Unfortunately not much will rush the process for your Dad. The CHC decision should not really affect whether he stays where he is or moves somewhere else. It will only decide who funds it.
A best interest meeting with all involved is probably what you need and should not influence the CHC or vise versa.
If you have read the categories and already decided where your Dad should be in each then do not waver from that and be prepared to give definite examples to justify it.
Make sure your objections to any scoring is noted.
No decision will be made there and then although the assessor should give you their opinion. It has to go off to panel, a week or so, which normally comes back as "No".
Just to add I have read your other posts regarding the security guard. Depending on their training it can be well in excess of SIA standards and you never know they may well be a good source of information for the assessor on how your Dad behaves.
I wish you and your Dad well.
I went on the security firm web site and the training is nothing to do with working in a hospital! They are keeping notes but I was told I couldn't see them because they were to cover themselves if something happened (like what I wonder??!!) and were the property of the company and the NHS! By the way SIA means Security Industry Authority
We had the meeting today, it went on much longer than I had expected, but that was because I questioned everything. We were told that although on the face of it, it does seem like he might qualify for NHS CHC funding they need to do more assessments such as an OT report Speech and Language and get advice from a dietician because he has lost weight over the last couple of weeks.
It was then explained to me that if he did get the CHC funding that this would only be paid to a nursing home not to a care home because he needs a high level of one to one because of behavioural issues which would not be safely catered for in a normal care home. They are saying that because he has shown signs of aggression he should be in a EMI unit in a registered Nursing home with mental health nurses.
He has been supervised by security guards who are not dementia trained
He is 85 with "rapidly deteriorating cerebral dementia"
He was until the 27th February living in an idyllic Lake District Cottage surrounded by beautiful scenery on the side of a fell, going for two walks a day, with very few neighbours, no pavements, along a lane up a valley............he is now in a busy hospital ward, close to other people, not being permitted to go out of any doors, being marshalled closely by security guards dressed in black clothes, no wonder he is showing signs of aggression!!!
There are no beds available in EMI/Nursing homes in our local town (although there are only 3 homes that fit this criteria) we do not want him to have to go to another home miles away, Mum is 83 and wants to visit him regularly, it would take up so much of a day and be too tiring for her. She has needs also! Surely it is better for him to be cared for nearer to home so that various family members can keep up contact?
We have found a lovely care home in our local town that has a superb holistic view of those with dementia but they told us he could only do there is he was considered to be unsuitable for NHS CHC funding and qualified only for FNC which was about £190 per week which Mum could then top up (I said at this point that we were only there to discuss the NHS CHC)
I think he does and will qualify for the NHS CHC but because of his cognition and behavioural needs and after all these other assessments we will be told that he can only go to a nursing home that has mental health nurses.
However....what can a mental health nurse do that a fully qualified carer in dementia care cannot do? Is it to do with responsibility?
They also said that only a qualified nurse could oversee a dieticians advice and ensure that care workers were implementing it so therefore a nursing home would be more appropriate.
We want him out of hospital asap.....he is deteriorating fast in there, he looks awful, he is losing skills, he is frustrated and agitated (although this is part of the dementia it is made worse by being confined)
I have no idea what to do next
I wish he could go to the lovely care home we had identified, we feel sure he would be happy there, it has space so he could walk and wander whenever he wanted and staff who have a great understanding of dementia, and a high staff ratio
But I fear it might now not happen
