Home Care in Twickenham

Twickenham has 7 CQC registered home care agencies. 5 are rated Good, and 2 have not yet been rated. 4 of the 7 were last inspected more than three years ago.

Source: Care Quality Commission register, kept up to date as ratings change.

Sorting through home care agencies in Twickenham

Working with a partly rated field

Five of the seven providers listed hold a Good rating and two have not yet been inspected. A missing rating is not a warning in itself, since newly registered agencies are inspected in due course, but it does mean there is no published evidence to rely on. In those cases ask how long the agency has been operating, who owns it and how many packages it runs. For rated agencies, read the safe and responsive sections most closely, because late or missed calls and problems with medicines are what most often unsettle a household.

Continuity above everything

Ask how many different care workers would come through the door in a typical week, whether the same people cover weekends, and what happens when someone is off sick or on leave. Ask whether visit times are fixed or offered as a window, and ask to see a rota in advance. For anyone living with dementia, a small and familiar team makes far more difference than any promise in a brochure.

Practical checks

Ask what training staff have completed for the tasks actually needed, whether that is moving and handling, catheter care or supporting someone with memory difficulties. Ask how visits are recorded and whether relatives at a distance can see the notes. Ask who answers the telephone on a Sunday evening and how quickly a missed call is noticed and covered.

Arranging an assessment and settling the cost

The assessment of need

Anyone who appears to require care and support can ask for a free assessment, whatever their savings. For support at home it concentrates on practical daily tasks and on the hours when help matters most, and it should also take in equipment and small adaptations, which sometimes reduce the number of visits needed. A relative providing regular unpaid care can request a separate carer assessment in their own right.

How funding is decided

Where needs are eligible, a financial assessment sets the contribution. Home care is treated differently from a care home place, because the value of the house someone lives in is not counted while care is delivered there. Savings above the national threshold usually mean paying privately, while people below it receive help towards the cost. Assessments and funded packages are arranged through the London Borough of Richmond upon Thames adult social care team. Ask about a direct payment if you would prefer to arrange the support yourself.

Working out the weekly figure

Home care is usually charged by the hour or by the visit, with higher rates at weekends, on bank holidays and overnight. Short calls can look inexpensive until several a day are added together, so calculate the weekly total rather than comparing hourly rates. Ask for a written rate card and ask what notice is needed to change or cancel a visit.

Related searches

• Care Homes in Twickenham
• Nursing Homes in Twickenham

Home Care near Twickenham

• Isleworth
• Teddington
• Hounslow
• Feltham
• Brentford
• Kingston Upon Thames
• Sunbury-on-thames
• Southall
• Surbiton
• New Malden