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A nursing home (sometimes referred to as a care home with
nursing) is essentially a residential (care) home that has a
trained and registered nurse on duty 24 hours a day.
The type of registered nurse can be related to they type of care
that the nursing home offers. For example if the nurse has general
training, the home may be more used to dealing with people with
general nursing needs – for example pain and wound care.
If the nurse has been trained and is a mental health specialist,
the nursing home may be more specialised for people with mental
health needs – including dementia and memory or behaviour
Nursing Home or Residential Home?
Your medical care workers- such as your District Nurse,
Community Matron or Doctor will be able to help you decide in this
matter. You may also want to ask your social worker or any medical
Consultants you are talking to or seeing.
A lot of medical issues can be looked after in a
residential (or care) home or in your former home.
This can be done by regular visits from your District Nurse,
Community matron or your Doctor; as required
Will the NHS help pay the fees?
If a representative has helped you to access a place in a
nursing home, they will have completed some paperwork – often known
as an assessment. This assessment will be used by the NHS to work
out their level of contribution towards the cost in your nursing
The NHS has a liability to pay for what are known as nursing
needs. In a residential home or a community based home, these costs
are paid for via visits from NHS workers (or NHS Commissioned
workers) as we noted above.
In a nursing home, the person that owns the home pays for a
nurse to be on duty. In this care your nursing needs are met by the
nurses on duty and the NHS has to help you to pay for them. The
level of contribution is decided by the NHS and they will let you
(and social services if they are involved) know the level of
This payment is known as Continuing Care funding or the Funded
Nursing Care Contribution. The levels are dependent on your level
of need. For more information the NHS Choices website contains information
Continuing Health Care and information on the NHS
Funded Nursing Care Contribution.
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