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Residential Care Homes and Nursing Care Homes

Care homes provide accommodation and personal care.  Some also provide nursing care. They are staffed 24 hours a day and all meals are provided. Care homes are intended for older people whose care and support needs mean that they can no longer live independently.

Care homes provide support for people who cannot live safely in the community with a comprehensive package of care. Where nursing care is provided, qualified nursing staff are on duty 24 hours a day.  In other homes, where needed, nursing support is provided by the district nursing service.

The accommodation itself consists of a bedroom and sometimes, in more modern homes, an en suite toilet and bathroom.  Residents have access to communal areas such as lounges, dining room etc.

Care Homes are registered with the Care Quality Commission, and star rated from 0-3 based on regular inspections and other information gathered.  The council also regularly visit and check the quality of care homes in our area.

The legal rights of residents are different from those in sheltered or Extra Care housing.  Care home residents neither own their own accommodation or have a tenancy, and therefore have no security or tenure.

Costs
In North Somerset, care homes are owned and run by independent sector providers (voluntary sector organisations, private companies and in some cases, individual proprietors). Care homes charge a fee which is set by the home itself. There is a wide variation in what care homes charge.  People who have capital or property with a value above £23,500 or who have a high income are liable to pay their own fees. The council will assist with fees for people who do not have access to their own funds up to a level it agrees each year with the care home sector.

The council only funds people who it has assessed as needing care following an assessment of need under the NHS and Community Care Act 1990.  People funded by the council make a contribution to costs based on their income and capital. Further information on fees and funding will be provided at a future briefing.  North Somerset Council’s Care Connect offers advice and information about all forms of care and support and is the first point of contact for people wanting to have an assessment of their needs.