Care Homes (Residential and Nursing Care)

Care homes provide long-term care for people who can no longer remain safely at home even with support. There are 3 types of care home: care homes that provide accommodation, meals and twenty-four hour personal care and attention but do not provide care for people who need nursing support; care homes with nursing that look after people who need regular nursing care, which can only be provided by a qualified nurse or under the direct supervision of a qualified nurse; and care homes that are registered to provide both residential and nursing care, which enables a wide range of services to be given.

Arranging a place in a care home

If you meet the social services criteria for help a care manager will come and assess your needs. Depending on the results from this assessment a place in a care home may be arranged for you.

We will arrange placements for people to enter care homes who are unable to make their own arrangements or who have no-one willing and able to assist them.

Alternatively you can make your own private arrangements

Types of care home

There is a range of care homes in Bromley for:

  • older people;
  • adults with learning disabilities;
  • adults with physical disabilities or sensory impairment;
  • adults with mental health problems;
  • adults and older people with dementia.

Care homes with nursing must have a registered nurse on duty at all times.

Some people may choose a care home that provides both residential and nursing care so that if their health deteriorates, they do not need to move. Couples with differing care needs can also stay together in such homes. 

The Bromley Adult Care and Support services directory is a comprehensive guide to choosing and paying for care in the Bromley area.

Older people whom care managers have assessed as needing long term care in a care home will automatically receive a copy of the directory in a placement pack.

Checking standards in residential care

The Care Quality Commission (replaces CSCI) Looking for a care home? Get free, independent reports on the quality of your local homes and care services to help you make an informed choice. 

Paying towards the cost of care home accommodation

Whether your stay in a care home is temporary or permanent, the council must carry out an assessment of your needs to confirm that you require care in a care home, before you can get help with the cost.
You are entitled to a care assessment even if you have over £23,250 and are able to pay the full cost of a care home yourself you can get advice about the care you require and information about how to find and fund your care.

If you enter a care home or care home with nursing as a result of requesting help from social services , you will have to contribute towards the cost of the service. The amount you have to pay will depend on your financial circumstances:

  • If you have capital assets of more than £23,250 or are making your own private arrangements you will have to pay the full cost of your care and accommodation excluding nursing care, which will be met by the Health Service
  • If your savings and capital assets are less than £23,250 you will be assessed to pay a financial contribution towards the cost of your care and Bromley Council will pay the balance of the fees. There are limits on the amount Bromley Council will usually pay for a place in a care home unless you have exceptional needs which can only be met by a specialist provider.  

Care homes with nursing

The NHS will meet the costs of nursing care for all residents who have been assessed as requiring nursing care. This means that the NHS will pay that part of the total fee of a care home with nursing, which relates to the care provided by a registered nurse. These arrangements apply to all residents of care homes with nursing; including those who receive financial support from local councils as well as those who pay the whole cost of their care themselves (who have been eligible for this support since October 2001). Bromley NHS Primary Care Trust nurses will assess the level of nursing care you require in order to determine what level of funding the NHS will contribute.

Maximum weekly fees

The fees shown below apply to older people entering care homes from April 2013. These are the maximum weekly fees (ceiling rates) that Bromley Council will pay towards your care if, following an assessment, you are eligible for funding. The rates include NHS-funded nursing care payment (where appropriate) and your assessed contribution.

  • Residential care homes: £530
  • Residential - dementia care: £556.00
  • Care homes with nursing: £720.00
  • NHS Nursing care contribution:

Whether you are a temporary or permanent resident, if you live in a care home that provides nursing care, you may be entitled to a non-means-tested NHS Nursing Care Contribution towards the cost of your nursing care. This is paid directly to the home.

More information is available in the Paying For Your Care Home guide 

Next steps

  • contact Bromley social services direct to discuss an assessment of your needs or
  • make your own arrangements directly with the home of your choice, if you have the financial resources to pay for your care