Just been through all this with my mum. It’s very complicated and only applies if, for whatever reason , the council is paying towards fees( which may be because the person has no money , which means the Council won’t get it back, or as part of a “ deferred payment “ scheme where they are paying for the care now, but will recoup it in due course). A “ top up fee” is the difference between what the council will pay for care and what the care home charges. Some homes just charge the basic fee, many others charge a top up fee. That is deemed to be the family’s responsibility and can’t be paid by the person who needs care.
Please hold my dear GD in your heart for a few days.
Struggling with estrangement from 2 adult children and dont know where to go from here.


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