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Questions to ask care home

10 replies

nailer · 11/09/2026 20:01

Im due to look at a care home soon for my DM who has mid stage dementia. I want to get this right first time as I don’t want to have to move her again.
What questions should I ask ? and what should I look for? What would be a good ratio of carers to residents ? It’s a big worry and very difficult to hand over her care to others but I’m no longer able to give her the care she deserves and needs and to keep her safe.

OP posts:
Notthegodofsmallthings · 11/09/2026 20:57

Ask if they provide care at all stages of dementia and if they provide palliative care. Check out their CQC report - but nothing beats looking for yourself, getting a feel for the place, and seeing how the residents are treated and cared for. I'd want to see a variety of activities for all residents, and people actually accessing them, lots of easy access to outside spaces. Well written care plans, that are easy to follow and clearly show what people need when they are distressed.

She will be entitled to a care needs assessment from adult social care (Local Authority), and you a carers assessment.

Good luck x

Saz12 · 11/09/2026 21:15

Staff turnover
Staff training - are they supported to do vocational qualifications?
Meals - choice of food & times
Activties & how much they cost
Accident book/ incident reports/near misses
Try and visit more than once.
Rate of fee increases (should be capped at x% a year for current residents
How often is the manager on site, who is respinsible outwith those times?

Its a hard thing to do, but typically the only viable option.

unsync · 11/09/2026 22:01

Is she self funding? This will give you much more flexibility.

My experience is that the management team is extremely important. Where my father was initially, the senior management changed and the level of care deteriorated rapidly.

I was fortunate that a place was available elsewhere so I was able to move him.

The nursing element is downplayed. On site nursing is important in dementia care, especially when it becomes advanced and there are co-morbidities. I would suggest you start with CQC Oustanding nursing homes first and don't go past any that have any rating lower than good.

When you visit observe closely and don't ignore your gut. Try to visit at mealtimes, are they able to offer individual help with eating?

Mealtimes and early morning are stress times for staffing. The final home my father was in had an extra morning shift specifically so there were sufficient staff members to get everyone washed, dressed and ready for breakfast. Observe the day rooms, is a staff member with residents at all times?

How do they deal with fall prevention? My father fell at least three times and the fall alarms didn't work. I suspect more falls, but was only told when paramedics were involved. When he was in the Outstanding home, he didn't have any falls.

Him being in the wrong home was even more stressful than caring for him 24/7 at home.

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TheLightSideOfTheMoon · 11/09/2026 22:05

Food budget.

I’ve worked in many care homes. The food is often absolutely dire and disguised by getting the GP to provide vitamins/dietary supplements/etc.

The last care home I worked in the food budget was £1.50 per resident per day. Everything was Tesco Value and we had to make up jugs of powdered milk because real milk ‘wasn’t in budget’.

Hang around, visit at meal times, talk about where the food comes from.

rookiemere · 12/09/2026 08:30

Go along to visit at different times if you can.

See/ask what the turnover of staff is like, also how many can speak understandable English ( sorry I hope I have worded that ok, many of DPs carers don’t have English as first language and I find it hard to understand them so DPs with poor hearing have no chance). Are care home staff engaging with clients or sitting on their phones. Is the care home manager present and visible? Are residents clean with brushed hair and fluids nearby? What enrichment activities do they offer for non mobile residents?

But no care home is perfect so don’t beat yourself up if there are teething issues.

lurkingfromhome · 12/09/2026 08:47

Ask about ratio of staff to resident and (very importantly) how much they use agency staff as opposed to full-time employees.

It's true that no home is perfect. My parent is in one that looks pretty tatty from the outside - there is some peeling paint, the stonework needs repointed, it all looks a bit shabby. Once you go inside, though, you realise all the budget has been spent on the residents' rooms and communal areas which are freshly decorated and super clean, bright and modern. There is a full-time maintenance guy who fixes/repairs/paints everything pretty much immediately. I feel that is the correct way round and would be much more suspicious of somewhere that looks great from the outside only.

nailer · 12/09/2026 21:57

Notthegodofsmallthings · 11/09/2026 20:57

Ask if they provide care at all stages of dementia and if they provide palliative care. Check out their CQC report - but nothing beats looking for yourself, getting a feel for the place, and seeing how the residents are treated and cared for. I'd want to see a variety of activities for all residents, and people actually accessing them, lots of easy access to outside spaces. Well written care plans, that are easy to follow and clearly show what people need when they are distressed.

She will be entitled to a care needs assessment from adult social care (Local Authority), and you a carers assessment.

Good luck x

What’s a carers assessment?

OP posts:
Rocknrollstar · 12/09/2026 22:11

Make sure when you have found a home that you vary the times and days you visit so they aren’t expecting you. Keep them on their toes.

ExitPursuedByABare · 12/09/2026 22:20

Whatever they answer will not necessarily be the truth.

In hindsight I’d probably try and talk to relatives of other residents but I’m not sure if that is possible. Having had my husband in three they were all shite in different ways. My friend has her mum in one which is lovely.

Family run homes seem to be better. And dementia residents probably fare better than stroke victims.

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