What sexual safety means in care homes

Sexual safety in a care home has two linked meanings. People must be protected from sexual harm, abuse, coercion, humiliation and exploitation. At the same time, people who have capacity should not be denied intimacy, relationships, privacy or sexual expression on the basis of age, disability, dementia or receiving care.

These aims go together. A service that focuses only on risk can become controlling; one that focuses only on rights can miss abuse or pressure. Good practice recognises both protection and support.

What staff need to hold in mind

• Sexuality is part of personhood: it covers intimacy, attraction, identity, orientation, touch, privacy and relationships.
• Care homes are also people's homes: privacy and dignity remain important even when support needs are high.
• Sexual harm can take many forms: sexualised teasing, unwanted touching, pressure, assault, coercion, grooming, exposure and misuse of trust all matter.
• Open culture supports safety: staff should be able to discuss these issues calmly and respectfully rather than avoiding them.

Why leaders should avoid silence on this topic

Sexual safety is not only about preventing abuse. It is also about respecting lawful intimacy, privacy, and relationships while staying alert to risk, coercion, and safeguarding concerns.