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My mother lives in an EMU unit in a nursing home and suffers from vascular dementia. She stayed there for 10 months and was discharged from the hospital as unfit to return home. A MATTRESS is also provided.
Before being discharged from the hospital, she was screened for CHC and was not eligible for NHS funding. However, she is eligible for some help in Los Angeles, but my father has to pay quite large surcharges.
Over the past year, her condition has deteriorated significantly, to the point that she can't walk or carry weight, she has complete urinary incontinence, she can't eat on her own, she has very fragile skin, and has lost almost all of her mental abilities.
My questions are:
Should she pass another CHC assessment? Should this be done automatically or should it be requested?
If she now qualifies for NHS funding, will that mean she will have to be moved to a care home?
Any advice will be gladly accepted.

Just from my own memories - my brother had CHC for carers at home, so I have no experience of care homes or nursing homes.
I understand you must absolutely not be required to pay top-up fees. I would not think you will necessarily get CHC from what I read here (it's a postcode lottery too). I do not know how many items on the CHC list you would record top marks for. The decisive one in our case was that my brother's behaviour was detrimental to his own health - this made him a medical rather than just a social care case. Immobility and double incontinence were not enough.
The assessment should not, as said above, be wholly in the hands of the social worker - it has to be NHS and social services together.
There is, as you probably know, a halfway house whereby you don't get awarded full CHC but a contribution to nursing home fees. If that is what the social worker means by top-up fees, it would make some kind of sense, but 'top-up fees' is the wrong terminology. And who is paying these fees? It has to be your mother, not you. Only your mother's financial position is relevant.

This is an unfortunate situation, and I'm sorry that you and your mother have to go through this. I wouldn't stay another minute in a care home like this — a sick person in particular needs high-quality care and constant responsible supervision. I think you should go to the specialists who will help your son. Many different medical factoring companies can help you get in touch with a good specialist, and you only need to want to. I can advise you on the company's services https://factorforyou.com/healthcare-factoring/, which I have been using for more than 2 years.

I think it is better to hire someone at home.

oh no

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