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I Need to Arrange Care for a Relative

Arranging care for a parent or relative can feel overwhelming, especially if it happens suddenly. This guide walks you through the process step by step, from the initial assessment to choosing and funding care.

Estimated timeline

4-12 weeks depending on council waiting times and care availability
1

Contact the adult social care team at your relative's local council and ask for a care needs assessment. This is free and available to anyone who appears to need care, regardless of their finances. The council must carry out the assessment. It looks at physical, mental, and emotional needs and whether they meet the eligibility threshold (set nationally under the Care Act 2014).

2

If your relative has mental capacity, now is the time to set up a Lasting Power of Attorney (LPA). There are two types: one for health and welfare decisions, and one for property and financial affairs. Both must be registered with the Office of the Public Guardian before they can be used. The cost is £82 per LPA. If your relative has already lost capacity, you will need to apply to the Court of Protection, which is much more expensive and slower.

3

If your relative has eligible care needs, the council will carry out a financial assessment. If their assets (savings, investments, and sometimes property) exceed £23,250, they will need to self-fund initially. Below this threshold, the council contributes. If your relative has a primary health need, they may qualify for NHS Continuing Healthcare — which is free and not means-tested. Check this before agreeing to any private funding arrangements.

4

Use the Care Quality Commission (CQC) website to check ratings for any care home or home care agency you are considering. Visit in person if at all possible. Ask about staffing ratios, activities, meal arrangements, visiting policies, and what happens if needs change. Get a written contract and understand what the fees include and what is charged as an extra.

5

Confirm the care arrangements in writing. Ensure regular reviews are scheduled — councils must review care packages at least annually. Keep all financial records. If your relative moves to a care home, notify relevant organisations (GP, DVLA, bank, pension providers, HMRC). Ensure any benefits such as Attendance Allowance are claimed — these are non-means-tested and can help offset care costs.

Frequently asked questions

What if the council says my relative does not meet the eligibility threshold?
You can challenge this. Ask the council for their reasons in writing and request a review. The national eligibility threshold is "substantial" needs under the Care Act 2014. Citizens Advice and Age UK can help you challenge a decision you disagree with.
Can a family member be paid to provide care?
In some cases, yes — through direct payments, a relative (other than a spouse or civil partner in most cases) can be employed as a paid carer. The council must agree this arrangement and it will be reviewed as part of the support plan.
What is a deferred payment agreement?
If your relative needs residential care but their home would count in the means test (e.g. they have no partner living there), a deferred payment agreement lets them delay selling until after they pass away or leave the home. The council funds the care and recovers the cost from the property later.

Official bodies and resources

Care Quality Commission

Regulator

The independent regulator of health and adult social care in England, inspecting and rating care services.

Age UK

Charity

The country's leading charity dedicated to helping everyone make the most of later life, providing advice, support, and companionship.

National Health Service

Government

The publicly funded healthcare system in the United Kingdom, providing free healthcare for all UK residents.

Citizens Advice

Charity

Provides free, confidential, and independent advice on a wide range of issues including benefits, housing, debt, and employment.

Related guides

Care Needs Assessment Basics

A care needs assessment is a free evaluation carried out by your local council to find out what help you need with daily living. Anyone who appears to need care and support has the legal right to ask for one under the Care Act 2014, regardless of their financial situation.

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Lasting Power of Attorney

A Lasting Power of Attorney (LPA) is a legal document that lets you appoint one or more people (your 'attorneys') to make decisions on your behalf if you lose mental capacity in future. There are two types: one for property and financial affairs, and one for health and welfare. Making an LPA while you still have capacity is one of the most important planning steps you can take.

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Home Care vs Care Home: Which is Right for You?

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Direct Payments for Care

This guide is specifically about direct payments — receiving cash from your council and using it to employ your own carers or arrange your own care. If you want to understand how the council works out how much money you are entitled to in the first place, see our guide on <a href="/care-later-life/personal-budgets">personal budgets</a>. Direct payments are cash payments made by the local council to people eligible for social care, allowing them to arrange and pay for their own care rather than receiving services arranged by the council. They give you more choice and control over who provides your care and when.

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Disclaimer

This information is for general guidance only and does not constitute legal, financial, or professional advice. Always check official sources and seek qualified help where needed.