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Care options

Helping you decide where you live.


Information about adult social care providers offering support at home, supported living in the community or residential care, including care homes.

Man hugging a younger girl

Supported living

Providers

Other providers offering related advice and support

Male playing with jigsaw puzzle of head with missing pieces intended to depict struggling with mental health

Residential care – mental health

Providers

Other providers offering mental health residential care for adults

Young male receiving support in classroom setting

Residential care – learning difficulties

Providers

Other providers offering mental health residential care for adults


Choosing your accomodation

If your care plan shows that you need a particular type of accommodation and certain conditions apply, you have the right to choose between different providers of that type of accommodation. The care professionals working with you will give you information about different providers for you to choose from. There should be at least one provider able to offer you that accommodation within your personal budget amount. 

The right to choose applies to care homes, supported living, and shared lives accommodation. For example, if your care plan identifies that your needs are best met in a care home, you can choose between different care home providers.

The right to choose only applies to the same type of accommodation that your care plan identifies as suitable for you. For example, if your care plan identifies that your needs are best met in a care home, you cannot choose a supported living setting instead. 

You can choose accommodation if:

  • your care plan sets out that your needs will be met in a specific type of accommodation (for example, a care home)
  • the accommodation you want to choose is of the same type as the type set out in your care plan
  • the care professionals working with you agree that the accommodation is suitable to meet your assessed needs
  • the accommodation is available
  • the provider of the accommodation is willing to enter into a contract with the Council/NHS Integrated Care Board (ICB) to provide the care on the Council/ICB’s terms and conditions
  • the accommodation costs no more than the amount set out in your personal budget (this amount is usually the same as the Council/ICB’s standard amount for accommodation of this type). If you want to choose somewhere that charges more than the amount set out in your personal budget, an extra condition applies. The extra condition is
    • care professionals are confident that someone is willing and able to pay the additional amount for the likely duration of your stay
    • the person paying the additional amount signs a written agreement to agree to pay it.

The care professionals working with you will identify at least one suitable provider. If the accommodation provider you want to choose does not have any availability, care professionals will work with you to identify a temporary arrangement to meet your needs.

What a temporary arrangement might look like depends on your needs; for example, it could mean going to a different care home while you wait. At the same time, you could be placed on the waiting list for your preferred accommodation provider. Care professionals will not be able to guarantee how long you might have to wait, but they will be able to give you an estimate, and help you think about your options while you wait. Temporary arrangements will be recorded in your care plan and reviewed.

Subject to conditions, you can choose accommodation outside North East Lincolnshire. Care professionals will work with you to understand why you are thinking about choosing accommodation somewhere else. For example, you might want to move nearer to family. Care professionals will work with you to decide whether a move is necessary to meet your needs, or is just something that you would like, but is not a need.

A personal budget amount is generally based on what it is likely to cost to meet your needs in North East Lincolnshire. In other areas of the country, it might cost more to meet the same needs. If you choose somewhere outside of the local area care professionals will take into account the costs of care in the area you want to live, but unless you need to live outside of North East Lincolnshire, the Council/ICB will usually still pay the amount that it would cost to meet your needs locally. This will mean that agreement must be reached about who will pay the additional cost of out of area accommodation.

Care professionals will work with you to think about the best way of meeting your goals in a way that is best value, both for you and for the ‘public purse’.

If you want to choose accommodation that is more expensive than the amount set out in your personal budget, agreement will have to be reached as to how the extra amount will be paid. The difference between your personal budget amount – the amount care professionals say it will cost to meet your needs – and the amount the accommodation provider wants to charge, is often called a ‘top-up’. The accommodation provider must make it clear what they want to charge and why, before you make your choice.

You can choose accommodation that costs more than the amount set out in your personal budget provided that someone is willing and able to pay the top-up for the length of time you’re likely to stay in the accommodation. The person agreeing to pay the top-up must also enter into a written agreement with the ICB and the accommodation provider.

It is usually a family member who agrees to pay the top-up. In limited circumstances, you may be able to pay the top-up yourself. You may be able to pay a top up yourself if:

  • you are subject to a 12-week property disregard (a property disregard means that the value of your home is disregarded – not taken into account – as part of a financial assessment. A disregard usually applies where your stay in a care home is temporary and you intend to return to your own home, or you don’t intent to return home and your home is lived in by your partner or some types of relative)
  • you have a deferred payment agreement with the Council/ICB, and the deferred payment agreement reflects the agreement on top-ups
  • you are receiving accommodation provided under s117 of the Mental Health Act 1983, for mental health aftercare.

You can find out more about financial assessments on our ‘Paying for Care‘ page. You can find out more about deferred payment agreements on our ‘Deferred Payment Agreement‘ page.

I have a general query about choosing accommodation. Who do I contact?

Speak to your case worker or social worker. If you are not sure who to contact, call the Single Point of Access on 01472 256256.

What if I’m not happy with how decisions about my accommodation have been made?

If you are not happy with the decision, you can contact the Experience Team by:

Telephone: 01904 555999

Email: [email protected]

Writing to: The Experience Team, North East Lincolnshire Health and Care, Municipal Offices, Town Hall, Grimsby, DN31 1HU