Social care support
Social care support is about supporting people to:
- live independently
- be active citizens
- participate and contribute to our society
- maintain their dignity and human rights
We are committed to supporting people to stay at home or in a homely setting with maximum independence, for as long as possible. We also aim to retain the right people to work in social care support and social work and to raise the status of social care as a profession.
More information is in the following sections:
- free personal and nursing care
- care homes
- care home sector
- healthcare framework
- unpaid care
- ordinary residences
Free personal and nursing care
Free personal and/or nursing care is available to all adults in Scotland who have been assessed by the local authority as eligible for these services.
Information about our policy on unpaid carers is in a separate page.
Background information about the extension of free personal care for adults aged under 65 is in our website archive.
In Scotland there are items in non-personal care, and for residential care, that are charged for. More information is in the following sections. For details about charges in your area, contact your local Health and Social Care Partnership.
Coronavirus (COVID-19): see our collection of guidance for adult care homes.
Care homes are places where people can live in a homely setting and have their needs met by trained staff.
We provide funding for Care Information Scotland (CIS) which gives information on care and support services for older people.
The Care Inspectorate is the national regulator for care services in Scotland.
Revised guidance on charging for residential accommodation (CCD 1/2021) is on the SEHD website.
More information about care and care services is on the mygov.scot website.
Care home sector
The care home sector is complex. It provides specialised care for adults and older people, people with learning and physical disability, neurological illness, mental health conditions and brain injury. Care homes also provide intermediate and respite care services. People who living in care homes have a right to have their health and social care needs met in a person centred, holistic, consistent and co-ordinated way.
Our main priority is to provide consistent high quality, safe and effective personalised care focused on the person living in the care home.
Care homes: healthcare framework
In June 2022 we published our new healthcare framework for adults and older people living in care homes.
It has been produced in collaboration with key stakeholders from across the sector including:
- residents and their families
- care home providers and staff
- the Care Inspectorate
- Healthcare Improvement Scotland (HIS)
- the ‘third’ and independent sector
- numerous other professionals from across the system
The framework will:
- fully align with the independent review of adult social care
- enhance the health of people living within a care home
- improve the way we assess, monitor and respond to their ever-changing health and care needs
It also has the potential to inspire people to work across boundaries and make ensure that staff work in a truly multi-disciplinary, integrated manner which puts the person at the centre.
It will focus on the these key areas:
- a nurturing environment
- the multi-disciplinary team
- anticipatory care, supported self-management and early intervention
- urgent and emergency care
- palliative and end of life care
- a sustainable and skilled workforce
- data, digital and health
We have also produced a short animation, which will be the first of a series, detailing the life of ‘Bill’, a fictional character, who moves into a care home following a decline in health. The animation details what good care looks like for Bill and puts into practice many of the key recommendations in the framework.
The Carers (Scotland) Act 2016 puts in place a system of carers’ rights designed to listen to carers, make support more consistent between areas, and to prevent problems – helping to protect carers’ health and wellbeing. More information on unpaid care.
A local authority can recover the costs of providing services to a person 'ordinarily resident' in another local authority. Normally the local authority in which a person is ordinarily resident is financially responsible for the community care services for that person.
Where disputes arise, local authorities can apply to Scottish Ministers for a determination of ordinary residence when all other attempts at resolution have failed.
We have published guidance and templates relating to ordinary determinations.
We publish anonymised ordinary residence determinations to show the approach taken to making a determination.
Information about our policy on benefits for carers is in our social security page.