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At The Good Care Group, we know through our experience in helping many families to plan live-in care over the last 10 years, that the cost of care is a significant consideration. Live in care is fast becoming the preferred choice for those wishing to stay in the comfort and familiarity of their own home whilst receiving the care and support they need. However, if you are considering a move into a care home, it is worth researching the cost so you can make an informed decision as to what is right for you and your family and plan for the longer term.
How much does a care home cost?
There are many factors that impact the cost of a care home, including where the care home is located, the quality of the environment and facilities available and the level of care you require.
The average cost of care in a standard care home the UK in 2019 was £33,852, rising to £47,320 when nursing care is required, according to Laing and Buisson’s ‘Care of Older People UK Market Report 2019’. However, it is worth noting that this includes all types of care homes across the UK – those that are solely, or part funded by Local Authorities and those that are paid for privately by those needing care. The difference between local authority and private provision in terms of the cost can be in excess of 50% more.
If you would like a high quality, luxury private care home where they invest in both their environment and care teams, you can expect to pay in excess of £60,000 per year for a room and residential care, rising in excess of £80,000 or more per annum for nursing care or specialist care to support those living with conditions, like dementia, Parkinson’s or Multiple Sclerosis (MS) or for those who need stroke care, cancer care and palliative care.
How much does a care home cost a week?
Below is the average weekly cost of care in a care home in the UK by region for both local authority and private provision (Source: Laing and Buisson ‘Care of Older People in UK Market Report’ 2019)
|Region||Residential care||Nursing care|
|East of England||£662||£677||£920||£1059|
Considering the cost of a care home for elderly
There are other factors you need to consider when looking at the overall cost.
Whilst many care homes will offer an inclusive price for accommodation and your care package, others will cost them separately. The price for the room will depend on the standard of the room in terms of comfort and facilities, as well as where it is located in the home or whether it has a private garden or balcony. A care package will be priced based on your care and support needs and whether you need nurse-led care or simply a mobility/frailty care package.
Most care homes will also charge extra for the following:
- Trips out of the home
- Beauty therapy
- Condition-led therapy
- Newspapers and magazine
- Events held in the home
- Specific activities
- Hospitality services for hosting family events/celebrations
Funding the cost of a care home in the UK
Local authority funding
Depending on your financial circumstances you may be entitled to social care funding from your local authority to meet the cost of care or part of the cost.
To find out if you are eligible for care funding you will need to approach your local authority, who will then conduct a care needs assessment to find out if you need a care home place. If your needs are assessed and they conclude you do need a care home place, they will conduct a means test which considers your financial circumstances – whether you own your property, the value of the property, your income and any savings you may have.
Eligibility for social care funding will be impacted by your capital (savings and property), as described below:
|Your capital||What you will need to pay|
|Over £23,250||You must pay the full cost (known as being self-funding).|
|Between £14,250-£23,250||The local authority will fund part of your care, and you will be expected to pay the rest of the fees.|
|Less than £14,250||This will not be included in the means test and the local authority will cover the full cost of a care.|
NHS continuing healthcare
Healthcare in the UK is free at the point of delivery. Therefore, if you have an identified healthcare need and are receiving care for this in your own home, you may be eligible for NHS Continuing Healthcare funding, which is arranged and funded by your local Clinical Commissioning Group (CCG). If you feel you are entitled to this funding, you need to visit your GP who will complete an initial assessment and refer your case to the CCG for consideration. They will then ask you to complete full assessment with a multidisciplinary team of healthcare professionals so they can understand the complexity of your needs.
Sadly, for many, specialist conditions like dementia are not in isolation considered a healthcare need so care for dementia is not necessarily funded by NHS Continuing Healthcare. It is always worth checking though, as funding can considerably contribute to the overall cost of a care home in UK and in many cases will fund the total cost.
If you are successful in securing funding it is worth noting that funding is reviewed by the CCG annually, so if you needs decrease because you are receiving good quality care your funding may be at risk and you may have to start funding the total cost of your care.
Financing care in a care home
Many families are faced with having finance the total cost of care themselves (referred to as self-funding care). For these families there are options to help with financing care in a home including a Care Fees Annuity, which is an insurance policy you purchase to cover the cost of your care, or by realising capital in your assets through an Equity Release scheme.
Live-in care costs vs. cost of a care home
Live-in care costs are typically in line with a care home, and sometimes less. The price you will pay for care in a care home can vary significantly depending on the standards of care and the environment, as well as the location of the care home. Care homes are typically more expensive in the South East of England.
If nursing care or specialist care of conditions is needed, then the weekly fee can be considerably higher. When considering a care home, it is important to ask them what is included in the weekly fee as there are generally optional extras, such as trips or hairdressing all of which can add up over the course of a year.
With live-in care you have the added value of being able to keep your family home and the fee you pay for your care is purely for the quality support you receive and not the room and board of a residential home.
If you are a couple who require care, live-in care really is a cost-effective option. The cost of care in a care home in the UK is double the price of receiving high quality, live-in care at home, as couples will typically live in two separate rooms. With live-in care there is just a small supplement for couples to receive care in their own home.
Benefits of live-in care
When considering the cost of live-in care compared to the cost of a care home, it is worth looking at the compelling benefits of receiving live-in care in the comfort of your own home:
- One-to-one care and support around the clock – one-to-one care simply cannot be achieved in any care home.
- A uniquely developed, highly personalised plan of care designed to meet your care needs whilst addressing how you wish to live your life - none of the rigid timetables or set routines experienced in a care home.
- Specialist and complex care provided by highly trained carers delivered in the comfort of your own home. Familiar surroundings and routines are paramount in helping those living with specialist conditions, like dementia or Parkinson’s.
- No need to move out of your much-loved home, with all the upset and disruption that brings. The family home can then be kept in the family, instead of being sold to fund care home fees. Staying at home means you can keep control of your life, with all your treasured memories and possessions around you.
- With live-in care you can keep your pet and the carer will support looking after it, and if you have a dog will be happy to walk it for you. Pets are generally not permitted in care homes.
- Considerable and proven benefits to overall health and wellbeing, with much needed peace of mind and reassurance for family members.
- Those who require live-in care for couples can stay together as a loving couple, whilst receiving individual care plans. Couples may be split up to be cared for in different areas of a care home.
“We have been using The Good Care Group for over five years and have received an excellent service. They are responsive and committed to providing well-trained, caring, and compassionate carers for my parents. They understand the need to keep the family involved in decisions around care, unlike another agency we have used. They take feedback seriously and act upon it immediately providing good support to their carers. We are very satisfied with the service we have received.”
Why choose The Good Care Group for live-in care?
At the heart of our live-in care service is enabling people to live well in their own home with the medical care and support they need from a carefully well-matched, trained professional carer who provides a better quality of life for those receiving care, whilst families receive a fully managed and regulated service that they can trust and rely on.
There are many other compelling benefits to receiving live-in care from The Good Care Group:
A perfectly matched care team
A 24-hour care at home arrangement usually involves two carers working on a two-week rotation. They will be carefully matched working with you and your family to ensure they are able to meet not just your care and support needs, but are closely aligned with how you wish to live your life, sharing common interests, personalities and backgrounds. In the rare situation, the match does not work out we will happily work with you and your family to find the care team that does. Expertly trained care teams
Our industry leading training programme completed by our care teams has been created with leading charities and clinical experts and goes well beyond industry standards. This enables our professional carers to support a range of conditions affecting older people, including complex conditions that require more monitoring, care and support. From training, through probation, into placement and beyond our carers never stop learning new skills that ensure they can deliver the quality care our clients should expect, whilst finding new ways to further enhance the level of care they provide.
Clinical care developed and supported by experts in their field
Supported by our specialist in house nurse, Dr Jane Pritchard and our central senior management team, many of whom are nursing professionals our professional care teams can support people with nurse-led care in the comfort of their own home. All our professional cares are qualified to manage and administer medications, and support with several complex medical interventions.
We understand that medical care can require equipment and other adaptations to the home. Our dedicated Occupational Therapist (OT), Jackie Cooper will not only liaise with doctors, district nurses and NHS OT’s and physiotherapists, she is also on hand to be able to conduct a thorough OT assessment to facilitate fast and discharge from hospital if required and will co-ordinate any requirement for equipment, so you can get home as quickly as possible to be cared for comfortable in familiar surroundings with all the care you need. These specialists ensure our professional carers are focused on and supported to deliver a holistic and multi-disciplinary approach to caring for your loved one.
Innovating care delivery through technology
Unlike any other live-in home care provider in the UK, we have invested in creating our own market-leading technology to further enhance our service. Through the development of an online community for our clients, their families and our professional carers, we are proactive and responsive to emerging issues, whilst enabling the softer social benefits that technology brings. The secure platform is focused on ensuring our carers are equipped to effectively deliver the high-quality care our clients should expect, whilst delivering improvements in health outcomes. Our families can access important information about the care of their loved one, providing a reassuring window into the care they are receiving.
Our professional carers use a dedicated community through a Chromebook to complete daily care records, update care plans, monitor nutrition and hydration and manage medications proactively with safety features ensuring accurate administration. This allows us to effectively monitor the health outcomes of our client’s care, so we can prevent and respond to incidents and ensure the very highest quality of care is always provided. The online community also allows our professional carers to network, support each other and share best practice, whilst facilitating a connection which is so important for a remote workforce.
For families who may live some distance away from their loved one, they can access care plans, care records and a calendar of events as and when they wish, offering much-needed peace of mind. We are proud that this community offers families a transparent and immediate insight into our service. The technology also provides families with reassurance that any cash handled by our carers is being managed safely and accurately, whilst enabling them to manage practical arrangements, such as food shopping remotely. They can also connect with our other clients’ families who may well be in a similar situation as themselves, so they can share their care experiences and support one another.
Our professional carers will utilise the technology for their clients’ socialisation and enjoyment – everything from video calls with family members so they feel connected, online shopping to general web browsing.
Improving health outcomes
At The Good Care Group every decision is driven by delivering improved health outcomes for our clients. Through our dedicated and committed approach to providing high quality care to our clients and the use of our market-leading digital technology, we see significant improvements in our clients’ overall health and wellbeing every year.
Unique to the live-in home care market, the technology enables us to digitally monitor health outcomes allowing us to effectively predict risk and shape the care we provide. We know, for example that urinary tract infections (UTI’s) are one of the leading causes of hospital admissions for our clients, so we equip our carers with handheld testing kits to proactively monitor our clients for infections. We then benchmark our data to demonstrate how effective our care is in improving the quality of our client’s lives in the context of other types of care provision, for example care homes.
Our health measures are focused on achieving the following:
- Promoting wellbeing, independence and enjoyment
- Reducing behaviours that challenge through implementation of psychosocial techniques
- Reducing and eliminating antipsychotic drug use
- Promoting excellence in nutrition and hydration
- Reducing and preventing falls in the home
- Reducing hospital admissions and re-admission
- Reducing UTI’s and chest infections
- Reducing carer stress
We are proud to be transforming health outcomes for those who require live-in care. In 2019 our care teams achieved the following outcomes for those they cared for:
Unrivalled falls prevention programmes
In England alone, 30% of people over the age of 65 fall at least once a year and for those 80 and over it is 50%. By comparison, only 7% of our clients aged 65 and over fell at least once, and that was only 6% for those aged 80 or over.
Our clients are seven times less likely to suffer a serious injury as a result of a fall than residents living in a residential care home. This is a result of our quality one-to-one care, which just cannot be achieved in even the very best care home, and our effective personalised falls management programmes.
Working with our in-house Occupational Therapist, we identify clients who are ‘frequent fallers’ and through an intensive and personalised approach to falls management these clients experienced 47% fewer falls from being in our care.
Reducing urinary tract infections (UTI’s)
Through enhanced training and the use of our market-leading digital technology, our professional carers can perform urinalysis tests. This means they can provide accurate and timely information to GP’s, enabling a quick diagnosis and treatment. 82% of our clients were diagnosed in 2019 using urinalysis kits, and through the introduction of testing we were able to reduce emergency interventions involving a 999 call or ambulance call out by a staggering 63%. We have also achieved a 22% reduction in overall UTI related hospital admissions.
A specialist pathway for palliative care at home
For those with a life-limiting illness or a terminal condition, most of us given the choice would wish to end our days in the comfort of our own home. However, the percentage of people in the general population who can do that is as low as 16%. By comparison, our approach to one-to-one palliative care at home has enabled 77% of our clients to pass away in the place they love most – their own home.
Effective pressure sore management
Our high-quality home care provided by dedicated and professional carers has seen a staggering reduction in pressure sores in those we care for when compared to both hospital and care home settings. Our clients are nine times less likely to acquire a pressure sore than they are in a care home and three times less likely than in hospital.
Proactive monitoring of chest infections
Our partnership with an award-winning technology provider, Feebris has seen us reduce hospital admissions for those with respiratory problems by 28%. Our carers use handheld medical devices to detect early signs of illness, such as chest infections enabling timely intervention to avoid unnecessary hospital admissions.
Efficient management of medications
Our digital technology is used proactively to effectively support safe administration of medications, which has seen error rates of 3% compared to a 22% error rate in care home settings.
Reducing the use of antipsychotic mediation for those living with dementia
The use of antipsychotic medication to treat dementia symptoms has been increasingly challenged over the last ten years, as they have been shown to be harmful for people living with dementia and are at times prescribed unnecessarily. Through our approach to professional and specialist one-to-one care for those living with dementia, our clients are four times less likely to be prescribed antipsychotic medication than residents of care homes.
Peace of mind and reassurance
Rated ‘Outstanding’ by the Care Quality Commission (CQC)
The Good Care Group is the only live-in care provider in the UK to achieve an ‘Outstanding’ rating by CQC across all five categories – safe, effective, caring, responsive and well-led. We know this provides families with peace of mind that their loved one is receiving the best possible care.
A fully managed and regulated live-in care service
We provide a fully managed and regulated live-in care service which offers families reassurance at a time they need it most. Unlike introduction agencies who are not regulated by CQC, all our professional carers are directly employed and managed by us. We ensure they are supervised by an experienced manager and supported by clinical experts – 24 hours a day, 7 days a week. Local teams with national coverage
We operate nationwide with a local approach to management of our teams near you. Each dedicated care manager has as small portfolio of clients to support, enabling the care team to provide a tailored one-to-one approach with the highest levels of monitoring and support from an experienced management team.
“I spent a long-time reviewing care providers online, before I decided to contact The Good Care Group. I was very apprehensive as my mother is 81 years old and had very complex needs so required 24-hour care. From the first point of contact, I have been thoroughly impressed and the professionalism I have experienced is second to none. After a couple of telephone conversations with a care advisor we were visited in our home by Rachel the care manager, who made us feel at ease. She assessed our situation and produced an extensive care programme which addressed all my mother’s needs – the attention to detail was incredible. Rachel was super-efficient, friendly and very approachable. Absolutely nothing was too much trouble for her. We were matched with a wonderful carer, who was brilliant in the way she looked after my mother. She was kind, patient, friendly and so hard working. She looked after my mother as if she were her own and went beyond what was expected. I cannot thank The Good Care Group enough.”