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What Is Homecare?
Homecare, also known as domiciliary care or care at home, is support provided to someone in their own home.
A care worker visits at agreed times to help with the things that have become more difficult, whether that's getting washed and dressed, preparing a meal, taking medication, getting out and about or simply having some company.
Homecare can be temporary or ongoing, and the amount of support can vary enormously. Someone might need a short visit once or twice a week, while another person may need several visits throughout the day.
The important thing is that care can be shaped around the person and what they need.
For many people, this means getting a little extra help without having to leave the home they know.
Does My Parent or Loved One Need Homecare?
This is one of the hardest questions families can ask. You might be wondering whether they really need care, or whether you're worrying unnecessarily.
There isn't one checklist that can tell you when someone needs homecare. Instead, think about how they're managing everyday life.
You might notice that they:
- Are struggling with washing, dressing or using the toilet
- Find cooking, shopping or household tasks difficult
- Are forgetting medication or missing appointments
- Have had a fall or become worried about falling
- Are finding it harder to move around or go outside
- Are spending more time alone
- Are becoming more tired or overwhelmed
- Need more help from family than they used to
You don't have to wait for a crisis before asking about care.
Sometimes, a little extra support can make everyday life easier while helping someone maintain their confidence and independence for longer.
What Does a Home Carer Actually Do?
Personal care
Medication support
Meals and drinks
Support with washing, dressing, toileting, getting ready for the day and getting ready for bed.
Meals and drinks
Medication support
Meals and drinks
Helping prepare meals and drinks, making sure someone has something to eat and supporting them to maintain healthy routines.
Medication support
Medication support
Medication support
Helping someone manage their medication in line with their care plan and prescribed instructions.
Companionship
Support around the home
Medication support
Having a chat over a cup of tea, playing a game, going for a walk or simply having someone there for company.
Getting out and about
Support around the home
Support around the home
Supporting someone to attend appointments, go shopping, visit friends or take part in activities they enjoy.
Support around the home
Support around the home
Support around the home
Depending on the service provided, this can include practical household tasks that help someone keep their home comfortable.
Can I Get Help Paying for Homecare?
If you need help with the cost of care, you can ask your local council for a free care needs assessment. This looks at the support someone needs and can be followed by a financial assessment to see whether the council can contribute towards the cost.
You can also arrange and pay for homecare privately. Depending on your circumstances, benefits such as Attendance Allowance may also help with care costs.
Care funding can be complicated, so always check the latest information with your local council.
What If My Parent Doesn't Want Care?
For some people, accepting care can feel like losing their independence.
Try focusing on what they want to keep doing, rather than what they're struggling with. Listen to their concerns and involve them in decisions about their support.
Starting with a small amount of help can sometimes make the idea of homecare feel much easier.
Asking for support doesn't mean giving up independence.
Homecare or a Care Home?
When someone needs more support, families often wonder whether they can continue living at home or whether a care home would be more suitable.
Homecare allows someone to remain in their own home while receiving support from a care worker. Visits can range from occasional help to several visits throughout the day, depending on their needs.
A care home provides accommodation and care in a dedicated setting, which may be more suitable for someone who needs a higher level of support.
When considering the options, think about:
- How much support is needed each day
- Whether they can remain safely at home
- Where they would feel most comfortable
- Their wishes and preferences
- How much support family can realistically provide
There isn't one option that's right for everyone. The important thing is finding the right level of support for the individual.
How Do I Arrange Homecare?
You don't need to have everything worked out before getting started.
- Consider what help is needed
- Ask your local council for a care needs assessment
- Look at your funding options
- Research homecare providers
- Talk to providers about your needs
- Agree a care plan and get started
A care needs assessment is free and can help identify what support someone may need, even if you intend to arrange private homecare.
What Should I Look for in a Homecare Provider?
Choosing a care provider is an important decision. Consider:
- Are they registered with the CQC?
- What training do their care workers receive?
- Will the person have regular care workers?
- How are care plans created and reviewed?
- What happens if a care worker is unavailable?
- What is included in the cost?
The CQC allows you to search for homecare agencies and view their inspection information and ratings.