Deciding to move an elderly loved one into a care home is never easy. It’s a significant transition for the individual and their family, filled with emotions, practicalities, and questions. However, when staying at home is no longer safe or sustainable, a well-chosen care home can offer comfort, safety, and companionship.
In this guide, we’ll walk you through the key steps to getting an elderly person into a care home, helping you understand the process while ensuring they receive the best possible care.
Recognising When It Might Be Time for a Care Home
Sometimes it’s clear that a loved one can no longer manage at home, but it creeps up gradually in other cases. Here are some signs to watch for:
- Frequent falls or mobility issues
- Forgetting to take medication or attend appointments
- Difficulty managing daily tasks like bathing or cooking
- Loneliness, depression, or withdrawal from social activities
- Exhaustion or stress in family carers
If one or more of these concerns are ongoing, it may be time to explore options like residential care homes or nursing homes.
How to Approach the Conversation
Starting a conversation about moving into a care home can be daunting. Older adults often fear losing their independence or worry about being forgotten.
Here are a few tips for approaching the discussion:
- Choose a calm, quiet moment to talk
- Listen more than you speak
- Focus on your concern for their safety and well-being
- Present options rather than ultimatums
- Offer reassurance that you’ll be with them every step of the way
Some people may need time to come to terms with the idea. Others may feel relieved by the offer of support.
We’ll guide you step by step through this process so you always know what to expect.
Step 1: Arrange a Care Needs Assessment
We’ll guide you step by step through this important first stage so you’re never left guessing.
In the UK, the first formal step is to contact your local council for a care needs assessment. This evaluation determines what level of care your loved one requires.
The assessment looks at:
- Mobility
- Personal care needs
- Medical conditions
- Social interaction
- Mental health and cognitive function
Once completed, the council will provide a care plan outlining the needed support. This will help identify whether a care home, nursing home, or care at home is the most appropriate.
Step 2: Understand the Types of Care Homes
Residential care homes assist with daily living, but don’t offer medical care from nurses. They’re ideal for individuals who need help with washing, dressing, meals, and light supervision.
Nursing homes, on the other hand, have qualified nurses on staff 24/7 to support people with ongoing medical needs. This might include administering medication, managing chronic conditions, or post-operative recovery.
Choosing the right type depends on the individual’s health and personal requirements.
Step 3: Explore and Visit Suitable Care Homes
Finding the right care home is a bit like choosing a new home. You’ll want to consider:
- Location (near family or friends?)
- Size and layout of the home
- Staff-to-resident ratio
- Quality ratings (check the Care Quality Commission website)
- Daily routines and activities
- Meals and nutrition options
Schedule visits to several homes, ask plenty of questions, and try to bring your loved one along. Many care homes offer trial stays or open days.
Step 4: Check Availability and Begin the Application
Once you’ve found a home that feels right, contact them to check availability. If they have space, they may invite your loved one for an assessment to ensure their needs can be met.
This typically includes:
- Reviewing the care needs plan
- Meeting with the home manager or nurse
- Discussing daily routines and preferences
Step 5: Understanding Costs and Funding Options
The cost of residential care homes and nursing homes can vary significantly. In England, the average cost of a care home is around £37,000 per year, while nursing homes can exceed £50,000 annually.
Funding options include:
- Local authority support: If your loved one has less than £23,250 in savings, they may qualify for financial assistance.
- NHS Continuing Healthcare: For those with significant medical needs.
- Self-funding: For individuals with assets above the threshold.
Always request a financial assessment through your local council and seek advice from a care fees specialist if needed.
Step 6: Preparing for the Move
Once everything is agreed, begin preparing for the transition. Help your loved one pack personal items that bring comfort, such as:
- Favourite clothing
- Photographs
- Books or hobbies
- Personal toiletries
Speak with the care home about:
- Medication arrangements
- Medical history transfer
- Ongoing GP involvement
Try to make the move feel as natural and positive as possible.
Step 7: Helping Them Settle In
Adjusting to life in a care home can take time. Here are some ways to support your loved one:
- Visit regularly, especially in the early weeks
- Stay in touch through phone calls or video chats
- Encourage participation in activities
- Communicate with staff about any concerns
Some homes assign a key worker to each resident, which helps build trust and consistency.
Final Thoughts
Moving an elderly relative into a care home is a major life change, but it doesn’t have to be overwhelming. With the right planning, open conversations, and careful research, you can find a care home or nursing home that offers safety, comfort, and a renewed quality of life.
Every step taken with empathy and clarity will make the journey easier for everyone involved. Your loved one deserves care that supports both their physical needs and emotional wellbeing—and that’s exactly what a good residential care home can offer.
Frequently Asked Questions
Q1: Can my loved one try a care home before committing?
Yes, many care homes offer short-term or respite stays. This can help your loved one experience the environment before making a long-term decision.
Q2: What happens if their care needs change later?
If needs increase, the care home can review and adapt the care plan. If medical care becomes essential, a move to a nursing home may be recommended.
Q3: How often can I visit?
Most care homes encourage frequent family visits. Some have structured visiting hours, while others offer more flexible access.
Q4: What if my loved one refuses to move?
It’s important to approach with empathy. In some cases, a social worker or GP can help mediate the conversation and explain the benefits of moving into a residential setting.
Q5: How do I know if a care home is safe and well-run?
Check the CQC (Care Quality Commission) inspection reports, look at online reviews, and ask for feedback from current residents and their families.
Q6: Will my loved one lose their independence?
While routines are structured in residential care homes, staff are trained to support residents in maintaining their independence where possible.
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