What are the conditions for moving into a care home ?


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The facility you choose will, of course, depend on the health and degree of dependence of your elderly relative. However, other fundamental criteria will also be taken into account such as proximity to the family, the available budget, the activities and services on offer, the quality of service delivered by the care team and the preferences of the person concerned. Are you looking for a friendly, safe environment? Is your loved one dependent or do they suffer from a specific medical condition? What are the care/nursing home admission criteria in England?       

1. Understanding the care needs assessment

The first formal step before moving into a care home is undergoing a care needs assessment, usually conducted by your local council. This is a vital process where healthcare professionals assess the individual’s specific care requirements, including daily living tasks such as washing, dressing, and eating, as well as more complex medical needs like dementia care or physical disabilities.

The assessment considers whether the person could remain in their own home with added support, or if a care home would provide a more appropriate level of care. The council may recommend care homes based on the findings, but the final decision on where to move remains with the individual or their family.

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2. Eligibility and financial assessment

Once care needs have been established, it’s crucial to assess the financial aspect of moving into a care home. Care home fees in England can range from £600 to £1,500 per week, depending on the level of care required and the location of the home.

If your savings and assets, including property, exceed £23,250, you will likely need to fund your care yourself. If they fall below this threshold, you may be eligible for local authority funding. However, even in cases where local authority funding is available, the individual might still be required to contribute part of their income, such as pensions.

There are various types of financial assistance, including:

  • Local authority funding: Based on your financial assessment, the local council may help pay some or all of your care costs.
  • NHS Continuing Healthcare (CHC): For those with severe health needs, NHS CHC funding might be available, which covers the entire cost of care.

3. Health and safety regulations 

Care homes in the UK must comply with strict health and safety standards set by the Care Quality Commission (CQC). These standards ensure that care homes are well-equipped to meet the health, safety, and well-being of their residents. Key regulations include staffing levels, medical care, infection control, fire safety, and medication management. Before moving into a care home, it’s essential to verify the CQC rating and read inspection reports to ensure the home meets high standards of care.

4. Selecting the right type of care home

Choosing the right care home depends largely on the individual’s specific care needs: 

  • Residential care homes: These offer accommodation, meals, and personal care (such as help with washing and dressing) for people who may not be able to live independently but do not require 24-hour nursing care.
  • Nursing care homes: These homes offer a higher level of medical care, with trained nurses on-site 24/7 to manage complex medical conditions.
  • Specialist care homes: Some care homes cater specifically to individuals with dementia, Alzheimer's, or other specific health conditions. 

In England, you can visit potential care homes, or view them online through virtual tours, to better understand their environment, staff, and services. 

5. Emotional and psychological readiness

Another often overlooked condition is emotional preparedness. Moving into a care home can be a difficult transition, especially for individuals who have lived independently for most of their lives. It’s important to engage in open conversations with family members and healthcare professionals to prepare emotionally for the move. Many care homes also offer support services to help new residents adjust to their new surroundings, ensuring a comfortable and supportive environment.

6. Legal and administrative requirements 

Before moving into a care home, there are several legal requirements to address:

  • Power of attorney: It’s advisable to establish power of attorney for health and financial decisions before moving into a care home, especially for those with cognitive impairments.
  • Advance care planning: This is a plan where individuals can outline their care preferences should they become unable to communicate their wishes in the future.
  • Contracts and agreements: Read and understand the care home contract, which should clearly outline fees, services, and the care provided.

7. Family involvement

Family members play a vital role in the care home selection process. Their involvement in the care needs assessment, financial planning, and emotional support can make the transition smoother. Many care homes encourage family involvement by offering regular updates on their loved ones’ well-being and allowing frequent visits.

Cost Comparison for Care Home Types

Care Home TypeAverage Cost Per MonthIncluded ServicesBest Suited For
Residential Care Homes $2,000–$5,000 Basic personal care, meals, housekeeping Seniors with moderate assistance needs
Nursing Homes $5,000–$8,000 24/7 medical care, specialized support Seniors with significant medical requirements
Memory Care Units $4,500–$7,000 Dementia-focused care, secured environment Seniors with Alzheimer’s or other dementias

Are you or a loved one considering moving into a care home?

Understanding the conditions and the necessary steps can be overwhelming, but you don’t have to do it alone. Contact us today for expert advice on navigating the care home process. Our team can guide you through everything from the care needs assessment to financial planning and choosing the perfect care home to meet your needs. You can call us directly at this number: 0203 608 0055.  

Q&A:  

1. When should someone consider moving into a care home?
Answer: Consider a care home when daily tasks become challenging, safety at home is a concern, or when medical needs require 24/7 supervision. 
2. What are the different types of care homes available?
Answer: Care homes vary by the level of support offered, including residential care homes for personal care, nursing homes for medical assistance, and specialized facilities like memory care units for dementia patients.
3. How can I choose the right care home for my loved one?
Answer: Evaluate factors such as the level of care required, location, cost, staff qualifications, and the facility's environment. Visiting multiple care homes and asking pertinent questions can aid in making an informed decision. 
4. What is the process for moving into a care home?
Answer: The process typically involves a needs assessment, financial evaluation, selecting a suitable care home, completing application forms, and coordinating the move. 
5. How much does it cost to live in a care home?
Answer: Costs vary based on the type of care home, location, and services provided. For example, residential care homes may cost between $2,000–$5,000 per month, while nursing homes can range from $5,000–$8,000 per month.
6. Are there financial assistance options for care home fees?
Answer: Yes, options include government programs, long-term care insurance, and, in some cases, assistance from local authorities. Eligibility and availability vary by region.
7. What personal belongings can I bring to a care home?
Answer: While care homes provide essential furniture and amenities, residents are often encouraged to bring personal items like photographs, decorations, and small pieces of furniture to make their space feel more like home. 
8. Can residents have visitors in a care home?
Answer: Yes, most care homes encourage visits from family and friends. It's advisable to check the specific visiting hours and policies of the chosen care home.
9. What activities and social opportunities are available in care homes?
Answer: Many care homes offer a range of activities, including games, exercise classes, outings, and social events, to promote engagement and well-being among residents.
10. How can I ensure the quality of care in a chosen facility?
Answer: Research the care home's reputation, read reviews, check regulatory inspection reports, and observe the environment and interactions during visits to assess the quality of care provided.

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