Care homes and sheltered housing: the landline switch
In brief
- Care homes and sheltered-housing schemes often have multiple devices that rely on the analogue phone line: warden-call units, personal alarms, fire communicators, lift phones, and door entry systems.
- Each of these devices must be individually checked and, where necessary, upgraded before the building's line moves to digital voice.
- Scheme managers and registered care providers have a regulatory duty to ensure resident safety during the migration. CQC and local-authority commissioners expect this to be documented.
- Start with a written audit of every device, its supplier, and its compatibility status, then plan replacements in the order of safety risk.
Why care homes and sheltered housing need a dedicated plan
A private home usually has one or two devices connected to the phone line. A care home or sheltered-housing scheme often has ten or more: each resident's lifeline pendant base unit, a warden-call system serving the whole building, fire-alarm signalling to a monitoring centre, a lift emergency phone, door entry panels, and the staff landline. Every one of these has to work through the digital voice switch or a resident could be left without the ability to call for help.
The regulatory exposure is also higher than for a private home. Registered care providers are accountable to the Care Quality Commission (or equivalents in Scotland, Wales, and Northern Ireland) for resident safety, and commissioners expect documented risk assessments of the switch. Sheltered-housing landlords face similar obligations under housing and equality legislation.
Devices to audit
Walk the whole building and identify everything that is connected to a phone socket, a router phone port, or a dedicated alarm-signalling line. Typical list:
- Warden-call / scheme-manager call system (the central unit that residents press for help). Often analogue-based. Ask the supplier for a written statement of digital voice compatibility.
- Individual resident lifeline units. Each one has a base unit that dials out, plus a pendant or wristband. Most older units are analogue-only.
- Fire-alarm signalling device (auto-dialler or "Redcare" or similar). Check with the fire-alarm servicing company. IP or GSM replacement is standard.
- Lift emergency phones. Every passenger lift must have one. PSTN lift phones will fail on digital voice unless replaced with a GSM or SIP unit.
- Door entry system (the panel at the entrance that calls a resident's handset). Many older blocks use a dedicated PSTN line.
- Night porter / on-call phone line.
- Staff office landlines (including any back-line for medical emergencies).
- Building monitoring or BMS dial-out (fault alerts from boilers, lifts, fire panel).
Audit template for managers
For each device, record:
- Device type and location
- Make and model
- Installed by / supplier / current maintenance contract
- Connection: wall phone socket, router phone port, dedicated line, or mobile/IP
- Vendor-confirmed compatibility with digital voice (yes / no / awaiting confirmation)
- Power-cut behaviour (does it have its own battery, and for how long?)
- Planned action (retain, replace, upgrade path, date committed)
- Residual risk and mitigation during the gap
The business device audit checklist gives a printable version you can adapt.
What to ask your telecare / warden-call supplier
- "Is this specific model certified for use on digital voice by a UK phone provider? Which providers?"
- "If yes, have you conducted an end-to-end live test on our line and received a successful signal at the monitoring centre?"
- "If no, what is the upgrade path? Replacement unit, firmware, or new communicator?"
- "What is the lead time for replacement hardware, and do you have stock?"
- "What is the plan if my line is migrated before your replacement arrives?"
- "Who pays for the replacement unit: the housing provider, the local authority, the tenant, or you?"
What to ask your phone provider
- "This is a care-home / sheltered-housing site with [N] lifeline devices and a warden-call system. Please record the premises as safety-critical on your file."
- "Do not migrate our lines until we have written confirmation that every device has been tested on digital voice."
- "What power-cut resilience options do you offer for a multi-tenant building?"
- "Who is my named contact for this migration, and what is the escalation route if something fails?"
Timing and responsibility
Every link in the chain has a different timeline:
- The phone provider gives 30+ days' notice of migration.
- Alarm and telecare suppliers can take weeks to deliver and fit replacement hardware, especially at scale.
- Lift maintenance contracts often schedule routine visits quarterly, which may not align with the migration date.
The manager's job is to pull those timelines into a single plan and push back on any party that would migrate the line before the dependent devices are ready. Ofcom and DSIT have both made clear that providers should not migrate lines where a vulnerable user's safety equipment has not been confirmed compatible.
Common questions from care-home and sheltered-housing managers
Do CQC-registered providers have to document the landline switch?
Yes in practice. The Care Quality Commission expects registered providers to assess risks that could affect resident safety and to evidence the mitigations. Losing telecare signalling is a direct safety risk, so a written risk assessment covering the landline switch should sit in the home's records.
Who pays for replacement warden-call or lifeline units?
It varies. In some local authorities the telecare contract includes free replacement of incompatible base units. In others the housing provider pays, or the cost is split. Start the conversation with the commissioning local authority and the supplier at the same time.
Can we delay the switch for the whole building until every device is ready?
In practice yes, if you formally tell the phone provider that the premises is safety-critical and devices are not yet compatible. Providers are not supposed to force a migration that leaves vulnerable users without a working alarm. Get the pause in writing.
What about the lift emergency phone?
Covered separately in our lifts and emergency lines guide. In brief: get a GSM or SIP replacement fitted by the lift maintenance company before the building's phone line is migrated. Lifts must have working emergency communication at all times.