Selecting the right long term care facility is a crucial decision and as well as considering factors such as location, reputation, staff qualifications and the range of services provided, the deciding factor could be down to cost.
Most residential and nursing homes will charge on a weekly basis and there is financial assistance available through various programmes, including Local Authority funding and NHS Continuing Healthcare.
Eligibility criteria for financial assistance can be complex and may involve an assessment of your assets. Essentially, should your assets exceed a certain threshold, you may be required to pay for care yourself. Means-tested care assessments are only based on the individual that requires care and would normally not take into consideration:
- Personal belongings
- Capital value in a life interest trust of which you are a Life Tenant
- Capital value in a Discretionary Trust of which you are a beneficiary
- Bank accounts for the spouse or partner of the individual requiring care, however if the accounts are in joint names, the Local Authority will have sight of the funds.
Your savings, pension and property usually form the basis of the assessment and, if the total exceeds the threshold, will be used to pay for care home fees. However, there are exemptions, such as:
- Certain income will be disregarded, including 50% of your occupational or personal pension if you pass the remaining 50% to your spouse or civil partner, and if they are not living in the same home.
- Your property may not be included in the assessment if:
- you receive care at home
- you go into care on a temporary or short-term basis
- your partner still lives in the property
- there is a relative over 60 living there
- a child under 18 is living there or
- a relative who is disabled is residing there.
Additionally, there are common misconceptions relating to gifting your estate to avoid care home fees and schemes such as deferred payments; both of which come with complicated rules and, if applied incorrectly, could lead to considerable payments and a reversal in the future. For example, if you were to gift all or part of your property to your children, the Local Authority may disregard the gift for the purposes of means-tested funding and may still make you pay for care home fees, despite the property no longer forming part of your estate.
As you can see, this is a complicated area. Discussing your options with experienced professionals can help you understand your rights and better plan for the future.