A term recently adopted by the care home industry is “a home for life”, an expression that encapsulates with directness, style and economy exactly what the best care regimes aspire to for their customers. Whether a residential home, a nursing home, a sheltered or very sheltered housing unit, or a domiciliary care agency supporting people in their own residences, everyone seems eager to offer their customers a settled location on that they can depend “for life”. But, wonders Jef Smith, how true can these claims be?