Care
Radio for retirement and care homes
An in-house radio station gives a care home a shared daily rhythm, residents a reason to participate, and families a way to be present. What to broadcast, who runs it, and the licensing for communal areas.
Most care homes have a television on in a lounge that nobody is watching, and a radio in the corner tuned to a national station playing music for people forty years younger, interrupted every eight minutes by adverts for car insurance.
An in-house station replaces both with something that belongs to the building. It plays music the residents actually grew up with, it says their names, it announces that lunch is in twenty minutes, and it plays a birthday request on the right morning. It is one of the cheapest interventions available in a sector where almost nothing is cheap, and the effect it has is out of all proportion to what it costs.
This is a genuinely underserved use of radio, and the homes that do it well are quietly ahead of everyone else.
Why it works
Three things, none of them about audio.
Music is a memory route that survives when others do not. Familiar music from a person's teens and twenties reaches people with advanced dementia when conversation cannot. This is well documented and widely used in reminiscence work, and a station is simply the mechanism that makes it continuous rather than occasional — the right decade, all day, without a staff member having to run a session.
A shared soundtrack builds a shared day. A care home can be a set of parallel private lives in adjacent rooms. A station everyone can hear is a common experience — the same song, the same voice, the same announcements — and it gives residents something to talk to each other about, which is the actual scarce commodity.
Participation is the point. The station is not really a broadcast; it is an activity. Residents choosing the music, recording their own memories, reading a poem, doing a slot about the war years or the mill or the shop they ran — that is the programme. The audio is the by-product of an engagement activity that happens to leave something behind.
What goes on air
Music by decade, not by genre. A 1950s hour, a 1960s hour, wartime songs, big band, music hall, light classical. Age is the organising principle. Somebody who was twenty in 1958 wants 1958, and what a 1958 station sounds like is not what a "golden oldies" playlist assembled by a thirty-year-old sounds like.
The day's practical announcements. Lunch at twelve. The hairdresser is in on Thursday. The chiropodist has moved to Tuesday. Films in the lounge at three. Announcements over a station are heard by people who did not read the noticeboard and cannot remember what was said this morning, and they are heard without a member of staff having to knock on twenty doors.
Birthdays and requests. The single most valuable slot. Name the resident, play the song they asked for, and mean it.
Residents' own voices. A ten-minute interview about where somebody grew up, what they did for work, how they met their husband. Recorded by an activities coordinator on a phone. These are the most-listened items on every station of this kind, they cost nothing to make, and they become something the family keeps afterwards.
Readings and poetry. Short, gentle, and well suited to residents who want to contribute but cannot manage a whole show.
Quiet overnight programming. Instrumental, low-key, continuous. Nights are long and difficult in residential care, and something calm on in a corridor or a room is genuinely used.
A visiting-hours slot for families. Message from a grandchild, a recorded happy birthday from Australia. This is where a station stops being a nice extra and starts being something families talk about when they choose a home.
Who runs it
The activities coordinator, as part of the job they already do — which is the reason this works and the reason it must be designed around them.
An activities team does not have time to be a radio station. What they have time for is: recording an interview they were going to have anyway, uploading it, and adding this week's announcements. Everything else has to run without them.
That means the schedule must be built once, as a repeating weekly shape, and then left alone. A structure of clockwheels that pulls music from decade folders, drops the announcements in at fixed times, and plays the resident recordings across the week will keep sounding varied indefinitely with no weekly work at all.
The realistic weekly commitment, once running, is under an hour. If a design needs more than that, it will stop within six months, and every activities coordinator reading this already knows it.
Reaching the building and beyond
Communal areas. A cheap tablet or a small streaming player plugged into whatever speakers the lounge already has. Nothing more complicated is required.
Residents' rooms. A small internet radio set on a bedside table, tuned to one station, no menus. This is the important one. A device with a single station on it and a big volume knob is usable by someone who cannot operate a phone, and it is what turns the station from a lounge amenity into something personal.
Families, anywhere. A web player on the home's website. A daughter who lives three hundred miles away can listen to the same station her mother is listening to, hear her mother's name read out on her birthday, and hear the messages she recorded. Homes consistently report this as the thing families mention.
Staff areas. Optional, and worth thinking about — the same station in the staff room is a small daily connection to what the residents are hearing.
Licensing: the honest version
Playing recorded music in the communal areas of a care home is a public performance, and it needs a licence. This is true whether the music comes from a radio station, a CD player or a phone, and it is true whether or not you charge for anything.
In the UK, that is TheMusicLicence from PPL PRS Ltd, which covers both the composition and the recording in a single licence. Care homes are a recognised category with their own tariff, and the cost is modest — this is a normal, well-trodden administrative task and most homes of any size already hold one.
In the US, public performance in a commercial premises requires licences from the performing rights organisations — ASCAP, BMI, SESAC and potentially GMR. The "homestyle exemption" that covers small businesses playing an ordinary radio receiver does not extend to a streamed station of your own.
Broadcasting your station on the open internet is a second thing, and a bigger one. The moment a family member three hundred miles away can listen, you are webcasting to the public and you need webcasting licences — SoundExchange in the US, PPL and PRS in the UK — which are priced on listener hours.
Two practical routes out of that, and both are used:
- Keep the public stream and license it properly. Straightforward, and the cost is small at care-home listener numbers because the fees scale with audience.
- Split the content. A public stream carrying only speech, residents' recordings, announcements and music you hold the rights to; the licensed commercial music playing in the building through the in-house feed. More administration, less licensing.
What no platform will do — ours included — is include the music licensing in the fee. What it will do is log every track played, with times and listener counts, which is exactly what the reporting needs.
What it costs
- Platform — $10–40 a month.
- Playback hardware — a tablet or small player per communal area at $50–100; a simple internet radio per resident room at $60–120, bought gradually rather than all at once.
- A microphone — $100 buys something good enough for interviews. A phone is adequate to start.
- Licensing — a care-home music licence is typically a few hundred a year in the UK; US costs vary by organisation and size.
A home running this properly is spending under $100 a month on everything except the resident-room devices, which are a one-off and are frequently funded by families who understand immediately what they are for.
Mistakes that show up
Programming the wrong decade. The most common error by a wide margin. Check the actual ages. A home whose residents are largely in their late eighties in 2026 was young in the 1950s and early 60s, not the 70s — and that gap is the difference between music that reaches someone and music that does not.
Too much talk. Announcements matter and they should be short. A station that lectures is a station somebody turns off.
Volume set for a meeting room. Background music in a care setting should sit under conversation, not compete with it. This is a levelling problem more than a volume one: a library assembled from many sources will lurch unless it is loudness-levelled, and lurching is far more disruptive here than in any other setting.
No consent process for resident recordings. Get it in writing, note who has capacity to give it, and have a route to remove a recording if a family asks. This is not optional and it is easier to set up at the start than to retrofit.
Making it about the technology. The station is an activities programme. Homes that treat it as an IT project end up with a working stream nobody has anything to say on.
Frequently asked questions
Do we need a licence to play music in a care home?
Yes, for communal areas — playing recorded music there is a public performance regardless of the source. In the UK that is TheMusicLicence from PPL PRS, which has a care-home tariff; in the US it is licences from the performing rights organisations. Residents' private rooms are treated differently, but the communal-area licence is the one every home needs.
Can families listen from home?
Yes, through a web player on your website — and it is one of the strongest reasons to do this at all. Note that making the stream publicly available is webcasting, which needs its own licensing separate from the in-building performance licence.
Is this suitable for residents with dementia?
It is one of the settings where it does most good. Familiar music from a person's youth reaches people when other routes have closed, and a continuous station delivers that consistently rather than only during a scheduled reminiscence session. Keep it gentle, keep announcements short and clear, and avoid abrupt changes in loudness.
How much staff time does it really take?
Under an hour a week once the schedule is built, assuming the design leans on automation rather than on someone assembling playlists. If it needs more than that, it will not survive a busy month, and it should be rebuilt.
What equipment do residents need in their rooms?
A simple internet radio with one station preset and a physical volume control. No phone, no app, no menus. Families are often glad to buy one when they understand what it does.
See it for real
See exactly what your station would look like.
The library, the week's schedule, your own announcements dropped into the hour, and the dashboard whoever looks after it would actually open — walked through on a station that is already broadcasting.
- About 12 minutes
- No account, no credit card
- Real screens, not mockups