Dementia and care homes-Dementia guide
A person with dementia will need more care and support as their symptoms get worse over time. This may mean that a move into a care home can better meet their needs.
If you have been helping someone live independently with dementia or are a carer, this can be a hard decision to make.
But it's important to remember that there can be many positive aspects to moving into a care home.
These include:
- 护理人员24小时的支持
- knowing that the person with dementia is in a safe place
- social activities with other residents
决定搬进养老院
Sometimes the person themselves can make the decision. But the person with dementia often lacks the ability to decide (mental capacity).
如果您或其他人具有持久的授权书，只要符合他们的最大利益，就可以为患有痴呆症患者做出决定。
Read more about管理痴呆症患者的法律事务.
Try to talk to the person with dementia about their preferences regarding care in a home, even if they lack the capacity to make a decision over what care home is best for them.
First steps: getting an assessment
The first step towards choosing a care home is to get a new needs assessment from social services.
如果评估表明护理院将是最好的选择，那么下一步是财务评估（手段测试）。
The financial assessment will show if the council will pay towards the cost of a care home.
In most cases, the person with dementia will be expected to pay towards the cost.
Social services can also provide a list of care homes that should meet the needs identified during the assessment.
你可以apply for a needs assessment by social services on GOV.UK.
The different types of care home
有两种主要类型的护理之家：
- 住宅护理院
- nursing homes
Some care homes offer both residential and nursing care places.
Care homes can be run by private companies, voluntary or charitable organisations, or sometimes by local councils.
两种类型的护理之家都应该接受痴呆症护理的培训。
Residential homes
These provide personal care, such as help with:
- 洗涤
- dressing
- taking medicines
- 去厕所
These are sometimes called care homes without nursing.
疗养院
这些提供了个人护理以及合格护士的24小时护理。这些有时被称为护理院。
选择护理之家的提示
最新的护理质量委员会（CQC）报告是最重要的事情之一。您可以在CQC find a care home directory.
The CQC regulates all care homes in England. Its inspection reports can show you how well a care home is doing and any areas of concern.
访问护理院时，请花时间环顾四周并与经理以及其他员工和居民交谈。
It's useful to take a friend or relative with you as you can compare notes after your visit.
在访问护理院之前，最好制作自己的清单。这些技巧可能会有所帮助。
地点
You may already know of a care home through personal recommendation or from social services.
检查以下内容：
- Is the care home near family and friends?
- Are there good transport links?
- 附近是否有商店，休闲设施和咖啡馆？
Facilities
It's a good idea to ask to see a couple of bedrooms, as long as current residents are happy with this.
其他要考虑的事情：
- Can residents have their own room, with space for their own furniture and possessions?
- 在卧室和居住空间的易于范围内是否有足够的厕所？
- Is there a garden where residents can walk safely?
- 是否在起居区分组安排椅子来鼓励社交而不是在房间的边缘周围进行社交？
- Will the home meet specific religious, ethnic or cultural needs?
- Are residents' food likes and dislikes catered for?
员工
检查房屋的经理是否安排了对潜在居民的护理评估，以确保它可以满足他们的需求。
其他要考虑的事情：
- 所有员工都接受过痴呆症护理的培训吗？
- Do staff seem interested and caring?
- Is there a full-time activity co-ordinator specialising in dementia-friendly activities?
- Do the staff hold regular relatives' meetings?
- Is the home accredited under the Gold Standards Framework for end of life care?
你可以寻找金标准框架网站上认可的护理院.
The residents
跑步良好的护理之家的一个好兆头是居民看起来很高兴和反应灵敏。
其他要考虑的事情包括：
- Are residents treated with dignity and respect by staff?
- 他们可以随时随地有访客吗？
- Are there regular residents' meetings?
- Have they got access to community health services, such as chiropodists and opticians?
- 您能否继续以某种方式帮助您的亲戚，也许可以帮助他们进行活动？
Read more about护理院以及何时来自阿尔茨海默氏症社会的合适时间.
Paying for a care home
谁付钱将取决于个人情况。
If you're entitled to local council funding, the council will set a personal budget. This will set out the overall cost of a care home, what the council's contribution will be, and what you'll have to pay.
The council must show there's at least 1 suitable care home available at your personal budget level.
If you choose a care home that's more expensive than the council considers necessary, top-up fees may have to be paid.
如果患有痴呆症的人没有资格获得理事会资金，他们将不得不支付养老院的全部费用（称为自筹资金）。
NHS持续医疗保健和NHS资助的护理
If the person with dementia has complex health and care needs, they may be eligible for NHS continuing healthcare. This is free and is funded by their local integrated care board (ICB).
痴呆症的诊断并不一定意味着该人将有资格获得NHS持续医疗保健。
那些没有资格继续医疗保健，但已被评估为在疗养院需要护理的人可能有资格获得NHS资助的护理。
这意味着NHS将为其护理费用付出贡献。
找出more aboutNHS继续医疗保健和NHS资助的护理.
Read about在英国时代网站上支付住宅护理.
获得帮助和建议
选择一个护理院并了解不同的资金选择并不容易。
慈善机构和志愿组织可以提供宝贵的帮助和建议：
页面上次审查：2022年4月14日
Next review due: 14 April 2025