3 Steps to Finding Rest Home and Hospital Care
Step 1 - Getting prepared
- Arrange for a NASC needs assessment – to do this, call your local DHB or GP and request a NASC needs assessment
- Arrange Enduring Power of Attorney for personal Care and Welfare and Enduring Power of Attorney for Property. These legal documents – drawn up by a lawyer or Public Trust – setting out who can make decisions on personal care, and on financial matters, if the person entering care is unable to
- Prepare a financial summary of assets and income
- Call WINZ for advice about eligibility for a Residential Care Subsidy or Residential Care Loan.
Step 2 – Finding the right place
- Create a list of 3-5 places that provide the level of care required, and that are close to where your key family members live or work. For help, use the Find a Place tool on this site. Alternatively, look online at Eldernet for a list of places, or ask your NASC assessor for a list
- Check room availability when creating your list
- Create a checklist of criteria so you can compare places you are interested in. We have one here you can print off to get you started
- Share your progress with family members and get feedback
- Book appointments and visit places, evaluating as you go
- Decide which suits best.
Step 3 – Moving in
- Tell the care facility that you want to take the room
- Sign the facility’s Resident Admission Agreement. This agreement outlines the services provided, charges and obligations to you. It also outlines your obligations, rights and responsibilities
- Set up a method of payment for the daily care fee
- Apply to WINZ for a Residential Care Subsidy or Residential Care Loan if eligible.
Call us on 0800 333 688 for assistance with any questions.
The immediate priority is finding the right place. Our advice is to stay focussed on this, then sort the money side of things.
You don’t even need to know if you, or the person you’re helping, will be eligible for a Residential Care Subsidy or Residential Care Loan before they move in, however it’s good to be acquainted with these facts:
- If the person receiving care qualifies for assistance, the DHB will pay their Daily Care Fee. Otherwise the costs will need to be paid by the resident
- The Daily Care Fee is set by the DHB and is fixed annually for all Care facilities
- It’s a good idea to have applied for financial assistance, in the form of a Residential Care Subsidy or Residential Care Loan, before moving into Care, but it can be done in the first few days after moving in. The resident is responsible for paying their Daily Care Fee, so the sooner they seek assistance from WINZ, the sooner the DHB will begin paying the Daily Care Fee, if they’re eligible.
So remember focus on finding a place that’s right…don’t make money your primary concern.
When it comes to accommodation within a residential care facility, there is usually a choice of room types.
- The starting point is a standard room
- If you’re after more space or an en suite - for a small amount extra per day you can usually upgrade to a premium room
- Alternatively, in some Oceania facilities it’s possible to purchase the right to occupy a luxury Care Suite. A Care Suite is like an apartment with care provided at resthome or hospital level. Care suites have an en suite, lounge and kitchenette. The best part of owning the Right to Occupy a Care Suite is that more support can be added at any time – including to hospital level care – which means there’s no need to move.
Remember – you do have choices, so speak to a Business and Care Manager to see what’s available.
A Guide to Care Suites
Increasingly people want choices – most products and services have a premium version for people who want something better. Oceania Care Suites give people that choice.
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What is a Care Suite?
A Care Suite is like an apartment with care provided at rest home and hospital level. Care Suites generally have an ensuite, lounge area, and kitchenette. The best part of owning the right to occupy a Care Suite is that more support is added at any time including hospital level care – which means there’s no need to move if your needs change.
Who are Care Suites for?
Care Suites are for people who:
- are 65 years and older
- have been assessed as needing rest home or hospital level care
- want their care to come to them as their need increase.
What will it cost?
There are 4 cost elements when living in a Care Suite.
1. The Occupation License Payment
This is the amount you pay upfront as a capital sum. This amount secures an Occupation Right Agreement giving you the license to occupy the Care Suite.
2. The Net Management Fee
The Net Management Fee details are set out in the Occupation Right Agreement. Your solicitor will explain these details to you before you sign an Agreement to occupy a Care Suite. However, a general explanation of the Net Management Fee is:
- For the first 12 month period of occupation, the fee is a fixed non-refundable amount equal to 10% of the Occupation License Payment; and
- For each subsequent 12 month period of occupation, the fee is an amount equal to 10% of the Occupation License Payment. After the first 12 months this fee accrues on a monthly basis.
- The maximum amount payable as a Net Management Fee is equal to 30% of the Occupation License Payment.
3. The Daily Care Fee for Contracted Care Services
This daily fee covers the residential care services we are contracted to provide by the local District Health Board. The Daily Care Fee amount is set annually by the local District Health Board for aged care facilities within the DHB. The same Daily Care Fee is charged whether a person chooses to live in a standard care room or Care Suite.
You may be eligible for a Residential Care Subsidy or Residential Care Loan to help cover all or part of this Daily Care Fee depending on the outcome of your WINZ financial assessment. Call WINZ on 0800 999 727 to discuss further.
4. Goods and services that are available but are not covered in the Daily Care Fee
- Phone and broadband costs within the care suite
- SKY TV, magazine and newspaper subscriptions
- Clothing, toiletries and hairdressing
- Podiatrist (for some medical conditions) and Physiotherapist (if rehabilitative)
- Hearing tests, ear wax extraction, and dental health maintenance
- Entertainment activities outside the standard activities programme
How much is refunded after a person vacates the Care Suite?
Once your Care Suite is vacated, a new incoming resident can be offered the Occupation Right Agreement (ORA). Once the new resident has settled their Occupation License Payment you, or heirs to your estate, will receive a refund. The amount we refund is called the Net Refundable Amount.
Here’s an example to demonstrate how the Net Refundable Amount would be calculated for a Care Suite ORA priced at $100,000 that was occupied for 3 years:
Occupation License Payment
Less Net Management Fee (maximum 30%)
Less contribution to legal costs
Net Refundable Amount
In this example the daily cost of the ORA is less than $28 per day over 3 years.
Each Care Suite is individually priced so our Business and Care Manager will be able to advise what is currently available and its price.
Next Steps for moving into a Care Suite
Usually the care-related steps outlined below can happen at the same time as the steps required for purchasing an Occupation Right Agreement.
- If you haven’t already been assessed as needing residential care you will need to arrange a Residential Care needs assessment. You can either ask your GP for a referral to a NASC needs assessor, or you can request an assessment directly from your local District Health Board.
- You will need to appoint an Enduring Power of Attorney for both Personal Care and Welfare, and for Property. These are legal documents that give another person of your choice the power to make decisions on your behalf if the need arises. A solicitor or the Public Trust will need to do this for you.
- If you wish to apply for a Residential Care Subsidy or Residential Care Loan you should call WINZ for advice about eligibility (0800 999 727). They will ask for information about your assets and income so it’s a good idea to have gathered this information together before you call.
- Before admission you, or your Enduring Power of Attorney, will need to sign an Oceania Resident Admission Agreement (Aged Care over 65 Year). This agreement outlines the services Oceania will provide, our charges and our obligations to you. It also outlines your obligations, rights and responsibilities.
Occupation Right Agreement steps:
- You will be asked to sign a Sales Application for the Care Suite you have chosen. This document simply requests that Oceania offers you an Occupation Right Agreement – this is not a legally binding document and you have no obligation to purchase if you change your mind. You will also be given an information copy of the Occupation Right Agreement and our disclosure documents.
- When our legal team receives your Sales Application, they will send an Occupation Right Agreement to your solicitor.
- Your solicitor will explain the Occupation Right Agreement to you before you are asked to sign it; we ask your solicitor to provide us with a certificate saying the Agreement has been explained fully to you.
There is a 15-working day cooling-off period from the date you sign the Occupation Right Agreement. However, we recognise that moving into care sometimes happens in a hurry, so residents can move into their Care Suite earlier provided that the Occupation Right Agreement has been signed and the Occupation License Payment has been paid to the facility’s Statutory Supervisor.
Printable PDF - 3 Steps to Finding Rest Home and Hospital Care
Printable PDF - Facility Visit Considerations
"Please pass on our thanks to you and your team who have done a marvellous job in caring and settling him in. The professionalism and level of care has been excellent."
"You are all very special people, I saw the dignity and respect you show all the residents including my mum, I head back overseas in the knowledge she is very well cared for."
"I love to be here. The staff are absolutely incredible. I feel so safe and that's the main thing."
"Rettie, thank you, all of your staff have done more than we could have ever achieved alone. 2 years and 5 months after our mum fell down and broke her hip – she has melted with your persistent loving care and got up from her chair. Mum’s psychogeriatricist said she may never get up. You have proved this wrong."
"It occurs to me that 'the whole is greater than the sum of the parts.' To me this means the endless patience, encouragement, support and tireless care your staff give my family cannot be understated."
"The staff I had most contact with were Diane, Lorraine and Mia. They have been just fantastic, but I realise that everyone has contributed to Mum’s overall care. There were mornings when I had to wait for the staff to finish hugging Mum and telling her to have a lovely time when I came to take her out."
"Just want to let you know how happy and grateful our family is, not only for the superb care you’re providing for our Mum but also for the wonderful respect and kindness everyone shows to residents and family members."
"On more than one occasion, the nurses came in to talk to Alan and say goodbye to him for the day, before they left at the end of their shift. They all loved him and cared for him in a most special way, even though Alan was unable to speak very much due to a stroke."
Answers to common questions about our facilities. CLICK HERE
List of Residential Care providers - Eldernet CLICK HERE
Find a rest home CLICK HERE
Rest Home Audits - Ministry of Health CLICK HERE
List of Residential Care providers - Ministry of Health CLICK HERE
General (background) information about residential care - Ministry of Health CLICK HERE
For the list of and contact details for the various regional needs assessment services - Ministry of Health CLICK HERE
Steps to Take - Ministry of Health CLICK HERE
Needs Assessment Service Co-Ordination Website CLICK HERE
Residential Care Loans - Work and Income New Zealand (WINZ) CLICK HERE
Residential Care Subsidies - Work and Income New Zealand (WINZ) CLICK HERE
General (background) information about residential care - SeniorLine CLICK HERE
What to consider when choosing a rest home? CLICK HERE