Paying for Non-Residential Services
If you are receiving non-residential services and we arrange these services for you, you may be entitled to help towards the cost of your care from us.
How the cost of your care is calculated
The Government has set down very detailed regulations and guidance to calculate an individual's contribution towards the cost of your care, which the council must follow. To enable us to do this, we will need to carry out a financial assessment. If you have savings or capital over £23,250 you will need to pay the full cost of your care. If you do not want to give us your full financial information, you will be asked to sign a form to say that you do not want a financial assessment and you will need to pay the full cost of your care. The cost will depend on how much care you receive, but the most you will be asked to pay is £582.00 per week.
Arranging a Financial Assessment
The Financial Assessment Team will contact you to arrange an appointment to undertake a financial assessment. You may be contacted by a member of the financial assessment team by telephone or by our outbound telephone service which is an electronic messaging service. Calls from this service will display the number 0191 313 0650. A financial assessment is the way that we work out whether we can help you with the cost of your care and what the cost will be to you. The financial assessment takes place over the telephone at a time pre-arranged with you. We will also check to see if there are any other benefits you can apply for. If you want us to, we can either help you to claim these benefits or we can pass your details on to someone else who can help you. During the financial assessment, you can have a member of your family or a friend present if you wish, or you can arrange for someone else to support you. If you would like a face-to-face appointment, you can arrange to visit our office to complete the financial assessment. We will treat any information you give us in the strictest confidence. We can only come out to your home to complete a financial assessment in exceptional circumstances. All members of the Financial Assessment Team carry identification with them so please check this before allowing anyone into your home. Our Financial Assessment Team are very experienced and well trained and will help and guide you through the financial assessment. Don't be afraid to ask any questions or raise anything that you are not sure about. We will complete the financial assessment form for you. You can ask that a blank financial assessment form is sent to you so you can complete it yourself if you wish. Under the Welfare Reform Act 2012 and The Social Security Act (information sharing in relation to welfare services etc.) Regulations 2012, we can access information on your benefits from DWP to help us with your financial assessment. This will also help us to offer you advice on any benefits you may be able to apply for. This will also help us to complete the financial assessment quicker as we will not need to ask you as many questions about your benefits.Information sharing
Information needed for a Financial Assessment
You will need to have the following information available in order to complete a financial assessment: We will also need to know whether you have any ongoing benefit claims Please note that home expenses can only be allowed for up to 6 weeks for permanent residential care.
Details of incomeDetails of all capital and assets
Details of home expenses
How we assess you if you live with a partner
If you receive a non-residential or temporary care service, we may need to ask for details of your partner's income and capital/assets. If you are in permanent residential care the following information does not apply to you. If you live with a partner and you are paid benefits as a couple, you will need to have your partner's information ready for the financial assessment because we must assess you as a couple. If you are not paid benefits as a couple it may still be better to assess you as a couple as it may be cheaper for you. We will also check to see if there are any other benefits you can apply for with your partner.
How the Financial Assessment for Non-Residential Care is calculated
This is worked out from your income and your capital, savings and assets. The Department of Health guidance sets out the minimum income levels required to cover daily living-costs such as food, clothing, energy bills, water rates, insurance, leisure activities, TV licence, telephone, and subscriptions for satellite/digital television etc. This is reviewed annually and is called your Basic Living Allowance. In addition to your Basic Living Allowance, we may consider other expenditure/disregards such as Disability Related Expenditure, Housing Costs etc. When working out your contribution towards the cost of your care, the calculation we use is: Income - Basic Living Allowance Expenses/Disregards = Maximum Assessed Contribution (Cost to You) If the cost of your care is less than your maximum assessed contribution, you will only pay for the care you receive. Your maximum assessed contribution is the maximum amount you can afford to pay, no matter what level of service you receive. You will not be asked to pay any more than your maximum assessed contribution. The most that anyone would pay towards their non-residential care services is £582.00 per week.
Benefits that may change when you are away from home
If you are away from home for a period of 28 continuous days or more there are certain state benefits that may stop being paid to you. This can be temporary or permanent depending on whether you return home.
Some benefits that may be affected include: -
- Attendance Allowance (AA)
- Disability Living Allowance (DLA)
- Personal Independence Payment (PIP)
- Carers Allowance (CA)
- Severe Disability Premium
- Enhanced Disability Premium
- Carers Premium
It is your responsibility to contact the Benefit Agency to inform them you have moved into residential or nursing care.
If you don't tell them about a temporary or permanent change to your living arrangements, you may be overpaid.
Income not taken into account for the Financial Assessment
There are some income and benefits which are not taken into account when we work out how much you will have to pay towards the cost of your care. These include:
Personal capital taken into account
If you own a second property that you do not live in, we will include the value of this property in your financial assessment. If you have capital/savings under £14,250 your capital/savings are disregarded in the financial assessment and your contribution will be assessed based upon your income less your expenditure. If you have capital of £23,250, or over, you will not receive any help from us with the cost of your care. If you receive residential care, you will be responsible for paying the full amount of your care as a self-funder. If you receive a non-residential care service, you will be responsible for paying the full cost of the service you receive up to a maximum of £582.00 per week.
If you have capital/savings over £14,250, we will take into account £1.00 for every £250 capital/savings you have over £14,250 and up to £23,250, when calculating your contribution towards your care. This is called tariff income.
Example:
Gifting your capital/assets to another person
If we believe that you have given away your assets, such as money or a house, to reduce the amount you pay for your care, we may still include the amount you have given away in your financial assessment. We will consider the timing and the reason why you gave away your assets. For example, we will look at whether you gave away your assets at a time when your health meant that you would be likely to require care services from us in the future. If this happens and you are unable to pay the cost of your care, then the people you gifted your asset to may have to return the asset to you or pay your outstanding care costs.
How a property is treated for Financial Assessment Purposes
The treatment of your property during a financial assessment will depend upon the type of care service you receive. The value of any other properties you own will be included in the financial assessment. If the value of your other properties and your capital/savings are £23,250 or more, you will have to pay the full cost of your care. If you move into Extra Care or Supported Living, and own a property, the value of your home will usually be included in the financial assessment from the date you move into your new tenancy. If your property and/or capital totals more than £23,250, you will have to pay the full cost of your care. The value of the home you live in will be ignored if your stay in a care home is only temporary, and it is expected that you will return home usually within 52 weeks. The value of any other properties you own will be included in the financial assessment. If the value of your other properties and your capital/savings are £23,250 or more, you will be charged in full for the services you have received, and you will become a self-funder after 12 weeks. You will then be charged by the care home direct. For permanent residential care the value of the home you lived in will usually be included in the financial assessment 12 weeks after your stay becomes permanent. During the 12 weeks you will only pay what the financial assessment shows you can afford from your income and savings. If the value of your other properties and your capital/savings are £23,250 or more, you will be charged in full for the services you have received, and you will become a self-funder after 12 weeks. You will then be charged by the care home direct. If you sell your home before your stay has been permanent for 12 weeks, then the money from the sale of your home will be included in the financial assessment from the date your home was sold.Non residential care (excluding extra care and supported living)
Extra care and supported living
Short term/respite/temporary care
Permanent care
Other expenses you might have
The Basic Living Allowance set by the government is expected to cover your basic weekly costs such as food, clothing, utilities, telephone, internet and other essentials. Therefore, we cannot make an allowance for any of the following:
Disability Related Expenditure (DRE)
We can make special allowances if you have additional expenses caused by your disability. This is called Disability Related Expenditure. During the financial assessment certain costs relating to your disabilities will be taken into consideration. The additional costs should be over and above those of a person without a disability. This may include things like: Please click on the Disability Related Expenditure link below for more examples of disability related expenditure we may be able to consider. Our policy is to assess you, taking into account your individual needs and circumstances. You may have some costs relating to your disabilities that are not listed but we may still be able to take these into account. During your financial assessment you will be asked questions about disability related expenditure to see if we can make any additional allowances. We will need you to provide evidence of these expenses. This may be a copy of a receipt/invoice for a one off purchase, or receipts/bills covering a number of months for regular costs. We can only make allowances when we are sure that you qualify. The following Disability Related Allowances are based on the National Association of Financial Assessment Officers (NAFAO) guidance which is updated on an annual basis. Disability Related Expenditure Amount Evidence Community alarm system Installation Costs (calculated over a 12-month period) Actual weekly cost, if reasonable Bills from or payments to provider Privately arranged care Actual cost where this is not provided as part of the Care Plan, but the amount is reasonable and necessary for their care and support Evidence of employment arrangement and/or legally correct payments to an employee under UK employment and tax law. Where agency arranged evidence of billing and payment. Private domestic help Actual cost where this is not provided as part of the Care Plan, but the amount is reasonable and necessary for their care and support As privately arranged care Specialist Laundry/washing powder £4.74 per week The assessment or care and support plan may identify a need. If not evidenced from other sources and consideration of the nature and impact of any health problem or disability may provide a guide. (Identify more than four loads per week) Special Dietary Needs Discretionary. Reasonable amount where above average dietary costs are demonstrated The assessment or care and support plan may identify a need. If not evidence from other sources, which may include medical evidence, and consideration of the nature and the impact of any health problem or disability may provide a guide. Details of special purchases, including evidence of payment Special clothing or footwear/exceptional wear & tear Additional cost for bedding Reasonable amount for extra cost due to disability. Discretionary as may not be more costly or required more frequently than usual The assessment or care and support plan may identify a need. If not evidence from other sources, which may include medical evidence, and consideration of the nature and the impact of any health problem or disability may provide a guide. Evidence of purchases, payments and receipts. Internet access Reasonable amount for additional cost due to disability Evidence that costs are higher due to disability. Evidence of purchase and payment. Transport Costs necessitated by illness or disability Reasonable amounts over and above the mobility component of PIP or DLA. Where support with costs is available from other sources but have not been used this can be considered for reasonableness. For example, transport to hospital appointments or council provided transport to a day centre. Evidence of payment and purchase Gardening Discretionary based on individual costs of garden maintenance As privately arranged care Wheelchair/ Actual cost divided by 500 (10-year life) up to a maximum of £4.94 per week manual £12.00 per week powered Evidence of purchase. No allowance if equipment provided free of charge Powered bed Actual cost divided by 500 (10-year life) up to a maximum of £5.46 per week Evidence of purchase if available Turning bed Actual cost divided by 500 (10-year life) up to a maximum of £9.55 per week Evidence of purchase if available Powered reclining chair Actual cost divided by 500 (10-year life) up to a maximum of £4.33 per week Evidence of purchase if available Stair-lift Actual cost divided by 500 (10-year life) up to a maximum of £7.71 per week Evidence of purchase without Disability Funding Grant input Hoist Actual cost divided by 500 up to a maximum of £3.79 per week Evidence of purchase without DFG input Costs associated with holidays - once per year Additional costs as a result of a disability such as ground floor room with wheelchair access would allow difference between that room and a standard room; additional leg room on flight etc. Evidence of booking and costs Other costs Discretion in consultation with social worker and reference to the care plan Evidence of expenditure Social Care Activities Social care activities are distinct from leisure activities. They must be included in the Care Plan/social activity plan as essential to meet the care need. Actual cost over a 3-month period is divided by 13 weeks up to a maximum of £10.00 per activity. Leisure activities (e.g., cinema visits, access to entertainment/events, swimming etc) are not allowable and are either accessed free via the local community or funded by the service user. Evidence of purchase over a three-month period. Cost of meals for carers/befrienders when supporting a service user as part of a social care activity Discretionary as part of a Social Care Activity. This must be detailed in the Care Plan. Clarification of why it is necessary for the cost of the carer's meal to be included. A maximum of £5.00 per meal. Meals are not allowable where Durham County Council funded care provision is in place for the same period (e.g., day care). Evidence of purchase over a three-month period. Funeral Plans Funeral Plans are allowable. This includes pre-paid plans and those paid in instalments. Actual cost — the full amount or instalments calculated over 52 weeks Evidence of purchase Additional heating Costs Actual cost less average heating costs - see table below Evidence of bills of last year Average heating costs Annual cost Single person - Flat/Terrace £2302.16 Couple - Flat/Terrace £3034.24 Single person - Semi Detached £2445.22 Couples - Semi Detached £3220.12 Single - Detached £2972.95 Couples - Detached £3919.77
mobility scooter
Day Care Costs and Transport
Day Care placements and transport are pre-booked therefore you would still be charged up to four weeks if you do not attend. Therefore, you would be required to make your usual contribution towards the cost of the place held open for you. This would also apply to a planned absence.
If you need to cancel a home care visit as a one-off, for example, where you have other plans for that day, you will need to give at least two weeks' notice to your care agency. If no notice is given you will still be charged for this visit.
You will not be charged when the service is unavailable, for example, on bank holidays, and if the centre is closed or transport was unavailable due to bad weather.
The cost of your lunch and refreshments are not included in your contribution towards your service.
Support and Recovery
You may receive Support and Recovery services free of charge for up to six weeks. If the service continues after six weeks, then there will be a cost for this service, and you will be offered a financial assessment. Costs will also apply if a planned session is cancelled at short notice.
Home care
You will be required to give two weeks' notice to end a service and you will pay your contribution for this notice period. For example, if you provide one week's notice you will still be required to pay for the remaining week of the two-week notice period.
If you need to cancel a home care visit as a one-off, for example, where you have other plans for that day, you will need to give at least two weeks' notice to your care agency. If no notice is given you will still be charged for this visit.
Two care workers at a visit
If you have been assessed as needing two care workers at a visit, the cost of both care workers will be included when calculating the full cost of your care package. For example, for two care workers visiting for 30 minutes, the charge would be 30 minutes x 2 = 1 hour.
Lift maintenance
You will receive an assessment by your Care Co-ordinator to see if you need this service. The annual cost to have your lift maintained by us will be payable in four-weekly instalments. You will be offered a financial assessment to see if you can receive help from us towards the cost of the maintenance.
The annual maintenance cost covers all necessary servicing, maintenance and repair costs, however, it does not cover the cost of a new lift it is unable to be repaired.
If you do not want to have your lift maintenance arranged through us, and would rather make your own arrangements, then the Equipment Advice Service can help you find a different provider.
Telecare
To help you remain independent, Care Connect can provide telecare services. You will need an assessment of your support needs which will be completed by your Care Co-ordinator.
Telecare services offer a monitoring and response service provided by Care Connect. They will send a member of staff to you to offer assistance and reassurance, if and when required.
Charging will begin from the Monday following your Telecare installation. Charges will apply whether you are at home or away for as long as you have the Telecare equipment. If the equipment is removed, you will be charged for the full week if the equipment is in your home for 4 days or more that week.
If you would like more information on Telecare and Care Connect, please see Telecare - sensors to keep you safe and independent at home.
Intermediate care/reablement
You will receive an assessment by your Care Co-ordinator to see if you need these services. These services are free for up to six weeks. If your service continues, after the free period of intermediate care or reablement, there will be a cost for this service and you will be offered a financial assessment.
Receiving both Non-Residential and Residential Care Services
If you receive both non-residential care and a residential care service (including temporary or respite care), two separate financial assessments will be carried out to see how much you will have to pay towards the cost of each service. If you receive residential care and non-residential care services in the same week, you will pay for both services. However, the most you will have to pay will be no more than the higher of the two contributions. If you pay the full cost of your services, you will pay the full cost of both the respite and non-residential services received.
The outcome of your Financial Assessment
Where your financial assessment takes place over the telephone, in most cases we will be able to tell you how much you will have to pay on the day of your financial assessment. The Financial Assessment Team will always confirm your contribution in writing and send a copy of the financial assessment form and calculation sheet to you. All contributions will be backdated to the start of your service. If you have a query regarding your contribution you should get in touch with the Financial Assessment Team by telephone on 03000 268 232 or by email at finance.assistants.fateam@durham.gov.uk. If you are unhappy with the outcome of your financial assessment, you may appeal in writing to the Financial Assessment Team. If you are unhappy with the outcome of your appeal, you can use our Corporate Complaints Procedure. You can obtain a copy of this procedure from your Care Co-ordinator or by visiting our complaint's page. If you are unhappy with the outcome of your formal complaint, you can contact the Local Government and Social Care Ombudsman.
Ways to pay your care costs
We will collect your contribution every four weeks. We will invoice you every four weeks any you can pay in any of the following ways:
Unpaid Care Costs
If you are struggling to pay your care costs, you can contact our Collection Team by telephone on 03000 268 280 or by email at resourcesadultssocialcarebilling@durham.gov.uk. They will discuss payment options with you. Sometimes we can agree a payment plan with you to pay off the amount you owe. Where you are able to pay your care costs but choose not to do so, the government has said that if an individual has been assessed as needing a service, that service should not be withdrawn even if they refuse to pay their care costs. However, we can take a person to court if they refuse to pay the cost of the services they have received. Before any decision is taken to refuse a service because of the contribution you will have to pay, you should get in touch with your Care Co-ordinator.
Changes in your circumstances
If your circumstances change following a financial assessment, you must contact us as soon as possible. For example, if your living arrangements change, or your savings/capital or benefits change, this may affect your contribution and you may need a financial reassessment. Not telling us of a change in your circumstances could result in additional charges being backdated, and you could end up with a large bill, or possible funding assistance towards the cost of your care from us may be overlooked. We will reassess your contribution towards your services in April each year to take account of annual increases in benefits, private pensions, and Basic Living Allowance/Personal Allowance. This is known as a financial reassessment. Your contribution may go up or down as a result of a reassessment.
Getting financial advice that's right for you
There is a range of information to help you understand the way in which care can be funded and other issues to consider. You may also wish to take independent financial advice before taking any decisions. If you would like further information on our formal charging policies and guidance, visit how much will I have to pay for care and support services? Age UK provide independent information and advice on finding and paying for care. You can contact Age UK Advice on 0800 169 2081. You can access both general information about paying for care and information about accredited financial advisers in your area through the Society of Later Life Advisers (SOLLA). The Money Advice Service, set up by the government to help people make the most of their money, offers impartial information and guidance about your money to help you work out what's right for you. Visit their website for information and interactive tools to help you make informed decisions about money. It also explains what options may be available and what you should think about before making a decision about long term care. If you are in residential care, the Department of Health has arranged for a voluntary organisation to produce a Care Home Handbook which explains all of your rights both in choosing a care home and once you are living in a care home. You can get this free of charge from Independent Age, 6 Avonmore Road, London, W14 8RL, 0800 319 6789. Here are some useful benefit contact numbers:
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