Yes the last meeting included the care home manager, social services care manager, CHC team and the family. Apparently the CHC team would normally put in a recommendation at the end of the meeting which they put forward to panel. However the assessor stated she felt it was too close to make a judgement and would refer it to a senior officer before submitting to panel this Wednesday.
One thing they said they would like to see if some form of sedation for dad when he becomes challenging. This has been discussed with his GP who refused as would increase the chances of falls, also the ch staff are not qualified to give injections and would have to call in district nurses each time!
Hopefully the panel will take notice of the GP, and as you say, the ch staff are not qualified to give injections anyway. The answer is a more suitable placement with specialist dementia staff, ideally funded by CHC.
My father has challenging behaviour, and after many months in an assessment unit, he was moved to a specialist NHS Unit with a staff ratio of 1-3. The staff are either
mental health nurses or dementia trained carers. It is so much better the dementia residential home where he was self-funding until they could no longer cope with him once his behaviour became more severe. Because it is an NHS unit, all the patients receive CHC in order to be there. My father scored his two Severes in Cognition and Behaviour, but it is the latter in which it is very hard to prove the difference between 'High' and 'Severe'. I hope your father's needs will be sufficiently recognised in order to secure CHC, and that more suitable care can be found for him.