Funding for care
Before a decision is made as to whether a person can be placed in a care home, it needs to be clear how the care will be paid for.
People with ongoing signification health needs, which are complex and/or severe, may be eligible to have their care paid for through a scheme called NHS Continuing Healthcare.
To be eligible for NHS Continuing Healthcare funding for complex care, an individual needs to be assessed, by their local Clinical Commissioning Group (CCG), as their primary need bring health related.
For those who aren’t eligible for NHS Continuing Healthcare funding, you can seek funding through their local authority.
The majority of people who live in our care homes have their care paid for through NHS Continuing Healthcare or joint funded with the local authority.
Your right to choose
Your CCG or local authority should always involve individuals and families in the assessment process, and take your views into consideration when finding a suitable care home.
If it’s agreed that a care home is the best option, you should be provided with a choice of homes that have the suitable facilities, experience and specialist teams to meet your relative’s needs.
It’s important to remember that, even if you are granted financial assistance, you do not have to choose the care home that is suggested.
Moving into an Exemplar Health Care home
If your relative chooses to move into one of our care homes, one of our clinical assessors will arrange a meeting to assess their care needs, usually within five working days of the referral being made.
As part of this process we do a ‘community fit’ assessment to ensure that the home is the right ‘fit’ for your relative, and that they’re the right ‘fit’ for the home and other residents.
The assessor will write a report which outlines the care that we can provide to meet their needs, and our Compliance Team will review it to ensure that we have the right facilities and expertise.
We’ll then send a report to the CCG or local authority, who will approve the funding.
Once funding has been agreed, we’ll work with you, your relative and their care team to make arrangements for moving into the home.
Our dedicated Referrals Team is on hand to answer all of your questions throughout the process.