Care Home Services

A care home is a residential setting where people who need care and support can live if it is no longer feasible for them to live in their own home. Care homes offer accommodation, on-site care and support services in a home-like atmosphere. In addition to this, the services ensure people feel safe, supported and engaged with life and their community. They provide help and assistance with personal care and various other aspects of day-to-day living. This includes eating, drinking and communicating. A care home will also help a person to maintain relationships with family and friends. Residents will also enjoy activities both within the home and out in the community.

There are over 200 care homes in Cornwall. These provide over 5000 places for people with a variety of care needs. A distinction is made between those services that can provide nursing care and those which are not registered to do so. Some may also specialise in catering for particular conditions. These include dementia, mental health or physical disability.

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View the Commissioning diagram.

In 2017, the Council and NHS Kernow worked together with local Care Homes to develop a set of Strategic Commissioning Intentions. This sets out our key outcomes for the future commissioning of Care Homes in Cornwall. It also includes a delivery plan for achieving our objectives.

Cornwall Council is working in collaboration with the NHS and providers of care homes in Cornwall. This partnership will ensure that people experience high-quality and sustainable services. For further information please take a look at the Care Homes Strategic Commissioning Intentions 2017.

The way in which placements in care homes are funded is a key part of ensuring that services are:

  • quality focussed
  • meeting the needs of the individual and
  • sustainable

Equally the commissioning process requires transparency and equity across all commissioning authorities. Through 2017/18 Cornwall Council and NHS Kernow are working closely with providers of care homes in Cornwall. This is to develop an approach to calculating placement fees. This approach takes account of the actual cost of delivering care. This will help us to ensure sustainability of a market that is able to respond to the changing needs and preferences of people now and in the future. Alongside this new approach to fees, the Council will also be introducing a new contract and service specification.

Are you:

  • somebody who lives in a care home
  • a relative
  • a provider of care home services in Cornwall

If so, you can keep checking here for updates on the Fair Cost of Care initiative. You will also find further information on how you can get involved in shaping high-quality care home services and how we pay for them.


The consultation period is extended to 26 February 2018.

An update to the consultation report is now available. This provides the updated standard rates for:

  • ‘residential’
  • ‘residential enhanced’ and
  • ‘nursing’

It also gives information about how these have been calculated.

The Council’s consultation process for the Usual Maximum Price and Inflation Policy will also be updated. This is in accordance with the Fair Cost of Care update.  This will be extended to 12 March 2018.

Throughout 2017/18 Cornwall Council and NHS Kernow have been working closely with providers of care homes in Cornwall. This is to develop an approach to calculating placement fees. It is intended to take account of the actual cost of delivering care in the local market. It will help us to ensure sustainable and responsive services for the future.

The Council and NHS Kernow have been working together to develop a new contract and service specification. This is alongside the new approach to fees. It is intended to underpin its relationship with care home providers. This will be implemented in a two phase approach, with Council implementation from April 2018.

We have undertaken engagement throughout the initiative with

  • residents
  • families
  • providers and
  • other stakeholders

The Council is now ready to formally consult on the new approach. Papers outlining the proposed methodology for calculating care home fees can be found at the links below:

Provider Consultation

Public Consultation

Supporting Documents

Legal documents are currently in draft and are subject to change following the consultation. 

Questions and comments relating to the proposals can be submitted until 3pm on 26 February 2018. These can be made using the Consultation Questions document above or:

  • by email to
  • by post to:
        FCC Consultation
        Adult Transformation and Commissioning
        1E, New County Hall
        Treyew Road
        Truro. TR1 3AY
  • by telephone appointment by contacting 01872 327888.

After this date, all submissions will be reviewed and the formal response published. The consultation process may result in final modifications made to the proposed methodology. The Council will provide an explanation about any changes at a later date.

Care Home providers will also have an opportunity to attend engagement events as part of the process. Further information about these events will be available in due course. 

The Council, together with NHS Kernow, are committed to ensuring that everyone in our community has the opportunity to tell us their views. We want your comments on care home services that are provided locally. If you would like to provide feedback about Care Home services in Cornwall and their future commissioning, please do contact us:

Specific surveys will become available in the near future, links to which will be provided on these pages.

If you have concerns about the quality of services provided please refer to the following guidance:

We have been awaiting details of the arrangements by which staff can receive a free flu jab. This is for staff who are directly involved in the care of vulnerable patients / clients and are:

  • working in registered residential care / nursing homes or
  • registered domiciliary care providers

NHS England and Public Health England have now released the attached letter. The message below has been circulated to health and social care providers by Public Health.  This details of how to help you and your staff access the free jab.

In summary: 

  • The new system is launching
  • Pharmacies are good to go now
  • GPs will be registering to opt in this week and will only be delivering to their own patients
  • The GP service link in the letter has lots of technical detail
  • The Pharmacy service link in the letter has some very useful letter templates for staff to use in proving eligibility
  • Care staff will need to check if their own GP has opted in to the scheme and if not use a pharmacy