Eight care homes and five day centres in Derbyshire are set to close under new proposals from the county council.
The authority said there had been a fall in demand for traditional residential homes as more people preferred to remain at home, and it needed to focus resources on providing care for people with dementia.
But it is also dealing with overspends in its social care departments and is preparing to make £30m in cuts to balance its books.
A consultation on the changes has met opposition from MPs and families concerned it will impact on the care of the most vulnerable.
The council said budget pressures included an increased demand for adult and children’s social care and higher prices for fuel, energy and materials.
More than 1,700 people responded to the public consultation.
The authority said it intended to focus on providing community support beds which gave people a short period of rehabilitation, often after hospital stays, before returning home.
They can also be used to help avoid hospital admission, by helping residents to recover, rehabilitate and return home, officials said.
Cabinet member for adult care Natalie Hoy said: “All the research shows that people want to remain in their own homes for as long as possible which has led to a decline in demand for traditional residential care.
“There’s also a growing number of people living with dementia, often supported by family carers or friends who work hard to look after them.
“Carers have told us they need consistent and regular support so we need to focus our resources on having the right options to support them.
“This includes long-term specialist dementia care coupled with respite day and night breaks.”
The following care homes are due to be closed and sold off:
- Briar Close, Borrowash
- Castle Court, Swadlincote
- The Grange, Eckington
- Lacemaker Court, Long Eaton
- The Leys, Ashbourne
- New Bassett House, Shirebrook
- Rowthorne, Swanwick
- Thomas Colledge, Bolsover
Bennerley Fields in Cotmanhay would be repurposed to be used exclusively for community support beds.
The following dementia day centres are also due to close:
- Blackwell Day Centre, Bolsover
- Fabrick Day Services, Clay Cross
- Jubilee Centre, New Mills
- Queen’s Court, Buxton
- Valley View Day Centre, Bolsover
These would stay open:
- Eccles Fold Resource Centre, Chapel-en-le-Frith
- Hasland Resource Centre, Chesterfield
- Shirevale Resource Centre, Shirebrook
While they would stay open, a further consultation will be held on the future role of:
- Florence Shipley, Heanor
- Whitestones, Chapel-en-le-Frith
- Meadow View, Matlock
- Oaklands, Swadlincote
- Ada Belfield, Belper
- Staveley Centre, Chesterfield
- Thomas Fields, Buxton
The plans will be discussed by the full cabinet on 14 November.
