Arranging residential care for a person with dementia

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.

Cathy talks about the difficulty moving her mother to residential care in another region

Gender Female

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The care home was not an appropriate fit for Ellie’s mother’s care

Gender Female

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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.

Could afford to pay for his wifes residential care and was given little help claiming funding…

Age at interview 57

Gender Male

Age at diagnosis 56

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Describes the chaotic and difficult process of claiming the funding to which his wife was entitled.

Age at interview 75

Gender Male

Age at diagnosis 67

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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.

Considers whether there is ethically any alternative to the massive expense of care for his parents.

Gender Male

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Last reviewed November 2023
Last updated January 2024

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