A Guide to Self-Funding Adult Social Care and Support Services

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1 A Guide to Self-Funding Adult Social Care and Support Services

2 Contents A Guide to Self-Funding Adult Social Care and Support Services 1 What is a self-funder? 2 How much money can you have before you are responsible 2 for funding you own care? What help can the council provide to self-funders? 3 Advice, Information and Advocacy 3 Carer s Assessment 3 Planning your Care and Support 3 Support Brokerage 4 Budget Management 4 Review 4 Preventative Services 4 Home Care Reablement Services 4 Telecare 5 Equipment for Daily Living 5 Safeguarding Vulnerable Adults 5 Care in a Residential or Nursing Home 5 Deferred Payments Agreement 6 Deprivation of Capital or Assets 6 Independent Financial Advice 7 You may also find the following National Helplines useful 8 Some useful Contacts 9

3 A Guide to Self-Funding Adult Social Care and Support Services In April 2015, Care and Support changed for the better. Under the Government s Care Act, more help and support is available for self- funders. 1

4 What is a self-funder? A self-funder is the term we give to someone who pays the full cost for their own care and support requirements. This may be because: You have chosen not to approach adult social care services for help with your care and support needs; or You have been assessed by the adult social care team but not currently eligible for Care & Support services; or You have been assessed by adult social care team as being eligible for care and support services but you have savings or assets above the selffunding threshold set by the government; or You have been assessed by adult social care team as being eligible for care and support services but you have been sponsored to come to the UK under a sponsorship agreement. How much money can you have before you are responsible for funding you own care? The current threshold set by the Government is 23,250. If you have 23,250 or over in capital, savings, or assets, you will be expected to pay the full cost of your care and support services. Under certain circumstances, self-funders may be able to get help from the NHS towards paying for their nursing home fees through continuing healthcare, or a contribution towards the nursing costs in care a home. 2

5 What help can the council provide to self-funders? As a self-funder, you are still entitled to apply for an assessment of your care and support needs. We will look at your specific needs and identify services which can help you. We can also conduct a financial assessment to see if you are eligible for any council funded care and support services, or are likely to become eligible in future. We can also help self-funders with the following services: Advice, Information and Advocacy We can provide you with comprehensive advice, information, and guidance about care and support services and opportunities that are available to you, and offer the provision of independent advocates to support you to be involved in key processes such as assessment and care planning. Carer s Assessment Under the Care Act, carers are recognised in law in the same way as those for whom they care. If you have a carer, your carer is entitled to ask for a carer s assessment to find out what support, information, or advice they may need from the council. Planning your Care and Support We can help you decide what kind of support will best meet your needs. There are many other ways to help you live independently in your own home, or in a care home. However, a care home is by no means the only or the best solution for most people. 3

6 Support Brokerage A support broker is an individual who can help you in a number of ways. This can include offering you advice and information on buying support, recruiting personal assistants, and accessing services. This could be offered by our Self Directed Support Team, or by directing you to an Independent Support Brokerage Service. There may be a charge for this service. Budget Management We are able to offer you help to manage your budget, or manage it on your behalf if you wish the council to organise and buy the support you need. Review If you ask us to assess your needs for care and support, we will review your needs on an annual basis or at your request if your circumstances or needs change. This also means that we can provide care and support when your savings drop below the self-funding threshold. Preventative Services We can help you with a number of services in the community that will support your health and well-being. These services can help you feel less socially isolated, become more active and will help you to maintain your independence. Home Care Reablement Services You may be entitled to a time limited service from our Reablement Team, especially after being in hospital. This service will provide support for you in your own home, helping your confidence and independence. You will not be charged for the time limited reablement service but you may be charged for any further care and support services provided by the council. 4

7 Telecare Telecare provides people with the support they need to help them live at home safely and independently. Telecare is an alarm and monitoring service that makes it possible for you to call for help and assistance when needed. Telecare equipment might include sensors that detect movement, a fall, flood, gas, smoke. The equipment is linked to a community alarm monitoring service through your telephone line. It enables you to call for help in an emergency 24 hours a day, seven days a week. There is a charge for this service. Equipment for Daily Living If you have substantial difficulties carrying out everyday tasks, we can provide advice and may be able to loan equipment and small adaptations to help you stay independent and safe in your home. A wide range of equipment is available, including aids to help you use the bath and toilet, dress, cook, and get around in your home. Our occupational therapy service can offer advice and an assessment. Safeguarding Vulnerable Adults We have a responsibility for safeguarding adults from harm and will deal with all issues of abuse such as hitting, shouting, neglect, financial abuse, etc. Care in a Residential or Nursing Home As a self-funder, any residential care contracts will usually be between you and the care home directly. However, the council can help you arrange this care and provide you with information about care costs. If you savings are starting to decrease and you think that they will soon fall below the self-funding threshold, you should contact us for a needs assessment and an end-of- self-fund assessment. You may then be able to get financial assistance with your care and support needs. 5

8 Deferred Payments Agreement If you are a self-funder, own a property and you are in a residential or nursing home, then you may be eligible for a Deferred Payments Agreement. This is an arrangement with us which will allow you to use the value of your home to pay your care home fees on your behalf. You can delay paying us back until you choose to sell your home, or if you prefer, from your estate after your death. This mean that you will not have to sell your home during your lifetime to pay your care home fees. You will, however, have to pay us interest on the amounts we pay the care home on your behalf. There will also be some administrative costs to set up a Deferred Payments Agreement. Deprivation of Capital or Assets If you give away large sums of your savings to friends or relatives, or transfer your assets (e.g. your property) to put yourself in a more favourable position to get local authority funding for your care and support services, the local authority may be able to financially assess you as if you still have the savings or assets. The statutory guidance allows the local authority to consider whether you have deprived yourself of a capital asset in order to either reduce your care and support costs, or approach the local authority for funding. If deprivation has occurred, the local authority will treat you as still possessing the capital asset. This is called Notional Capital. 6

9 Independent Financial Advice To help you make decisions about how you could pay for your care, we have a legal duty to help you access financial information and advice which is impartial and independent from the council. We think it s important for you to get the right financial help and support so that you can make the right decisions based on your care needs. A financial advisor will be able to look at your circumstances and make sure that you are claiming all the benefits and allowances you may be entitled to. The independent help that is available ranges from websites or helplines, to tailored advice relating to specific financial products which can only be provided by a regulated financial advisor. Many independent financial advisers do charge either a fee or commission. Many also offer an initial free consultation. The Money Advice Service website has tips on planning ahead for a time when you can t manage your own finances. You can also get independent advice from: The Society of Later Life Advisers: the society can also help you find advice on how to make financial plans for care in your old age. Find Me Good Care: a website of the Social Care Institute for Excellence. It has advice on all aspects of planning and funding social care. Age UK: has great advice for older people and those planning for their later years. Carers UK: an excellent resource of advice for carers who need to help someone else. Which? Elderly Care has a guide to financing care. 7

10 Citizens Advice Bureau: provide free, independent, confidential and impartial advice to everyone on their rights and responsibilities. The Money Advice Service website: offers information on paying for care or the option to speak to an online adviser. You can call the Money Advice Service on CarePlace Information and Advice Directory: offers information about paying for your care and planning ahead. You may also find the following National Helplines useful Age UK Independent Age Alzheimers Society Sense for Deaf Blind people Carers UK Housing Advice Please note: Hounslow Council has supplied details of available Independent Financial Advice for your information only. The information is not exhaustive and other financial advisers are available. Hounslow Council is not responsible for the products, policies or services offered or approved by any external organisation or provider. The council will not be responsible for damages or losses, however caused, or suffered by any person who relies on information and advice provided by any external organisation or provider. 8

11 Unhappy with any financial advice received? Please contact: Financial Ombudsman Service Society of later Life advisors Helpline number Some useful Contacts Adult Social Care First Contact Team: Financial Assessment Team: Care Quality Commission: Age Concern Hounslow: Citizens Advice Bureau Hounslow: Pension Service: Disability Benefits Unit:

12 Children s and Adults Services London Borough of Hounslow Civic Centre, Lampton Road Hounslow TW3 4DN Telephone: Communications October

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