When care needs increase due to age, illness or disability, navigating the UK care system can feel complex and overwhelming. One of the key entry points to support is the Care Act assessment, a formal process designed to identify an individual’s care and support needs and determine what help may be available from the local authority.
This guide explains what a Care Act assessment is, who is entitled to one, how the process works, and what outcomes you can expect.
A Care Act assessment is an evaluation carried out by a local authority under the Care Act 2014. Its purpose is to understand how a person’s needs affect their daily life and wellbeing, and to decide whether they are eligible for care and support.
The assessment focuses on practical impact rather than diagnosis. It considers how a person manages everyday activities, maintains independence, and stays safe, taking into account both physical and mental health.
Importantly, a Care Act assessment is about identifying needs, not finances. A financial assessment only takes place later, if care is deemed necessary.
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Any adult in England who appears to need care or support has the legal right to request a Care Act assessment. This includes older adults, people with disabilities, individuals with long-term health conditions, and unpaid carers who provide regular support.
There is no minimum level of need required to request an assessment. Even if you are unsure whether you qualify for help, the local authority must consider your request.
During a Care Act assessment, the local authority examines how your needs affect key areas of daily living and overall wellbeing. This includes your ability to manage personal care, maintain nutrition, stay safe at home, participate in social life, and manage essential household tasks.
The assessment is intended to be person-centred. This means your views, preferences and personal goals should be taken into account, alongside any support you already receive from family or friends.
| Assessment Area | What Is Evaluated | Why It Matters |
|---|---|---|
| Personal care | Ability to wash, dress and maintain hygiene | Directly impacts dignity and health |
| Nutrition | Preparing meals and maintaining a balanced diet | Essential for wellbeing and safety |
| Mobility | Moving around safely inside and outside the home | Reduces risk of falls and isolation |
| Home environment | Managing household tasks and maintaining safety | Supports independence |
| Social wellbeing | Maintaining relationships and community involvement | Prevents loneliness and decline |
A Care Act assessment can take place in person, over the phone, or online, depending on individual circumstances. In many cases, it is conducted in the person’s home to provide a clearer understanding of daily challenges.
You can have a family member, friend or advocate present during the assessment. This can be particularly helpful if you find it difficult to explain your needs or feel anxious about the process.
Once the assessment is complete, the local authority will decide whether your needs meet the national eligibility criteria. If you are found eligible, a care and support plan will be developed outlining how your needs will be met.
If care services are required, a separate financial assessment will determine whether the local authority contributes to the cost or whether you are expected to pay all or part of it yourself.
If you are not found eligible, the local authority must still provide information and advice on alternative support options.
Many people believe that a Care Act assessment is only for those with severe needs, or that requesting one commits them to accepting services. In reality, the assessment is about understanding needs and exploring options, not forcing decisions.
Another common misconception is that family support automatically excludes eligibility. While informal care is considered, it does not remove the local authority’s duty to assess needs properly.
The purpose is to identify care and support needs and determine whether someone is eligible for help from the local authority under the Care Act 2014.
Yes. A Care Act assessment is free of charge, regardless of income or savings.
Yes. A family member or representative can request an assessment on behalf of someone who may need support.
No. Financial assessments are separate and only take place if care and support are approved.
Yes. If you disagree with the outcome, you can request a review or raise concerns with the local authority.
A Care Act assessment is a crucial step in accessing care and support in England. Understanding your rights and the assessment process helps ensure that needs are recognised and addressed in a fair and transparent way.
Senior Home Plus offers free personalized guidance to help you find a care facility that suits your health needs, budget, and preferred location in the UK.
Call us at 0203 608 0055 to get expert assistance today.
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