Care homes

Care home fees by county (2026): costs, ratings and council rates

Care homes cost self-funders about £1,095 to £1,456 a week in England in 2026, depending on the region. Fees, CQC ratings and council rates for 120 county and council areas.

A residential care home costs a self-funder about £1,185 to £1,615 a week in England in 2026, depending on the region, and a nursing home about £1,305 to £1,850 a week. Fees are highest in London and the South East and lowest in the North East. Councils pay much less for the same places: about £956 a week on average for a care home without nursing. This page shows typical fees for every region, then the number of care homes, CQC ratings and council rates for all 120 county and council areas we cover.

At a glance

  • Most expensive regions for residential care: London (£1,615 a week) and the South East (£1,555).
  • Least expensive: the North East (£1,185), the North West (£1,205) and Yorkshire and the Humber (£1,230).
  • Nursing homes typically cost £120 to £310 a week more than residential homes in the same region.
  • 13,342 care homes are listed across 120 areas. About 83% of rated homes in England are Good or Outstanding.
  • Highest share rated Good or Outstanding (areas with 20 or more homes): South Gloucestershire (99%), Bristol, City of (97%), Bournemouth, Christchurch and Poole (96%).

Care home fees by region (2026)

RegionResidential care home a weekNursing home a weekMedian council rate, no nursingCare homes listedGood or Outstanding
East Midlands£1,250£1,480£9101,27980%
East of England£1,455£1,685£9181,44479%
London£1,615£1,850£1,1571,28190%
North East£1,185£1,305£88568892%
North West£1,205£1,515£8041,72780%
South East£1,555£1,830£1,1242,55182%
South West£1,445£1,690£1,1141,61289%
West Midlands£1,295£1,520£9021,45578%
Yorkshire and the Humber£1,230£1,515£8531,30581%

Self-funder fees are our regional benchmarks, the same figures used across the site. Council rates are the median of what councils in the region reported paying in 2025/26 for people aged 65 and over (see what every council pays). Nursing home fees usually include the NHS-funded nursing care payment of £267.68 a week, which the NHS pays to the home (see FNC rates).

Comparing care homes? Every home is listed with its latest CQC rating and inspection date. Search by postcode →

Care homes by county

For each area: how many care homes are on the CQC register, the share rated Good or Outstanding, how many provide nursing care or support people living with dementia, and what the council paid in 2025/26. For London, the council figures are the median across the 33 boroughs. Select an area to compare homes town by town.

East Midlands

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Derby6373%2334£809 / £780
Derbyshire23881%86141£974 / £1,118
Leicester6187%933£1,044 / £1,195
Leicestershire18680%33115£986 / £1,084
Lincolnshire21075%53129£783 / £824
North Northamptonshire9784%2252£915 / £978
Nottingham7581%2839£713 / £713
Nottinghamshire26183%84136£906 / £1,138
Rutland6100%24£860 / £1,000
West Northamptonshire8268%3039£965 / £1,060

East of England

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Bedford6479%1330£1,077 / £1,161
Cambridgeshire11392%4171£918 / £1,131
Central Bedfordshire4773%1329£1,008 / £1,061
Essex37083%83196£849 / £1,103
Hertfordshire27277%88159£906 / £1,036
Luton3774%719£865 / £972
Norfolk24466%49142£1,015 / £1,146
Peterborough2988%1119£888 / £1,040
Southend-on-Sea8692%1353£958 / £1,003
Suffolk15179%48102£1,064 / £1,051
Thurrock3190%514£844 / £977

London

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
London128190%383596£1,157 / £1,190

North East

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
County Durham12291%4876£857 / £890
Darlington3286%1018£843 / £953
Gateshead5396%2534£888 / £950
Hartlepool2592%914£917 / £900
Middlesbrough4295%1326£857 / £857
Newcastle upon Tyne5393%3026£983 / £983
North Tyneside4891%1935£944 / £949
Northumberland8489%3764£882 / £883
Redcar and Cleveland4285%1328£848 / £848
South Tyneside4192%1431£915 / £1,064
Stockton-on-Tees5992%1533£866 / £915
Sunderland8794%2751£919 / £929

North West

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Blackburn with Darwen3481%1019£800 / £954
Blackpool4776%1232£735 / £828
Bolton5184%1625£827 / £872
Bury6084%2030£773 / £916
Cheshire East9776%5371£921 / £1,108
Cheshire West and Chester7169%4043£887 / £987
Cumberland6277%1437£990 / £1,066
Halton2576%715£791 / £904
Knowsley4781%1835£728 / £773
Lancashire40283%94239£790 / £887
Liverpool5070%2224£832 / £864
Manchester2677%159£866 / £959
Oldham5987%1949£902 / £1,201
Rochdale6667%1437£763 / £1,107
Salford3279%818£688 / £900
Sefton13079%4267£799 / £868
St. Helens3682%1619£800 / £883
Stockport7675%2346£1,113 / £1,166
Tameside3675%931£809 / £1,058
Trafford7283%2434£955 / £1,141
Warrington4385%1619£875 / £1,028
Westmorland and Furness3894%1224£1,039 / £1,087
Wigan5792%2542£779 / £852
Wirral11072%4155£793 / £855

South East

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Bracknell Forest3289%817£1,235 / £1,271
Brighton and Hove6190%2020£1,124 / £1,266
Buckinghamshire10974%4071£1,188 / £1,209
East Sussex26185%67115£929 / £994
Hampshire44785%139244£1,245 / £1,365
Isle of Wight5775%1141£967 / £1,110
Kent42277%117206£1,187 / £1,378
Medway6771%1632£875 / £1,126
Milton Keynes4982%1627£936 / £1,031
Oxfordshire10888%6591£1,184 / £1,231
Portsmouth2576%715£1,145 / £1,254
Reading3174%714£993 / £1,068
Slough2358%912£1,238 / £1,283
Southampton5085%1428£1,014 / £1,193
Surrey38884%155234£952 / £988
West Berkshire2788%1113£1,238 / £1,147
West Sussex33284%113168£1,033 / £1,125
Windsor and Maidenhead2977%1315£1,184 / £1,359
Wokingham3390%1219£1,034 / £1,141

South West

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Bath and North East Somerset5785%2232£1,118 / £1,083
Bournemouth, Christchurch and Poole13396%3471£1,220 / £1,293
Bristol, City of7197%2431£1,120 / £1,106
Cornwall15581%3879£1,123 / £1,231
Devon25791%51140£1,110 / £1,363
Dorset9494%2667£1,156 / £1,183
Gloucestershire16086%5481£923 / £874
North Somerset8796%3249£748 / £888
Plymouth8779%2146£979 / £1,052
Somerset16889%4987£805 / £832
South Gloucestershire8899%3343£1,326 / £1,329
Swindon4689%1324£832 / £847
Torbay7480%1445£1,163 / £1,243
Wiltshire13589%3569£1,051 / £1,030

West Midlands

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Birmingham12079%3352£874 / £889
Coventry5770%1230£868 / £990
Dudley9573%1960£725 / £984
Herefordshire, County of6183%2333£1,123 / £1,287
Sandwell14372%3955£892 / £968
Shropshire6975%2644£928 / £1,166
Solihull5678%1631£1,012 / £1,037
Staffordshire25777%80154£941 / £1,143
Stoke-on-Trent4290%620£712 / £1,005
Telford and Wrekin3376%1118£999 / £1,211
Walsall8573%2343£790 / £1,073
Warwickshire17882%47105£916 / £1,030
Wolverhampton6866%2143£710 / £942
Worcestershire19188%65124£911 / £1,088

Yorkshire and the Humber

County or areaCare homesGood or OutstandingWith nursingFor dementiaCouncil pays a week (no nursing / nursing)
Barnsley6981%1140£955 / £955
Bradford9978%3366£789 / £852
Calderdale4277%1221£971 / £1,458
Doncaster7881%1743£853 / £973
East Riding of Yorkshire13677%16102£931 / £1,093
Kingston upon Hull, City of5975%833£841 / £1,049
Kirklees12279%3355£878 / £1,280
Leeds14578%5097£804 / £997
North East Lincolnshire5487%1337£750 / £716
North Lincolnshire4686%830£736 / £831
North Yorkshire15485%4693£1,086 / £1,358
Rotherham7088%2238£753 / £905
Sheffield9786%3755£800 / £987
Wakefield9575%1859£853 / £853
York3988%1223£1,080 / £1,237

Why fees vary

  • Nursing: homes with registered nurses on site cost more. If you need nursing care, the NHS pays £267.68 a week towards it.
  • Dementia: specialist dementia care usually costs £35 to £80 a week more. See dementia care costs by region.
  • Self-funder or council-funded: people paying for themselves are usually charged more than the council rate for the same room.
  • Room and location: en-suite rooms, newer buildings and homes in expensive areas cost more.

Help with the cost

Sources

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Reviewed by The Care Panel team on 26 October 2026. This guide is general information about care in England, not legal, medical or financial advice. Rules and rates change; check with your council or an adviser before making decisions.

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