The National Care Line
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Domiciliary Care

What is Domiciliary Care?

Domiciliary Care is care provided in the home and is suited to those people who can retain their independence with some outside support.

The care provided is usually help with a specific tasks, for example, help getting up and going to bed and/or help with bathing.

It is usually sourced through the Local Authority Social Services, however, in the current economic climate, many people who need a little help are finding it increasingly difficult to get it.

This is because many authorities are not able to find the extra funding required to keep up with the growing need for care. It means that those whose care is assessed as ‘low level’ often find that their services are limited or non-existent until they need of a higher level of care and support.

Getting assistance 

If you are a carer,  you may be able to get assistance with caring for the person you're looking after. This could be from carers employed by the local authority or those engaged by the person you're caring for. There is no standard charging rate for domiciliary care and each Local Authority can set their own charging procedures, but in doing so, they must take account of the guidance under the 'Fairer Charging Policies' issued by the Department of Health.

Equipment and facilities that can be installed in the home are also available and can help the person being looked after to be more independent.   You can access to this equipment through social services by getting a community care assessment for the person you're looking after; (or an assessment under the Children Act, if the person you're looking after is a child). The Local Authority's website usually provides details on any sources of support such as adaptations, Disabled Facilities Grants and how to get a parking bay outside your home.

The value of the home is disregarded in domicilary care but all other assets may be included and following the Section 47 assessment, those who have been assessed as needing care from Social Services can either have it arranged through Social Services or people can opt to arrange their care themselves using funds allocated in their personal budget to pay for the care of their choice.

CQC registered homecare services

There are various local private nursing and care agencies who specialise in home care packages to suit individual needs. These agencies are regulated by law and have to meet standards laid down by the Care Standards Act. Increasing numbers of those assessed as 'low level' are turning to the private sector to obtain their care upon finding they are ineligible for council supported care.

Follow this link to a list CQC registered homecare agencies http://www.nhs.uk/CarersDirect/guide/practicalsupport/Pages/Careathome.aspx

Companies offering delivery services

As well as care services coming into the home there are many companies who offer regular delivery services, such as pharmacies, local supermarkets who will deliver your grocery and makers of ready made meals who supply meals for you to store in your freezer and use as required.

There are also schemes run by charities such as Age UK who provide sitting services and handyman schemes which can help to make life easier whether people are caring for someone else or living on their own.