Care home with Nursing

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Lofty73

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Hi all.
I live in Blackpool and my Uncle who is diabetic and needs Insulin injections/ monitoring on a regular basis.
We are trying to place him and his wife in a rest home but are frequently being told that because he cannot self administer his own insulin he need a care home with nursing. There are lots of care homes but very few that offer Nursing too. Would the members know if this is a hard and fast rule that because he needs injections that these can be only delivered by a nurse. Some people say that district nurses would do but his injections are very time dependant and they cannot always be on time. Any help and feedback would be most appreciated.
 
Lofty73 said:
Hi all.
I live in Blackpool and my Uncle who is diabetic and needs Insulin injections/ monitoring on a regular basis.
We are trying to place him and his wife in a rest home but are frequently being told that because he cannot self administer his own insulin he need a care home with nursing. There are lots of care homes but very few that offer Nursing too. Would the members know if this is a hard and fast rule that because he needs injections that these can be only delivered by a nurse. Some people say that district nurses would do but his injections are very time dependant and they cannot always be on time. Any help and feedback would be most appreciated.
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I think you will find most care homes do not employ many qualified nurses.
 
I think that's the difference between a care home and a nursing home, a nursing home has to have a qualified nurse always available, a care home doesn't. I don't know the rules about who is or isn't allowed to administer insulin though, sorry :(
 
It seems to be a very hard rule.
My mum needed a care home.
We chose one that was a care/nursing home, as sadly, she wasn't going to get better.
It was difficult to accept, but she didn't need to move at the end, so yes, they are right telling you that.
 
I agree with the others, I think you will find that you do need a nursing home, or a care home which employs nurses (not necessarily the same thing). You might find this site helpful in finding a suitable home - I've put in Blackpool (assuming you are looking for a home there - you can easily change the location if not) and I've selected nursing home from the side menu, but you can also choose only ones which get good or outstanding ratings, and you can read their reports on each home.
 
Residential care homes don’t employ nurses and even qualified nurses who work there are not allowed to carry out professional nursing duties. Nursing homes have to employ a qualified nurse to be on duty each shift (truth is most of the care is provided by care assistants). There are dual registered nursing/residential Homes where there’s 2 different units but the residential sector has community nurses going in.
There needs to be an assessment to see if your Uncle qualifies for nursing funded care. If his only need is insulin injections then the chances are remote in honesty.
My mum was in a residential home with ordinary residential care and dementia care on another Unit. Community nurses were in and out all day mainly attending to residents with diabetes. Obviously residents on the dementia unit required injections to be administered.

The only time a residential home can take a resident with identified nursing needs is on end of life care if the community nurses agree to provide it within the Home.

Contact Social Services to ask for an assessment and dependent on their financial means, the LA will fund the residential element and the Health Authority fund the nursing element.

There’s a strict criteria for qualification for both residential and nursing now. It’s only funded if someone can not possibly be cared for with home support.

Is there no possibility of supported housing/housing with care schemes? Give Social Services a ring and ask for advice. It’s actually their responsibility to assess needs and they’ll refer to the nursing assessors if necessary.

Best wishes.
 
Lofty73 said:
Hi all.
I live in Blackpool and my Uncle who is diabetic and needs Insulin injections/ monitoring on a regular basis.
We are trying to place him and his wife in a rest home but are frequently being told that because he cannot self administer his own insulin he need a care home with nursing. There are lots of care homes but very few that offer Nursing too. Would the members know if this is a hard and fast rule that because he needs injections that these can be only delivered by a nurse. Some people say that district nurses would do but his injections are very time dependant and they cannot always be on time. Any help and feedback would be most appreciated.
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Hi there Lofty. How does your uncle manage now? Couldn't the current arrangements not just go with him to his new home?
 
I agree with Amigo. The route to take is through Social Services, who will be able to assess the needs, and point you in the right direction. There are a few care homes in the Blackpool area which offer nursing services, but whether that would include insulin injections as a routine is unlikely. But as I said, Social Services will be the guide. It’s not an uncommon scenario after all. Contact them first rather than trawling through Yellow Pages.
 
mikeyB said:
I agree with Amigo. The route to take is through Social Services, who will be able to assess the needs, and point you in the right direction. There are a few care homes in the Blackpool area which offer nursing services, but whether that would include insulin injections as a routine is unlikely. But as I said, Social Services will be the guide. It’s not an uncommon scenario after all. Contact them first rather than trawling through Yellow Pages.
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There’s residential care homes and nursing care homes Mike but not general care homes that offer either.

https://balcombecarehomes.co.uk/2014/04/explaining-difference-care-home-nursing-home/

Incidentally I’m not recommending this company...it’s just a means to illustrate the distinction. Residential homes are simply not permitted to provide nursing care in house and even very few nursing homes offer the equivalent of hospital nursing services like IV drips.
 
I do know that, Amigo, but Social Services are the ones to advise. As I said, it’s not an uncommon situation so must have been met before. The other question is who pays. NHS or the customer. In Scotland it’s different. All care is free.
 
mikeyB said:
I do know that, Amigo, but Social Services are the ones to advise. As I said, it’s not an uncommon situation so must have been met before. The other question is who pays. NHS or the customer. In Scotland it’s different. All care is free.
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Yes we came across this situation many times when I was in social work Mike and community nurses provided this service in residential homes. The LA pay for residential care not the NHS but in England the customer always pays to some extent. Sometimes a very large extent!
 
The NHS does pay in some instances where nursing care is required. I think it’s diagnosis specific, or in terminal care. It’s certainly mentioned on the Blackpool info on nursing homes.

In Scotland NHS and social care are integrated, so the system, though not perfect, works better and more coherently. It’s a good idea, so it hasn’t been considered in England.
 
mikeyB said:
The NHS does pay in some instances where nursing care is required. I think it’s diagnosis specific, or in terminal care. It’s certainly mentioned on the Blackpool info on nursing homes.

In Scotland NHS and social care are integrated, so the system, though not perfect, works better and more coherently. It’s a good idea, so it hasn’t been considered in England.
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Yes I explained the funding in my earlier post Mike. Simple it ain’t!

I think you may be referring to Continuing Health Care which is entirely health funded for people with incredibly complex, high nursing needs or the terminally ill. My mum was funded on Continuing Health Care towards the end but it’s like hen’s teeth!
 
I have exactly the same problem with my relatives, I want to move them to a nursing home, but now it is still quarantine and I don't even know what to do. And I want to do this not because I am tired of my relatives and not because I want to get rid of them as soon as possible. I just don't have time to look after them, work and study at the university at the same time. I don’t want to worry that something bad and terrible can happen to them while I’m gone. I really want to send them to a special nursing home where they can be professionally taken care of. I even found a very good place, independent living Minneapolis, but I don’t know if it is worth doing it during quarantine? Do you think this is dangerous?
 
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