Decision details

Adult Social Care - Care Home Fees 2021/22

Decision Maker: Cabinet Member - Adult Social Care

Decision status: For Determination

Is Key decision?: No

Is subject to call in?: Yes


The purpose of this report is to enable the Cabinet Member Adult Social Care in conjunction with the Executive Director of Adult Social Care and Health and Executive Director of Corporate Resources and Customer Services to determine the fees payable to Sefton Care Homes, in respect of residents placed in those homes by the Council, during the financial year period 2021/22.




The contents of the report and having given full consideration to the options outlined in the body of the report, including the responses to the consultation and the Equality Impact Assessment be noted;


(1)  The implementation of the following fee increases which are higher than those originally consulted upon having taken into account a range of factors including the response from providers, the COVID context, risks raised in relation to additional costs, regional averages and any other information available at the time of the consultation be approved;


Residential Care

EMI Residential


EMI Nursing

2021/22 Fee





2020/21 Fee





Weekly Increase





% Increase










Originally Proposed 2021/22 Fee





Originally Proposed Weekly Increase





Originally Proposed % Increase






(2)  That any existing placements which are costed based on an individual Service User assessment are increased based on the same percentage uplifts detailed in the table above be noted;


(3)  That the Council will be conducting ongoing work as a priority to consider the allocation of further financial support to the market in order to address current cost pressures aligned to the impact of the pandemic (such as increased insurance costs) when these are more fully understood be noted; and


(4)  The proposed future work taking place on the Residential & Nursing Care home sector be noted.


Reasons for the Decision(s):


To enable the Council to set the fees payable to Care Homes in 2021/22, in respect of residents placed in those homes by the Council, in accordance with the requirements of legislation and statutory guidance and to outline proposed future work relating to the Residential and Nursing Care sector.



Alternative Options Considered and Rejected: (including any Risk Implications)


The following options were considered and rejected;


  1. Not awarding an increase – this option was rejected as there is a requirement to ensure that fee levels are increased to take into account the increase to Provider’s costs, such as the National Living Wage increase.


  1. Awarding the fee increase originally proposed in the consultation – this option was considered and rejected following the analysis of the consultation responses and fee increases proposed by comparator Local Authorities in the region for 2021/22.


  1. Awarding a higher increase to the final proposal which is recommended for decision – this option was considered but was rejected as it was determined that the proposed increases were correct within the current context.


Publication date: 01/06/2021

Date of decision: 01/06/2021

Effective from: 10/06/2021

Accompanying Documents: