Domiciliary care in Hertfordshire by ENA Hourly Care

Domiciliary care is the name used to describe the kind of service that is given to elderly people or to those who have a disability or illness that means that they cannot do certain things for themselves and need support to achieve independence.

In the early part of the 21st century, the British National Health Service provided domiciliary visits were a continuation of the tradition whereby general practitioners (GPs) met consultants in the patient’s home. The nature of domiciliary visits, has since developed and changed over the last twenty to thirty years due to an increase in the United Kingdom’s ageing population, combined with the emergence of new medical conditions and a lack of resources in the National Health Service (NHS).

This level of care involves carers coming into the home to offer a range of services and it means that the person that needs the care can remain at home rather than having to stay in a hospital or care home. Domiciliary care can be given on a permanent or temporary basis depending on the needs of the individual.

There are all kinds of services that can be offered by Domiciliary Carers. These include:

  • Provision of meals
  • Cleaning
  • Laundry and ironing
  • Personal bathing and washing
  • Help with dressing
  • Help with getting out of and into bed
  • Healthcare services
  • Visiting services
  • Shopping
  • Gardening
  • Maintenance

Many families are choosing domiciliary care – otherwise known as homecare – because it allows them to be in control of the care they receive. With one-to-one personal attention, from either a live-in or hourly carer, care plans are person centred and completely built around the client, helping them to live as independently as possible in the place they love and are familiar.

For some families, a care home may provide everything that’s required for their loved ones and are seen as a safe environment where they can have constant access to the support they need. But the comfort and familiarity of being at home is often overlooked as an option. Medical research demonstrates that familiarity can support with key medical conditions such as dementia. This is where the benefits of domiciliary and live-in care can be seen.

One of the main benefits of domiciliary care is that it provides a substantial level of support without impacting on your loved one’s independence. Care plans can also accommodate for existing day-to-day routines and special circumstances or medical conditions, which means minimal upheaval or changes to your existing schedule and person centred care which is tailored around the individual.

Prevention is better than cure. Many people in the United Kingdom are concerned about falling and often the cause of anxiety for them and their families, especially when they live alone and can also cause withdrawal symptoms and prevent a normal standard of day-to-day living. Having a visiting hourly carer popping in during the day and evening often is enough to provide reassurance and of course during their visit they can assist you with the aspects of daily living that if you undertook them yourself may make you more vulnerable and prone to falling. Having a carer visiting does also mean that if you had fallen the carer would be able to raise the alarm and seek help for you immediately.

Falls are a major concern of the public in the United Kingdom and of the National Health Service (NHS) because of the implications and long term damage they can have, especially to someone who is already frail. Age UK, the nation’s champions for older people, run an annual campaign to raise awareness about falls. They say, “A fall can destroy confidence, increase isolation and reduce independence.” One of the worst outcomes of a fall can be a ‘hip fracture’ – statistics have revealed that 1 in 10 adults over 60, will die within one month of a hip fracture and 1 in 3 adults over 60, within twelve months. These statistics alone produce a compelling case for domiciliary care and live-in care services.

Some services here will be offered by the state of England and many are offered free of charge. Some Care services may only be offered by private firms of domiciliary carers and will incur a cost. In some cases people will be given money from the state, also known as a direct payment, to pay towards buying private domiciliary care services; if they are not offered in their local area. You will be able to find homecare providers in accordance with your geographic location via the UKHCA Care Finder.

How families fund long-term care is a big and challenging consideration when looking at home care options. Depending on personal circumstances, there may be public funding or benefits available to you, or other financing options. We would always recommend you speak to a financial adviser to support navigating through the plethora of financing options available for care. 

Two thirds of Domiciliary care in England is funded via health services, with one third funded privately or via direct payments. If you’re funding care privately, we do recommend that you first research whether any benefits and subsidies are available to you. Other funding options you may want to consider include releasing equity on your home or purchasing an immediate needs annuity.

To identify what specific type of funding – healthcare funding or social care funding – you may be entitled to, it is important to make the distinction between the two types of care. Definitions of social care and healthcare are ambiguous, therefore it is important to explore an array of options and seek advice from medical or legal professionals to provide clarity and eliminate uncertainty to make an informed decision when purchasing homecare services.

Get in touch today with our hourly care team to discuss how one of our domiciliary care packages can help support you or a loved one in the local area of Welwyn Garden City, St Albans, Hatfield, Radlett, Borehamwood, Elstree, Markyate and surrounding villages.

This article was provided courtesy of: | The definitive guide to homecare