Information for Residents and Families

Older adults in care homes may be more at risk of falling, but small changes and the right support can help keep residents safe and active.

Falls happen more often in later life, and the risk can increase for people living in care homes due to reduced mobility, long-term conditions, or unfamiliar surroundings. But falls are not an inevitable part of ageing.

This page explains simple steps residents, families and care providers can take to reduce risks and support wellbeing.

What increases the risk of falls in care homes?

Falls can happen for a number of reasons, including:

• Reduced strength, balance or mobility
• Long-term conditions (such as dementia, Parkinson’s or diabetes)
• Taking multiple medications
• Unfamiliar surroundings, especially during a recent move
• Poor lighting, clutter, or slippery floors
• Vision or hearing loss
• Urgent trips to the toilet, especially at night

Some of these risks can’t be removed completely — but small, thoughtful changes to routines, environments and levels of support can make a big difference.

What should care homes be doing to reduce falls risk?

Care homes should have clear procedures in place to reduce the risk of falls. This may include:

• Individual falls risk assessments.
• Regular medication reviews.
• Strength and balance support.
• Good lighting and clear walkways.
• Prompt access to mobility aids and personal care.
• Ensuring staff are trained in falls awareness and response.

What can you do as a resident or family member?

• Speak up if you're worried about falls or unsteadiness — early conversations are important.
• Ask questions about how falls are monitored and prevented in the care home.
• Check the environment - are the floors clear? Is lighting consistent? Are there handrails and grab bars where needed?
• Review footwear and clothing - well-fitting shoes and non-slip slippers are key.
• Encourage activity - gentle movement, strength and balance exercises can help maintain confidence and independence.
• Understand what happens after a fall - ask how incidents are recorded and what follow-up support is offered.

Useful Links and Contacts

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Care Homes Information (NHS)

Moving into a care home is a big decision, and it can cost a lot of money. Before choosing a care home for you or someone you know, it's worth considering all of the options.

NHS Care Homes Website

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Care Homes Information (Age UK)

Whether you're choosing a care home (also known as a residential home) for a loved one or moving into one yourself, the process can feel daunting. We've brought together information and guidance to help you make the best choice for you, including tips on how to find a good care home and advice on paying for it.

Age UK Care Homes Website

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Choosing the Right Care Home for You (Age UK)

Your care home should be a happy and comfortable place to live. Choosing the right one can be a big decision – but you don't need to make it alone. Thinking about what you want and need from a care home is a good place to start.

Choosing the right care home

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Staying Active Help and Contacts

These organisations offer advice and support on a wide range of topics, including ageing well, staying independent, managing health conditions and accessing care services.

Find Staying Active support

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Home Safety Help and Contacts

These contacts can help you make your home safer and reduce the risk of falls. From home safety checks to equipment advice, you’ll find support to help you stay confident and independent at home.

Find Home Safety support

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