Skip to main content
Two older adults in their doorway

If the person you care for moves into residential care

Choosing residential or nursing care can feel emotional. You might worry you’re letting someone down. Recognising your limits is important. If the person you care for needs more help than you can give, arranging the right support is a thoughtful and responsible step.

What is residential and nursing care?

  • Residential care is long‑term support in a care home for people who need a lot of help with everyday tasks like washing, dressing, using the toilet and taking medication. Many homes also arrange activities and day trips.
  • Nursing care includes the support above plus 24‑hour on‑site qualified nursing for people with complex or ongoing medical needs.
  • Dementia care homes are designed to help people living with dementia feel comfortable and safe. Staff are trained in dementia care and some homes have qualified dementia nurses.
  • Care homes can be run by private companies, charities/voluntary organisations or local councils.

Exploring your options

Before you decide, speak with adult social care about conversations (assessments) for both you and the person you care for. There may be extra support at home—more care, equipment, home adaptations or a short break—that helps you both. Try to talk openly together about how you feel. You can also speak with a friend, another carer, your GP or a social worker.

If you continue caring at home, you can ask for a Carer’s Assessment. This is a conversation about your wellbeing and what could make life easier.

Staying involved

If the person you care for moves to a care home, your role may change rather than end. Many carers still help with meals, personal care or emotional support. Talk with staff early about how you’ll stay involved and what you can offer.

You can still ask for a Carer’s Assessment if you continue caring in any way.

Balancing work and care

If you’re employed, you can request flexible working to help balance your job and caring. Check your contract, staff handbook or HR policies to see what support your employer offers. Guidance is available from ACAS.

Carer’s Leave Act (from April 2024): Employees in England, Wales and Scotland can take one week of unpaid leave per year to provide or arrange care for someone with long‑term care needs. You can take it in half days or full days, from day one in your job. Employers can refuse for sound business reasons.

Working Families have more information about your rights at work.

Decisions about care and treatment

Living in a care home doesn’t change someone’s right to make their own decisions. If, in the future, they can’t make a specific decision:

  • They may have a Lasting Power of Attorney (LPA) or a Court Appointed Deputy.
  • If there isn’t a legal arrangement, professionals must decide in the person’s best interests—and your views should be considered because you know them well.
  • Advance Care Planning helps people share their wishes for future care and treatment.

There is useful information available:

Paying for care

Care homes may charge for their services. A financial assessment will decide how much the person you support needs to pay. This can include income, savings, and property.

People with specific medical needs may be eligible for NHS Continuing Healthcare (CHC). If someone doesn’t qualify for public funding, they may pay the full costs themselves (self‑funding).

Independent Age offers clear advice on how this works.

Benefits

Some benefits continue after someone moves into a care home, but others may stop after 28 days—especially if public funds are used. This may also affect your Carer’s Allowance.

If the person is self‑funding, they may still be eligible for:

  • Disability Living Allowance (care component)
  • Personal Independence Payment (daily living component)
  • Attendance Allowance

MoneyHelper offers clear, impartial advice on money and pensions. It includes a benefit calculator to help you find out what you could be entitled to.

If you have concerns

If you’re worried about the care home, speak to the manager first. Every home must have a complaints process. If the home was arranged through social care, also contact the social worker or care manager involved. If you complete all stages and are still unhappy, contact the Local Government Ombudsman.

To find out about care home standards or to make a further complaint about a service, contact the Care Quality Commission.

If the service is provided by the NHS, ask your local health authority for a copy of their complaints procedure. If, at the end of the complaints procedure, you are still unhappy, you may be able to take your case to the Health Service Ombudsman.

Have you encountered a problem with this page?