Specialist nurse-led care at home | The Good Care Group

Nurse-led live-in care in the home

Specialist nurse-led live-in 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 need asssitance following a stroke, after a cancer diagnosis or for end-of life care, our specialist nurse-led care can improve health outcomes, whilst enhancing overall quality of life for those we care for.

Our specialist service comprises of two different types:

  1. Nurse-led
  2. Occupational therapist (OT)-led

Depending on your nursing requirements, our team can offer specialist support that is overseen by our experienced clinicians.


Home is best for specialist nurse-led care

Most people believe if they need specialist care, they will have to move from their much-loved home into a nursing home. However, it is widely recognised that receiving nurse-led care at home from a reputable, trusted and expert home care provider can have far reaching benefits for someone needing complex care. Our professional carers are specially trained to provide delegated healthcare tasks usually undertaken by a qualified healthcare professional, as well as being able to support specific needs depending on the client. 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 nurse-led specialist service is overseen by our Consultant Admiral Nurse, Dr Jane Pritchard, and provides a flexible approach to providing high-quality nurse-led home car. This is a fully-managed and regulated service that families can trust is setting the standards in live in care for those who have complex health care requirements or family support needs.

Our OT-led specialist service is overseen by our Occupational Therapist, Jackie Cooper, and provides support and oversight to ensure that people can live safely and well at home. Our OT-led service drives improved outcomes for people at high risk of falling, with mobility challenges or goals, and for those transitioning home from hospital or another care setting.

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

What are delegated health care tasks?

Delegated health care tasks are clinical tasks provided to an individual to support them through illness to improve their overall health and wellbeing. There are a number of tasks a nurse will usually undertake, that with the right training, support and medical equipment, can be delivered by a professional carer enabling people to continue to receive care at home.

The sorts of delegated healthcare tasks professional carers are able to manage at home include: 

  • Care of a stoma 
  • Catheter flushing 
  • Managing a PEG 
  • Administering insulin via an insulin pen 
  • Taking part in the dialysis process

Specialist nurse-led care at home

At The Good Care Group, we believe that people who require specialist 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 nurse-led care at home with our specialist service

Our nurse-led service for those living with complex medical needs is led, developed and supported by our in-house Consultant Admiral Nurse, Dr Jane Pritchard. It forms part of our specialist service offer which sees our Consultant Admiral Nurse working very closely with our Occupational Therapist to share expertise and clinical skills to enable our care teams to deliver high quality, specialist care at home.

Jane has a wealth of nursing expertise having been a dementia care nurse for over sixteen years. She provides clinical insight, assessments, home visit consultations and liaison with medical professionals to those receiving our private home care 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 and will support the transition to care at home, providing 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

Approximately one third of people over the age of 65 will fall at least once a year. For people living in UK residential care settings this figure is 50%. At The Good Care Group 1:1 round the clock care combined with a leading falls prevention approach overseen by our in-house Occupational Therapist has resulted in 8% fewer falls year on year. 

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.

Reducing urinary tract infections (UTI’s)

Our Professional Carers can perform urinalysis tests. This means they can provide accurate and timely information to GPs, enabling a quick diagnosis and treatment. Because of our proactive monitoring client outcomes are improved; a TGCG client is twice as likely to receive treatment at home for a UTI than to require emergency, or hospital, treatment when a urine dipstick test is conducted.

A specialist pathway for palliative care at home

It is the wish of many people living with life-limiting illness or terminal conditions to stay in the comfort and familiarity of their own homes until they pass, yet 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 79% 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 significant reduction in pressure ulcers for the second year running (6% year on year reduction) in those we care for.  With our one-to-one approach clients only 1% of clients develop a pressure ulcer in our care each year, compared to 28% in care home settings.

Avoidance of chest infections

By managing highly effective infection control practices, promoting good health and monitoring proactively for signs of ill health we have been able to reduce incident rates for chest infections resulting in hospital admission year on year. In 2021 we observed a 45% reduction in hospital admissions due to chest infections compared to the previous year.

Efficient management of medications

Our digital technology, and market-leading training, are used proactively to effectively support safe administration of medications, which has seen error rates of less than 2% 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 specialist service include?

Nursing Tasks

Under our Nurse-led service our Professional Carers are trained to monitor and identify any changes in your health, responding appropriately and avoiding any unnecessary hospital admissions.Our carers, with specialist training, can also take on some tasks normally delivered by a trained Nurse, Occupational Therapist, or Physiotherapist, including:

  • Insulin administration
  • Catheter flushing
  • PEG feeding
  • Stoma and urostomy care
  • Blood sugar monitoring
  • Suppository insertion
  • Delivering rehabilitation programmes
  • Overseeing prescribed exercise plans

Ensuring safe mobility in and around the home

Under our OT-led service 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, attending clubs or groups in the local area, visiting your favourite shops or attending a church service.

Each client is given unique access to The Good Care Group Concierge service which clients, their loved ones and carers can use to plan outings and to seek advice about what’s on locally.

Domestic tasks

This includes light housework such as hoovering, dusting, changing bedding and taking the bins out. Helping to keep your home 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 both our care and support and our specialist specialist services on a live-in basis as either  home as either respite care(Short term) or ongoing 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.

What is included in our specialist service?

Our highly specialist nurse-led care service includes:

  • A service with access to clinical expertise from our Consultant Admiral Nurse and Occupational Therapist
  • Full assessment before care starts
  • A bespoke and flexible care plan developed with input from the client, their loved ones and other healthcare professionals
  • Professional carers who are matched to the client to meet their holistic needs
  • A Dedicated care team led by an expert local care manager
  • Meal planning and management of household tasks
  • Social activities and lifestyle enhancement
  • Access to support and expertise - 24 hours a day, 7 days a week

How much does specialist care cost?

The cost of live-in 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.

It is worth considering that live-in care could be cheaper than the total cost of hourly domiciliary care when you need specialist or complex care at home. When you pay for care from a domiciliary care provider it is likely that you will be charged extras for additional specialist services to support your specific rehabilitation needs on top of the cost of your hourly care visits. These extras can 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 access to healthcare professionals at home, so you may also need to consider using a specialist nursing care agency to meet your needs, which may be more costly. Live-in can be a cost-effective alternative for specialist care.

Funding for 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 Integrated Care Board (ICB). 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 ICB 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 many specialist conditions like dementia are not considered a healthcare need in isolation 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 ICB 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.

If you are required to contribute to paying for your care solely or in addition to NHS funding, there are several options you can consider:

The Good Care Group works in partnership with Symponia, a professional body representing over 120 financial and legal advisors who are all specialists in the area of financing private care fees. They can provide support and advice on how you can fund your care.

Find out more about financing your care here.

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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