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Care Assessment

Live in Care Assessment Easily Arranged Throughout the UK

When you need a Live in Care Assessment and you first contact our office, we will ask you for some basic information to assess the care that is needed; and we will supply you with some idea of the total cost of the self-employed live in care service.

We can arrange a visit by one of our professionally trained regional Care Coordinators. During the visit you and/or your representative will be asked questions about the service you want and need. There may need to be consultation with health and social care professionals if they are involved in the commissioning of the care service.

In order to make a clear and comprehensive Live in Care Assessment, if you wish we can meet key members of your family, or friends. We will consider any personal goals such as keeping up hobbies and interests, social activities enjoyed and would like to attend, or engaging with family and friends, to keep in contact with them. We will also note specific requirements when it comes to: medication, mobility, nutrition, pressure area care, and daily routines.

Contact Us

Contact us by telephone: 0800 955 8845 or email: hello@247liveincare.co.uk to book your free care assessment today.

Personalised Live in Care Plan

Following this assessment meeting, a personalised live in care plan will be developed with you in order to clearly set out which duties the live in carer will need to undertake. The care needs and dependency levels will be carefully considered before an appropriate live-in care worker is placed with you. There is information below that will aid us in this process.

The care plan will be based on an assessment of risks and care needs along with the interests, activities and individual preferences of the client. Our registered carers will often determine their daily pay rate from these guidelines and the complexity of the care requirement.

We will also need to ensure that the care worker has their own bedroom and suitable washing facilities. An environment risk assessment is also useful so that the living in carer knows how to turn off water and other utilities; and is aware of any hazards in their workplace.

We will then send you profiles of the self-employed carers we feel are suitable; but the choice is yours and you will negotiate with them the daily pay rate, and what you may pay them extra for food and travel expenses.

We can only carry out reviews of the care package if you specifically request us to do this. We are there for you at any time you request our service. We will ensure that the live in carers registered with us are offered opportunities to improve their care skills; either in-house or with other training providers.

We will be there to help cover unplanned carer absence and other emergencies.

Care Tier 1

Provides support and enablement for Service Users with needs around the personal activities of daily living, potentially including mobility, nutrition, hygiene and personal safety.

This includes Personal Care. Excludes Nursing Care or Delegated Nursing Tasks (DNTs) carried out by the Care Worker. Service Users may have Nursing Care needs that are met by other members of the community care team. Provides support and assistance to Service Users in a way that encourages and maximises independence. Care Tier 1 activities can include but are not limited to the following:

  • Supporting Service Users to get up/ go to bed and get dressed/ undressed.
  • Supporting Service Users to wash, shower or bath including washing of hair and oral hygiene.
  • Supporting Service Users with their toilet/continence requirements.
  • Helping Service Users to eat their food or take a drink.
  • Assisting and facilitating Service Users to take medication. Service Users will not be passive in taking medication, and will have the cognitive capacity to manage their medication and to direct the Care Worker. Tier 1 does not include medicine administration, this is included in Tier 2.
  • Assisting Service Users to make a safe transfer or to mobilise. Service Users will have some ability to weight bear or move independently.
  • Supporting Service Users’ social care needs including social interaction and some domestic activities. Domestic activities will be specifically and exclusively for the Service User and may include but are not limited to light housework, preparing meals, washing up after meal preparation, laundry and shopping.
  • Working towards maintaining a safe environment for Service Users, respecting Service User and family preferences.
  • Recognising changing mental, physical and emotional needs, and reporting appropriately.


Care Tier 2 – Advanced Care Requirements

Incorporates all components of Care Tier 1. Includes anticipating Service Users needs and responding to dynamic needs that may not be directly communicated by Service Users. Medication Administration.

Excludes administration of an intravenous (IV) antibiotic or other drug requiring training in reconstitution, mathematical calculation, or titration which is Tier 3.

Includes greater identification and management of risks compared to Care Tier 1. Care Tier 2 activities can include but are not limited to the following:

  • Observation and monitoring of skin including pressure areas.
  • Continence care, which requires monitoring to minimise risks, for example, care associated with urinary catheters, double incontinence, chronic urinary tract infections and/or the management of constipation.
  • Supervised feeding where there may be a risk of aspiration. Care will be delivered in line with SALT guidance.
  • Care for Service Users receiving nutritional support through feeding tubes (such as PEG, RIG, NG) delegated by an appropriately registered health care professional (e.g. a district nurse).
  • Transferring and mobilising Service Users, where Service Users are unable to weight bear and are unable to assist or cooperate with transfers and/or repositioning.
  • Careful positioning where Service Users are unable to cooperate and there is the loss of muscle tone, pain on movement, or a risk of physical harm.
  • Care for Service Users with involuntary spasms or contractures placing them or others at risk.
  • Administration of medication. Care Tier 2 Care Workers have a greater responsibility for delivering medication and have a more active role compared with Care Tier 1 Care Workers. Care Tier 2 Care Workers administer medication as per the Service User’s prescription instructions or the Service User’s MAR (Medicines Administration Record). Medication is not delivered under the direct instruction of the Service User, as per Care Tier 1. All details of the medication administration will be recorded.
  • Administration of prescribed insulin that has been dispensed via an insulin pen, where Service Users cannot do this themselves.


Care Tier 3 – Specialist Care

Incorporates Care Tiers 1 and 2. Applies for Service Users with a combination of conditions and disabilities. The conditions or disabilities will be severe or in the advanced stages. Non-invasive ventilation, including sleep masks and cough, assist machines.

Care for Service Users who are unable to assess basic risks even with supervision, prompting or assistance, due to cognitive impairment, and who are dependent on others to anticipate their basic needs and to protect them from harm, neglect or health deterioration. Care Tier 3 activities include but are not limited to the following:

Behavioural Problems

  • Aggression, violence or passive non-aggressive behaviour
  • Severe dis-inhibition
  • Intractable noisiness or restlessness and/or wandering
  • Resistance to necessary care and treatment (this may, therefore, include non-concordance and non-compliance)
  • Severe fluctuations in mental state
  • Extreme frustration associated with communication difficulties
  • Inappropriate interference with others
  • Identified risk of suicide

End of life care

  • Symptoms associated with dying e.g. pain, chest secretions, difficulty breathing
  • Emotional support during the dying process
  • Implementation of agreed plans e.g. ACP

Marked Psychological and Emotional Needs

  • Unable to express their psychological / emotional needs
  • Mood disturbance
  • Hallucinations
  • Anxiety
  • Periods of distress
  • Withdrawn from attempts to engage in daily activities

Cognition Difficulties

  • Marked short term memory issues
  • Long term memory problems
  • Disorientation to time and place
  • Limited awareness of basic needs and risks
  • Difficulty making basic decisions
  • Dependent on others to anticipate basic needs