A residential care home provides somewhere to live, meals, and help with personal care. It does not have nurses on site, which is the line between it and a nursing home.
Who it suits
People who can no longer manage safely at home even with visiting care, but whose needs are personal care rather than medical. Common reasons are advancing frailty, dementia where supervision is needed, repeated falls, or isolation.
What is included
- A room, usually with an ensuite
- All meals and drinks
- Personal care, day and night
- Housekeeping and laundry
- Activities and social contact
- Help with medication
Usually charged separately: hairdressing, chiropody, newspapers, some outings, and personal toiletries.
Who pays
Fees are means tested through the council, with the £23,250 upper capital limit and the property rules above.
If your needs are primarily health needs, check NHS Continuing Healthcare, which is not means tested and pays for everything.
Use our means test calculator to estimate your contribution.
Choosing a home
Visit more than once, and at least once unannounced around a mealtime. Look at:
- The current CQC rating and the full report, especially the safe and well-led sections
- Staff turnover and whether staff know residents by name
- What residents are actually doing at 3pm on a weekday
- The smell and the noise level
- How the home handles deterioration, and whether they would ask you to leave
- The contract: notice periods, fee reviews, what happens to fees after a death
Ask what proportion of residents are council funded. A very high self-funder rate usually means higher prices.