Our Domiciliary Service enables children and adults to remain supported in the comfort of their own homes, while receiving the help they need to live safely, with dignity and as much independence as possible. Much of our work focuses on supporting older adults, but we also provide tailored domiciliary care for children and adults with learning disabilities, autism, epilepsy, physical disabilities and complex needs.

Support can range from short, flexible visits of just one hour per week through to 24/7 live-in care, depending on assessed needs, family circumstances and individual preferences. We understand that choosing care at home can be a very personal decision, which is why we take the time to get to know each individual and, where appropriate, their family before support begins, so we can carefully match them with the right support worker. Considerations such as gender, language, culture, personality and routines are taken into account to build trust and ensure care feels natural, consistent and comfortable from the outset.

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Our Approach

At Alexandra House, our approach is to provide care that promotes independence and wellbeing while always respecting each person’s dignity, preferences and routines. For older people, this may mean support with day-to-day activities that help them remain safe and comfortable at home. For adults with learning disabilities or complex conditions, support may include one-to-one assistance in the community, building life skills, or help to access appointments, education and leisure opportunities. For children, our support is designed to fit around family life and routines, providing consistent, reassuring care that promotes confidence, safety and positive outcomes.

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Before a package commences, a Manager or Senior staff member will usually complete a preliminary visit to the home. This gives everyone the opportunity to meet, discuss needs, share important information and explain how the service will start, while also allowing us to assess the home environment and ensure the right support is in place. In rare circumstances, such as urgent hospital discharge or emergency admissions, we may need to begin support before this visit takes place, with the assessment completed as soon as possible afterwards.

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Each care package is bespoke and developed in partnership with the individual and, where appropriate, their family and the professionals involved. Every person is offered a key worker to provide continuity, build trust and ensure a consistent, familiar approach at each visit.

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What We Offer

Our domiciliary service is flexible and wide-ranging, covering areas such as:

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• Personal care, including support with washing, dressing and maintaining good hygiene.

• Mobility support to promote independence, including assistance with transfers, walking and the safe use of mobility equipment.

• Medication support, including prompts, reminders and prescription collections (in line with policy and individual plans).

• Nutrition and meals, including shopping support, meal preparation and dietary guidance to meet individual needs.

• Household tasks such as light cleaning, laundry and maintaining a safe, comfortable home environment.

• Companionship and wellbeing support through friendly visits, conversation and emotional reassurance.

• Sitting services to provide families and carers with valuable breaks and continuity of care at home.

• Support to attend appointments and complete errands, including GP, hospital, dentist and community services.

• Overnight care, including sleep-in or waking night support to provide safety and reassurance.

• Community-based one-to-one support, including leisure, education, social and recreational activities, tailored to personal goals and routines.

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Our Team

Our domiciliary staff are highly trained and experienced in supporting both older people and adults with disabilities. They receive ongoing training in safeguarding, moving and handling, medication management, dementia awareness, autism, epilepsy and positive behaviour support. Staff are also trained in the Active Support model, which focuses on enabling individuals to do as much as possible for themselves, promoting confidence and independence.

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Flexibility & Access

Support can be arranged in a number of ways, including local authority referrals, direct payments or private purchase, giving families flexibility and choice. Care plans are regularly reviewed and adapted as circumstances change, ensuring support always meets current needs. Whether it’s a few hours of assistance each week for an older person, or intensive 24-hour care for an individual with complex needs, our domiciliary service is designed to respond quickly and flexibly.

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Contact Us

To find out more about our Domiciliary Service, or to arrange an initial consultation, please contact our friendly team on 01745 889179.