IL02 Paying towards the cost of your care and support

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IL02 Paying towards the cost of your care and support
eastsussex.gov.uk
IL02
Paying towards the cost
of your care and support
How we work out what you have to pay
Updated for 2016/17
Health and Social Care Connect 0345 60 80 191
Getting this information
in other languages
This leaflet is about the cost of social care support.
For a translation please phone Health and Social Care Connect
on 0345 60 80 191.
Arabic
.0345 60 80 191
(Health and Social Care Connect)
Bengali
0345 60 80 191.
Cantonese
0345 60 80 191
Farsi
Kurdish Sorani
Polish
Ta ulotka dotyczy kosztów związanych ze wsparciem przez opiekę
społeczną. O przetłumaczony tekst można się zwrócić bezpośrednio
do opieki społecznej dzwoniąc na numer 0345 60 80 191.
Portuguese
Este folheto informa sobre os custos dos apoios de cuidados sociais.
Para obter uma tradução deverá contactar o Health and Social Care Connect,
pelo telefone: 0345 60 80 191.
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Paying towards the cost
of your care and support
Information and advice is always free
If you ask us about care and support services, we will always give
you as much information as we can. Even if you don’t qualify for
our help, you can ask for an assessment of your needs. There is
no charge for our advice, leaflets or information.
When you might have to pay
Unlike with most NHS services, you will probably have to pay for
care and support services (help getting washed and dressed, or
more personal care). This applies to the kind of care and support
Adult Social Care can provide or arrange, as well as support you
might set up with an independent provider or care home. You will
need to have a financial assessment to see if you will need to pay
towards your care and support.
If Adult Social Care arrange your care and support, either at home
or in a residential or nursing home, we will usually apply charges
from the date you start getting help.
We use nationally-set rules called the Care and Support Statutory
Guidance to work out who gets help from us (called eligibility
criteria). If you ask for help, we will use these rules to assess what
level of care and support needs you have. Our leaflet IL01: ‘A guide
to Adult Social Care’ tells you more about how we assess your care
and support needs, and gives some examples of ways to get support.
Once we have agreed what your eligible needs are, we work out how
much the care and support you need might cost. We will look at your
financial circumstances to see if you qualify for financial help from
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us. This is called a financial assessment. The financial assessment
is completed in line with the statutory requirements of the Care
and Support Guidance and the Care and Support (Charging and
Assessment of Resources) regulations.
For residential care, we would usually expect you to pay the
home directly. If you get care at home, we will invoice you every
four weeks. If you get direct payments, you will need to pay your
contribution into your direct payment bank account or card account,
at least every four weeks. There’s more information about how to
pay in our factsheet FS9: ‘Ways to pay for your care’.
We will try and arrange your financial assessment so that any costs
you incur are not backdated for significant periods of time, which
will help you budget.
Financial assessment for care and support
at home
If you have completed an assessment of your care needs, you will
get a personal budget. This is the total of what it might cost to meet
your eligible care and support needs.
If you have more than £23,250 in savings and investments you
should tell us about this as soon as possible. It will mean you will
have to pay the full cost of your care and support.
If you have less than £23,250 in savings and investments we will
work out how much you need to pay towards your personal budget
by looking at your savings, income and outgoings.
We prefer to visit to complete a financial assessment. However you
can fill in the financial assessment form yourself, or ask a relative
or friend to help you. If we visit you, we will tell you what supporting
documents and paperwork you will need to have ready. We can also
help you apply for any state benefits you might be entitled to.
If you are able to provide us with all the requested information when
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we visit you, we will tell you whether you will have to pay towards the
cost of your care and support and, if so, how much.
What is taken into account in a financial assessment
The financial assessment takes account of:
•• your savings
•• any income you have (including, for example a state pension
or other pensions or benefits)
•• any investments and property you own, and
•• any extra expenses you have because of a disability
(disability-related expenses).
Once we have looked at your finances, we will explain:
•• how much you need to pay towards
the cost of your care and support
•• how we worked this out, and
•• the different ways you can pay for support.
You can get more detailed information about financial assessments
in our factsheet FS7: ‘Financial assessment for care at home’.
You can get this from Health and Social Care Connect. Contact
details are
at the back of this leaflet.
Adult Social Care will take into account certain types of expenses
when working out how much your contribution will be. Usually, this
will be where they relate to your eligible care and support needs
– for example, if you use more water or electricity because of a
disability or condition. However, Adult Social Care won’t take into
account expenses that aren’t specifically related to your eligible
care and support needs. For example, your TV licence or if you pay
insurance for an appliance. Everyone’s circumstances are different,
so there’s no agreed list.
All expenses will be considered on an individual basis and in relation
to eligible social care and support needs. It is your responsibility to
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pay your contribution to your care and support costs.
If you own a property or have savings and investments
We will not take the value of your property into account while you
are living in it. If you own a second home, or other property or land,
we will take that into account.
If you have more than £23,250 in savings and investments
(including any property or land that you own), you will not be able
to get financial help from us and you will have to pay the full cost of
your support. When your savings fall below £23,250 you can ask us
to review the amount you pay.
Charges in day centres
There are fixed charges for meals at day centres and for transport to
and from your home. These charges are on top of the contribution
you pay for attending the day centre.
Financial assessment for residential care
The financial assessment takes account of:
•• your savings
•• any income you have (including, for example a state pension
or other pensions or benefits), and
•• any investments and property you own.
Once we have looked at your finances, we will explain how much
you need to pay towards the cost of your care and support, and
how we worked this out.
You can get more detailed information about financial assessments
in our factsheet FS8: ‘Financial assessment for residential care’.
You can get this from Health and Social Care Connect.
We may not take the value of your home into account at all
(that is, we may ‘disregard’ it) if, for example:
•• your partner or child under 18 is still living there
•• a lone parent who is your estranged or divorced
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partner lives there, or
•• another family member lives there and they are
over 60 or incapacitated.
We will need some evidence of the property being their established
home.
If your property is occupied by someone not listed above, we will
consider your individual circumstances to decide if the property
should be taken into account.
When we carry out your financial assessment we can tell you if we
have to take account of the value of your home. If our guidelines show
that you will have to pay the full cost of your care, we can talk you
through the options and where to get more information and advice.
If we cannot carry out a financial assessment before you first go
into residential care, you will pay a set amount until your financial
assessment is done and we can confirm the amount you need to
pay. The amount will be backdated to the date you went into the
care home. There is more information in our factsheet FS8: ‘Financial
assessment for residential care’.
Some common questions
How we treat couples in a financial assessment
If you live with a partner or someone else who also receives care
and support, we will assess them separately. However, it is helpful
for us to know the total income and savings for your household
when we work out a charge you can afford to pay. This ensures we
are able to make any allowance for your partner when completing
the assessment.
In some cases, the main householder might be the person who
claims benefits such as Income Support or Pension Credit but won’t
be the one receiving support. We will need details of any income
paid to you as a couple.
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If you don’t want to tell us about your financial circumstances
You don’t have to tell us about your finances. If you decide not to, or
if for any reason we can’t complete a financial assessment, you will
have to pay the full cost of your care and support.
If you can’t provide the right information, you may have to pay
the full cost of your care and support until you can provide all the
information we need to do a financial assessment.
If you don’t agree with what you’ve been asked to pay
If you think we have made a mistake in your financial assessment
you should contact us within 20 days. We will explain how to do this
when we explain our assessment to you. If you still think we have
made a mistake, you should:
•• ask us to review your assessment, and
•• provide any other information you have.
Please contact us as soon as you can. You may ask a friend, relative
or a representative to help you make your complaint, but we will
need to make sure they have your permission before we give them
any information.
If we have reviewed your financial assessment and you are still not
happy with the amount we ask you to pay towards your care, you
can appeal against our decision. You can get details of the appeals
process by calling our finance team on 01323 464699.
If your financial situation changes
If your financial circumstances change at any time you should ask
us to review your financial assessment and look at the figures
again. This will make sure you continue to pay an amount you can
afford towards your care and support. We may need to review your
financial circumstances if, for example:
•• ]your savings have reduced as a result of paying for care
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•• there is a change to your benefits, or
•• you have built up more savings and investments.
How to pay us
There are many different ways you can pay for your care and
support, including by direct debit. For more information, please
see our factsheet FS9: ‘Ways to pay for your care’. The factsheet
is available from Health and Social Care Connect, on the website at
eastsussex.gov.uk/socialcare
Keeping people safe
Many vulnerable people are supported to live safely in the
community and in residential environments. However, unfortunately
this is not always the case.
Abuse can come in many forms. A person could be being neglected
or they may be neglecting themselves. Abuse is a harmful act and
can be:
•• physical (assault, hitting, slapping, pushing, misuse
of medication)
•• domestic (physical, sexual, psychological, financial,
emotional, honour based violence)
•• psychological (emotional, threats of harm, deprivation
of contact)
•• neglect and acts of omission (ill treatment, poor standard
of care)
•• financial or material (stealing, defrauding, persuading
someone to hand over money or property)
•• sexual (sexual activity that someone does not want or
cannot prevent)
•• organisational (poor delivery of care)
•• self-neglect (neglecting to care for one’s personal
hygiene, health or surroundings)
•• modern day slavery (slavery, forced labour, domestic
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servitude), or
•• discriminatory (treating someone badly because of age,
disability or ethnic background).
Caring for another person can be very rewarding and also very
demanding. Sometimes people who are being cared for can harm
or abuse their carer. This may happen because they have a condition
that changes their behaviour.
When a carer is managing a challenging situation, this may lead to
them abusing or neglecting the person they care for whether this is
intentional or unintentional.
Everyone has a right to live free from abuse and neglect. If you
suspect someone is at risk of abuse, you have a duty to report it.
If you are at risk of abuse as a carer, you should also report this so
that the situation can be looked into and appropriate steps taken
to protect you and the person you care for. This is essential for both
the wellbeing of the carer and the adult they care for.
To report abuse, contact Health and Social Care Connect. In an
emergency you can call 999 for immediate help.
What will happen next?
We will take any report of abuse or neglect, including self-neglect,
seriously, and will ensure the circumstances are looked into fully
in a fair and confidential way. The police may be involved if a crime
is suspected.
Professionals will:
•• talk with the person who has been abused or neglected
and any other relevant people to ask what they want to
happen in relation to the concern, and
•• plan together how to keep the person safe in future.
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If you want to make a comment
or suggestion about social care
We want to provide quality services for everyone in East Sussex,
so it’s always helpful when you tell us what you think.
You can contact our complaints team if you want to give us any
feedback, suggestions or compliments.
If you need to make a complaint
A good start is to contact the person or team who has been involved
in the situation you want to complain about. They will try to sort
things out quickly.
If you would rather speak to someone else, you can contact our
complaints team. You can contact them by phone, email, letter
or text message, whichever is easiest for you.
Adult Social Care Complaints Team
East Sussex County Council
St. Anne’s Crescent
County Hall
Lewes, BN7 1UE
Phone: 01273 481242
Text message: 07797 877777
Email: [email protected]
Fax: 01273 335141
For more information about making comments or complaints please
read our leaflet IL03: ‘How to make a complaint or give feedback
about Adult Social Care services’. You can get this leaflet from Health
and Social Care Connect (contact details are at the end of this leaflet)
or you can download it from the website at eastsussex.gov.uk/
socialcare
If you want someone to make a complaint on your behalf, please
also read our factsheet FS2: ‘Independent advocacy – someone to
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speak up for you’.
Getting involved
If you would like to be involved in shaping our services you could
join the People Bank, a database of volunteers who have an interest
in our services. Membership is voluntary and there are many ways
you can be involved. You could, for example, take part in a one-off
consultation event, or join a working group for a specific project.
When you register you can give details of how you would like to
contribute and the services you are interested in. The People Bank
will be able to match you with opportunities when they are available.
If you are interested in joining the People Bank, or would like more
information, phone 01273 481 565, email [email protected]
eastsussex.gov.uk or visit eastsussex.gov.uk/volunteering
Getting more information about social care
For more information about Adult Social Care, please read our
other leaflets and factsheets. You can get leaflets from our website
at eastsussex.gov.uk/socialcare
Health and Social Care Connect
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Phone:
Minicom via type talk :
Email:
0345 60 80 191
(Calls are charged at your phone company’s
local rate and may be recorded.)
18001 0345 60 80 191
[email protected]
Text message:
07797 878111
[email protected]
Health information
You can find information about your health needs and local health
services from the NHS website at nhs.uk or you can use the links
from the East Sussex County Council website to find local health
services. If you urgently need medical help or advice, but it’s not a
life-threatening situation, you can phone NHS 111 for free (open 24
hours a day, seven days a week).
Sussex Mental Healthline
Sussex Mental Healthline provides out-of-hours support and
information on mental health issues for residents of East Sussex.
Phone: 0300 50 00 101
(Calls are charged at your phone company’s local rate.)
Website: www.sussexpartnership.nhs.uk/sussex-mental-healthline
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Notes
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Notes
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Healthwatch East Sussex is your local
consumer champion for health and social
care. For information about Healthwatch
East Sussex and or to leave feedback
about your experiences of services, visit
www.healthwatcheastsussex.co.uk
or phone 0333 101 4007.
Getting more copies of this leaflet
You can get all our leaflets in a format
to suit you. If you would prefer this
information in an alternative format or
language please ask us.
Please phone Health and Social Care
Connect on 0345 60 80 191 for any of our
leaflets or factsheets. You can get leaflets
from our website at eastsussex.gov.uk/
socialcare
East Sussex County Council
County Hall
St Anne’s Crescent
Lewes, BN7 1UE
Phone: 0345 60 80 190
Fax: 01273 481261
Website: eastsussex.gov.uk/contactus
October 2016  16-17 008 (IL02)
Cover illustration by Bill Donohoe · billdonohoe.com

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