Residential Care








EMI care means Elderly Mentally Infirm, and refers to residential care homes - usually without nursing. Most residents in these homes have some type of dementia, and if help is needed - such as a change of medical dressings etc - this is usually provided by a community / district nurse.


There are also other care homes that state ‘Old Age Only’ - again - most do not provide nursing care.


Nursing Homes have qualified nurses available around the clock, and the residents will be a mix of people who have varied needs - such as Diabetes, Strokes, Parkinsons, Dementia and other illnesses, which mean they require ongoing help from nurses.


It is quite possible for someone with dementia to remain in a care home for ever - but if they develop major mobility, eating or serious health problems etc - then it is likely that a move to a nursing home is essential.


Finding a good care or nursing home is not easy - as so many variants have to be taken into consideration - the best usually have waiting lists, therefore it is essential if possible to start considering the options before it becomes an emergency. There is nothing worse than finding what you consider ‘the best’ only to find there are no rooms available.


The problems are also compounded depending on funding.   If self funding then it is a case of checking the costs and doing the maths, but if totally reliant on Social Services - there may be a cap on funds allowed - and families are often asked for ‘top ups’ to meet a shortfall if a more expensive home is chosen than their funds will allow.





This is my top ten list of ‘what to ask and look for’ when deciding if the home you are visiting is one you would be happy for your loved one to live in.


Number 1


First impressions count - and the staff are the ones to give that impression - look at their uniforms - are they clean - smart and well presented - Is a white top white - or a pale shade of grey. If a uniform is grubby and crumpled - is it likely a carer will dress a resident in clothes that really should be put in the laundry - If a male carer has not bothered to shave - or considers he looks good wearing ‘designer stubble’ - will he consider a resident not being shaved that day as of no consequence. if hair is not clean and tidy - will a carer not bother to do the hair of the resident that day.


Personal care is vital - if the carers takes pride in their appearance - they will also take pride in how they look after the residents.


Number 2


Are the premises clean and attractive - inside and out, with good quality furnishings throughout and no unpleasant odours. Ask for a full tour of the home - including a couple of bedrooms, bathrooms, kitchen and laundry facilities. Is there an accessible garden with ramps, rails and seating - and attractive planting of shrubs and flowers.




 Number 3


Does the home have easy access to places of interest. It can make a big difference if staff or relatives can take a resident out - local shops and parks etc can be such a treat, and if pushing a wheelchair - the terrain can cause problems if very hilly or remote.



 Number 4


Ask for information on drug policies - particularly the use of anti-psychotics.


Medication can solve one problem - but quite easily cause others if not monitored regularly - A once yearly review by a GP is most certainly not good enough, but sadly this is quite often the norm.


For drugs used to relieve depression and behavioural symptoms

See   -


Number 5


Involvement - relatives need to be kept up to date with care plans - social activities, and general information about the home. Ask if meetings and newsletters are provided.


Are visiting hours restricted? A good home will welcome visitors at any time .



Number 6


Feeling ‘at home’


Check if there are any rules that residents have to adhere to - not everyone wishes to get up at a specific time of day - every day - nor go to bed at a certain time, just because it is convenient for the staff and their rotas.


Many homes will allow residents to keep personal belongings in their rooms - such as a favourite armchair and ornaments etc.


It is advisable to take a photo of anything particularly special or valuable though - such as jewellery. It would be extremely unkind to deprive someone of a wedding ring or favourite necklace for example - but these things can easily be mislaid. A ring can fall off a finger - a watch taken off when having a shower.


Number 7


Ask to see the menus - nutrition is extremely important and there should be a varied menu with a choice at all meals
plus snacks available.




Number 8


Take note of the general atmosphere - some residents will enjoy a favourite tv programme - but that does not mean everyone should be placed in front of the television whether they would like to watch it or not.


It should be possible to place a tv in a position where others can feel free to chat or read - or just have a quiet nap.


Watch the interaction of carers with residents - that will tell you a great deal. To see a carer stop to give a resident a kiss on the cheek or a cuddle when passing says a great deal about the care in general.




Number 9


Observe the interaction of the carers with each other - and with the management. If the carers are happy in their work - it will show. I find this very obvious in the nursing home where my Mum lived. The home owner - managers - nurses and carers - chefs - laundry staff - housekeeping and maintenance staff all have a very good working relationship, and are always smiling.



Number 10


The nitty gritty - ask for details of fees if self funding: hairdressing - chiropody - toiletries etc are usually extras to the initial costs.   Some homes even charge for what they call

‘activities / entertainment’ and items such as ‘wet wipes’. A full breakdown of charges is essential or an almighty shock could come your way when the first account arrives.


Bayhouse is where my Mum lives - these are awards won recently by Nazir Manji - the owner and manager - and are very well deserved - showing just how good some homes can be.



Award for care home


Naz Manji winning care employer of the year award at Brighton dome presented by Jeff Brazier

Published on Saturday 3 December 2011 12:00

THE owner of Bay House care home was stunned to receive the prestigious national Care Employer of the Year award.

Naz Manji has 40 full time staff at the home in Middlesex Road looking after 32 residents.

The Great British Care Awards were presented at a gala evening in the Dome in Brighton and are sponsored by key industry professionals and organisations such as the Department of Health and the Association of Directors of Adult Social Services (ADASS).

Naz said: “This year has been really special for me and Bay House. I celebrated my fifth anniversary in charge earlier in the year, and I thought that was exciting enough, but now winning this coveted award tops everything.


National winners of the Great British Care Home Awards Announced


On Saturday 12th May 2012 - the Grosvenor House Hotel, London provided a spectacular backdrop for the national finals of the Great British Care Home Awards where the fifteen category winners were announced.


The Care Employer Award (Less than 250 employees)


South East


Nazir Manji

Bay House Nursing Home



Further information can be found on the Alzheimer's Society links below.


Choices in Care


Selecting A Care Home


Paying Care Home Fees


Enduring & Lasting Powers of Attorney


Deprivation of Liberty Safeguards


40,000 Older People in Care ‘Isolated’ New Research Reveals the very sad statistics of residents in care without any visitors.


Some just have no relatives or friends - some have relatives or friends that live too far away to visit - and the worst - some have family that just do not care - visit the following web site to learn more .