Care home fees for older person care

Please find the following request for information under the Freedom of Information Act:

Please Note
– The format below has been drafted to ensure all authorities can provide a response in respect of their care home fees for older person care.
– This Freedom of Information request seeks data that the local authority may also be supplying through Annex A of the Market Sustainability and Improvement (MSIF) submission in May 2023.

Q1) Please provide your 2023 to 2024 weekly base fee rates for the following care types along with a copy of your fee uplift letter sent to care providers at the time the uplift was applied:

A. Nursing (Excl. FNC) – £414 + personalised hours at £14.16 per hour
B. Nursing with Dementia (Excl. FNC) – £414 + personalised hours at £14.16 per hour
C. Residential (without nursing) – £396 + personalised hours at £14.16 per hour
D. Residential (without nursing) with Dementia – £396 + personalised hours at £14.16 per hour

The care uplift letter can be seen at: Letter

Q2) Please provide your average weekly fee rate (being the average weekly fee paid during the period 1st April 2022 to March 31st 2023 ) for the following care types:

A. Nursing (Excl. FNC) : £1,047
B. Nursing with Dementia (Excl. FNC) : £1,149
C. Residential (without nursing) : £866
D. Residential (without nursing) with Dementia : £894

Q3) Please provide your provisional average weekly fee rate (calculated consistently with the rate in the question above) for the period 2023-2024 for the following care types:

A. Nursing (Excl. FNC) : £1,139
B. Nursing with Dementia (Excl. FNC) : £1,262
C. Residential (without nursing) : £970
D. Residential (without nursing) with Dementia : £999

Q4) Please confirm if your authority requires or provisions for care providers to pay care staff a rate higher than the National Living Wage and outline the support on offer to do so.

Devon County Council provisions for providers to pay higher, but we do not require it contractually

For clarification the request did not contain a question 5.

Q6) Based on your local authority calculation of the Fair Cost of Care submitted in March 2023 to the DHSC, please confirm the rates your authority deems applicable for the period 2023 to 2024 for:

A. Nursing (Excl. FNC) – £414 + personalised hours at £14.16 per hour
B. Nursing with Dementia (Excl. FNC) – £414 + personalised hours at £14.16 per hour
C. Residential (without nursing) – £396 + personalised hours at £14.16 per hour
D. Residential (without nursing) with Dementia – £396 + personalised hours at £14.16 per hour

Q7) Please share a copy of the Market Sustainability Improvement Fund Initial Metric Reporting Template (May 2023) submitted to the DHSC as stated in the following guidance: Market sustainability

We do not hold a template published to the DHSC.  The authority is not required to publish a template.

Q8) For the period 1st April 2022 to 31st March 2023, please provide the number of individual residents, where their contracts for the provision of Older Person Services for both residential care and nursing care were either terminated by the care provider, handed back by the care provider, or were renegotiated due to the threat or notice of termination/handing back was made by the care provider. You should provide the number of residents this applies to and the number of care providers.

Due to care home providers taking decision to close homes and terminate contracts
Number of individual residents : 37
Number of care home providers : 2