safe in their own home?

This thread is really about CHC funding which pays for the care needed so the PWD would not be at home on their own all the time, if ever. Care at home is not suitable for everyone.

Has CHC been mentioned for your Mum?
https://www.ageuk.org.uk/informatio...ng/health-services/nhs-continuing-healthcare/

 

[Kikki21]

From reading your posts your Mum certainly seems to need specialist care in a CH/NH setting especially with the challenging behaviour.

I was really replying to @canary statement that CHC was for "Registered NH only". I did not want it to put you off if you did actually find a CH that could take your Mum, however unlikely that may be.

As far as I am aware no CH has to be registered for CHC and it is more of can they cope, will CHC accept that they can cope and then will the CH accept the CHC funding rate.

Many on here have received CHC and have been able to cope at home but whether that was with challenging behaviour I do not know.

I was really replying to @canary statement that CHC was for "Registered NH only". I did not want it to put you off if you did actually find a CH that could take your Mum, however unlikely that may be.

As far as I am aware no CH has to be registered for CHC and it is more of can they cope, will CHC accept that they can cope and then will the CH accept the CHC funding rate.

Many on here have received CHC and have been able to cope at home but whether that was with challenging behaviour I do not know.

Thank you @Pete R - my mum lives in a bungalow but she can’t really use her bathroom to have a bath as she can’t get in the bath itself. She was offered to have the bathroom converted free of charge by the LA & we got so far as to have the plans drawn up by the council but when she saw that they were completely re doing it & that she would need to go into respite, she refused to have it done.

She is now a lot more resistant to bathing & last time I saw her, she stank!