{"id":25789,"date":"2023-04-04T14:36:34","date_gmt":"2023-04-04T13:36:34","guid":{"rendered":"https:\/\/www.devon.gov.uk\/care-and-health\/?post_type=dcc_docs_document&#038;p=25789"},"modified":"2026-01-13T11:20:29","modified_gmt":"2026-01-13T11:20:29","slug":"financial-top-ups-for-residential-care-policy-guidance","status":"publish","type":"dcc_docs_document","link":"https:\/\/www.devon.gov.uk\/adult-social-care\/document\/financial-top-ups-for-residential-care-policy-guidance\/","title":{"rendered":"Financial Top Ups for Residential Care \u2013 Policy Guidance"},"content":{"rendered":"\n<p>\/<\/p>\n\n\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column doc-aside is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<aside class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Contents<\/h2><nav><ul><li class=\"\"><a href=\"#1-background\">1. Background<\/a><\/li><li class=\"\"><a href=\"#2-2-making-arrangements-for-an-additional-top-up-payment\">2. Making arrangements for an additional top-up payment<\/a><\/li><li class=\"\"><a href=\"#policy-details\">Policy details<\/a><\/li><\/ul><\/nav><\/div>\n\n\n<\/aside>\n\n\n\t<div class=\"dcc-documents-cpt-fixed dccdocs-sticky dccdocs-hidden\">\r\n    <div class=\"grid-container\">\r\n        <div class=\"grid-x grid-margin-x\">\r\n            <div class=\"cell medium-12\">\r\n                <a class=\"back-to-top hide-for-print\" href=\"#content\"><svg class=\"app-c-back-to-top__icon\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13\" height=\"17\" viewBox=\"0 0 13 17\"><path fill=\"currentColor\" d=\"M6.5 0L0 6.5 1.4 8l4-4v12.7h2V4l4.3 4L13 6.4z\"><\/path><\/svg> Contents<\/a>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\t<\/div>\r\n<\/div>\n\n\n\n<div class=\"wp-block-column doc-content is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"1-background\">1. Background<\/h2>\n\n\n\n<p>1.1 This guidance relates to accommodation types specified in the Care Act 2014:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Residential or Nursing Care.<\/li>\n\n\n\n<li>Shared Lives schemes.<\/li>\n\n\n\n<li>Supported Living accommodation.<\/li>\n<\/ul>\n\n\n\n<p>1.2&nbsp;This includes the provision of aftercare under Section 117 of the Mental Health Act where a person has been detained in hospital for treatment.<\/p>\n\n\n\n<p>1.3 An additional payment (top up) is when extra money is needed to fund the difference between the value of your social care personal budget and the cost of your chosen accommodation. The payment may be required where your chosen accommodation costs more than the amount in your personal budget.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"2-2-making-arrangements-for-an-additional-top-up-payment\">2. Making arrangements for an additional top-up payment<\/h2>\n\n\n\n<p>2.1 When developing a support plan with you, we will provide you with a social care personal budget. This will be sufficient to meet your eligible care and support needs.<\/p>\n\n\n\n<p>2.2&nbsp;If you are receiving a support service in the community or in your own home and you wish your needs to be met at a cost above that agreed in your personal budget, you will need to enter into a private agreement with a service provider for any additional costs. Legislation prevents us from accepting a top up from an individual for care and support being delivered in the community or in a person\u2019s own home.<\/p>\n\n\n\n<p>2.3&nbsp;When support is to be met in specified accommodation as listed above, you have the right to choose accommodation that is suitable and available at the cost the authority has agreed in your personal budget.<\/p>\n\n\n\n<p>2.4&nbsp;If we can arrange support in the specified accommodation at the cost the authority has agreed, but you have chosen a service provider which costs more, we can arrange your chosen accommodation if an additional payment (top up) can be made, as long as the provider agrees to deliver the care under DCCs usual terms and conditions.<\/p>\n\n\n\n<p>2.5&nbsp;The top up must be paid by someone else (such as a third party) from their own income and\/or savings; or you can make the top up if:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>your property is being disregarded in the first 12 weeks of staying in a care home<\/li>\n\n\n\n<li>you have entered into a Deferred Payment Agreement with us<\/li>\n\n\n\n<li>you are receiving aftercare under Section 117 of the Mental Health Act funded by the NHS<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"policy-details\">Policy details<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><th scope=\"row\">Version<\/th><td>3.0<\/td><\/tr><tr><th scope=\"row\">Strategic Owner<\/th><td>Deputy Director of Integrated Adult Social Care (Operations)<br>Deputy Director of Integrated Adult Social Care (Commissioning)<\/td><\/tr><tr><th scope=\"row\">Business Owner<\/th><td>Head of Client Financial Services<\/td><\/tr><tr><th scope=\"row\">Author<\/th><td>James Martin, Policy and Executive Support Manager<\/td><\/tr><tr><th scope=\"row\">Date of Approval and Commencement<\/th><td>April 2015<\/td><\/tr><tr><th scope=\"row\">Last review date<\/th><td>December 2025<\/td><\/tr><tr><th scope=\"row\">Last reviewer<\/th><td>James Martin, Policy and Executive Support Manager<\/td><\/tr><tr><th scope=\"row\">Next review date<\/th><td>December 2027<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"document-meta-acf-block clearfix \" id=\"block_acf-block-69662a7a9bdbc\"><div class=\" dcc-documents-meta\"><div class=\"dcc-documents-widget dcc-documents-widget-block\"><div class=\"dcc-documents-widget-box2\"><p class=\"dcc-documents-published\"><span>Published<\/span> <time datetime=\"2023-04-04T14:36:34+00:00\">04\/04\/2023 2:36pm<\/time><\/p><p class=\"dcc-documents-updated\"><span>Last Updated<\/span> <time datetime=\"2026-01-13T11:20:29+00:00\">13\/01\/2026 11:20am<\/time><\/p><\/div><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\/ 1. Background 1.1 This guidance relates to accommodation types specified in the Care Act 2014: 1.2&nbsp;This includes the provision of aftercare under Section 117 of the Mental Health Act where a person has been detained in hospital for treatment. 1.3 An additional payment (top up) is when extra money is needed to fund the [&hellip;]<\/p>\n","protected":false},"author":1801,"template":"","meta":{"_acf_changed":false,"_links_to":"","_links_to_target":""},"documents_category":[],"class_list":["post-25789","dcc_docs_document","type-dcc_docs_document","status-publish","hentry"],"acf":{"updated":"","dccdocs_documents":null,"section-guidance":"","sections":null},"publishpress_future_action":{"enabled":false,"date":"2026-05-01 22:15:27","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"dcc_docs_category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/documents\/25789","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/types\/dcc_docs_document"}],"author":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/users\/1801"}],"version-history":[{"count":4,"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/documents\/25789\/revisions"}],"predecessor-version":[{"id":47955,"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/documents\/25789\/revisions\/47955"}],"wp:attachment":[{"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/media?parent=25789"}],"wp:term":[{"taxonomy":"dcc_docs_category","embeddable":true,"href":"https:\/\/www.devon.gov.uk\/adult-social-care\/wp-json\/wp\/v2\/documents_category?post=25789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}