When you might want to consider a care home

Care homes provide residential care for people who need substantial help and support with their personal care. Trained staff care for residents 24 hours a day.

Care homes fall into various types, depending on the type of care you need:

• residential care homes (personal care)
• care homes with nursing care (personal care with nursing care)
• dual-care homes (personal care, or personal care and nursing care).

See Choosing the right care home for more information about these different types of homes.

In addition to 24-hour care, accommodation and meals, care homes should offer suitable outings or social activities.

• If you need a lot of care, particularly if you need it during the night as well as the day.
• If your care and supervision needs can’t be met in your own home.
• If you’ve considered these other options, and none of them is right for you:
  • home adaptations
  • home care
  • downsizing
  • moving in with family
  • sheltered housing
  • extra care housing.
• If you’ve had a care needs assessment and your care plan recommends it – see Getting a care needs assessment.

You’ll need to consider your wants and needs, and the cost of care homes too.

• If you’re becoming forgetful, the structured routine of a care home can be a useful anchor.
• Trained staff are always on hand to help you. They’re experts in looking after older people and are experienced in looking after people’s individual needs and requirements.
• Practicalities of living – such as meals, bills and housework – will all be taken care of for you.
• If you need specific equipment, such as stairlifts or grab rails, the home will have these; they’re designed to be fully accessible throughout.
• It can be very demanding for friends and family to care for you full time and they might not have the skills to do it – a care home would take the pressure off them.
• You’d be safe and secure, which could give you and your family peace of mind.
• You’d have companionship and opportunities for social activities.

• You might be downsizing substantially – your belongings will need to fit in one room.
• You might feel you’ve lost your independence and your privacy.
• There may not be much choice in your area, so you could end up having to compromise. For example, you might want a home that accepts pets and be unable to find one.
• The ongoing cost of staying in a care home can be very high, although you may be eligible for funding from your local council. See Paying for care in a care home for more information.