Care home funding - Guarantor - DPA
Care home funding - Guarantor - DPA
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DT1975

Original Poster:

998 posts

49 months

My mum has recently gone into a care home for respite. She's decided she would like to stay and the family are 'finally' in full agreement. She is 93, very frail with liver cancer. No further diagnosis due to fragility, it was only unearthed on a scan for something else. She's losing weight rapidly but we have no idea if this is connected to her cancer, no other symptoms.

In short she currently has enough savings for 9 months at the care home (including income). We are marketing her property this week which would enable another 16 months so potentially 25 months of quality care which I doubt she would need but obviously we have no idea.

I appreciate that when equity drops to around £23k (21 months in) we can ask for council assistance that may result in her moving homes.

We cannot proceed unless I sign as a Guarantor - has anyone done this? If her flat doesn't sell I'm potentially liable for nearly £6k a month unless we get a DPA, so a council loan against the value of the property I understand.

Has anyone done this ie applied for this loan, any help on whats involved, more importantly timescale in getting the loan and when can you apply. Needless to say this is giving me a few sleepless nights as I can forsee me having to dig deep to fill any transition period . Any help appreciated cheers.

ps not sure if this should be on health thread ?

Panamax

7,664 posts

55 months

DT1975 said:
My mum has recently gone into a care home for respite.

We cannot proceed unless I sign as a Guarantor - has anyone done this? If her flat doesn't sell I'm potentially liable for nearly £6k a month
I don't understand. If she's already in the care home then what were the contractual terms when she started? Why would you suddenly need to join in as guarantor after the event? Surely so long as the fees are getting paid each month the care home isn't going to kick her out?

My starting point is never, ever sign as a guarantor for anything. I'll gift cash but I won't sign guarantees.

DT1975

Original Poster:

998 posts

49 months

Panamax said:
I don't understand. If she's already in the care home then what were the contractual terms when she started? Why would you suddenly need to join in as guarantor after the event? Surely so long as the fees are getting paid each month the care home isn't going to kick her out?

My starting point is never, ever sign as a guarantor for anything. I'll gift cash but I won't sign guarantees.
The current contract is for respite only, the guarantor is required for permanent residence. It's required because she doesn't have two years of funding without selling the property.

contractor

922 posts

206 months

Have you spoken to the GP about palliative care and NHS continuing care? If the cancer is not going to be treated then there may be path there.

Panamax

7,664 posts

55 months

DT1975 said:
The current contract is for respite only, the guarantor is required for permanent residence. It's required because she doesn't have two years of funding without selling the property.
OK, that's a difference of terminology that's new to me. A quick google suggests that respite care is, "temporary care".

I'd nonetheless be inclined to push back against the idea of a guarantee. Whatever label is put on the situation I'm unclear why they would kick anyone out so long as the bills are being paid and irrespective of the paper-work.

Is the "respite" care in a physically different place/building than longer term care?

DT1975

Original Poster:

998 posts

49 months

Panamax said:
OK, that's a difference of terminology that's new to me. A quick google suggests that respite care is, "temporary care".

I'd nonetheless be inclined to push back against the idea of a guarantee. Whatever label is put on the situation I'm unclear why they would kick anyone out so long as the bills are being paid and irrespective of the paper-work.

Is the "respite" care in a physically different place/building than longer term care?
Respite is quite a well known terminology in this sort of field . It can either be for the patient or the carers, yes so temporary .As I said she's in for respite (we were providing care and its very hard work ) and she's happy to stay full time although we've considered part time carers at home.

It's all in the same building, many are permanent, quite a few are respite, all share same facilities and get the same care dependent on needs.

Sadly they do kick people out. Our problem is a potential gap between her savings getting used up and the sale of the house, hence the council step in , offer a DPA and could move her. It's that process I need help with.

DT1975

Original Poster:

998 posts

49 months

contractor said:
Have you spoken to the GP about palliative care and NHS continuing care? If the cancer is not going to be treated then there may be path there.
Thanks. I think the issue is they can't confirm if the cancer is the cause of her current symptoms but yes I'll chase up. To be honest my head's spinning at the moment.

alscar

7,623 posts

234 months

Yesterday (16:23)
quotequote all
Sorry about your Mum.
Mine has just been diagnosed with Alzheimer’s ( she’s 86 ) and after spending Christmas with us I can vouch for that diagnosis sadly.
At the moment she is quite able to look after herself but we are obviously aware that may not always be the case.
Having been LPA for her sister and arranged a care home and sold her house in order to a) buy an immediate needs annuity and b) ensure she was happy where she was going we had numerous conversations and “ meetings “ with various care homes.
Looks like at some point that exercise will need repeating for Mum.
In general it seemed that all were happy to accept our money and given the immediate needs annuity paid around 80% of the weekly cost were not asked for any guarantor signing.
I had to go through the LA’s financial assessment even though we knew we were over the £23k amount.
During this time I kept the chosen care home fully aware of where we were with the house sale etc.
From memory of our various care home conversations all were prepared to accept my aunt on the basis of how I proposed to pay and had pointed out that once the funds left were lower than £23k they / I would talk to the LA.
None said she would be moved.
I’ve just asked my wife who also went through something similar a few years ago with her Uncle and she pretty much confirmed the same.
I think the thing to do is just be honest and up front with them.
Whilst I was happy enough to be at various stages guarantor for my now Adult children for rent and the like I wouldn’t be quite so keen to do that in care home situations and from my experience there appeared no real need to do so.
Best of luck in sorting and to your Mum.

DT1975

Original Poster:

998 posts

49 months

Yesterday (20:04)
quotequote all
alscar said:
Sorry about your Mum.
Mine has just been diagnosed with Alzheimer s ( she s 86 ) and after spending Christmas with us I can vouch for that diagnosis sadly.
At the moment she is quite able to look after herself but we are obviously aware that may not always be the case.
Having been LPA for her sister and arranged a care home and sold her house in order to a) buy an immediate needs annuity and b) ensure she was happy where she was going we had numerous conversations and meetings with various care homes.
Looks like at some point that exercise will need repeating for Mum.
In general it seemed that all were happy to accept our money and given the immediate needs annuity paid around 80% of the weekly cost were not asked for any guarantor signing.
I had to go through the LA s financial assessment even though we knew we were over the £23k amount.
During this time I kept the chosen care home fully aware of where we were with the house sale etc.
From memory of our various care home conversations all were prepared to accept my aunt on the basis of how I proposed to pay and had pointed out that once the funds left were lower than £23k they / I would talk to the LA.
None said she would be moved.
I ve just asked my wife who also went through something similar a few years ago with her Uncle and she pretty much confirmed the same.
I think the thing to do is just be honest and up front with them.
Whilst I was happy enough to be at various stages guarantor for my now Adult children for rent and the like I wouldn t be quite so keen to do that in care home situations and from my experience there appeared no real need to do so.
Best of luck in sorting and to your Mum.
Thanks for that. Having viewed a number of quite frankly depressing care homes we have today decided to keep my mum in the current home which is bright, airy, modern and vibrant. She's in week 4 of respite and she's very happy. Having viewed the contract the 'guarantor' status is actually referred to as 'a third party contributor', however the point is the same in that I would be liable for any unpaid bills - fair enough.

I've contacted social services who have advised to apply for a deferred payment agreement now so at least its in place for when we reach the £23k limit. If her property doesn't sell the DPA (which is a loan against the property) should fund most of the care home fees, if it doesn't I'll fund the difference and reclaim the money from the house sale in due course. The absolute worst case scenario is mum gets moved to another home or back to her unsold home with suitable care provided. Sadly I can't see her reaching that point.

Since the original post the care home have also agreed to price match a local BUPA home saving £800 a month in the process.

The Gauge

5,983 posts

34 months

Yesterday (20:58)
quotequote all
DT1975 said:
Sadly they do kick people out. Our problem is a potential gap between her savings getting used up and the sale of the house, hence the council step in , offer a DPA and could move her. It's that process I need help with.
I assumed the local authority put a charge on the house, so that when it is sold they claw back any payments due?

Badda

3,481 posts

103 months

Yesterday (21:06)
quotequote all
Panamax said:
OK, that's a difference of terminology that's new to me. A quick google suggests that respite care is, "temporary care".

I'd nonetheless be inclined to push back against the idea of a guarantee. Whatever label is put on the situation I'm unclear why they would kick anyone out so long as the bills are being paid and irrespective of the paper-work.

Is the "respite" care in a physically different place/building than longer term care?
If you’ve never heard of respite care, might be best to avoid trying to advise in this sensitive affair.

DT1975

Original Poster:

998 posts

49 months

Yesterday (22:10)
quotequote all
The Gauge said:
I assumed the local authority put a charge on the house, so that when it is sold they claw back any payments due?
Yes, £800 fee and interest I think is in line with RPI ? It's a charge on the property as you say however I've no idea yet of what happens if onguing fees ever exceeded flat valuation, I assume they swallow it and we sign the place over.

alscar

7,623 posts

234 months

DT1975 said:
Thanks for that. Having viewed a number of quite frankly depressing care homes we have today decided to keep my mum in the current home which is bright, airy, modern and vibrant. She's in week 4 of respite and she's very happy. Having viewed the contract the 'guarantor' status is actually referred to as 'a third party contributor', however the point is the same in that I would be liable for any unpaid bills - fair enough.

I've contacted social services who have advised to apply for a deferred payment agreement now so at least its in place for when we reach the £23k limit. If her property doesn't sell the DPA (which is a loan against the property) should fund most of the care home fees, if it doesn't I'll fund the difference and reclaim the money from the house sale in due course. The absolute worst case scenario is mum gets moved to another home or back to her unsold home with suitable care provided. Sadly I can't see her reaching that point.

Since the original post the care home have also agreed to price match a local BUPA home saving £800 a month in the process.
That sounds slightly more positive on the Financial side.
I don’t think you need to do anything quickly as a consequence and ultimately if needed knowing they have a charge on your Mums house that should suffice.
Not knowing how far you live from Mum can I just be boring and say that making sure her house is secure and given the weather ensuring adequate heat is being maintained overnight might be sensible.
I might also even think of just letting her Insurers know that her house is temporarily unoccupied as such.