Important notice

Please be aware that any care home placements that commence from May 13th will be under Hampshire County Council’s Care Home Framework. If you have been advised to look at this site before this date it will be because the date a placement begins will be on or after May 13th, and therefore the information on this site is relevant and important to you/your loved one.

Rates and profiles

Needs profiles are intended to identify key characteristics of the type and level of support required for an individual who requires a long-term placement in a care home. Each of the lists below are not exhaustive, but are examples of the level of support an individual might require.

Price band £900 to £1,000 per week

The individual has been assessed as having care and support needs that cannot be met in their own home environment or other suitable alternative (such as Extra Care Housing or Supported Living). The individual will have some or many of the following needs, which are expected be met in a residential care environment. The individual may be physically active with a level of predictability around day-to-day needs. Changes in needs are likely to be minimal and when they do change, needs will be expected to return to their usual pattern with standard care and support.

The individual does not meet the criteria for Funded Nursing Care (FNC) and does not have Nursing needs that require the daily onsite supervision and oversight of a registered Nurse. The individual may have health needs that require the support and supervision of external specialist services from the NHS, Integrated Care Board, or other agencies, such as community nursing support. These needs should be met and funded by the NHS. Any clinical nursing need is to be met by NHS services and not solely delegated to care staff.

Example needs include:

  • The individual may have needs that are singular or a combination of functional mental health, physical health, moderate Learning Disability, autism, and dementia needs.
  • Behaviours that respond to care and support intervention.
  • Some confusion and memory loss.
  • The individual may be safely ambulatory, require some mobility support and guidance or present a low-level falls risk but these are known needs and managed through a robust care plan.
  • The individual will have some ability to weight bear or move independently but may require support and intervention to maintain dexterity.
  • The individual requires support with medication, this may include insulin support via appropriately and specifically trained staff or community nursing support, provided by the NHS.
  • Support with washing, showering, or bathing including washing of hair and oral hygiene. The individual requires support with sequencing at times.
  • Sensory needs that require regular intervention or support.
  • The individual may require some motivation and support or adaptations to ensure nutrition and hydration needs are managed.
  • The individual may require support and implementation of basic communication strategies.
  • The individual will require regular motivation and support and/or adaptions to engage in the daily activities of their choice.
  • Regular support with continence - which requires monitoring to minimise risks, for example care associated with urinary catheters, double incontinence, chronic urinary tract infections and/or the management of constipation. May require the support of specifically trained staff or external intervention such as community nursing.
  • At risk due to potentially isolating behaviour, depression, anxiety, or inability to engage with their social environment. Support should be given to mitigate risks.
  • Individuals at risk of self-neglect if not supported daily.
  • Staff should be trained to support individuals as they reach the end of their care journey, ensuring dignity in death. The provider must ensure that individuals are supported by the appropriate NHS partners. Individuals should remain in their usual place of residence if their needs can be safely met and within the remit of the providers CQC registration.

Price band Residential Enhanced £1,000 to £1,100 per week

The individual has been assessed as having care and support needs that cannot be met in their own home environment or other suitable alternative (such as Extra Care Housing or Supported Living). The individual will have some or many of the following needs, which are expected be met in a residential care environment.

These needs generally require a higher level of residential care due to a significant and ongoing progression or deterioration in an existing condition, which is ordinarily manageable within a residential care environment, and usually follows an expected pattern. The individual may require a higher frequency of interventions than once or twice a day and possibly increased risk management support. The individual has needs which require a range of care and support due to their variability. They may require the ongoing input of a staff team with a broad range of skills and training to manage risks.

The individual does not meet the criteria for Funded Nursing Care (FNC) and does not have Nursing needs that require the onsite supervision and oversight of a registered Nurse. The individual may have health needs that require the support and supervision of external specialist services from the NHS, Integrated Care Board (ICB) or other agencies, such as community nursing support. These needs should be met and funded by the NHS. Any clinical nursing need is to be met by NHS services and not solely delegated to care staff.

Example needs include:

  • Needs that are singular or a combination of functional mental health, physical health, moderate Learning Disability, autism and dementia needs.
  • Behaviours that may challenge but generally respond to care and support intervention.
  • Confusion and memory loss and /or cognition issues that places them or others at risk.
  • Daily support with medication, this may include insulin support via staff who have been appropriately and specifically trained and with support from community nursing. Daily support with sequencing of tasks.
  • Physically frail individual – has needs and risks relating to frailty, requiring additional support/intervention.
  • Mobility needs that are variable and are generally unpredictable in presentation but are a known need and are managed through a robust care plan. May have a history of falls and be assessed as a moderate to high falls risk.
  • Individual may have some ability to weight bear or move independently but may require support to do so. Will require sufficient level of staffing support to meet their individual moving and handling risk assessment. Staff are trained to use appropriate equipment to support mobility. At times this may require the support of more than one member of staff.
  • Sensory needs that require daily intervention or support.
  • Support with washing, showering or bathing including washing of hair and oral hygiene. At times this may require the support of more than one member of staff.
  • Will require motivation and support and/or adaptions to engage in the daily activities of their choice.
  • Requires regular and consistent motivation and support or adaptions to maintain nutrition and hydration. This may require the support of specifically trained staff or external intervention such as Speech and Language Therapist (SALT) or community nursing.
  • Support and implementation of communication strategies, including specific communication methods which may require additional training for staff.
  • The individual may have significant barriers to communicating own needs and choices, and needs may need to be anticipated.
  • Daily support with personal and mental wellbeing.
  • Daily support with continence, which requires monitoring to minimise risks, for example care associated with urinary catheters, double incontinence, chronic urinary tract infections and/or bowel management. May require the support of specifically trained staff or external intervention such as community nursing.
  • Daily support with anxiety that affects abilities of daily function.
  • Behaviours that occur infrequently or with a patterned and managed regularity that could be considered as inappropriate or challenging to manage in a home environment. The behaviours may include aggression and behaviour that could pose a threat to self or others. This may include sexually inappropriate or intimidating behaviours. The individuals’ needs are usually able to be managed through known and agreed interventions. May require the support of specifically trained staff or external support from, for example, the Older Persons Mental Health Team.
  • The individual may have difficulty in communicating their own wants, needs and fears and understanding the wants, needs and fears of others, for example, lacking in insight.
  • Individual at risk due to isolating behaviour, depression, or inability to engage with their social environment.
  • Individual at risk of self-neglect if not supported daily.
  • Changing needs and behaviours that do not always stabilise for long enough to become routine.
  • Intermittent behaviours such as unprovoked or unexplained screaming, shouting or verbal outbursts.
  • Interacting mental and physical health needs which may require a temporary increase to daily support.
  • One-to-one assistance or greater may sometimes be required to meet all care and support needs.
  • The individual is known to refuse care or interventions at times (such as medication, food, or fluid), but refusal does not impact on the overarching delivery of care or impact on physical or mental well-being. May require the support of specifically trained staff or external support from, for example, the Older Persons Mental Health Team.
  • Staff should be trained to support individuals as they reach the end of their care journey, ensuring dignity in death. The provider must ensure that individuals are supported by the appropriate NHS partners. Individuals should remain in their usual place of residence if their needs can be safely met and within the remit of the providers Care Quality Commission (CQC) registration.

Price band – Nursing Standard £1,050 to £1,150 per week (Excluding FNC)

The individual has been assessed as having care and support needs that cannot be met in their own home environment or other suitable alternative (such as Extra Care Housing or Supported Living). The individual will have some or many of the following needs, which are expected to be met in a nursing home environment.

The individual has needs which can only be met with the on-site supervision of a registered nurse. This care is required in a home registered to provide care with nursing.

Health needs may be able to be commissioned by the Local Authority (LA) under the incidental and ancillary rule or be met by Funded Nursing Care (FNC), however these could be needs that are stand alone. If the needs are multiple, then this cumulative effect may be outside of the above rules or FNC coverage and mean that the individual services are outside those that should be met by the LA. In these situations, Continuing Healthcare (CHC) must be considered and, if appropriate, assessed for. These types of needs are denoted by this symbol** .

Prior to funding request, social care staff should have considered CHC. If nursing care is required, when applying for FNC, an NHS CHC checklist must be completed and submitted to the Integrated Care Board (ICB).

Example needs include:

  • The individual requires the intervention and oversight of a registered nurse daily – this may be for a variety of requirements.
  • The individual may have needs that are singular or a combination of functional mental health, physical health, moderate Learning Disability, autism and dementia needs.
  • Physically frail individual – has needs and risks relating to frailty, requiring additional support and intervention.
  • Mobility needs that are variable and are generally unpredictable in presentation but are a known need and are managed through a robust care plan. May have a history of falls and be assessed as a moderate to high falls risk.
  • The individual has some ability to weight bear or move independently but will require support to do so. Will require sufficient level of staffing support to meet their individual moving and handling risk assessment. Staff are trained to use appropriate equipment to support mobility.
  • The individual requires transferring and mobilising intervention, where individuals are unable to weight bear and are unable to assist or cooperate with transfers and/or repositioning.
  • Requires positioning where the individual is unable to cooperate or engage and there is loss of muscle tone, pain on movement, or a risk of physical harm.
  • Sensory needs that require daily intervention or support and may require specifically trained intervention and knowledge.
  • Support and implementation of specific communication strategies to meet and anticipate need.
  • Confusion and memory loss and /or cognition issues that places them or others at risk.
  • Daily support with medication.
  • The individual may refuse care or intervention at times.
  • Daily support with sequencing.
  • Support with washing, showering or bathing including washing of hair and oral hygiene – this is likely to require the support of more than one member of staff.
  • Will require motivation and support/adaptions to engage in the activities of daily living.
  • Daily support with continence - which requires monitoring to minimise risks, for example care associated with urinary catheters, stomas, double incontinence, chronic urinary tract infections and/or the management of constipation. May require the support of specifically trained staff. **
  • Regular support with anxiety that affects abilities of daily function.
  • Regular and consistent motivation and support/adaptions to maintain nutrition and hydration. This may require one-to-one support at times.
  • Percutaneous Endoscopic Gastrostomy (PEG) feeding. **
  • Supervised care during meal periods where there may be a risk of aspiration. Care will be delivered in line with Speech and Language Therapist (SALT) guidance. **
  • Daily observation and monitoring of skin including pressure areas and the management of wounds by the registered nurse on site and/or support from community nursing.
  • The individual may require support with involuntary spasms or contractures placing them or others at risk. **
  • Administration of prescribed insulin that has been dispensed via an insulin pen, where individuals cannot manage this themselves. **
  • Behaviours that occur with a patterned and managed regularity that could be considered as inappropriate or challenging to manage in a home environment. Behaviours will generally, but not always, respond to planned care and support intervention.
  • The behaviours may include aggression and behaviour that could pose a threat to self or others. This may include sexually inappropriate or intimidating behaviours. The individuals’ needs are usually able to be managed through known and agreed interventions. May require the support of specifically trained staff or external support from, for example, the Older Persons Mental Health Team. **
  • One-to-one assistance or greater may sometimes be required to meet all care and support needs.
  • Difficulty in communicating their own wants, needs and fears and understanding the wants, needs and fears of others, for example lacking in insight
  • Individual at risk due to isolating behaviour, depression, or inability to engage with their social environment.
  • Individual at risk of self-neglect if not supported daily
  • Staff should be trained to support individuals as they reach the end of their care journey, ensuring dignity in death. The provider must ensure that individuals are supported by the appropriate NHS partners. Individuals should remain in their usual place of residence if their needs can be safely met and within the remit of the providers CQC registration.

Price band – Nursing Enhanced £1,150 to £1,250 per week (Excluding FNC)

The individual has been assessed as having care and support needs that cannot be met in their own home environment or other suitable alternative (such as Extra Care Housing or Supported Living). The individual will have some or many of the following needs, which are expected to be met in a Nursing Home environment.

The individual has needs which can only be met with the on-site supervision of a registered nurse. This care is required in a home registered to provide care with nursing.

Health needs may be able to be commissioned by the Local Authority (LA) under the incidental and ancillary rule or be met by Funded Nursing Care (FNC), however these could be needs that are stand alone. If the needs are multiple, then this cumulative effect may be outside of the above rules or FNC coverage and mean that the individual services are outside those that should be met by the LA. In these situations, Continuing Healthcare (CHC) must be considered and, if appropriate, assessed for. These types of needs are denoted by this symbol**.

The individual has needs which can only be met with the on-site oversight and input of a registered nursing or highly specialised staff who have specific training for specific tasks. The individual requires a more specialist level of care due to the complexity and unpredictability of their needs or the impact of interacting health and social care needs. This care is required in a home registered to provide care with nursing.

Prior to funding request, social care staff should have considered CHC. If nursing care is required, when applying for FNC, an NHS CHC checklist must be completed and submitted to the Integrated Care Board (ICB).

Example needs include:

  • Intervention of a registered nurse or specifically trained staff daily – this may be for a variety of requirements.
  • The individual may have needs that are singular or a combination of functional mental health, physical health, moderate Learning Disability, autism, and dementia needs.
  • Complex physical frailty requiring additional support and intervention, such as regular repositioning for skin integrity, assistance with mobility and postural repositioning. Likely to require the assistance of two staff.
  • Presence of interacting mental and physical health needs which significantly impact on health and / or social care needs and /or Learning Disability or Autism where frailty has become the primary need. **
  • Behaviours that do not always respond to care and support intervention but are managed and supported through adherence to multi-disciplinary behaviour support plans.
  • Confusion and memory loss and /or cognition issues that places them or others at risk on a daily basis**
  • One-to-one assistance or greater may be required to have all social care, medication, nutrition, and hydration needs met during the day or the night but interventions are not invasive. **
  • The individual has significant barriers to communicating own needs. Choices may need to be anticipated throughout the day and night.
  • Daily support with medication, potentially including covert medication and invasive administration such as that for prescribed insulin. **
  • Non-invasive ventilation, including use of oxygen, masks such as Continuous Positive Airwave Pressure (CPAP) or Bilevel Positive Airwave Pressure (BiPAP) assist machines.**
  • Higher level of daily input than standard nursing provision for sequencing.
  • Regularly changing needs and behaviours that do not stabilise for long enough to become routine**.
  • Higher level of daily input than standard nursing provision to support an identified condition which, without intervention, could significantly impact on the health and welfare of the individual due to, for example, co morbidity of conditions, refusal to engage with care interventions or behaviour.**
  • Mobility needs that are variable and may be unpredictable in presentation on a daily basis. May require two or more staff daily. Individual may have some ability to weight bear or move independently but may require support of 2 carers to mobilise or to use appropriate equipment to support mobility. May require transferring and mobilising of the individual, where individuals are unable to weight bear and are unable to assist or cooperate with transfers and/or repositioning.
  • Specialist enhanced support around positioning where the individual requires full support due to loss of muscle tone, pain on movement, or a risk of physical harm**
  • Staff may require specialist knowledge or have been specifically trained to meet and support specific sensory needs.
  • Two or more staff are likely to be required to support with washing, showering, or bathing including washing of hair and oral care due to behaviour, physical or cognitive need.
  • Regular and consistent motivation and support/adaptions to maintain nutrition and hydration. This will generally require one-to-one support daily.
  • The individual may require peg feeding or have specialised dietary requirements. **
  • The individual may require supervised care during meal periods where there may be a risk of aspiration. Care will be delivered in line with Speech and Language Therapist (SALT) guidance. **
  • More than once daily observation and monitoring of skin including pressure areas and associated treatment of these. This may include wound management that requires a nurse or qualified practitioner to undertake.
  • More than once daily support with involuntary spasms or complex contractures.
  • Daily support with complex continence - which requires monitoring to minimise risks, for example care associated with the management of catheters, stomas, chronic urinary tract infections and/or the management of complex continence that requires a nurse or qualified practitioner to undertake.**
  • Mental wellbeing support will require skilled intervention and engagement by staff to ensure emotional and psychological need are met. This may include support to identify and support individuals who have difficulty or are unable to communicate their own wants, needs and fears and understanding the wants, needs and fears of others, for example lacking in insight. Individuals may be at risk due to self-isolation behaviour, depression or anxiety or self-neglect.
  • Behaviours that occur infrequently or with a patterned regularity that could be considered as inappropriate or challenging to manage in a home environment, which could include behaviour that could pose a threat to self or others including sexually inappropriate or intimidating behaviours.
  • Staff are trained to support individuals as they reach the end of their care journey ensuring dignity in death. In this situation, the provider must ensure that individuals are supported by the appropriate health /NHS partners. Individuals should be able to remain in their usual place of residence if their needs can be safely met and within the remit of their CQC registration.

Price band – Complex (can be residential or nursing) up to £1,350 per week (nursing excludes FNC)

If you wish to sign up to deliver complex residential or nursing services, you will need to evidence or commit to train staff to a higher level of specialist training before we will begin making placements with you. Further information relating to expectations is available on the IMPACT website.

The individual has been assessed as having care and support needs that cannot be met in their own home environment or other suitable alternative (such as Extra Care Housing or Supported Living).

The individual has needs which may be able to be met either in a specialist residential home or in a home registered to provide care with nursing. The home must have undertaken or evidenced training in line with Hampshire County Council requirements for this specific Needs profile. The individual requires a highly specialist level of social care due to the complexity and unpredictability of their needs or the impact of interacting health and social care needs.

Health needs may be able to be commissioned by the Local Authority (LA) under the incidental and ancillary rule or be met by Funded Nursing Care (FNC), however these could be needs that are stand alone. If the needs are multiple, then this cumulative effect may be outside of the above rules or FNC coverage and mean that the individual services are outside those that should be met by the LA. In these situations, Continuing Healthcare (CHC) must be considered and, if appropriate, assessed for. These types of needs are denoted by this symbol**.

This profile is not intended for those individuals who require interim placements. The individual may require a CHC Assessment at a later date, but at the time of placement, they are the responsibility of the Local Authority to place. The individual will have been assessed under a Care Act Assessment (2014) and accepted as having eligible Care Act needs at this time.

Any cost differential incurred by a nursing home for nursing needs should be met through FNC.

Prior to funding request, Social Care staff should have considered CHC. If nursing care is required, when applying for FNC, an NHS CHC checklist must be completed and submitted to the Integrated Care Board (ICB).

The individual has higher level needs, over and above the remit of the four Hampshire County Council long term needs profiles due to the following needs:

  • The individual’s level of cognitive impairment is evidenced as severe and impacts the individual’s ability to follow most instructions. This may be for a known reasons (recurrent UTI/physical ill health) or unknown/variable reasons.
  • Walking with purpose, within the environment and/or attempts to leave the premises, with no insight to the impact of their behaviours on themselves or others and is causing actual harm or evidenced risk to self or others **
  • Anxiety to a level that requires frequent staff intervention beyond usual levels of interaction. Usual is identified in the Enhanced Profiles. **
  • Situational responses that may require levels of staff skill, support and intervention throughout the day and /or night and require a response beyond the Enhanced needs profiles. **
  • A level of impairment that may put others at risk of harm as well as the individual. There may be a risk of retaliation.
  • Evidenced complex behaviours such as unprovoked or unexplained screaming, shouting or verbal or physical outbursts with little or no insight to the impact of their behaviours on themselves or others and is causing actual harm or evidenced risk to self or others. These behaviours may occur without trigger and require a range of techniques to support. **
  • Evidenced behaviour that may be aggressive or pose a threat to self or others including sexually inappropriate and/or intimidating behaviours. This could be verbal or physical behaviours. **
  • Presentation of behaviours that could be considered violent or put others at physical risk of harm. **
  • Needs that require the observation of staff skilled in observing and reporting changes in behaviours.
  • Unable to understand the requirement to isolate during a temporary period where they or others in the Home are required to isolate.
  • The individual may have a history of being assessed by mental health practitioners and/or under the Mental Health Act assessment. They may have been detained and/or treated as a psychiatric inpatient. This may include several psychiatric conditions.
  • The service is not for those with an unmanaged mental health need or a need that is not currently managed under an agreed shared plan, for example active paranoia or psychosis. This level of support is above and beyond the level of care that would be expected to be managed by a Local Authority.
  • Individuals with a psychiatric diagnosis that is managed, and their assessed needs meet social care eligibility under the Care Act would be considered under the Hampshire County Council Needs profiles and a diagnosis alone is not indicative of the need to proceed under a complex profile.
  • Staff will need to be skilled in and be required to assess the use of PRN medication. This may be linked to but is not exclusive to Older Persons Mental Health needs. **
  • Staff will need to have a clear and robust evidenced understanding of least restrictive practice and how to apply it in day-to-day service delivery.
  • The service will require staff with a specialised skill set and training in these areas of delivery and support needs.
  • There may need to be a higher staffing resource available to meet both the needs and high levels of intervention daily. **