Adult Social Care Charges and Rates Payable 2021-22 - Date April 2021

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Adult Social Care
Charges and Rates Payable
2021-22

Date April 2021
Information Classification: CONTROLLED

Current document status
Version                                   Approving body           Cornwall Council.
                  1
                                          Date of formal
Date              April 2021              approval (if             N/A
                                          applicable)
                  Document should be
                  reviewed annually or
                  at any time when a
Review
                  contract changes        Review date              April 2022
Occurrence
                  resulting in a change
                  in fees.

Version history
Date              Version                 Author/Editor            Comments

April 2021        0.9

Document retention
Document retention period            5 years in hard and electronic copies.

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Summary
This information booklet sets out Adult Social Care charges for Cornwall.
All charges are reviewed annually with the exception of interest rates on
deferred payments which are adjusted every 6 months.

This booklet is available in alternative formats and can be explained in other
languages.
You can contact us at:
Contact Number – 0300 1234 131
Email – accessteam.referral@cornwall.gov.uk

Adult Social Care & Health Directorate New County Hall
Truro
Cornwall Council TR1 3AY

April 2021

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Charges for Adult Social Care
Contents
Paying for Care - ………………………………………………………….……….…………Page 5

Arrangement fee for Self Funders - ………………………………………………….Page 5

Charges for Care at Home and Supportive Lifestyles - ………………….....Page 5

Standard charges for Care at Home and Supportive Lifestyles - ……....Page 6

Shared Lives - ……………………………………………………..……………………………Page 6

Day Care Charges for in House Services - ………………..…………………….…Page 7

Meal Charges -………………………………………………………………………………….Page 7

Residential Care - …………………………………………………………………………….Page 8

Deferred Payments - ……………………………………………………………………….Page 9

How to get in touch - ………………………………………………………………………Page 10

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Paying for Care
Adult Social Care services are not free

The amount you pay for care will vary depending on your individual situation
and your financial circumstances. You may have to pay for all of the costs, or
you may be able to apply for financial assistance. If you apply there is a financial
assessment process to determine how much you will have to pay.

More information can be found here: Paying for care

This document sets out the usual charges for care. These charges will apply in
full for people paying full cost of care. This will usually be people with capital in
excess of £23,250, but for further details, please refer to our charging policy. For
people who receive financial assistance the cost will be capped at the level of
their assessed charge as determined by their financial assessment.

Arrangement Fee for Self-funders

If you have to pay the full cost of your care, you can still ask the Council to
arrange the care for you.
Where we arrange services on your behalf, we will charge a fee which covers
the cost of doing this. The care and supports statutory guidance allows us to do
this.
The arrangement fee is £300. This will be charged the first time we arrange a
care package for you. We will charge a further fee of £300 if you require a
significant change to your care package.

Examples of a significant change include:
- A change to the type of care
- A change in provider
- A change requiring negotiation/renegotiation in cost

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Charges for Care at Home and Supportive Lifestyles
Charges can vary between Care providers. If you ask the council to arrange your
care, we will negotiate the price with the provider. Costs are variable between
providers, however, there is a usual maximum price for services arranged by the
Council, though occasionally the cost may be higher than this, for example for a
specialist service.

Standard Charges for Care at Home and Supportive
Lifestyles

The usual maximum price for packages        2021/22 The usual maximum
(2021/22) are as follows:                   price (new package)
                                            (£/hr)
Care at Home (Day Rate)                     £20.92
Care at Home (Waking Night rate)            £16.68
Supportive Lifestyles (Core)                £16.68
Supportive Lifestyles (1:1)                 £18.35
Supportive Lifestyles/Home Care (Night
                                            £12.33
Rate-Sleep in)
Supportive Lifestyles (Waking Night rate)   £16.68

Shared Lives
Shared Lives is a scheme where adults with support needs live with a family who
provide board, lodgings and support.

If you are supported through Shared Lives, you are responsible for the cost of
rent, food and utilities. You will pay these costs directly to Shared Lives South
West. You may be entitled to Housing Benefit for help with rent, but will need
to pay for food and utilities from your own income. These costs will be set out
in the Shared Lives agreement.

Any help with the cost of support provided to meet your eligible care needs will
be assessed following an application for financial assistance.

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Shared Lives is also used by some individuals to provide respite care (Short
breaks).

Care Element                 Weekly Cost
Long Term Provider Fee         £87.11
Long Term Band 1              £166.16
Long Term Band 2              £219.53
Long Term Band 3              £271.89
Long Term Band 4              £362.52
Short Break A                   £8.81
Short Break B                  £10.37
Short Break Special            £11.93
Short Break Provider Fee        £3.02
Overnight A                    £64.30
Overnight B                    £79.86
Overnight Special              £95.41
Overnight Provider Fee         £11.06

Day Care Charges
A standard charge applies for day care provided by Cornwall Council. Day care is
usually available in half day or full day sessions, with a full day being
approximately 6 hours.
Cornwall Council provides day care through a number of different external
providers as well as some in house services each charges different rates.

The rates for 2021-22 are:

Prices for a whole day session usually range from around £27 to £67 with the
average being approximately £40, occasionally the cost may be higher than this,
for example for a specialist service.

Meals Charges
Cornwall Council will charge the full cost of any meal provided as part of a care
package. Meals are individually commissioned and prices may vary.

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Care Homes
The Council and the NHS have a contract for the provision of care home
services. If you ask the council to arrange your care, we will agree the price for
your placement with the provider on a case by case basis. This will be based on
the hours of care required to meet your individual assessed needs (the Tier) and
the price will usually be within the Expected Range set out below. Sometimes
the Council will not be able to source the care you need within this Expected
Range and in this situation the Council will negotiate the price on your behalf.
We will always look to find the best value for money placement that can meet
your assessed needs and the price you pay will be the actual price paid by the
Council for your placement.
Residential Care Home Placements (care home without nursing)

Nursing Care Home Placements (care homes with nursing)
Where a person has been assessed by an NHS professional as having nursing
needs, the NHS make a payment of £187.60 per week towards the cost of your
care. This is known as the NHS funded nursing care (FNC) rate. The Expected
Range for nursing care below includes the amount of the FNC. The Council pays
the care home provider the weekly fee below minus FNC amount and the care
home provider will claim the FNC directly from the NHS.

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Deferred Payments
A deferred payment agreement is a form of loan arrangement with the Council
for people in residential nursing care who have been assessed to pay the full
cost of their care. The loan is secured against the persons property.
See our Deferred Payments Policy and Deferred Payment Leaflet for further
information.
The charges are currently:
Valuation                                                    £250.00
Obtain office copy of land register and title plan           £6.00*
Deferred Payment Assessment and process                      £27.40
request (inc postage)
Contract administration (inc postage)                        £10.71
Legal processing fees (registered property only)             £38.08
Legal processing fees (unregistered property only)           £57.11
Property search (registered land)                            £3.00*
Land Charge search unregistered land                         £2 per name
                                                             £20.00 (values of £0 - £100,000)
                                                             £30.00 (values of £100,001 - £200,000)
 Land registry fees (registered property) in accordance with
                                                             £40.00 (values of £200,001 - £500,000)
          the Equity limit (delivered Electronically)
                                                             £60.00 (values of £500,001 - £1,000,000)
                                                             £125.00 (values of £1,000,001 +)
                                                             £20.00 (values of £0 - £80,00)
                                                             £40.00 (values of £80,001 - £100,000)
  Land registry fees (unregistered property) in accordance £95.00 (values of £100,001 - £200,000)
       with the Equity limit (delivered Electronically)      £135.00 (values of £200,001 - £500,000)
                                                             £270.00 (values of £500,001 - £1,000,000)
                                                             £455.00 (values of £1,000,001 +)
Aditional set up charge - Further Valuations                                                        £250.00
Additional statements upon request* (incl postage)                                                   £12.05
Redmption fees
Calculate redemption                                                                                 £12.05
Undertaking re charge removal*                                                                        £4.23
Legal Fees (inc removal of charge)                                                                   £12.69
Adminstration (inc postage)                                                                           £5.56

Deferred Payments Interest charges
Interest is charged at the rate set by the Department of Health and Social Care.
This is currently:
01/01/2021 - 30/06/2021 (incl) at 0.45% (compounded daily) – link to interest
charges

The interest rate is reviewed twice-yearly by the Department of Health and
Social Care in January and July.

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How to get in touch with us
If you would like to get in touch, or if you would like this information in
another format, you can contact us on:

www.cornwall.gov.uk
Contact number – 0300 1234 131
Email – accessteam.referrals@cornwall.gov.uk

Please consider the environment. Only print this document if it cannot be sent
electronically.

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