A guide to dementia care homes

Dementia care homes provide specialist support for people living with Alzheimer's disease and other forms of dementia. Choosing the right one requires looking beyond CQC ratings alone.

What is a dementia care home?

A dementia care home is a residential or nursing home that specialises in caring for people with dementia. They are registered with the CQC under the service type “Dementia” and their staff receive additional training in dementia care. Some homes are entirely dedicated to dementia; others have dedicated dementia units within a larger care home.

Key features of a good dementia care home

• Specialist-trained staff: Look for Dementia Care Mapping and training in person-centred care approaches.
• Safe, secure environment: Secure gardens, door alarms and safe walking routes prevent unsafe wandering.
• Familiar and calming décor: Good dementia homes avoid confusing patterns, use clear signage, and create familiar-feeling spaces.
• Meaningful activities: Reminiscence therapy, music, sensory rooms and shared activities reduce anxiety and agitation.
• Person-centred care plans: Each resident's history, preferences and triggers should be documented and acted upon.
• Low staff turnover: Consistency of carers is particularly important for people with dementia who struggle with change.

What to ask about dementia care specifically

• What dementia training have staff completed — and when?
• How do you manage agitation or distress without medication?
• Is there a secure garden where residents can walk freely?
• How do you involve families in care planning?
• What is your policy on the use of antipsychotic medication?

How does the CQC rate dementia care?

When inspecting homes that provide dementia care, the CQC assesses whether the home genuinely understands and responds to the needs of people with dementia. Inspectors look at how staff interact with residents, how care plans are personalised, and whether the environment is appropriate. Some homes hold a “Dementia” service type registration, meaning the CQC has confirmed they are equipped to provide this specialist care.

Costs of dementia care homes

Dementia care typically costs £950–£1,200/week for residential dementia care, and up to £1,400/week for nursing dementia care. Costs are higher than standard residential care due to additional staffing, training and security requirements. If dementia is causing complex health needs, some people qualify for NHS Continuing Healthcare — which fully funds their care.