This information is for service providers and professionals who work with us or would like to work with us.

We want older people to be able to live healthy, independent lives, in their own homes, for as long as possible.

Some older people will eventually need 24-hour care in a residential care home. We are committed to providing the right support for individuals, in the right place, at the right time.

Service category model for care homes 

We’ve developed our ground-breaking Service Category Model to clearly define the type and level of needs to be met in each service category, and what differentiates each service category.  

The Service Category Model is the cornerstone of our new approach to commissioning care home services and will apply to all new care home placements.

The bulk of our purchasing is in the following service categories:
  1. residential - medium level needs.
  2. residential - high level needs.
  3. nursing.
  4. nursing - advanced dementia and mental health needs.
Occasionally we also make placements in service categories 2a (residential - advanced dementia and mental health needs without nursing) and 5 (nursing - advanced and complex)

As most older people living in residential care homes will have some form of dementia, we expect care homes that provide these services will have "older people" and "dementia" included within their CQC Statement of Purpose.

In all cases, service users will be people who:
  • are not able to reside in their own homes, whether on a short or long-term basis and 
  • have care and support needs that are prevalent 24/7 and 
  • include night-time care needs and 
  • have needs which cannot realistically be met in any other way, for example, through use of assistive technology, aids and equipment in their own home and/or because the frequency or unpredictability of the person’s needs, makes support at home non-viable 

Overview of the Service Category Model

This section outlines:
  • the needs profile for each service category
  • key differences in service requirements
  • assumed weekly hours for direct care and nursing care
The summaries, or pen portraits, highlight the typical needs a person might have within each service category.

Residential care services with and without nursing - key differences

Residential care services without nursing

Residential care services with nursing

Admission scenarios

These offer a picture of the type and level of needs that will be referenced under each service category, including for:
  • long-term placements
  • short term respite and
  • end of life placements

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