Choosing the Right Care Home

We know that considering to move an elderly loved one into nursing or residential care homes is a big decision at what is often a difficult time. There can be so many elements that need to be considered to ensure that you make the right choice of a home that is perfect for you or your loved one.

We’re here to help you to find the right care home for your loved one. We have put together the following information that has been guided by questions we receive regularly from others searching for a care home for the last 40 years. We also have a Care Home Checklist available to download to guide you in your search for a home and help you find one that ticks all the right boxes.

Tips For Finding a Care Home

When searching for a care home, these are some of the key elements to consider:

Location

What areas are you open to, and which care homes are available there?

Funding

How will the care home costs be covered?

Facilities

What are the bedrooms, communal areas, and gardens like?

Care Needs

What level of care is required? Does the care home provide this, and is it of a high standard?

Activities

Does the care home offer a variety of activities that suit residents’ interests and abilities? Are there social events, outings, and opportunities for engagement?

Availability

Is there space currently available?

Understanding the Types of Care in a Care Home

The first and most important consideration at the beginning of your search for a care home should be to understand whether a home is going to be able to meet the care needs of you or your loved one.

There are several care home options available, which can either be owned by private providers, local authorities, or voluntary organisations. Not all care services are are available within every home, and some specialist homes may only offer one type of care service, such as dedicated dementia homes.

Understanding your care requirements will quickly help you eliminate any care homes that may not be able to meet your needs. The types of care that will be available within care homes are:

Residential Care

Residential care services are designed to provide a comfortable and relaxed home environment. This type of home would be suitable for someone who is perhaps looking to maintain an independent lifestyle within a community, and receive day to day support with things such as laundry, cooking or housekeeping.

Assisted Care

Assisted Care provides additional daily support that maintains the physical care and comfort of residents. This can include personal care day to day tasks, such as washing and dressing, as well as giving medication that is given by specially trained staff member, and not a registered nurse.

Nursing Care

Care homes that are capable of providing nursing care will be able to support residents who have more complex medical needs and longer term conditions that require day to day management, for example Parkinson’s, Diabetes or Stroke. They will also provide further support in areas such as administering medication, keeping track of nutrition and fluids, managing wound care and much more.

Short Stay and Respite Care

Short Stay and Respite Care offers temporary accommodation for those who need a break from their usual routine or for caregivers seeking relief. It is also available to those requiring an extended period of recovery after an operation or hospital admission.

Dementia Care

For those living with dementia, there will be care homes that provided dedicated services that can cater for their needs. These homes will have staff trained in dementia care and have facilities designed specifically designed to create a safe, calm and engaging environment.

Where to Find Out More

If you’re unsure where to start, speaking with professionals like your GP or social services can help you understand the types of care required. They can also assist in identifying the most suitable care homes for your specific needs, particularly for nursing and dementia care homes. Also, teams within the care homes can often assess whether they can provide the level of care required.

Care Home Living Spaces & Facilities to Consider

Although a care home can’t replace a family home, they can offer a warm and welcoming environment where residents will feel safe and comfortable. Having an idea of what is most important to you and your loved one will help to find a care home that will provide a setting that will feel like home.

It’s also important to consider how well maintained even the basic facilities are. Is the garden well maintained? Are the walls, carpets, and furniture as stain-free as you would expect? And does the building itself look well maintained?

Personal Living Spaces

Rooms vary widely from home to home in size and facilities, such as en-suite bathrooms and lounges. Many care homes allow residents to bring their own furniture and personal possessions helping to create a home-from-home feel. However, it’s important to check first.

Communal Living Spaces

Communal living areas are often the heart of a home. Residents can catch up with friends over coffee or take part in a range of activities. Make sure communal areas are warm and inviting spaces where residents enjoy spending their time. It is also worth noting whether these areas are being used when being shown round the home.

Other Facilities in a Care Home

Care homes can also have additional facilities that will be available for residents to use such as hairdressing salons, cinema rooms, therapy rooms and libraries, and are important to consider when searching for a home.

Further Important Considerations

Understanding Food and Nutrition in Care Homes

Good nutrition is vital to overall health and wellbeing, particularly in a care home setting where nutritional needs can vary widely for older people. Care homes should cater to a range of dietary requirements, including allergies, preferences, and any cultural or religious food restrictions. High-quality care homes will have well-structured meal plans that ensure all residents receive nutritious meals tailored to their health conditions.

In addition to ensuring the food meets dietary needs, the overall dining experience is also important. Many care homes offer meals in communal dining rooms, providing a social aspect to mealtimes, while others give residents the choice to dine in their private rooms for more personal comfort. Guests can often join residents for special occasions like birthdays or anniversaries, creating a home-like atmosphere.

Consider asking how the care home screens for malnutrition and manages nutrition for residents who may require additional support, such as those with dementia or chronic illnesses.

Finding a Care Home that Supports an Active and Engaging Lifestyle

It is important for residents living in a care home to do so as independently as possible. This helps to maintain a sense of purpose that is vital for an older person’s wellbeing and overall health. Residents should have the opportunity to try new activities and continue with life-long hobbies and interests should they wish to do so.

National Institute for Health and Care Excellence (NICE) set quality standards to help care homes improve the quality of care they provide. Their quality standard for ‘Mental wellbeing of older people in care homes’ states that care homes should offer residents the opportunity to participate in meaningful activities that promote their health and mental wellbeing.

These activities should be both structured and spontaneous and available for groups of residents, or for individuals. They should also involve family, friends, carers, and the wider community wherever possible. Activities range from daily living such as dressing, eating and washing, to leisure activities such as gardening, singing, arts and crafts, and even day trips out into the local community.

During your visit, request some more information about the variety of activities and how often will they will be available. You may also be able to join the home during one of their community events/activities, where you will be able to see first hand what the care home will be offering.

Find Out About The Approach to Care

A personalised approach to care is crucial for ensuring each resident feels valued and receives the attention they need. A good care home will involve both the resident and their family in creating a detailed and individualised care plan. This care plan should consider the resident’s health requirements, personal interests, life history, and cultural or religious beliefs, allowing staff to provide care that feels both appropriate and familiar to the individual.

It’s essential to confirm that the care home has systems in place to regularly review and update these care plans, adjusting as needed for changes in health or preferences. The staff should be proactive in recognising any physical or medical concerns and have close relationships with healthcare professionals to ensure ongoing support.

During your visit, ask how care plans are developed, who is involved in the process, and how frequently they are reviewed. Understanding the home’s approach to recognising and addressing the evolving needs of residents will give you confidence in the quality of care provided.

Look at the Care Home’s CQC Rating

All care homes will be rated by the Care Quality Commission (CQC), and these ratings can help guide your choice. There are four possible ratings given to care homes: outstanding, good, requires improvement and inadequate.

Care homes are normally given these ratings based on each of the five key questions that are asked during an inspection.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

By law, care providers have to display the ratings given to them in the places where they provide care,  as well as somewhere that people who use their services can easily see them, and also show their rating on their website.

You can find out more about their rating system here.

Check the Reviews About the Care Home

Reading reviews from relatives, friends, and residents who have first-hand experience with a care home can offer valuable insights into what life is really like there. These reviews can range from positive to negative, long to short, and detailed to brief. Some will provide a wealth of useful information, while others may be less specific, but they all contribute to a fuller picture of the care home’s overall reputation.

Care home reviews are typically available in various places:

  • Care home marketing materials: Many care homes include testimonials or case studies from families in their brochures or on their website.
  • Online review platforms: Websites like carehome.co.uk and Google feature detailed reviews from people with direct experience of the home. These platforms allow you to search for specific care homes and see how they’ve been rated by others.

When researching a care home, it’s a good idea to look through multiple sources of reviews to get a balanced view. Pay attention to any recurring themes, both positive and negative, as these often provide the most reliable insight into the home’s strengths and areas for improvement.

By law, care providers have to display the ratings given to them in the places where they provide care,  as well as somewhere that people who use their services can easily see them, and also show their rating on their website.

You can find out more about their rating system here.

Finding More Information About Care Homes

To gain a well-rounded view of care homes in your area, it’s helpful to consult several trusted sources. One of the key resources is the Care Quality Commission (CQC), the sector regulator that maintains comprehensive lists of care homes and publishes independent inspection reports. You can use the CQC website to search for care homes, review their ratings, and explore detailed reports from recent inspections.

Age UK is another valuable resource, offering guidance and advice on finding a care home and exploring other care options that may be suitable.

Finding a Dementia Care Home

Additionally, for those seeking specific information on dementia care, the Alzheimer’s Society provides expert advice, real-life stories, and the latest research related to dementia, all of which can support your decision-making process.

Download Our Essential Care Home Checklist

To support you in your search for a care home, we have put together the following checklist that highlights the key areas to consider when viewing different homes, and help you make the best informed choice when choosing a care home.

We’re Here To Help

Whether you’d like an initial chat about care types, you have a question about fees, or you’d like more information in your search for a home, we’re here to help.