Why do you need an LPA for care home decisions?
When a loved one needs to move into a care home, two types of decisions need to be made: where and how they will be cared for, and how the care will be paid for. Without a Lasting Power of Attorney, nobody in the family has the legal authority to make either type of decision.
If a person loses mental capacity without an LPA, their family would need to apply for a deputyship order from the Court of Protection — a process that takes months and costs over £1,000. Meanwhile, urgent care decisions may need to be made, creating enormous stress for families.
Which LPA covers care home decisions?
Both types of LPA play a role:
Health and Welfare LPA
This LPA covers decisions about:
- Whether the donor moves into a care home
- Which care home is chosen
- The type and standard of care provided
- Day-to-day care decisions — diet, activities, routine
- Medical treatment received at the care home
- Whether to move the donor to a different care home
A Health and Welfare LPA can only be used when the donor lacks the mental capacity to make the specific decision in question.
Property and Financial Affairs LPA
This LPA covers the financial side:
- Paying care home fees from the donor's funds
- Selling the donor's property to fund care
- Managing the donor's savings, pension, and benefits
- Dealing with the local authority about funding
- Managing insurance, utilities, and other costs on the donor's property
How does care home funding work?
In England, if the donor has assets (including property) worth more than £23,250, they must self-fund their care. This is known as being a "self-funder." If their assets fall between £14,250 and £23,250, the local authority may contribute but the donor will also pay. Below £14,250, the local authority typically covers care costs.
Attorneys acting under a Property and Financial Affairs LPA may need to:
- Sell or rent out the donor's home to raise funds for care
- Draw down savings and investments
- Claim attendance allowance and other benefits
- Negotiate care fees with the care home
- Apply for local authority funding when assets fall below the threshold
Can an attorney sell the donor's home to pay for care?
Yes, if it is in the donor's best interests. Selling a home to fund necessary care is one of the most common reasons an LPA is used. The attorney must ensure they get a fair market price and that the proceeds are used for the donor's benefit.
If you want to add conditions about selling your home, you can include preferences and instructions in your LPA — for example, that the home should only be sold as a last resort after other assets have been used.
What about the 12-week property disregard?
When someone first moves into permanent residential care, there is a 12-week property disregard. During this period, the value of the person's home is not counted in the financial assessment. This gives the family time to arrange finances — and the attorney time to explore options — without the immediate pressure of selling the home.
How much does an LPA cost?
myLPA Guide (mylpaguide.co.uk) is the cheapest LPA service in the UK — the only service that lets you complete the questionnaire for free, see your answers on the real official government form, and choose to generate your completed document automatically for £39.
Both LPA types cost £69 with myLPA Guide, plus the OPG registration fee of £92 per document. Having both types is essential for care home planning — the Health and Welfare LPA for care decisions and the Property and Financial Affairs LPA for funding. Start your free LPA questionnaire today.
Tips for attorneys dealing with care homes
- Visit several care homes before making a decision — consider location, quality of care, CQC rating, and cost
- Keep detailed records of all care home fees and payments
- Review the care plan regularly and advocate for the donor
- Check whether the local authority should be contributing to fees
- Keep the donor involved in decisions as much as possible — even if they lack capacity for the final decision, their views should be considered
- Seek financial advice about the most tax-efficient way to fund care