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The guide

Who actually makes the decision when a family chooses a care home?

Usually a close family member leads the search, most often an adult child, but almost nobody decides alone. The choice is normally settled by a small group: the person who searched, the person who handles the money, the person moving in where they are able to take part, and one or two relatives who get consulted and can say no.

Updated September 2026

The short version

If your marketing only has to convince the person who found you, you are marketing to about a quarter of the decision. In brief:

  • A care home decision has four roles: the searcher, the payer, the person moving in, and the consulted relatives.
  • 92.9% of Lottie enquirers who declared a relationship in Q1 2026 were arranging care for someone else.
  • Professionals shape the shortlist, and the family still chooses between the names on it.
  • Most of the group judges your home on whatever gets forwarded to them, usually on a phone.
  • Make everything forwardable: a real family film, daily life, a named person, and a plain answer on money.

The four roles

Who actually decides?

Four roles, and one person rarely holds more than two of them. The searcher finds the options. The payer works out what is sustainable. The person moving in has the strongest claim on the decision. The consulted relatives rarely choose anything, but they can stop it: a brother on the phone two hundred miles away who says "that one looked a bit institutional" can end a shortlist in one sentence.

RoleWhat they are actually judgingWhere they lookWhat convinces them
The searcherIs this a serious, findable home with a vacancyDirectories, Google, your website, social feedsClear provision, quick answers, a real person to contact
The payer or money managerIs this sustainable and honestly pricedYour website, the enquiry call, the visitStraight answers about fees and what is included, no evasion
The person moving inWill I be alright here, and will I still be meThe visit, the atmosphere, the staffBeing spoken to directly, seeing daily life rather than a foyer
The consulted relativesIs my family member making a mistakeWhatever gets forwarded to them, plus reviewsSomething they can watch or read in two minutes without context

Read across that table and the pattern is obvious. Three of the four judge you on material they are shown, rather than material they went looking for.

A family member chatting with a resident in the care home dining room.

The searcher

Is it always the adult child?

No, and treating it as a rule will cost you enquiries. It is usually an adult child, but often another close family member: a spouse, a sibling, a niece or nephew, sometimes a grandchild who is simply the one who is good with a computer.

On the Lottie platform in the first quarter of 2026, 74% of care seekers who declared their relationship to the care recipient were searching for a family member, 17.1% were social workers or professional advocates, and only 7.1% were researching care for themselves (Lottie Care Index, Care Homes Q1 2026).

Taken together, 92.9% of those enquirers were arranging care for somebody other than themselves. So the safe assumption is not "a daughter in her fifties". It is a close family member, acting for someone else, who will have to explain this choice to other people.

The numbers

Decided under pressure, by people with no spare capacity.

The person leading your enquiry is usually holding a job, a household and a worry at the same time. Carers UK's The tipping point, published in May 2026 and drawing on over 10,500 carers, found nearly half of working carers, 47%, are considering reducing their hours or leaving work altogether.

In the Care England and Log my Care study of 1,000 people arranging care, conducted by Sapio Research, 97% found arranging care difficult, two thirds began without clarity about the type of care required, and over half felt overwhelmed, anxious or unsure where to begin. Reputation was the top factor in the final decision at 30%, while only 19% used inspection reports.

A group of tired people, deciding quickly, about something none of them understands yet. Clarity is not a nice-to-have for that audience. It is the whole offer.

The other voices

Who else is in the room?

The searcher rarely decides alone. Three other voices shape the outcome.

The person moving in

Where they can take part, their view usually carries the most weight. But the move is usually triggered rather than planned, and dementia-related care made up 47.1% of named-type care home enquiries on Lottie in Q1 2026, so the family is often deciding on someone's behalf. Write for both readers.

Social workers and discharge teams

They shape the shortlist rather than make the choice, narrowing the field to homes with a vacancy and the right provision. Once you are one of three names on a piece of paper, the family goes home and looks all three up. What they find decides it.

The consulted relatives

They never searched and may never visit. They judge your home on whatever gets pasted into a message thread, often on a phone, with nobody there to explain it. They are looking for a reason to object.

What to change

Make everything forwardable.

The searcher becomes your advocate to the rest of the family. Four changes, in the order they pay back.

01

One short film of a real family

On the pages a stranger lands on. A relative who has never visited can watch it in ninety seconds and form a view. Real people only, never anything AI-generated.

02

Daily life above the building

The consulted relatives are looking for a reason to object, and an empty corridor gives them one.

03

Name a human being

A named person, a direct number and an honest statement of when you answer, so the family can say "I spoke to someone called Donna".

04

Answer the money question plainly

Not a number on a poster, but a clear explanation of what is included and how it works, so the searcher can pass it on without getting it wrong.

Film matters most here because it travels: why a relative's own account travels further than anything you can say yourself.

The avoidable four

What goes wrong.

Two failures in how homes reach the family, and two in what happens once they have.

Reaching the family

Targeting one person, one screen

Targeting one person and one channel. The searcher may well arrive from a directory or a paid social advert that reached them before they started comparing homes. The other three see whatever gets pasted into a message thread, so your material has to stand alone.

A website that only looks fine on a laptop. The forwarded link is opened on a phone, often at speed, often by someone in their seventies.

Once they have found you

Silence, and the wrong emotion

Silence between the enquiry and the visit. The group is discussing you in that gap whether you take part or not.

Marketing to fear rather than relief. It converts once, and it makes the rest of the family uneasy. What families are looking for is permission to stop worrying.

An elderly couple sitting together in the care home.

Cost and pace

How much does this change what you spend?

It changes the shape more than the size. There are four pricing models you will meet, and the choice between them matters more than the figure attached to any one.

  1. One-off production. You pay once for a film, a set of photographs or a website, and you own it.
  2. A monthly retainer. You pay for time and continuous management.
  3. Media spend. What you pay the platform, separate from what you pay anyone to manage it.
  4. Results based. You pay on an agreed outcome, such as a move-in.

Price varies with scope, and anyone who quotes before understanding your occupancy position is guessing. We walk through the numbers for your home on a call.

How long before it shows? Weeks for the material, months for the visibility. A film and a clear enquiry path can change conversations with families already looking at you almost immediately, because they change what the searcher can forward. Being found by families who have not started looking yet is slower.

A resident and a visiting relative chatting in the care home garden.

Who this is for

Who should act on this, and who should wait.

This is for homes with reasonable enquiry numbers and a conversion problem: plenty of first contacts, too few visits, visits that do not become move-ins. That gap is usually the rest of the family, and it is fixable.

Wait if nobody is finding you at all. If enquiries are a trickle, the constraint is visibility, not persuasion, so start with the wider picture on filling beds.

Common questions

The family decision, answered.

Usually a close family member leads it, most often an adult child, but the final decision is normally agreed by a small group: the person who searched, the person who will pay or manage the money, the person moving in where they are able to take part, and one or two relatives who are consulted and can object. Marketing that convinces only the searcher stalls at the point they show it to everyone else.

No. It is usually an adult child, but often another close family member: a spouse, a sibling, a niece or nephew, or a grandchild. On the Lottie platform in the first quarter of 2026, 74% of care seekers who declared their relationship were searching for a family member and only 7.1% were researching care for themselves. Treat the searcher as a close family member rather than assuming a daughter in her fifties.

They shape the shortlist rather than make the choice. Social workers and professional advocates accounted for 17.1% of Lottie care seekers who declared a relationship in the first quarter of 2026. A professional often narrows the options to homes with a vacancy and the right provision, and the family then chooses between them, which is why your own materials still have to do the convincing.

Make everything you publish easy to forward. A short film of a real family, a page that loads quickly on a phone, a named person to contact and a clear picture of daily life can all be passed round a group chat without you in the room. The searcher is your advocate to the rest of the family, so give them something to argue with rather than a brochure.

Often yes, and where they can take part their view usually carries the most weight of anyone. But the move is frequently prompted by a sudden increase in need, and dementia-related care accounted for 47.1% of named-type care home enquiries on Lottie in the first quarter of 2026, so in many cases the family is deciding on someone's behalf. Speak to both: the person who will live there and the family carrying the choice.

Keep reading

Go a little deeper.

Give the whole family a reason to say yes.

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