How do I decide what care is best?
If any kind of care and support is needed, the best way of finding out what will satisfy those needs is through a social care needs assessment carried out by the local authority (council) social services department. Following an assessment, depending on the care needs and financial circumstances the council may provide regular direct support or assist with the funding. Failing that, it may be necessary for the person, their family or carers to make the necessary arrangements for getting the help needed.

Whatever the circumstances it’s essential to seek advice on what support and care is available and what means tested or non-means tested financial support is available.

What if I want to stay in my own home?
If you are finding it difficult to manage in your present home, but would prefer not to move, there may be ways to make your life easier and safer. If you are finding it difficult to cope with daily tasks or think you need home care, special equipment or meals, contact your local authority’s social services department, or the hospital social worker if you are in hospital and ask for an assessment of need.

Will I need to move into a care home?
Most people who move into a care home do so out of necessity in the event of an illness or injury rather than by choice. Before deciding to move into a care home, explore whether you can continue to live in your own home with the right care and assistance. Alternatives to moving to a care home can include downsizing to a more manageable property; considering sheltered, extra care housing or close care developments or living with your family.

Which type of care home is best for me?
It is vital to choose the right type of home. If a home cannot offer the level of support you need it will not be suitable. Care homes may be owned and operated by private individuals, companies, not for profit organisations and (some) social services departments. All care homes in England are registered and inspected by the Care Quality Commission (CQC). Inspection reports are available from the home or the registration authority.
Care home categories include:

Care homes providing personal care

These are often called residential homes. They vary in size and facilities. All are expected to provide a room, possibly with en-suite facilities, communal areas, meals, help with personal care such as dressing, supervision of medication, companionship and someone on call at night. Care homes providing personal care can accommodate nursing care provision during short illnesses by using district nurses however they are unable to provide constant nursing care.

Care homes providing nursing care

These are often called nursing homes. They also vary in size and facilities but all provide personal and nursing care 24 hours a day for people who are bedridden, very frail or have a medical condition or illness that means they need regular attention from a nurse. There is always a qualified nurse on duty.