Care and support for someone in their own home
Most local authorities will charge for care provided in someone’s own home. Find out how the costs are calculated.
- Paying for care
- Care and information local authorities must provide
- Needs assessment
- Financial assessment
- You are here: Care and support for someone in their own home
- Care home fees
- Nursing care costs
- Care home fees for self-funders
- Paying for care - complaints and FAQs
- Paying for care - more resources
Paying for care
How much should you pay for care in the home?
How much a person pays will depend on the financial assessment.
The Care Act states that any charges must be ‘reasonable’. It says that people receiving care should not be expected to live on an income lower than a ‘basic level’. This basic level is calculated as the income received on Income support or the guarantee credit element of Pension credit, plus an extra 25 per cent.
Below the ‘basic level’ threshold
Anybody whose income does not exceed this basic level should not be charged for homecare.
Individual local authorities can decide whether or not to count severe disability premium, Disability living allowance, Personal independence payment or Attendance allowance as income.
If a person’s care need means that they require a service during the day, the local authority should not count benefit entitlement linked to care that is needed at night. For example, if a person receives the higher level of Attendance allowance, and is eligible for this higher level because of the supervision they need during the night, the additional higher amount should not be counted in a financial assessment for the care the person needs during the day.
Above the ‘basic level’ threshold
Depending on the financial assessment, a local authority may ask a person to contribute a certain amount towards the cost of care, with the local authority paying the rest.
Each local authority has its own guidance, so this can vary depending on where the person lives. A copy of the local authority’s charging policy should be available online or can be requested. It may contain a savings and income threshold. Anyone with savings or income above this threshold is expected to pay for their own care. If their savings or income is below the threshold, the local authority should fund their care.
Once someone’s savings or income have dropped below the threshold, the local authority should start paying for their care services. A local authority should regularly review a person’s savings so they are aware of when they should take over paying some or all of the care costs.
If you feel that someone’s savings have dropped below the limit, or are about to, you can contact the local authority to ask for a review. Importantly, when receiving care at home, the value of the person’s home is disregarded in assessing their contribution towards the cost of domiciliary care.
What happens if someone refuses to pay for home care?
If a person refuses to pay for homecare, the local authority cannot withdraw the service if they are deemed not to have the mental capacity to make this decision. They have a legal duty to meet people’s eligible care needs.
They would therefore be expected to continue to meet the person’s needs while attempting to resolve any dispute. However, if the person has the mental capacity to make this decision and understand the consequences, the local authority is not required to continue to meet their needs.
If someone feels they have been excessively charged for care, they (or their carer) have a right to complain.
Replacement (respite) care
There are many different types of replacement care that aim to give rest or relief to unpaid carers and the people they support. These include day centres, homecare services, residential stays and breaks to attend a social function. Options can be discussed when deciding on the support plan. Local authorities can choose to charge for this care, and many do.
If you are charged for replacement care services, you may find some financial help locally. It may be worth asking your local authority about local schemes or charitable organisations to help pay for replacement care. Carer break vouchers may be available. These are sometimes given by the local authority and can be used to pay towards replacement care.
The Care Act makes it very clear that replacement care is to meet the needs of the person with dementia, not the carer. The person with dementia may be financially assessed and, if appropriate, it is the person with dementia who pays for the replacement care, even if it is the carer who appears to take the break.
More information on replacement care
Read about what replacement care is, the different types that are available, and how to pay for it.