What is Extra Care Housing — and Is It the Right Step for Your Loved One?

Extra care housing — also known as assisted living or housing with care — is a type of specialist retirement accommodation that combines independent living with access to on-site care and support. Residents live in fully self-contained flats or bungalows with their own front door, but care staff are available on-site, typically 24 hours a day.

How is it different from a care home?

In a care home, residents are licensees without a legal interest in the property. In extra care housing, residents are tenants or owners with full housing rights. The key distinction is independence — extra care housing is for people who can still manage many aspects of daily life but want the security of knowing help is close by. Care home residents typically require a higher level of ongoing personal care.

How is it different from sheltered housing?

Sheltered housing provides accommodation and a warden or scheme manager but limited personal care. Extra care housing goes further — providing regulated personal care and support services on-site, inspected by the CQC. It bridges the gap between sheltered housing and a care home.

Who is it for?

Extra care housing suits people who want to maintain independence and privacy, may be part of a couple with different care needs, and do not yet require the full support of a care home. It can also delay or prevent the need for a care home move as needs increase.

How is it accessed?

Council-run schemes require a care needs assessment and eligibility criteria — typically age 60 or over and a minimum level of care need. Private schemes can be purchased or rented. Availability varies by area and waiting lists for council schemes can be significant.

If you are unsure whether extra care housing or a care home is the right direction, our consultation helps you make this decision with confidence. Speak to us →