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Daughterly Care Blog

On a Level 2 while waiting for your Level 4 Home Care Package?

If you are currently in receipt of a Level 2 Government Subsidised Home Care Package, which is $14,837.25pa pp worth of funding, but you were approved for, and are waiting for your Level 4 Home Care Package, which is $49,592.55 pa pp worth of funding, please read this important update as you need to call My Aged Care TODAY on 1800 200 422 to check you are wait listed for a Level 3 AND a Level 4 Home Care Package.

level 4 home care package live in elder carer

Want to know how much longer you need to wait for your Level 4 Home Care Package?

Now that My Aged Care has been operating their National Queue for Home Care Packages for 12 months, they have the data to be able to tell you the approximate waiting time until you will receive the Government Funded Home Care Package level you were approved for. Knowing this can help with your financial planning if you are supplementing your Government Subsidised Level 2 Home Care Package with your private money.

It’s ridiculous you have to do this…but to be sure, you do

This week, our Registered Nurse and Managing Director, Verlie Hall, visited a client’s wife.

When at the client’s home Verlie rang My Aged Care to find out how much longer our client has to wait for his Level 4 Home Care Package as he was “approved” over 12 months ago, but like so many high care Elderly clients he has only been “assigned” a Level 2.

My Aged Care to Verlie: Another 12 months.

Verlie to My Aged Care: That’s strange our client has already been waiting 12 months.

My Aged Care to Verlie: “would your client like to be wait listed for a Level 3 Home Care Package?”

Verlie to My Aged Care: Absolutely!!! Isn’t that automatic? We thought that if you have been approved for a Level 4, but only assigned a level 2, that you would automatically be offered a Level 3, if a Level 3 Home Care Package becomes available, prior to your level 4 Home Care Package becoming available?

My Aged Care to Verlie: No, if you want to be wait listed for a Level 3, while you wait for the Level 4, you have to tell us.

What? How do Elderly people know they have to do this? All these unwritten, unspoken, illogical rules!

Verlie to My Aged Care: If my client says she would like her husband to be wait listed for a Level 3 Home Care Package and a Level 4 Home Care Package becomes available, will she miss out on the Level 4 Home Care Package?

My Aged Care to Verlie: No.

Verlie to My Aged Care: So is there any disadvantage in my Level 2 Home Care Package client being wait listed for both a Level 3 and Level 4 Home care Package?

My Aged Care to Verlie: No.

Verlie to My Aged Care: Then, YES PLEASE!!

My Aged Care to Verlie: It will take 48 hours to filter through our system and your client can call again in 3 days to find out how many days until her husband will be assigned a Level 3 Home Care Package.

Unbelievable, but unfortunately true.

Your Action 1: I strongly recommend you ring My Aged Care today and ask them how many days you need to wait to be upgraded from your Level 2 Home Care Package to a level 3 or Level 4 Home Care Package. Ask them “is my spouse / parent waited listed for a Level 3 AND a Level 4, or just a Level 4? Tell them you want to be wait listed for both levels of Home Care Package.

If your spouse / parent has declined since they were assessed by the Aged Care Assessment Team (ACAT), tell My Aged Care how they have declined (had a fall, has incontinence) as this may uplift you, has become more anxious with their dementia and now constantly shadows you to feel safe in the world, which has increased your stress levels.

Your Action 2: Ring My Aged Care back 3 days later and ask them how many days you need to wait for a Level 3 Home Care Package and how many days you need to wait for a Level 4 Home Care Package. Let us know the answer by emailing your co-ordinator or services@daughterlycarecommunityservices.com.au

If you receive a letter offering you a HIGHER Home Care Package than you are already on…accept the offer immediately

You do NOT pay any extra Basic Daily Care Fee when on a higher Home Care Package.

Self Funded Elders do not pay any extra Income Tested Care Fee when on a higher Home Care Package.

So you will receive more hours of care and support for the same cost to you, therefore accept the higher package immediately. Every day you delay in accepting is a day’s higher funding forfeited by you.

If you have friends waiting for a higher Home Care Package, forward this page to them.

Any questions? Call your Daughterly Care Co-Ordinator or High Care Case Manager today on 02 9970 7333.

Links to very helpful Information:

Have you been approved (on the waiting list) or assigned (the funding is there and ready to start paying for services)? There is a lot of confusion by consumers as to whether they have Home Care Package or not – read this article to know for sure.

Can self-funded and part pensioners receive a Government Subsidised in Home Care Package? Yes they can – read this article to see the extra fees they pay

If I need extra support over and above my Government Subsidised in Home Care Package, what do I pay? This page has our private care fees.

Why would I choose Daughterly Care Community Services to administer my Home Care Package and provide my support services? 14 reasons to choose Daughterly Care and Meet 21 of our naturally warm and attentive Caregivers

Categories: Dementia|6 Comments

The Department of Health Incorrectly Withdrawing Home Care Packages

If you have a Government Funded Home Care Package please read this update.

Since the Department of Health upgraded their software a couple of months ago we have had 6 clients incorrectly notified by My Aged Care that their Home Care Packages has been withdrawn because they had NOT accepted their Home Care Package in time (within the 56 day limit). This made no sense to us as they HAD accepted the Home Care Package within the time limit and more importantly the Department of Health had been paying their Home Care Package Government Funding through Daughterly Care Community Services which was evidence that the client had accepted the Home Care Package within the time frame.

The email sent last Friday from the Department of Health acknowledges this is an industry wide problem.

department health incorrectly withdraws home care packages

Please know that we audit the Home Care Package payments received from the Department of Health each month to identify mistakes

Issues we identify are:

  • incorrect withdrawal of Home Care Packages;
  • underpayments of Home Care Package Government Funding; and
  • adjustments to Income Tested Care Fees (increases or decreases).

Where we identify that an error has been made by My Aged Care we proactively inform My Aged Care to get those issues resolved for you.

The fix (adjustment) will be in the NEXT monthly payment by the Government, or in the following month, if My Aged Care didn’t have time to fix it for the next monthly payment i.e.it can take a couple of months to get My Aged Care errors. By the way, when we complained to My Aged Care about this extra work for us and explained how upsetting it was for Elderly people to be told that their Home Care Package had been withdrawn, My Aged Care staff told us we were fortunate as other Approved Providers have had 60 clients’ Home Care Packages withdrawn incorrectly.

So if you receive any letters from My Aged Care stating your Home Care Package has been withdrawn – don’t ignore it – contact Nicole Hickey straight away or email services@dccommunityservices.com.au

If you receive a letter offering you a HIGHER Home Care Package than you are already on…accept the offer immediately 

You do NOT pay any extra Basic Daily Care Fee nor any extra Income Tested Care Fee to receive a higher Home Care Package – so you will receive more hours of care and support for the same cost therefore accept the higher package immediately.  Every day you delay in accepting is a day’s higher funding forfeited by you.   Sometimes we can tell on the portal that you have been offered a higher Home Care Package – other times, there is no notification to us – so it is safer to assume we have not been advised by My Aged Care and tell us as soon as the letter arrives by emailing services@dccommunityservices.com.au.

Our advice will always be to accept the higher package.

We are enjoying this rain as it has been such a dry winter.

Kate Lambert CEO and Co-founder Daughterly Care

Kate Lambert
B.Ec F.Fin

Daughterly Care CEO & Co-Founder

Categories: Dementia|4 Comments

Dementia Awareness Month 2017 – Art Improves Speech

Today with the arrival of Spring we celebrate new life. The arrival of Spring each year is also an opportunity for all Australians to grow in our personal understanding of the chronic illness dementia – the second leading cause of death amongst Australians. (1)

If every Australian improved their understanding of how to respect, connect with and enjoy life with people who have dementia – the quality of life would improve immensely for the 413,000 Australians living with dementia and their family carers.

“You are Not Alone”

For the second year in a row the theme is “You are Not Alone” precisely because people diagnosed with dementia and their carers (family members) do feel socially isolated. Fair-weather friends drop them. Even some family members see them less. It’s so very sad for both the person with a dementia and equally their carer because they really need the friendship, love and companionship of family and friends more than they ever have.

This month Daughterly Care is working harder than ever to “spring forth” a better understanding of dementia to reduce the stigma.

Daughterly Care is providing more and more opportunities for our clients with dementia to enjoy outings and social connection with their peers, whilst supporting them to remain living in their familiar, loved and comfortable homes. One example of this is our Club Connect Lunches overlooking Narrabeen Lake we hold every 2 weeks.

dementia elders club connect daughterly care

Daughterly Care’s Club Connect at Narrabeen Lake

The Archibald Art Exhibition dramatically improved the speech of a client with dementia

Last Friday we took 3 clients to the Archibald Art Exhibition. One lady is 55 years young with Younger Onset Dementia, and an artist, along with two older ladies in their 80s with different forms of dementia. One of the older ladies has aphasia. This means the part of her brain that allows her to choose and speak her words – is damaged, so she often cannot say what she knows she wants to say. People with aphasia are often treated as stupid or described as “gone” and excluded. We’ll call her Rose, not her real name, but this experience I describe is 100% real.

I know from the Club Connect Lunches I have had with Rose that she understands the conversations being spoken to her and in her company. Rose understands what is being said but mostly can’t find her words so has limited verbal participation in a social setting.

The effect the Archibald Art Exhibition had on Rose was mind blowing!

When Rose returned from the Archibald she couldn’t stop talking!

Rose’s High Care Case Manager Suzie, Live in Carer and I were overjoyed to witness Rose talk for over 30 minutes non-stop.

Rose:

✓ initiated conversation with us;

✓ spoke in whole sentences;

✓ expressed herself perfectly;

✓ answered questions perfectly;

✓ was joyful; and

✓ appeared to have improved self esteem.

Rose told us this was her favourite art piece from the Archibald.

dementia art archibald 2017 daughterly care

Interestingly of the 3 clients we took – Rose was the only one who intensely listened and enjoyed the 60 minute Art Lecture. The other 2 clients felt overwhelmed by all the words – so our Caregivers walked them around the Archibald Exhibition and they enjoyed the art, one on one. Whereas Rose enjoyed the intellectual stimulation of the lecture. Whilst the lecture was especially for people living with dementia – the lecture was not simplified and in fact other people in the Art Gallery stopped to listen too.

anh do art archibald dementia

Winner of the ANZ People’s Choice Award, Anh Do for his portrait of Indigenous actor Jack Charles, 2017 Archibald Prize.  ‘Jack’s face is full of character,’ says Do. ‘I wanted the painting to capture his gravitas but also the loneliness that has been his constant companion. I mixed wet and semi-dried paint to create a texture that would evoke mountains and waterfalls, tree bark, fallen leaves, clouds and rain to encapsulate the beauty of the Australian landscape inside this beautiful man’s face.’

What was even more pleasing was that Rose continued to talk really well the following day to her daughter!

Look at this email Rose’s daughter sent us:

Hi Suzy,

Thank you so much for organising the tickets, and transport, for Mum to attend the Archibald last Friday.

By all accounts it was a wonderful experience and Victoria reported just how stimulated Mum was both during the excursion and afterwards. I noticed the same on Saturday morning, she was not only excitedly talking to me about the exhibition but also generally more cognisant.

I really appreciate this opportunity given to Mum by Daughterly Care, please pass my thanks to Kate as well.

In our experience, people with a form of dementia are never “demented” as I heard a member of the public describe someone last week. Words like “demented” have to be banned – they show the ignorance of the person who use them and they are so very demeaning.

People are never “gone”. Their essential spirit remains. They retain their human dignity and it is we, the people without dementia, who must use our intelligence and abilities to try harder to understand and connect with and assist them to live joyfully, despite the challenges of their dementia diagnosis.

Please post this link on social media or send a link to this blog to a family member or friend who would benefit from a better understanding that dementia is complex and often unique to each person. The best support you can provide is to continue to be there for the person with a dementia and their care partner.

Kylie Kate Lambert Daughterly Care co-founder and Home Care Package expert

Kate Lambert
B.Ec F.Fin

Daughterly Care CEO & Co-Founder

Sources:

https://nsw.fightdementia.org.au/nsw/about-us/media/key-facts-and-statistics

Categories: Dementia|10 Comments