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What now for deprivations of liberty?

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Council to review its procedures after LGO criticism in deprivation of assets case

A county council has agreed to review its procedures and guidance for staff on how to deal with cases where deprivation of assets may have occurred, after the Local Government and Social Care Ombudsman concluded that it had wrongly decided that an elderly woman had spent her money to avoid paying care fees.

The background to the case was that the woman concerned was 80 when she entered the care home after she was hospitalised with a stroke in 2007.

She sold her home to pay for her care, but carried on making regular gifts to relatives, as she had done before she suffered the stroke.

The family paid the full cost of the woman’s care home placement from her assets until January 2015 when her capital fell below the financial threshold.

North Yorkshire County Council assessed the woman and said it was appropriate for her to stay in her care home, and agreed to pay the full care costs.

However, when the council carried out a review of the woman’s finances, it decided she had deliberately reduced her money - called ‘deprivation of assets’. It terminated the contract with the care home and stopped making payments.

The LGO said the woman remains in the home and pays all her monthly income towards the fees, but this does not cover the full cost.

The home has recently written to her as she owes £30,000, saying it will take ‘further action’ if the debt is not paid.

The Ombudsman’s investigation found the council did not complete a full financial assessment and instead decided all the money the woman had gifted had been capital.

The council did not provide any evidence to show how it considered the gifts were made with the intention of avoiding care charges, the LGO added. The woman paid the full amount of her care for nine years and more than 70% of her money has been spent on care home fees.

The Ombudsman recommended that North Yorkshire should:

  • apologise to the woman’s daughter for its failure to complete a financial assessment and failure to evidence why it considered the gifted money was done with the intention of avoiding care charges
  • pay the daughter £250 to recognise the distress caused
  • complete a financial assessment of the mother based on her circumstances in January 2015, including whether any deprivation of capital occurred and repay any money resulting from this reconsideration
  • review the mother’s current financial situation and look at how her debt to the care home could be reduced or settled to avoid her placement being put at risk
  • review its procedures and guidance for staff on how to deal with cases where deprivation of assets may have occurred.

Local Government Ombudsman, Michael King, said: “While I appreciate councils need to make difficult, nuanced decisions about whether people have deliberately reduced their assets, the guidance does state people with care needs are free to spend their money as they see fit.

“Just because someone might be living in a care home, it does not mean they should not be able to spend their money on things other than their care, and this includes continuing to give gifts to friends and family.

“Given the woman’s prognosis when she entered the home, and after paying for her care for nine years, it is hard to see how the council concluded every penny she gave away was done with poor intentions.”