REVIEW OF TOOWOOMBA PARKINSON’S SUPPORT GROUP MARCH MEETING
Hello everyone
· Our meeting last week had 88 in attendance. In that number we welcomed 7 new people and some visitors as well, including Charles from the PQI Board and Louise, an RN doing further studies and using our group in an assignment.
· We have updated our Purple Welcome Packs which focus on local information but also include PQI information and membership options - we suggest to all our local members to join PQI for many and varied reasons from access to a Parkinson's Nurse to swelling the numbers when PQI is lobbying for support for PwP.
· A new brochure has been added to our table from a local Speech Pathologist who offers both Think Loud and Speak Out Courses online. These brochures from Thea Garrett (info@strongervoices.com) ares still available at the meetings. An excellent option for many! The other two main Speech options we have in Toowoomba are Fiona and Georgia at BlueCare and Dom at St Andrews and his private rooms - many of our members attend these sessions and flyers are available from the meetings or you can email me and I will send information.
· Thanks to those who took packs of our local brochures to distribute to help raise awareness of our group. Medical Centres, Pharmacies and other areas will hopefully use them well.
· The Big Walk to raise awareness of PD has been organised by PQI in Brisbane . You might have family in Brisbane and decide to do one of the walks with them .....
· Ping Pong Parkinson's has already shown improvement for those coming along regularly. We really encourage you to think about joining the group - great fun; good for balance and coordination. A few more people attending would be great. Thank you to the Toowoomba Table Tennis Association for use of their practice machine. The Association has been extremely supportive of our group.
· There has not been a lot of response to possible Coffee Groups - I will send out another email and then we will see what direction to take.
· I tried to cover some of the most important points about taking Parkinson's medications. Although most of us know this information, it is important to highlight it occasionally, especially for newer members of the group. We also distributed a pamphlet with the main PD medications listed and a brochure about Medications that should not be taken when on PD meds. These are always available at meetings. In discussions afterwards, two of the members spoke about trying to remember to take medications 'on time every time' and mentioned some useful information. I know our method is setting our mobile phones but I am surprised how we often just don't hear them or hear them and ignore and then
forget! Jenny uses a Tab Time Vibrating Alarm Watch which she bought on Amazon and finds it successful and Marion let us know that if you have a Falls Alarm you wear, you can phone the group who provided it and they will sort out an alarm sounding through it at the medications times for you.
· Dan Marks, our guest speaker then spoke about the financial aspects of downsizing and also Nursing Homes and the new Govt regulations. Some of the main points were as follows:
1. Downsizing decisions - looking at Retirement Villages and Lifestyle Resorts
Retirement villages and lifestyle resorts differ mainly
in ownership structure, fees, and care services.
Lifestyle resorts (land lease) offer home ownership with no exit fees and active, independent living for over-50s. Retirement villages typically involve leasing, high exit/deferred management fees (DMF).
Key Differences:
· Ownership & Tenure: o Lifestyle Resorts: You own your home (manufactured home/cabin) and lease the land via a weekly site fee. o Retirement Villages: Usually a loan-lease or licence structure where you do not own the land or the unit.
· Costs & Fees:
o Lifestyle Resorts: No stamp duty, no exit fees. Sell your home and make a profit hopefully.
o Retirement Villages: High exit fees (often 25-35% of purchase price).
· Target Demographic & Lifestyle:
o Lifestyle Resorts: Geared towards active, younger retirees (often 50+) with a focus on resort-style amenities (bowling greens, pools, gyms).
o Retirement Villages: Suited for older seniors needing a more relaxed pace, community support, or higher safety (e.g., emergency call buttons).
· Decision Making:
o Lifestyle Resorts: Residents have more control and input into how the community is managed.
o Retirement Villages: Management typically controls the daily operations and activities.
· Questions to ask yourself.
Do I know exactly how much it will cost me to buy into this place?
Do I know exactly how much I will have to pay weekly while in this place?
Do I know how much it will cost me to exit from this place?
Do I understand all the government implications re tax etc - consider talking to an expert and get financial advice?
(eg money you might have made by selling the family home)
Am I eligible for rent assistance from Centrelink to help out with money?
Does the place have a continuum of care if I need it?
Does it provide all I am hoping for - if not, shop around?
What do people say who live here - talk to a few.
2. Nursing Home Fees
There are a number of different types of Nursing Home Fees:
· Basic Daily Fee: Payable by all residents to cover daily living costs (meals, cleaning, laundry, utilities). It is set at 85% of the single basic Age Pension.
· Means-Tested Care Fee: An additional contribution toward personal and clinical care, based on a Services Australia assessment of income and assets. This can be up to ~$407.33 per day (2025 figures), but is capped annually (~$35,238) and in lifetime (~$84,571).
· Accommodation Costs: Charges for the room itself, which can be paid as a Refundable Accommodation Deposit (RAD - a lump sum) or a Daily Accommodation Payment (DAP - a daily rental fee), or a combination. The RAD is now not fully refundable - a small part is kept by the Government for the Nursing Homes.
· Additional Service Fees: Optional fees for higher-standard services, such as premium meals, entertainment, or superior amenities. This is sometimes referred to as Hotelier Fees.
The main worry people generally have is the Accommodation Fees. A room in Toowoomba can now cost anything from $450 000 to $650 000.
It seems that Nursing Home Costs are easiest for those with no assets and those with lots of assets which can be cashed out. For the in-between population, which is most of us, especially if one person of a couple needs nursing care in a Home and the other still has to live at the family home as per usual.
You might be close to the threshold with regard to having to pay much lower Nursing Home Fees. This is when professional financial advice should be sought (sooner rather than later) to look at assets and how to best manage them to reduce the way the Government views them. This must be in place before a Nursing Home is required.
It might not always be best financially to sell the family home and buy a Nursing Home Room fully ie pay the whole RAD. A combination of paying some of the RAD cost and then paying a daily rental fee (DAP) might be better in the long run. Once again, this is where many people will need to see a Financial Advisor who knows all the latest Govt My Aged Care and Nursing Home rules to ensure they are best informed for a decision if and when it might come.
Know what fees a Nursing Home asks for - ask for a quote on costs to come to that Nursing Home, broken down so you can understand it.
Nursing Home rooms are not easy to find in the Toowoomba area. Sometimes you do not manage to get a choice if the room is needed fairly urgently. Many in Toowoomba have had to take rooms in Nursing Homes in the small country towns around Toowoomba, which involves driving for the partner which can become very difficult.
· Our April meeting is the Thursday immediately before Good Friday. We have an excellent speaker planned for that day and details are below. Most of us will have need for support at home from My Aged Care at some stage so this will be a worthwhile session to help you understand the system and especially the recent changes.
· April happens to be World Parkinson's Awareness Month with the key date being April 12th. However because of where Easter falls and the school holidays in April this year, we plan to hold our awareness activities over and have some special happenings at our May meeting to raise money for PD research.
I hope that is all OK with everyone. i will be sending further emails to cover a couple of things in the next few days. Take care all.
Cheers Carol (46597646)
APRIL MEETING OF THE TOOWOOMBA PARKINSON'S SUPPORT GROUP
Thursday, April 2nd
Toowoomba Library, Level 3 Meeting Rooms
Doors open at 11am;
11.30am cuppa and a shared lunch;
12 noon meeting proper starts.
The guest speaker at our April meeting will be Cassandra Teale, Team Leader, Darling Downs and West Moreton, ADA Link. ADA Link is the Aged and Disability Advocacy Group and they do a great job assisting people to navigate the My Aged Care System.
Cassandra and her team are the people with all the answers to how the systems run with regard to assistance through My Aged Care. With the new system starting late last year, when Home Care Packages changed to Support at Home Levels, we thought it was timely to have Cassandra come and explain the aspects of the new system, how they affect former and new clients, and just what to expect when you ask for support through My Aged Care.
Come along and have your questions answered.
See you there!