care in a care home


There are many different sorts of care homes. Some provide nursing care and some don’t. (Whether you need a care home with nursing will depend on your assessment.) There are large homes that are like hotels (with care) and there are small family-style homes. Some are run by large organisations and some are run by family businesses. There are even homes run by professional associations, unions, and religious organisations for their members and families. Because there is such a variety of care homes, it is important that you consider more than one before making a choice.

The type of care offered in care homes can vary. Some care homes simply offer companionship and cooked meals for older people who are active, although this type of care is now limited. Other care homes provide
personal care for more dependent people. This might include help with washing, dressing, bathing, toileting needs, taking medicine and ensuring that an adequate diet is provided.

Some homes offer nursing care as well as personal care, for example, they may be able to assist people who:
Are unable to walk or stand on their own
Have continence problems
Are experiencing dementia

It is suggested that you and a close friend or a relative, makes an appointment to visit your preferred homes to see what they are like and the facilities that are available. When visiting the home you may not have a lot of time to decide if it is suitable so it is a good idea to prepare the questions you want to ask before you get there.

Below is a checklist of things to consider in relation to the fees, contract, care practices, staff,
accommodation, meals and leisure.

The fees
Always find out from the local council social care services what they usually pay for the type of care you need in a care home (their ‘standard’ or ‘usual’ rate).


All care homes should produce a ‘statement of purpose’ to help you make a choice about the home you want to move into. The statement should set out the objectives, philosophy of care, services provided, the facilities and terms and conditions of the home. The home should also provide a service user’s guide written in plain English and made available in a language and/or format suitable for intended residents,

Care Practices
You may wish to consider about the type of care home you want to live in:

During your visit it is important to consider the staff in the care home, as you will have contact with them on a daily basis.

During your visit have a look at the facilities available for your use in the

Are there any organised leisure activities, perhaps by an activity coordinator in the care home involving, for example, arts and crafts, games, days out?
Can you choose to take part in these activities?
How would you be involved in planning and organising these activities?