Making the decision to move a loved one into care is one of life’s toughest choices. You’re navigating emotional waters, balancing practicalities, and trying to understand the complex world of care facilities. Here’s a surprising fact: over 70% of people in care homes in the UK are over the age of 80. And yet, many families feel lost when it comes to understanding the right type of care home. If you’re one of them, don’t worry—you’re not alone. This guide will help you understand the key differences between a residential care home and a nursing home, so you can make the best decision for your loved one.

What Is a Residential Care Home?

A residential care home is exactly what it sounds like a home. It’s a place where people who need help with daily tasks, but don’t need medical care, live. Residents have their own rooms, often with en-suite bathrooms, and can bring personal belongings to make the space feel like their own. Communal areas—like lounges, dining rooms, and sometimes even cafés—are shared with others.

The focus here? Personal care and social interaction. Carers are on hand 24/7 to help with day-to-day activities: getting in and out of bed, washing, dressing, and eating. But medical issues? They’re handled by external professionals like district nurses or GPs. This is where the line between residential care and nursing care starts to show.

What Is a Nursing Home?

A nursing home offers the same level of personal care as a residential home but with a crucial difference: 24-hour access to medical care. In a nursing home, registered nurses are on hand around the clock to provide expert medical support. Whether it’s administering IV medications, managing wounds, or keeping a close eye on chronic conditions, nursing homes are equipped to handle more complex medical needs.

The accommodation in nursing homes is similar to residential homes—private rooms with shared communal spaces—but the level of care provided is much higher. This makes nursing homes ideal for individuals with long-term health issues, disabilities, or those who require constant medical monitoring.

Residential vs Nursing Home: Key Differences

The biggest difference? Medical care. In a residential home, care assistants handle everyday tasks but rely on external healthcare professionals for medical needs. In a nursing home, registered nurses provide immediate medical support, 24/7. This means nursing homes can handle more complex conditions like severe physical disabilities or chronic illnesses.

Another big difference is cost. Nursing homes tend to be more expensive because of the higher level of care and specialised staff required. If your loved one needs regular medical attention, a nursing home is likely the better choice. But if they need support with daily living rather than medical care, a residential home could be a better fit.

What to Ask:

• Does your loved one need regular medical supervision?
• How complex are their health needs?
• Is mobility an issue that requires more hands-on care?

How to Decide: Residential vs Nursing Home

The decision between a residential or nursing home comes down to your loved one’s needs. If they’re struggling with daily tasks but don’t need frequent medical interventions, a residential home offers the right balance of care and independence. However, if they need specialised medical care, close monitoring, or suffer from a condition like severe dementia, a nursing home is the better option.

Questions to ask yourself:

• Has my loved one’s mobility significantly decreased?
• Do they require help with medication or complex medical care?
• Are they feeling isolated and in need of social interaction or more structured medical care?

If your loved one is bed-bound, requires hoisting, or has a medical condition that needs constant attention, a nursing home will likely provide the right level of care. But if it’s more about ensuring they have support with daily living and are part of a community, a residential care home could be the perfect fit.

Dementia Care: Residential vs Nursing Home

Dementia complicates things. If your loved one has mild to moderate dementia, many residential care homes are well-equipped to provide specialised dementia care. These homes often have secure areas designed for individuals with dementia, and the staff are trained to handle the unique challenges the condition presents.

For advanced dementia or more complex behavioural challenges, nursing homes might be a better fit. Nursing homes with specialised dementia units (EMI units) provide around-the-clock medical and personal care for those in the later stages of the condition.

Financial Considerations: How Much Does It Cost?

Let’s talk money. Nursing homes are generally more expensive than residential care homes due to the higher level of care provided. You might also be eligible for NHS Funded Nursing Care (FNC), which can help cover part of the cost in a nursing home if your loved one needs ongoing medical support.

On average, residential care costs between £700 and £1000 a week (depending on location), while nursing homes can range from £800 to £1,500 a week, depending on the level of care needed and location. A thorough needs assessment from a GP or social worker will help determine what kind of care is necessary and whether you qualify for financial assistance.

When Is It Time to Consider a Care Home?

It’s never an easy decision, but there are some clear signs that your loved one may benefit from moving to a care home:

• They’re struggling with daily tasks like washing, eating, or getting dressed.
• Their mobility has decreased, and they’re having trouble moving around the house.
• They’ve become increasingly isolated, lonely, or depressed.
• They’ve had frequent hospital stays or health scares that require more constant supervision.
• A recent hospital discharge has left them in need of temporary support and rehabilitation.

Remember, it’s okay to ask for help. Regularly check in with family members, especially those living alone. They may not openly express their struggles, but the signs will be there if you look closely.

Final Thoughts: How to Make the Right Choice

Choosing between a residential care home and a nursing home is a deeply personal decision. Take the time to assess your loved one’s needs and visit potential homes in person. Speak to staff, residents, and families, and don’t hesitate to ask questions. This is a big step, and it’s essential to feel confident that you’re making the best decision for your loved one.

At the end of the day, whether you choose a residential care home or a nursing home, the goal is the same: ensuring your loved one is safe, cared for, and living with dignity. If you need further assistance, feel free to reach out to our team, who can provide assistance.