Hearing Loss in Care Homes: A Wake-Up Call for Better Care
Hearing loss is one of the most common yet overlooked challenges facing older people in residential care. A landmark 2025 white paper from Care England, developed in partnership with Nightingale Hammerson and Engage, has brought this issue sharply into focus—highlighting both the scale of the problem and the urgent need for change.
For care providers, families, and residents alike, the findings are both sobering and motivating.
The Scale of Hearing Loss in Care Homes
The report reveals that over 80% of care home residents are living with hearing loss, making it one of the most widespread health conditions in later life.
Yet despite this, hearing care is often under-prioritised. Many residents remain undiagnosed or unsupported, creating a silent barrier to communication, connection, and quality of life.
Why Hearing Loss Matters More Than We Think
Hearing loss is not simply about difficulty hearing conversations. The research highlights far-reaching consequences when it goes unaddressed, including:
Increased risk of dementia and cognitive decline
Greater likelihood of falls and physical injury
Higher rates of social isolation, anxiety, and depression
Reduced independence and engagement in daily life
In care settings, these impacts are amplified. When residents cannot hear clearly, they may withdraw from activities, struggle to communicate their needs, or become disoriented—especially those already living with dementia.
Key Challenges Identified
The report outlines several systemic issues affecting hearing care in residential settings:
1. Low Use of Hearing Aids
Fewer than a quarter of residents who could benefit from hearing aids actually use them.
This is often due to lack of maintenance, discomfort, or insufficient staff support.
2. Limited Staff Training
Many care professionals report little or no training in recognising or supporting hearing loss, leading to communication difficulties and missed opportunities for intervention.
3. Unsupportive Environments
Background noise, poor lighting, and unsuitable communal spaces can make it even harder for residents with hearing loss to engage socially.
4. Barriers to Audiology Services
Access to hearing tests, earwax removal, and specialist support remains inconsistent, leaving many residents without essential care.
A Clear Path Forward
Encouragingly, the white paper doesn’t just highlight problems—it provides practical, evidence-based solutions that care homes can implement.
Practical Recommendations Include:
Conducting hearing-friendly environmental audits
Introducing clear protocols for hearing aid care and maintenance
Providing hands-on training for staff, including simulated hearing loss experiences
Appointing “Hearing Loss Champions” within care teams
Improving access to audiology services and ear care
Offering assistive technologies, such as personal amplifiers
Supporting residents and families with better information and guidance
These steps are not complex—but they require commitment, awareness, and a cultural shift in how hearing care is prioritised.
The Human Impact: Small Changes, Big Differences
Case studies within the report demonstrate that even simple interventions—like repairing a hearing aid or reducing background noise—can dramatically improve a resident’s quality of life.
Residents become more engaged, more confident, and more connected to those around them. Staff benefit too, with improved communication leading to better relationships and more effective care delivery.
What This Means for Care Providers
For forward-thinking care homes, this report is more than a warning—it’s an opportunity.
By prioritising hearing care, providers can:
Enhance resident wellbeing and dignity
Reduce falls and health complications
Improve staff satisfaction and communication
Strengthen family confidence and trust
Ultimately, better hearing support leads to better care.
A Commitment to Better Living
At Wardside House, creating an environment where residents feel heard—both literally and emotionally—is central to delivering high-quality, person-centred care.
The findings from this report reinforce a simple but powerful message:
Addressing hearing loss is not optional—it is essential.
By embracing awareness, training, and practical solutions, care homes can transform everyday experiences for residents and ensure that no one is left unheard.
Read the report