A Golden Transitions Guide & Checklist

What Care Options Are Available in the UK?

A simple overview of the main types of care and support you may come across

When someone you care about starts needing more help, one of the first questions is often:

"What types of care are actually available?"

Care doesn't automatically mean moving into a care home. There are many different types of support available, from a little help at home through to residential or nursing care.

This guide gives you a simple overview of the main options you may come across.

1

Help to Stay Independent at Home

Sometimes a person doesn't need formal care but could benefit from some practical support to help them remain independent. This might include:

  • Help with cleaning and household tasks
  • Shopping support
  • Meal delivery services
  • Community transport
  • Befriending or companionship
  • Day centres or community activities
  • Personal alarms or telecare
  • Key safes
  • Mobility equipment
  • Home adaptations

May suit: Someone who is generally independent but is beginning to find some everyday activities more difficult.

2

Home Care / Domiciliary Care

A professional carer visits the person's own home to provide agreed support. Care could include:

  • Washing and dressing
  • Getting up or going to bed
  • Toileting
  • Preparing meals and drinks
  • Medication support
  • Mobility support
  • Shopping
  • Companionship
  • Support getting out and about

May suit: Someone who wants to remain at home but needs regular help with personal care or everyday activities.

3

Live-in Care

A carer lives in the person's home and provides support within an agreed care arrangement. This can include:

  • Personal care
  • Meal preparation
  • Medication support
  • Mobility assistance
  • Companionship
  • Household support
  • Help maintaining routines
Note: Live-in care does not necessarily mean continuous one-to-one care 24 hours a day. Always check exactly what the provider includes.

May suit: Someone with more substantial support needs who would prefer to remain in their own home.

4

Overnight Care

Sometimes the main concern is what happens during the night. Different arrangements may include:

  • A carer sleeping at the property and responding when needed
  • A carer remaining awake during an agreed period
  • Planned night-time visits

May suit: Someone who needs reassurance, help with toileting, medication, mobility or other support during the night.

5

Day Care

Day services provide support, activities and social contact without someone having to move from their home. They may offer:

  • Social activities
  • Meals and refreshments
  • Exercise or wellbeing activities
  • Support for people with particular needs
  • Opportunities to meet other people
  • A break for family or unpaid carers

May suit: Someone experiencing isolation or who would benefit from additional daytime support and social contact.

6

Respite Care

Respite care provides temporary care rather than a permanent arrangement. It could be provided:

  • In the person's own home
  • In a residential care home
  • In a nursing home
  • Through short-break or day services

May suit: Situations where an unpaid carer needs a break, a family is going away, or temporary additional support is required.

7

Reablement or Intermediate Care

Short-term support may sometimes be available following illness, injury or a hospital stay. The aim is generally to help someone regain skills and independence rather than provide permanent care. Support might help with:

  • Washing and dressing
  • Preparing meals
  • Moving safely around the home
  • Rebuilding confidence
  • Using equipment or adaptations
  • Managing everyday activities again
Note: Ask the hospital discharge team, local authority or relevant healthcare team whether this type of support may be appropriate.
8

Sheltered or Retirement Housing

Sheltered or retirement housing usually provides independent accommodation designed with older people in mind. Depending on the individual scheme, it may include:

  • Emergency alarm systems
  • A scheme manager or similar support
  • Communal areas
  • Social activities
  • Accessible accommodation
  • Additional security

May suit: Someone who remains largely independent but wants a more manageable home with some additional reassurance.

9

Extra Care Housing

Extra care housing combines independent accommodation with access to care and support. Depending on the scheme, this might include:

  • Personal care
  • Help with meals
  • Domestic support
  • Emergency assistance
  • Staff based on site
  • Communal facilities
  • Social activities

May suit: Someone who wants to retain their own home and independence but needs more support than traditional sheltered housing provides.

10

Residential Care

A residential care home provides accommodation together with personal care and everyday support. This can include:

  • Washing and dressing
  • Toileting
  • Meals and drinks
  • Medication support
  • Mobility assistance
  • Day and night support
  • Activities
  • Companionship

May suit: Someone who can no longer safely or comfortably manage at home and would benefit from care and support being available throughout the day and night.

11

Nursing Care

A nursing home provides accommodation and personal care together with nursing care. Qualified nursing staff are available to support residents with nursing needs. Support will depend on the individual's assessed needs.

Note: A health or care professional can help establish the level of care required.

May suit: Someone who requires nursing care in addition to the support normally provided within residential care.

12

Dementia Care

Dementia care isn't necessarily a separate type of accommodation. A person living with dementia might receive support:

  • In their own home
  • Through day services
  • Through respite care
  • In extra care housing
  • In residential care
  • In nursing care
Note: Look beyond the words "dementia care" and ask what specialist support, staff training and experience are actually provided.
13

Palliative and End-of-Life Care

Palliative care focuses on comfort, quality of life and support for someone living with a serious or life-limiting illness. Depending on individual circumstances, care may be provided:

  • At home
  • In hospital
  • In a care or nursing home
  • In a hospice
Note: Healthcare professionals should advise on appropriate clinical and palliative care.

Where Do I Start?

You don't need to decide everything at once. A useful first step is to understand what support the person needs now. Consider:

  • Speaking to the local authority Adult Social Care team about a care needs assessment
  • Speaking to the GP or appropriate healthcare professional about health concerns
  • Asking about an Occupational Therapy assessment if mobility or the home environment is a concern
  • Asking about a carer's assessment if a family member or friend provides significant unpaid care
  • Asking the hospital discharge team about support following a hospital stay
  • Understanding what care might cost and what financial support may be available
  • Comparing several appropriate care providers before making a decision

My Next Steps

The types of care I want to explore:

Help to stay independent at home
Home care
Live-in care
Overnight care
Day care
Respite care
Reablement / intermediate care
Sheltered / retirement housing
Extra care housing
Residential care
Nursing care
Dementia support
Palliative / end-of-life care
I'm not sure yet

My three next steps:

1.
2.
3.

Golden Transitions — Helping You Join the Dots

Finding out that someone needs more support can open the door to a whole new language of home care, respite, reablement, residential care, nursing care, funding and assessments.

It can quickly become overwhelming.

Golden Transitions helps families understand the options, organise the information and work out what questions to ask next.

We can help you:

  • understand the different types of care and support;
  • prepare for conversations with care providers;
  • research and compare suitable services;
  • organise information from different organisations;
  • identify where specialist professional advice may be needed; and
  • coordinate practical next steps.

Golden Transitions provides independent guidance, practical support and signposting. We do not provide medical, legal or regulated financial advice and do not replace professional care assessments.

You don't have to navigate it all alone. We help you join the dots.