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How to choose a suitable care home

Now that your needs assessment is complete and you’ve worked with your NASC coordinator to create an action plan, it’s time to choose the care home that’s right for you or your family member.

Whether you’re planning ahead or making a decision quickly after a hospital stay, this guide is all about helping you feel confident and supported.
From knowing what to look for, to understanding what to expect during a visit, we’ll guide you through the process.

Involving someone you trust

It can be helpful to make decisions about your care with a trusted support person, like a family member, friend, or your power of attorney. They can provide reassurance, help ask the right questions, and be there to support you emotionally and practically throughout the process.

If you have time, consider short stay first

If your NASC coordinator recommends it and time allows, starting with short stay respite care can be a great way to ease into care.

This gives you or your family member the chance to get familiar with the team, the environment, and daily routines. It can also help to make the transition to permanent care feel more comfortable and less overwhelming.

When a decision needs to be made urgently

In many situations, the need for care can arise suddenly. This often happens after a hospital stay, and it is common for the person needing care to be unable to visit care homes themselves. In these cases, it is a normal part of the process for a trusted support person to take on this responsibility.

If you are visiting on someone’s behalf, it helps to have a clear understanding of their care needs and preferences, so you can advocate for them effectively.

What to expect when visiting a care home

Before you visit, it is a good idea to make an appointment so the care home can ensure someone is available to show you around. You will meet with the care home general manager, or another member of the team, who can answer questions and provide detailed information about the services and facilities.

During the visit, you can expect to learn more about:

  • The types of rooms and facilities available
  • Daily meals and how dietary needs and preferences are supported
  • On-site services and any specialist care provided
  • Social activities and daily routines

Take the time to speak with team members and, if possible, meet some of the residents. This can help you get a genuine sense of the environment and whether it feels like a good fit.

Before your visit, it may be helpful to read through some frequently asked questions about life in a care home and make a note of anything you are curious about.

Information the care home will need

Once you have found a care home you feel comfortable with, the team will need information about the person’s care and support needs to help them decide whether they can meet their medical, personal, and wellbeing requirements. Providing this information early in the process can also help ensure a smooth transition into care.

Next step: The admission process

Once a decision has been made about which care home is the right fit, the next stage is the admission process . This involves sharing any remaining information about care needs, understanding what to expect when moving in, and taking care of any practical or legal steps needed to support a smooth transition.

The care home will require:

  • NASC assessment
  • An Enduring Power of Attorney (EPA or EPOA) for Personal Care and Welfare and for Property if in place
  • EPOA activation letter for intending residents that are mentally incapable
  • Any court orders appointing a Welfare Guardian or Property Manager (if relevant)

Learn more about care home admission agreements.

Helpful links and resources

Your care home journey

Step 1

‎ Where to start

We know there’s a lot to consider when a family member or friend starts needing more support with everyday tasks. This guide provides early signs to look out for, such as missed medication, reduced independence, or difficulty keeping up with routines — and offers supportive advice on what to do next. If you’ve noticed a change or decline in a family member or friend a visit to your GP might be your next step.

Step 2

Organising a needs assessment

Before moving into a care home (also known as a rest home), you will need to organise a needs assessment. This may be done by Health NZ Te Whatu Ora or Health NZ funded Needs Assessment and Service Coordination (NASC) agencies. A person may also be assessed by a specialist while a patient in a public hospital. This process helps ensure you or your family member receives the right support, based on expert advice.

As part of the assessment, you will find out:

  • If the person can be safely supported in the community, or;
  • If the person needs long term residential care (in a care home) and;
  • at level of care is needed, for example rest home, hospital or dementia care.

Step 3

Create a personalised action plan

Now that your needs assessment is complete, it’s time to create a personalised action plan. In this guide, we’ll explain how your Needs Assessment and Service Coordination (NASC) coordinator will help you access the services you need, whether that’s help at home, respite care, or a move into a care home (also known as a rest home), and guide you through key legal and financial processes such as designating power of attorney, or applying for a Residential Care Subsidy.

Step 5

Sign an admission agreement

Before moving into a care home, you’ll be asked to sign an admission agreement. This document outlines your rights, the care and services you’ll receive, and any costs involved. In this video, we’ll walk you through what to expect from the agreement, what to look out for, and how the care home team can support you to feel confident before signing.

Step 6

Explore your eligibility for a residential care subsidy

Once you’ve signed your admission agreement, it’s time to explore your eligibility for the Residential Care Subsidy. In this guide, we will explain what a Residential Care Subsidy is, how to apply, and who can help if you’re unable to complete the process yourself. Understanding your options, and what you’re eligible for, can help with peace of mind and feeling prepared moving forward.

Step 7

Moving in

Moving into a care home (also known as a rest home) is a big step for you and your family/whānau. In this guide, we’ll walk you through what to expect on moving day, what to bring with you, and how the team will help you settle in.

From making your room feel like home, to meeting new people and staying connected with family and friends, we’re here to support you

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