Nurse led care at home

Specialist nurse-led care in the home

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 home care for over 10 years. If you are living with a specialist condition, like dementiaParkinson’s or Multiple Sclerosis, or for needing stroke carecancer 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.

specialist-nurse-led-live-care

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 delegated healthcare 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 nursing home 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.

Private 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 nurse care at home 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 care at home our clients should expect, whilst enabling our team to improve health outcomes for their clients.

“I am delighted to be part of this team who are committed to enabling people to live well at home with nurse-led care. Our approach to preventative healthcare has enhanced well-being and quality of life for many with complex conditions.”

Dr Pritchard, Consultant Nurse

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
care planning.

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.

Innovative care technology

Unlike any other live-in care provider, we have our own online care community.  Families, healthcare professionals and carers can access up to date information about the care being provided.  It enables more effective monitoring, which means issues can be responded to efficiently.  For our families it provides a reassuring window into the care their loved one is receiving.  Our carers also use the online community to share ideas and support each other.  It provides a vital connection which is important when remote working.  Carers will use the online community so their clients can enjoy time online.  This includes video calls with family, so they feel connected.  Clients can use it to shop online or browse the web.

Improving health outcomes

Every decision we make is driven by delivering improved health outcomes for our clients.  Our digital technology allows us to predict risk and shape the care we provide.  We measure health outcomes.  We want to know we are improving the quality of our clients’ lives every year.

Our health and well-being aim to reduce:

  • Behaviours that challenge
  • Antipsychotic drugs in dementia care
  • Falls in the home
  • Hospital admissions
  • Re-admission to hospital
  • Urinary tract infections (UTIs)
  • Chest infections
  • Carer stress

They aim to promote:

  • Independence
  • Well-being
  • Excellent nutrition and hydration
  • Enjoyment in life

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 seven 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 these clients experienced 47% fewer falls from being in our care.

Reducing urinary tract infections (UTI’s)

Through enhanced training and the use of our market-leading digital technology, our professional carers can perform urinalysis tests.  This means they can provide accurate and timely information to GP’s, enabling a quick diagnosis and treatment.  82% of our clients were diagnosed in 2019 using urinalysis kits, preventing unnecessary emergency interventions and hospital admissions by 68%.

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 16%.  By comparison, our approach to one-to-one palliative care at home has enabled 77% 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.  Our clients are nine times less likely to acquire a pressure sore than they are in a care home and three times less likely than in hospital.

Proactive monitoring of chest infections

Our partnership with an award-winning technology provider, Feebris has seen us reduce hospital admissions for those with respiratory problems by 28%.  Our carers use handheld medical devices to detect early signs of illness, such as chest infections enabling timely intervention to avoid unnecessary hospital admissions.

Efficient management of medications

Our digital technology is used proactively to effectively support safe administration of medications, which has seen error rates of 3% compared to a 22% error rate in care home settings.

Reducing the use of antipsychotic mediation 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, our clients are four times less likely to be prescribed antipsychotic medication than residents of care homes.

“The service provided by The Good Care Group is professional and driven by the desire to keep the elderly healthier and happier at home. This is valuable to clients and their families, avoiding a move into a care home.”

Dr Moore, Private GP

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
psychological needs.

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
with this.

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.

Domestic tasks

This includes cleaning of all rooms and vacuuming throughout to keep your house to the standards of cleanliness and tidiness you
always have.

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

We provide our specialist nursing care at home as either 24 hour live-in care, a short term care arrangement or as 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 in the home.

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 in the home.

WHAT IS INCLUDED IN OUR NURSING HOME CARE 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.

Talk to us about your live-in care needs

Our friendly and experienced team is here to help you and your family make sense of the options available to you. Call us today we will help you every step of the way.


020 3728 7577

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