carer and resident

Budgeting for care home fees when you are a self-funding resident

When you are choosing a care home and have to pay your own fees (without assistance from social services or the NHS) you won’t want to be surprised by extra costs added on top of the base fee.

The Chiswick Nursing Centre understand this and do their best to keep charges transparent. Care home fees do tend to increase year on year.

The Citizen’s Advice Bureau estimates that the average price increase is around 9.5% a year. You will be notified of these changes, but how much notice is given varies greatly between homes. At The Chiswick we promise to give you at least 28 days notice of any increase – to be transparent in describing why an increase is necessary and we only raise our fees once per year – usually in April.

Whether or not care home fees are all inclusive depends on the care home. At The Chiswick we offer our self-funding residents an all-inclusive service, with a fixed weekly fee.

What is usually included in your fixed fee at The Chiswick? 

Staff who deliver care

Staff in care homes provide personal care, administer and track medication, keep residents safe, provide companionship, cook their meals, wash their laundry, clean the home and plan and provide activities.

Homes such as The Chiswick that offer more specialist care need to employ and pay staff with specialist skills, such as registered nurses or staff highly skilled in supporting people who live with dementia.

While many care homes do have some volunteers for support, employed staff need to be paid at least minimum wage and usually contributions towards their pensions. At The Chiswick – we do both – because we believe that investing in our staff helps us to provide you with better care.

Residents who require more specialist care may be charged a higher fee than those who need less care, but all this will be pre-agreed in their contract.


Care home residents live in the home full-time, so their fees contribute to the usual costs of running a household. This includes upkeep of the building, heating, electricity and other utility bills.


Residents are provided with three meals a day plus snacks and extras such as tea/coffee,  cake/biscuits, an afternoon tea service and cheese and wine events. The occasional glass of wine and evening alcoholic night caps are all included in your weekly fees at The Chiswick.


This is included in fees, with your laundry being collected, washed, and ironed and returned to your wardrobe. There will be additional charges for items that need to be sent to the dry cleaner.

Sanitary items

The Chiswick will have a supply of items such as incontinence pads, but you can supply your own if you’d prefer a branded product.


The Chiswick has an excellent hairdresser, costs are in addition to your weekly fee. 


Outings can accrue extra costs, such as tickets and meals out. This is usually organised in advance.

You may also pay extra for a carer to accompany a resident to appointments or other outings that require one-to-one support outside of the home.


Residents can be supported to buy new clothes or any other knickknacks in shops and online, but they’ll need to pay for these things themselves.


If a resident would like to have a newspaper each day, the care home can arrange a subscription this is included within the costs each week.

Visiting medics

At The Chiswick we have a visiting chiropodist, optician, audiologist and even a dentist. It is the care home’s responsibility to organise these and any trips to medical appointments. Those that cost money, such as dental treatment, will usually be added to the bill.


Residents will need to pay for their own mobile phone and contract, if they want one. All of our bedrooms have phone handsets in place and local UK costs are included in your weekly fees.


Residents who smoke or vape will need to fund this themselves. Staff may support them to buy tobacco, papers, filters, cigarettes, cigars, pipes, snuff, liquids and cartridges, or a friend or family member could supply these for them.


Our fast speed WiFi service is included in your weekly fee. This allows you to support a SMART TV to access internet streaming services if you wish. All of our bedrooms have a TV set included which accessed terrestrial TV and Freeview services. SMART TV sets are provide at a recharge to the resident. 

How can I be sure exactly what care home fees I’ll be charged?

How much a care home resident pays depends on the care they need and the funding they are eligible for.

We will be happy to talk through costs and the contract with you.

Care needs are reviewed regularly. If somebody’s care needs have increased, they may be charged more for their care but they may also now qualify for more funding to support them financially.

At The Chiswick we are all about being transparent and up front on the topic of costs. 

Our Centre Director – Steve Winter (Steve.winter@chiswicknursingcentre.co.uk) will be happy to talk you through any questions or queries that you may have.

We look forward to welcoming you to The Chiswick soon.

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