Nursing led care at home
At The Good Care Group, we have been supporting people living with a number of complex conditions to live a fulfilled and purposeful life at home with high quality nursing care for over 10 years. If you are living with a specialist condition, like dementia, Parkinson’s or Multiple Sclerosis, or for needing stroke care, cancer care or palliative, end-of life care, our expert nurse-led live-in care has improved health outcomes, whilst enhancing overall quality of life for those we care for.
Home is best for nursing care
Most people believe if they need nursing care, they will have to move from their much-loved home into a nursing home. However, it is widely recognised in the medical profession that receiving nursing care at home from a reputable, trusted and expert home care provider can have far reaching benefits to someone needing complex care. Our senior professional carers are highly trained to provide nurse-led delegated tasks usually undertaken by a district nurse. This means you can stay in the comfort and familiarity of your own home with all the medical and holistic support you need, and all on a one-to-one basis – something even the very best nursing home cannot provide.
Our flexible approach to providing high quality nurse-led care with a fully managed and regulated service that families can trust is setting the standards in live-in care for those who need nursing care.
What is nursing care?
Nursing care is clinical care provided to an individual to support them through illness to improve their overall health and wellbeing. There are number of tasks a nurse will undertake, that with the right training, support and medical equipment can be delivered by a professional carer providing nursing care at home.
Nursing care includes:
- Monitoring a person’s health and recording its progress
- Recording medical history and symptoms
- Managing and administering medications and treatments
- Collaborating and liaising with other health and social care professionals involved in a person’s care to deliver a multi-disciplinary approach to improving health outcomes
- Educating about management of illness
- Providing support and advice to those affected by ill health
Nurse-led care and support
At The Good Care Group, we believe that people who need nursing care will enjoy an improved quality of life through improved health outcomes, with as much independence as possible in their own home with high quality live-in care and support. We know how important it is for people to retain choice and control in life, and for many the desire to remain in their own home and community is essential to maintaining their overall health and wellbeing.
Expert nursing care at home
Our nurse-led service for those living with complex medical needs is led, developed and supported by our in-house, Specialist Consultant Nurse, Dr Jane Pritchard. Jane has a wealth of nursing expertise having been a dementia care nurse for over sixteen years. She provides clinical insight, medical assessment, home visit consultations and liaison with medical professionals to those receiving our private care at home service, as well as providing much-needed emotional support to their families at what can be a difficult time. Jane will manage speedy and successful hospital discharge, support with transition to receiving nursing care at home and provide practical and informed advice to families that really makes a difference.
In addition, Jane provides hands-on support and advice to our regional care teams to ensure they have what they need to deliver the high quality nurse-led care our clients should expect, whilst enabling our team to improve health outcomes for their clients.
"I am delighted to be part of a dedicated and committed team that is enabling people to live well at home whilst receiving nurse-led care. Our proactive approach to preventative healthcare has really enhanced overall wellbeing and quality of life for those living with some very complex conditions."
OT-led care and expertise
Our dedicated Occupational Therapist, Jackie Cooper provides our clients with the support they need to live safely and well at home, with all the equipment and any home adaptations they need to help them to live a fulling life, as independently as possible.
Jackie and the care team will work closely with and liaise with all other healthcare professionals involved in delivering care, including hospital discharge planners, GP’s, district nurses and physiotherapists to ensure all health needs are met through a holistic approach to
A specialist pathway for palliative care
The highly personalised and flexible nurse-led support we provide those with life-limiting illness or for those living with a terminal condition is proven to not only meet a person’s care needs, but also to improve their quality of life, no matter where they are in their journey.
Our trained professional carers, who are supported by our in-house Specialist Consultant Nurse are focused on ensuring an individual’s choices and wishes are respected, whilst effectively managing symptoms right to the very end of life. Our approach to providing high quality palliative care at home, with a fully managed and regulated service that families can trust is setting the standards in live-in care for those who are nearing, or at the end-of-life.
We have been working with palliative care consultant, Dr Kathryn Mannix a leader in the field of expert end-of-life care and author of ‘With the End in Mind’. Our care management team has been extensively trained by Dr Mannix to equip them with the skills and confidence to sensitively encourage positive conversations with our clients about the dying process as early in care planning as reasonably possible, which is so important to ensuring a plan of care is in place that respects individual wishes and preferences. We have created a palliative care training programme endorsed by Dr Mannix, which all our professional carers complete during their induction training before being placed with a client.
This approach has seen us reduce anxiety and emotional upset for individual’s living with terminal or life-limited illness, but also for families who are reassured that the right plan of care is in place, in good time for their loved one.
Innovating care delivery through technology
Unlike any other live-in home care provider in the UK, we have invested in creating our own market-leading technology to further enhance our nursing care service. Through the development of an online community for our clients, their families and our professional carers, we are proactive and responsive to emerging issues, whilst enabling the softer social benefits that technology brings. The secure site is focused on ensuring our carers are equipped to effectively deliver the high-quality nurse-led care our clients should expect, whilst delivering improvements in health outcomes. Our families can access important information about the care of their loved one, providing a reassuring window into the care they are receiving.
Our professional carers use the community through a Chromebook to complete daily care records, update care plans, monitor nutrition and hydration and manage medications proactively so they are never missed. This allows us to effectively monitor the health outcomes of our client’s care, so we can prevent and respond to incidents and ensure the very highest quality of care is always provided. The online community also allows our professional carers to network, support each other and share best practice, resulting in them feeling less isolated in their roles, something very common in live-in care.
For families who may live some distance away from their loved one, they can access nurse-led care plans, care records and a calendar of events as and when they wish, offering much-needed peace of mind. We are proud that this community offers families a transparent and immediate insight into our service. The technology also provides families with financial information relating to their care package in a timely and accurate way. They can also connect with our other clients’ families who may well be in a similar situation as themselves, so they can share their care experiences and support one another.
Our professional carers will utilise the technology for their clients’ socialisation and enjoyment – everything from video calls with family members so they feel connected, online shopping to general
Improving health outcomes
At The Good Care Group every decision is driven by delivering improved health outcomes for our clients. Through our dedicated and committed approach to providing high quality nursing care to our clients and the use of our market-leading digital technology, we can evidence year on year significant improvements in our clients’ overall health and wellbeing.
Unique to the live-in home care market, the technology we use enables us to effectively and regularly monitor, analyse and measure the care we provide to gain valuable insights that inform and shape the care we provide. This technology also allows us to identify any risks in a timely manner ensuring we can put steps in place to avoid unnecessary interventions and hospital admissions. We then benchmark our data to demonstrate how effective our care is in improving the quality of our client’s lives in the context of other types of care provision, for example care homes.
Our health measures are focused on achieving the following:
- Promoting wellbeing, independence and enjoyment
- Reducing behaviours that challenge through psychosocial techniques
- Reducing and eliminating antipsychotic drug use
- Promoting excellence in nutrition and hydration
- Reducing and preventing falls in the home
- Reducing hospital admissions and re-admission
- Reducing UTI’s and chest infections
- Reducing carer stress
We are proud to be transforming health outcomes for those who require care at home. In 2020 our care teams achieved the following outcomes for those they cared for:
Proactive Monitoring of Chest Infections
Our vigilant carers manage early signs of illness, such as chest infections enabling timely intervention to avoid unnecessary hospital admissions. This has resulted in a 28% reduction in chest infection hospital admissions.
Reducing urinary tract infections (UTI’s)
Through enhanced training our professional carers can perform urinalysis tests. This means they can provide timely information to GP’s, enabling a quick diagnosis and treatment. 80% of our clients were diagnosed in 2020 using urinalysis kits. Through the introduction of testing, our clients are three times less likely to require emergency interventions involving a 999 call or ambulance call out when a urine test is completed.
Unrivalled falls prevention programmes
In England alone, 30% of people over the age of 65 fall at least once a year and for those 80 and over it is 50%. By comparison, only 7% of our clients aged 65 and over fell at least once, and that was only 6% for those aged 80 or over.
Our clients are six times less likely to suffer a serious injury as a result of a fall than residents living in a residential care home. This is a result of our quality one-to-one care, which just cannot be achieved in even the very best care home, and our effective personalised falls management programmes.
Working with our in-house Occupational Therapist, we identify clients who are ‘frequent fallers’ and through an intensive and personalised approach to falls management resulted in 50% of our clients never falling again.
A specialist pathway for palliative care at home
For those with a life-limiting illness or a terminal condition, most of us given the choice would wish to end our days in the comfort of our own home. However, the percentage of people in the general population who can do that is as low as 19%. By comparison, our approach to one-to-one palliative care at home has enabled 81% of our clients to pass away in the place they love most – their own home.
Effective pressure sore management
Our high-quality home care provided by dedicated and professional carers has seen a staggering reduction in pressure sores in those we care for when compared to both hospital and care home settings. Comparative data shows that you are 13 times less likely to acquire a pressure sore in The Good Care Group's care when compared to a hospital and 26 times less likely when compared to care home rates.
Efficient management of medications
Our digital technology is used proactively to effectively support safe administration of medications, which has seen error rates of 2.4% compared to a 22% error rate in care home settings.
Reducing the use of antipsychotic medication for those living with dementia
The use of antipsychotic medication to treat dementia symptoms has been increasingly challenged over the last ten years, as they have been shown to be harmful for people living with dementia and are at times prescribed unnecessarily. Through our approach to professional and specialist one-to-one care for those living with dementia, and the use of our market leading digital technology (eMAR) our clients are four times less likely to be prescribed antipsychotic medication than residents of care homes.
"All the patients and families I have recommended have received an excellent service and The Good Care Group has made significant improvements to their quality of life."
What does our home care nursing include?
Specialist nurse-led care
Our senior professional carers are trained to monitor and identify any changes in your health, responding appropriately and avoiding any unnecessary hospital admissions. Our carers will not provide any nurse-led care without having completed our specialist training programme, which equips them with the skills they need to perform any nursing task usually delivered by a district nurse, including:
- Continence care, including bowel care and catheterisation
- Undertaking gastrostomy care, including PEG feeding, stoma care and urostomy care
- Blood sugar monitoring
- Wound management and dressing
- Delivering rehabilitation programmes with support from our in-house Occupational Therapist, who will ensure the right equipment is in place as needed
- Working with physiotherapists to ensure exercise plans are completed
- End-of-life palliative care which ensures a person’s needs and preferences are met until the very end of their life
Ensuring safe mobility in and around the home
Our in-house Occupational Therapist, Jackie Cooper will provide expert guidance and advice as to what equipment and home adaptations can help improve safe movement and mobility around your home, whilst minimising falls that are common in older people.
Managing and administering medications
Our professional carers are trained in medications management and use an electronic medications system to ensure all medications are managed proactively and effectively. They will also collect prescriptions from the pharmacy.
Companionship as and when you need it
Our carers will provide companionship whilst ensuring your privacy is respected. We ensure that a perfectly matched carer shares similar values and interests to make life interesting, stimulating and enjoyable, whilst being there for you to support your emotional and
Providing discreet and sensitive personal care
This can include the task-orientated aspects of caring for someone, like bathing and getting dressed, but also those that promote self-esteem, like having your nails maintained, or your hair styled.
Planning and cooking meals
Meals will be planned and cooked according to your choice, preferences and nutritional needs, all served at a time that suits you. If you need help to feed yourself our carer is on hand to support you
Facilitating social arrangements in the home
Your carer will ensure you can invite friends over for socialisation and celebrations, providing the support you need to enjoy yourself and not worry about organising anything.
Trips and visits out of the home in your local community
Our carers know how important it is to ensure you can continue to do as much you wish and that you remain connected to your local community – whether that is a stroll round the local park or attending clubs or groups in the local area or visiting friends or those shops you always have.
This includes cleaning of all rooms and vacuuming throughout to keep your house to the standards of cleanliness and tidiness you
Caring for your much-loved pet
Carers will happily support looking after your pet, including taking dogs for regular walks.
Short term care or respite care
With a full time, live-in care arrangement a professional carer will live with you in your home providing around the clock nurse-led care and support, focused on improving your overall health and wellbeing and enhancing the quality of your life. There are many benefits of 24 hour care, not least that the carer will truly get to know you as a person, not just your care needs but they will be on hand to support you to live life the way you wish, with as much independence as possible.
Respite care or a short term care arrangement provide an opportunity for a family carer to take a much needed break from caring for someone who is recovering from a stroke or for you to try live-in care for the first time to see how live-in care works and whether it is the right choice for you in the future.
Why choose The Good Care Group for nurse-led care at home?
There are many compelling reasons to use The Good Care Group for high quality nursing care at home.
Unrivalled nursing expertise
Dr Jane Pritchard who develops, leads and supports our approach to delivering high quality nurse-led care at home for those living with a range of complex medical conditions. Dr Pritchard will ensure our care teams are supported to not only effectively manage medications but are able to provide support with several complex medical inventions.
Our expert Occupational Therapist, Jackie Cooper provides our clients with the support they need to live safely and well at home, with all the equipment and any home adaptations they need to help them to live a fulling life, as independently as possible.
We work closely with and liaise with all other healthcare professionals involved in delivering care to an individual receiving our nurse-led service, including GP’s, district nurses and physiotherapists to ensure all health needs through a holistic and multi-disciplinary approach to care planning.
Rated ‘Outstanding’ by the Care Quality Commission (CQC)
The Good Care Group is the only live-in care provider in the UK to achieve an ‘Outstanding’ rating by CQC across all five categories – safe, effective, caring, responsive and well-led. We know this provides families with peace of mind that their loved one is receiving the best possible stroke care.
A fully managed nursing care service
We provide a fully managed and regulated nurse-led care service which offers families reassurance at a time they need it most. Unlike introduction agencies who are not regulated by CQC, all our carers are directly employed and managed by us. We ensure they are supervised by an experienced manager and supported by clinical experts – 24 hours a day, 7 days a week.
Local teams with national coverage
We operate nationwide with a local approach to management of our teams near you. Each dedicated care manager has as small portfolio of clients to support, enabling the care team to provide a tailored one-to-one approach with the highest levels of monitoring and support.
What is included in our service?
Our highly personalised nurse-led care service includes:
- Access to clinical expertise and medical support
- Full assessment before care starts
- Bespoke and flexible care plan developed with input from the family and other healthcare professionals
- Matching of the most suitable care team to meet the holistic needs of our clients
- Dedicated care team led by an expert regional care manager
- Meal planning and household tasks
- Social activities and lifestyle enhancement
- Specialist support and expertise - 24 hours a day, 7 days a week
Costs of our nurse-led care
The cost of care for people receiving nursing care at home will be typically higher as it is a specialist care at home service.
It is worth considering however that live-in care is often cheaper than the total cost of domiciliary care for people receiving nurse-led care. When a person is receiving hourly care, provided by a domiciliary care provider it is likely that you will be charged extras for additional services to support the person’s specific rehabilitation needs on top of the cost of a carer visiting. These extras add up and can become costly over time. The total cost to provide hourly care to someone living with high or complex needs can sometimes exceed the price of an inclusive live-in care service. Many domiciliary care agencies do not provide nurse-led care at home, so you may need to consider a specialist nursing care agency, which may be more costly.
Nurse-led care at home is typically in line with – and sometimes less than – what you would pay for nursing care in a care home, with the added benefit of receiving one-to-one tailored care, something that cannot be achieved in a nursing home.
Funding for nursing care at home
There are two levels of funding that you may be entitled to if you require nurse-led care at home:
NHS continuing healthcare
Healthcare in the UK is free at the point of delivery. Therefore, if you have an identified healthcare need and are receiving care for this in your own home, you may be eligible for NHS Continuing Healthcare funding, which is arranged and funded by your local Clinical Commissioning Group (CCG). If you feel you are entitled to this funding, you need to visit your GP who will complete an initial assessment and refer your case to the CCG for consideration. They will then ask you to complete full assessment with a multidisciplinary team of healthcare professionals so they can understand the complexity of your needs.
Sadly, for many, specialist conditions like dementia are not in isolation considered a healthcare need so care for dementia is not necessarily funded by NHS Continuing Healthcare. It is always worth checking though, as funding can considerably contribute to the overall cost of care and in many cases will fund the total cost.
If you are successful in securing funding it is worth noting that funding is reviewed by the CCG annually, so if your needs decrease because you are receiving good quality care your funding may be at risk and you may have to start funding the total cost of your care.
NHS funded nursing care
If you have an identified nursing need, the NHS may pay a weekly rate for nursing care provided by a care home provider or for a registered nurse to visit you either in a residential home or when receiving care at home. The assessment process is the same as NHS Continuing Healthcare and is likely you will be offered this funding if you have failed to qualify for Continuing Healthcare.