Care Home Phone Systems built for reliable 24/7 communication.
Modern phone systems for residential homes, nursing homes and multi-site care groups. Route calls to the right unit, keep your existing numbers, provide dependable DECT coverage and add resilient internet backup — all installed and supported by a UK team.
What running the phones in care homes is really like
Families call any hour
Relatives ring day and night and need a calm, prompt, reassuring answer.
Reaching the right floor fast
Calls must get to the correct unit or office without delay.
Reliability is non-negotiable
A care setting cannot have a phone system that drops or fails.
Before any care home is moved to VoIP.
A care-home phone migration must cover more than reception handsets. The UK's analogue network is being retired by January 2027, and devices that quietly depend on old lines — telecare and personal alarms, nurse-call equipment, lift emergency phones, door entry, fire and security alarm signalling, fax, payment terminals and resident room lines — must be identified before anything is switched.
Before switching anything, we document every service connected to your existing lines, confirm compatibility with the relevant equipment provider, and create a tested transition plan covering internet, mobile backup and power resilience. Nothing is migrated until the plan covers every dependent device.
Resilience, designed in layers.
Mobile failover alone does not solve every outage — a building-wide power cut takes down routers, switches and DECT bases regardless of how good the backup connection is. Honest resilience is layered:
The primary chain
Primary fibre → managed router → cloud phone platform → DECT bases and handsets. Each link specified, monitored and supported.
The backup layers
Optional 4G/5G connection, UPS power for the router and switches, agreed mobile escalation numbers, and a continuity procedure that is actually tested — not just written down.
For enhanced continuity, we can include UPS-backed routers, switches and phone equipment as part of the system design — and we will tell you plainly which failure modes each layer does and does not cover.
Reliable handsets on every floor.
Care homes are large, multi-floor buildings with thick walls, split wings and staff who are always moving. Coverage blackspots are a daily operational problem, not a technicality — which is why DECT design starts with a site survey, not a box of handsets.
Multi-cell DECT
Base stations positioned from a real survey, with seamless handover as staff move between floors and wings.
The right handsets
Rugged units where needed, speed-dial and emergency keys, hearing-aid-compatible options, shared or named handsets with sensible charging points.
Reception to top floor
Desk phones at reception, cordless coverage across every unit, and mobile apps for managers who work across sites.
Resident telephones, handled separately.
Staff and resident telephony are different problems. Where a home wants resident calling, we can provide individual resident extensions with direct-dial numbers, controlled outbound permissions and call-spend limits, easy-to-use large-button handsets, and separated billing where the home requires it. Families get a direct way to reach their relative; the home keeps control and clarity on cost.
Phone features that earn their keep
24/7 routing
Calls reach the right floor or on-duty office around the clock.
Resilient with failover
Built-in failover keeps lines up even if a line fails.
Safeguarding records
Where recording is required, we configure the technical controls around your documented purpose and information-governance policy.
One number, many extensions
A single home number routes cleanly to every unit and office.
A day on the phones
A relative calls late in the evening, worried about their mother. The call routes straight to the on-duty office rather than an unattended desk, is answered promptly, and the right member of staff is reachable. Reassurance delivered — exactly when a family needs it most.
An AI receptionist can answer routine and administrative calls outside reception hours, capture messages and route agreed urgent call types to an on-duty member of staff. It is not a substitute for emergency services, clinical judgement or the home's safeguarding procedures — call flows and escalation rules are agreed and tested with the home before launch.
A typical agreed call flow: family enquiry → on-duty office · new placement enquiry → admissions · supplier → voicemail or procurement · staff absence → duty manager · emergency → caller instructed to dial 999 / agreed escalation route.
Handled properly
Where call recording is required, we configure the technical controls around your documented purpose and information-governance policy — caller announcements, role-based access, encrypted storage, retention periods and audit trails. Your organisation remains responsible for confirming its lawful basis, privacy information and internal policies.
Reliable communication can support a care home's wider responsibilities around responsiveness, safeguarding, information management and continuity of care. Telexico does not provide regulatory compliance advice, but we design the telephone system to support the home's documented operating and information-governance procedures.
From £5 per user, per month.
No PBX hardware to buy and no big upfront cost — cloud phone systems that scale with your team. And because it’s all cloud-delivered, we can have you set up and live within 60 minutes.
The services behind the comparison.
Everything we'd put in front of you instead — designed, installed and supported by a UK team.
Phone systems
Connectivity
AI & more
Compare it properly, with no hard sell.
Send us your current setup and bill. We'll review what you have, what you pay, and where we can simplify or improve it — and tell you honestly if you're better off where you are.
Frequently asked questions
How much does it cost?
From around £5/user/month, AI receptionist from £150/month, plus failover if wanted. No mid-contract rises.
Can calls reach a specific floor or unit?
Yes — one home number routes to any unit, office or extension.
Will we keep our home's phone number?
Yes — we port your existing number so families and professionals see no change.
What do you check before migrating a care home to VoIP?
Everything connected to your existing lines: telecare and personal alarms, nurse-call, lift emergency phones, door entry, alarm signalling, fax, payment terminals and resident room lines. We confirm compatibility with each equipment provider and build a tested transition plan before anything is switched.
What happens during a power cut?
Mobile failover alone doesn't cover a power cut — routers, switches and DECT bases need electricity. That's why resilience is designed in layers: optional 4G/5G backup, UPS power for the network kit, agreed mobile escalation numbers, and a tested continuity procedure. We'll tell you plainly what each layer does and doesn't cover.
Can you provide phones for residents as well as staff?
Yes — as a separate, controlled setup: individual resident extensions with direct-dial numbers, outbound permissions and spend limits, easy large-button handsets, and separated billing where required.
Does the AI receptionist handle emergencies?
No — and it isn't designed to. It answers routine and administrative calls out of hours, captures messages, and routes agreed urgent call types to on-duty staff. Emergency callers are instructed to dial 999 per the escalation rules agreed and tested with the home before launch.
Where to next?
Telecoms built for your sector.
Telexico tailors phones, broadband, AI receptionists, WiFi and CCTV to your industry — explore all industries →
Phone systems for care homes in your area.
Local install and support across the West Midlands and major UK cities.
Part of Telexico's Healthcare phone systems — see every healthcare sector we cover.
See our dedicated AI receptionist for care homes — 24/7 answering and booking built for your sector.
