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Adult social care fees and charges

 


 

Capital limits for care   Back to top

The annual Department of Health social care - charging for care and support circular sets out each year’s capital limit.

This is the limit of:

  • savings
  • property
  • other assets that a person has

Above this they will be required to pay the full cost of their care (for example, they are a self-funder).

Current limit 

The national limit for residential care is currently £23,250. From 1 April 2019, this limit has also been adopted by us for non-residential care services.

There are also lower limits set. If the person has:

Capital below £14,250

This capital is fully disregarded.

Capital between £14,250 and £23,250

A tariff income charge is set of £1 per week for every £250 (or part of £250) above the £14,250 limit.

 Please note

The capital limits above apply to adult social care only.

Different values for capital limits and tariff income are used by the Department of Work and Pensions (DWP) for certain means tested benefits such as:

  • Universal Credit
  • Income-based Jobseekers Allowance
  • Income-related Employment and Support Allowance
  • Income Support
  • Pension Credit
  • Housing Benefit
  • Council Tax Support

 


 

The personal expenses allowance (PEA)   Back to top

The annual 'social care - charging for care and support' circular also sets out the value of this allowance each year.

It ensures that people in council-funded residential care are left with a minimum amount of income left after their care charges to spend as they wish on personal expenses.

The basic rate is currently £24.90 per week.

 


 

The minimum income guarantee (MIG)   Back to top

The annual 'social care - charging for care and support' circular also sets out the value of this guarantee each year.

It ensures that any person who receives council-funded care in a non-residential setting has enough money left after their care charges to meet basic needs and to cover everyday living costs:

Single adults
Allowance18 – 2425 – Pension AgePension AgeLone Parent

Not entitled to any premium

£72.40

£91.40

£189.00

£91.40

Entitled to CP

£115.65

£134.65

£232.25

£134.65

Entitled to DP

£112.75

£131.75

N/A

£131.75

Entitled to DP + CP

£156.00

£175.00

N/A

£175.00

Entitled to DP + EDP

£132.45

£151.45

N/A

£151.45

Entitled to DP + EDP + CP

£175.70

£194.70

N/A

£194.70

 

Couples
AllowanceUnder Pension AgePension Age

Not entitled to any premium

£71.80

£144.30

Entitled to CP

£115.05

£187.55

Entitled to DP

£100.55

N/A

Entitled to DP + CP

£143.80

N/A

Entitled to DP + EDP

£114.70

N/A

Entitled to DP + EDP + CP

£157.95

N/A

  • DP = Disability Premium
  • CP = Carers Premium
  • DP = Enhanced Disability Premium

Children

For each child the adult is responsible for that is a member of the same household, there is an additional allowance of £83.65.

 


 

The savings credit disregard   Back to top

The annual 'social care - charging for care and support' circular also sets out the value of this allowance each year.

It is given to people who qualify for council-funded care and who receive state savings credit. The allowance allows such people to be left with additional income over and above the PEA or the MIG after paying their care charges.

The allowance is currently up to:

  • £5.75 per week for individual supported residents
  • £8.60 per week for couples

 


 

Disposable income allowance for deferred payment agreements   Back to top

The Care Act 2014 states that councils must allow a client to keep a minimum amount of income each week if they enter into a deferred payment agreement with the council.

This disposable income allowance is intended to allow enough money to pay for any additional costs the client might have to continue paying for their home.

The allowance is currently £144 per week.

 Please note

Clients may opt to keep less than this sum if they wish.


State age and disability benefits   Back to top

Rates payable from 1 April 2021 are available on the DWP website


 

Guideline charges for services in Staffordshire   Back to top

These are set out below to allow clients, relatives and social care practitioners to identify the relative costs of different care service types when planning care services.

These costs are required by law to be no more than the actual cost of the service to us, not a maximum or average:

  • these rates are generally revised each April and are the rates that are paid to providers or are included in a direct payment for each type of service
  • these are also the rates that will be charged to clients who are assessed as liable to pay the full cost of their service, (unless there are multiple provider rates for a type of service, in which case we use the lowest rate to recharge clients)
  • many clients will pay less than this (some nothing at all) because their assessed financial contribution is less
  • the rate for some services, such as residential or nursing care, varies significantly between different providers, so cannot be listed here. The charge to clients for such services will be notified individually

Examples of what a service might cost us and how much the client would contribute

Mrs X is assessed as able to pay (based on her income) a 'maximum charge' of £200 per week.

  • If she is allocated 10 hours of home care per week to meet her care needs, this will cost the council £178.60 per week (10 hours at £17.86). Mrs X’s financial contribution will be for the full cost of her service, i.e. £178.60 per week.
  • If she is allocated 15 hours of home care per week to meet her care needs, this will cost us £267.90 per week (15 hours at £17.86), then her financial contribution will be capped at her maximum, i.e. £200 per week, and we will fund the remaining £67.90 per week.

Mr Y is assessed as able to pay (based on his income) a 'maximum charge' of £75 per week

  • If he is allocated a direct payment of £20 per week, his financial contribution will be for the full cost of the direct payment.
  • If his direct payment is then increased to £150 per week, his financial contribution will be capped at his maximum, i.e. £75 per week, and we will fund the remaining £75 per week.

Ms Z is assessed as not liable to pay any contribution based on her income

  • Whatever service is allocated to Ms Z, she will not be asked to pay any contribution unless her income changes.
Answer:

Reablement care provided by LIS Home First or Nexxus

  • Free service with no contributions for up to 6 weeks

After first 6 weeks

  • If the client choses to remain with these services, they would be liable for charging based on the actual cost;
    • Guideline charge: £32.59 an hour
Answer:

Flexible care and support provided through specialist housing schemes (including individual support fund)

  • Extra care: £16.12 per hour
  • Supported and assisted living (for older people / physical disability - Chestnut house): £15.31 per item
  • Supported and assisted living (learning disabilities / mental health): 
    • Hourly reference rates: between £14.72 and £15.87
    • Sleep in rates: between £81.60 and £91.02 per night
  • Individual support fund supported living (only for learning disabilities): 
    • Hourly reference rates: between £14.72 and £15.87
    • Sleep in rates: between £81.60 and £91.02 per night 
Answer:

Long Stay Placement Fee and Support Carers Placement Fee

  • Low Band (based on assessed needs) 
    • Guideline charge: £245.00 per week
  • Medium Band (based on assessed needs)
    • Guideline charge: £287.00 per week 
  • High Band (based on assessed needs)
    • Guideline charge: £329.00 per week

Short Breaks Placement Fee

  • Low Band (based on assessed needs)
    • Guideline charge: £329.00 per week
  • Medium Band (based on assessed needs)
    • Guideline charge: £371.00 per week
  • High Band (based on assessed needs) and Home from Hospital (all needs) 
    • Guideline charge: £413.00 per week

Day/Evening Opportunities Session Fee

  • Low Band (based on assessed needs) 
    • Guideline charge: £35.00 for 4 hour sessions / £63.00 for 8 hour sessions
  • Medium Band (based on assessed needs)
    • Guideline charge: £42.00 for 4 hour sessions / £77.00 for 8 hour sessions
  • High Band (based on assessed needs)
    • Guideline charge: £49.00 for 4 hour sessions / £91.00 for 8 hour sessions
Answer:

Adult learning disability care provided at day centres and by day services

  • Low / enablement: £46.00 per day / £23.00 per half day
  • Medium / maintenance: £61.00 per day / £31.00 per half day
  • High / complex: £97.00 per day / £48.50 per half day

Older people day services

Daily session - a session is a day with no fixed start or end day: £50.00

Transport (assessed needs)

  • Day opportunities (mental health, day services, learning disability):
    • Standard: £6 per return journey per day
    • Enhanced: £10 per return journey per day
  • Day centre block contract (older people): 
    • Standard: £6 per return journey per day
    • Enhanced: £10 per return journey per day

 

Answer:

Home and Prison home care arranged by us, (including Living Independently Service (LIS) and Nexxus where used by us to provide maintenance home care)

  • General rate; clients with some providers may pay slightly less than this rate
    • Guideline charge: £17.86 per hour

Home Based Replacement Care

General rate: clients with some providers may pay slightly less than this rate. 

Guideline charge: flat rate of £17.36 across the whole of Staffordshire

Allowance for home care in a Direct Payment

See Direct Payment Section Below

Communicator Guide charges

  • Specialist personal assistants
    • Guideline charge: £19.90 per hour
Answer:

Residential care

  • Long-term placement / short-term / respite (LD/MH)
    • Guideline charge: Individual rate depending on provider
        
  • Long-term placement (OP / PD)
    • Guideline charge: Individual rate depending on provider   

  • Short-Term/Respite (OP/PD set price)
    • Lowest rate: £500.000 per week 
    • Average rate: £538.00 per week

Nursing care

  • Long-term placement / short-term / respite (LD/MH)
    • Guideline charge: Individual rate depending on provider
        
  • Long-term placement (OP/PD)
    • Guideline charge: Individual rate depending on provider
         
  • Short-Term/Respite (OP/PD set price)    
    • Lowest rate: £500.000 per week 
    • Average rate: £538.00 per week
Displaying 1 to 6 of 6

 

Direct payment standards rates 2020 (From 1 April 2021)
Job role / detailsPayment standards rate

Personal assistant

Rate per hour, this includes:

  • Costs for payroll
       
  • Employers' National Insurance 
      
  • Annual leave for PA 
      
  • Redundancy 
      
  • 2 Weeks statutory sick pay 
      
  • Employer's liability insurance (first year is usually paid but allowances should be made to budget for this year on year)
       
  • PA wage 
       
  • Gloves or aprons if required
       
  • Pension

Also see direct payment support provider rates below. 

Up to £11.81 per hour

Domiciliary care agency allowance

Up to £17.86 per hour

Domiciliary care rural enhanced rates

Additional hourly rate - Applicable for zones 4, 5 and 7

For further information see - enhanced rates and postcodes

Up to £18.46 per hour

One to one support

Up to £16.12 per hour

Day opportunities

See dropdowns above

Communicator guides

£19.90 per hour

Mileage rate

Varied

Respite rate

See dropdowns above

 

Direct payment support provider rates
DetailsPayment support rates

Employer liability insurance (maximum) per year

Initial payment can be set up as a one-off payment and renewals to be met from £10.69.
 

Where the carer and personal assistant insurance is more than £90.00 the excess will have to be paid by the direct payment recipient. After the first year, the ongoing cost of carer and personal assistant insurance will be paid by the direct payment recipient from their direct payment. carer and personal assistant insurance will generally provide:

  • Up to £5million public liability cover, including:
       
  • Protection against errors and omissions in the provision of medical treatment
       
  • Accidental damage to property 
       
  • Accidental bodily injury to any person
       
  • Legal costs and expenses incurred in defending prosecution under food, health and safety acts
       
  • Up to £10,000 personal accident cover, with hospital allowance
       
  • Indemnity to principal – this helps by ensuring that a service user, local authority, service support group, agency or other individual / organisation through which a personal assistant is contracted is also protected.

Up to £90.00 a year

Advice and guidance for personal assistant

Suitable for people who are changing from one direct payment support service to another or if the citizen has already identified the personal assistant they wish to recruit.
 

Could Include:

  • Initial home visit (check with provider that this is included).
       
  • Provide information concerning rules and guidelines surrounding the use of direct payments funding for employment of a personal assistant
       
  • Training, support and information to ensure citizen has confidence in managing direct payments and financial monitoring requirements
       
  • DBS advice and application form(additional DBS check fees apply)
       
  • Carer and personal assistant Insurance advice and application form (additional care and personal assistant insurance fees apply)
       
  • Provision of sample employment contract, and assistance to complete
       
  • Support to establish payroll requirements
       
  • Support to establish a costing for care package within funding available (including establishing appropriate hourly rates for staff)
       
  • Advice on how to be a good employer, including advice on probationary periods, supervision, discipline, grievance and termination of contracts

£150.00

Specialist recruitment fee (on request)
 

Could Include:

  • Everything listed at £150 fee
       
  • Basic recruitment advice and information
       
  • Support to source and recruit personal assistants (one recruitment event, for as many personal assistants needed)
       
  • Assistance to develop job descriptions and personal specifications, personalised to individual needs 
       
  • Advice and information on the taking up of applicant references
       
  • Support with offer letters to successful candidates

Up to £250

Recruitment not linked to initial package set up

 

For example, if the pesonal assistant leaves. this is only to fund an interview panel, or the cost of advertising if they have problems with recruitment.
 

Support to source and recruit personal assistants (one recruitment event, for as many personal assistants needed)

  • Assistance to develop job descriptions and personal specifications, personalised to individual needs
       
  • Provision of sample employment contract, and assistance to complete 
       
  • DBS advice and application form (additional DBS check fees apply) 
       
  • Advice and information on the taking up of applicant 
       
  • References 
       
  • Support with offer letters to successful candidates 
       
  • Carer and Personal Assistant Insurance advice and application form (additional Care and Personal Assistant Insurance fees apply) 
       
  • Support to establish payroll requirements 
       
  • Support to establish a costing for care package within funding available (including establishing appropriate hourly rates for staff) 
       
  • Advice on how to be a good employer, including advice on probationary periods, supervision, discipline, grievance and termination of contracts

Up to £150

DBS (on request)

£63.20

Payroll

Four-weekly payroll runs Includes auto-enrolment of staff

Up to £10.00 per 4 weeks

+ £1 per week for each additional employee

Additional support for any of the above services

Up to £17.00 per hour

Managed account fee

This is where the direct payment support provider is managing the direct payment. 

This is for money management only and does not include ongoing support, which may also be required subject to assessment of need

  • Receive invoices for payment 
       
  • Check income and expenditure 
        
  • Produce monthly accounts for citizens when requested to do so 
       
  • Complete quarterly returns 
       
  • Liaise with citizen to set up payments of personal contribution 
       
  • Pay personal assistants

Up to £3.15 per week

DBS (on request)

£63.20

Additional support for any of the above services

Up to £17.00 per hour

Managed account fee - weekly cost

This is where the direct payment support provider is managing the direct payment. This is for money management only and does not include ongoing support, which may also be required subject to assessment of need.

  • Receive invoices for payment
      
  • Check income and expenditure
       
  • Produce monthly accounts for citizens when requested to do so
      
  • Complete quarterly returns
       
  • Liaise with citizen to set up payments of personal contribution
       
  • Pay personal assistants

Up to £3.15 per week

Deputyship Management Fees

Fees that can be charged by Local Authority from 1 April 2017 for clients where local authority have been appointed as deputy by the Court of Protection fees set out by the Court of Protection
ServiceFees
Work up to issue of Court Order – Fixed Fee £745
Management Fees First Year if capital over £16,000 £775
Management Fees First Year if capital under £16,000 3.5% of Capital
Annual Return – Fixed Fee £216
Second Year and thereafter unless capital under £16,000 £650
Second Year and thereafter if capital under £16,000 3.5% of Capital
Property Management Fee – fixed fee £300
Travel costs £40 per hour
HMRC Income Tax Return (Basic-bank or NSI interest, taxable benefits) (Complex- bank or NSI interest, taxable benefits, small investment portfolio) Basic - £70
Complex - £140
Appointeeship Fee Capital up to £7428 3.5% of Capital
Appointeeship Fee Capital over £7428 £260

Please note: no VAT is to be charged on any of the above

ServiceFees
Fee for work related to death of service user including preparing positon statement and handover of property to be charged on anniversary of death until case closed £350 + VAT = £420
Also in year of death an appointment of the appropriate Management Fee will be charged, unless Deputyship application has been submitted but not received then full Application Fee up to Court Order is charged as calculated (No VAT)
Health and Welfare Deputy – Annual Management Fee 2.5% of Capital to maximum of £555 NO VAT

 

Administration fees to cover our costs   Back to top

These apply where we have:

  • commissioned a service which includes the provision of meals to a client. This is not a care need and so the cost is rechargeable in full over and above any assessed charge the client must pay. The current rate is £5.75 per day
  • agreed to arrange a non-residential service on behalf of a client who is a self-funder and does not have the capacity to arrange it themselves (the council has chosen not to offer an arrangement service for residential care, and is not permitted in law to charge for this anyway)
  • arranged a deferred payment agreement with a client in residential care
  • agreed to manage a client’s benefits through an appointeeship

These administration fees represent the actual cost to the council of delivering the service. The rates are:

Administrative fees and charges

These are for us to arrange non-residential services to people who are self funders.

Administration set-up fee

This fee of £400.00 is to cover as appropriate the costs of:

  • identifying appropriate providers of care and support
  • negotiating rates and times for care to be delivered
  • putting contracts into place with the providers
  • setting up payment methods for the person to pay these care costs

This is a lump sum fee for service set-up, so may be charged more than once if the client asks for:

  • a substantive change of care
  • a change of service provider

The fee will not be charged again if:

  • we change the provider because of contract changes or provider failure
  • the level of service provided to the client changes because of a revised assessment of their needs
  • the client has a short break in service due to holidays or a hospital stay and then resumes service with the same provider afterwards 

Annual administration fee

This is to cover a proportion of the costs of:

  • paying the provider for the care and support services
  • dealing with any queries relating to services
  • monitoring services to ensure providers are providing the support agreed
  • invoicing people for the cost of their care including our administration fees

This will be charged from the day service(s) start on a weekly basis of £2.85 per week (equivalent to £148.20 a year) and will be added to the regular bills sent to the client for the service costs.

We have also recently reviewed the actual cost that we incur in arranging your care and it has been identified that the actual cost is £3.50 per week. From 1 October 2019, we are required to increase the administration fee we charge you to cover our costs.

The increase in administration fees will be phased over three years and are summarised in the table below:

 
PeriodWeekly administration feeAnnual Charge

1 July 2020 - 30 June 2021

£2.85

£148.20

1 July 2021

£3.50

£182.00

Deferred payment agreement (DPA) fees

These are:

  • set-up and administration: £165.00
  • valuation fees undertaken by our property services team: £75.00
  • first registration of properties with unregistered title: we expect citizens to arrange this with their solicitors, but if we become obliged to do this then there will be additional land registry fees at actual cost and an administrative charge of £300.00
  • perfecting security where the security offered is a first legal charge: £212.00
  • perfecting security where there are existing mortgages: £312.00
  • removing a charge against a property: £200.00
  • letter of undertaking from solicitors pending a sale: £100.00 plus interest
  • financial assistance being provided pending legal representative being in place, e.g. deputyship order: £165 plus interest
  • short term unsecured financial assistance pending property sale: £165 plus interest

 


 

Guideline allowances for disability related expenditure   Back to top

When conducting a financial assessment, we consider any disability benefits the client receives when assessing their ability to pay.

We are required by the Care Act to consider including offsetting allowances for any additional expenditure that arises from that disability. The allowance made by us is based on a banded sum linked to the level of DWP disability benefits granted to the client.

The current values of these allowances are:

  • £10.00 per week for lowest DWP benefit rate
  • £15.00 per week for medium rate
  • £25.00 for the highest DWP rate 

 


 

References   Back to top

The Care Act 2014 and associated regulations

  • Care and Support (Charging and Assessment of Resources) regulations 2014
  • Care and Support and Aftercare (Choice of Accommodation) regulations 2014
  • Care and Support (Deferred Payment) regulations

Annual Department of Health document

The current is:

Adult social care policy statements

 


 

Further information   Back to top

Department of Health

Copies of the relevant statutory documents are available on the Department of Health and Social Care website.

Alternatively, you can call them:

Age UK (previously Age Concern and Help the Aged)

There are also local branches of Age UK in:

  • Burton
  • Hanley
  • Penkridge
  • Stafford
  • Stone

Citizens Advice

There is a national network of free advice centres.

Carers UK

A national charity working on behalf of carers, offering a wide range of information on carers’ rights and sources of help and contact details for local carers’ support groups.


Your invoice explained

The below document displays an example of an invoice you may receive for care. Each section is explained on the second page of the document. 

Your invoice explained (197 KB)

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