Caring for a loved one with dementia can be a challenging journey filled with emotional complexities and practical difficulties. As the disease progresses, there often comes a point where providing care at home becomes unsustainable, necessitating the consideration of alternative care options. This article explores the crucial aspects of planning and deciding on care away from home for individuals with dementia.

Understanding the Need for a Change in Care Setting

The progression of dementia is typically marked by an increase in dependency and a decline in functionality. This can manifest in various ways, such as difficulties with daily living activities, increased confusion, behavioural changes, and medical needs that become too complex to manage at home. Recognising these signs is essential in determining the right time to consider alternative care settings.

Creating a Comprehensive Care Plan

A care plan for someone with dementia should be comprehensive and person-centred. It involves assessing the individual’s needs, preferences, and medical requirements. Consulting with healthcare professionals, such as a GP, dementia specialists, and social workers, can provide valuable insights into the most appropriate type of care.

Exploring Care Home Options

When considering a care home, it’s important to research and visit various facilities. Look for homes that specialise in dementia care, as they will have staff trained in managing the unique challenges associated with the condition. Key factors to consider include the level of care provided, staff-to-resident ratio, safety measures, and the home’s approach to promoting residents’ dignity and independence.

Nursing Care Considerations

For individuals with more complex medical needs, a nursing care facility might be more suitable. These facilities have qualified nurses on staff and are equipped to handle medical issues that commonly arise in later stages of dementia. Evaluating the quality of medical care, the availability of specialised treatments, and the facility’s ability to handle emergencies is crucial.

Hospital Care: When Is It Needed?

Hospital care is generally considered when there is an acute medical issue that cannot be managed in a care home or nursing facility. While hospitalisation can provide necessary medical treatment, it’s important to note that hospitals are not long-term care solutions. The goal should be to stabilise the individual’s condition and return them to a more suitable long-term care setting as soon as possible.

Involving the Individual in the Decision-Making Process

Wherever possible, it’s important to involve the person with dementia in the decision-making process. This can be challenging due to the nature of the illness, but even understanding their past wishes and preferences can guide decisions.

Financial Considerations

The cost of care homes and nursing facilities can be significant. It’s important to explore all financial options, including personal savings, pensions, benefits, and potential local authority funding. Consulting with a financial advisor who specialises in elder care can provide clarity and guidance.

Emotional Impact and Support

Moving a loved one to a care facility can be emotionally taxing for both the individual and their family. Seeking support from support groups, counsellors, or friends who have gone through similar experiences can be beneficial. It’s vital to acknowledge and address these emotional aspects to make the transition as smooth as possible.


Deciding to move a loved one with dementia to a care home, nursing facility, or hospital is a significant and often heart-wrenching decision. However, when home care is no longer viable, these options provide a safe, secure, and supportive environment. By carefully considering the individual’s needs, involving them in the process as much as possible, and seeking professional advice, families can make informed decisions that ensure the best possible care for their loved ones.

If you would like to get in touch with Dementia Friendly Keighley please contact:

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