Care Home fees concern

Hi all

My mum recently passed in a care home and I have been doing some admin. I have recently had the final statement and invoice from the care home. I had hoped to just be able to pay it and see the back of them as my experience with them was not good. My husband has said just pay whatever they want and then you can put it behind you and maybe I should but I have never been able to make any sense of their “statements” even though I’ve repeatedly asked for some clarity, I’ve even sent them a spreadsheet I’ve done myself with the fees and payments on.

Apologies but some back story is needed as to how this became so confusing. Prior to going into the care home mum was struggling at home and was due to get a home care package. I also applied for LPA at this time as she wasn’t able to manage her money and her family were buying all her groceries. Mum became ill and went in to hospital. She was unable to say what money she had and no one else had gained access (LPA takes a while to be granted after application) so she had to have a social services assessment before she could leave hospital which took months.

Unfortunately when the council assessment was completed just before I was going on honeymoon so I wasn’t there when My uncle was visiting at the time mum was moved. He then started getting invoices from the care home asking for “top up” fees. These were never actually paid because after complaining I was told both by the care home and social services these had been created in error and to ignore them. I do have this in writing from both parties. I have no idea what these might even have been for as mums room was very small and basic and she didn’t have any additional services. Despite being told it was a mistake this continued for some time except they starting sending them to me rather than my uncle.

Mum was finally assessed as being a self funder and became responsible for making payments herself and the the council stopped paying at the end of October. I was signed a contract stating fees would be £1100 a month. It might seem very remiss in hindsight that I didn’t push for a contract earlier but my priority was getting the documents need for the council’s financial assessment and mum became very unwell not long after she moved into the care home, falling and breaking her hip and contracting pneumonia. I was not sure if she would be returning to the care home or if it was a temporary placement and was also told she would be going to a rehabilitation centre after hospital. In the event she the hospital sent her back to the care home without anyone telling me.

Prior to the signing the contract I did come across an email from the care home invoice team which states me they are charging £750.00 a week pending the financial assessment. I am a bit confused by this. I had been of the assumption the £1100 applied all along which seems to be a standard rate in my area so no objection but it is usual to change their fees retrospectively. I signed the contract in November but if they wanted to charge this beforehand why not tell me this would be the amount payable at the time instead of a different figure. At the time there was no information on their website about fees as it said words to the affect of “all our rooms are different so there is no set fee”.

I have also received a breakdwown of their costs from them in which they have included the “top up fees” they said they had removed. This concerns me but am I overreacting. It would be easier to just pay what they want as my husband suggests. The last thing I want is more contact with them and stress but something just feels “off”. I would welcome any thoughts. Thanks so much.

My questions are is it usual for care home to agree a charge with the council (albeit it for a period of time) and inform the client of this and then change it later?

Is it usual to charge top up fees, say they are not charging when queried and then include then on their billing account?

Hi @DaisyJo ,I would contact the carers helpline as it sounds like you need some help on this. You need to speak to someone in finacenal service, speak to citzen advice. it sounds a right mess.

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Thank you Michael

I just wanted to gather some thoughts. I will ask CAB for advice. I have tried to resolve it with the CH many times but haven’t had any luck!

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Don’t pay anything more, yet. Make a Subject Access Requeast to the LA asking for copies of ALL their records from when they were first involved, and then do the same to the CH. It’s a legal requirement, they have a month to comply. Ask Google for further info.

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Don’t pay anything more, yet. Make a Subject Access Requeast to the LA asking for copies of ALL their records from when they were first involved, and then do the same to the CH. It’s a legal requirement, they have a month to comply. Ask Google for further info. As mum has now died in any case you can’t pay anyone anything until probate has been granted! Trading Standards are increasingly concerned about the conduct of care homes dealing with vulnerable residents. When you have the SAR records show them to Trading Standards and the Care Quality Commission. Do not be bullied.

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I have looked in to it a bit but will take advice from CAB, So far I have been told that there would have been a separate agreement between the care home and the local authority prior to the assessment being carried out and there fees for councils are lower. I never got any information from the council about the fees agreed or that mum was meant to be a contributing during this time (she wouldn’t have been able to). This care home have tried to charge mum additional money to make up for they were at a lower rate however there is doubt over the legality of doing this. This is probably why they’re statements are so cryptic as they want to conceal it.

Just make the Subject Access Requests. It’s very quick and easy. They can’t refuse.
Then you will have clear evidence of who said what, where and when.
It seems that someone has seriously mucked up, and trying to lie or bully to cover this up.
I once reclaimed £8,000 from mum’s LA after they hadn’t followed the rules and tried to lie and cover up their incompetence after she went into a care home and I’ve studied Law as part of my degree. It’s really satisfying when a bully has to admit they were wrong!

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