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Residential care without nursing - service category overview

This information is for service providers and professionals who work with us or would like to work with us.

The following sections set out the type and level of care and support needs that are anticipated for each service category, along with the key factors that differentiate the service inputs required. 

The agreed fee rate for each service category will apply regardless of funding source.
 

Service categories

You can also view the following information as a pdf in a table format.

See also the needs description for residential care without nursing.

Needs summary (COC2)

In all cases, service users will be people who:

  • are not able to reside in their own homes, whether on a short or long-term basis and
  • have care and support needs that are prevalent 24/7 and may
  • include night-time care needs and
  • have needs which cannot realistically be met in any other way, for example, through use of assistive technology, aids and equipment in their own home and/or because the frequency or unpredictability of the person’s needs, makes support at home non-viable

Needs summary
Service category and number Needs summary

Residential -
low level needs
0

 The person will have mainly physical care needs, is likely to require little or no support in many areas of need and is able to cooperate with care where needed. We would expect that in most cases, these needs would be supported at home. 
Residential - medium level needs 
1		 The person will have physical care needs and may also have some cognitive impairment or other mental health care needs.
Residential - 
high level needs
2		 The person may:
  • have a cognitive impairment and/or middle or later stage dementia  or other mental health care needs, which may include behaviours that require the development of a Positive Behaviour Support Plan, and/or 
  • have physical care needs requiring support in several areas of need.
Residential -
advanced dementia and mental health needs (without nursing)
2a

The person will:

  • have a cognitive impairment and/or be physically frail and
  • have middle or later stage dementia or other mental health care needs, which may require the development of a Positive Behaviour Support Plan and
  • have care and support needs which include those outlined in Category 2 (Residential – high level needs) and
  • require significantly enhanced service inputs to meet the person’s needs and to keep them and others safe

The progression, signs and stages of dementia | Alzheimer's Society (alzheimers.org.uk),

 

 

Key differences in service requirements

Key differences in service requirements
Service category and number Key differences in service requirement

Residential -
low level needs
0
  • little or no care and support needed
  • no risks around behaviours and non-compliance with care
  • no risk to the service user or others

Residential -
medium level needs 
1
  • regular care and support needed
  • risks around behaviours and non-compliance with care can be managed within planned interventions
  • Level of risk to the service user or others is minor
Residential - 
high level needs
2
  • timely and frequent care and support needed
  • risks around behaviours and non-compliance with care may not be manageable solely within planned interventions
  • level of risk to the service user or others is moderate
Residential -
advanced dementia and mental health needs (without nursing)
2a
  • timely and frequent care and support needed
  • risks around behaviours and non-compliance with care unlikely be manageable solely within planned interventions and require a prompt and skilled response that may be outside the range of planned interventions
  • multiple risks to the service user or others which may be moderate or high and which may not necessarily be reduced by skilled interventions

 

 

Maximum assumed direct care hours Per Service User Per Week (PRPW)

Maximum assumed direct care hours Per Service User Per Week (PRPW)
Service category and number Maximum assumed direct care hours Per Service User Per Week (PRPW)

Residential -
low level needs
0

 23.6

Residential -
medium level needs 
1

 25.0
Residential - 
high level needs
2		 28.6
Residential -
advanced dementia and mental health needs (without nursing)
2a		 40

Estimated number / percentage of long term placements per year, area-wide

Based on total annual demand for long term placements at July 2023

Estimated number / percentage long term placements per year, area-wide
Service category and number Estimated number / percentage long term placements per year, area-wide

Residential -
low level needs
0

  up to 15

Residential -
medium level needs 
1

 146
Residential - 
high level needs
2		 240
Residential -
advanced dementia and mental health needs (without nursing)
2a		 Up to 44