Physical disability care at home
Having a physical disability used to mean long stays in hospital and sometimes a need to move into a residential home or a nursing home. With a greater understanding of how to modify environments and provide care within a person’s own home, however, modern day physical disability care has been revolutionised.
All of our live-in carers are fully trained and vetted to provide side-by-side support that focuses first and foremost on you or your relative as a person. So, while we will provide all of the care you need to live as well as possible with your disability, we will also support you to be the very best you can be as an individual.

What is physical disability care?
Currently, we support clients with physical disabilities that include:
- Spinal cord injury
- Cerebral palsy
- Multiple sclerosis
- Acquired brain injury
- Spina bifida
- Epilepsy
- Arthritis
Did you know? Over 40% of the clients ENA provide care for live with a spinal injury. If the disability/condition you or your relative lives with isn’t listed above, please contact us to discuss your needs. If we can provide the support you need we will endeavour to, and with enough notice we can often build training for our staff around a specific disability/condition.
Reasons to consider live-in physical disability care
Key elements of ENA live-in physical disability care
- Meeting a person’s healthcare needs, including support to follow a medication regime, pain management, and any other treatment, rehabilitation diet or exercise plans. We also provide condition-specific care, which could include:
— For a person with a spinal injury, support to avoid/treat pressure ulcers, UTI’s and DVT’s, as well as monitoring and acting rapidly if a person shows any signs of autonomic dysreflexia (AD). If a person requires more intensive assistance, we are also able to provide support including digital bowel care and manual evacuation, manual handling and/or board transfers.
— For a person with cerebral palsy, support with the multiple elements of physical disability that the person may experience, including epilepsy and stroke.
— For a person with multiple sclerosis, support with the movement problems which often accompany progressive MS. - If a person has, or develops, complex care needs — for example PEG feeding, stoma care or the need for ventilator support — our live-in carers can provide this too.
- All of a person’s personal care needs, including help to wash, dress and use the toilet, as well as any pampering regimes that the person enjoys.
- Support to move around, including help to walk or use a wheelchair, and regular repositioning in a bed or a chair to prevent pressure ulcers if the person can’t move independently. We will also undertake risk assessments for falls and support a person to minimise their risk of falls.
- Nutrition and hydration support including meal planning, food preparation and help to eat and drink.
- Emotional and mental health support for the person – alongside companionship – to combat the isolation and loneliness that many people with physical disabilities report feeling.
- Support to get out and about, including help to find disability-friendly facilities, venues and holidays, attend appointments (including medication reviews and condition-specific treatment reviews), shop, or participate in leisure or social activities.
- Help to remain physically active, including supporting the person to enjoy sports (with any adaptations that are needed for their disability). In relation to cerebral palsy, we sponsor the Southern All Star Boccia team to ensure this area of disability sport remains a vibrant community for people with cerebral palsy.
- Help with setting up and participating in hobbies and activities that the person enjoys.
- Support with domestic tasks, laundry, feeding pets and anything else that is needed around the home.
The benefits of ENA live-in physical disability care
What in-home physical disability care services do ENA offer?
The one-to-one monitoring, care and support that our live-in carers provide ensures any potential complications that the person is experiencing with their health are picked up quickly, including signs of infection or other issues — like autonomic dysreflexia (AD) in a person with a spinal injury — that require prompt action.
If you are unsure if physical disability care at home is right for you or your relative, you could take advantage of our 2-4 week trial to see if it fits yours or your relative’s needs and expectations.
What is involved in setting up physical disability care at home?
We will visit you/your relative to complete an assessment with absolutely no obligation to proceed. During this visit we will create a bespoke care plan, with yours/your relative’s full involvement, and this will be regularly reviewed if you proceed with having our live-in physical disability care. We will carefully document all of yours/your relative’s healthcare needs, and work with any other professionals involved in yours/your relative’s care, including understanding the discharge plan if you/your relative are currently in hospital. We will also ensure we are fully aware of your wishes and preferences. All of our live-in carers know the importance of never taking over your home or doing more than you would wish for them to do.
To ensure comprehensive and safe support, your live-in carer will be fully trained and vetted to give you complete peace of mind. Our live-in carers who need to meet more complex healthcare needs receive additional training and are overseen by our registered nurses and clinically-led team. In addition, many of our live-in carers have extensive experience in providing disability care, and bring a wealth of knowledge and good practice to their care provision.
Is physical disability care at home the right option for me/my family?
We focus on enabling a person to do as much as they can for themselves whilst guarding against any frustration or feelings of failure. We are flexible and tailor the care and support we provide to each individual client, with a highly personalised approach that can include bespoke training for our live-in carers prior to their placement with you/your relative if we’ve identified that supporting yours/your relative’s physical disability requires additional knowledge.
We believe in working closely with families (if our clients wish for this to happen), and are adept at working alongside family carers if the person lives with a spouse/partner or other relatives, as well as supporting our clients who live alone to keep in touch with family members if they want to.
We see ability before disability, and aim to give all of our clients the very best quality of life possible by working side-by-side to facilitate maximum independence, choice and control for every individual.
How much does in-home physical disability care cost?
The cost of our physical disability care at home starts at £1,200 per week. Many people find it is highly cost-effective compared to a care home.