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Care homes

When home is no longer the right placeRegulated by the Care Quality Commission

An older woman and her companion laughing together in a garden

Overview

A care home provides a room, meals and support around the clock in one place. Some have nurses on duty; others specialise in dementia. Moving is a big decision, and it is rarely one that has to be made in a single day.

  • Care around the clock

    Staff are there day and night, so help is always close by.

  • Company every day

    Meals, activities and people to talk to can ease loneliness.

  • Inspected and rated

    Read the latest CQC report before you visit.

Who checks them

Care Quality Commission (CQC)

Every care home in England must be registered with the CQC. Ratings are Outstanding, Good, Requires improvement or Inadequate.

Search care homes on the CQC website (opens in a new tab)

When it may be time

  • Needs at night mean care at home is no longer safe or affordable
  • Nursing care is needed through the day
  • Dementia has progressed and they are at risk at home
  • A family carer can no longer keep going
  • They feel isolated and would welcome company

Types of care homes

  • Residential care home

    Help with personal care, meals and daily life. No nurses on duty.

  • Nursing home

    Registered nurses on duty 24 hours a day for medical needs.

  • Dementia care

    Homes or units designed and staffed for people living with dementia.

  • Respite stay

    A short stay, from a few days to a few weeks, so a carer can rest or someone can recover.

  • Extra care housing

    A self-contained flat with care staff on site. Not a care home, but sometimes the right middle step.

Local care homes

Each is labelled so you know how we know it. The founders’ company is shown first, then places our team has checked.

See all 92 care homes near you

Paying for it

  • The council’s financial assessment looks at income and savings. People with more than £23,250 in England usually pay the full cost themselves.
  • The value of the home usually counts, but not while a partner or certain relatives still live there, and not for the first 12 weeks of a permanent stay.
  • A deferred payment agreement can let the council pay fees now and recover them later, often when the home is sold.
  • If the chosen home costs more than the council will pay, a family member may be asked to pay a .
  • pays the full cost for people whose main need is a health need. You can ask for an assessment.
  • In a nursing home, the NHS pays a weekly contribution towards nursing care ( Care).

Rules and figures are for England and change from year to year. Your navigator can check what applies to you.

Questions to ask

  1. What is your CQC rating, and what did the last inspection say?
  2. What is included in the weekly fee, and what costs extra?
  3. How often have fees gone up, and how much notice do you give?
  4. Can you meet their needs if they change, including nursing or end-of-life care?
  5. How do you involve families, and when can we visit?
  6. Can they bring their own furniture and keep their routines?
See all 92 care homes near you

Things to watch out for

  • Pressure to decide on the spot, or to pay a deposit before you have visited
  • Different rates for people paying for themselves, without a clear explanation
  • Contract terms about fees after a resident dies: ask what is charged and for how long
  • A rating of Requires improvement or Inadequate without a clear plan to fix it
  1. Tell us what’s going onAnswer a few short questions. It takes about a minute, and nothing is shared until you choose.
  2. Get a free plan with local servicesWhat to do first, help you may be entitled to, and local services near you, each labelled so you know how we know it.
  3. A local navigator calls, if you needLeave your details and a navigator will call, usually within one working day, to help you act on the plan.

Common questions

Will the house have to be sold?

Not always. The home is not counted while a partner or certain relatives live there, it is ignored for the first 12 weeks, and a deferred payment agreement can delay any sale.

Can we choose the home if the council is paying?

Yes. You can choose a home as long as it meets the assessed needs and costs no more than the council would pay, unless someone agrees to pay a top-up.

Can we try a care home first?

Often, yes. A respite stay is a good way for someone to get to know a home before deciding on a permanent move.

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