Should councils reopen care homes for older people?

Care home and for sale sign The care home which used to house Ann Dryden's mother was closed by the council and is now up for sale

Last year was a tough one for Ann Dryden and her mum Emeline.

Durham County Council decided it had to close Shafto House - the local authority care home that Emeline lived in.

Ann and other relatives campaigned against the decision, but to no avail.

What followed was a traumatic move. Emeline is in her 90s.

The good news was that she found another home in her native town of Newton Aycliffe with some of her friends from Shafto House. She has now settled in.

But the bad news - the home belongs to Southern Cross.

Private business

Given the financial problems facing the company, Ann Dryden says all the worry has begun again.

Start Quote

Once the profits go, how do they manage the care, will it be the same? It's just worrying”

End Quote Ann Dryden Daughter of Southern Cross client

She said: "I must stress my mum's taken very good care of in the home she's in, but it's like any business. It's a private business and it's for profit.

"Once the profits go, how do they manage the care, will it be the same? It's just worrying. I can't think what would happen if she had to move again. She's 93 now and quite frail."

Ann Dryden feels particularly let down by the county council.

She says her and other campaigners warned councillors that closing the homes would leave vulnerable older people relying on the private sector.

She takes no pleasure in feeling vindicated.

But as the Southern Cross crisis has demonstrated, while councils have a responsibility to find care for older people, they don't have to provide homes themselves.

Declining demand

And it's not just Durham which has been closing its local authority homes. In fact, it's one of the last councils in the North East to still have any.

Only Cumbria and North Yorkshire County Councils still have significant numbers of their own care homes.

Ann Dryden Ann Dryden believes councils are letting older people down by placing their care in the hands of private companies

Councils say there has been declining demand for places as more older people choose to stay in their own homes.

But there is also some economics at play.

Durham County Council says it was costing the authority up to a £1,000 a week to place an older person in its own homes.

In contrast, private care homes would charge the council a maximum of £480 to house the same client.

Social enterprises

Closures then also seem to make financial sense.

And despite the Southern Cross crisis, it doesn't look like we'll suddenly see local authorities rushing to reopen homes.

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Councils are setting a fee rate which is picked out of the air to suit their budget”

End Quote Simon Beckett Chairman, Wellburn Care Homes

But Cllr Nick Forbes, the leader of Newcastle City Council, does believe there needs to be change in the sector.

He wants to see not-for-profit charities and social enterprises encouraged to run care homes instead of private operators intent on making money.

But some private providers say any care crisis won't get any better unless councils take their responsibilities to older people more seriously.

They don't want to see them opening homes, but would like councils to pay fully for the cost of caring for the older people housed by the private sector on their behalf.

More money

Wellburn Care runs 14 homes across the North East and Yorkshire. Its chairman, Simon Beckett, says councils have been freezing or cutting payments to homes to save money.

He said: "Councils are setting a fee rate which is picked out of the air to suit their budget. It doesn't relate to the costs and margin necessary to do the job properly.

"In a 40-bed home with a third of people suffering from dementia, the underpayment can be more than £100,000, and that's a lot of money for one individual home to be short of."

Age UK says councils and the government need to find more money to rescue the care system from crisis.

It estimates that the government will be spending less on caring for older people in 2014, than was being spent in 2004. It says another £2bn to £3bn needs to be spent to prevent the system collapsing.

The Politics Show will be debating the future of care for older people at 11am on BBC1 on 26 June.

Richard Moss Article written by Richard Moss Richard Moss Political editor, North East & Cumbria

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  • rate this

    Comment number 4.

    The problems with Southern Cross has suggested to many that the profit motive has entered social care provision and that care should be undertaken by charities and councils.Many charities are effectively businesses with employees and have high costs as do councils. Small private operators are efficient and know that if they do not do the job properly they can lose their livelihood and investment.

  • rate this

    Comment number 3.

    An efficient private care home operator can provide good quality residential care for around the £500 to £700 per week that is charged to private clients. In Devon the cost for the local authority to provide care in their own homes is around £1100 per week compared to the maximum £391 paid by the council. Several DCC run homes have been recently criticised by CQC for poor standards.

  • rate this

    Comment number 2.

    Cumbria has frozen the fees paid to private care homes at 2009 levels. They claim they cannot afford to pay more to the private sector. Yet year on year the council has increased weekly fees paid to it own homes.This fee differential has nothing to do with meeting the needs of old people, getting best value or the real cost of residential care. It is all about protecting number one - the council.

  • rate this

    Comment number 1.

    The comment about councils choosing fee rates to suit their budgets is correct, it has nothing to do with the price of providing care. If it costs a council £1000/week to provide care, do they really think it can be done for £450 by someone else? Either councils are more inefficient than we believed or the fees are way too low. Older people deserve better.



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