Posted by Janine Griffiths

How to choose a care home for your loved one

Choose a care home for your loved one

In our previous blog we explored the importance of narrowing down options, arranging visits, and assessing the quality of care when trying to find care for a loved one.

While that advice remains vital, the care landscape has evolved. Families now face new considerations as they navigate this important decision.

This updated guide on how to choose a care home for your loved one builds on the foundation of our earlier blog, introducing fresh insights to help you make an even more informed choice.

From personalised care to emerging trends, these tips will ensure you’re fully prepared to select the best care home for your loved one.

Key updates and new considerations

As the landscape of elder care continues to evolve, so too do the factors that families must consider when choosing a care home. In this section, we highlight some of the key updates and new considerations that have emerged over the last few years.

Personal care plans

Personalised care was first introduced in 2019 as part of the Long Term Care Plan by the NHS. In the years following, it has been gradually adopted by social care providers across the country to improve the quality of care they give to patients.

The COVID-19 pandemic further emphasised the importance of tailored care, as providers sought to adapt quickly to individual needs in a rapidly changing environment. With increased focus on vulnerable populations, the demand for personalised care has grown, highlighting the critical role it plays in ensuring both the safety and wellbeing of residents.

Of course, every individual’s needs are unique, and modern care homes increasingly recognise this by offering highly personalised care plans. These plans go beyond basic health requirements, encompassing cultural, dietary, and social preferences. Choosing a care home that takes the time to understand your loved one’s lifestyle and values can make a significant difference in their wellbeing and happiness.

When choosing a care home for your loved one, make sure to enquire about their approach to personalised care plans and whether they provide person-centred care that addresses your loved one’s specific needs and preferences.

Technology

Technology now plays a pivotal role in improving the quality of life in care homes. From digital care planning tools to assistive devices like sensor technology, many care homes use tech to enhance safety and communication. For example, video calling facilities can help your loved one stay connected with family, while digital medication tracking ensures accurate care delivery.

Although sensor technology and digital care planning tools have been in use for many years, their adoption has accelerated significantly in recent years. The COVID-19 pandemic underscored the need to reduce in-person contact, prompting care homes to embrace these technologies more widely. This shift has not only enhanced safety and efficiency but also demonstrated how innovation can maintain strong connections and deliver high-quality care, even in challenging circumstances.

Many families understand how technological innovations can significantly enhance their loved ones' care, while also helping them stay connected with those they hold dear.

If these modern tools are important to you, make sure to choose a care home that incorporates them into their services.

The impact of COVID-19 on care homes

The COVID-19 pandemic highlighted both the resilience and vulnerabilities within the care home sector, prompting significant changes that have reshaped the way care is delivered. One of the most crucial lessons learned from the pandemic was the need for heightened awareness of infection control and hygiene practices. In response, care homes have implemented stricter protocols to ensure the safety and wellbeing of residents, with enhanced cleaning procedures, improved ventilation systems, and more rigorous monitoring of staff health.

Moreover, the pandemic served as a catalyst for increased regulation and oversight within the sector. Governments and industry bodies have since introduced more stringent guidelines to prevent outbreaks and safeguard vulnerable populations. These measures not only aim to reduce the risk of future infections but also ensure that care homes are better equipped to handle potential crises, with more robust contingency plans in place.

Ultimately, while the pandemic exposed critical gaps in the system, it has also sparked a renewed focus on improving care home standards. This heightened attention to infection control, combined with stronger regulations, offers greater reassurance to families seeking a safe and supportive environment for their loved ones.

Questions to ask during visits

When visiting potential care homes, it’s easy to focus on the obvious factors like facilities, costs, cleanliness, activities and staff qualifications. Of course, all of these things are important, but in addition, there are other crucial questions that are often overlooked which can provide deeper insight into the overall quality of care.

Start by asking about staff turnover rates. High turnover can be an indication of underlying issues such as poor working conditions or a lack of support for staff, both of which could affect the consistency of care your loved one receives.

Another important area to explore is access to mental health support. Many residents in care homes may experience feelings of isolation or anxiety, especially during transitions. It’s vital to know whether the home has mental health services available, such as counselling or social support, to ensure your loved one’s emotional wellbeing is cared for.

It is also a good idea to enquire about how the care home handles resident feedback. Does the home encourage residents and their families to share their thoughts and concerns? A care home that actively seeks feedback and acts on it demonstrates a commitment to continuous improvement and resident satisfaction.

Finally, take the time to gauge the atmosphere and community spirit of the home. Spend time observing how staff interact with residents, how people in the home engage with each other, and whether the overall environment feels warm and welcoming. A positive, caring atmosphere is essential for creating a sense of belonging and happiness among residents.

Financial transparency

Understanding the full cost of care is crucial when choosing a care home, as fees can vary greatly depending on the level of care required and the facilities offered. Financial transparency is key to avoiding any unexpected costs down the line.

When considering a care home, be sure to ask for a clear breakdown of all fees and charges, including additional costs for services such as laundry, activities, or personal care. Some homes may advertise a base rate, but there could be extra charges for more intensive care or specialised services. Make sure you understand exactly what is included in the initial fee and what might be an additional cost.

It’s also important to ask about payment options and whether the home offers any flexibility or assistance in covering the costs. Some care homes may work with financial advisers or offer guidance on how to access funding, including government support, grants, or insurance.

If you’re unsure about the financial implications, consider seeking advice from a professional. Many organisations and independent financial advisers specialise in elder care funding and can help you understand your options, whether you are looking for ways to reduce costs or need advice on long-term care planning.

Being fully informed about the financial aspects of a care home ensures that there are no unpleasant surprises and that you can make a well-rounded, confident decision.

Assess the quality of care

One of the most critical steps when considering how to choose a care home is understanding how to assess the quality of care being offered. It's easy to be swayed by fresh paint and well-tended gardens, but true quality lies in the day-to-day experiences of residents - how they are treated, supported, and respected. Thankfully, there are objective tools to help you make an informed decision. The Care Quality Commission (CQC), for instance, inspects care homes in England and publishes detailed reports that cover safety, effectiveness, responsiveness, and leadership. 

However, these reports are not always up-to-date, so this is where OpenScore comes in. OpenScore is a score out of 10, that assesses care homes on multiple data points, such cost transparency, infection control, dining choices, and more.

OpenScore can give you a real sense of whether a care home truly delivers on its promises. But don’t stop there. Speaking directly with the manager, observing how staff interact with residents, and talking to other families can provide deeper insight. Look for homes where staff seem attentive and residents appear relaxed and engaged - these are powerful indicators of quality care. Ultimately, assessing quality isn’t just about ticking boxes, it’s about ensuring your loved one will be treated with the dignity and compassion they deserve.

Financial planning and funding options

Understanding the financial side of care is essential when learning how to choose a care home. For many families, this is one of the most daunting parts of the process. Care home costs can vary widely depending on location, level of care required, and whether it’s a residential or nursing home. Before making any decisions, it’s important to undergo a financial assessment through your local authority - this will determine whether your loved one is eligible for any funding support. In some cases, help is available via NHS Continuing Healthcare or other government schemes. For those who are self-funding, getting independent financial advice is a wise move. 

Specialists in later-life planning can help you explore options such as annuities, equity release, or deferred payment agreements. Importantly, you’ll want to understand what’s included in the weekly cost - are meals, activities, personal care, and laundry covered, or are these additional extras? The Society of Later Life Advisors (SOLLA) can provide advice on how to pay for the care you need, for a fair price. Transparent pricing is a hallmark of a trustworthy care home. Planning ahead financially not only avoids future stress but also empowers you to make the best possible choice for your loved one’s wellbeing.

Legal considerations and residents’ rights

When figuring out how to choose a care home, it’s crucial to be aware of the legal considerations involved in the move. This includes understanding who has the legal authority to make decisions - whether through a Power of Attorney or Court of Protection order - especially if your loved one lacks mental capacity. You’ll also need to carefully review any contract presented by the care home. Contracts should clearly outline what services are provided, the costs involved, terms of termination, and how the home handles changes in care needs or fees over time. Don’t be afraid to ask questions or seek legal advice before signing anything. 

Equally important are the rights of the resident. Every individual in a care home has a right to be treated with dignity, to be involved in decisions about their care, and to have complaints taken seriously. Familiarising yourself with the Care Act 2014 and residents' rights under UK law can help you advocate effectively on behalf of your loved one. Choosing a care home isn’t just a practical decision — it’s a legal and ethical commitment to safeguarding someone’s future.

Transitioning to care home life

Even after you’ve navigated how to choose a care home, there’s a final - and often emotional - hurdle to cross: helping your loved one adjust to their new home. The transition can be a deeply sensitive time, filled with anxiety, grief, and uncertainty for both the resident and their family. But with care and preparation, it can also be a positive new chapter. Start by personalising their room with familiar items - photos, blankets, books, or artwork - to create a sense of continuity and comfort. 

Encourage visits from family and friends early on, and ask the staff about how they support new residents during this period. Some care homes have “buddy” systems or onboarding activities to help new residents feel welcome. It's also helpful to maintain routines where possible — meal times, favourite TV shows, or even a regular phone call from a grandchild. Importantly, stay emotionally available and patient. Your loved one may take time to settle, and that’s okay. Helping them feel seen, heard, and valued will go a long way in making their care home truly feel like home.

Exploring short-term or respite care as a trial 

One of the most effective ways to assess a care home before making a long-term commitment is by exploring respite care or short-term stays. These trial periods allow you and your loved one to experience the care home environment firsthand, without the pressure of a permanent decision.

For families, this can be invaluable in gauging whether the care home meets expectations and offers the level of comfort and support that your loved one needs.

On the other hand, short-term stays can be an excellent way for residents to adjust to a new environment gradually. It allows them to become familiar with the routine and build relationships with staff and other residents. This can ease the transition to long-term care and make it less overwhelming.

Ultimately, using respite care as a trial offers peace of mind for both families and residents, ensuring that when the time comes for a permanent decision, you’re confident in your choice.

Empowering your care home decision

This guide has introduced several key updates and considerations to help you navigate the process of choosing the right care home for your loved one.

These insights aim to equip you with the knowledge needed to make an informed decision.

As you move forward, remember to combine these new tips with the foundational advice from our previous blog. Together, they provide a comprehensive approach to selecting a care home that truly meets your loved one's needs, values, and preferences.

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Frequently Asked Questions

Personalised care plans are plans that caters to your loved one's needs through a series of guided discussions with the individual and their loved ones to develop personalised health and wellbeing plans.

Tools like video calling, sensor tech, and digital medication tracking improve safety, communication, and connection in modern care homes.

Enquire about counselling services, staff training in emotional support, and activities designed to promote mental health and reduce isolation.

Respite care offers short-term stays, letting you assess the home's environment, staff, and services before committing to long-term care.

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