Guy’s and St Thomas’ NHS Foundation Trust Adult Community Services – Southwark

Deciding when it’s time for a care home is one of the most difficult and emotional decisions a family can face.

You may be asking yourself:
• Is it too soon?
• Are we doing enough at home?
• What if they refuse?
• How do I know it’s the right time?

The truth is, there isn’t one single moment — but there are clear signs that extra support is needed.

This guide will help you recognise when a move to a care home or nursing home may be the safest and most supportive option for your loved one.

Choosing between a care home and home care is one of the biggest decisions families face when supporting an elderly loved one. Both options provide professional care and support — but they suit very different needs, lifestyles and medical circumstances.

January is often described as a month of fresh starts. The festive decorations come down, routines return, and many of us find ourselves reflecting on the year ahead. For families supporting an elderly loved one, January can also be a time when concerns about health, independence, and care needs come into sharper focus.

Choosing a care home isn’t just a practical decision — it’s an emotional journey. For families, it can feel like navigating a storm of guilt, confusion, grief, and hope. It’s a time of transition not only for the person moving into care, but also for their loved ones. And yet, these emotional realities are rarely spoken about openly.