Live-in dementia care in the comfort of your home

Dementia is a life-changing condition, both for the person who has developed it and for their family. At ENA Care Group we understand how worrying and confusing dementia can be for everyone affected, and we know that reliable information is vitally important in helping people to make informed decisions about their current or future care options.

Our dementia care philosophy is centred around personalised care and support to maximise independence, choice and control wherever possible. We passionately believe in supporting the client and their family every step of the way as they learn to adapt to the effects of dementia.
Live-in dementia care

What is dementia?

Dementia is an umbrella term for the 100+ varieties of the condition. The most common are Alzheimer’s disease, vascular dementia, dementia with Lewy bodies, frontotemporal dementia and mixed dementia (when a person has two different types – often a mix of Alzheimer’s disease and vascular dementia – but there are other combinations too). More information on the condition is available from the Alzheimer’s Society.
Dementia can affect anyone from any background, regardless of race, religion, sexual orientation, educational or professional attainment or any other factor, including age.
Although memory loss is the most commonly recognised symptom of dementia, there are many others, including:

  • Changes in the person’s personality, mood and/or emotional responses.
  • Problems with orientation, sequencing (such as getting dressed in the right order, or making a drink correctly) and/or perception (for example paranoia or hallucinations).
  • Changes in appetite, sleep disturbances, a lack of interest in doing things that were previously enjoyed and/or a lack of concentration.
  • Speech and/or language difficulties, confusion and/or repetition.
  • Restlessness, visual perception problems (the person may interpret floor coverings or pavement curbs differently) and/or problems with judgement (for example, when crossing the road).
  • Losing, hiding and/or hoarding items or objects.
There is currently no cure for dementia, and only limited pharmaceutical treatment options, alongside other therapeutic interventions.

Dementia statistics

There are 850,000 people with dementia in the UK, with numbers set to rise to over 1 million by 2025. This will increase to 2 million by 2050.
One person develops dementia every three minutes.
1 in 6 people over the age of 80 have dementia.
There are estimated to be at least 42,000 people under 65 years old with dementia in the UK.
Dementia disproportionally affects women – 65% of people living with dementia are women, and dementia is the leading cause of death amongst women.

Do people living with dementia need 24-hour care?

Dementia is a progressive condition, meaning that the symptoms are milder to begin with, but become more severe over time. This can happen very gradually, or more rapidly, but unfortunately people with dementia will inevitably see their condition worsen over time.

This means that many people with dementia do not always immediately need 24-hour care after they are diagnosed. However, it’s vital to keep a close eye on them, as eventually they will need a higher and higher level of care. Most people in the early stages of dementia can continue to live relatively independently, but as their condition deteriorates this will change. Those with more advanced dementia may well require 24-hour care.

Where is the best place for a person with dementia to live?

For someone living with dementia, being cared for at home can be extremely beneficial and it’s often most desirable to help them remain there. Of course, this isn’t always possible, for example if financial considerations make it impossible, or if other medical concerns mean proper care for an individual can only be provided in a residential nursing home or similar setting.

If it is possible however, staying in the comfort of your own home and receiving live-in care has many advantages. The familiar environment can help with holding onto memories, and maintaining a sense of security and consistency. Staying in their own home also allows people with dementia more control over their everyday activities and routines.

Reasons to consider live-in dementia care

People, and their families, will have different reasons for seeking professional live-in dementia care and support – some we hear quite frequently include $
It is worth noting that most people with dementia would prefer to continue living in their own home. A report from the Alzheimer’s Society in June 2014 entitled Fix Dementia Care – Homecare (with statistics from YouGov) found that 85% of people would choose to live at home for as long as possible if diagnosed with dementia.
$ A family carer is struggling to cope, perhaps because their relative’s dementia is progressing. The person and/or their family may want a long-term live-in care service, or they may prefer to try our respite care service first.
$ Family members live too far away to provide the support needed. They may be concerned about their relative’s day-to-day welfare, their ability to look after themselves and their safety.
$ The person has been assessed as needing professional care, but doesn’t want to go into a care home and a domiciliary service isn’t sufficient for their needs.
$ The person wants to remain living with their spouse or partner, and any pets they might have, alongside receiving the care and support they need.
$ The person lives with multiple conditions, would like a holistic package of support and wants to remain at home.
$ The person is currently in hospital and is very keen to return home, but doesn’t have a suitable care package in place.

Dementia live-in care versus going into a care home

Live-in care for dementia has a number of specific benefits which a residential care home may not be able to offer. For example, someone with dementia who has live-in care at home receives more one-on-one attention from their carer than they would in a care home. This can promote better health outcomes, as problems can be spotted more quickly. The close relationship which can develop between the individual and their carer in this setting means they have constant companionship and can avoid loneliness.

For someone with dementia, staying in their own home can provide a sense of comfort and familiarity. It also allows flexibility in their routine rather than set meal times and activities, and enables loved ones to visit them whenever they want.

Dementia care

Key elements of ENA live-in dementia care

We support people with dementia from pre-diagnosis to end-of-life, offering exemplary live-in carers who have received specialist dementia training. Maintaining the person’s dignity and treating them with respect are the cornerstones of our dementia care provision, alongside a personalised approach that ensures the person feels reassured and valued at all times.

Our aim is to help our clients minimise the effects of dementia on their day-to-day life and maximise their general health and wellbeing, by supporting the person’s sense of purpose and routine, and prioritising aspects like fall-prevention in order to keep the person safe at home.

We are adept at providing complex care if and when needed as a person’s dementia advances. This includes supporting incontinence, immobility and dysphagia (swallowing problems), communication difficulties, and mental health issues like depression that can exist alongside dementia.

Not only do we support the individual with dementia, we also support their families too, which is vital in enabling them to retain their bonds and enjoy quality time together. We know that supporting families emotionally is as important as providing the information that enables a greater understanding, and all of our live-in dementia carers are able to provide a holistic approach that helps to alleviate any worries they have.

The benefits of ENA live-in dementia care


Care in familiar surroundings

It can be extremely helpful for people to remain in the home that is comfortable and familiar to them (even if those memories are fading). Personal items can often act as memory triggers, helping the person to orientate themselves and to enjoy the benefits of reminiscence therapy.

No need to separate from a partner

It can be intensely distressing and confusing to leave a partner behind to move into a care home. With a live-in carer, partners can remain together and pets can remain with their owner(s) too, improving everyone’s quality of life.

Maintenance of the person’s routine

Remaining in their own homes enables clients to continue with the routine they are familiar with, without having to conform to the requirements of communal living. Our live-in carers support the client to live each day as they choose, making subtle changes as their dementia progresses while allowing them to get the most out of their day.

Personalised, one-to-one, compassionate, relationship-based care

We ensure we get to know every person we support, so that we are able to provide optimal home care support – personalised to their individual needs, preferences and interests. And, by having one live-in carer (on a placement of up to 12 weeks) rather than many different care workers, our staff can really get to know their client and form a meaningful and supportive relationship with them.

Improved wellbeing through companionship

Depression, loneliness and isolation often affect people living with dementia. A live-in carer offers great companionship and can help improve a person’s wellbeing during all stages of their dementia.

Support to retain independence, choice and control

By enabling a person with dementia to remain independent, they are able to feel more empowered and that their life continues to have meaning and purpose.

Nutrition and hydration

It is well-known that dementia often affects a person’s appetite, which can lead to weight loss. Our live-in dementia carers are able to support the person’s food preferences and create meals for (and often with) the person – helping them to enjoy eating and drinking and to keep their weight and hydration levels stable.

Help to continue doing things the person enjoys, or to try new hobbies or activities

This is vital in ensuring the person is able to lead a full and active life in the way that they choose, including learning new things if they wish to do so.

Understanding of non-drug therapy approaches

With few drug treatments available for dementia, our live-in carers are highly proficient in supporting recognised non-drug approaches – such as music, art and sensory therapies.

Contact us to discuss your dementia care needs

We are always available to help you understand dementia care better, and to discuss the best home care and support options for you and your family. You can call us on 01707 333 700 or email