Health and fitness of carers
Their own health, mental health and mobility were topics that worried the people we interviewed. Some people also described how much better the physical fitness...
For most carers the decision to move the person they are supporting, either from their own home or from the carer’s home, into residential care, can cause great difficulty and distress. For some people, they prefer to support the person at home for as long as possible. When this is no longer possible, they would consider residential care. For others, when the person living with dementia has ‘out of character’ behaviour that is concerning and home care is not a viable option any longer, it is recommended that they move to residential care (see ‘Challenging behaviour’ for more). The people we interviewed also described an event in which the person living with dementia was hospitalised and it was recommended they move to residential care upon discharge. In many of the circumstances described, there were concerns about the quality of care available.
Arrangements for residential care can be complicated, particularly if the person supporting the person living with dementia prefers a residential home located closer to them, which can be in another region. One person described difficulties transferring the person living with dementia after discharge from the hospital in one region to a residential home in another. For others, the people involved were able to make a choice about care homes and assess them before the person living with dementia was transferred. In some cases, choosing residential care, particularly for a person of working age, was challenging.
Part of the process of arranging for residential care, that is particularly difficult in an emergency, is the planning for how the care is to be funded. Manypeople complained that they had been given no information on what they might be entitled to and that the forms they were asked to fill in were unnecessarily complicated. Others were surprised and concerned to discover that someone suffering from dementia might not be eligible for funding from NHS or social services and may have to use their own savings to fund their care.
In some cases where NHS funding was agreed to, it turned out to be tied to certain beds in certain residential homes so that a family might have to allow their relative to be admitted to a home that they would not have chosen if they had been in a position to pay. One carer was concerned that a home she had chosen for her mother might not be eligible for funding once her mother’s own funds had been reduced to the cut-off point (£18,000 at that time) One son was paying a lot of money for residential care for both of his very elderly parents, one of whom had Alzheimer’s disease. He admits that he struggled with making the decision to choose the residential home where they are staying over a cheaper option.
Last reviewed November 2023
Last updated January 2024
Their own health, mental health and mobility were topics that worried the people we interviewed. Some people also described how much better the physical fitness...
Once the care home has been chosen, a place agreed and the funding arranged, the carer has the task of persuading the person with dementia...