Why does SS need a signature from NoK on Continuing Care Assessment?

Discussion in 'Legal and financial issues' started by ChocolateBrownie, Mar 14, 2019.

  1. ChocolateBrownie

    ChocolateBrownie Registered User

    Nov 21, 2018
    67
    After a year of requesting, SS have finally said that they have completed the CCH for PWD.

    He meets all the criteria on the Alzheimer's Website page - But Of course SS have said he does not qualify for anything.

    They have said they are coming to explain this to Mum, who is NoK, next week and need her to sign it. I asked them to move the appointment forward a week so that I could be present, but would not - and why do they need her signature?

    I'm guessing that they are asking her to agree to the assessment - does anyone know?

    If she signs - will that make it harder to challenge?
     
  2. nitram

    nitram Registered User

    Apr 6, 2011
    18,915
    Male
    North Manchester
    #2 nitram, Mar 14, 2019
    Last edited: Mar 14, 2019
    Before entering into discussion.
    Is CCH a typo for CHC or something else?
     
  3. ChocolateBrownie

    ChocolateBrownie Registered User

    Nov 21, 2018
    67
    Sorry - COntinuing Health Care Assessment - so should be CHC
     
  4. nitram

    nitram Registered User

    Apr 6, 2011
    18,915
    Male
    North Manchester
    If you work through >>>the checklist<<< what score do you get in each of the domains?

    Not sure what she is being asked to sign.
    Golden rule is not to sign anything that you don't fully understand.
    In this case if unsure ask for a copy to take to AgeUk/CAB/..for advice before signing,
     
  5. Banjomansmate

    Banjomansmate Registered User

    Jan 13, 2019
    1,084
    Female
    Dorset
    It could be that she is being asked for permission for the checklist assessment to be carried out if the person concerned lacks capacity. That was why I had to sign the Banjoman’s second checklist assessment at the Care Home last week.
     
  6. Bod

    Bod Registered User

    Aug 30, 2013
    1,142
    I didn't think social services did the CHC assessment.

    Bod
     
  7. Banjomansmate

    Banjomansmate Registered User

    Jan 13, 2019
    1,084
    Female
    Dorset
    The two checklist meetings that I have attended have both had a SS representative at them. The recent one at the Care Home she took notes of the meeting.
     
  8. Elle3

    Elle3 Registered User

    Jun 30, 2016
    614
    SS can do the initial assessment checklist to see if the PWD might qualify, if they do, they will complete the paperwork and send it to the CHC team to carry out the full assessment which has to be done within 28 days.
     
  9. nitram

    nitram Registered User

    Apr 6, 2011
    18,915
    Male
    North Manchester
  10. Elle3

    Elle3 Registered User

    Jun 30, 2016
    614
    This is about consent, I'm not disputing that consent has to be given, either by the person being assessed or by their appointed representative. In my case my dad had no capacity to agree, I didn't have LPA for Health & Welfare but I agreed for it to take place with the SW, I can't remember signing anything though or it being this formal, as I can remember it just happened whilst I was present.
     
  11. nitram

    nitram Registered User

    Apr 6, 2011
    18,915
    Male
    North Manchester
    The person carrying out the assessment has to prior consent, it's obviously in their best interests to formalise this with a signature to guard against any future comeback.
    In the case of the OP, who has not logged on and replied (they may have viewed without logging on) it seems reasonable that SS should ask for a signature.
     
  12. Platinum

    Platinum Registered User

    Nov 7, 2017
    66
    Female
    South east
    My OH is about to undergo a full CHC assessment having scored 6As on the checklist. We are not married but have been together for 40 years plus. I have signed care plans and the checklist. I have obtained copies of his notes from previous failed placements. He is currently in an NHS mental health unit who instigated the CHC process. I have an EPA only.
    As this is all about money so I feel this Power is appropriate but I am waiting for someone to say otherwise, possibly at next week’s CHC MDT. Yesterday’s Times did an article on a significant number of CCGs refusing to fund cataract and large joint replacements as they are procedures of “low clinical value”. NICE guidelines say otherwise.
    Going through a process to prove a health need is extremely stressful knowing the chance of failure is high. I have spent hours reading and preparing. The system is flawed as CHC is all or nothing with the end result being £157 funded nursing care offered in most cases. Cynical I may be but I doubt next week’s decision will be good news. In the meantime I visit my OH every day and the feeloverwhelming sadness and a permanent knot of anxiety rarely leaves me.
     
  13. Elle3

    Elle3 Registered User

    Jun 30, 2016
    614
    Hi Platinum, To give you a bit of positivity. I went into the CHC review for my dad not expecting to get it after reading so many comments on here. However, the review went very well with the assessor deciding initially on all the conclusions and scores and all I had to do was agree with them because she said nothing I didn't agree with. My dad did get funding awarded based on his Cognition being Severe, Behaviour Severe and Communication High, the rest were all moderate, low or no needs. The evidence provided by the care home really helped and I felt like nobody tried to downplay my dad's needs. I also think a key thing was my dad was unpredictable, he was usually very mild mannered and pleasant, but could literally turn in an instant and become aggressive and abusive to staff and other residents without warning, so required more monitoring and specialist dementia care.

    I think we were very lucky, I will keep my fingers crossed that you are too. Just have loads of evidence and don't allow them to downplay anything.

    Good luck.
    Elle x
     
  14. clarice2

    clarice2 Registered User

    Mar 13, 2016
    47
    Female
    We also were awarded the CHC. The meeting was at our home and the people were wonderful. They went through everything and all agreed on the scores. I think the Altered States of Consciousness was important as he had seizures which were later controlled by increasing his medication. His skin was perfect, not a mark on it and he had been bedridden for 2 years. They acknowledged that this was only because of the care he received, rolling him 6 times a day, rubbing his back and bottom and massaging his feet and greasing them 3 times a day. He was never violent or aggressive, sometimes irritable and down understandably.They were not looking for ways to get out of awarding the CHC but all did their best to be fair.
    I find it very sad that people in other areas are not treated as well and that they are not freed from the financial worries leaving them free to concentrate on giving the best care to their loved ones.
     
  15. Platinum

    Platinum Registered User

    Nov 7, 2017
    66
    Female
    South east
    Thank you for the encouragement. I do appreciate it. My OH behaves in the same way as your dad did and my own domains’ assessment tallies with his. I can’t say I’m looking forward to the MDT tomorrow but I’m as prepared as I can be. Thank you again.
     
  16. ChocolateBrownie

    ChocolateBrownie Registered User

    Nov 21, 2018
    67
    It turns out that the social worker card to see mum to explain the results of his assessment ( which he carried out in February) and asked her to sign it last week.

    She thought she was signing to say she agreed with it all - but when you read it she is just giving permission (retrospectively).

    As mum was having radiotherapy at the time of the assessment, she could not attend - but the social worker made no effort to contact me to accompany Dad.

    He has assessed Dad as having no needs, which I disagree with. Dad has had several strokes, cannot stand and needs 2 people for transfers - but was only scored C on mobility.

    However Mum is rather charmed by the social worker and feels I will be undermining her if I challenge it.

    Any advice gratefully received?
     
  17. canary

    canary Registered User

    Feb 25, 2014
    10,251
    Female
    South coast
    What they are looking at for CHC is health needs. Im afraid that what you are describing is a social need rather than a health need. You need As on the check list. Did you look at the link that Nitram gave?
     

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