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.

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Find Support

Please find below useful links, relevant resources and contact information. All links open in a new window and may include links to websites, videos, and PDF files for downloading and printing. 

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Local Support 

Link 1 e.g NHS Trust website
Link 2 e.g. Local Age UK

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Helpful Links 

When to consider a care home - NHS
Care homes advice and guidance - Age UK
Choosing the right care home for you - Age UK
Home adaptations, care services and equipment - NHS

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More on this website

Visit our Information and Advice section
Visit our Staying Active section
Visit our Home Safety section
Visit our Help and Contacts section 
Start your online Self-Assessment

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