Supporting Older People Through Winter: Why Proactive Planning Matters More Than Ever

As temperatures begin to fall, the risks facing older people – especially those living with dementia – start to quietly increase. Winter brings far more than cold weather; it brings rising confusion, anxiety, illness and, too often, avoidable harm. The impact of the cold on physical and cognitive wellbeing can take hold long before the signs are obvious to families or staff, making early and proactive planning essential for every care setting.

People living with dementia may struggle to recognise when they are cold or dehydrated. They may not feel temperature changes in the same way as others, and many cannot clearly communicate when they are uncomfortable. As a result, conditions such as hypothermia, urinary infections, increased agitation and a greater risk of falls are more common during the winter months.
At Alert Health 24, we know that anticipating these challenges is key. Adjusting daily routines, increasing observations and ensuring environments remain warm and calming can make a significant difference to residents’ wellbeing.

Care Campaign for the Vulnerable (CCFTV) reports that winter typically brings a noticeable increase in concerns raised by families – from sudden changes in health to unwitnessed incidents or declining mobility. Families frequently seek support when their loved one appears more confused or unwell, and CCFTV works with them and care providers to ensure swift safeguarding action is taken. The colder the weather becomes, the more fragile individuals living with dementia can be, making early intervention critical.

Simple but consistent measures help keep people safe. Regularly checking temperatures in bedrooms and communal spaces is essential, as a room that feels comfortable to staff may be too cold for a resident who spends long periods sitting or resting. Encouraging warm layers, keeping blankets close at hand and offering warm drinks throughout the day can significantly reduce the risk of dehydration and infection.

A supportive environment matters too. Winter brings shorter days and harsher lighting, which can create unsettling shadows and increase anxiety. Softer lighting, familiar personal items and a calm atmosphere can ease restlessness, particularly later in the afternoon when sundowning behaviours are more common. Staff should feel confident in recognising early signs of discomfort, such as residents withdrawing, rubbing their hands, becoming unusually restless or losing their appetite.

Nutrition also deserves heightened attention at this time of year. Warm, easy-to-manage meals and snacks offered at flexible times help maintain both comfort and energy levels. For those with reduced appetite or swallowing challenges, small, warm portions served more frequently can support better intake. Keeping families informed about any changes ensures reassurance and trust throughout the colder months.

Winter can also affect emotional wellbeing. Reduced time outdoors, fewer visitors and shorter days can increase feelings of isolation. Bringing simple elements of the outdoors inside – such as houseplants, bird feeders by windows or sensory activities – helps maintain connection. A few extra minutes spent chatting, offering comfort or simply being present can make a meaningful difference.

Above all, effective winter planning is shared planning. Open communication between care teams, healthcare professionals and families ensures everyone understands what to monitor and what support a resident may need. CCFTV continues to hear from families concerned about the wellbeing of their loved ones during cold spells, particularly when frailty and dementia are combined. Transparent communication and calm, consistent care are vital in preventing avoidable deterioration.

While winter will always bring added pressures, with the right awareness and practical steps in place, care homes can keep older people safe, warm and settled. Winter does not have to be a season of heightened risk – it can be a time of strengthened vigilance, thoughtful support and reassurance for residents and their families.