Service group

Specialised care at home

Care for some of the hardest moments families face: living with dementia, caring for someone at the end of life, and making sure the people who give care get a rest too.

Who this helps

  • People living with dementia or Alzheimer's disease, and their families
  • People with a life-limiting illness who wish to be cared for at home
  • Families supporting a relative towards the end of life
  • Family carers who need a regular break, or cover while they work or travel

The services in this group

Every service starts with an assessment, so the care plan fits the person and the home. Limits are part of each description, not small print.

Dementia and Alzheimer's care

  • Visiting
  • Live-in

Patient, consistent care for people living with dementia, built around familiar routines, calm communication and safety at home.

What's included

  • A consistent small team, so faces stay familiar
  • Daily routines that keep the person oriented
  • Calm approaches to confusion, distress or wandering
  • Support and information for the family

How we assess

A nurse learns about the person's history, routine, communication, what upsets or soothes them, and any safety risks at home.

Who provides it

Caregivers experienced with dementia, with nurse oversight.

Important limits

  • There is no cure for dementia, and we do not diagnose it. Changes in behaviour are reviewed with the person's doctor.
  • We do not use physical restraint or sedate anyone.
Catalogue item 28: Dementia/Alzheimer's care Ask about this service

Palliative and end-of-life support at home

  • Nursing service
  • Visiting
  • Live-in

Comfort-focused care at home for people with a life-limiting illness, working alongside their doctor or palliative care team, and support for the family.

What's included

  • Personal care, comfortable positioning and mouth care
  • Noticing and reporting pain, breathlessness or distress
  • Giving prescribed medicines (nurse only)
  • Being present and supporting the family

How we assess

A nurse meets the family, reviews the medical team's plan and agrees what matters most to the person.

Who provides it

Nurses and caregivers, working with the person's doctor or palliative care team.

Important limits

  • Sehlam is not a hospice facility. Medical decisions and prescriptions stay with the person's doctor or palliative team.
  • Strong pain medicines are given only by a nurse, exactly as prescribed.
Catalogue item 29: Palliative and hospice support Ask about this service

Respite for family carers

  • Visiting
  • Live-in

Planned cover so the family member who usually provides care can rest, work, travel or simply have time for themselves.

What's included

  • A few hours a week, regular days, or live-in cover for a holiday
  • Following the family's routine so little changes for the person
  • A clear handover before and after
  • The same assessment as any other care

How we assess

We assess the person's needs and learn the family's routine in detail, ideally before the first break.

Who provides it

A caregiver, or a nurse if clinical tasks are needed.

Important limits

  • Respite is booked in advance where possible; short-notice cover depends on who is available.
Catalogue item 30: Respite care for family caregivers Ask about this service

Living well with dementia at home

Dementia changes how a person remembers, communicates and makes sense of the world around them, and it changes gradually. Familiar surroundings, people and routines help many people stay calmer and more independent for longer, which is one reason families choose care at home.

Our approach rests on a few simple things: a small, consistent team so faces stay familiar; daily routines that follow the person's own habits; calm communication that doesn't argue or rush; and attention to safety around cooking, doors, medicines and night-time. Before care starts, a nurse learns about the person's history, what upsets them and what soothes them, so every caregiver starts from the same understanding.

We are clear about the limits. There is no cure for dementia, and we don't diagnose it. When behaviour changes, we review it with the person's doctor. We never restrain or sedate anyone. More detail is on dementia support, and our guide for families covers what to expect.

Comfort and dignity towards the end of life

Many people would prefer to spend their last weeks or months at home, surrounded by family. Palliative support makes that more possible by focusing on comfort: gentle personal care, comfortable positioning, mouth care, and noticing and reporting pain, breathlessness or distress.

This care works alongside the person's doctor or palliative care team. They make the medical decisions and write the prescriptions; our nurses give prescribed medicines exactly as instructed and keep them informed. Sehlam is not a hospice facility, and if the person's needs go beyond what can safely be managed at home, we'll tell the family honestly.

Families need support too. Caregivers can sit with the person so relatives can rest, and we respect the family's faith, customs and wishes about this time.

Rest for the people who give care

Looking after someone you love, day after day, is demanding. Family carers often put their own health, work and rest last, until they are exhausted. A planned break isn't giving up; it's what makes care sustainable.

Respite can be a few hours each week, regular days, or live-in cover while you work, travel or recover from illness yourself. We assess the person's needs and learn the family's routine in detail beforehand, so as little as possible changes for them. Read more about respite care.

Common questions

Can you care for someone with dementia who wanders at night?

We'll look closely at night-time safety during the assessment. When someone often wakes and tries to go out at night, live-in care is usually safer than visits. We never restrain people; we work with the family on routines and changes to the home that reduce the risk.

Do you provide hospice care?

Sehlam is not a hospice facility. We provide palliative support at home, working alongside the person's doctor or palliative care team, who remain responsible for medical decisions and prescriptions.

Who decides about pain relief at the end of life?

The person's doctor or palliative care team. Our nurses give pain medicines only as prescribed, and tell the doctor and family if the person still seems to be in pain or distress.

How far ahead should we arrange respite?

As early as you can, especially for a planned trip or a festive period. Short-notice cover depends on who is available. Our guide to planning respite helps you prepare.

Can respite be live-in while the family travels?

Yes. Respite can be a few hours a week, regular days, or a caregiver living in the home while the usual family carer is away. It starts with the same assessment as any other care.

Talk to us about specialised care

Tell us about the person and what the family needs most right now. We'll call you back and talk it through carefully.

Request a care assessment