Thriving in Residential Care
Our large-scale qualitative research found 6 key ways that older people can thrive in care homes, if conditions are right.

We conducted one of the largest ever qualitative research studies on older people’s experiences of living in residential care.
We spoke to older people living in care homes, as well as families and care teams across the UK.
Our research shines a light on six key ways that older people can thrive in a care home, if the conditions are right.

Watch our animation
See how care homes can be a positive option for older people.
The 6 keys ways older people can thrive in care homes:
Being around others was a lifeline for many older people, who had felt isolated living on their own. Many had formed friendships with others and relationships with their care team.
Moving to a care home had also helped restore strained family relationships. Families felt welcomed, reassured, and able to stay actively involved in their older relative’s life.
“The enjoyment of saying, ‘Good morning,’ ‘good morning,’ ‘good morning,’ ‘good morning.’ [Imitating different voices] …I think a feeling of that you are part of a community. And things go wrong, things go right. Rally round.”
Tom, aged 92
Whilst living at home, some older people had not been able to do the things they enjoyed. Care home activities and connections with the community enriched lives and helped older people to find purpose and feel valued.
“Instead of being miserable at home and nothing to do, …plenty of things to do here…Occupy my mind.”
Wally, aged 93
Care homes can be inclusive environments where diversity is valued and respected.
The report shares examples of older people being supported to embrace their faith, culture, ethnicity, sexuality and gender identity. This also helped families feel confident that their older relative would be well-supported.
“We have made an environment where somebody feels so safe that at age 82… he’s been able to come out [as gay]… I thought my job is done…if this environment is safe enough that somebody feels that they can do that, this environment is correct.”
Jay, care home manager
Before moving into a care home, some of the older people spoken to were living difficult lives, experiencing poor housing, insecurity and even violence. Others felt anxious about being alone in their own homes, especially at night.
Care homes can offer the reassurance and safety that some older people might need, and also alleviate the strain and worry for families.
“I’ve been here a year now… So, this is my home. [Crying]… When I get into that bed at night, I know I’m safe. And I know if I’m not well someone will come in. It’s a lovely feeling… And just contentment, really. And they’re so kind.”
Irene, aged 81
Many older people found it increasingly difficult to keep on top of household chores such as laundry before they moved to a care home. They really valued that these things were now taken care of.
Others had previously struggled with personal care, but now had support from care staff with things like bathing and using the toilet.
“The carers are a wonderful bunch. And you can see how dependent I am on them… unfortunately, I have to wear pads. So, they’re a big part of me wearing pads. I hoped I would never have to… so I am very, very dependent on the carers, who, here, I must say do a wonderful job.”
Fifi, age 84
Care homes support with healthcare, including managing medications and noticing when things aren’t right. Through care teams recognising changes and responding quickly, many older people felt that their health had improved since moving in.
They also put this down to regular mealtimes and good quality food.
“When I was at home… it used to take me an hour and a half to get a cup of tea. And I lived for a fortnight on brown bread, Marmite and oranges… I was lacking good food.”
Suzanne, aged 98

Workshops for care leaders
We’ve designed a series of workshops that support care leaders to put the ‘Thriving’ themes into practice in their care settings.
Our next 2-hour online workshop is on Wednesday 19th November.
In the session you will:
- Reflect on the 6 key ‘Thriving’ themes
- Explore how to apply them in your own care service to improve service quality
- Take away practical tools and tips aligned with the CQC’s single assessment framework
